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The influence of further consultation adherence on myopia progression after children wear glasses 坚持会诊对儿童配戴眼镜后近视进展的影响
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.006
Chang-feng Guo
Objective To explore the influence of further consultation adherence on the increase of degree of myopia after myopia children wear glasses. Methods A total of 170 cases of myopia children were collected (spectacle lens power: 340) who had received treatment in our hospital and worn glasses during June 2013 to June 2015; and were divided into three groups according to regular further consultation period, among which there were 53 children in the group with three-month regular further consultation period, 60 children in the group with six-month regular further consultation period, 57 children in the group with one-year regular further consultation period; finally analyzed the changes of refractive status for patients after wearing glasses in 6 months and one year. Results Since there was no significant statistic difference (F=0.194, P=0.842) in ages when the patients in three groups were original diagnosed, and there was also no statistic difference (P >0.05) in diopter of spherical power, astigmatism degree, and spherical equivalent degree, the data collected had clinical comparability. In addition, there was no clear statistic difference in the increase of spherical equivalent degree for patients, with 3-month further consultation period and 6-month further consultation period, visiting the doctor in the sixth month. As for the three groups, the spherical equivalent degree increased respectively -0.79±0.37, -0.81±0.36 and -0.92±0.40 one year later. There were statistic differences in the comparison among three groups (F=4.066, P=0.018); for the comparison between 3-month group and 6-month group, there was no statistic differences (P >0.05); however there were statistic differences (P=0.009, P=0.022) between one-year group and 3-month group, one-year group and 6-month group. When the astigmatic degree was compared with the degree initially diagnosed one year ago, there was no statistic difference (P >0.05) for all three groups. Conclusions Regular further consultation and timely replacement lenses may slow progress myopia of school-age children in a certain degree. Key words: Myopia; Spherical equivalent; Further consultation adherence
目的探讨近视儿童配戴眼镜后复诊依从性对近视度数增加的影响。方法收集2013年6月至2015年6月在我院就诊并配戴眼镜的近视儿童170例(眼镜度数340枚);并按定期会诊期分为三组,其中定期会诊期为3个月组53例,定期会诊期为6个月组60例,定期会诊期为1年组57例;最后分析患者配戴眼镜后6个月和1年的屈光状态变化。结果三组患者初诊年龄差异无统计学意义(F=0.194, P=0.842),球度数屈光度、散光度、球等效度差异无统计学意义(P >0.05),具有临床可比性。另外,患者球面等效度的增加在3个月的会诊期和6个月的会诊期上没有明显的统计学差异,在第6个月去看医生。三组1年后的球形等效度分别增加-0.79±0.37、-0.81±0.36和-0.92±0.40。三组间比较差异有统计学意义(F=4.066, P=0.018);3个月组与6个月组比较,差异无统计学意义(P >0.05);1年组与3个月组、1年组与6个月组比较,差异有统计学意义(P=0.009, P=0.022)。与1年前初诊散光程度比较,三组患者散光程度差异无统计学意义(P >0.05)。结论定期进一步就诊,及时更换镜片可在一定程度上减缓学龄儿童进行性近视。关键词:近视;球形等效;进一步的咨询坚持
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引用次数: 0
Clinical experience of initial lacrimal passage irrigation and probing in 50 cases of neonatal dacryocystitis 新生儿泪囊炎初期泪道冲洗探查50例临床体会
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.016
J. Han
