2017年12月 第32卷 第4期

主管:中华人民共和国教育部
主办:中山大学
承办:中山大学中山眼科中心
主编:葛坚 刘奕志
专家评述

大批量白内障扶贫手术的护理安全管理

Safety management of nursing for mass volume of charity cataract surgery

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目的:总结大批量白内障扶贫手术的护理安全管理经验。方法:回顾性分析2013至2016年中山大学中山眼科中心医疗队完成大批量白内障扶贫手术的经验、针对下乡扶贫的特殊环境、患者入院时间短、手术量大、接台手术多以及患者自我管理能力差等情况,分析其安全隐患,并在护理过程中采取相应的安全措施。术前充分评估和准备,对患者进行健康指导;术中对手术环境规范管理;指导加强术后患者的自我管理。结果:8批次共1 064例白内障摘除联合人工晶体植入术顺利完成,无1例发生术后感染。结论:建立大批量白内障扶贫手术护理安全质量管理的规范流程是扶贫工作的重要环节,做好术前的评估和准备工作,落实患者的健康教育及术后患者自我管理指导,才能确保手术顺利进行。
To assess the safety of mass volume of cataract surgery and to identify the possible factors with enhanced patients’ safety. Methods: This is a retrospective case series. Clinical data of patients undergoing charity cataract extraction by surgeons from Zhongshan Ophthalmic Center between 2013 and 2016 was reviewed. The following factors were analyzed: safety management peri-operatively, educational interventions, intraoperative sterilization, and self-management after operations. Results: A total of 1064 patients (8 sessions) underwent cataract extraction and intraocular lens implantation. No evidence of endophthalmitis in any cases was observed. Conclusion: Establishment of standardized operation procedures for nursing safety management is essential for safety of mass volume of charity cataract surgery in China. Adequate assessment and peri-operative endeavor, educational interventions, nurse guided self-management should be empowered to enhance patients’ safety.

中央孔后房型人工晶体植入术矫正屈光不正的疗效

Effect of posterior chamber phakic intraocular lens with a central hole on refractive errors

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目的:观察后房型有晶体眼人工晶体(implantable collamer lens,ICL)V4c植入术后2年的有效性、安全性和稳定性,评估ICL V4c矫正屈光不正的中远期临床疗效。方法:回顾性病例研究。收集在河北省沧州市中心医院眼一科行ICL V4c手术治疗的屈光不正患者,观察并记录术前至术后2年的裸眼视力、最佳矫正视力、屈光状态、对比敏感度、高阶像差、眼压、人工晶体拱高、角膜内皮细胞计数、不良反应、主观视觉质量等临床资料,进行统计学分析。结果:完成随访的96例术眼,术后2年的平均裸眼视力(LogMAR)为0.021±0.065,平均最佳矫正视力(LogMAR)为0.002±0.041,优于术前最佳矫正视力,有效性指数为1.05,安全性指数为1.09,等效球镜数值稳定,对比敏感度提升,高阶像差有所增加,但主观视觉质量良好,眼压基本稳定,内皮细胞丢失率为1.6%,平均拱高为(549.6±50.0) μm,随访期间未发现眼内感染、继发性青光眼、晶状体混浊、黄斑水肿、视网膜脱离等并发症。结论:ICL V4c植入术矫正屈光不正具有良好的中远期临床效果。
Abstract Objective: To assess the medium-long term efficacy, safety and stability of a newly developed posterior chamber phakic intraocular lens (model V4c Visian Implantable Collamer Lens) to correct refractive errors. Methods: Retrospective case series. This study evaluated eyes that had implantation of ICL V4c to correct ametropia for at least two years. Uncorrected and corrected distance visual acuities, refraction, contrast sensitivity, high-order aberration, quality of life, intraocular pressure, endothelial cell density, pIOL vault, and adverse events were evaluated to assess the efficacy, safety and stability of V4c. Results: The study comprised 96 eyes of 50 patients. At 2 years postoperatively, the mean uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) were 0.021±0.065 logMAR and 0.002±0.041 logMAR, which were better than preoperative CDVA. The efficacy and safety indices were 1.05 and 1.09, respectively. The spherical equivalent was stable withimproved contrast sensitivity and increased high-order aberrations, but the subjective visual quality was well. The IOP remained stable over time. The mean vault was (549.6±50.0) μm and the mean endothelial cell loss was 1.6%. No eye developed intraocular infection, secondary glaucoma, lens opacity, macular edema or retinal detachment. Conclusion: The good medium-long term outcomes support the use of ICL V4c for the correction of myopia.

