Case Report: Observation of Postoperative Refractive Status of Glaucoma Combined with Cataract and Irregular Astigmatism

Significance: So far, many scholars have studied the astigmatism caused by glaucoma surgery, but they cannot provide enough useful help for the clinic. When a patient has glaucoma, cataracts and irregular astigmatism at the same time, it is often difficult to achieve satisfactory results. Purpose: This study intends to describe a case of a patient with glaucoma, irregular astigmatism, and cataract who was successfully treated. Additionally, it can serve as a useful source of inspiration for the future care of patients like this. Case Presentation: A 24-year-old male with keratoconus in the past. He had undergone a corneal crosslinking operation in the right eye and a penetrating keratoplasty in the left eye due to his long history of keratoconus in both eyes. Right now, the keratoconus in that eye is stable. Unfortunately, he has now been diagnosed with open-angle glaucoma and complicated cataracts in both eyes, and he was admitted to our hospital for surgery. The right eye had significant irregular astigmatism, which was discovered during the preoperative assessment, and the implantation of a Toric intraocular lens was unable to produce good results. Finally, we chose to perform EXPRESS glaucoma drainage device implantation + phacoemulsification + intraocular lense (ZEISS CT ASPHINA 409MP) implantation. The patient had stable postoperative astigmatism with rule thanks to the traction effect of the scleral flap suture. Astigmatism was typically stable six months after surgery, and the corrected visual acuity with glasses had improved to 20/25. Conclusion: This patient suffers from cataracts, keratoconus, glaucoma, and irregular astigmatism. Due to the interconnectedness of these four disorders, simultaneous success is challenging. We realized that surgically induced astigmatism, frequently affects vision early after filtering surgery for glaucoma patients. In the instance of this patient, we tightly sutured the scleral flap and using tractive action, established regular astigmatism. After the patient’s astigmatism stabilized, optometry was given to correct the vision. This technique should result in much better visual acuity. Finally, it came to pass.

Directional neighbor discovery in mmWave wireless networks

The directional neighbor discovery problem,i.e,spatial rendezvous,is a fundamental problem in millimeter wave(mmWave)wireless networks,where directional transmissions are used to overcome the high attenuation.The challenge is how to let the transmitter and the receiver beams meet in space under deafness caused by directional transmission and reception,where no control channel,prior information,and coordination are available.In this paper,we present a Hunting based Directional Neighbor Discovery(HDND)scheme for ad hoc mmWave networks,where a node follows a unique sequence to determine its transmission or reception mode,and continuously r0-tates its directional beam to scan the neighborhood for other mmWave nodes.Through a rigorous analysis,we derive the conditions for ensured neighbor discovery,as well as a bound for the worst-case discovery time and the impact of sidelobes.We validate the analysis with extensive simulations and demonstrate the superior perfor-mance of the proposed scheme over several baseline schemes.

Dissipative Kerr single soliton generation with extremely high probability via spectral mode depletion

Optical Kerr solitons generation based on microresonators is essential in nonlinear optics.Among various soliton generation processes,the single soliton generation plays a pivotal role since it ensures rigorous mode-locking on each comb line whose interval equals the free spectral range(FSR)of the microresonator.Current studies show that single soliton generation is challenging due to cavity instability.Here,we propose a new method to greatly improve single soliton generation probalility in the anomalous group velocity dispersion(GVD)regime in a micro-ring resonator based on silicon nitride.The improvement is realized by introducing mode depletion through an integrated coupled flter.It is convenient to introduce controllable single mode depletion in a micro-ring resonator by adjusting the response function of a coupled flter.We show that spectral mode depletion(SMD)can signifcantly boost the single soliton generation probability.The efect of SMD on the dynamics of optical Kerr solitons generation are also discussed.The proposed method ofers a straightforward and simple way to facilitate robust single soliton generation,and will have an impact on the research development in optical Kerr soliton generation and on-chip optical frequency mode manipulation.