Objective To evaluate the therapeutic effectiveness of initial lacrimal passage irrigation and probing in neonatal dacryocystitis. Methods Fifty cases (58 eyes) with neonatal dacryocystitis which had no effect by routine dacryocyst massage with local antibiotics ophthalmic solutions were treated with passage irrigation and probing under local anesthesia to observe the therapeutic effectiveness. Results In this study, the success rate of initial lacrimal passage irrigation and probing for 50 cases (58 eyes) at 2-6 months of age was 100% (19/19), 39 eyes were in aged 6-18 months, in which 28 eyes cured with once probing, 7 eyes cured with twice probing, 4 eyes failed. Conclusions In neonatal dacryocystitis, aged above 2 months, lacrimal passage irrigation and probing should be performed as soon as possible which is also safe and feasible. Key words: Lacrimal passage irrigation and probing; Neonatal dacryocystitis; Therapeutic effect
目的探讨泪道初始冲洗探泪术治疗新生儿泪囊炎的疗效。方法50例(58眼)新生儿泪囊炎,经常规泪囊局部抗生素眼液按摩治疗无效,在局麻下行灌道及穿刺治疗,观察其疗效。结果本组50例(58眼)2 ~ 6月龄泪道冲洗探查成功率100%(19/19),6 ~ 18月龄39眼,1次探查治愈28眼,2次探查治愈7眼,4眼失败。结论2月龄以上的新生儿泪囊炎,应尽早行泪道冲洗及探喉术,安全可行。关键词:泪道冲洗探查;新生儿泪囊炎;治疗效果
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引用次数: 0
The effect of laser photocoagulation on the hyphal structure of fungal corneal ulcer detected by using fluorescein staining 荧光素染色检测激光光凝对真菌性角膜溃疡菌丝结构的影响
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.015
R. Tian, Ming Li, Lulu Cheng, Ming-Yuan Yang, Wenjie Wang
Objective To observe the effect of laser photocoagulation on the hyphal structure of fungal corneal ulcer by using fluorescein staining. Methods A prospective research of 28 patients (28 eyes) diagnosed as Fungal Keratitis by using confocal laser corneal microscopy were followed up, who recruited from January 2016 to August 2016 in our hospital. Among them 19 males (19 eyes) and 9 females (9 eyes) with age ranging from 24 to 63, averages (44.00±0.00) years old. The average onset time was from 3 to 18 days, averaged (9.00±0.00) days. And hypopyon were observed in 9 cases (9 eyes). Besides topical anti-fungal Fluconazole Eye Drops and Natamycin Eye Drops, all patients also received fluorescein staining and laser photocoagulation under topical anesthesia for their cornea. Meanwhile, in vivo confocal laser-scanning microscopy were used to detect the positioning location, scope and structure changes after laser surgery of the fungal hyphae. Results Laser photocoagulation on the hyphal structure of fungal corneal ulcer detected by using fluorescein staining. Laser photocoagulation on the hyphal structure of fungal corneal ulcer detected by using fluorescein staining. Fungal corneal ulcer in the 28 patients (28 eyes) were all under control after the laser photocoagulation detected by using fluorescein staining. And hypopyon were decreased gradually in the 9 patients. After laser photocoagulation, the fungal mycelium structure in the ulcer was broken and melted detected by Confocal laser corneal microscopy. Noulcer recurrence was observed in 3 to 6 months after the follow-up. Conclusions Laser photocoagulation detected by using fluorescein staining leads to structural breakdown of the fungal hyphae of Fungal Keratitis. Confocal laser corneal microscopy is helpful to detect the positioning location, scope and structure changes after laser surgery of the fungal hyphae. Therefore, it is a safe, effective and precise way for the treatment of Fungal Keratitis. Key words: Fungus; Corneal ulcer; Confocal laser corneal microscopy; Laser photocoagulation
目的用荧光素染色法观察激光光凝对真菌性角膜溃疡菌丝结构的影响。方法对2016年1月至2016年8月在我院共聚焦激光角膜显微镜下诊断为真菌性角膜炎的患者28例(28眼)进行前瞻性随访。其中男性19眼,女性9眼,年龄24 ~ 63岁,平均(44.00±0.00)岁。平均发病时间3 ~ 18天,平均(9.00±0.00)天。9例(9眼)出现低视现象。除局部抗真菌氟康唑滴眼液和纳他霉素滴眼液外,所有患者均在表面麻醉下进行角膜荧光素染色和激光光凝。同时,采用体内共聚焦激光扫描显微镜检测激光手术后真菌菌丝的定位位置、范围及结构变化。结果荧光素染色法检测激光光凝对真菌性角膜溃疡菌丝结构的影响。荧光素染色检测激光光凝对真菌性角膜溃疡菌丝结构的影响。28例患者(28只眼)经激光光凝荧光染色检测,真菌性角膜溃疡均得到控制。9例患者垂体后叶均逐渐减少。激光光凝后,用激光共聚焦角膜显微镜观察溃疡内真菌菌丝结构的断裂和融化。随访3 ~ 6个月无复发。结论荧光素染色激光光凝检测导致真菌性角膜炎菌丝结构破坏。激光角膜共聚焦显微镜有助于检测激光手术后真菌菌丝的定位、范围和结构变化。因此,它是治疗真菌性角膜炎的一种安全、有效、精确的方法。关键词:真菌;角膜溃疡;共聚焦激光角膜显微术;激光光凝术
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引用次数: 0
