Pub Date : 2017-11-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.11.019
Shuzhe Ji, S. Shi, Hong-Wei Ma
Objective To compare the clinic effectiveness of silicone intubation for treating chronic dacryocystitis with different type silicone stents. Methods In a retrospective, nonrandomized comparative case series,from March 2014 to Janurary 2016,696 cases (763 eyes) with chronic dacryocystitis were divided into type A silicone stent group (314 eyes) and type A1 silicone stent group group (449 eyes) depending on the type of silicone stent. And the patients were followed up for 3 months after the removal of tubes.The patency of lacrimal duct, the rate of stent drawn in the correct position for the first time, operation time and incidence of complications were observed. Results After 3 months of postextubation,114 eyes were cured, 74 eyes were improved,126 eyes were failed,the overall successful rate was 59.87% in type A silicone stent group.And 209 eyes were cured, 96 eyes were improved,144 eyes were failed,the overall successful rate was 67.93% in type A1 silicone stent group. The difference between two groups had statistically significance (P =0.022). the stents were drawn in the correct position firstly in 61 eyes in type A silicone stent group, and153 eyes in type A1 silicone stent group. The difference between two groups had statistically significance (P <0.01) .The mean operation time was 13.5min in type A silicone stent group,and 9.7min in type A1 silicone stent group. The difference between two groups were statistically significant (P <0.01). Failure of extubation was observed in 32 eyes in type A silicone stent group and 23 eyes in type A1 silicone stent group. The incidence of extubation failure in type A1 silicone stent group was lower than that in type A silicone stent group with statistically significance (P =0.008). Conclusion Type A1 Silicone stents in the treatment of chronic dacryocystitis were much easier drawn in the correct position firstly than type A silicone stent. They can also shorten operation time, reduce the injury to lacrimal duct mucosa, so that can improve the success rate of surgery. And the incidence of extubation failure was significantly lower than that of type A silicone stent. So that the efficacy of type A1 silicone stent in treatment of chronic dacryocystitis was better than that of type A silicone stent. Key words: chronic dacryocystitis; silicone intubation
{"title":"Compare the clinical effectiveness of silicone intubation for treating chronic dacryocystitis with different type silicone stents","authors":"Shuzhe Ji, S. Shi, Hong-Wei Ma","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.11.019","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.11.019","url":null,"abstract":"Objective To compare the clinic effectiveness of silicone intubation for treating chronic dacryocystitis with different type silicone stents. Methods In a retrospective, nonrandomized comparative case series,from March 2014 to Janurary 2016,696 cases (763 eyes) with chronic dacryocystitis were divided into type A silicone stent group (314 eyes) and type A1 silicone stent group group (449 eyes) depending on the type of silicone stent. And the patients were followed up for 3 months after the removal of tubes.The patency of lacrimal duct, the rate of stent drawn in the correct position for the first time, operation time and incidence of complications were observed. Results After 3 months of postextubation,114 eyes were cured, 74 eyes were improved,126 eyes were failed,the overall successful rate was 59.87% in type A silicone stent group.And 209 eyes were cured, 96 eyes were improved,144 eyes were failed,the overall successful rate was 67.93% in type A1 silicone stent group. The difference between two groups had statistically significance (P =0.022). the stents were drawn in the correct position firstly in 61 eyes in type A silicone stent group, and153 eyes in type A1 silicone stent group. The difference between two groups had statistically significance (P <0.01) .The mean operation time was 13.5min in type A silicone stent group,and 9.7min in type A1 silicone stent group. The difference between two groups were statistically significant (P <0.01). Failure of extubation was observed in 32 eyes in type A silicone stent group and 23 eyes in type A1 silicone stent group. The incidence of extubation failure in type A1 silicone stent group was lower than that in type A silicone stent group with statistically significance (P =0.008). Conclusion Type A1 Silicone stents in the treatment of chronic dacryocystitis were much easier drawn in the correct position firstly than type A silicone stent. They can also shorten operation time, reduce the injury to lacrimal duct mucosa, so that can improve the success rate of surgery. And the incidence of extubation failure was significantly lower than that of type A silicone stent. So that the efficacy of type A1 silicone stent in treatment of chronic dacryocystitis was better than that of type A silicone stent. Key words: chronic dacryocystitis; silicone intubation","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78137454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.11.021
