●AIM:To assess effectivity and safety of trifocal intraocular lenses(IOLs)and capsular tension rings in treating cataract patients with axial high myopia.●METHODS:A prospective nonrandomized controlled clinical tria...●AIM:To assess effectivity and safety of trifocal intraocular lenses(IOLs)and capsular tension rings in treating cataract patients with axial high myopia.●METHODS:A prospective nonrandomized controlled clinical trial was conducted.Totally 98 eyes(74 patients)who underwent femtosecond laser-assisted cataract surgery(FLACS)with trifocal IOLs were enrolled in the study and followed up for 2y after surgery:46 eyes(33 patients)with capsular tension ring implantation in the long axial lengths(AL)group(26<AL<29 mm)and 52 eyes(41 patients)in the normal AL group(22<AL<24.5 mm).Postoperative outcomes about effectivity and safety,including the subjective and objective visual quality,and postoperative complications were assessed.●RESULTS:Uncorrected distance visual acuity at 5 m and uncorrected intermediate visual acuity at 60 and 80 cm in the long AL group were significantly worse than those in the normal AL group at 3mo postoperatively(P<0.05).The differences in reading speed,spectacle independence and potential visual complaints between the two groups were not statistically significant(P>0.05).The dysfunctional lens index and total modulation transfer function(MTF)average height were similar between the two groups.The postoperative internal coma aberrations in the axial high myopia eyes were significantly higher than that in the normal AL group(P<0.05).The total satisfaction score in the long AL group(91.32±2.76)was slightly higher than that in the normal AL group(90.36±3.47),but there was no difference(P=0.136).A statistically negative correlation was found between corrected distance visual acuity(CDVA)and dysfunctional lens index(r=-0.382,P=0.009),and between CDVA and the total MTF average height(r=-0.374,P=0.01).But there was no significant correlation between CDVA and total satisfaction score(r=0.059,P=0.696).Postoperative complications mainly presented as posterior capsular opacity(PCO),retinal detachment and cystoid macular edema.There was no difference in the incidence of fundus disease(6.5%vs 3.8%,P=0.663)or PCO(17.4%vs 7.7%,P=0.217)between the two groups at two years.●CONCLUSION:The utilization of trifocal IOL and capsular tension ring implantation is beneficial for cataract patients with axial high myopia undergoing FLACS.This approach not only ensures excellent subjective feelings and objective visual quality,but also does not increase the incidence of postoperative complications.展开更多
The in-plane tensile behaviors of bi-axial warp-knitted(BWK) composites under quasi-static and high strain rates loading were experimentally analyzed in this article. The tensile tests were conducted along warp direct...The in-plane tensile behaviors of bi-axial warp-knitted(BWK) composites under quasi-static and high strain rates loading were experimentally analyzed in this article. The tensile tests were conducted along warp direction( 0°) and weft direction( 90°) at quasi-static rate of 0. 001 s^(-1) and high strain rates ranging from 1 450 to 2 540 s^(-1),respectively. It is found that the significant strain rate sensitivity can be observed in the stress-strain curves of BWK composites. The fracture morphologies of BWK composites demonstrate that the tensile failure modes are shear failure and fiber breakage under the quasi-static testing condition while interface failure and fibers pullout are at high strain rates.展开更多
The dynamic stability of axially accelerating plates is investigated. Longitudi- nally varying tensions due to the acceleration and nonhomogeneous boundary conditions are highlighted. A model of the plate combined wit...The dynamic stability of axially accelerating plates is investigated. Longitudi- nally varying tensions due to the acceleration and nonhomogeneous boundary conditions are highlighted. A model of the plate combined with viscoelasticity is applied. In the viscoelastic constitutive relationship, the material derivative is used to take the place of the partial time derivative. Analytical and numerical methods are used to investigate summation and principal parametric resonances, respectively. By use of linear models for the transverse behavior in the small displacement regime, the plate is confined by a viscous damping force. The generalized Hamilton principle is used to derive the govern- ing equations, the initial conditions, and the boundary conditions of the coupled planar vibration. The solvability conditions are established by directly using the method of mul- tiple scales. The Routh-Hurwitz criterion is used to obtain the necessary and sufficient condition of the stability. Numerical examples are given to show the effects of related parameters on the stability boundaries. The validity of longitudinally varying tensions and nonhomogeneous boundary conditions is highlighted by comparing the results of the method of multiple scales with those of a differential quadrature scheme.展开更多