Application of autogenous ear cartilage in eyelid reconstruction 自体耳软骨在眼睑再造中的应用
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.020
H. Kao, Y. Xie, B. Song
Objective To analyze the effect of autogenous ear cartilage in eyelid reconstruction. Methods Case analysis. From October 2006 to December 2013, totally 24 patients (24 eyes) of entire or greater than or equal to fifty percent blepharocoloboma after malignant palpebrae superior tumorectomy, admitted to Department of Ophthalmology in the Affiliated Hospital of Binzhou Medical College, were repaired with autogenous ear cartilage transplantation for the eyelid reconstruction. The autogenous ear cartilage was utilized for a substitude of tarsal plate. Eyelid tumors were removed completely, took the contralateral ear cartilage, made the length of 2 mm larger than the defect meibomian and equal width. The internal surface of ear cartilage was covered with remaining fornical conjunctiva and the external surface with orbicularis oculi and skin. Results All patients were followed up after operation for average 32.6 months. No reject reaction was found, catacleisis was fine and external appearance was satisfying. Conclusions The eyelid reconstruction with autogenous ear cartilage is available to keep eyelid reconstruction normal function and external appearance. Key words: Ear cartilage; Transplantation; Eyelid reconstruction; Blepharocoloboma
目的分析自体耳软骨在眼睑再造术中的应用效果。方法病例分析。2006年10月至2013年12月,滨州医学院附属医院眼科共收治了24例(24眼)全部或大于等于50%的睑上恶性肿瘤切除术后睑下陷患者,行自体耳软骨移植修复眼睑重建术。自体耳软骨被用来代替跗骨板。完全切除眼睑肿瘤,取对侧耳部软骨,使其长度比缺损睑板大2mm,宽度相等。耳软骨内表面覆盖剩余形式结膜,外表面覆盖眼轮匝肌和皮肤。结果所有患者术后平均随访32.6个月。无排斥反应,术后恢复良好,外观满意。结论自体耳软骨眼睑再造术能保持眼睑再造术的正常功能和外观。关键词:耳软骨;移植;双眼皮;12例
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引用次数: 0
The outcome and related factors in anisometropic amblyopia in elder children and teenagers 大龄儿童及青少年屈光参差性弱视的预后及相关因素分析
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.005
Chunyan C Cai, Wei-ming Xu, Hongbin Dai
Objective To investigate the outcome of anisometropic amblyopia therapy in children aged 7-17 years old and to identify factors which influence the outcome of treatment. Methods A retrospective study of 72 patients with anisometropic amblyopia aged 7-17 years old were included in this study. All the patients received refractive correction, occlusion of the sound eye and red scintillation. In addition, patients with eccentric fixation received Haidinger brush and afterimage therapy. Corrected visual acuity was considered improved as visual acuity was elevated by ≥2 lines. Results The best corrected visual acuity of the amblyopic eye was 0.28±0.18, 0.49±0.28, 0.60±0.32, 0.70±0.35 before treatment, after 3 months’, 6 months’ and 1year treatment. Among all the 72 patients, 55 patients’ visual acuity improved after 1-year treatment (76.4%). Only 8 patients’ visual acuity improved in 21 patients with eccentric fixation (38.1%), while 47 patients’ visual acuity improved in 51 patients with centric fixation (92.2%). 13, 33, 9 patients’ visual acuity improved in 26 severe, 37 moderate, 9 mild anisometropic amblyopia patients respectively. No one could get improved visual acuity without compliance. Conclusions Good results can be attained through combined therapy in older children with anisometropic amblyopia. The results are related to the initial severity of amblyopia, fixation of the amblyopic eye and compliance. Better outcome can be obtained in patients with mild to moderate amblyopia, centric fixation and good compliance. Key words: Anisometropic amblyopia; Older children; Therapy of amblyopia
