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三种不同IOL植入术后短期的视力和视觉干扰现象及脱镜率的对比 被引量:2
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作者 张岩 吴元奇 +1 位作者 吴佳恒 张民军 《国际眼科杂志》 2024年第1期106-110,共5页
目的:对比分析单眼植入三焦点、多焦点及连续视程人工晶状体(IOL)术后短期的视力、视觉干扰现象及脱镜率。方法:回顾性分析2019-03/2022-12行超声乳化白内障吸除联合IOL植入术的白内障患者67例67眼。35例35眼植入Symfony连续视程IOL;21... 目的:对比分析单眼植入三焦点、多焦点及连续视程人工晶状体(IOL)术后短期的视力、视觉干扰现象及脱镜率。方法:回顾性分析2019-03/2022-12行超声乳化白内障吸除联合IOL植入术的白内障患者67例67眼。35例35眼植入Symfony连续视程IOL;21例21眼植入AcrySof IQ ReSTOR+3D多焦点IOL;11例11眼植入AcrySof IQ PanOptix三焦点IOL。记录术前及术后3 mo裸眼远视力(UDVA)、中视力(UIVA)、近视力(UNVA),术后3 mo离焦曲线、视觉干扰现象及脱镜率。结果:术后3 mo,三组间UDVA无差异(P>0.05);Symfony组及PanOptix组UIVA优于ReSTOR组(均P<0.01);ReSTOR组及PanOptix组UNVA优于Symfony组(均P<0.01)。离焦曲线显示,在中视力区间(-1.00--1.50 D),Symfony组视力优于ReSTOR组(P<0.05);在近视力区间(-2.50--3.50 D),ReSTOR组视力优于Symfony组(P<0.05);PanOptix组在近视力区间(-2.00--3.50 D)的视力优于Symfony组(P<0.05),同时在中视力区间(-1.00--2.00 D)的视力优于ReSTOR组(P<0.05)。三组间眩光或光晕的发生率及双眼相互干扰现象发生率均无差异(P>0.05)。PanOptix组和ReSTOR组脱镜率比Symfony组高(P<0.0167)。结论:与Symfony连续视程IOL和ReSTOR多焦点IOL相比,PanOptix三焦点IOL能够兼顾远中近视力,眩光和光晕发生率不高,脱镜率较高;单眼植入老视矫正型IOL仍需慎重。 展开更多
关键词 人工晶状体(IOL) 连续视程 多焦点人工晶状体 三焦点人工晶状体 离焦曲线 视觉干扰 脱镜
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远视性儿童弱视脱镜的几点体会 被引量:1
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作者 王洪峰 王恩荣 《实用防盲技术》 2022年第2期83-85,56,共4页
目的探讨远视性儿童弱视治愈后脱镜的规律与方法。方法弱视儿童就诊后,散瞳验光配戴矫治眼镜、遮盖疗法、使用家庭弱视治疗仪、定期复查,痊愈后,按:(1)双眼裸眼远近视力≥1.0半年以上者;(2)眼位正常或斜视性弱视治愈后残余斜视度﹤5... 目的探讨远视性儿童弱视治愈后脱镜的规律与方法。方法弱视儿童就诊后,散瞳验光配戴矫治眼镜、遮盖疗法、使用家庭弱视治疗仪、定期复查,痊愈后,按:(1)双眼裸眼远近视力≥1.0半年以上者;(2)眼位正常或斜视性弱视治愈后残余斜视度﹤5°者;(3)远视屈光度≤+1.00DS;(4)远视散光度≤+0.50DC。四项指标[1]决定脱镜。结果本组脱镜351例623只眼,脱镜率为22.85%。均为远视性儿童弱视,近视性弱视和形觉剥夺性弱视均没有脱镜者。1、初诊年龄与脱镜的关系:2.5-6周岁脱镜172例49.00%和7-12周岁脱镜144例41.03%,脱镜率高于其他年龄组(P﹤0.05)。2、初诊时屈光类型与脱镜的关系:初诊时属单纯远视者脱镜412只眼(66.13%)均高于单纯远视散光者脱镜64只眼(10.27%)和复性远视散光者脱镜147只眼(23.60%)。(P﹤0.05)。结论远视性儿童弱视经过综合治疗是能脱镜的。其规律是初诊年龄以2.5-12周岁单纯远视性弱视脱镜率高。 展开更多
关键词 儿童 远视性弱视 脱镜 脱镜指标
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远视性儿童弱视脱镜的探讨
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作者 王洪峰 王恩荣 《眼科学》 2019年第1期1-5,共5页
目的:探讨远视性儿童弱视脫镜的必备条件与规律。方法:经过验光配镜矫治、遮盖疗法、应用家庭弱视治疗仪治愈后须按:1) 双眼裸眼远近视力 ≥ 1.0半年以上者,2) 眼位正常或斜视性弱视治愈后残余斜视度 <5?者,3) 远视屈光度 ≤ +1.00 D... 目的:探讨远视性儿童弱视脫镜的必备条件与规律。方法:经过验光配镜矫治、遮盖疗法、应用家庭弱视治疗仪治愈后须按:1) 双眼裸眼远近视力 ≥ 1.0半年以上者,2) 眼位正常或斜视性弱视治愈后残余斜视度 <5?者,3) 远视屈光度 ≤ +1.00 DS,4) 远视散光度 ≤ +0.50 DC。4项指标[1]脫镜。结果:324例577只眼脫镜,1、初诊年龄与脱镜的关系:初诊时2.5~6周岁脫镜161例49.69%和7~12周岁脫镜129例39.81%脫镜率高于其他年龄组(P <0.05)。2、初诊时屈光类型与脱镜的关系:初诊时属单纯远视脫镜384只眼66.6%,均高于单纯远视散光者脫镜61只眼10.6%和复性远视散光者脫镜132只眼22.8%。(P <0.05)。结论:远视性儿童弱视经过治疗是能脫镜的。其规律是初诊年龄以2.5~12周岁单纯远视性弱视脫镜率高。 展开更多
关键词 远视性儿童弱视 脫镜 脫镜指标
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儿童弱视脱镜后近视化的临床观察 被引量:3
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作者 王洪峰 王恩荣 《中国药物经济学》 2013年第S2期410-411,共2页
儿童发育期眼病属弱视儿童最常见,大部分远视性弱视在治愈后或再隔几年是可摘掉眼镜的。但随着年龄的增长及学习压力的增加,会有一部分弱视儿童在脱镜后又发生近视。儿童弱视脱镜后的近视化其危害更为严重,因为从屈光发育特性来看,近视... 儿童发育期眼病属弱视儿童最常见,大部分远视性弱视在治愈后或再隔几年是可摘掉眼镜的。但随着年龄的增长及学习压力的增加,会有一部分弱视儿童在脱镜后又发生近视。儿童弱视脱镜后的近视化其危害更为严重,因为从屈光发育特性来看,近视眼进程是不可逆的。为了使弱视儿童脱镜后,裸眼远、近视力长期保持在1.0以上,避免近视化发生,终身不再戴眼镜。 展开更多
关键词 儿童弱视 脱镜后近视化 假性近视 真性近视 脱镜指标
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儿童弱视愈后脱镜指标的探讨 被引量:10
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作者 王洪峰 王恩荣 +1 位作者 廖美婷 邢玉琴 《中国妇幼保健》 CAS 北大核心 2011年第1期49-51,共3页
