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Stereoscopic Vision and Testing Techniques – Review 立体视觉和测试技术——综述
Pub Date : 2020-04-17 DOI: 10.33140/jocr.04.02.02
Stereoscopic vision or stereopsis is the highest level of binocular vision. It is acquired in the early years of life and requiresthe “simultaneous perception” of each eye separately, as well as the “matching” of the two images during brain development.First of all, it gives man the visual perception of depth, but it also broadens his field of vision and increases his visual acuity.As anyone can easily understand it is especially useful in everyday life. It is not particularly well known, but the qualityof vision at night is based on stereotypes. Finally, people who do not have stereoscopic vision are in a difficult position asthey are at immediate risk of injury. For the above reasons, it is clear why constipation should be controlled, with specificdiagnostic tests, especially during childhood.
立体视觉或立体视觉是双眼视觉的最高水平。它是在生命的早期获得的,需要分别对每只眼睛进行“同时感知”,以及在大脑发育过程中对两幅图像进行“匹配”。首先,它给人以深度的视觉感知,但也拓宽了他的视野,提高了他的视力。任何人都很容易理解,它在日常生活中特别有用。它并不特别为人所知,但夜间的视觉质量是基于刻板印象。最后,没有立体视觉的人处境艰难,因为他们有受伤的直接风险。由于上述原因,很清楚为什么应该通过特定的诊断测试来控制便秘,尤其是在儿童时期。
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引用次数: 0
Convergence Insufficiency - Perception Error: A Review Article 收敛不足-感知误差:综述文章
Pub Date : 2020-04-16 DOI: 10.33140/jocr.04.02.01
Ocular asthenopia associated with headaches and visual discomfortare the major complaints, clients have these days. Intensive nearand digital works have brought many non-strabismic binocularvision disorders (NSBVD) in the clients. Convergence insufficiency(CI) is one of the most prevalent NSBVD. CI is a binocular visiondysfunction, characterized by the patient’s inability to accuratelyconverge, or sustain accurate convergence when focusing on nearobjects. Apart from visual symptoms, CI is known to have effectson a children’s academics and a person’s daily life. In additionto visual discomfort, children with CI report symptoms affectingreading performance, such as loss of pace, loss of concentration,reading slowly, and trouble remembering what was read. Properdiagnosis of convergence insufficiency is simple, but it has beencomplicated by the unavailability of essential orthoptic tools; theattitude of practitioner and their knowledge adds to the hurdle. Whydon’t we introduce term “CI Suspect” like “Glaucoma-Suspect” sothat every individual if matches one or more criteria for CI diagnosisis subjected undergo a complete binocular single vision assessment?This will properly diagnose and manage the case and also makeorthoptics as a proper sub-specialty for eye care practitioners.