AIM:To compare the rotational stability of Toric intraocular lens(IOLs)implantation combined with foureyelet or two-eyelet capsular tension rings(CTRs)in eyes with high myopia and cataract.METHODS:This prospective ran...AIM:To compare the rotational stability of Toric intraocular lens(IOLs)implantation combined with foureyelet or two-eyelet capsular tension rings(CTRs)in eyes with high myopia and cataract.METHODS:This prospective randomized controlled interventional study in cluded 33 eyes which had preoperative corneal astigmatism≥1.5 D and ocular axial length≥25.5 mm.These eyes were randomly divided into two groups to undergo phacoemulsification and toric IOL implantation with either four-eyelet CTR implantation(group A,n=16)or two-eyelet CTR implantation(group B,n=17).Uncorrected visual acuity(UCVA),best-corrected visual acuity(BCVA),phoropter examination results,and toric IOL rotation degrees were tested 6 mo after the surgery.RESULTS:In both groups,the toric IOL was in the capsular sac 6 mo after surgery.The difference between the two groups in terms of visual outcome was not found to be statistically significant(P>0.05)at a follow-up of 6 mo.The mean residual astigmatism values were 0.56±0.22 D and 0.92±0.24 D in A and B groups,respectively(P<0.001).The mean rotation degree of IOL was 1.00°±0.73°in group A and 3.53°±1.46°in group B(P<0.001).CONCLUSION:In cataract patients with high myopia and astigmatism,four-eyelet CTR can effectively increase the rotation stability of toric IOLs,achieving the desired goal of correcting corneal astigmatism.展开更多
文摘●AIM:To assess effectivity and safety of trifocal intraocular lenses(IOLs)and capsular tension rings in treating cataract patients with axial high myopia.●METHODS:A prospective nonrandomized controlled clinical trial was conducted.Totally 98 eyes(74 patients)who underwent femtosecond laser-assisted cataract surgery(FLACS)with trifocal IOLs were enrolled in the study and followed up for 2y after surgery:46 eyes(33 patients)with capsular tension ring implantation in the long axial lengths(AL)group(26<AL<29 mm)and 52 eyes(41 patients)in the normal AL group(22<AL<24.5 mm).Postoperative outcomes about effectivity and safety,including the subjective and objective visual quality,and postoperative complications were assessed.●RESULTS:Uncorrected distance visual acuity at 5 m and uncorrected intermediate visual acuity at 60 and 80 cm in the long AL group were significantly worse than those in the normal AL group at 3mo postoperatively(P<0.05).The differences in reading speed,spectacle independence and potential visual complaints between the two groups were not statistically significant(P>0.05).The dysfunctional lens index and total modulation transfer function(MTF)average height were similar between the two groups.The postoperative internal coma aberrations in the axial high myopia eyes were significantly higher than that in the normal AL group(P<0.05).The total satisfaction score in the long AL group(91.32±2.76)was slightly higher than that in the normal AL group(90.36±3.47),but there was no difference(P=0.136).A statistically negative correlation was found between corrected distance visual acuity(CDVA)and dysfunctional lens index(r=-0.382,P=0.009),and between CDVA and the total MTF average height(r=-0.374,P=0.01).But there was no significant correlation between CDVA and total satisfaction score(r=0.059,P=0.696).Postoperative complications mainly presented as posterior capsular opacity(PCO),retinal detachment and cystoid macular edema.There was no difference in the incidence of fundus disease(6.5%vs 3.8%,P=0.663)or PCO(17.4%vs 7.7%,P=0.217)between the two groups at two years.●CONCLUSION:The utilization of trifocal IOL and capsular tension ring implantation is beneficial for cataract patients with axial high myopia undergoing FLACS.This approach not only ensures excellent subjective feelings and objective visual quality,but also does not increase the incidence of postoperative complications.