LASIK手术前后角膜滞后量与角膜阻力因子变化量及其相关因素的多元线性回归分析

Change of corneal hysteresis and corneal resistance factor before and after laser in situkeratomileusis and multiple linear regression analysis of the correlative factors

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[摘 要] 目的:研究准分子激光原位角膜磨镶术(laser in situkeratomileusis,LASIK)前后角膜滞后量(corneal hysteresis,CH)和角膜阻力因子(corneal resistance factor,CRF)变化量,对其相关因素进行多元线性回归分析。方法:前瞻性研究。纳入行LASIK手术的近视眼及近视散光患者70眼(38例),术前与术后6个月各项参数分别由眼反应分析仪(ocular response analyzer,ORA)、非接触眼压仪、超声角膜测厚仪及Pentacam眼前节分析仪测量。分析LASIK手术前后△CH,△CRF与术前、手术设计等参数的相关性,并对相关参数进行多元线性回归分析。结果:手术前后CH分别为(10.05±1.36),(8.15±0.90) mmHg(1 mmHg=0.133 kPa),CRF分别为(9.91±1.38),(6.92±0.88) mmHg,差异均有统计学意义(P<0.01);△CH与△CRF分别为(1.90±1.15),(2.99±1.23) mmHg。△CH与术前CH,CRF,眼压(intraocular pressure,IOP),预计切削深度(ablative depth,AD)以及AD/CCT呈正相关;△CRF与术前CH,CRF,IOP,AD,AD/CCT,术前等值球镜(spherical equivalent,SE)以及预计 基质床厚度(residual stromal bed’s thickness,RSBT)有相关性。采用多元线性回归对LASIK手术前后△CH,△CRF与术前、手术设计等各相关参数进行分析,回归方程为:△CH=?6.182+0.658CH术前+8.421AD/CCT (R2=0.639,P<0.01),△CRF=?0.007+0.725CRF术前?0.014RSBT (R2=0.689,P<0.01)。结论:LASIK术前后CH与预计AD和角膜厚度比值密切相关,CRF变化量与预计角膜RSBT密切相关,在设计手术时应慎重考虑预计AD与预计RSBT。
Abstract Objective: To discuss the change of corneal hysteresis and corneal resistance factor before and after laser in situkeratomileusis (LASIK), and to analyze their related factors by multivariate linear regression. Methods: In this prospective study, 70 eyes (38 patients) with myopia and myopic astigmatism undergoing LASIK were included. Related factors were measured preoperatively and at 6 months postoperatively by ocular response analyzer, noncontact tonometer (NCT), ultrasonic pachymeter, and Pentacam system. The correlation was analyzed between △CH, △CRF and preoperative and operative design’s parameters, and correlative factors analyze. △CH and △CRF were analyzed by the multiple linear regression. Results: CH before and after LASIK were (10.05±1.36) and (8.15±0.90) mmHg, and CRF before andafter LASIK were (9.91±1.38) and (6.92±0.88) mmHg. There was significant difference between preoperative and postoperative CH and CRF (P<0.01). △CH and △CRF were (1.90±1.15) and (2.99±1.23) mmHg. Preoperative CH, CRF, intraocular pressure (IOP), ablative depth (AD) and AD/CCT were positive correlated with △CH. Preoperative CH, CRF, IOP, AD, AD/CCT, preoperative spherical equivalent (SE) and predicted residual stromal bed’s thickness (RSBT) were correlated with △CRF. The regression equation of △CH and △CRF and influencing factors were △CH =?6.182 + 0.658CHpreoperative + 8.421AD/CCT (R2=0.639, P<0.01), △CRF =?0.007 + 0.725CRFpreoperative ? 0.014RSBT (R2=0.689, P<0.01). Conclusion: The change of CH before and after LASIK is correlative with AD/CCT. The change of CRF before and after LASIK is correlative with predicted residual stromal bed’s thickness. Ablative depth and predicted residual stromal bed’s thickness should be considered carefully during the surgical design.
论著

健康中老年人中心视觉敏感度与光相干断层扫描血管成像的双眼对称性

Interocular symmetry of foveal threshold and opticalcoherence tomography angiography in healthy middle-agedand elderly subjects

