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Treatment of mild forms of blepharitis using direct plasma discharge 使用直接血浆放电治疗轻度睑炎
Pub Date : 2020-10-26 DOI: 10.15406/aovs.2020.10.00397
Zemanova M, Macejova I, S. L., V. E
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引用次数: 2
Perspective on retinal findings in COVID-19 2019冠状病毒病视网膜病变的研究进展
Pub Date : 2020-10-13 DOI: 10.15406/aovs.2020.10.00395
H. Khan, Muhammad Aamir Shahzad, M. Awan, A. Marashi
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引用次数: 0
Relationship of posture, working distance and luminance with myopia among male population of religious rural schools of Pakistan 巴基斯坦农村宗教学校男性人群姿势、工作距离和亮度与近视的关系
Pub Date : 2020-09-18 DOI: 10.15406/aovs.2020.10.00393
A. A. Chaudhary, Sidra Iqbal, Shamim Akhtar, M. Aslam, Fatima Iqbal
Purpose: Aim of this study was to correlate head posture, working distance and luminance with Myopia. Methods: 300 myopic aged 7 to 18 years (mean 13.5 years) without spectacles male students were included. The subjects under study were analysed through comprehensive examination (visual acuity, objective and subjective refraction). They were asked to recite Holy Book for ten minutes; a random picture was clicked and posture was measured by drawing neck angle at the picture. Their habitual maximum and minimum working distance was measured when student move backward and forward. Luminance level was recorded of each student at place where he used to study. Results: Results of this study showed a negative correlation between myopia and posture reading ([95% CI] RE r= -0.07, p = 0.228, LE r= -0.079, p = 0.173) that depicts if angle decreases then myopia increases. A downhill and significant correlation was found between luminance level and myopia ([95% CI] RE r= -0.700, p = 0.000, LE -0.693, p = 0.000); as the lux (luminance) gets reduced the spherical equivalent gets increased and vice versa. There is a negative correlation between spherical equivalent and minimum working distance ([95% CI] RE r= -0.612, p = 0.000, LE r= -0.588, p = 0.000). A negative correlation between myopia and maximum working distance was found ([95% CI] RE r= -0.634, p = 0.000, LE r= -0.604, p = 0.000). Conclusion: We concluded that variable working distance, adoption of abnormal head posture and low luminance in Religious Schools has noteworthy association with myopia. Eye care professionals should play their vital role to enlighten the community that while performing near tasks all these risk factors should be avoided to halt the progression of myopia.
目的:探讨头部姿势、工作距离和亮度与近视的关系。方法:选取300名7 ~ 18岁(平均13.5岁)近视不戴眼镜的男学生。通过综合检查(视力、客观、主观屈光)对研究对象进行分析。他们被要求背诵《圣经》十分钟;随机点击一张图片,在图片前画出颈部角度来测量姿态。测量学生前后移动时的习惯最大和最小工作距离。记录每个学生在他曾经学习过的地方的亮度水平。结果:本研究结果显示近视与姿势阅读呈负相关([95% CI] RE r= -0.07, p = 0.228, LE r= -0.079, p = 0.173),表明角度减小近视加重。亮度水平与近视呈显著下降相关([95% CI] RE r= -0.700, p = 0.000, LE -0.693, p = 0.000);当勒克斯(亮度)降低时,球面等效变大,反之亦然。球形当量与最小工作距离呈负相关([95% CI] RE r= -0.612, p = 0.000, LE r= -0.588, p = 0.000)。近视与最大工作距离呈负相关([95% CI] RE r= -0.634, p = 0.000, LE r= -0.604, p = 0.000)。结论:不同的工作距离、采用不正常的头部姿势和宗教学校的低亮度与近视有显著的关系。眼保健专业人员应该发挥他们的重要作用,使社会认识到,在执行近距离任务时,应避免所有这些危险因素,以阻止近视的发展。
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引用次数: 0
Acceptability and barrier to consideration for trabeculectomy among glaucoma patients in a tertiary hospital in South-Western Nigeria 尼日利亚西南部一家三级医院青光眼患者小梁切除术的可接受性和考虑障碍
Pub Date : 2020-08-28 DOI: 10.15406/aovs.2020.10.00391
F. Co, Ajite Ko
Aim: To determine the acceptance rate and barrier to uptake of Trabeculectomy among glaucoma patients in our Hospital. Method: All newly diagnosed cases of primary open angle Glaucoma patients seen from May to October 2018 at the glaucoma clinic of Ekiti State University Teaching Hospital were interviewed for the study using a semi-structured questionnaire designed for it. The data obtained were coded and analyzed using Statistical Package for Social Sciences (SPSS) Version 15. Result: One hundred and thirty-eight primary open angle glaucoma patients with age range 23 to 82years, mean of 58.2 SD+14.6 were analyzed for this study, they comprised of 71males and 67 females, m: f ratio 1.05:1. Twenty four (17.4%) accepted surgery as against 114 (82.6%) that rejected it, fear of going blind was the most common reason for rejection (82.5%), other reasons include seeing well and bad experience of some other patients that had surgery. Conclusion: There is a low level of acceptance for Trabeculectomy in this study due mainly to fear of going blind. There is therefore the need for counselling of glaucoma patients on the benefit and safety of Trabeculectomy in order to reduce the magnitude of blindness from the disease.