目的:探讨儿童弱视治愈后脱镜指标。方法:儿童弱视治愈后必须符合4项指标才能脱镜,脱镜后要继续追踪观察3年。结果:368例678眼的弱视儿童治愈后,经3~7年的治疗,有205例364眼脱镜,占治愈眼数的53.69%。其中轻度弱视脱镜244眼,高于中度... 目的:探讨儿童弱视治愈后脱镜指标。方法:儿童弱视治愈后必须符合4项指标才能脱镜,脱镜后要继续追踪观察3年。结果:368例678眼的弱视儿童治愈后,经3~7年的治疗,有205例364眼脱镜,占治愈眼数的53.69%。其中轻度弱视脱镜244眼,高于中度(114眼)和重度(6眼);屈光不正性弱视脱镜305眼,屈光参差性29眼,斜视性30眼;单纯远视性弱视脱镜316眼,高于单纯远散(11眼)和复性远散(37眼);而单纯近视性弱视和单纯近散、复性近散性弱视均没能脱镜。弱视儿童初戴眼镜属低屈光度脱镜289眼,中度58眼,高度17眼。从就诊时的年龄上看3~8周岁者脱镜率高。结论:儿童弱视治愈后按照4项脱镜指标摘掉眼镜是可行的。在脱镜前一定要坚持治疗复诊,即使脱镜后也要坚持追踪观察,最好观察超过视力发育敏感期12周岁之后。 展开更多
关键词 儿童弱视 脱镜指标 类型
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远视性儿童弱视临床研究报告
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作者 王洪峰 王恩荣 《眼科学》 2024年第3期55-63,共9页
目的:对儿童弱视临床治疗中1) 远视性儿童弱视愈后脫镜指标。2) 儿童弱视愈后复发概念与分期。3)儿童弱视痊愈或脫镜后近视化。4) 治疗年龄限制。5) 结束治疗等。很少有人涉及,报道也很少的这五个方面问题进行研究探讨。方法:弱视儿童... 目的:对儿童弱视临床治疗中1) 远视性儿童弱视愈后脫镜指标。2) 儿童弱视愈后复发概念与分期。3)儿童弱视痊愈或脫镜后近视化。4) 治疗年龄限制。5) 结束治疗等。很少有人涉及,报道也很少的这五个方面问题进行研究探讨。方法:弱视儿童就诊后,散瞳验光配戴合适的矫治眼镜、遮盖疗法、使用家庭弱视治疗仪、1个月定期复查,痊愈后,按:(1) 双眼裸眼远近视力≥1.0(国际标准视力表)半年以上者(年龄在3~5岁儿童视力的正常值下限为0.5,6岁及以上儿童视力的正常值下限为0.7),(2) 眼位正常或斜视性弱视治愈后残余斜视度P Objective: Clinical treatment of amblyopia in children, 1) The index of disconnection after amblyopia recovery in hyperopic children. 2) The concept and stage of amblyopia recurrence in children. 3) Children & apos;samblyopia recovered or became myopic after taking off glasses. 4) Age limit of treatment. 5) End treatment. Very few people are involved, The report also very few of these five aspects of the study. Methods: after the amblyopia children went to the doctor, they wore suitable corrective glasses, covered therapy, used the family amblyopia therapeutic instrument, and reexamined regularly for 1 month, note: (1) binocular naked near and far vision ≥ 1.0 (International Standard Visual Acuity Chart) for more than half a year (the lower limit of normal vision for children aged 3~5 years is 0.5, and the lower limit of normal vision for children aged 6 years and over is 0.7), (2) residual strabismus < 5˚, (3) hyperopic dioptre ≤ 1.00 ds (3 years ≤ + 2.00 ds, 4~5 years ≤ + 1.50 ds) and (4) hyperopic astigmatism ≤ + 0.50 DC. Decided to take off the lens. Results: 1) The younger the age at first diagnosis, the better the curative effect: 2.5~6 years old, 24.17%, 40.44%, 24.83%, 89.44%, all higher than other age groups, 2) The mild amblyopia at first diagnosis (0.8~0.6), 20.57%, 24.83%, 89.44%, the recovery rate was 75.18% (95.75%), significantly higher than that of the moderate amblyopia (0.5~0.2) (22.26%) , the recovery rate was 32.75% , the basic recovery rate was 27.16%, the total recovery rate was 82.17%, the severe amblyopia (0.1 or less) was 14.17%, the recovery rate was 7.58%, the basic cure rate was 48.76% and the total cure rate was 71.05%. 3) The initial diopter of low diopter (spherical lens ≤ 3.00 d, cylindrical lens ≤ 1.00 d) was 17.52%, the cure rate was 57.18%, the basic cure rate was 16.06%, the total rate was 90.76%, higher than moderate (3.25~4.75 D for spherical lens, 1.25~1.50 D for cylindrical lens), 26.17%, 24.00%, 30.06%, 80.23% and 19.28% for height (5.00 d for spherical lens, 1.75 D for cylindrical lens), the cure rate was 17.69%, the basic cure rate was 30.06%, the total cure rate was 72.08%, 4) At the first diagnosis, the simple hyperopia was 23.34%, the basic cure rate was 39.68%, the basic cure rate was 35.11%, the total cure rate was 87.10%, which was higher than the simple hyperopia astigmatism, the removal of mirror was 12.38%, the total cure rate was 37.13%, the cure rate was 