眼疲伴头痛和视觉不适是这些天客户的主要主诉。密集的近距离和数字化工作给客户带来了许多非斜视双眼视力障碍(NSBVD)。收敛不全是NSBVD中最常见的一种。CI是一种双目视力障碍,其特征是患者无法准确聚焦,或在聚焦近物体时无法保持准确的聚焦。除了视觉症状外,CI还会影响儿童的学业和日常生活。除了视觉上的不适,患有CI的儿童还报告了影响阅读表现的症状,比如语速减慢、注意力不集中、阅读缓慢、难以记住所读内容。收敛不足的正确诊断是简单的,但由于缺乏必要的正视工具而变得复杂;从业者的态度和他们的知识增加了障碍。为什么我们不引入像“青光眼-疑似”这样的术语“疑似CI”,以便每个符合CI诊断标准的人都接受完整的双眼单视力评估?这将正确诊断和管理的情况下,也使视力矫视作为一个适当的专科眼科保健医生。
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引用次数: 0
Epidemiological And Clinical Profiles Of Childhood Cataract Seen At The Yaounde Central Hospital 雅温得中心医院儿童白内障流行病学及临床分析
Pub Date : 2020-04-13 DOI: 10.24966/ocr-8887/100066
Viola andin Dohvoma
Purpose: To describe the epidemiological and clinical profiles of childhood cataract seen at the Yaounde Central Hospital. Patients and methods: A retrospective descriptive study was car- ried out over a 7-year period (January 2013 to December 2019). Institutional ethical committee waived the need for individual parental consent based on the retrospective nature of the study. Data col lected from records were made anonymous and confidentiality was respected. Medical records of children aged 0 to 15 years, diag nosed of cataract were included. Variables studied include age, sex, presenting complaint, signs, laterality, cataract morphology, ocular abnormalities, associated systemic disease, presumed aetiology, acceptance of surgery and primary implantation. Results: During the study period, 56 children with cataracts were seen, amongst whom, 28 girls and 28 boys. Acquired cataract represented 37.5% of case. They were all unilateral and 90.5% were post-traumatic. Congenital cataract represented 62.5% of cases. They were bilateral in 67.7% of cases and were diagnosed at a mean age of 6.3 ± 3.9 years. Congenital cataract was an isolated finding in 94% of cases. Seven cases underwent surgery (5 bilateral congen ital and 2 unilateral post-traumatic). The median age at the time of surgery was 4 years. Conclusion: Late presentation is common, and the rate of sur - gery-uptake is low. We recommend the putting in place of measures to train personnel for both delivery room and routine baby check screening. The creation of subsidized reference ophthalmic centres with trained personnel and equipment could also help reduce cost and increase surgery uptake.
目的:描述雅温得中心医院儿童白内障的流行病学和临床特征。患者和方法:一项回顾性描述性研究在7年期间(2013年1月至2019年12月)进行。基于该研究的回顾性性质,机构伦理委员会放弃了获得家长个人同意的需要。从记录中收集的数据是匿名的,并尊重机密性。纳入0 ~ 15岁诊断为白内障的儿童病历。研究的变量包括年龄、性别、主诉、体征、侧侧性、白内障形态、眼部异常、相关全身性疾病、推测的病因、接受手术和初次植入术。结果:研究期间共收治56例白内障患儿,其中女孩28例,男孩28例。获得性白内障占37.5%。均为单侧病变,90.5%为创伤后病变。先天性白内障占62.5%。67.7%为双侧,平均年龄为6.3±3.9岁。先天性白内障是一个孤立的发现,在94%的病例。手术7例(5例双侧先天性,2例单侧创伤后)。手术时的中位年龄为4岁。结论:本病临床表现迟发,且吸收率低。我们建议采取措施对产房人员和常规婴儿检查筛查人员进行培训。设立有补贴的眼科参考中心,配备训练有素的人员和设备,也有助于降低成本和增加手术接受率。
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引用次数: 2
Unusual Association of Uveitis and Buerger’s Disease 葡萄膜炎与伯格氏病的不寻常关联
Pub Date : 2020-03-20 DOI: 10.33140/jocr.04.01.03
Buerger’s disease or thromboangiitis obliterans TAO is a rarearteriopathy, which usually affects young male smokers and isclassically responsible for ischemia of the extremities [1]. Ocularinvolvement is rarely described in the literature. We report an unusualcombination of uveitis with TAO in a young man.
伯格氏病或血栓闭塞性脉管炎是一种罕见的动脉疾病,通常发生在年轻男性吸烟者身上,通常是四肢缺血的原因。在文献中很少描述眼部受累。我们报告一例罕见的葡萄膜炎合并TAO的病例。
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引用次数: 1
Ocular Dirofilariasis - A Diagnostic Dilemma 眼双丝虫病-诊断困境
Pub Date : 2020-03-06 DOI: 10.33140/jocr.04.01.02
Dirofilariasis is a zoonotic filariasis primarily affecting canines. It may infect humans causing pulmonary infarcts,subcutaneous and subconjunctival nodules. Dirofilaria repens is the main species inplicated in subconjunctivallesions. Proper diagnosis and treatment can cure the patient of all his symptoms. Hence it is important to have ahigh index of suspicion about this emerging zoonosis. This is a case report of ocular Dirofilariasis from a tertiarycare hospital in Thrissur, Kerala.