Li-feng Qiao, Chun-tao Lei, Xiao-feng Chen
Objective To know the effect of cataract operation in Pixian rural areas of Sichuan. The sight of the patients who had been done the cataract surgery were analyzed. The main reasons which brought about the postoperative poor visions in Pixian were analyzed. Results There were 313 cases (313 eyes) in this study. The eyes which out of visual hand icapped(visual acuity≥0.3) were 67.09%(210 eyes). The eyes which out of blindness (visual acuity≥0.05) were 88.82%(278eyes). The eyes which out of visual handicapped(corrected visual acuity≥0.3) were 83.71%(262 eyes). The eyes which out of blindness (corrected visual acuity≥0.05) were 93.61%(293eyes). The main reasons which caused the poor vision in Pixian was refractive errors, posterior capsule opacification(PCO), abnormal vitreous and optic atrophy. Conclusions The cataract surgery in Sichuan Pixian is helpful for solving the problem of the blind persons caused by cataract, but the long time postoperative visual acuity is unsatisfactory. The refractive errors and PCO are the main reasons. So the first two missions are to reduce the refractive errors and to solve the PCO after the cataract surgery. Key words: Cataract; Poor vision; Blindness
{"title":"A survey of the effect of cataract operation in Pixian rural areas of Sichuan","authors":"Li-feng Qiao, Chun-tao Lei, Xiao-feng Chen","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.11.021","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.11.021","url":null,"abstract":"Objective \u0000To know the effect of cataract operation in Pixian rural areas of Sichuan. The sight of the patients who had been done the cataract surgery were analyzed. The main reasons which brought about the postoperative poor visions in Pixian were analyzed. \u0000 \u0000 \u0000Results \u0000There were 313 cases (313 eyes) in this study. The eyes which out of visual hand icapped(visual acuity≥0.3) were 67.09%(210 eyes). The eyes which out of blindness (visual acuity≥0.05) were 88.82%(278eyes). The eyes which out of visual handicapped(corrected visual acuity≥0.3) were 83.71%(262 eyes). The eyes which out of blindness (corrected visual acuity≥0.05) were 93.61%(293eyes). The main reasons which caused the poor vision in Pixian was refractive errors, posterior capsule opacification(PCO), abnormal vitreous and optic atrophy. \u0000 \u0000 \u0000Conclusions \u0000The cataract surgery in Sichuan Pixian is helpful for solving the problem of the blind persons caused by cataract, but the long time postoperative visual acuity is unsatisfactory. The refractive errors and PCO are the main reasons. So the first two missions are to reduce the refractive errors and to solve the PCO after the cataract surgery. \u0000 \u0000 \u0000Key words: \u0000Cataract; Poor vision; Blindness","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73516689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.11.004
Wenhuan Wang, M. Ke, Shengyu Wu, Jing Zhang
Objective To investigate the preventive effect of low concentration of triamcinolone acetonide injected in anterior chamber on posterior capsular opacification. Methods A prospective clinical randomized controlled study of 120 patients with age-related cataract which diagnosed in Department of Ophthalmology of Zhongnan Hospital of Wuhan University were selected from March 2013 to March 2014. A total of 120 cases (120 eyes) were randomly divided into two groups and performed cataract phacoemulsification. The experimental group was injected triamcinolone acetonide (4 mg/100 ml, 0.2 ml) in anterior chamber after cataract phacoemulsification while the control group was injected sodium chloride (0.9%, 0.2 ml) in anterior chamber after operation. Postoperative follow-up 36 months, the incidence of postoperative posterior capsular opacification, early preoperative inflammatory response, intraocular pressure and corneal endothelial cells count in the two groups were observed. Results All 112 cases (112 eyes) were completed and included in the clinical analysis, including 54 cases (54 eyes) in experimental group and 58 cases (58 eyes) from control group. In the 3, 6, 12, 24 and 36 months after surgery, the incidence of postoperative posterior capsular opacification in the experimental group was lower than that in the control group (χ2=4.038, 7.377, 5.255, 4.809, 4.127, P 0.05). Conclusions Anterior chamber injection of low concentration of triamcinolone acetonide is an effective and safe way which can reduce and prevent the incidence of posterior capsular opacification and delay the onset of posterior capsular opacification after cataract phacoemulsification. Key words: Posterior capsular opacification; Triamcinolone acetonide; Intraocular pressure