25.25%, 74.76% in total, and 10.80%, 36.21%, 25.08%, 72.09% in total 5) The relationship between treatment time and curative effect: From Table 5, it can be seen that after 3 years treatment, 21.77% of the patients were out of mirror, 49.10% were cured, 20.87% were basically cured, 91.74% in total, 26.02% of the patients were out of mirror, 47.37% were cured, the cure rate was 18.95% (92.34%) , 29.35% (29.35%), 49.74% (49.74%), 15.4% (94.73%), 29.30% (29.30%), 58.06% (58.06%), 9.68% (94.73%), respectively, the total rate of 97.04% was higher than that of the following three years (p < 0.05). Conclusion: 1) The corrected index of amblyopia in hyperopic children should be: (1) binocular naked near-far Vision 1.0 (International Standard Visual Acuity chart) more than half a year (the lower limit of normal vision for children aged 3~5 years is 0.5, for children aged 4~5 years less than 0.6, and for children aged 6 years and over is 0.7), (2) if the eye position is normal or the residual strabismus degree is less than 5˚, after the strabismus amblyopia is cured, (3) hyperopia dioptre ≤1.00 ds (3 years ≤ + 2.00 ds, 4~5 years + 1.50 ds), (4) hyperopic Astigmatism + 0.50 DC, 4 indexes. 2) The concept of recurrent amblyopia, We Believe: Amblyopia recurrence is after treatment amblyopia, Corrected vision was improved to ≥ 0.9 (International Standard Vision) Or the naked eye vision improved to ≥ 1.0, His eyesight is failing again, after mydriasis optometry with compound tropicamide or atropine, it was proved that the diopter was obviously increased, that is, the recurrence of amblyopia. Stages of amblyopia recurrence: we believe that according to the different stages of treatment of amblyopia in children, Amblyopia recurrence should be divided into three stages, namely: After basic cure, amblyopia recurred, Amblyopia recurred after recovery and after lens removal. 3) The problem of myopia after amblyopia recovery or lens removal in children, we advocate early detection and prompt treatment of pseudomyopia, Prevent the formation of true myopia. 4) Treatment of the problem of age limitation we believe that: Amblyopia treatment can be started at the age of 21/2, the best age is 2~6, 7~12 is the right age, but 13~18-year-old children amblyopia do not easily give up treatment. 5) The problem of ending treatment, we Believe: The treatment of hyperopic amblyopia in children is the safest after taking off lens. The rate of vision regression was lowest. And myopic amblyopia, basic cure or after cure can end treatment. 展开更多
关键词 远视性儿童弱视 脫镜指标 复发概念 复发分期 近视化 治疗年龄限制 结束治疗
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对远视性儿童弱视几个新认识
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作者 王洪峰 王恩荣 《实用防盲技术》 2024年第3期135-138,F0003,共5页
我们22年来,对儿童弱视临床治疗的实践,和公开发表的14篇论文对儿童弱视未知领域探讨进行总结,有如下几个新认识:1.提出远视性儿童弱视愈后脱镜指标和进一步补充与修正;2.儿童弱视愈后复发概念与分期;3.儿童弱视痊愈或脱镜后近视化;4.... 我们22年来,对儿童弱视临床治疗的实践,和公开发表的14篇论文对儿童弱视未知领域探讨进行总结,有如下几个新认识:1.提出远视性儿童弱视愈后脱镜指标和进一步补充与修正;2.儿童弱视愈后复发概念与分期;3.儿童弱视痊愈或脱镜后近视化;4.治疗年龄限制;5.结束治疗。 展开更多
关键词 远视性儿童弱视 脱镜指标 复发概念 复发分期 近视化 治疗年龄限制 结束治疗
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多焦点人工晶体植入术在年龄相关性白内障中的临床应用
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作者 曹泽刚 黄芬霞 李仁芳 《中国医药科学》 2024年第8期164-167,183,共5页