丝虫病是一种主要影响犬科动物的人畜共患丝虫病。它可能感染人类,导致肺梗死、皮下和结膜下结节。白皮Dirofialia repens是结膜下病变的主要菌种。正确的诊断和治疗可以治愈病人的所有症状。因此,对这种新出现的人畜共患疾病有更高的怀疑指数是很重要的。这是喀拉拉邦Thrissur一家三级医院的眼部Dirofilasis病例报告。
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引用次数: 0
Successful Management Of TINU Syndrome Associated Panuveitis With Steroid And Mycophenolate Mofetil 类固醇和霉酚酸酯对TINU综合征相关全葡萄膜炎的成功治疗
Pub Date : 2020-02-11 DOI: 10.24966/ocr-8887/100064
Kai Ching Peter Leung
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引用次数: 0
Clinical and Therapeutic Aspects of Viral Ocular Pathology in Brazzaville 布拉柴维尔病毒性眼病理的临床和治疗方面
Pub Date : 2020-02-05 DOI: 10.33140/jocr.04.01.01
Introduction: Viruses can act in two ways, either by a direct pathogenic effect, or indirectly by inducing immunosuppressionand favoring the action of other so-called opportunistic viruses. This survey had a double objective, describe the clinicalaspects of viral ocular pathology and state its principles of treatment.Materials and Methods: Descriptive cross-sectional study carried out over 2 years at the Ophthalmology department ofthe University Hospital of Brazzaville. Patients 18 years of age or older with viral ocular pathology were included. Thediagnosis was made on the sole basis of anamnestic and / or clinical arguments. None of the viruses involved had beendirectly detected, with the exception of HIV. Biologically proven patients with a coinfection (bacteria, parasite, fungus)were excluded. HIV serology had been systematic. Four parameters were analyzed: type of virus, structures affected,pathologies diagnosed, anti viral treatments used.Results: Two hundred twenty-five (225) patients were included. The mean age was 44 ± 2.1 years. Sex ratio was 0.8.Viruses: Adenovirus (51.1%), Herpes zoster (19.5%), HIV (18.7%), Herpes simplex (7.5%), CMV (3.2%). Main structuresaffected: eyelid (86.2%), chorioretin (6.4%). Main pathologies: Adenovirus conjunctivitis (61.1%), shingles (16%),primary herpes simplex infection (8%) Keratitis (6.4%), chorioretinitis (6.4%), uveitis (2.1%). Anti viral treatments used:Valaciclovir, Ganciclovir and anti retroviral.Conclusion: Viral ocular pathology is dominated by Adenovirus conjunctivitis and infections due to 3 types of herpesviridae (Herpes zoster, Herpes simplex and CMV). These herpes viridae are generally responsible for opportunisticdiseases following immunosuppression linked to HIV.