{"title":"Exploration of the preventive effect of triamcinolone acetonide on posterior capsular opacification","authors":"Wenhuan Wang, M. Ke, Shengyu Wu, Jing Zhang","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.11.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.11.004","url":null,"abstract":"Objective \u0000To investigate the preventive effect of low concentration of triamcinolone acetonide injected in anterior chamber on posterior capsular opacification. \u0000 \u0000 \u0000Methods \u0000A prospective clinical randomized controlled study of 120 patients with age-related cataract which diagnosed in Department of Ophthalmology of Zhongnan Hospital of Wuhan University were selected from March 2013 to March 2014. A total of 120 cases (120 eyes) were randomly divided into two groups and performed cataract phacoemulsification. The experimental group was injected triamcinolone acetonide (4 mg/100 ml, 0.2 ml) in anterior chamber after cataract phacoemulsification while the control group was injected sodium chloride (0.9%, 0.2 ml) in anterior chamber after operation. Postoperative follow-up 36 months, the incidence of postoperative posterior capsular opacification, early preoperative inflammatory response, intraocular pressure and corneal endothelial cells count in the two groups were observed. \u0000 \u0000 \u0000Results \u0000All 112 cases (112 eyes) were completed and included in the clinical analysis, including 54 cases (54 eyes) in experimental group and 58 cases (58 eyes) from control group. In the 3, 6, 12, 24 and 36 months after surgery, the incidence of postoperative posterior capsular opacification in the experimental group was lower than that in the control group (χ2=4.038, 7.377, 5.255, 4.809, 4.127, P 0.05). \u0000 \u0000 \u0000Conclusions \u0000Anterior chamber injection of low concentration of triamcinolone acetonide is an effective and safe way which can reduce and prevent the incidence of posterior capsular opacification and delay the onset of posterior capsular opacification after cataract phacoemulsification. \u0000 \u0000 \u0000Key words: \u0000Posterior capsular opacification; Triamcinolone acetonide; Intraocular pressure","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80747801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.11.008
Peijian Miao, Xueling Zhang, Xiaoya Chen, J. Cui, Su-mei Li
Objective To observe the roles of exposed and embeded threads in the head of sutures conjunctiva flap on early tear film function after trabeculectomy. Methods A 100 glaucoma patients (136 eyes) with fornix based conjunctival flap in trabecula resection at Eye Institute of Xuzhou from December 2012 to October 2014 were randomly divided into two groups. Group A: 50 cases (67 eyes) of conjunctival suture thread exposed; group B: 50 cases (69 eyes) of conjunctival suture implanting head bag. The symptoms and signs of dry eye disease, tear break-up time (BUT), Schirmer I test and corneal fluorescein staining of tear film function were analyzed. Results Between the two groups, in foreign body sensation at 1 day and 1 week, dryness at 1 day and 1 month and photophobia at 1 day, 1 week and 2 weeks after surgery, the differences were statistically significant (P 0.05). Between the two groups, BUT after surgery showed no significant difference (P >0.05), While in schirmer I after surgery and corneal fluorescein staining, the differences were statistically significant (P <0.05). Conclusions There are differences on early tear function at the fornix based conjunctival flap by exposed thread and implanting head of suture methods. Effects of the embedding suture method on early tear film function is relatively small. Key words: Adjustable suture; Trabeculectomy; Suture; Tear film
