AIM：To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion（UCE） correction using anterior lamellar recession（ALR） with addressing the associated conditions including dermatochalas...AIM：To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion（UCE） correction using anterior lamellar recession（ALR） with addressing the associated conditions including dermatochalasis,brow ptosis,blepharoptosis,and lid retraction.METHODS：Chart review of patients with upper lid cicatricial entropion who had undergone ALR from 2013 to 2016 was reviewed.Success was defi ned as the lack of any lash in contact with the globe,no need for a second procedure,and acceptable cosmesis at the fi nal follow up.RESULTS：Sixty eight patients（97 eyelids） were operated by ALR with simultaneous correction of associated lid problems in each case when necessary.The mean followup time was 17.8 mo（range,6.0-24.0 mo）.Concomitantly,levator tucking was performed in 19 eyelids（19.6%）,upper lid retractor recession in 18 eyelids（18.6%）,and internal browpexy in 31 eyelids（32.0%）.In 95.8% of patients（95%CI：0.85-0.96）,satisfactory functional and cosmetic outcome was achieved with a single surgical procedure.CONCLUSION：Based on the principles of lamellar recession and concurrently addressing the associated lid problems,this approach is an effective and safe treatment of UCE.展开更多
Sediment accumulation on the bed of open sewers and drains reduces hydraulic efficiency and can cause localized flooding.Slotted invert traps installed underneath the bed of open sewers and drains can eliminate sedime...Sediment accumulation on the bed of open sewers and drains reduces hydraulic efficiency and can cause localized flooding.Slotted invert traps installed underneath the bed of open sewers and drains can eliminate sediment build-up by catching sediment load.Previous three-dimensional(3D)computational studies have examined the particle trapping performance of invert traps of different shapes and depths under varied sediment and flow conditions,considering particles as spheres.For two-dimensional and 3D numerical modeling,researchers assumed the lid geometry to be a thin line and a plane,respectively.In this 3D numerical study,the particle trapping efficiency of a slotted irregular hexagonal invert trap fitted at the flume bottom was examined by incorporating the particle shape factor of non-spherical sewage solid particles and the thicknesses of upstream and downstream lids over the trap in the discrete phase model of the ANSYS Fluent 2020 R1 software.The volume of fluid(VOF)and the realizable k-turbulence models were used to predict the velocity field.The two-dimensional particle image velocimetry(PIV)was used to measure the velocity field inside the invert trap.The results showed that the thicknesses of upstream and downstream lids affected the velocity field and turbulent kinetic energy at all flow depths.The joint impact of the particle shape factor and lid thickness on the trap efficiency was significant.When both the lid thickness and particle shape factor were considered in the numerical modeling,trap efficiencies were underestimated,with relative errors of-8.66%to-0.65%in comparison to the experimental values of Mohsin and Kaushal(2017).They were also lower than the values predicted by Mohsin and Kaushal(2017),which showed an overall overestimation with errors of-2.3%to 17.4%.展开更多
AIM:To investigate the short-term effects of commercially available eyelid-cleaning wipes on film parameters.METHODS:This study enrolled 48 healthy participants aged 20-35y(both males and females).Clinical assessment ...AIM:To investigate the short-term effects of commercially available eyelid-cleaning wipes on film parameters.METHODS:This study enrolled 48 healthy participants aged 20-35y(both males and females).Clinical assessment included the Ocular Surface Disease Index(OSDI)questionnaire,non-invasive tear break-up time(NITBUT),tear meniscus height(TMH),and lipid layer pattern(LLP).Based on these initial results,participants were categorized as either non-dry eye or dry eye.Participants in each group were randomly allocated to either Blephaclean■or Systane■treatments.Changes in NITBUT,TMH,and LLP levels before and after lid wipe treatment were assessed.RESULTS:The dry eye group exhibited significantly higher OSDI scores and lower NITBUT and TMH levels than in the non-dry eye group(P<0.001).Following the application of eyelid wipes(Systane■wipes),dry eye subjects experienced a significant improvement in NITBUT levels(P=0.0014)compared to the non-dry eye individuals.Although the remaining participants showed a marginal increase in TMH and NITBUT levels,these changes did not achieve statistical significance(P>0.05).Similarly,the LLP levels were significantly improved with Systane■(P<0.001)post-treatment compared to individuals in the non-dry eye group.However,the dry eye subjects showed higher posttreatment LLP levels than the untreated group(P<0.02).CONCLUSION:The short-term effects of Systane®eyelid wipes on tear film parameters suggest their effectiveness in dry eye disease.Nonetheless,further exploration of their long-term impact is essential to justify their cost effectiveness and efficacy in treating both aqueous deficiency and evaporative dryness.展开更多