目的探讨多焦点人工晶体(MIOL)植入术对年龄相关性白内障(ARC)患者的有效性和安全性。方法通过临床前瞻性分组比较研究,选择2020年8月至2021年8月在河源市人民医院就诊且符合ARC诊断患者100例,参考随机数表法分为试验组和对照组,试验组... 目的探讨多焦点人工晶体(MIOL)植入术对年龄相关性白内障(ARC)患者的有效性和安全性。方法通过临床前瞻性分组比较研究,选择2020年8月至2021年8月在河源市人民医院就诊且符合ARC诊断患者100例,参考随机数表法分为试验组和对照组,试验组患者行白内障超声乳化摘除联合多焦点人工晶体植入术,对照组行白内障超声乳化摘除联合单晶体植入术,比较两组患者术后1周、1个月、3个月的裸眼远视力(UDVA)、裸眼中视力(UIVA)、裸眼近视力(UNVA)、最佳矫正近视力、最佳矫正远视力及术后3个月视觉质量情况。结果与术后1周比较,两组术后3个月UNVA、UIVA、UDVA、最佳矫正远视力、最佳矫正近视力改善明显,差异有统计学意义(P<0.05)。与对照组比较,术后1周、1个月、3个月试验组UNVA、UIVA、最佳矫正远视力、最佳矫正近视力改善更优,差异有统计学意义(P<0.05);与对照组比较,术后3个月试验组近视力维度、中视力维度、脱镜率维度更优,差异有统计学意义(P<0.05)。结论多焦点人工晶体植入术不仅可使ARC患者获得良好的远中近视力,且提高了脱镜率,术后主观视觉质量良好。 展开更多
关键词 多焦点人工晶体 年龄相关性白内障 超声乳化摘除术 视力 脱镜
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儿童弱视愈后防治的对策 被引量:26
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作者 王洪峰 王恩荣 《国际眼科杂志》 CAS 2012年第2期277-280,共4页
儿童弱视愈后转归,不只是弱视复发,还会发生调节性近视和形成真性近视,应引起小儿眼科界的注意。儿童弱视愈后复发应区分为:基本治愈后弱视复发、痊愈后弱视复发、脱镜后弱视复发。"愈前反弹"不属于弱视复发,这样的分类法对... 儿童弱视愈后转归,不只是弱视复发,还会发生调节性近视和形成真性近视,应引起小儿眼科界的注意。儿童弱视愈后复发应区分为:基本治愈后弱视复发、痊愈后弱视复发、脱镜后弱视复发。"愈前反弹"不属于弱视复发,这样的分类法对儿童弱视的防治是有其实用价值的。在对儿童弱视的治疗和追踪观察中,结合儿童视力、屈光和眼轴发育的特点,提出了儿童弱视愈后脱镜指标为:(1)双眼裸眼远近视力≥1.0,6mo以上者;(2)眼位正常或斜视性弱视治愈后残余斜视度﹤5°者;(3)远视屈光度≤+1.00DS;(4)远视散光度≤+0.50DC。治愈后的弱视儿童必须达到上述4项指标方可摘掉眼镜。我们对儿童弱视的研究进展进行综述,并提出了防治的对策。 展开更多
关键词 儿童弱视 愈后复发 调节性近视 真性近视 愈后脱镜指标
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儿童弱视愈后转归情况的分析 被引量:4
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作者 王洪峰 王恩荣 《国际眼科杂志》 CAS 2010年第10期1922-1925,共4页
目的:探讨儿童弱视治愈后的转归情况,寻找脱镜指标及防止弱视复发、发生假性近视和形成真性近视的途径。方法:对治愈的儿童弱视368例678眼进行3~7a的观察,每1~2mo复查1次,均检查裸眼远近视力、眼位、屈光间质、眼底、注视性质、电脑... 目的:探讨儿童弱视治愈后的转归情况,寻找脱镜指标及防止弱视复发、发生假性近视和形成真性近视的途径。方法:对治愈的儿童弱视368例678眼进行3~7a的观察,每1~2mo复查1次,均检查裸眼远近视力、眼位、屈光间质、眼底、注视性质、电脑验光、小瞳孔下动态检影或必要时阿托品散瞳验光等。符合以下4项指标可以脱镜:(1)双眼裸视远近视力≥1.0,≥6mo;(2)眼位正常或斜视性弱视的残余斜视度<5。者;(3)远视屈光度≤+1.00DS;(4)远视散光度≤+0.50DC。若发现裸眼远视力≤0.9时,就一定要查清原因给予恰当治疗。结果:本组368例678眼的弱视儿童治愈后,经3~7a的治疗,有205例364眼(53.7%)脱镜,其中轻度弱视244眼脱镜率为70.5%,高于中度114眼(37.4%)和重度6眼(22.2%)。屈光不正性弱视脱镜305眼,脱镜率为59.0%,屈光参差性29眼42.0%,斜视性30眼32.6%,无明显差异。单纯远视性弱视脱镜316眼,脱镜率为62.7%,高于单纯远散11眼(28.2%)和复性远散37眼(30.1%);而单纯近视性弱视和单纯近散、复性近散性弱视均没能脱镜。弱视儿童初戴眼镜属低屈光度(球镜≤3.00D,柱镜≤1.00D)脱镜289眼,脱镜率为58.7%,中度(球镜3.25~4.75D,柱镜1.25~1.50D)58眼48.7%,高于高度(球镜≥5.00D,柱镜≥1.75D)17眼(25.4%)。从就诊时的年龄上看3~8岁者脱镜率高。还发现弱视复发6例9眼,发生率为1.3%;发生假性近视7例10眼,发生率为1.5%;形成真性近视31例62眼,发生率为9.1%;残余斜视4例4眼,发生率为0.6%。还需要继续治疗观察者115例229眼,占治愈眼数的33.8%。结论:分析儿童弱视治愈后病例的追踪观察,对巩固疗效,降低复发率,提高远期疗效是有实际价值和意义的。从转归情况分析:长期定期追踪观察能早期发现弱视复发、假性近视,及时采取正确治疗措施,可防止形成真性近视和提高弱视的治疗效果。同时证明上述4项脱镜指标是可行的;脱镜后仍要坚持追踪观察,最好观察超过视力发育敏感期12岁之后。 展开更多
关键词 儿童弱视愈后 脱镜指标 弱视复发 假性近视 真性近视 残余斜视
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两种不同附加度数的多焦点人工晶状体植入术后视觉质量对比研究 被引量:5
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作者 刘铁刚 施玉英 《眼科新进展》 CAS 北大核心 2012年第6期573-576,共4页
目的评价两种具有不同附加度数的AcrySof ReSTOR人工晶状体(SN60D3和SN6AD1)植入术后的视觉质量。方法收集2009年4月至2010年3月在北京同仁医院就诊的白内障患者共69例(80眼),随机植入多焦点人工晶状体AcrySofRe-STORSN60D3(+4D组)35例... 目的评价两种具有不同附加度数的AcrySof ReSTOR人工晶状体(SN60D3和SN6AD1)植入术后的视觉质量。方法收集2009年4月至2010年3月在北京同仁医院就诊的白内障患者共69例(80眼),随机植入多焦点人工晶状体AcrySofRe-STORSN60D3(+4D组)35例(40眼)和SN6AD1(+3D组)34例(40眼)。入选患者分别在超声乳化术后植入AcrySofRe-STOR多焦点人工晶状体SN60D3或SN6AD1,观察术后1个月和3个月裸眼远视力(5m)、裸眼近视力(33cm)、裸眼中间视力(40cm、63cm、100cm);术后3个月拟调节力、对比敏感度和眩光敏感度;问卷调查患者术后不良视觉症状的发生率和脱镜率。结果 +3D组裸眼中间视力(63cm)在术后1个月时为0.70±0.27、术后3个月时为0.72±0.15,明显优于+4D组0.43±0.14、0.45±0.14,差异均有统计学意义(均为P<0.05),而术后1个月、3个月裸眼远视力(5m)、裸眼近视力(33cm)、裸眼中间视力(40cm、100cm)差异均无统计学意义(均为P>0.05)。术后3个月+3D组的拟调节力为(5.45±0.56)D,优于+4D组的(4.90±0.38)D,差异有统计学意义(均为P<0.05)。2组视角6.3°、4.0°、2.5°、1.0°、0.7°对比敏感度差异均有统计学意义,+3D组优于+4D组(均为P<0.05)。视角6.3°、4.0°、2.5°、1.6°、0.7°眩光敏感度差异均有统计学意义,+3D组优于+4D组(均为P<0.05)。在调查问卷中两组视觉不良症状的发生率、脱镜率差异均无统计学意义(均为P>0.05)。结论两种不同附加度数的AcrySofReSTOR人工晶状体SN60D3和SN6AD1均可以提供良好的远视力、近视力、较高的术后脱镜率,低度数附加的SN6AD1具有更为理想的全程视力和视觉质量。 展开更多