{"title":"Effect of different suture conjunctiva flap on early tear film function after trabeculectomy","authors":"Peijian Miao, Xueling Zhang, Xiaoya Chen, J. Cui, Su-mei Li","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.11.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.11.008","url":null,"abstract":"Objective \u0000To observe the roles of exposed and embeded threads in the head of sutures conjunctiva flap on early tear film function after trabeculectomy. \u0000 \u0000 \u0000Methods \u0000A 100 glaucoma patients (136 eyes) with fornix based conjunctival flap in trabecula resection at Eye Institute of Xuzhou from December 2012 to October 2014 were randomly divided into two groups. Group A: 50 cases (67 eyes) of conjunctival suture thread exposed; group B: 50 cases (69 eyes) of conjunctival suture implanting head bag. The symptoms and signs of dry eye disease, tear break-up time (BUT), Schirmer I test and corneal fluorescein staining of tear film function were analyzed. \u0000 \u0000 \u0000Results \u0000Between the two groups, in foreign body sensation at 1 day and 1 week, dryness at 1 day and 1 month and photophobia at 1 day, 1 week and 2 weeks after surgery, the differences were statistically significant (P 0.05). Between the two groups, BUT after surgery showed no significant difference (P >0.05), While in schirmer I after surgery and corneal fluorescein staining, the differences were statistically significant (P <0.05). \u0000 \u0000 \u0000Conclusions \u0000There are differences on early tear function at the fornix based conjunctival flap by exposed thread and implanting head of suture methods. Effects of the embedding suture method on early tear film function is relatively small. \u0000 \u0000 \u0000Key words: \u0000Adjustable suture; Trabeculectomy; Suture; Tear film","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87423312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.11.006
Jia Chen, Qing-Dong Bao, Ting Long, Lei Du
Objective To investigate the perception of vision and audition in patients with retrobulbar anesthesia and intravenous potentiated local anesthesia. Methods A prospective study of 209 cases (113 cases in group A, retrobulbar nerve block anesthesia; 96 cases in group B, peribulbar anesthesia combined with intravenous potentiated anesthesia) who underwent pars plana vitrectomy in Department of Ophthalmology of Renmin Hospital of Wuhan University were investigated on the first day after operation. The visual and auditory sensation and the effect of anesthesia on them were studied. Results In group A, 78.8% of patients had visual memory, which was significantly higher than that of B group (P <0.05). In group A, 90.3% of patients had intraoperative auditory memory, which was higher than that of B group (P <0.05). In the retrobulbar anesthesia group, the memories of visual and auditory perception were stronger than that in the potentiated anesthesia group, but the combination of local anesthesia and intravenous potentiated anesthesia was more helpful to reduce anxiety. Conclusions The choice of anesthesia method has a significant influence on the visual and auditory perception of patients undergoing vitrectomy. Local anesthesia combined with intravenous potentiated anesthesia is a better option for patients with anxiety and tension. Key words: Vitrectomy; Anesthesia; Visual and auditory perception; Questionnaire survey
{"title":"Investigation of visual and auditory perception in patients undergoing vitrectomy","authors":"Jia Chen, Qing-Dong Bao, Ting Long, Lei Du","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.11.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.11.006","url":null,"abstract":"Objective \u0000To investigate the perception of vision and audition in patients with retrobulbar anesthesia and intravenous potentiated local anesthesia. \u0000 \u0000 \u0000Methods \u0000A prospective study of 209 cases (113 cases in group A, retrobulbar nerve block anesthesia; 96 cases in group B, peribulbar anesthesia combined with intravenous potentiated anesthesia) who underwent pars plana vitrectomy in Department of Ophthalmology of Renmin Hospital of Wuhan University were investigated on the first day after operation. The visual and auditory sensation and the effect of anesthesia on them were studied. \u0000 \u0000 \u0000Results \u0000In group A, 78.8% of patients had visual memory, which was significantly higher than that of B group (P <0.05). In group A, 90.3% of patients had intraoperative auditory memory, which was higher than that of B group (P <0.05). In the retrobulbar anesthesia group, the memories of visual and auditory perception were stronger than that in the potentiated anesthesia group, but the combination of local anesthesia and intravenous potentiated anesthesia was more helpful to reduce anxiety. \u0000 \u0000 \u0000Conclusions \u0000The choice of anesthesia method has a significant influence on the visual and auditory perception of patients undergoing vitrectomy. Local anesthesia combined with intravenous potentiated anesthesia is a better option for patients with anxiety and tension. \u0000 \u0000 \u0000Key words: \u0000Vitrectomy; Anesthesia; Visual and auditory perception; Questionnaire survey","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84970815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.11.009
