A 71 year old Hispanic male with a past medical history of hypertension, type II diabetes mellitus, and bilateral anatomically narrow angles status post bilateral peripheral iridotomies presented with the complaint of “looking through a film.” The patient could still drive, work as a cashier, see his computer and television, and read with his glasses. It was worse in the morning and resolved when he washed his face. The patient denied headaches, jaw claudication, weight loss, and anorexia. Pt had no neurologic deficits including diplopia. The patients hemoglobin A1c 4 months prior to being seen was 7. The patient endorsed checking his blood sugars at home and most are less than 200. The patient routinely checks his blood pressure at home and it is usually 130s/70s. The patient’s best corrected visual acuity was 20/20 in each eye at distance, intermediate, and near. His Ishihara color test was 11/11 in each eye as well. His intraocular pressure was 13 in each eye with corneal thickness of 642 OD and 626 OS. There was no relative afferent pupillary defect in each eye, extraocular muscle movements were full, and his confrontation fields were full as well. His anterior segment exam was unremarkable except for nuclear sclerosis of each lens. The fundus examination was remarkable for bilateral optic disc swelling with heme off both optic discs. Fluorescein angiography demonstrated bilateral optic disc leakage. OCT showed a flat sensory retina in each macula. The patient had an emergent MRI that demonstrated diffuse loss of normal high T2 signal, but no intracranial mass was present. CRP and ESR were both within normal limits when accounted for the patient’s age. The patient’s papilledema improved on one month follow-up exam without intervention. Due to the patient’s history of diabetes, normal corrected visual acuity, reportedly well controlled blood pressure, and essentially unremarkable work-up, the patient was diagnosed with diabetic papillopathy.
{"title":"A Case of Bilateral Optic Edema in a 71 Year Old Diabetic","authors":"","doi":"10.33140/jocr.05.03.02","DOIUrl":"https://doi.org/10.33140/jocr.05.03.02","url":null,"abstract":"A 71 year old Hispanic male with a past medical history of hypertension, type II diabetes mellitus, and bilateral anatomically narrow angles status post bilateral peripheral iridotomies presented with the complaint of “looking through a film.” The patient could still drive, work as a cashier, see his computer and television, and read with his glasses. It was worse in the morning and resolved when he washed his face. The patient denied headaches, jaw claudication, weight loss, and anorexia. Pt had no neurologic deficits including diplopia. The patients hemoglobin A1c 4 months prior to being seen was 7. The patient endorsed checking his blood sugars at home and most are less than 200. The patient routinely checks his blood pressure at home and it is usually 130s/70s. The patient’s best corrected visual acuity was 20/20 in each eye at distance, intermediate, and near. His Ishihara color test was 11/11 in each eye as well. His intraocular pressure was 13 in each eye with corneal thickness of 642 OD and 626 OS. There was no relative afferent pupillary defect in each eye, extraocular muscle movements were full, and his confrontation fields were full as well. His anterior segment exam was unremarkable except for nuclear sclerosis of each lens. The fundus examination was remarkable for bilateral optic disc swelling with heme off both optic discs. Fluorescein angiography demonstrated bilateral optic disc leakage. OCT showed a flat sensory retina in each macula. The patient had an emergent MRI that demonstrated diffuse loss of normal high T2 signal, but no intracranial mass was present. CRP and ESR were both within normal limits when accounted for the patient’s age. The patient’s papilledema improved on one month follow-up exam without intervention. Due to the patient’s history of diabetes, normal corrected visual acuity, reportedly well controlled blood pressure, and essentially unremarkable work-up, the patient was diagnosed with diabetic papillopathy.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":"59 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41303018","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}
Introduction: Eales disease is considered a peripheral retinal vascular disease characterized by inflammation (vasculitis), ischemia, vascular occlusion, and neovascularization. Its etiology is not yet defined, it generally affects young men in the second decade of life. Case: Male patient, 10 years old of age with a red eye with blurred right eye vision of 1 month of evolution that worsened 4 days before coming to the service, accompanied by photophobia and eye pain. Discussion: Eales disease affect to more often young males, whose main characteristic peripheral phlebitis which can cause retinal ischemia and neovascularization. Although its etiopathogenesis is unknown. Some cases in the literature that relate it to a type IV hypersensitivity reaction to M. tuberculosis’s antigens The treatment of choice was systemic and topical corticosteroids, with a very good clinical response and periodic follow-up of the patient, with warning signs.