基金National Natural Science Foundations of China(Nos.11272087,11572085)Financial Supports from Foundation for the Fok Ying-Tong Education Foundation of China(No.141070)the Fundamental Research Funds for the Central Universities of China(No.170310103)
文摘The in-plane tensile behaviors of bi-axial warp-knitted(BWK) composites under quasi-static and high strain rates loading were experimentally analyzed in this article. The tensile tests were conducted along warp direction( 0°) and weft direction( 90°) at quasi-static rate of 0. 001 s^(-1) and high strain rates ranging from 1 450 to 2 540 s^(-1),respectively. It is found that the significant strain rate sensitivity can be observed in the stress-strain curves of BWK composites. The fracture morphologies of BWK composites demonstrate that the tensile failure modes are shear failure and fiber breakage under the quasi-static testing condition while interface failure and fibers pullout are at high strain rates.
基金Project supported by the National Natural Science Foundation of China(Nos.11672186,11502147,and 11602146)the Chen Guang Project supported by the Shanghai Municipal Education Commission and the Shanghai Education Development Foundation(No.14CG57)+1 种基金the Training Scheme for the Youth Teachers of Higher Education of Shanghai(No.ZZyyy12035)the Alliance Program(No.LM201663)
文摘The dynamic stability of axially accelerating plates is investigated. Longitudi- nally varying tensions due to the acceleration and nonhomogeneous boundary conditions are highlighted. A model of the plate combined with viscoelasticity is applied. In the viscoelastic constitutive relationship, the material derivative is used to take the place of the partial time derivative. Analytical and numerical methods are used to investigate summation and principal parametric resonances, respectively. By use of linear models for the transverse behavior in the small displacement regime, the plate is confined by a viscous damping force. The generalized Hamilton principle is used to derive the govern- ing equations, the initial conditions, and the boundary conditions of the coupled planar vibration. The solvability conditions are established by directly using the method of mul- tiple scales. The Routh-Hurwitz criterion is used to obtain the necessary and sufficient condition of the stability. Numerical examples are given to show the effects of related parameters on the stability boundaries. The validity of longitudinally varying tensions and nonhomogeneous boundary conditions is highlighted by comparing the results of the method of multiple scales with those of a differential quadrature scheme.
文摘AIM:To compare the rotational stability of Toric intraocular lens(IOLs)implantation combined with foureyelet or two-eyelet capsular tension rings(CTRs)in eyes with high myopia and cataract.METHODS:This prospective randomized controlled interventional study in cluded 33 eyes which had preoperative corneal astigmatism≥1.5 D and ocular axial length≥25.5 mm.These eyes were randomly divided into two groups to undergo phacoemulsification and toric IOL implantation with either four-eyelet CTR implantation(group A,n=16)or two-eyelet CTR implantation(group B,n=17).Uncorrected visual acuity(UCVA),best-corrected visual acuity(BCVA),phoropter examination results,and toric IOL rotation degrees were tested 6 mo after the surgery.RESULTS:In both groups,the toric IOL was in the capsular sac 6 mo after surgery.The difference between the two groups in terms of visual outcome was not found to be statistically significant(P>0.05)at a follow-up of 6 mo.The mean residual astigmatism values were 0.56±0.22 D and 0.92±0.24 D in A and B groups,respectively(P<0.001).The mean rotation degree of IOL was 1.00°±0.73°in group A and 3.53°±1.46°in group B(P<0.001).CONCLUSION:In cataract patients with high myopia and astigmatism,four-eyelet CTR can effectively increase the rotation stability of toric IOLs,achieving the desired goal of correcting corneal astigmatism.