文摘AIM：To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion（UCE） correction using anterior lamellar recession（ALR） with addressing the associated conditions including dermatochalasis,brow ptosis,blepharoptosis,and lid retraction.METHODS：Chart review of patients with upper lid cicatricial entropion who had undergone ALR from 2013 to 2016 was reviewed.Success was defi ned as the lack of any lash in contact with the globe,no need for a second procedure,and acceptable cosmesis at the fi nal follow up.RESULTS：Sixty eight patients（97 eyelids） were operated by ALR with simultaneous correction of associated lid problems in each case when necessary.The mean followup time was 17.8 mo（range,6.0-24.0 mo）.Concomitantly,levator tucking was performed in 19 eyelids（19.6%）,upper lid retractor recession in 18 eyelids（18.6%）,and internal browpexy in 31 eyelids（32.0%）.In 95.8% of patients（95%CI：0.85-0.96）,satisfactory functional and cosmetic outcome was achieved with a single surgical procedure.CONCLUSION：Based on the principles of lamellar recession and concurrently addressing the associated lid problems,this approach is an effective and safe treatment of UCE.
文摘Sediment accumulation on the bed of open sewers and drains reduces hydraulic efficiency and can cause localized flooding.Slotted invert traps installed underneath the bed of open sewers and drains can eliminate sediment build-up by catching sediment load.Previous three-dimensional(3D)computational studies have examined the particle trapping performance of invert traps of different shapes and depths under varied sediment and flow conditions,considering particles as spheres.For two-dimensional and 3D numerical modeling,researchers assumed the lid geometry to be a thin line and a plane,respectively.In this 3D numerical study,the particle trapping efficiency of a slotted irregular hexagonal invert trap fitted at the flume bottom was examined by incorporating the particle shape factor of non-spherical sewage solid particles and the thicknesses of upstream and downstream lids over the trap in the discrete phase model of the ANSYS Fluent 2020 R1 software.The volume of fluid(VOF)and the realizable k-turbulence models were used to predict the velocity field.The two-dimensional particle image velocimetry(PIV)was used to measure the velocity field inside the invert trap.The results showed that the thicknesses of upstream and downstream lids affected the velocity field and turbulent kinetic energy at all flow depths.The joint impact of the particle shape factor and lid thickness on the trap efficiency was significant.When both the lid thickness and particle shape factor were considered in the numerical modeling,trap efficiencies were underestimated,with relative errors of-8.66%to-0.65%in comparison to the experimental values of Mohsin and Kaushal(2017).They were also lower than the values predicted by Mohsin and Kaushal(2017),which showed an overall overestimation with errors of-2.3%to 17.4%.
文摘AIM:To investigate the short-term effects of commercially available eyelid-cleaning wipes on film parameters.METHODS:This study enrolled 48 healthy participants aged 20-35y(both males and females).Clinical assessment included the Ocular Surface Disease Index(OSDI)questionnaire,non-invasive tear break-up time(NITBUT),tear meniscus height(TMH),and lipid layer pattern(LLP).Based on these initial results,participants were categorized as either non-dry eye or dry eye.Participants in each group were randomly allocated to either Blephaclean■or Systane■treatments.Changes in NITBUT,TMH,and LLP levels before and after lid wipe treatment were assessed.RESULTS:The dry eye group exhibited significantly higher OSDI scores and lower NITBUT and TMH levels than in the non-dry eye group(P<0.001).Following the application of eyelid wipes(Systane■wipes),dry eye subjects experienced a significant improvement in NITBUT levels(P=0.0014)compared to the non-dry eye individuals.Although the remaining participants showed a marginal increase in TMH and NITBUT levels,these changes did not achieve statistical significance(P>0.05).Similarly,the LLP levels were significantly improved with Systane■(P<0.001)post-treatment compared to individuals in the non-dry eye group.However,the dry eye subjects showed higher posttreatment LLP levels than the untreated group(P<0.02).CONCLUSION:The short-term effects of Systane®eyelid wipes on tear film parameters suggest their effectiveness in dry eye disease.Nonetheless,further exploration of their long-term impact is essential to justify their cost effectiveness and efficacy in treating both aqueous deficiency and evaporative dryness.
