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The Past and Present of Photodynamic Therapy in Ophthalmology 眼科光动力疗法的历史与现状
Pub Date : 2021-07-15 DOI: 10.2530/JSLSM.JSLSM-42_0016
S. Honda
Photodynamic therapy (PDT) in ophthalmology is a therapeutic modality for exudative age-related macular degeneration (AMD). PDT was expected to treat exudative lesion with minimum effect on normal tissue and became the first-choice intervention for AMD for years. However, when the visual outcome of PDT was reported to be inferior than that of the latest anti-VEGF therapy, PDT was no longer performed thereafter except of some specific phenotype of AMD which is still a good candidate of PDT by now. This review article summarizes the past and present of PDT in ophthalmology.
光动力疗法(PDT)在眼科中是一种治疗渗出性年龄相关性黄斑变性(AMD)的方法。PDT治疗对正常组织的影响最小,多年来一直是AMD的首选干预手段。然而,当有报道称PDT的视觉效果不如最新的抗vegf治疗时,除了一些特异性表型的AMD, PDT已不再进行PDT治疗,而AMD目前仍是PDT治疗的一个很好的候选者。本文综述了PDT在眼科中的历史和现状。
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引用次数: 0
Non-invasive Measurement of Carotenoids in Human Eye and Skin 人眼和皮肤中类胡萝卜素的无创测量
Pub Date : 2021-07-15 DOI: 10.2530/JSLSM.JSLSM-42_0011
A. Obana
Carotenoids, which are anti-oxidative agents, protect the human body from various oxidative stresses. Carotenoids exist as macular pigment in the retina and they are measured non-invasively by four methods; heterochromatic flicker photometry, fundus reflectometry, fundus autofluorescence spectroscopy, and resonance Raman spectroscopy. The relation between carotenoids and age-related macular degeneration (AMD) has been studied and the prophylactic effects of supplement containing lutein and zeaxanthin to AMD was reported. Skin carotenoids are measured non-invasively by reflectometry. They are highly correlated with blood concentration of carotenoids and the measurement of carotenoids is useful for food education since it reflects dietary intake.
类胡萝卜素是抗氧化剂,保护人体免受各种氧化应激。类胡萝卜素以黄斑色素的形式存在于视网膜中,通过四种方法进行无创测量;异色闪烁光度法、眼底反射光度法、眼底自身荧光光谱法和共振拉曼光谱法。研究了类胡萝卜素与老年性黄斑变性的关系,并报道了叶黄素和玉米黄质对老年性黄斑变性的预防作用。皮肤类胡萝卜素是通过反射法无创测量的。它们与血液中类胡萝卜素的浓度高度相关,类胡萝卜素的测量对食物教育很有用,因为它反映了饮食摄入量。
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引用次数: 0
「黄斑の最新レーザー診断,検査,治療」の特集によせて “黄斑的最新激光诊断,检查,治疗”专题
Pub Date : 2021-07-15 DOI: 10.2530/JSLSM.JSLSM-42_0018
山本 学, 尾花 明
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引用次数: 0
Fluorescence Lifetime Imaging Ophthalmoscopy—FLIO 荧光终身成像检眼镜
Pub Date : 2021-07-15 DOI: 10.2530/JSLSM.JSLSM-42_0008
Y. Miura
Fluorescence Lifetime Imaging Ophthalmoscopy (FLIO) is a new imaging modality that measures and maps fluorescence lifetime at the ocular fundus using ultrashort pulse laser. FLIO has the potential to detect not only morphological changes but also subtle changes such as cellular metabolic change or accumulation of metabolism-related products. Therefore, FLIO might serve as a useful tool to detect early signs of diseases, monitor disease progression and evaluate therapeutic effect. This review introduces the principle of FLIO, basic and clinical knowledges to date, and describes the possible role of FLIO adjacent to the treatment of macular diseases.
荧光寿命成像眼底镜(FLIO)是一种利用超短脉冲激光测量和绘制眼底荧光寿命的新型成像方式。FLIO不仅可以检测形态学变化,还可以检测细微的变化,如细胞代谢变化或代谢相关产物的积累。因此,FLIO可作为发现疾病早期征象、监测疾病进展和评价治疗效果的有用工具。本文综述了FLIO的原理、迄今为止的基础知识和临床知识,并描述了FLIO在黄斑疾病治疗中的可能作用。
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引用次数: 0
All about OCT Angiography: Principles and Features 所有关于OCT血管造影:原理和特点
Pub Date : 2021-07-15 DOI: 10.2530/JSLSM.JSLSM-42_0010
伸 加登本
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引用次数: 0
Clinical Research of Selective Retina Therapy (SRT) for Retinal Diseases 选择性视网膜治疗视网膜疾病的临床研究
Pub Date : 2021-06-18 DOI: 10.2530/JSLSM.JSLSM-42_0017
K. Hirayama, Manabu Yamamoto
Since the 1960’s, laser therapy in the ophthalmologic field, especially for retinal diseases, has made various developments. Selective Retina Therapy (SRT) is one of the minimally invasive lasers that can selectively treat only retinal pigment epithelial cells without affecting the retina or choroid. We have reviewed the principle of SRT, clinical research, and future prospects.
