AIM : To evaluate the prediction error in intraocular lens(IOL) power calculation for a rotationally asymmetric refractive multifocal IOL and the impact on this error of the optimization of the keratometric estimation...AIM : To evaluate the prediction error in intraocular lens(IOL) power calculation for a rotationally asymmetric refractive multifocal IOL and the impact on this error of the optimization of the keratometric estimation of the corneal power and the prediction of the effective lens position(ELP).METHODS: Retrospective study including a total of 25 eyes of 13 patients(age, 50 to 83y) with previous cataract surgery with implantation of the Lentis Mplus LS-312 IOL(Oculentis Gmb H, Germany). In all cases, an adjusted IOL power(P IOLadj) was calculated based on Gaussian optics using a variable keratometric index value(n kadj) for the estimation of the corneal power(P kadj) and on a new value for ELP(ELP adj) obtained by multiple regression analysis.This P IOLadj was compared with the IOL power implanted(P IOLReal) and the value proposed by three conventional formulas(Haigis, Hoffer Q and Holladay Ⅰ).RESULTS: P IOLReal was not significantly different than P IOLadj and Holladay IOL power(P 】0.05). In the Bland and Altman analysis, P IOLadj showed lower mean difference(-0.07 D) and limits of agreement(of 1.47 and-1.61 D)when compared to P IOLReal than the IOL power value obtained with the Holladay formula. Furthermore, ELP adj was significantly lower than ELP calculated with other conventional formulas(P 【0.01) and was found to be dependent on axial length, anterior chamber depth and P kadj. CONCLUSION: Refractive outcomes after cataract surgery with implantation of the multifocal IOL Lentis Mplus LS-312 can be optimized by minimizing thekeratometric error and by estimating ELP using a mathematical expression dependent on anatomical factors.展开更多
Considering the Kerr black hole surrounded by a homogeneous unmagnetized plasma medium, we study the strong gravitational lensing on the equatorial plane of the Kerr black hole. It is found that the presence of the un...Considering the Kerr black hole surrounded by a homogeneous unmagnetized plasma medium, we study the strong gravitational lensing on the equatorial plane of the Kerr black hole. It is found that the presence of the uniform plasma can increase the photon-sphere radius r_{／rm ps}, the coefficients ／bar{a} and ／bar{b}, the angular position of the relativistic images （／theta_{／infty}）, the deflection angle ／alpha（／theta） and the angular separation s. However, the relative magnitude r_{／rm m} decreases in the presence of the uniform plasma medium. It is also shown that the impact of the uniform plasma on the effect of strong gravitational lensing becomes smaller as the spin of the Kerr black hole increases in the prograde orbit （a〉0）. In particular, for the extreme black hole （a=0.5）, the effect of strong gravitational lensing in the homogeneous plasma medium is the same as the case in vacuum for the prograde orbit.展开更多
文摘AIM : To evaluate the prediction error in intraocular lens(IOL) power calculation for a rotationally asymmetric refractive multifocal IOL and the impact on this error of the optimization of the keratometric estimation of the corneal power and the prediction of the effective lens position(ELP).METHODS: Retrospective study including a total of 25 eyes of 13 patients(age, 50 to 83y) with previous cataract surgery with implantation of the Lentis Mplus LS-312 IOL(Oculentis Gmb H, Germany). In all cases, an adjusted IOL power(P IOLadj) was calculated based on Gaussian optics using a variable keratometric index value(n kadj) for the estimation of the corneal power(P kadj) and on a new value for ELP(ELP adj) obtained by multiple regression analysis.This P IOLadj was compared with the IOL power implanted(P IOLReal) and the value proposed by three conventional formulas(Haigis, Hoffer Q and Holladay Ⅰ).RESULTS: P IOLReal was not significantly different than P IOLadj and Holladay IOL power(P 】0.05). In the Bland and Altman analysis, P IOLadj showed lower mean difference(-0.07 D) and limits of agreement(of 1.47 and-1.61 D)when compared to P IOLReal than the IOL power value obtained with the Holladay formula. Furthermore, ELP adj was significantly lower than ELP calculated with other conventional formulas(P 【0.01) and was found to be dependent on axial length, anterior chamber depth and P kadj. CONCLUSION: Refractive outcomes after cataract surgery with implantation of the multifocal IOL Lentis Mplus LS-312 can be optimized by minimizing thekeratometric error and by estimating ELP using a mathematical expression dependent on anatomical factors.
基金Supported by the National Natural Science Foundation of China under Grant Nos 11447168 and 11247013the Hunan Provincial Natural Science Foundation under Grant Nos 12JJ4007 and 2015JJ2085
文摘Considering the Kerr black hole surrounded by a homogeneous unmagnetized plasma medium, we study the strong gravitational lensing on the equatorial plane of the Kerr black hole. It is found that the presence of the uniform plasma can increase the photon-sphere radius r_{／rm ps}, the coefficients ／bar{a} and ／bar{b}, the angular position of the relativistic images （／theta_{／infty}）, the deflection angle ／alpha（／theta） and the angular separation s. However, the relative magnitude r_{／rm m} decreases in the presence of the uniform plasma medium. It is also shown that the impact of the uniform plasma on the effect of strong gravitational lensing becomes smaller as the spin of the Kerr black hole increases in the prograde orbit （a〉0）. In particular, for the extreme black hole （a=0.5）, the effect of strong gravitational lensing in the homogeneous plasma medium is the same as the case in vacuum for the prograde orbit.
文摘基于对LD端面泵浦Yb∶KGW激光晶体工作特点的分析,建立了符合条件的激光晶体热模型.考虑晶体侧面的热对流,运用MATLAB和FORTRAN软件,通过有限差分法求解各向异性介质热传导方程,得到了该晶体的温度场分布、端面热形变分布和不同泵浦功率下的热焦距.结果表明:在泵浦功率为14 W时,泵浦面最高温度达272.8℃、最大形变为0.48μm,光斑附近的热焦距为4.8 cm.
