Objective To analyze the risk factors relevant to xerophthalmia in myopic patients after LASIK surgery. Methods The correlation between the age, gender, diopter, usage time of hormonal eye drops and xerophthalmia after LASIK surgery was analyzed. Results In the same age group, the incidence of xerophthalmia in female was significantly higher than that in male(P 0.05).In the same gender group, the incidence in the group with more than 30 years old was significantly higher than that in the group with ≤ 30 years old(P 0.05). The incidence in patients with high myopia was higher than that in patients with low and middle myopia(P 0.05).The incidence in patients who used eye drops for less than 1 month was lower than that in patients who used eye drops for more than 1 month(P 0.05). Conclusion There is correlation between the age, gender, diopter, usage time of hormonal eye drops in myopic patients and incidence of xerophthalmia after LASIK surgery. Female patients over 30 years old with high myopia have increased susceptibility to xerophthalmia. Usage of hormonal eye drops for long time should be avoided after LASIK surgery.
目的 探讨不同方法治疗儿童轻中度弱视的疗效.方法 入选2009年1月至2011年1月我院收治的100例轻中度弱视儿童,均为单眼弱视,随机分为遮盖纽和阿托品组各50例,比较两组患者临床疗效和立体视建立情况.结果 遮盖组总治愈率为90.00%,阿托品组总治愈率为88.00%,两组比较差异无显著性意义(X2=0.76,P>0.05);治疗前后,两组有无立体视比较,差异无统计学意义(x2=0.27,P>0.05);两组显效时间和治愈时间均无显著性差异(均P>0.05).结论 遮盖法和阿托品扩瞳法在治疗儿童轻中度弱视简单、可靠,易为患儿所接受,且都可取得较好的治疗效果,但阿托品法的依从性比遮盖法高,患者容易接受,应广泛用于临床.
目的 观察手术显微镜下斜视矫正手术的临床疗效.方法 选取2011年6月-2013年6月我院80例斜视患者,随机分为两组,试验组42例进行显微镜下斜视矫正手术,对照组38例进行传统手术治疗.观察两组患者临床疗效的差异,同时评价其手术方面及术后并发症情况.结果 试验组总有效率95.2%高于对照组的68.4%,差异有统计学意义(P<0.05);试验组手术耗时及出血低于对照组,差异具有显著性(P<0.05);试验组术后并发症发生率7.1%低于对照组的39.5%,差异具有统计学意义(P<0.05).结论 显微镜下斜视矫正手术疗效显著,具有较高的临床治疗有效率,手术耗时及出血较少,术后的并发症发生率较低,具有安全性高、微创等优点,可显著提高患者生活质量及治疗依从性.
AIM: To discuss the application of anastomosis in traumatic lacrimal canaliculi laceration. METHODS: Totally 21 patients of which nasal end can not be found out were treated with anastomosis combined dacryocystotomy and retrograde intubation. RESULTS: All the patients were followed up postoperatively for 1 year to 2 years. The total effective rate was 95.2%.CONCLUSION: The anastomosis with dacryocystotomy and retrograde intubation is a affirmative and available method in treatment of traumatic lacrimal canaliculi laceration.
目的 观察糖尿病患者行白内障超声乳化吸出联合人工晶体植入术的临床效果及其安全性.方法 对37例56眼糖尿病患者行白内障超声乳化吸出联合人工晶体植入术,随机选择非糖尿病患者45例(68眼)作为对照组,两组手术方法相同,观察术中,术后的反应及术后的视力.结果 糖尿病组56眼术后术后1周矫正视力>0.5者46眼(82.1%),对照组68眼术后术后1周矫正视力>0.5者57眼(83.8%),差异无显著性(P>0.05),术后并发症亦无显著性差异(P>0.05).结论 糖尿病患者白内障行超声乳化吸出联合后房型人工晶状体植入术是安全的,有效的.
Objective To evaluate the efficacy of amblyopia treatment .Methods 196 cases (269amblyopia eyes) were under the treatment .Results 216 eyes got the normal vision acuity ; 43 eyes vision acuity were significantly improved, therefore the efficacy has been reached to 96.27% .Conclusion comprehensive treatment is the most effect way for the amblyopia children.
目的探讨用自体角膜缘干细胞移植方法,作术眼角膜缘重建术治疗翼状胬肉的疗效.方法进行期翼状胬肉17例(18眼),复发性翼状胬肉4例(4眼),共21例(22眼),在手术显微镜下切除胬肉的基础上,联合自体带结膜瓣的角膜缘游离植片进行角膜缘移植术.术后对角膜上皮的重建和生长情况严密跟踪观察.结果经过平均13月的随访观察胬肉术后无复发,角膜上皮稳定.供区角膜创面与结膜创面愈合正常.结论在常规切除翼状胬肉的同时联合同侧带结膜瓣自体角膜上皮(干细胞)移植行角膜缘重建术,对防止胬肉复发的效果是肯定的.