{"title":"Eales Disease Debut in Childhood","authors":"","doi":"10.33140/jocr.05.03.01","DOIUrl":"https://doi.org/10.33140/jocr.05.03.01","url":null,"abstract":"Introduction: Eales disease is considered a peripheral retinal vascular disease characterized by inflammation (vasculitis), ischemia, vascular occlusion, and neovascularization. Its etiology is not yet defined, it generally affects young men in the second decade of life. Case: Male patient, 10 years old of age with a red eye with blurred right eye vision of 1 month of evolution that worsened 4 days before coming to the service, accompanied by photophobia and eye pain. Discussion: Eales disease affect to more often young males, whose main characteristic peripheral phlebitis which can cause retinal ischemia and neovascularization. Although its etiopathogenesis is unknown. Some cases in the literature that relate it to a type IV hypersensitivity reaction to M. tuberculosis’s antigens The treatment of choice was systemic and topical corticosteroids, with a very good clinical response and periodic follow-up of the patient, with warning signs.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48161034","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 : 2021-07-16DOI: 10.24966/OCR-8887/100086
Ramkishor Sah
Scleral lenses have been in the origin of contact lenses back in 1880, when the pioneers did the first glass contact lenses. With the advent of highly oxygen permeable materials and the increasing need for advanced solutions for severe ocular surface disorders has produced the driving pressures for a great amount of different contact lens designs to be available.
{"title":"Scleral Contact Lenses for Treatment of Ocular Surface Disorders: A Narrative Review","authors":"Ramkishor Sah","doi":"10.24966/OCR-8887/100086","DOIUrl":"https://doi.org/10.24966/OCR-8887/100086","url":null,"abstract":"Scleral lenses have been in the origin of contact lenses back in 1880, when the pioneers did the first glass contact lenses. With the advent of highly oxygen permeable materials and the increasing need for advanced solutions for severe ocular surface disorders has produced the driving pressures for a great amount of different contact lens designs to be available.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41651065","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 : 2021-07-16DOI: 10.24966/OCR-8887/100085
D. Laroche
We report results from four glaucoma patients on multiple topical medications who refused or failed interventional surgery and opted for in-office medication compounding (n=4). Topical medications with preservatives were compounded into one 10ml-bottle under sterile conditions. Patients used one drop of the compounded solution twice daily. Patients demonstrated significantly reduced IOP and self-reported better compliance after 3 months of use
{"title":"Personalized Glaucoma Medication Compounding Reduces Intraocular Pressure and May Increase Adherence and Affordability","authors":"D. Laroche","doi":"10.24966/OCR-8887/100085","DOIUrl":"https://doi.org/10.24966/OCR-8887/100085","url":null,"abstract":"We report results from four glaucoma patients on multiple topical medications who refused or failed interventional surgery and opted for in-office medication compounding (n=4). Topical medications with preservatives were compounded into one 10ml-bottle under sterile conditions. Patients used one drop of the compounded solution twice daily. Patients demonstrated significantly reduced IOP and self-reported better compliance after 3 months of use","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49280786","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 : 2021-07-16DOI: 10.24966/OCR-8887/100084
C. Mvilongo
We report the case of a three-year-old girl with left sided facial swelling and proptosis as the initial presentation of bilateral orbit involving Acute Myeloid Leukemia (AML) in Cameroon. Despite being less typical in childhood, AML is the most common leukemia to cause orbital leukemic tumors. Solid extramedullary AML involves the orbit in 30% of cases and is bilateral in one third patients
{"title":"Bilateral Orbital Extension of Acute Myeloid Leukemia Masquerading as Burkitt Lymphoma: A Case Report","authors":"C. Mvilongo","doi":"10.24966/OCR-8887/100084","DOIUrl":"https://doi.org/10.24966/OCR-8887/100084","url":null,"abstract":"We report the case of a three-year-old girl with left sided facial swelling and proptosis as the initial presentation of bilateral orbit involving Acute Myeloid Leukemia (AML) in Cameroon. Despite being less typical in childhood, AML is the most common leukemia to cause orbital leukemic tumors. Solid extramedullary AML involves the orbit in 30% of cases and is bilateral in one third patients","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44192234","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}
Purpose: The goal of this study was to determine age-relatedvariation in the thickness of the corneal epithelium using ultrasound pachymeter. Methods: One hundred three patients were enrolled in this study and grouped according to age: Group A (< 30 years), group B (31-40 years), group C (41-50 years), group D (51-60 years), group E (61-70), and group F (> 71). Total corneal and corneal epithelial thickness measurements were made using the SonogageCorneo-Gage Plus 2 (Cleveland, Ohio) ultrasound pachymeter. Correlations of central epithelial thickness with central total corneal thickness, age, and gender were calculated. In addition, mean central epithelial thickness (CET) was measured. One-way ANOVA testing and post hoc analysis with the Tukey test and Pearson correlation were performed to analyze data. Results: The mean epithelial thickness at the central cornea was 47.88±1.15 μm, with no statistically significant difference between right and left eyes, and no significant differences in gender or central total corneal thickness. The difference in mean epithelial thickness across age groups was statistically significant (p <0.008). The mean epithelial thickness of the > 71 years group was significantly thinner than that of the < 30 years, 31-40, 41-50, and 51-60 years age groups. Conclusions: Ultrasound pachymeter of the corneal epithelium demonstrated that the oldest age group (> 71 years) had significantly thinner central corneal epithelial thickness than the younger age groups. There was no correlation between epithelial thickness, total corneal thickness, gender, or laterality.