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目的:观察健康中老年人群中心凹视觉敏感度阈值(foveal threshold,FT)及光相干断层扫描血管成像(optical coherence tomography angiography,OCTA)的双眼对称性。方法:横断面观察性研究。纳入33例66眼,测量并比较眼灌注压(ocular perfusion pressure,OPP),FT,黄斑区3 mm × 3 mm范围内中心凹无血管区面积(non-flow area,NFA),浅层视网膜血管密度(superior vessel density,SVD)和深层视网膜血管密度(deep vessel density,DVD)的双眼对称性;分析各指标双眼差值、均值及其比值与年龄、性别的相关性。结果:配对样本t检验结果显示除FT(t=?2.118,P=0.042)外,左右眼OPP,NFA,SVD和DVD差异均无统计学意义(P>0.05);Pearson相关性分析和同类相关系数(intra-class correlation coefficient,ICC)检验结果显示5项指标左右眼测量值相关强度由强到弱为OPP>FT>NFA>DVD>SVD;Bland-Altman分析结果提示5项指标双眼间一致性良好。5项指标的双眼对称性不随性别、年龄改变。结论:健康中老年人群FT、黄斑区NFA,SVD及DVD的测量值具有双眼对称性。
Objective: To observe the interocular symmetry of foveal threshold (FT) and optical coherence tomography angiography (OCTA) parameters in healthy middle-aged and elderly subjects. Methods: Cross-sectional observational study. Sixty-six eyes from thirty-three subjects were enrolled to compare binocular ocular perfusion pressure (OPP), FT, non-flow area (NFA), superior vessel density (SVD) and deep vessel density (DVD) in a 3 mm × 3 mm OCTA scan of macula. The interocular symmetry of all the parameters was analyzed; the correlations of the differences (△), mean value (m) and the ratio of all the parameters with age and gender were analyzed. Results: There was no significant interocular difference revealed by paired-samples t-tests in all the parameters (P>0.05) except FT (t=?2.118, P=0.042), while the rank of Pearson’s correlation index and intraclass correlation coefficient (ICC) from strong to weak was OPP > FT > NFA > DVD > SVD. The interocular symmetry of all the parameters was proved to be good with Bland-Altman plots, and it changed little with the variations of age and gender. Conclusion: Interocular symmetries of FT and OCTA parameters are observed in healthy middle-aged and elderly subjects.

小儿角膜移植围手术期护理

Perioperative care for corneal transplantation in children

:219-222
 
目的:减轻行角膜移植术的患儿及家属的心理负担,提高患儿对手术的耐受性,减少术后并发症。方法:对45例将进行角膜移植的患儿进行围手术期护理。结果:所有患儿经过精心的治疗和护理后均恢复良好,视力均有提高。结论:术前做好充足的准备、术前心理护理,术后严密观察生命体征和眼部敷料的情况,做好相关的生活和饮食指导,遵医嘱及时有效用药,注意患儿异常的反应及眼部的情况,及时发现并处理并发症,给予细致的出院指导,有利于患儿早日康复。
Objective: To reduce the psychological burden of the children and families who are scheduled to the corneal transplantation, and to improve the patients’ tolerance and reduce postoperative complications. Methods: The perioperative care was given to 45 patients with corneal transplantation. Results: All children were treated well by careful treatment and care. Conclusion: Before operation, comprehensive preparation and psychological nursing care should be delivered. Affer operation, the physicians and nurses should guide the patients to live a healthy lifestyle, remind them to take the drugs timely, identify the abnormal symptoms and postoperative complications in children with abnormal responses, implement effective treatment timely to accelerate postoperative recovery.

飞秒激光辅助角膜内皮移植术患者的护理

Nursing for the patients with femtosecond laser assisted corneal endothelial transplantation

:229-231
 
目的:探讨飞秒激光辅助角膜内皮移植(endothelial keratoplasty,EK)患者的护理。方法:对40例 行飞秒激光辅助EK术的患者做好术前心理护理,完善术前检查及术前准备,术后重点做好体位护 理、病情观察及出院指导。结果:4例患者术后发生植片移位,经再次复位后贴合良好,1例术后第1天气泡到后房行前房成形术;13例患者术后出现眼压升高,经治疗眼压得到控制;40例患者全 部治愈出院。结论:对EK术患者应做好术前及术后的护理,及时发现并发症并采取相应的治疗与护理措施,以提高手术的成功率。
Objective: To explore the nursing care of patients with femtosecond laser assisted endothelial transplantation. Methods: Forty patients were involved in this study. Preoperative psychological nursing, ocular examination, and surgical preparation were taken, and the main nursing postoperation focused on patients’ position and the discharge guidance. Results: TTe graffs in 4 cases were displaced, and were all in place affer resetting. The bubble was observed in posterior chamber in 1 case, this case was taken anterior chamber forming operation. Intraocular pressure was high in 13 cases, and those cases were treated with topical medicines. Conclusion: Completing the preoperative nursing of patients with corneal endothelial transplantation, observing the complications and taking corresponding treatment and nursing measures help improve the success rate of the operation.  