关键词 超声乳化 多焦点人工晶状体 中间视力 对比敏感度 脱镜
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ReSTOR+3D与+4D多焦点人工晶状体植入术后视功能的对比研究 被引量:3
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作者 胡尊霞 张红 田芳 《天津医科大学学报》 2011年第2期259-262,共4页
目的:比较双眼行超声乳化白内障吸除联合植入+3D ReSTOR或+4D ReSTOR多焦点人工晶状体(MIOL)术后的视觉质量。方法:前瞻性非随机对照研究。收集双眼年龄相关性白内障50例(100眼),行超声乳化术,25例(50眼)植入+3D ReSTOR(SN6AD1),25例(50... 目的:比较双眼行超声乳化白内障吸除联合植入+3D ReSTOR或+4D ReSTOR多焦点人工晶状体(MIOL)术后的视觉质量。方法:前瞻性非随机对照研究。收集双眼年龄相关性白内障50例(100眼),行超声乳化术,25例(50眼)植入+3D ReSTOR(SN6AD1),25例(50眼)植入+4D ReSTOR(SN6AD3),于术后6月测量其裸眼远、中及近视力,最佳矫正远、中及近视力,焦点深度,对比敏感度,并通过问卷调查的方式评价患者术后各种不良视觉症状的发生率、脱镜情况及患者对全程视力的满意度。结果:植入+3D ReSTOR患者的中距离视力高于植入+4D ReSTOR组,P<0.05,差异有统计学意义,而远、近视力差异无统计学意义。在调查问卷中,两组视觉不良症状的发生率、脱镜情况、视远、中及近的满意度差异无统计学意义。结论:两种不同近附加度数的ReSTOR MIOL植入术后均可获得良好的远近视力及较高的患者满意度,低度数附加的ReSTOR MIOL具有更为理想的全程视力。 展开更多
关键词 多焦点人工晶状体 中距离视力 焦点深度 脱镜
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非球面多焦点散光矫正型人工晶状体植入术后患者的视觉质量 被引量:11
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作者 谭亮章 张红 +1 位作者 田芳 穆劲卫 《眼科新进展》 CAS 北大核心 2015年第9期861-865,共5页
目的 评价非球面多焦点散光矫正型人工晶状体植入术后患者的视觉质量。方法 前瞻性对照研究。选取2013年1月至2013年12月在天津医科大学眼科医院行超声乳化白内障吸出术的单纯年龄相关性白内障患者130例(150眼)分为三组,每组50眼。其... 目的 评价非球面多焦点散光矫正型人工晶状体植入术后患者的视觉质量。方法 前瞻性对照研究。选取2013年1月至2013年12月在天津医科大学眼科医院行超声乳化白内障吸出术的单纯年龄相关性白内障患者130例(150眼)分为三组,每组50眼。其中,术前规则角膜散光0.5-2.5 D患者植入非球面多焦点散光矫正型人工晶状体为试验组(ART组);术前顺规角膜散光〈1 D,逆规角膜散光〈0.75 D患者植入非球面多焦点人工晶状体为对照组1(Restor组);术前规则角膜散光1.0-3.0 D患者植入非球面散光矫正型人工晶状体为对照组2(Toric组)。术后1 d、1周、1个月、3个月用OQAS视觉质量分析仪检查三组患者的OQAS参数、对比敏感度、裸眼远视力、最佳矫正远视力,并进行脱镜率和患者满意度调查,绘制三组患者的离焦曲线;检查ART组和Restor组的最佳近视力、60 cm中距离视力;检查ART组和Toric组的轴位旋转度。结果 三组裸眼远视力及最佳矫正远视力差异无统计学意义(F=0.661,P=0.518;F=0.013,P=0.987);ART组与Restor组中距离视力及最佳近视力差异均无统计学意义(t=-0.796,P=0.428;t=-0.885,P=0.378);OQAS参数检查发现:三组的客观散射指数、调制传递函数截止频率值、OV100%、OV20%、OV9%差异均无统计学意义(均为P〉0.05);三组的斯特列尔比值、对比敏感度结果比较,差异均有统计学意义(均为P〈0.05),其中ART组与Restor组差异均无统计学意义(均为P〉0.05);术后3个月轴位旋转度,ART组与Toric组差异无统计学意义(t=1.036,P=0.303);ART组与Restor组脱镜率分别为90%和88%,高于Toric组的12%,三组均未发现明显视觉干扰现象。结论 非球面多焦点散光矫正型人工晶状体在有效矫正角膜散光的基础上,可以提供一个良好的全程视力,提高了患者脱镜率。 展开更多
关键词 人工晶状体 视觉质量 对比敏感度 脱镜
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白内障合并散光眼多焦点与单焦点散光型IOL植入术后远期视觉质量比较 被引量:7
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作者 崔巍 崔忆辛 《中华实验眼科杂志》 CAS CSCD 北大核心 2021年第4期313-318,共6页
目的比较散光矫正型多焦点人工晶状体(ART IOL)和单焦点IOL(Toric IOL)植入术后白内障合并散光患者的视觉质量。方法采用前瞻性非随机对照研究,纳入2017年7月至2018年10月在内蒙古朝聚眼科医院就诊的拟行白内障超声乳化摘出联合IOL植入... 目的比较散光矫正型多焦点人工晶状体(ART IOL)和单焦点IOL(Toric IOL)植入术后白内障合并散光患者的视觉质量。方法采用前瞻性非随机对照研究,纳入2017年7月至2018年10月在内蒙古朝聚眼科医院就诊的拟行白内障超声乳化摘出联合IOL植入术的白内障合并角膜散光(散光度为1.0~2.5 D)患者72例72眼。按照植入IOL的不同将患者分为ART IOL组和Toric IOL组,分别为37眼和35眼。术后随访1年,比较2个组主要和次要结局指标,主要结局指标包括裸眼远(5 m)、中(80 cm)、近(40 cm)视力及最佳矫正远、中、近视力,绘制离焦曲线,测定对比敏感度、术后IOL旋转度和残余屈光度数,次要结局指标包括视觉主观症状及脱镜率。结果 2个组患者平均裸眼远视力及最佳矫正远、中、近视力比较差异均无统计学意义(均P>0.05)。ART IOL组平均裸眼中、近视力均明显高于Toric IOL组,差异均有统计学意义(均P<0.05)。ART IOL组术眼离焦曲线呈双峰状,分别在远焦点0.0 D和近焦点-2.5 D达峰值,1.5~-3.0 D视力在最小分辨角对数视力(LogMAR)0.2以上,焦点深度范围为4.5 D(1.5~-3.0 D);Toric IOL组的离焦曲线只有1个波峰,峰的位置位于最佳矫正视力,即0.0 D,只在1.0~-1.0 D视力达LogMAR 0.2以上,焦点深度范围为2.0 D(1.0~-1.0 D)。2个组术眼在明光、明光眩光及暗光环境各空间频率对比敏感度比较差异均无统计学意义(均P>0.05),ART IOL组在暗光眩光高频环境下对比敏感度低于Toric IOL组,差异有统计学意义(P<0.05)。ART IOL组和Toric IOL组术眼术后平均残余散光度分别为(-0.47±0.51)D和(-0.49±0.42)D,差异无统计学意义(t=0.408,P>0.05)。2个组术后IOL轴位旋转度比较差异无统计学意义(t=1.906,P>0.05)。ART IOL组术后总脱镜率达到97.30%(36/37),明显高于Toric IOL组的17.14%(6/35),差异有统计学意义(χ^(2)=15.320,P<0.05)。结论 Toric IOL和ART IOL均能较好地矫正角膜散光,提高患者的远视力,但ART IOL植入可提供更加优良的远、中、近全程视力,脱镜率高于Toric IOL植入人群。 展开更多
