Objective To compare the difference of surgically induced astigmatism (SIA) between femtosecond laser-assisted and manual clear corneal incisions for cataract surgery.Methods Nonrandom control study.Sixty right eyes were recruited which excluding ocular surface diseases,eye injuries or surgical history.Femtosecond laser-assisted cataract surgery was performed in 28 patients (28 eyes of femtosecond laser group) and conventional phacoemulsification using a disposable keratome was performed in 32 patients (32 eyes of manual group).The main incision located at 135°,which was a 2.8-mm clear corneal incision.All operations were completed by one surgeon and intraocular lens were implanted successfully.Both magnitude and direction of comea astigmatism were measured by IOL Master before and 3 months after surgery.Log on to calculate each eye's SIA.The value of corneal astigmatism and SIA were accounted and compared between two groups.Results The preoperative corneal astigmatism was (0.882±0.583)D in femtosecond laser group and (0.947±0.800)D in manual group (t =-0.355,P =0.724).The corneal astigmatism one month after operation was (0.930±0.613)D and (1.082±0.740)D respectively (t =-0.860,P =0.393).The SIA was (0.435±0.183)D and (0.428±0.197)D respectively (t =0.153,P =0.879).There were no significant differences between two groups.Conclusions Compared to manual clear corneal incisions,the value of SIA shows no significant different in femtosecond laser-assisted cataract surgery.

目的：探讨羊膜移植治疗真菌性角膜溃疡的护理措施。方法：对36例39眼行羊膜移植术的真菌性角膜溃疡患者制定和执行护理方案，总结护理经验。结果：36例（39眼）患者，术后角膜溃疡愈合良好，随访1年无复发。结论：羊膜移植治疗病毒性角膜溃疡疗效确切，良好的围手术期护理能促进创面愈合和减少并发症。

Objective To explore an effective method for reducing unexpected movement of head and eyeball during surgery in elderly patients undergoing pterygium excision and limbal stem cell transplantation.Methods Two hundred pterygium patients aged 60 to 75 years old were randomly divided into an observation group and a control group of 100 receiving either simulation training of eyeball position or routine health education before the surgery.Results The numbers of times of eyeball deviation,wrong eyeball movement and active eyeball movement,as well as incidence rate of intraoperative complications in the observation group were significantly lower than those in the control group;operation time was significantly shorter in the observation group(P<0.05,P<0.01).Conclusion Simulation training of eyeball position can improve old patients′ cognition of surgery and their intraoperative cooperation ability,which may shorten surgery time and decrease intraoperative complications.

黄色瘤是眼睑常见的皮肤病之一,好发于上、下睑内侧皮肤,上睑多于下睑,单发或多发,双侧对称[1].眼睑黄色瘤在临床上多见于中老年妇女,男性亦可发病,其发病率达1.16%,且发病率随年龄增加而增高.以往的治疗方法多采用手术切除、冷冻、激光治疗等,但复发率高,并且可留有色素沉着及瘢痕形成[2].我院眼科门诊采用平阳霉素局部皮内注射治疗眼睑黄色瘤,患者依从性好,治疗效果满意.现将其治疗方法、结果及护理体会总结如下.

<正>翼状胬肉是眼科较为常见的眼科疾病之一,手术治疗方法很多,但术后复发率较高。研究表明,局部注射平阳霉素可抑制胬肉组织增生,效果较好.因此,我科对在门诊确诊为翼状胬肉的连续患者50例(60眼)进行平阳霉素局部注射治疗,治愈率可达98%,效果满意。

目的:探讨小医疗队下乡进行大批量白内障"复明工程"手术的效果及术前、中、后的护理措施.方法:对自1997～2002年期间我科小医疗队下乡开展白内障"复明工程"手术2300余例,且记录完整患者的资料进行分析.结果:所有病人都按质按量完成手术,术中前后未出现任何严重的并发症及护理差错.结论:笔者根据白内障"复明工程"的特点,提前准备,统筹安排,制定详细的术前、中、后护理计划,取得非常良好的效果.同时,出院前集中进行康复教育,使患者充分了解白内障术后的注意事项,从而尽可能避免术后远期并发症的发生.

倒睫指睫毛生长方向转向后方的不正常状态,其数量多少不一,有的仅1、2根、有的一部分或全都转向后方.本中心门诊对少数倒睫选择电解法,为使操作准确,不遗漏小倒睫,均在显微镜下进行,现将2002年4月至2003年3月305例倒睫电解术报告如下:

现将131例玻璃体切割手术的术后护理要点报道如下: 1临床资料 我院从2000～2001年共做玻璃切割手术131例,男89例(89眼),女42例(眼),年龄8～68岁,平均38.8岁.其中包括增殖性玻璃体视网膜病变35例,外伤性视网膜脱离48例,增殖性糖尿病性视网膜病变26例,巨大裂孔性视网膜脱离13例,黄斑裂孔性视网膜脱离8例,马凡氏综合征1例.

我院眼科1998～2000年共行小儿斜视手术36例,手术效果满意,现将护理体会报告如下.

我院 2000年 8月～ 2001年 8月对 108例学龄前期的弱视患儿 , 在治疗时进行整体护理 , 效果十分明显 . 现总结如下 : 1 临床资料 108例眼球无器质性病变而双眼或单眼矫正视力小于 0.9的患儿 . 年龄 3～ 6岁 , 平均 4.2岁 , 男 58例 , 83眼 , 女 50例 , 76眼 . 其中屈光参差性弱视 34例 , 屈光不正性弱视 74例 , 均散瞳验光 , 3天后按屈光异常情况配镜 .

羊膜移植重建眼表是治疗眼表疾患的一项新技术.我院自2000年10月～2001年6月采用羊膜移植治疗眼部烧伤10例及严重角膜溃疡7例.

手术室质量管理是指术前准备、术中配合、术后护理,三个过程中各护理环节在操作执行中充分发挥有利于病人手术完成的作用,进而达到高质量的配合手术的目的.手术室质量管理可包括以下几个方面.

硅油作为眼内长久的填充物,显著提高了复杂性视网膜脱离视网膜的解剖复位率和术后视力,但硅油的并发症使硅油的使用受到了限制,我院在硅油注入患者随访中,对硅油长期填充眼内的疗效和并发症进行了临床观察和探讨,现报告如下.