Ming Huo, Jie-yu Dong, Hai-jiang Zhang
Objective To discuss the method and effect of the treatment to nanophthalmos with developed ciliary block glaucoma after glaucoma or cataract surgery. Methods Seven cases who had been diagnosed nanophthalmos with developed ciliary block glaucoma after glaucoma or cataract surgery were treated bgcombining trabeculectomy, phacoemulsification, foldable intraocular lens implantation, transconjunctival sutureless vitrectomy in anterior segment using 23-gauge instruments (triple procedure). The average follow-up time was 2 years. Results Corrected vision of 7 cases were enhanced after the operation and the intraocular pressure were kept stability between 10-20mmHg. Seriously threatening the visual function during and after an intraocular operation was not occurred. Conclusions It is an effective and safe surgery combined trabeculectomy, phacoemulsification, foldable intraocular lens implantation, transconjunctival sutureless vitrectomy in anterior segment using 23-gauge instruments, in curing nanophtalmos with developed ciliary block glaucoma. The vitrectomy in anterior segment using 23-gauge instruments in curing nanophtalmos developed ciliary block glaucoma may reduce the disastrous complications of filtration surgery. Key words: Nanophthalmos; Ciliary block glaucoma; Treatment
{"title":"The management of ciliary block glaucoma in nanophthalmic patients","authors":"Ming Huo, Jie-yu Dong, Hai-jiang Zhang","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.11.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.11.009","url":null,"abstract":"Objective \u0000To discuss the method and effect of the treatment to nanophthalmos with developed ciliary block glaucoma after glaucoma or cataract surgery. \u0000 \u0000 \u0000Methods \u0000Seven cases who had been diagnosed nanophthalmos with developed ciliary block glaucoma after glaucoma or cataract surgery were treated bgcombining trabeculectomy, phacoemulsification, foldable intraocular lens implantation, transconjunctival sutureless vitrectomy in anterior segment using 23-gauge instruments (triple procedure). The average follow-up time was 2 years. \u0000 \u0000 \u0000Results \u0000Corrected vision of 7 cases were enhanced after the operation and the intraocular pressure were kept stability between 10-20mmHg. Seriously threatening the visual function during and after an intraocular operation was not occurred. \u0000 \u0000 \u0000Conclusions \u0000It is an effective and safe surgery combined trabeculectomy, phacoemulsification, foldable intraocular lens implantation, transconjunctival sutureless vitrectomy in anterior segment using 23-gauge instruments, in curing nanophtalmos with developed ciliary block glaucoma. The vitrectomy in anterior segment using 23-gauge instruments in curing nanophtalmos developed ciliary block glaucoma may reduce the disastrous complications of filtration surgery. \u0000 \u0000 \u0000Key words: \u0000Nanophthalmos; Ciliary block glaucoma; Treatment","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85170503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.11.015
Mingrong Dong
Objective To explore the identification and treatment of muscular torticollis and ocular torticollis by analyzing the surgical misdiagnosed cases of ocular torticollis. Methods Ten cases of superior oblique palsy patients were analyzed in our hospital from July 2013 to December 2016.Ophthalmic surgery was performed on all10 patients. Results Ten cases of congenital superior oblique palsy patients which4 patients of right superior oblique palsy, 6 patients of left superior oblique palsy. Five patients with inferior oblique resection, 5 patients with inferior oblique transposition, and correct horizontal strabismus during the same period, 10 patients with torticollis were all improved in different degrees. Conclusions The different causes of torticollis are treated by different methods.In order to avoid delay treatment, and bring patients unnecessary pain and economic losses, we should identify the muscular torticollis and ocular torticollis. Key words: Muscular torticollis; Ocular torticollis; Misdiagnosis