健康中老年人中心视觉敏感度与光相干断层扫描血管成像的双眼对称性

Interocular symmetry of foveal threshold and optical coherence tomography angiography in healthy middle-aged and elderly subjects

:199-205
 
目的:观察健康中老年人群中心凹视觉敏感度阈值(foveal threshold,FT)及光相干断层扫描血管成像(optical coherence tomography angiography,OCTA)的双眼对称性。方法:横断面观察性研究。纳入33例66眼,测量并比较眼灌注压(ocular perfusion pressure,OPP),FT,黄斑区3 mm × 3 mm范围内中心凹无血管区面积(non-flow area,NFA),浅层视网膜血管密度(superior vessel density,SVD)和深层视网膜血管密度(deep vessel density,DVD)的双眼对称性;分析各指标双眼差值、均值及其比值与年龄、性别的相关性。结果:配对样本t检验结果显示除FT(t=?2.118,P=0.042)外,左右眼OPP,NFA,SVD和DVD差异均无统计学意义(P>0.05);Pearson相关性分析和同类相关系数(intra-class correlation coefficient,ICC)检验结果显示5项指标左右眼测量值相关强度由强到弱为OPP>FT>NFA>DVD>SVD;Bland-Altman分析结果提示5项指标双眼间一致性良好。5项指标的双眼对称性不随性别、年龄改变。结论:健康中老年人群FT、黄斑区NFA,SVD及DVD的测量值具有双眼对称性。
Objective: To observe the interocular symmetry of foveal threshold (FT) and optical coherence tomography angiography (OCTA) parameters in healthy middle-aged and elderly subjects. Methods: Cross-sectional observational study. Sixty-six eyes from thirty-three subjects were enrolled to compare binocular ocular perfusion pressure (OPP), FT, non-flow area (NFA), superior vessel density (SVD) and deep vessel density (DVD) in a 3 mm × 3 mm OCTA scan of macula. The interocular symmetry of all the parameters was analyzed; the correlations of the differences (△), mean value (m) and the ratio of all the parameters with age and gender were analyzed. Results: There was no significant interocular difference revealed by paired-samples t-tests in all the parameters (P>0.05) except FT (t=?2.118, P=0.042), while the rank of Pearson’s correlation index and intraclass correlation coefffcient (ICC) from strong to weak was OPP > FT > NFA > DVD > SVD. The interocular symmetry of all the parameters was proved to be good with Bland-Altman plots, and it changed little with the variations of age and gender. Conclusion: Interocular symmetries of FT and OCTA parameters are observed in healthy middle-aged and elderly subjects.

中央孔后房型人工晶体植入术矫正屈光不正的疗效

Effect of posterior chamber phakic intraocular lens with a central hole on refractive errors