病毒可以通过两种方式起作用,要么通过直接的致病作用,要么通过诱导免疫抑制和支持其他所谓的机会性病毒的作用来间接地起作用。这项调查有两个目的,描述病毒性眼病理的临床方面,并说明其治疗原则。材料和方法:描述性横断面研究在布拉柴维尔大学医院眼科进行了两年多的研究。患者年龄≥18岁,伴有病毒性眼部病变。诊断是在记忆和/或临床论据的唯一基础上作出的。除了艾滋病毒外,所有涉及的病毒都没有被直接检测到。排除生物学上证实合并感染(细菌、寄生虫、真菌)的患者。HIV血清学已经系统化。分析四个参数:病毒类型、受影响的结构、诊断的病理、使用的抗病毒治疗。结果:纳入225例患者。平均年龄44±2.1岁。性别比为0.8。病毒:腺病毒(51.1%)、带状疱疹(19.5%)、HIV(18.7%)、单纯疱疹(7.5%)、巨细胞病毒(3.2%)。主要影响结构:眼睑(86.2%),绒毛膜蛋白(6.4%)。主要病理:腺病毒性结膜炎(61.1%)、带状疱疹(16%)、原发性单纯疱疹感染(8%)、角膜炎(6.4%)、脉络膜视网膜炎(6.4%)、葡萄膜炎(2.1%)。使用的抗病毒治疗方法:伐昔洛韦、更昔洛韦和抗逆转录病毒。结论:病毒性眼部病理以腺病毒性结膜炎和带状疱疹、单纯疱疹和巨细胞病毒3种疱疹病毒科感染为主。这些疱疹病毒科通常是与HIV相关的免疫抑制后的机会性疾病的罪魁祸首。
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引用次数: 0
Optic Disc Drusenoid Deposits with Hemifield Defects in a Patient with IgA Nephropathy - New Findings IgA肾病患者视盘类鼓蛋白沉积伴半野缺损的新发现
Pub Date : 2020-01-01 DOI: 10.33140/jocr.05.01.01
Dr. Prabhakar S K
To describe emerging new OCT and Humphrey visual field findings is the objective of the study. A previously treated 20-year old female patient for skin rashes, hematuria, and pain abdomen 8 months ago reported with visual disruption in the right eye for the last one week. Features of leukocytoclastic vasculitis on skin biopsy and glomerular mesangial cell hyperplasia on renal biopsy inferred a clinical diagnosis of IgA nephropathy. Consequently, proteinuria manifested one month after administration of prednisolone 50 mg/day tapered for 8 months, Visual acuity of 6/9 in the right eye and 6/6 in the left eye with normal color vision recorded in addition to early signs of papilledema. Classically, on OCT, hyperreflective intense echoes discovered in the optic disc, and accordingly inferior hemifield defects established predominantly in the right eye on HFA. Total leucocyte count at11720 cells/cu mm and ESR 60 mm/hr by the Wintrobe method with the presence of albumin, RBCs, and pus cells on urine analysis in addition to positive occult stool blood detection. C3, C4, and ANCA panel revealed negative results and the USG abdomen disclosed fatty liver with mesenteric nodes. In conclusion, Optic disc drusenoid deposits corresponding with hemifield visual field defects detected in the current case study is possibly the associated early fundus manifestation of IgA nephropathy.
描述新出现的OCT和Humphrey视野发现是本研究的目的。患者为20岁女性,8个月前因皮疹、血尿、腹部疼痛就诊,右眼视力障碍持续1周。皮肤活检显示白细胞破壁性血管炎,肾活检显示肾小球系膜细胞增生,提示临床诊断为IgA肾病。因此,在给予强的松龙50mg /天后1个月出现蛋白尿,8个月后逐渐减少,右眼视力为6/9,左眼视力为6/6,色觉正常,此外还有早期乳头水肿的迹象。通常,在OCT上,视盘上发现高反射性强回声,因此在HFA上主要在右眼建立下半野缺陷。白细胞总数为11720个/立方毫米,血沉率为60毫米/小时,Wintrobe法检测尿液中白蛋白、红细胞和脓细胞,并检测隐血便血阳性。C3, C4和ANCA显示阴性结果,USG腹部显示脂肪肝伴肠系膜淋巴结。综上所述,本病例研究中检测到的视盘结节样物质沉积与半视野视野缺陷相对应,可能是IgA肾病相关的早期眼底表现。
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引用次数: 0
Senegalese Experience of Keratoplasties in Public and Private Practice (Aristide leDantec Hospital and Clinique du Cap), Dakar 塞内加尔在公共和私人诊所的角膜移植经验(阿里斯蒂德·丹泰克医院和诊所),达喀尔
Pub Date : 2019-12-30 DOI: 10.33140/jocr.03.03.05