目的探讨7 ~ 17岁儿童屈光参差性弱视的治疗效果,探讨影响治疗效果的因素。方法对72例7 ~ 17岁参差性弱视患者进行回顾性研究。所有患者均接受屈光矫正、健全眼闭塞和红色闪烁。偏心固定患者行海丁格刷和后像治疗。视敏度提高≥2线视为矫正视力改善。结果治疗前、治疗3个月、6个月、1年的最佳矫正视力分别为0.28±0.18、0.49±0.28、0.60±0.32、0.70±0.35。72例患者中,55例患者治疗1年后视力改善(76.4%)。偏心固定21例,仅有8例视力改善(38.1%),中心固定51例,47例视力改善(92.2%)。重度26例、中度37例、轻度参差弱视9例,视力改善13例、33例、9例。没有依从性,没有人能提高视力。结论大龄儿童屈光参差性弱视综合治疗效果良好。结果与弱视的初始严重程度、弱视眼的固定和依从性有关。轻中度弱视,中心固定,依从性好,效果较好。关键词:屈光参差性弱视;年长的孩子;弱视的治疗
{"title":"The outcome and related factors in anisometropic amblyopia in elder children and teenagers","authors":"Chunyan C Cai, Wei-ming Xu, Hongbin Dai","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.05.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.05.005","url":null,"abstract":"Objective \u0000To investigate the outcome of anisometropic amblyopia therapy in children aged 7-17 years old and to identify factors which influence the outcome of treatment. \u0000 \u0000 \u0000Methods \u0000A retrospective study of 72 patients with anisometropic amblyopia aged 7-17 years old were included in this study. All the patients received refractive correction, occlusion of the sound eye and red scintillation. In addition, patients with eccentric fixation received Haidinger brush and afterimage therapy. Corrected visual acuity was considered improved as visual acuity was elevated by ≥2 lines. \u0000 \u0000 \u0000Results \u0000The best corrected visual acuity of the amblyopic eye was 0.28±0.18, 0.49±0.28, 0.60±0.32, 0.70±0.35 before treatment, after 3 months’, 6 months’ and 1year treatment. Among all the 72 patients, 55 patients’ visual acuity improved after 1-year treatment (76.4%). Only 8 patients’ visual acuity improved in 21 patients with eccentric fixation (38.1%), while 47 patients’ visual acuity improved in 51 patients with centric fixation (92.2%). 13, 33, 9 patients’ visual acuity improved in 26 severe, 37 moderate, 9 mild anisometropic amblyopia patients respectively. No one could get improved visual acuity without compliance. \u0000 \u0000 \u0000Conclusions \u0000Good results can be attained through combined therapy in older children with anisometropic amblyopia. The results are related to the initial severity of amblyopia, fixation of the amblyopic eye and compliance. Better outcome can be obtained in patients with mild to moderate amblyopia, centric fixation and good compliance. \u0000 \u0000 \u0000Key words: \u0000Anisometropic amblyopia; Older children; Therapy of amblyopia","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":"61 1","pages":"463-467"},"PeriodicalIF":0.0,"publicationDate":"2017-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83121034","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}
引用次数: 0
The application of "" type nasal mucosa flaps during the surgical treatment of traumatic dacryocystitis “”型鼻黏膜瓣在外伤性泪囊炎手术治疗中的应用
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.014
Ningshu Liu, Na Liu, Wenting He, C. Zhang
Objective To modify the nasal mucosa flap during dacryocystorhinostomy for the treatment of traumatic dacryocystitis and observe its therapeutic effect. Methods Twenty six patients (27 eyes) of traumatic dacryocystitis were performed dacryocystorhinostomy. During the operation, the anterior and posterior nasal mucosa flaps of "" type was sutured to that of lacrimal sac mucosa flaps of "H" type. During 6 months, the state of mucosa flaps, tear washing, and tearing symptom was followed up. Patients with median canthoal tendon interruption received tendon repairing simultaneously. Patients with obvious orbital fracture received orbital reconstruction 3 to 4 months later. Results Among 26 patients with traumatic dacryocystitis, 20 male, 6 female, aged 5 to 63. During the operation of all patients, the distance between the