:206-212
 
目的:观察后房型有晶体眼人工晶体(implantable collamer lens,ICL)V4c植入术后2年的有效性、安全性和稳定性,评估ICL V4c矫正屈光不正的中远期临床疗效。方法:回顾性病例研究。收集在河 北省沧州市中心医院眼一科行ICL V4c手术治疗的屈光不正患者,观察并记录术前至术后2年的裸眼视力、最佳矫正视力、屈光状态、对比敏感度、高阶像差、眼压、人工晶体拱高、角膜内皮细胞 计数、不良反应、主观视觉质量等临床资料,进行统计学分析。结果:完成随访的96例术眼,术后2年的平均裸眼视力(LogMAR)为0.021±0.065,平均最佳矫正视力(LogMAR)为0.002±0.041,优于术前最佳矫正视力,有效性指数为1.05,安全性指数为1.09,等效球镜数值稳定,对比敏感度提升,高阶像差有所增加,但主观视觉质量良好,眼压基本稳定,内皮细胞丢失率为1.6%,平均拱高为(549.6±50.0) μm,随访期间未发现眼内感染、继发性青光眼、晶状体混浊、黄斑水肿、视网膜脱离等并发症。结论:ICL V4c植入术矫正屈光不正具有良好的中远期临床效果。
Objective: To assess the medium-long term efffcacy, safety and stability of a newly developed posterior chamber phakic intraocular lens (model V4c Visian Implantable Collamer Lens) to correct refractive errors. Methods: Retrospective case series. This study evaluated eyes that had implantation of ICL V4c to correct ametropia for at least two years. Uncorrected and corrected distance visual acuities, refraction, contrast sensitivity, high-order aberration, quality of life, intraocular pressure, endothelial cell density, pIOL vault, and adverse events were evaluated to assess the efffcacy, safety and stability of V4c. Results: The study comprised 96 eyes of 50 patients. At 2 years postoperatively, the mean uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) were 0.021±0.065 logMAR and 0.002±0.041 logMAR, which were better than preoperative CDVA. The efffcacy and safety indices were 1.05 and 1.09, respectively. The spherical equivalent was stable with improved contrast sensitivity and increased high-order aberrations, but the subjective visual quality was well. The IOP remained stable over time. The mean vault was (549.6±50.0) μm and the mean endothelial cell loss was 1.6%. No eye developed intraocular infection, secondary glaucoma, lens opacity, macular edema or retinal detachment.Conclusion: The good medium-long term outcomes support the use of ICL V4c for the correction of myopia. 

LASIK手术前后角膜滞后量与角膜阻力因子变化量及其 相关因素的多元线性回归分析

Change of corneal hysteresis and corneal resistance factor before and after laser in situkeratomileusis and multiple linear regression analysis of the correlative factors

:213-218
 
目的:研究准分子激光原位角膜磨镶术(laser in situkeratomileusis,LASIK)前后角膜滞后量(corneal hysteresis,CH)和角膜阻力因子(corneal resistance factor,CRF)变化量,对其相关因素进行多元线性回归分析。方法:前瞻性研究。纳入行LASIK手术的近视眼及近视散光患者70眼(38例),术前与术后6个月各项参数分别由眼反应分析仪(ocular response analyzer,ORA)、非接触眼压仪、超声角膜测厚仪及Pentacam眼前节分析仪测量。分析LASIK手术前后△CH,△CRF与术前、手术设计等参数的相关性,并对相关参数进行多元线性回归分析。结果:手术前后CH分别为(10.05±1.36),(8.15±0.90) mmHg(1 mmHg=0.133 kPa),CRF分别为(9.91±1.38),(6.92±0.88) mmHg,差异均有统计学意义(P<0.01);△CH与△CRF分别为(1.90±1.15),(2.99±1.23) mmHg。△CH与术前CH,CRF,眼压(intraocular pressure,IOP),预计切削深度(ablative depth,AD)以及AD/CCT呈正相关;△CRF与术前CH,CRF,IOP,AD,AD/CCT,术前等值球镜(spherical equivalent,SE)以及预计基质床厚度(residual stromal bed’s thickness,RSBT)有相关性。采用多元线性回归对LASIK手术前后△CH,△CRF与术前、手术设计等各相关参数进行分析,回归方程为:△CH=?6.182+0.658CH术前+8.421AD/CCT (R2=0.639,P<0.01),△CRF=?0.007+0.725CRF术前?0.014RSBT (R2=0.689,P<0.01)。结论:LASIK术前后CH与预计AD和角膜厚度比值密切相关,CRF变化量与预计角膜RSBT密切相关,在设计手术时应慎重考虑预计AD与预计RSBT。
Objective: To discuss the change of corneal hysteresis and corneal resistance factor before and after laser in situkeratomileusis (LASIK), and to analyze their related factors by multivariate linear regression. Methods: In this prospective study, 70 eyes (38 patients) with myopia and myopic astigmatism undergoing LASIK were included. Related factors were measured preoperatively and at 6 months postoperatively by ocular response analyzer, noncontact tonometer (NCT), ultrasonic pachymeter, and Pentacam system. TTe correlation was analyzed between △CH, △CRF and preoperative and operative design’s parameters, and correlative factors analyze. △CH and △CRF were analyzed by the multiple linear regression. Results: CH before and after LASIK were (10.05±1.36) and (8.15±0.90) mmHg, and CRF before and affer LASIK were (9.91±1.38) and (6.92±0.88) mmHg. TTere was signiffcant difference between preoperative and postoperative CH and CRF (P<0.01). △CH and △CRF were (1.90±1.15) and (2.99±1.23) mmHg. Preoperative CH, CRF, intraocular pressure (IOP), ablative depth (AD) and AD/CCT were positive correlated with △CH. Preoperative CH, CRF, IOP, AD, AD/CCT, preoperative spherical equivalent (SE) and predicted residual stromal bed’s thickness (RSBT) were correlated with △CRF. TTe regression equation of △CH and △CRF and influencing factors were △CH =?6.182 + 0.658CHpreoperative + 8.421AD/CCT (R2 =0.639, P<0.01), △CRF =?0.007 + 0.725CRFpreoperative ? 0.014RSBT (R2 =0.689, P<0.01). Conclusion: The change of CH before and after LASIK is correlative with AD/CCT. The change of CRF before and after LASIK is correlative with predicted residual stromal bed’s thickness. Ablative depth and predicted residual stromal bed’s thickness should be considered carefully during the surgical design.