{"title":"Retrospective analysis of 10 cases of ocular torticollis","authors":"Mingrong Dong","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.11.015","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.11.015","url":null,"abstract":"Objective \u0000To explore the identification and treatment of muscular torticollis and ocular torticollis by analyzing the surgical misdiagnosed cases of ocular torticollis. \u0000 \u0000 \u0000Methods \u0000Ten cases of superior oblique palsy patients were analyzed in our hospital from July 2013 to December 2016.Ophthalmic surgery was performed on all10 patients. \u0000 \u0000 \u0000Results \u0000Ten cases of congenital superior oblique palsy patients which4 patients of right superior oblique palsy, 6 patients of left superior oblique palsy. Five patients with inferior oblique resection, 5 patients with inferior oblique transposition, and correct horizontal strabismus during the same period, 10 patients with torticollis were all improved in different degrees. \u0000 \u0000 \u0000Conclusions \u0000The different causes of torticollis are treated by different methods.In order to avoid delay treatment, and bring patients unnecessary pain and economic losses, we should identify the muscular torticollis and ocular torticollis. \u0000 \u0000 \u0000Key words: \u0000Muscular torticollis; Ocular torticollis; Misdiagnosis","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86569368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.11.012
De-Jun Zhu, Lin Pang
Objective To determine the effectiveness of strabismus surgery as an alternative treatment for high accommodative convergence/accommodation (AC/A) ratio (convergence excess) esotropia. Methods Sixty-five consecutive children with an AC/A ratio of distance-near disparity of 10 prism diopters (PD) or more were studied in a prospective design. Each patient was treated by recession of both medial rectus muscles for the full amount of esotropia measured at near fixation through the full distance hyperopic correction. The magnitude of esodeviation, the AC/A ratio, and the grade of binocularity were measured before and after strabismus surgery. Results The majority of patients were able to maintain satisfactory ocular alignment after surgery, the alignment rates were 76.3% (after 1week), 82.8% (after 1 month), 85.7% (after 6 months), 92.1% (after 1 year). The grade of binocular fusion or stereopsis improved significantly in all of the patients. Conclusions These results demonstrate that strabismus surgery may be more effective in restoring normal stereopsis and binocular fusion for high AC/A patients. Key words: AC/A; Esotropia; Operation
{"title":"The surgical management of esotropia with high AC/A ratio","authors":"De-Jun Zhu, Lin Pang","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.11.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.11.012","url":null,"abstract":"Objective \u0000To determine the effectiveness of strabismus surgery as an alternative treatment for high accommodative convergence/accommodation (AC/A) ratio (convergence excess) esotropia. \u0000 \u0000 \u0000Methods \u0000Sixty-five consecutive children with an AC/A ratio of distance-near disparity of 10 prism diopters (PD) or more were studied in a prospective design. Each patient was treated by recession of both medial rectus muscles for the full amount of esotropia measured at near fixation through the full distance hyperopic correction. The magnitude of esodeviation, the AC/A ratio, and the grade of binocularity were measured before and after strabismus surgery. \u0000 \u0000 \u0000Results \u0000The majority of patients were able to maintain satisfactory ocular alignment after surgery, the alignment rates were 76.3% (after 1week), 82.8% (after 1 month), 85.7% (after 6 months), 92.1% (after 1 year). The grade of binocular fusion or stereopsis improved significantly in all of the patients. \u0000 \u0000 \u0000Conclusions \u0000These results demonstrate that strabismus surgery may be more effective in restoring normal stereopsis and binocular fusion for high AC/A patients. \u0000 \u0000 \u0000Key words: \u0000AC/A; Esotropia; Operation","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88571012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.10.009
Y. Xing, Rong Huang
Objective To observe the expression of VEGF in the postoperative late vitreous hemorrhage (LVH) after vitrectomy for proliferative diabetic retinopathy (PDR) patients, and how VEGF level changes in patients with LVH (74 weeks) . Methods Seventy-three patients (82 eyes) with PDR who underwent vitrectomy were analyzed retrospectively. Vitreous samples were collected from eyes undergoing primary vitrectomy and from eyes with LVH undergoing second vitrectomy. Vitreous VEGF levels were measured using ELISA. According to the occurrence or absence of LVH after PPV, the patients were divided into the non LVH, LVH groups, and the patients with intraocular foreign body injuries who needed emergent intraocular surgeries were served as the normal control. Results LVH occurred in 19 (23%) of 82 eyes, and 5 eyes (6%) required second vitrectomy. VEGF level was significantly higher in PDR patients than that in normal control (P <0.01), was significantly higher in LVH than that in non LVH (P <0.05), (P <0.01). Conclusions In patients with PDR, high intraocular VEGF level after primary vitrectomy was identified as a risk factor of postoperative LVH. Persistent overproduction of intraocular VEGF may be associated with postoperative LVH. Key words: VEGF; Pars plana vitrectomy; PDR; Late vitreous hemorrhage