Introduction: The corneal surface is exposed to many external aggressions which can alter its transparency and regularity.Several keratoplasty techniques have been codified such as transfixing keratoplasty (KT) or deep anterior lamellar keratoplasty(KLAP) or rotational auto graft. Our work was carried out in Senegal, in a context where corneal transplants were not frequentlyperformed. The aim of our study was to report results one year after a keratoplasty.Patients and Method: We conducted a retrospective study of patients who underwent prior transfixing or lamellar keratoplasty orrotational auto graft. It was carried out between the ophthalmological clinic Aristide Le Dantec hospital and the ophthalmologicalcenter of Clinique du Cap in Dakar, Senegal. It included all records of patients with postoperative follow-up greater than or equalto 1 year. The parameters studied were anamnestic data, preoperative clinical examination (indication of corneal transplantation)and postoperative results.Results: Twenty-six eyes of 22 patients were identified. The decrease in visual acuity evolved on average for 5 years. The operativeindications were mainly represented by results of pillow type keratitis (30.76%), bullous keratopathy (23.08%), and keratoconus(23.08%). Surgery consisted of a transfixing keratoplasty in 84.61%, lamellar in 15.39% of the cases.Comments: The primary objective of keratoplasty is to restore the transparency, it can also help to remedy pain or improve theanatomical and aesthetic prognosis of the eyeball. The benefits of keratoplasty in our context of developing countries are thereduced cost and shorter waiting time vis-à-vis western countries.Conclusion: The results of our study are encouraging for surgery, still practiced on a small scale in our regions.
引言:角膜表面暴露在许多外部攻击下,这些攻击会改变其透明度和规则性。几种角膜移植术已被编入法典,如穿透性角膜移植术(KT)或深前板层角膜移植术或旋转自体移植物。我们的工作是在塞内加尔进行的,当时角膜移植并不经常进行。我们研究的目的是报告角膜移植术后一年的结果。患者和方法:我们对既往接受穿透性或板层角膜移植或旋转自体移植物的患者进行了回顾性研究。它是在塞内加尔达喀尔的眼科诊所Aristide Le Dantec医院和Clinique du Cap的眼科中心之间进行的。它包括术后随访大于或等于1年的患者的所有记录。研究的参数包括记忆数据、术前临床检查(角膜移植指征)和术后结果。结果:22例患者中有26眼被确诊。视力的下降平均持续了5年。手术指征主要表现为枕型角膜炎(30.76%)、大泡性角膜病变(23.08%)和圆锥角膜(23.08%.)。手术包括穿透性角膜移植术84.61%,板层角膜移植术15.39%。评论:角膜移植术的主要目的是恢复透明性,它也有助于治疗疼痛或改善眼球的解剖和美学预后。与西方国家相比,我们发展中国家的角膜移植术的好处是降低了成本,缩短了等待时间。结论:我们的研究结果对外科手术来说是令人鼓舞的,在我们的地区仍然是小规模的。
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引用次数: 0
How to Reduce Lasik Complications during Surgery 如何减少Lasik手术并发症
Pub Date : 2019-12-29 DOI: 10.33140/jocr.02.04.00005
Most of the complications on a Lasik surgery happen during flapcut. Partial or irregular flaps, buttonholes, epithelial defects and freeflaps. Risk factors for these complications include increased age,preoperative hyperopia, and years of contact lens wear. In order toavoid these complications I suggest following these steps beforeeach surgery
激光手术的大多数并发症都发生在皮瓣切除过程中。部分或不规则皮瓣、扣孔、上皮缺损和游离皮瓣。这些并发症的危险因素包括年龄增加、术前远视和多年佩戴隐形眼镜。为了避免这些并发症,我建议在每次手术前遵循以下步骤
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引用次数: 0
期刊
HSOA journal of ophthalmology & clinical research
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