目的:了解我院青光眼患者小梁切除术的接受率和接受障碍。方法:对2018年5 - 10月在埃基蒂州立大学教学医院青光眼门诊就诊的所有新诊断的原发性开角型青光眼患者进行访谈,采用专为其设计的半结构化问卷进行研究。获得的数据编码和分析使用社会科学统计软件包(SPSS)版本15。结果:本研究共纳入原发性开角型青光眼患者138例,年龄23 ~ 82岁,平均58.2 SD+14.6,其中男性71例,女性67例,m: f比1.05:1。接受手术的有24人(17.4%),拒绝手术的有114人(82.6%),害怕失明是拒绝手术的最常见原因(82.5%),其他原因包括其他接受手术的患者的视力好或不佳。结论:本研究对小梁切除术的接受程度较低,主要原因是害怕失明。因此,有必要就小梁切除术的益处和安全性向青光眼患者提供咨询,以减少该病造成的失明程度。
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引用次数: 0
Secondary open-angle glaucoma in presumed ocular histoplasmosis syndrome 推定为眼组织浆体病综合征的继发性开角型青光眼
Pub Date : 2020-07-23 DOI: 10.15406/aovs.2020.10.00389
Jeanie C Lucy
Purpose: Secondary glaucoma refers to any form of glaucoma in which there is an identifiable cause of increased eye pressure, resulting in optic nerve damage and vision loss. Presumed ocular histoplasmosis syndrome (POHS) is an infection caused by the fungus Histoplasma capsulatum. There are diverse ocular and systemic manifestations of POHS, ranging from influenza-like illness, cavitary lung disease to life threatening dissemination affecting multiple major organ systems. Once considered to be a public health threat mainly to Ohio, Mississippi River valley areas of the United States and South America, this case represents a new epidemiological report. Results: Initial presentation of a young patient to our clinical service revealed several punched-out-chorioretinal lesions evident in the left eye. Secondary glaucoma was diagnosed in the left eye after Avastin injection to treat a choroidal neovascular membrane secondary to histoplasmosis. The patient was treated successfully with a topical simbrinza for the glaucoma. Conclusion: The clinical presentation of histo-spots, peripapillary atrophy, and choroidal neovascularization represents a confirmed triad for POHS. Choroidal neovascular membranes can be a complication of POHS and anti-VEGF is a standard treatment. Certain anti-VEGF injections have been linked to sustained elevated intraocular pressure. From a public health perspective, we can look for POHS in other areas of the world where it is not usually and customarily found as well as monitor patients for prolonged increase in eye pressure after Avastin injection.