关键词 白内障 人工晶状体 视觉质量 Acrysof IQ ReSTOR Toric TORIC 脱镜
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白内障超声乳化联合植入一种新型多焦点人工晶体术后视觉质量的评价
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作者 史佳慧 钟荣 +2 位作者 郎莉莉 李勇 顾舒龙 《中文科技期刊数据库(引文版)医药卫生》 2022年第2期209-214,共6页
评估植入一种新型+3.5D非球面衍射型多焦点人工晶体的临床视觉效果。方法:27例(32眼)白内障患者实施超声乳化白内障摘除联合Diffractiva-aAY多焦点人工晶体植入术,于术后1d、1w和1mon随访,评估内容包括不同距离(远/中/近,5m/80cm/40cm)... 评估植入一种新型+3.5D非球面衍射型多焦点人工晶体的临床视觉效果。方法:27例(32眼)白内障患者实施超声乳化白内障摘除联合Diffractiva-aAY多焦点人工晶体植入术,于术后1d、1w和1mon随访,评估内容包括不同距离(远/中/近,5m/80cm/40cm)裸眼视力和术后1mon最佳矫正远视力,术后1mon离焦曲线以及患者满意度和脱镜率调查问卷。利用配对t检验分析对术前术后结果进行统计学分析。结果:所有患者术中术后无严重并发症发生。术前裸眼远视力(5m,UCDVA)为0.27±0.19,术后1d、1w和1mon UCDVA为0.77±0.21、0.83±0.21、0.79±0.17;中程视力(80cm,UCIVA)为0.71±0.15、0.88±0.16、0.85±0.17;近视力(40cm,UCNVA)为0.68±0.19、0.91±0.17、0.84±0.18。术后1mon 最佳矫正远视力(5m,BCDVA)为0.8977±0.15。术后1mon的离焦曲线显示了视力的两个峰值出现在0D和-2.5D附近,以及良好的中程视力范围,第一峰代表患者看远接近正视,第二峰代表患者近距离工作在40cm左右。术后1mon 随访分别有84.38%(22例27眼)、87.50%(23例28眼)、96.88%(26例31眼)的患者在本次术后视近、视中和视远时达到完全脱镜。21.88%(7例7眼)术后主诉轻度眩光等视力干扰,仅有1例1眼患者抱怨术后夜间有较重的眩光干扰,生活有所影响。大多数患者对本次白内障手术表示“非常满意”(18例23眼,71.88%)或“满意”(6例6眼,18.75%)。结论:这种新型的Diffractiva-aAY多焦点人工晶体能提供较好的全程视力,患者脱镜率高、视觉干扰小,满意度高。 展开更多
关键词 白内障 多焦点人工晶体 Diffractiva-aAY 脱镜 光学干扰 老视
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Diffusion of Formaldehyde on Rutile TIO2(110) Assisted by Surface Hydroxyl Groups
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作者 关大伟 王锐敏 +4 位作者 金闲驰 戴东旭 马志博 樊红军 杨学明 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 2017年第3期253-258,I0001,共7页
As the photo-dissociation product of methanol on the TIO2(110) surface, the diffusion and desorption processes of formaldehyde (HCHO) were investigated by using scanning tunneling microscope (STM) and density fu... As the photo-dissociation product of methanol on the TIO2(110) surface, the diffusion and desorption processes of formaldehyde (HCHO) were investigated by using scanning tunneling microscope (STM) and density functional theory (DFT). The molecular-level images revealed the HCHO molecules could diffuse and desorb on the surface at 80 K under UV laser irra- diation. The diffusion was found to be mediated by hydrogen adatoms nearby, which were produced from photodissociation of methanol. Diffusion of HCHO was significantly decreased when there was only one H alatom near the HCHO molecule. Furthermore, single HCHO molecule adsorbed on the bare Ti02(l10) surface was quite stable, little photo-desorption was observed during laser irradiation. The mechanism of hydroxyl groups assisted diffusion of formaldehyde was also investigated using theoretical calculations. 展开更多
关键词 DIFFUSION DESORPTION FORMALDEHYDE Scanning tunneling microscope
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Biosorption of Chromium from Aqueous Solution Using Chitosan 被引量:4
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作者 Naoki Kano Kunlhlro Tanabe +2 位作者 Meiling Pang Yanling Deng Hiroshi Imaizumi 《Journal of Chemistry and Chemical Engineering》 2014年第11期1049-1058,共10页