M22优化脉冲光对睑板腺功能障碍所致干眼的疗效

Effect of M22 Optimal Pulsed Technology in the treatment of dry eye caused by meibomian gland dysfunction

:223-228
 
目的:研究M22优化脉冲光技术治疗睑板腺功能障碍(meibomian gland dysfunction,MGD)所致干眼的疗效,并用keratograph 5M干眼分析仪分析评估患者治疗前后病情变化。方法:收集汕头博德眼科医院门诊患者46例,年龄31~85(55.39±14.02)岁,行M22优化脉冲光治疗1个疗程(每月1次,共3次),治疗前后均采用keratograph 5M干眼分析仪分析评估患者泪河高度情况、泪膜破裂时间(break-up time,BUT)、脂质层、睑板腺情况的变化,采用t检验分析对比治疗前后 变化情况。结果:患者治疗后泪河高度较强脉冲光治疗前明显增高,由(0.20±0.11) mm增加到(0.35±0.11) mm,BUT时间延长,由(4.98±2.13) s延长到(10.12±1.86) s,脂质层异常情况好转,有效率达93.48%,睑板腺阻塞情况减轻,有效率达84.78%以上,治疗后与治疗前差异有统计学意义(P<0.01)。结论:M22优化脉冲光技术在治疗MGD导致的干眼有较好的效果,没有出现并发症,是较安全有效地治疗方法,且keratograph 5M干眼分析仪可以较全面的对该病进行评估。
Objective: To study the efficacy of M22 Optimal Pulsed Technology in the treatment of dry eye caused by meibomian gland dysfunction and to evaluate the changes of patients affer treatment with keratograph 5M dry eye analyzer. Methods: Forty-six patients collected from Shantou Balder Eye Hospital receiving M22 Optimal Pulsed Technology treatment for three times, once a month, then using keratograph 5M dry eye analyzer to assess the height of tears river, break-up time (BUT), lipid layer, and meibomian gland. The results before and affer laser treatment were compared using t-test in this study. Results: Affer treatment, there was signiffcant effect than those of before treatment, the BUT time was prolonged from (0.20±0.11) mm to (0.35±0.11) mm, the abnormalities of the lipid layer were alleviated, the cure rate exceeded 93.48%, and the obstruction of the meibomian gland was reduced, the cure rate was higher than 84.78%. TTe difference before and affer corresponding treatment was statistically signiffcant (P<0.01). Conclusion: M22 Optimal Pulsed Technology has a good effect in the treatment of MGD-induced dry eye without complications. So M22 Optimal Pulsed Technology is a safe and effective treatment method. And keratograph 5M dry eye analyzer can deliver comprehensive assessment of dry eye. 
中山眼科中心病例挑战专栏

4例具有挑战性且不寻常的视网膜病例临床精粹讨论

:232-239
 
      3位国际视网膜专家在中山眼科中心(Zhongshan Ophthalmic Center,ZOC)眼底病中心进行临床查房并讨论了4例具有挑战性且不寻常的视网膜病例:1)VHL病合并视网膜血管母细胞瘤的11年 随访观察;2)半剂量光动力疗法(photodynamic therapy,PDT)或微脉冲激光光凝治疗中心性浆液性视网膜病变(central serous chorioretinopathy,CSC)的观察;3)视神经缺陷儿童的诊断与治疗;4)合并虹膜晶状体脉络膜缺损的视网膜脱离(retinal detachment,RD)的治疗选择。通过讨论有助于我们更好地了解这四例视网膜疾病的发病机制和治疗方法,及其与全身疾病的关系。
临床病例讨论
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  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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