“双轨合一”模式下眼科学专业学位研究生科研能力培养的思考

眼科学专业学位硕士研究生的培养目标是培养掌握一定的临床技能和具备基础科研能力的实用型眼科学人才。"双轨合一"培养模式下,研究生临床能力得到了加强,但科研能力的培养大大削弱。本文通过分析"双轨合一"培养模式实践中眼科学专业学位硕士研究生科研能力培养方面存在问题,对如何培养专业学位研究生的科研能力进行了探讨。

Pirfenidone suppresses the abnormal activation of human Müller cells after platelet-derived growth factor-BB stimulation

AIM: To determine the effect of pirfenidone on the activated human Müller cells by platelet-derived growth factor-BB(PDGF-BB). METHODS: The primary human Müller cells were separated from retinal tissues and established the pathogenic model by stimulated with PDGF-BB. The Müller cells behaviour of normal group and the model group was measured by MTT assay, Trypan blue assay, cell migration assay, and collagen contraction assay. The expression of transforming growth factor(TGF)-β1,-β2, and pigment epithelium-derived factor(PEDF) was estimated with realtime polymerase chain reaction(PCR), Western blot and immunofluorescence analyses. RESULTS: A pathogenic/proliferative model of Müller cells was established by stimulating normal cultured Müller cells with 10 ng/mL PDGF-BB for 48 h. After treated with 0.2 and 0.3 mg/mL pirfenidone, the proliferation, migration and collagen contraction was statistically significantly depressed in the model group compared with the normal groups. The expression levels of TGF-β1 and TGF-β2 were significantly down-regulated, while the PEDF expression was significantly up-regulated after treated with 0.2 and 0.3 mg/mL pirfenidone in the model group. CONCLUSION: Pirfenidone effectively suppress the proliferation, migration and collagen contraction of the human Müller cells stimulated with PDGF-BB through down-regulation of TGF-β1/TGF-β2 and up-regulation of PEDF.

Numerical investigation on photonic microwave generation by a sole excited-state emitting quantum dot laser with optical injection and optical feedback

Based on three-level exciton model,the enhanced photonic microwave signal generation by using a sole excited-state(ES)emitting quantum dot(QD)laser under both optical injection and optical feedback is numerically studied.Within the range of period-one(P1)dynamics caused by the optical injection,the variations of microwave frequency and microwave intensity with the parameters of frequency detuning and injection strength are demonstrated.It is found that the microwave frequency can be continuously tuned by adjusting the injection parameters,and the microwave intensity can be enhanced by changing the injection strength.Moreover,considering that the generated microwave has a wide linewidth,an optical feedback loop is further employed to compress the linewidth,and the effect of feedback parameters on the linewidth is investigated.It is found that with the increase of feedback strength or delay time,the linewidth is evidently decreased due to the locking effect.However,for the relatively large feedback strength or delay time,the linewidth compression effect becomes worse due to the gradually destroyed P1 dynamics.Besides,through optimizing the feedback parameters,the linewidth can be reduced by up to more than one order of magnitude for different microwave frequencies.

Comparison of the SITA Faster–a new visual field strategy with SITA Fast strategy

AIM:To compare visual field defects using the Swedish Interactive Thresholding Algorithm(SITA)Fast strategy with SITA Faster strategy,a newly developed time-saving threshold visual field strategy.METHODS:Ninety-three participants(60 glaucoma patients and 33 normal controls)were enrolled.One eye from each participant was selected randomly for the study.SITA Fast and SITA Faster were performed using the 24-2 default mode for each test.The differences of visual field defects between the two strategies were compared using the test duration,false-positive response errors,mean deviation(MD),visual field index(VFI)and the numbers of depressed test points at the significant levels of P<5%,<2%,<1%,and<0.5%in probability plots.The correlation between strategies was analyzed.The agreement between strategies was acquired by Bland-Altman analysis.RESULTS:Mean test durations were 246.0±60.9 s for SITA Fast,and 156.3±46.3 s for SITA Faster(P<0.001).The test duration of SITA Faster was 36.5%shorter than SITA Fast.The MD,VFI and numbers of depressed points at P<5%,<2%,<1%,and<0.5%in probability plots showed no statistically significant difference between two strategies(P>0.05).Correlation analysis showed a high correlation for MD(r=0.986,P<0.001)and VFI(r=0.986,P<0.001)between the two strategies.Bland-Altman analysis showed great agreement between the two strategies.CONCLUSION:SITA Faster,which saves considerable test time,has a great test quality comparing to SITA Fast,but may be not directly interchangeable.

Effect of intraocular lens implantation on visual field in glaucoma and comorbid cataracts

AIM: To investigate the effects of intraocular lens(IOL) implantation on visual field(VF) in patients with glaucoma and comorbid cataracts(G&C) with different disease severities.METHODS: Totally 56 eyes of 50 patients with primary G&C were included. All patients were divided into three groups based on the severity of the VF defect: the mild, moderate, and severe stage. Phacoemulsification was performed for cataract removal combined with IOL implantation. Visual acuity(VA) and VF tests were performed for all enrolled patients, up to 3 mo after surgery. Changes in VF threshold and global VF index in various groups were also recorded before and after surgery. The mean light sensitivity(MS) values and the changes following surgery(DMS) were compared between the three groups. Advanced Glaucoma Intervention Study(AGIS) scoring was analyzed on all VF results for analysis of changes in VF before and after surgery.RESULTS: Following surgery, the MS values of the three groups of G&C increased significantly, while the AGIS scores decreased statistically in all groups. The DMS values for the three zones in moderate and severe stage but not mild stage were statistically different between zones. The DMS value was significantly higher in zone I than those in zone II and III(zone I>zone II>zone III;P<0.05). The DMS was significantly higher in zone I than that in zone III in moderate stage patients(zone I>zone II>zone III;P<0.01), while the DMS values in the severe stage patients was significantly higher in zone I than those in zone II and III(zone I>zone II>zone III;P<0.01). CONCLUSION: The mean VF sensitivity of glaucoma patients increased significantly after cataract removal and IOL implantation. Variations in the severity and distribution of characteristics of VF defects result in differences in postoperative VF improvements after cataract surgery. The magnitude of increase in VF sensitivity is associated with VF defect characteristic in glaucoma.