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严重增殖性糖尿病视网膜病变患者术后疗效及影响因素 被引量:20
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作者 金昱 黄国富 赵雁之 《国际眼科杂志》 CAS 北大核心 2019年第9期1554-1558,共5页
目的:分析严重增殖性糖尿病视网膜病变(PDR)玻璃体手术后的疗效及影响因素。方法:将2015-01/2018-01我院收治的PDRⅥ期患者(94例112眼)按OCT情况分为黄斑病变组(61例70眼)与无黄斑病变组(33例42眼),比较两组随访6mo视力、黄斑区P1波振... 目的:分析严重增殖性糖尿病视网膜病变(PDR)玻璃体手术后的疗效及影响因素。方法:将2015-01/2018-01我院收治的PDRⅥ期患者(94例112眼)按OCT情况分为黄斑病变组(61例70眼)与无黄斑病变组(33例42眼),比较两组随访6mo视力、黄斑区P1波振幅密度和视网膜复位情况,以视力改善作为疗效评估标准,分析PDRⅥ期术后疗效和影响因素。结果:无黄斑病变组术后6mo视力分级优于黄斑病变组(P<0.05)。术后6mo黄斑病变组(1+2)环P1波振幅密度低于无黄斑病变组(P<0.05)。所有患者中,患眼1次手术视网膜解剖复位95眼(84.8%),2次复位10眼(8.9%),3次复位2眼(1.8%),4次复位1眼(0.9%),未复位4眼(3.6%),总复位率96.4%。合并黄斑病变、长糖尿病病程患者视力改善有效率低于未合并黄斑病变、短糖尿病病程者(P<0.05),合并黄斑病变、糖尿病病程均为影响严重PDR患者术后疗效的独立因素(P<0.05)。结论:玻璃体切割术可改善PDRⅥ期患者术后视力,术前合并显著黄斑病变和糖尿病病程是影响严重PDR患者术后疗效的重要因素。 展开更多
关键词 增殖性糖尿病视网膜病变 光学相干断层扫描 多焦视网膜电图 视力 玻璃体切割术 黄斑病变
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Change in foveal position based on age and axial length in high myopic eyes
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作者 Qian Zhang Kaddie Kwok Chen +1 位作者 Wei-Feng Liu guo-fu huang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2018年第5期844-847,共4页
AIM:To evaluate the influence of age and axial length(AL) on the position of the fovea in patients with high myopia(HM).METHODS:In this prospective study,96 patients(186 eyes) with HM were consecutively recrui... AIM:To evaluate the influence of age and axial length(AL) on the position of the fovea in patients with high myopia(HM).METHODS:In this prospective study,96 patients(186 eyes) with HM were consecutively recruited from the Third Affiliated Hospital of Nanchang University.DRI-OCT Atlantis,fundus imaging,and IOL Master were used in this study.Three indices were measured:the distance between the fovea and the optic nerve head(ONH) center(DFO),the vertical distance between the fovea and the horizontal line pass of the ONH center(VDFO),and the horizontal distance between the fovea and the vertical line pass of the ONH center(HDFO).These measurements were used to analyze the effects of different age groups(A1,A2,A3 groups) and AL(AL1,AL2,AL3,AL4 groups) on these indices.RESULTS:The results showed that there was no statistical significance in DFO among the age and AL groups(F=0.46,0.37;P=0.62,0.76,respectively).In HDFO,there was also no statistical significance among the age and AL groups(F=0.10,0.48;P=0.90,0.69,respectively).In VDFO,however,the difference in the age and AL groups was statistically significant(F=3.21,3.12;P=0.04,0.02,respectively).Thus,VDFO were correlated with age and AL(r=0.21,0.23,all P〈0.01),while HDFO and DFO were not correlated with age and AL(r=0.30,P〉0.05).CONCLUSION:In high myopia,the foveal position changes mainly in the vertical direction along with factors of age and AL. 展开更多
关键词 high myopia foveal position age axial length
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Integrated lifting line/surface panel method for optimal propeller design with consideration of hub effect
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作者 Wen-yu Sun guo-fu huang 《Journal of Hydrodynamics》 SCIE EI CSCD 2019年第6期1218-1230,共13页
An optimal marine propeller design method is proposed,which integrates the lifting line and surface panel method and is characterized by the use of the surface panel method to take the hub effect into consideration.By... An optimal marine propeller design method is proposed,which integrates the lifting line and surface panel method and is characterized by the use of the surface panel method to take the hub effect into consideration.By developing an integrated approach instead of an iterative method for the calculation of the interaction between the hub and the designed blades,the hub effects on the optimal circulation can be accounted for throughout the theoretical design procedure.This new integrated method provides a fast and accurate enough method to model the straight forward hub surface,in the optimal propeller design.A systematic design procedure from the basic design inputs to the blade geometry determination is performed and the designed propellers are validated by the surface panel method and the RANS method.The design and analysis cases are considered by different approaches with comparison and validation.And a comparative study including different hub geometries is also performed to reveal the mechanism of the hub effect on the distributions of the propeller optimal loads. 展开更多
关键词 Optimal circulation design lifting line method surface panel method hub effect
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