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Guidelines for Authors 作者指南
Pub Date : 2012-01-01 DOI: 10.1016/S1529-1839(11)00606-3
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引用次数: 0
Seeing well is the key to learning in a world of 3-D 在3d世界中,视力好是学习的关键
Pub Date : 2012-01-01 DOI: 10.1016/j.optm.2011.11.010
Jill Luebbert CPOT
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引用次数: 0
Demyelinating optic neuritis presenting as a clinically isolated syndrome 脱髓鞘性视神经炎表现为临床孤立综合征
Pub Date : 2012-01-01 DOI: 10.1016/j.optm.2011.10.010
Nicky R. Holdeman O.D., M.D., Tammy Nguyen O.D., Rosa A. Tang M.D., M.P.H.

Background

Clinically isolated syndrome (CIS) describes a single, first-occurrence attack caused by inflammation/demyelination in 1 or more locations in the central nervous system. The optic nerve is a frequent site affected by this neurologic event. As the name implies, CIS is an isolated condition but is often considered a precursor to multiple sclerosis (MS). When distinctive brain lesions detected by magnetic resonance imaging (MRI) accompany CIS, the person is considered at a high risk for MS. Treatment is aimed at delaying the onset of a second neurologic episode, reducing the accumulation of MRI-detected brain lesions and delaying the development of definite MS.

Case Report

This article describes a 40-year-old woman who experienced a sudden loss of vision in the right eye. Testing ultimately found a normal MRI, demyelination of the optic nerve, and progressive thinning of the retinal nerve fiber layer, leading to a diagnosis of CIS.

临床孤立综合征(CIS)描述由中枢神经系统1个或多个部位的炎症/脱髓鞘引起的单次首次发作。视神经是受这种神经事件影响的常见部位。顾名思义,CIS是一种孤立的疾病,但通常被认为是多发性硬化症(MS)的前兆。当磁共振成像(MRI)伴CIS检测到明显的脑部病变时,患者被认为是多发性硬化症的高危人群。治疗的目的是延迟第二次神经系统发作的发生,减少MRI检测到的脑部病变的积累,延缓明确的多发性硬化症的发展。检查最终发现MRI正常,视神经脱髓鞘,视网膜神经纤维层逐渐变薄,导致CIS的诊断。
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引用次数: 6
Corneal collagen cross-linking: An introduction and literature review 角膜胶原交联:介绍及文献综述
Pub Date : 2012-01-01 DOI: 10.1016/j.optm.2011.09.011
Brandon J. Dahl O.D., Eric Spotts O.D., James Q. Truong O.D.

Background

This literature review analyzes the scientific evidence available regarding corneal collagen cross-linking (CXL) as a treatment option for progressive keratectasia.

Methods

A literature search was performed using dates from 1990 to August 2010 regarding CXL Specific areas of focus for the literature review include safety and efficacy of the procedure as a stand-alone treatment or when used in conjunction with Intacs® corneal implants (Addition Technology™) or photorefractive keratectomy (PRK).

Results

A total of 50 clinical trials and studies were identified, 20 of which met the inclusion criteria. Results of the included literature support the conclusion that CXL is a safe and efficacious treatment for progressive keratectasia. The results of CXL alone have shown stabilization or improvement in the maximum keratometry readings, best-corrected visual acuity, uncorrected visual acuity, and spherical and cylinder refractive measurements. CXL has been shown to enhance the effects of Intacs and has been proven successful when used in conjunction with PRK.

Conclusion

CXL is an effective treatment for limiting the progression of keratectasia, thus reducing the need for penetrating keratoplasty. CXL has a similar side-effect profile and similar risk level as PRK.

本文献综述分析了现有的关于角膜胶原交联(CXL)作为进行性角膜扩张症治疗选择的科学证据。方法对1990年至2010年8月期间的CXL进行文献检索,文献综述的重点领域包括该手术作为单独治疗或与Intacs®角膜植入物(Addition Technology™)或光屈光性角膜切除术(PRK)联合使用的安全性和有效性。结果共纳入50项临床试验和研究,其中20项符合纳入标准。纳入的文献结果支持CXL是一种安全有效的治疗进行性角膜扩张症的结论。单独使用CXL的结果显示最大角膜测量读数、最佳矫正视力、未矫正视力以及球面和圆柱形屈光测量的稳定或改善。CXL已被证明可以增强intac的效果,并且与PRK结合使用已被证明是成功的。结论cxl是一种有效的治疗角膜扩张症的方法,可减少穿透性角膜移植术的需要。CXL具有与PRK相似的副作用概况和相似的风险水平。
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引用次数: 66
Nutrients in the battle against age-related eye diseases 营养素对抗老年性眼疾
Pub Date : 2012-01-01 DOI: 10.1016/j.optm.2011.11.006
James G. Elliott Ph.D., Nancy Sumner Williams
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引用次数: 6
Taking steps to limit appointment no-shows 采取措施限制预约失约
Pub Date : 2012-01-01 DOI: 10.1016/j.optm.2011.11.008
Gary Gerber O.D.
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引用次数: 0
Thinking beyond ourselves 超越自我思考
Pub Date : 2012-01-01 DOI: 10.1016/j.optm.2011.11.011
Paul B. Freeman O.D.
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引用次数: 0
Top 10 tax blunders 十大税收错误
Pub Date : 2012-01-01 DOI: 10.1016/j.optm.2011.11.007
James R. Armstrong CPA, Jodi Permenter CPA
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引用次数: 0
Risk of endophthalmitis remains low 眼内炎的风险仍然很低
Pub Date : 2012-01-01 DOI: 10.1016/j.optm.2011.10.008
Marc D. Myers O.D.
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引用次数: 0
It's all in a name – or is it? 这一切都在一个名字里,是吗?
Pub Date : 2011-12-01 DOI: 10.1016/j.optm.2011.09.010
Gary Gerber O.D.
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引用次数: 0
期刊
Optometry
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