{"title":"Clinical analyses of late vitreous hemorrhage after vitreoretinal surgery in proliferative diabeticretinopathy","authors":"Y. Xing, Rong Huang","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.10.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.10.009","url":null,"abstract":"Objective \u0000To observe the expression of VEGF in the postoperative late vitreous hemorrhage (LVH) after vitrectomy for proliferative diabetic retinopathy (PDR) patients, and how VEGF level changes in patients with LVH (74 weeks) . \u0000 \u0000 \u0000Methods \u0000Seventy-three patients (82 eyes) with PDR who underwent vitrectomy were analyzed retrospectively. Vitreous samples were collected from eyes undergoing primary vitrectomy and from eyes with LVH undergoing second vitrectomy. Vitreous VEGF levels were measured using ELISA. According to the occurrence or absence of LVH after PPV, the patients were divided into the non LVH, LVH groups, and the patients with intraocular foreign body injuries who needed emergent intraocular surgeries were served as the normal control. \u0000 \u0000 \u0000Results \u0000LVH occurred in 19 (23%) of 82 eyes, and 5 eyes (6%) required second vitrectomy. VEGF level was significantly higher in PDR patients than that in normal control (P <0.01), was significantly higher in LVH than that in non LVH (P <0.05), (P <0.01). \u0000 \u0000 \u0000Conclusions \u0000In patients with PDR, high intraocular VEGF level after primary vitrectomy was identified as a risk factor of postoperative LVH. Persistent overproduction of intraocular VEGF may be associated with postoperative LVH. \u0000 \u0000 \u0000Key words: \u0000VEGF; Pars plana vitrectomy; PDR; Late vitreous hemorrhage","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91077663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-10DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.10.005
Yiwen Cao, De-Jun Zhu
Objective To evaluate the refractive status in infants who underwent cataract surgery before one year old. Methods : Refraction examination was preformed in 58 aphakia children (108 eyes, unilateral aphakia 8 eyes), who underwent binocular or unilateral cataract surgery before one year old, in their age of 3 months, 6 months, 9 months, 12 months 18 months, 24 months, 30 months and 36 months. 45 male (83 eyes) and 14 female (26 eyes) were included. The mean age at the time of cataract surgery was 5.28 months. Results: The average reduction of refraction in first 3 years is 5.007D. The mean reduction in the first year is 2.550D, in the second year is 1.654D, and in the third year is 0.873D, the difftrences among each year were statistically significant (P <0.01). Conclusion: The refraction of aphakia children is reduced the most in the first year. The annual reductions are more than that in normal children in the first three years. Key words: Congenial Cataract; Aphakia; Refractive Change
{"title":"The Refractive Changes In Children After Cataract Surgery","authors":"Yiwen Cao, De-Jun Zhu","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.10.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.10.005","url":null,"abstract":"Objective \u0000To evaluate the refractive status in infants who underwent cataract surgery before one year old. \u0000 \u0000 \u0000Methods \u0000: Refraction examination was preformed in 58 aphakia children (108 eyes, unilateral aphakia 8 eyes), who underwent binocular or unilateral cataract surgery before one year old, in their age of 3 months, 6 months, 9 months, 12 months 18 months, 24 months, 30 months and 36 months. 45 male (83 eyes) and 14 female (26 eyes) were included. The mean age at the time of cataract surgery was 5.28 months. \u0000 \u0000 \u0000Results: \u0000The average reduction of refraction in first 3 years is 5.007D. The mean reduction in the first year is 2.550D, in the second year is 1.654D, and in the third year is 0.873D, the difftrences among each year were statistically significant (P <0.01). \u0000 \u0000 \u0000Conclusion: \u0000The refraction of aphakia children is reduced the most in the first year. The annual reductions are more than that in normal children in the first three years. \u0000 \u0000 \u0000Key words: \u0000Congenial Cataract; Aphakia; Refractive Change","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90061272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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