{"title":"Effect of Age on Individual Corneal Epithelial Thickness in Normal Eyes as Measured with Ultrasound Pachymeter","authors":"","doi":"10.33140/jocr.05.01.03","DOIUrl":"https://doi.org/10.33140/jocr.05.01.03","url":null,"abstract":"Purpose: The goal of this study was to determine age-relatedvariation in the thickness of the corneal epithelium using ultrasound pachymeter. Methods: One hundred three patients were enrolled in this study and grouped according to age: Group A (< 30 years), group B (31-40 years), group C (41-50 years), group D (51-60 years), group E (61-70), and group F (> 71). Total corneal and corneal epithelial thickness measurements were made using the SonogageCorneo-Gage Plus 2 (Cleveland, Ohio) ultrasound pachymeter. Correlations of central epithelial thickness with central total corneal thickness, age, and gender were calculated. In addition, mean central epithelial thickness (CET) was measured. One-way ANOVA testing and post hoc analysis with the Tukey test and Pearson correlation were performed to analyze data. Results: The mean epithelial thickness at the central cornea was 47.88±1.15 μm, with no statistically significant difference between right and left eyes, and no significant differences in gender or central total corneal thickness. The difference in mean epithelial thickness across age groups was statistically significant (p <0.008). The mean epithelial thickness of the > 71 years group was significantly thinner than that of the < 30 years, 31-40, 41-50, and 51-60 years age groups. Conclusions: Ultrasound pachymeter of the corneal epithelium demonstrated that the oldest age group (> 71 years) had significantly thinner central corneal epithelial thickness than the younger age groups. There was no correlation between epithelial thickness, total corneal thickness, gender, or laterality.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47479532","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}
A 59 years old man presented with a history of phacoemulsification with an hydrophobic intraocular lens implant in his left eye 4 years ago. The biomicroscopy revealed pigments in the corneal endothelium (Krukenberg’s spindle), peripheral transillumination of the iris and intraocular pressure of 52 mmHg in the left eye. Gonioscopy revealed hyperpigmentation of the posterior trabeculate. Posterior segment examination and visual field revealed a cup/disc 0.9 with significant field damage in strategy 10-2. Biomicroscopic ultrasonography showed asymmetric implantation of the IOL loops in the left eye (one loop in the ciliary sulcus and the other in the capsular bag). He underwent antiglaucomatous treatment with adequate control of intraocular pressure, with no need for surgical intervention.
{"title":"Pigmentary Glaucoma After Cataract Surgery with Single-Piece Hydrophobic Intraocular Lens Implanted into the Ciliary Sulcus: Case Report","authors":"","doi":"10.33140/jocr.05.01.02","DOIUrl":"https://doi.org/10.33140/jocr.05.01.02","url":null,"abstract":"A 59 years old man presented with a history of phacoemulsification with an hydrophobic intraocular lens implant in his left eye 4 years ago. The biomicroscopy revealed pigments in the corneal endothelium (Krukenberg’s spindle), peripheral transillumination of the iris and intraocular pressure of 52 mmHg in the left eye. Gonioscopy revealed hyperpigmentation of the posterior trabeculate. Posterior segment examination and visual field revealed a cup/disc 0.9 with significant field damage in strategy 10-2. Biomicroscopic ultrasonography showed asymmetric implantation of the IOL loops in the left eye (one loop in the ciliary sulcus and the other in the capsular bag). He underwent antiglaucomatous treatment with adequate control of intraocular pressure, with no need for surgical intervention.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42085428","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}
Background: Ocular morbid conditions are responsible for partial or total blindness. Ocular morbidities by its sheer magnitude form an enormous problem, not only in human suffering, but also in terms of economical loss and social burden. Objective: The aim of this study is to determine the pattern of eye Diseases. Methods: This was a cross sectional study. This study was done in Dhaka city, different districts of Dhaka Division and different Upazilla of Dhaka district. From these three sites 3124 patients were randomly selected. All the members of a family were cross-examined and then diseased individuals were isolated for detail history taking and clinical assessment. Results: The results revealed that 3124 study subjects were had ocular morbidity. Common ocular morbidity was 1153 had Refractive error (36.9%), 105 had Cataract, 15(0.5) had Glaucoma, 63(2.0) had Chronic Dacryocystitis, 14(0.4) had Pterygium, 6(0.2) had Diabetic Retinopathy, 56(0.2) had Retinitis pigmentosa and 1763 (56.4) others. Males were more affected as compared to females. It was observed that as the age increases the prevalence of ocular morbidity increases. Conclusion: The leading cause of eye diseases in this study was Refractive error, Cataract, Glaucoma, Chronic Dacryocystitis, Pterygium, Diabetic Retinopathy, Retinitis pigmentosa and others etc.