Adsorption experiment from aqueous solutions containing known amount of Cr (chromium) using chitosan was explored to evaluate the efficiency of chitosan as sorbent for Cr. Some variable parameters such as pH, reacti... Adsorption experiment from aqueous solutions containing known amount of Cr (chromium) using chitosan was explored to evaluate the efficiency of chitosan as sorbent for Cr. Some variable parameters such as pH, reaction time and chitosan dosage were optimized. Under the optimum experiment condition, the effect of common ions on the adsorption of Cr (i.e., Na^+, K^+, Mg^2+, Ca^2+ for Cr(Ⅲ), and Cl^-, NO3^-, SO4^2- for Cr(Ⅵ)) was also investigated. Furthermore, the sorption mechanism of Cr by chitosan was investigated by applying Langmuir and Freundlich isotherm equations to the data obtained. In addition, to confirm the characteristics of the chitosan, the surface morphology of the biomass was determined by SEM (scanning electron microscope) and specific surface area analyzer (N2-BET (Brunaeur, Emmet and Teller)). Consequently, the following matters have been mainly clarified: (1) chitosan can be an efficient sorbent for Cr (both Cr(Ⅲ) and Cr(Ⅵ)); (2) the effect of common ions on the adsorption ofCr (Cr(Ⅲ) and Cr(Ⅵ)) was not significant under this experimental conditions; (3) adsorption isotherms using the chitosan can be generally described by Langmuir isotherm more satisfactorily for Cr. The adsorption may have occurred mainly by monolayer reaction; (4) the rates of adsorption were found to conform to pseudo-second order kinetics. 展开更多
关键词 BIOSORPTION CHROMIUM CHITOSAN adsorption isotherms KINETICS
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Treatment of extremely-lateral lumbar disc herniation with METRx through intertransversal route 被引量:2
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作者 周跃 王健 +5 位作者 王峡 王卫东 初同伟 李长青 张正丰 郑文杰 《Journal of Medical Colleges of PLA(China)》 CAS 2004年第2期127-130,共4页
Objective: To study the feasibility and effects of disc resection in patients with extremely-lateral disc herrniation (ELDH) with microendoscopic tubular retractor (METRx) through intertransversal route. Methods: In t... Objective: To study the feasibility and effects of disc resection in patients with extremely-lateral disc herrniation (ELDH) with microendoscopic tubular retractor (METRx) through intertransversal route. Methods: In the period from March 2000 to December 2002, 9 patients with ELDH underwent disc resection with METRx system through intratransversal route and the clinical outcome was evaluated with Nakai standard. Results: The operation time ranged from 60 to 120 min with an average of 75 min; the blood loss ranged from 50 to 120 ml with an average of 60 ml; and the hospitalization time ranged from 5 to 19 d with an average of 13 d. No wound infection, neurological damages, pseudomeningocele or other complications occurred. The rate of excellent and good outcome was 88.9%. Conclusion: Disc removal in patients with ELDH can be done with METRx system and satisfactory results are obtained. 展开更多
关键词 extremely-lateral disc herniation microendoscopic tubular retractor intertransversal route
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Purification of Starch from Cadmium-Contaminated Rice and Development of Functional Recombinant Rice 被引量:2
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作者 TAO Xiang-lin PANG Min +3 位作者 GUO Jin-qi WEI Ying-juan WU Yue-hui TANG Han-jun 《Agricultural Science & Technology》 CAS 2020年第1期7-14,共8页
