Effects of congenital ptosis on the refractive development of eye and vision in children

AIM:To investigate the influence of unilateral congenital ptosis on the development of the eye and vision in children.METHODS:In this prospective observational study,41 patients with unilateral congenital ptosis were enrolled(age range 3-15y).The blepharoptosis was divided into 3 subgroups according to the margin reflex distance-1(MRD-1),including mild group(MRD-1>2 mm),moderate group(0<MRD-1<2 mm),and severe group(MRD-1<0 mm).The fellow eyes served as controls.All subjects underwent ocular examinations,including axial length,keratometry,and refractive error.RESULTS:The incidence of astigmatism(ptotic eyes:58.5%vs fellow eyes:24.4%,P=0.002)and magnitude of cylindrical power(ptotic eyes:-0.86±0.79 D vs fellow eyes:-0.43±0.63 D,P=0.003)differed significantly between the ptotic eyes and the fellow eyes.The spherical equivalent refraction(P=0.006),spherical power(P=0.01),cylindrical power(P=0.011),axial length-corneal radius(AL/CR)ratio(P=0.009),frequency of hyperopia(P=0.002)and astigmatism(P=0.004)were significantly different among the ptotic eye subgroups and the fellow eye group.In addition,in patients with congenital ptosis,the incidence of amblyopia is 43.9%and the incidence of anisometropia is 24.4%.More importantly,the ratio of AL/CR showed significantly positive correlation with the severity of ptosis(P=0.002).CONCLUSION:Congenital ptosis may lead to a delayed eyeball development in the aspect of AL/CR.The risk of amblyopia is also increased due to visual deprivation and aggravated anisometropia,particularly in severe ptosis case.

Application of blunt dissection in ESD of a gastric submucosal tumor

We performed endoscopic submucosal dissection of a gastric fundus tumor.It was difficult to strip the tumor completely due to space limitation,and we used blunt dissection to remove the tumor quickly and safely.Firstly,the basal area of the 2.5 cm submucosal tumor located in the gastric fundus was cut open,and the mucosa was dissected.The tumor was difficult to peel,therefore,a snare was used and the tumor was pulled and tightened slightly.Short electronic coagulation was used during the procedure.The tumor was then bluntly dissected.This method ensured rapid and complete removal of the tumor.

Effect of V and N on Microstructures and Properties of Grade-70 Tire Cord Steel during Cold Drawing

Commercial grade-70 tire cord steel was microalloyed with V and N to explore the possibility of substitu- ting V for C and the effect of V and N on cementite dissolution during cold drawing process. Tensile strength, elon- gation and torsion laps of cold-drawn wires were determined. Microstructures of secondary phases were studied by transmission electron microscopy （TEM） and energy dispersive spectroscopy （EDS）. Saturation magnetization was measured by using a vibrating sample magnetometer （VSM） to evaluate cementite dissolution during cold drawing process. Experimental results showed that with the increase of V content, tensile strength increased, elongation slightly decreased, and the torsion laps of the cold-drawn wires decreased. Results also showed that with the increase of N content, a peak （increasing first and then decreasing） appeared in the tensile strength graph, and an increase of elongation and a decrease of torsion laps of the cold-drawn wires occured. N is soluble in ferrite when its content is low. The increase in the content of N to 82 × 10^-6 will result in the precipitation of the V-containing secondary pha- ses. Also, cementite tended to be stable during cold drawing process with the increase of V and N contents. Grade-80 tire cord steel can be replaced by grade 70 tire cord steel microalloyed with 0. 086 mass% V.