nasal mucosa and the lacrimal sac became widen. All had nasal bone, lacrimal bone fracture at different degree; 18 patients with median canthoal tendon interruption, and 14 patients with obvious orbital fracture. Tear washing was smooth in all cases at 2 weeks follow up. At 6 months follow up, tear washing was smooth in 26 cases (one child still had tearing symptom), obstruction in 1 case. Conclusions The nasal mucosa flap of "" type is 1 time longer and narrower than that of "H" type, and offer a new way for patients with traumatic dacryocystitis, whom the distance between the nasal mucosa and the lacrimal sac became widen. Key words: Dacryocysto rhinostomy; Chronic dacrycystitis; Trauma
目的探讨外伤性泪囊炎鼻腔造口术中鼻黏膜瓣的改良及治疗效果。方法对外伤性泪囊炎患者26例(27眼)行泪囊鼻腔吻合术。术中将“”型鼻前、后黏膜瓣与“H”型泪囊黏膜瓣缝合。随访6个月,观察两组患者粘膜瓣形态、泪液冲洗情况及撕裂症状。中眦肌腱断裂患者同时行肌腱修复术。眼眶明显骨折的患者于3 ~ 4个月后行眼眶重建。结果外伤性泪囊炎26例,男20例,女6例,年龄5 ~ 63岁。所有患者在手术过程中,鼻黏膜与泪囊之间的距离变宽。鼻骨、泪骨均有不同程度骨折;18例有中眦肌腱断裂,14例有明显眶部骨折。随访2周后,所有病例的泪液冲洗均顺利。随访6个月时,26例患儿泪液冲洗顺畅(1例仍有泪液症状),1例患儿泪液梗阻。结论“”型鼻黏膜瓣比“H”型长1倍,窄1倍,为鼻黏膜与泪囊距离变宽的外伤性泪囊炎患者提供了一条新途径。关键词:泪囊造鼻术;慢性dacrycystitis;创伤
{"title":"The application of \"\" type nasal mucosa flaps during the surgical treatment of traumatic dacryocystitis","authors":"Ningshu Liu, Na Liu, Wenting He, C. Zhang","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.05.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.05.014","url":null,"abstract":"Objective \u0000To modify the nasal mucosa flap during dacryocystorhinostomy for the treatment of traumatic dacryocystitis and observe its therapeutic effect. \u0000 \u0000 \u0000Methods \u0000Twenty six patients (27 eyes) of traumatic dacryocystitis were performed dacryocystorhinostomy. During the operation, the anterior and posterior nasal mucosa flaps of \"\" type was sutured to that of lacrimal sac mucosa flaps of \"H\" type. During 6 months, the state of mucosa flaps, tear washing, and tearing symptom was followed up. Patients with median canthoal tendon interruption received tendon repairing simultaneously. Patients with obvious orbital fracture received orbital reconstruction 3 to 4 months later. \u0000 \u0000 \u0000Results \u0000Among 26 patients with traumatic dacryocystitis, 20 male, 6 female, aged 5 to 63. During the operation of all patients, the distance between the nasal mucosa and the lacrimal sac became widen. All had nasal bone, lacrimal bone fracture at different degree; 18 patients with median canthoal tendon interruption, and 14 patients with obvious orbital fracture. Tear washing was smooth in all cases at 2 weeks follow up. At 6 months follow up, tear washing was smooth in 26 cases (one child still had tearing symptom), obstruction in 1 case. \u0000 \u0000 \u0000Conclusions \u0000The nasal mucosa flap of \"\" type is 1 time longer and narrower than that of \"H\" type, and offer a new way for patients with traumatic dacryocystitis, whom the distance between the nasal mucosa and the lacrimal sac became widen. \u0000 \u0000 \u0000Key words: \u0000Dacryocysto rhinostomy; Chronic dacrycystitis; Trauma","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":"2016 1","pages":"502-504"},"PeriodicalIF":0.0,"publicationDate":"2017-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73660412","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}
引用次数: 0
Regulation mechanism of miR-204 targeted SIRT1 in human lens epithelial cell apoptosis miR-204靶向SIRT1调控人晶状体上皮细胞凋亡的机制
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.022
Xiao-Liang Xie, Jiangyue Zhao, Fangkun Zhao, Yu Qin