自20世纪60年代以来,激光治疗在眼科领域,特别是视网膜疾病的治疗,取得了各种各样的发展。选择性视网膜疗法(SRT)是一种仅对视网膜色素上皮细胞进行选择性治疗而不影响视网膜或脉络膜的微创激光疗法。我们对SRT的原理、临床研究和未来展望进行了综述。
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引用次数: 0
Laser Treatment of Ectopic Mongolian Spot in Childhood 儿童异位蒙古斑的激光治疗
Pub Date : 2021-04-15 DOI: 10.2530/JSLSM.JSLSM-42_0002
H. Funabashi
Although Mongolian spots and ectopic Mongolian spots typically lighten spontaneously, they occasionally persist to adulthood. They can be effectively treated with the Q-switched laser (ruby, alexandrite, Nd:YAG) especially in early childhood. However, complications such as hyperpigmentation and hypopigmentation often occur with laser treatment of Mongolian spots and ectopic Mongolian spots. Therefore, we should take special care to prevent long-term complications.
虽然蒙古斑和异位蒙古斑通常会自发减轻,但它们偶尔会持续到成年。用调q激光(红宝石、亚历山大变石、Nd:YAG)可以有效治疗,特别是在幼儿时期。然而,激光治疗蒙古斑和异位蒙古斑往往会出现色素沉着、色素沉着等并发症。因此,我们应特别注意预防长期并发症。
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引用次数: 0
Treatment Strategy for Infantile Hemangiomas: From the Perspective of A Clinical Dermatologist 婴儿血管瘤的治疗策略:从临床皮肤科医生的角度
Pub Date : 2021-04-15 DOI: 10.2530/JSLSM.JSLSM-42_0003
F. Amano
Infantile hemangioma (IH) is a self-resolving tumor. However, some patients with IH require revision surgery due to the presence of residual lesions after regression. Our clinical therapeutic strategy for IH involves aggressive interventions using a long pulsed dye laser (595 nm) (including a cooling device with a variable pulse width) to reduce redness, oral propranolol administration, or a combination of both methods. The early intervention strategy used at our clinic eliminates the plaque- and mass-type IH in children aged less than 1 and 2 years, respectively. Beginning treatment at an early stage of IH seems to be important to suppress the growth of the tumor.
婴儿血管瘤(IH)是一种自解性肿瘤。然而,一些IH患者由于退化后存在残留病变而需要翻修手术。我们的IH临床治疗策略包括使用长脉冲染料激光(595 nm)(包括可变脉冲宽度的冷却装置)进行积极干预以减少发红,口服心得安,或两种方法的结合。我们诊所采用的早期干预策略分别消除了1岁以下和2岁以下儿童的斑块型和块状型IH。在IH的早期阶段开始治疗似乎对抑制肿瘤的生长很重要。
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引用次数: 0
Laser Treatment of Nevus of Ota in Children 激光治疗儿童太田痣
Pub Date : 2021-04-15 DOI: 10.2530/JSLSM.JSLSM-42_0005
M. Nagahama
Nevus of Ota is a bluish pigmentation on the face that usually occurs in children at a young age (<1 year) or at puberty. Using Q-switched lasers can effectively trat it; however, the treatment for children is known to be better than that for adults. The skin characteristics of children are different from those of adults. When treating nevus of Ota in children, it is important to consider body growth and mental development that occurs during childhood. This study gives a comprehensive description on laser treatment of nevus of Ota in children.
太田痣是一种面部淡蓝色的色素沉着,通常发生在幼儿(<1岁)或青春期。使用调q激光器可以有效地处理它;然而,对儿童的治疗要比成人好。儿童的皮肤特征与成人不同。在治疗儿童太田痣时,重要的是要考虑儿童时期的身体生长和智力发育。本研究对激光治疗儿童太田痣进行了全面的描述。
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引用次数: 0
Effect of Non-polarized Near-infrared Ray Irradiation on Pressure Pain Threshold, Tactile Perception Threshold and Temporal Summation of Thenar Eminence 非偏振近红外线照射对足底隆起压痛阈值、触觉阈值及时间总和的影响
Pub Date : 2021-04-15 DOI: 10.2530/JSLSM.JSLSM-42_0001
Nobuyuki Takeuchi, M. Matsumoto
Effects of non-polarized near-infrared ray irradiation on pressure pain threshold, tactile perception threshold and temporal summation were examined. The subjects were 10 healthy adults. All subjects were participated in both irradiation and control groups. The irradiation group, non-polarized near-infrared rays were applied to thenar eminence of non-dominant hand. The control group was not irradiated. Pressure pain threshold, tactile perception threshold and temporal summation were measured before and after irradiation. The pressure pain threshold value showed a significant increase after non-polarized near-infrared ray irradiation in the irradiation group, but the tactile perception threshold and visual analogue scale value reflecting the temporal summation did not change in the both groups. It was suggested that non-polarized near-infrared ray irradiation increased the pressure pain threshold. On the other hand, it was considered that non-polarized near-infrared ray irradiation does not affect the tactile perception threshold and the temporal summation.
研究了非偏振近红外线照射对压力痛阈、触觉知觉阈和时间累加的影响。研究对象为10名健康成年人。所有受试者均参加辐照组和对照组。照射组,非偏振光近红外线照射非优势手鱼际隆起。对照组不进行放射治疗。测量照射前后的压痛阈值、触觉知觉阈值和时间总和。非偏光近红外线照射组压力痛阈值明显升高,但两组触觉感知阈值和反映时间累加的视觉模拟量表值没有变化。提示非偏振光近红外线照射增加了压痛阈值。另一方面,认为非偏振近红外线照射不影响触觉感知阈值和时间总和。
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引用次数: 0
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