{"title":"Pattern of Eye Diseases in Dhaka City District Level and Village Areas in Bangladesh","authors":"Jabbar Z","doi":"10.33140/jocr.05.01.05","DOIUrl":"https://doi.org/10.33140/jocr.05.01.05","url":null,"abstract":"Background: Ocular morbid conditions are responsible for partial or total blindness. Ocular morbidities by its sheer magnitude form an enormous problem, not only in human suffering, but also in terms of economical loss and social burden. Objective: The aim of this study is to determine the pattern of eye Diseases. Methods: This was a cross sectional study. This study was done in Dhaka city, different districts of Dhaka Division and different Upazilla of Dhaka district. From these three sites 3124 patients were randomly selected. All the members of a family were cross-examined and then diseased individuals were isolated for detail history taking and clinical assessment. Results: The results revealed that 3124 study subjects were had ocular morbidity. Common ocular morbidity was 1153 had Refractive error (36.9%), 105 had Cataract, 15(0.5) had Glaucoma, 63(2.0) had Chronic Dacryocystitis, 14(0.4) had Pterygium, 6(0.2) had Diabetic Retinopathy, 56(0.2) had Retinitis pigmentosa and 1763 (56.4) others. Males were more affected as compared to females. It was observed that as the age increases the prevalence of ocular morbidity increases. Conclusion: The leading cause of eye diseases in this study was Refractive error, Cataract, Glaucoma, Chronic Dacryocystitis, Pterygium, Diabetic Retinopathy, Retinitis pigmentosa and others etc.","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48850842","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 : 2020-12-31DOI: 10.24966/ocr-8887/100074
Kanika Jain
Hypomelanosis of Ito, also known as Hypomelanosis of Achromia, Incontenentia pigmenti Achromians, pigmentary dysplasia or mosaicism, is a rare dermatological disease with a prevalence of 1 in 8000-10,000 live births predominantly affecting females. Disease is usually sporadic but familial cases have been reported
{"title":"Hypomelanosis Of Ito: A Rare Disorder With Rarer Presentation-Unilateral Retinal Detachment And Bilateral Glaucoma","authors":"Kanika Jain","doi":"10.24966/ocr-8887/100074","DOIUrl":"https://doi.org/10.24966/ocr-8887/100074","url":null,"abstract":"Hypomelanosis of Ito, also known as Hypomelanosis of Achromia, Incontenentia pigmenti Achromians, pigmentary dysplasia or mosaicism, is a rare dermatological disease with a prevalence of 1 in 8000-10,000 live births predominantly affecting females. Disease is usually sporadic but familial cases have been reported","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48911068","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 : 2020-12-31DOI: 10.24966/ocr-8887/100073
E. Sokolenko
We report on an unusual case of a 68-year-old patient with previously undiagnosed cutaneous vitiligo and extensive ocular involvement. This case demonstrates that vitiligo can affect choroidal and, due to an atypical pattern of choroidal hypopigmentation, simulate a large choroidal unclear tumor
{"title":"Cutaneous Vitiligo Associated With Chorioidal Vitiligo: Case Report","authors":"E. Sokolenko","doi":"10.24966/ocr-8887/100073","DOIUrl":"https://doi.org/10.24966/ocr-8887/100073","url":null,"abstract":"We report on an unusual case of a 68-year-old patient with previously undiagnosed cutaneous vitiligo and extensive ocular involvement. This case demonstrates that vitiligo can affect choroidal and, due to an atypical pattern of choroidal hypopigmentation, simulate a large choroidal unclear tumor","PeriodicalId":91268,"journal":{"name":"HSOA journal of ophthalmology & clinical research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49405402","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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