Objective To investigate the effect of miR-204 expression on apoptosis of human lens epithelial cell line (LECs) SRA01/04 in vitro and the mechanism of targeting SIRT1. Methods Hydrogen peroxide (H2O2) was used to construct the cell apoptosis model of human lens epithelial cell line SRA01/04 in vitro. MiR-204 mimic and inhibitor were transiently transfected into SRA01/04 cells using Lipofectamine 2000 to regulate the expression level of miR-204. Flow cytometry was used to detect the cell apoptosis rate in each group SRA01/04 cells. By microRNA databases and recent study researches, we predicted that SIRT1 maybe a potential target gene of miR-204. Quantitative real-time PCR (qRT-PCR) were used to detect the expression level of miR-204 and SIRT1 gene. Results Quantitative real-time PCR results showed that the expression level of miR-204 in cell apoptosis model of SRA01/04 was significantly higher than the normal SRA01/04 cells. Overexpression of miR-204 in SRA01/04 promoted H2O2-induced cell apoptosis, and down-regulated the expression level of SIRT1 gene. While downexpression of miR-204 in SRA01/04 reduced H2O2-induced cell apoptosis, and up-regulated the expression level of SIRT1 gene. Each result was statistically significant (P <0.01). Conclusions The expression level of miR-204 in cell apoptosis model of SRA01/04 is significantly higher than the normal SRA01/04 cells. MiR-204 can regulate the apoptosis of the human lens epithelial cells by targeting SIRT1 gene. Thus, miR-204 may play an important role in the pathogenesis of caracts with lens epithelial cell apoptosis. Key words: miR-204; SIRT1; Cell apoptosis; Cataract
目的探讨miR-204在体外表达对人晶状体上皮细胞系SRA01/04细胞凋亡的影响及其靶向SIRT1的机制。方法采用过氧化氢(H2O2)体外构建人晶状体上皮细胞株SRA01/04细胞凋亡模型。用Lipofectamine 2000将MiR-204 mimic和inhibitor瞬时转染到SRA01/04细胞中,调节MiR-204的表达水平。流式细胞术检测各组SRA01/04细胞的细胞凋亡率。通过microRNA数据库和近期的研究,我们预测SIRT1可能是miR-204的潜在靶基因。采用实时荧光定量PCR (qRT-PCR)检测miR-204和SIRT1基因的表达水平。结果实时荧光定量PCR结果显示,miR-204在SRA01/04细胞凋亡模型中的表达水平明显高于正常SRA01/04细胞。在SRA01/04中过表达miR-204促进h2o2诱导的细胞凋亡,下调SIRT1基因的表达水平。而miR-204在SRA01/04中下调表达,可减少h2o2诱导的细胞凋亡,上调SIRT1基因的表达水平。各结果均有统计学意义(P <0.01)。结论miR-204在SRA01/04细胞凋亡模型中的表达水平明显高于正常SRA01/04细胞。MiR-204可通过靶向SIRT1基因调控人晶状体上皮细胞的凋亡。因此,miR-204可能在晶状体上皮细胞凋亡的白内障发病机制中发挥重要作用。关键词:miR-204;SIRT1;细胞凋亡;白内障
{"title":"Regulation mechanism of miR-204 targeted SIRT1 in human lens epithelial cell apoptosis","authors":"Xiao-Liang Xie, Jiangyue Zhao, Fangkun Zhao, Yu Qin","doi":"10.3760/CMA.J.ISSN.1006-4443.2017.05.022","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-4443.2017.05.022","url":null,"abstract":"Objective \u0000To investigate the effect of miR-204 expression on apoptosis of human lens epithelial cell line (LECs) SRA01/04 in vitro and the mechanism of targeting SIRT1. \u0000 \u0000 \u0000Methods \u0000Hydrogen peroxide (H2O2) was used to construct the cell apoptosis model of human lens epithelial cell line SRA01/04 in vitro. MiR-204 mimic and inhibitor were transiently transfected into SRA01/04 cells using Lipofectamine 2000 to regulate the expression level of miR-204. Flow cytometry was used to detect the cell apoptosis rate in each group SRA01/04 cells. By microRNA databases and recent study researches, we predicted that SIRT1 maybe a potential target gene of miR-204. Quantitative real-time PCR (qRT-PCR) were used to detect the expression level of miR-204 and SIRT1 gene. \u0000 \u0000 \u0000Results \u0000Quantitative real-time PCR results showed that the expression level of miR-204 in cell apoptosis model of SRA01/04 was significantly higher than the normal SRA01/04 cells. Overexpression of miR-204 in SRA01/04 promoted H2O2-induced cell apoptosis, and down-regulated the expression level of SIRT1 gene. While downexpression of miR-204 in SRA01/04 reduced H2O2-induced cell apoptosis, and up-regulated the expression level of SIRT1 