目的:继发性青光眼是指任何形式的青光眼,其中存在可识别原因的眼压升高,导致视神经损伤和视力丧失。眼组织浆菌病综合征(POHS)是一种由真菌荚膜组织浆菌引起的感染。POHS有多种眼部和全身表现,从流感样疾病、肺空洞疾病到影响多个主要器官系统的危及生命的传播。该病例曾被认为是主要对美国俄亥俄州、密西西比河流域地区和南美洲的公共卫生威胁,它代表了一份新的流行病学报告。结果:一个年轻的病人最初的表现,我们的临床服务显示几个穿孔的视网膜病变明显在左眼。继发性青光眼是在左眼注射阿瓦斯汀治疗继发于组织胞浆菌病的脉络膜新生血管膜后诊断的。病人用局部辛布林治疗青光眼成功。结论:组织斑点、乳头周围萎缩和脉络膜新生血管的临床表现是POHS的三联征。脉络膜新生血管膜可能是POHS的并发症,抗vegf是一种标准治疗方法。某些抗vegf注射与持续升高的眼压有关。从公共卫生的角度来看,我们可以在世界上其他不常发现POHS的地区寻找POHS,并监测阿瓦斯汀注射后患者眼压长期升高的情况。
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引用次数: 0
Visual outcomes after bilateral implantation of a new generation diffractive trifocal intraocular lens 新一代衍射三焦人工晶状体双侧植入术后的视力结果
Pub Date : 2020-07-22 DOI: 10.15406/aovs.2020.10.00388
Shubhangi Dubey
Cataract surgery today has become more of a refractive surgery with high patient expectations and demand of independence from glasses. Modern cataract surgery is characterized by obtaining precise postoperative target refraction with the premium intraocular lenses (IOLs) available today. The multifocal IOLs are designed to reduce the spectacle dependence after cataract surgery. Previously a variety of studies were performed that confirmed a significant improvement in uncorrected visual acuity after implantation of multifocal IOLs as compared to monofocal IOLs.1‒5 Initially multifocal IOLs that were designed were having a bifocal design which allowed the patient to have a good distance and near visual acuity post operatively, but near vision came at the expense of reduced contrast sensitivity.6‒8 Nowadays, due to increased use of computers the preference of spectacles has changed from near to intermediate distance. In this sense achieving an intermediate vision with an IOL is a good option. The IOL technologies in the latest times help in rehabilitating the distance and near visual acuities and also by incorporating a component of intermediate vision (ie, trifocal IOLs) to ensure spectacle independence.9‒11 The present study aims at assessing the performance of AT LISA tri 839MP trifocal diffractive IOL in terms of visual acuity and independence from spectacles. The other objectives are to assess changes in the distance, near and intermediate visual acuities, contrast sensitivity postoperatively and plotting the defocus curves.
今天的白内障手术更像是一种屈光手术,患者对其期望很高,并且要求脱离眼镜。现代白内障手术的特点是使用优质的人工晶状体(iol)获得精确的术后目标折射。多焦点人工晶状体是为了减少白内障术后对眼镜的依赖而设计的。先前进行的各种研究证实,与单焦点iol相比,多焦点iol植入术后未矫正视力有显着改善。1-5最初设计的多焦点iol具有双焦点设计,允许患者术后具有良好的距离和近视力,但近视力是以降低对比灵敏度为代价的。如今,由于越来越多地使用电脑,人们对眼镜的偏好已经从近距离转向中距离。从这个意义上说,通过人工晶状体获得中间视力是一个很好的选择。最新的人工晶状体技术有助于恢复远近视力,并通过加入中间视力(即三焦人工晶状体)来确保眼镜的独立性。9-11本研究旨在评估at LISA三839MP三焦衍射IOL在视力和不依赖眼镜方面的性能。其他目的是评估术后远、近、中视力、对比敏感度的变化,并绘制离焦曲线。
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引用次数: 0
Early diagnosis glaucoma using spectral domain OCT 光谱域OCT早期诊断青光眼
Pub Date : 2020-06-30 DOI: 10.15406/aovs.2020.10.00387
Arantrinita Evelyn Komaratih
Optical Coherence Tomography (OCT) is new technique that produces images of biological tissue by measuring the reflection of light from the structure being examined. OCT can greatly assist clinicians in diagnosing and managing glaucoma, especially early disease, when used in conjunction with serial clinical exams and visual field testing. Identification of structural damage to the optic nerve and retinal nerve fiber layer (RNFL) is an important component in the diagnosis of glaucoma. Spectral Domain OCT (SD-OCT), allows an earlier examination of these structures and is equipped with an analysis of the macula area to detect ganglion cell damage.
光学相干层析成像(OCT)是一种通过测量被检查结构的光反射来产生生物组织图像的新技术。当与一系列临床检查和视野测试结合使用时,OCT可以极大地帮助临床医生诊断和治疗青光眼,特别是早期疾病。视神经和视网膜神经纤维层结构损伤的识别是青光眼诊断的重要组成部分。光谱域OCT (SD-OCT)允许对这些结构进行早期检查,并配备黄斑区域分析以检测神经节细胞损伤。
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引用次数: 3
Comparison of astigmatism after phacoemulsification and extracapsular cataract extraction 超声乳化术与白内障囊外摘出术后散光的比较
Pub Date : 2020-06-26 DOI: 10.15406/aovs.2020.10.00386
Hafiza Humaira Yasmeen, Iqra Khalil
Objective: To compare astigmatism after phacoemulsification and extracapsular cataract extraction technique. Method: It was a hospital-based cross-sectional study conducted at Zainab Medicare hospital Haroonabad from September 2018 to May 2019. A sample size of 80 patients having cataract, age 41 to 70 years was included in this study. Slit lamp examination was performed for anterior segment evaluation and astigmatism was determined with autorefraction and keratometry. Result: Phaco technique was more reliable. The means and the standard deviation of phaco post op astigmatism was 0.7860 ±.48880 and ECCE post op astigmatism was 3.6310±1.96236 which indicated that the degree of astigmatism increases after extra capsular cataract extraction technique. The significant level was 0.00 which showed that the phaco technique is highly significant. Conclusion: Corneal astigmatism was almost similar in two groups prior to surgery but after the cataract surgery the astigmatism significantly decreased after phacoemulsification group at 2 weeks follow-up, the results indicated that phaco may be considered superior to ECCE. No suturing is required in phaco and hence lesser chances of post op astigmatism.