In order to provide a new utilization method for cadmium-contaminated rice,a preliminary study of the removal of rice starch cadmium by water,calcium hydroxide,sodium hydroxide and citric acid was conducted,the damage... In order to provide a new utilization method for cadmium-contaminated rice,a preliminary study of the removal of rice starch cadmium by water,calcium hydroxide,sodium hydroxide and citric acid was conducted,the damage degree of starch was compared by SEM,and then the recombinant rice was obtained by a twin-screw extruder using the starch which met the safety standard.The physical and chemical properties of recombinant rice were analyzed by acid hydrolysis and texture analyzer.The results showed that citric acid was a good rice cadmium removal agent.The quality of recombinant rice prepared from cadmium-removed rice starch was improved;the acid resistance was increased.Heavy metal contaminated rice can be a staple food with better quality and higher value through processing. 展开更多
关键词 Cadmium removal Rice starch SEM TEXTURE Acid resistance
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Characterization of Catalytic Cracking Catalysts Regenerated by Gasifying Deposited Coke 被引量:4
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作者 Men Xiujie Zhan Shuhong +3 位作者 Li Yanjun Wu Zhiguo Wang Zijun Wang Xieqing (Research Institute of Petroleum Processing,SINOPEC,Beijing 100083) 《China Petroleum Processing & Petrochemical Technology》 SCIE CAS 2010年第1期5-12,共8页
Partially or fully regenerated catalytic cracking catalysts were prepared by gasifying the coke deposited on coked catalysts with a gaseous mixture of oxygen and steam in a fixed fluidized bed (FFB). The resultant s... Partially or fully regenerated catalytic cracking catalysts were prepared by gasifying the coke deposited on coked catalysts with a gaseous mixture of oxygen and steam in a fixed fluidized bed (FFB). The resultant samples were characterized by different methods such as the nitrogen adsorption-desorption analysis, the X-ray diffractometry, the infrared spectroscopy, the ammonia temperature-programmed desorption (NH3-TPD) method, the X-ray fluorescence (XRF) analysis, the transmission electron microscopy and energy dispersive X-ray spectroscopy (TEM-EDX), the thermal-gravimetric analysis (TGA) and the differential thermal analysis (DTA). The results showed that exposure of catalyst to steam for about 10 minutes at temperature ≥ 800 ℃ could not cause too much destruction of the catalysts, and an amount of coke equating to about 0.27 m% was enough to block approximately all acid sites in micro-pores of the zeolite catalyst. Coke didn't show equal reactivity during coke burning-off that could be accelerated by the catalytic action of nearby metal atoms. However, when the carbon content on the catalyst reached about 2.44 m%, the catalytic action of metals on the catalyst was not evident. The severe thermal and hydrothermal environment during exposure of the catalyst to steam at a temperature in the range of about 860--880 ℃ for 30 minutes could lead to collapse of pore structure and transformation of crystal phase and consequently decrease of the surface area and acid amount on the catalyst. 展开更多
关键词 coked catalysts GASIFICATION hydrothermal destruction CHARACTERIZATION
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