gene. Each result was statistically significant (P <0.01). \u0000 \u0000 \u0000Conclusions \u0000The expression level of miR-204 in cell apoptosis model of SRA01/04 is significantly higher than the normal SRA01/04 cells. MiR-204 can regulate the apoptosis of the human lens epithelial cells by targeting SIRT1 gene. Thus, miR-204 may play an important role in the pathogenesis of caracts with lens epithelial cell apoptosis. \u0000 \u0000 \u0000Key words: \u0000miR-204; SIRT1; Cell apoptosis; Cataract","PeriodicalId":10236,"journal":{"name":"Chinese Journal of Practical Ophthalmology","volume":"27 1","pages":"527-532"},"PeriodicalIF":0.0,"publicationDate":"2017-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81405045","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}
引用次数: 0
Clinical effects observation of α-lipoic acid treatment in patients with dry age-related macular degeneration α-硫辛酸治疗干性老年性黄斑变性的临床疗效观察
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.013
Xiaoling X. Sun, D. Pang, Jing Wang, Liyuan Sun
Objective To observe the effect of sulfur acid capsules of the treatment of age-related macular degeneration. Methods 120 patients with dry AMD treated in our hospital from May 2014 to Oct 2015 were divided into 2 groups randomly.60 patients treated with LA 0.2g each time, once a day orally, 60 patients treated with placebo vitamin C 0.05g each time, once a day orally.Before and after the intervention, the SOD value, BCVA,CS and CLVQOL values were measured before and after 3 months. The changes of patients were compared before and after intervention. Results Compared with pre intervention, serum SOD, middle-low frequency contrast sensitivity and CLVQOL score before and after the intervention were statistically significant (P 0.05) in treated group. CLVQOL scores were positively correlated with contrast sensitivity at low spatial frequency (3 cyc/degree) in LA-treated group. Conclusion LA capsules can improve the antioxidant capacity of dry AMD patients and improve the quality of life of patients. It is important to prevent the occurrence and development of dry AMD. Key words: AMD; α-lipoic acid capsules; SOD; CLVQOL; BCVA
目的观察硫酸胶囊治疗老年性黄斑变性的疗效。方法2014年5月~ 2015年10月我院收治的干性AMD患者120例,随机分为两组。60例患者给予维生素C 0.2g /次,每日1次口服,60例患者给予安慰剂维生素C 0.05g /次,每日1次口服。干预前后分别测定3个月前后的SOD值、BCVA、CS、CLVQOL值。比较干预前后患者的变化。结果与干预前比较,治疗组干预前后血清SOD、中低频对比敏感度、CLVQOL评分均有统计学意义(P < 0.05)。la治疗组CLVQOL评分与低空间频率(3 cyc/度)对比敏感度呈正相关。结论LA胶囊可提高干性AMD患者的抗氧化能力,改善患者的生活质量。预防干性黄斑变性的发生和发展非常重要。关键词:AMD;α-硫辛酸胶囊;草皮;CLVQOL;BCVA
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引用次数: 0
Clinical observation on horizontal traction in the treatment of severe degenerative lower eyelid ectropion 水平牵引治疗重度退行性下睑外翻的临床观察
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.018
Qin Xiao, Yu-ling Bai, Tian-zi Zhang, Zhan-jun Lu
Objective To observe the clinical effect of horizontal stretch of external canthus in the treatment of severe degenerative lower eyelid ectropion. Methods A retrospective clinical case study; 46 cases (68 eyes) of degenerative eyelid were randomly divided into treatment group and control group according to admission order, each for 23 cases (34 eyes). The treatment group underwent lateral canthal level pull operation, the control group underwent resection under the eyelid level, lower eyelid surgery according to the position of shortened lateral canthal ligament length. The location of the lower lacrimal gland, the location of the lower eyelid, the overflow of tears, foreign body sensation and conjunctival congestion after surgery were observed. Results The treatment group of 23 cases (34 eyes) of lower eyelid ectropion correction in 21 days, 2 