目的:比较超声乳化术与白内障囊外摘出术后散光的差异。方法:于2018年9月至2019年5月在哈鲁纳巴德Zainab Medicare医院进行以医院为基础的横断面研究。本研究纳入了80例年龄在41至70岁之间的白内障患者。裂隙灯检查评估前节,自行屈光和角膜屈光度测定散光。结果:Phaco技术更可靠。白内障术后散光的均值和标准差为0.7860±。48880和ECCE术后散光为3.6310±1.96236,说明白内障囊外摘除术后散光程度增加。显著性水平为0.00,表明phaco技术具有高度显著性。结论:两组患者术前角膜散光基本相同,但术后随访2周,超声乳化术组患者角膜散光明显减少,结果提示超声乳化术优于ECCE。不需要缝合,因此术后散光的可能性较小。
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引用次数: 0
Large colloid drusen in young patient instead 年轻患者出现大胶质囊肿
Pub Date : 2020-06-22 DOI: 10.15406/aovs.2020.10.00385
M. Khamaily, Joumany Brahim Salem, I. Tarib, T. Abdellaoui, Y. Mouzari, F. Asri, K. Reda, A. Oubaaz
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引用次数: 0
MicroRNAs in neurodegenerative eye disease 神经退行性眼病中的microrna
Pub Date : 2020-06-01 DOI: 10.15406/aovs.2020.10.00384
Abel Ramón Concepción, Efraín Romo García, Jesús R Álvarez Félix, Silvia Paz Camacho, Elmer López Meza, Itzel Vega Pujalte, Ilse Ochoa Mellado, M. L. Barraza, Carla Angulo Rojo
Introduction: Neurodegenerative diseases affect the central nervous system and cause progressive dysfunction. These debilitating and incurable conditions are characterized by loss of neuronal cell function and are often associated with atrophy of the affected nervous system structures. The retina and the optic nerve are considered an extension of the central nervous system due to their embryonic origin and myelination by oligodendrocytes. Thereby, common physiopathological mechanism may be implicated in the neurodegeneration progress, regulated by key molecules as microRNAs. Aim: To determine the expression profile of microRNAs in peripheral blood in patients with neurodegenerative eye diseases such Glaucoma and Alzheimer´s disease. Methods: Observational, multicentric, comparative study. 50 patients distributed into four groups were included for this study: 10 (20%) with Alzheimer's disease, 20 (40%) with Glaucoma and 20 (40%) healthy control individuals. Results: miR-155 was found to be with tendency to overexpression in the Glaucoma group. miR-483 was found to be significatively overexpressed by five times in the Glaucoma group compared to control individuals. No significant changes were observed for Alzheimer’s disease group in both microRNAs. Conclusion: The preliminary results observed in this study, may suggest that the miR155 and miR483 microRNAs show peripheral blood levels that can be measured in a repeatable and reliable way, this opens the way to a new route of early diagnosis and possible treatment for neurodegenerative eye disease like glaucoma.
神经退行性疾病影响中枢神经系统并引起进行性功能障碍。这些使人衰弱和无法治愈的疾病的特征是神经元细胞功能的丧失,通常与受影响的神经系统结构的萎缩有关。视网膜和视神经被认为是中枢神经系统的延伸,因为它们的胚胎起源和髓鞘形成的少突胶质细胞。因此,共同的生理病理机制可能涉及到神经退行性变的进展,由关键分子如microrna调节。目的:探讨青光眼、阿尔茨海默病等神经退行性眼病患者外周血中microrna的表达谱。方法:观察性、多中心、比较研究。50名患者被分为四组:10名阿尔茨海默病患者(20%),20名青光眼患者(40%)和20名健康对照者(40%)。结果:青光眼组miR-155有过表达的倾向。与对照组相比,青光眼组miR-483显着过表达5倍。阿尔茨海默病组两种microrna均未见明显变化。结论:本研究的初步结果可能提示miR155和miR483 microrna显示了可重复可靠测量的外周血水平,这为青光眼等神经退行性眼病的早期诊断和可能的治疗开辟了一条新的途径。
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引用次数: 1
期刊
Advances in Ophthalmology & Visual System
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