cases (2 eyes) on the seventh day after surgery for lacrimal punctum ectropion underwent medial fusiform conjunctival resection, postoperative lower eyelid function improved, foreign body sensation, epiphora symptoms subsided. The control group of 23 cases (34 eyes) of lower eyelid ectropion in 21 days was corrected in 14 cases (21 eyes), 5 cases (7 eyes) of lower eyelid function improved, palpebral margin irregular, corneal irritation and affect the appearance of 4 cases (6 eyes) to open and close the lower eyelid could not close to the ocular surface. There was no significant difference between the two groups (P >0.05). There was no significant difference in the lower lacrimal spot and eyelid position between the two groups after surgery: P >0.05. There were significant differences in lacrimal overflow, foreign body sensation and conjunctival congestion P <0.05. Conclusions Adopting the horizontal stretch of external canthus in the treatment of degenerative ectropion would be aimed more pertinently at the primary problem of anatomy, with the advantage of less trauma and quick wound healing, without causing the eyelid defects and improving facial appearance. Key words: Degenerative ectropion; Horizontal stretch of external Canthus; Clinical observation
目的观察外眦水平伸展术治疗重度退行性下睑外翻的临床效果。方法回顾性分析临床病例;将46例(68眼)退行性眼睑患者按入院顺序随机分为治疗组和对照组,每组23例(34眼)。治疗组行眦外侧水平拉扯手术,对照组行睑下水平切除,下睑根据位置缩短眦外侧韧带长度。观察术后下泪腺位置、下眼睑位置、溢泪情况、异物感及结膜充血情况。结果治疗组23例(34眼)下睑外翻术后21天矫正,2例(2眼)泪点外翻术后第7天行内侧梭状结膜切除术,术后下睑功能改善,异物感、上睑症状消退。对照组23例(34眼)下眼睑外翻21天内矫正14例(21眼),5例(7眼)下眼睑功能改善,睑缘不规则,角膜刺激及影响外观4例(6眼)下眼睑开合不能靠近眼表。两组间差异无统计学意义(P >0.05)。两组患者术后下泪斑及眼睑位置比较,差异均无统计学意义(P >0.05)。泪溢、异物感、结膜充血差异有统计学意义(P <0.05)。结论采用外眦水平伸展术治疗退行性外翻能更有针对性地解决解剖学的首要问题,创伤小,伤口愈合快,不造成眼睑缺损,改善颜面美观。关键词:退行性外翻;外眼角水平伸展;临床观察
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引用次数: 0
The effects of refractive status and central corneal thickness on applanation tonometry measurements 屈光状态和角膜中央厚度对压平眼压测量的影响
Pub Date : 2017-05-10 DOI: 10.3760/CMA.J.ISSN.1006-4443.2017.05.009
Ning Li, Qi-Wen Zhong
Objective To investigate the effect of the refractive status and central cornea thickness (CCT) on Goldmann applanation tonometry (GAT). Methods A total of 119 cases of normal subjects (195 eyes) and 74 cases of myopia (148 eyes) were included in this study. The CCT was measured by Pentacam and intraocular pressure (IOP) by using GAT. SPSS17.0 was used to process the data. Results The average CCT of the normal group was (525.07±38.58)μm. The mean IOP was (12.96±2.64)mmHg. The difference on both IOP and the mean CCT between low myopia group and normal group had statistically significant. The difference in IOP between high myopia group and normal group had statistically significant. The IOP of myopia group was negatively correlated with diopter (r=-0.396, P <0.001). IOP increased 1mmHg with per -3.86D increase. IOP of normal and myopic groups correction formulas were 1mmHg/45.55μm, 1mmHg/34.46μm, respectively. Conclusions CCT and refractive state can influence IOP. Key words: Refractive status; Central corneal thickness; Goldmann applanation tonometry; Pentacam; IOP correction
目的探讨屈光状态和角膜中央厚度(CCT)对Goldmann眼压测量(GAT)的影响。方法选取119例正常人(195眼)和74例近视眼(148眼)作为研究对象。用Pentacam测定CCT,用GAT测定眼压。采用SPSS17.0软件对数据进行处理。结果正常组CCT平均值为(525.07±38.58)μm。平均眼压为(12.96±2.64)mmHg。低近视组与正常组的IOP及平均CCT差异有统计学意义。高度近视组与正常组的IOP差异有统计学意义。近视组的IOP与屈光度呈负相关(r=-0.396, P <0.001)。每增加-3.86D,眼压升高1mmHg。正常组和近视组的IOP矫正公式分别为1mmHg/45.55μm、1mmHg/34.46μm。结论CCT和屈光状态对IOP有影响。关键词:折射状态;角膜中央厚度;戈德曼压平测压法;Pentacam;IOP校正
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引用次数: 0
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中国实用眼科杂志
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