调节是人眼非常重要的功能，通过调节能随时改变人眼屈光系统的光学参数，与眼屈光不正及老视都有着密切的关系。测量眼调节力的常用方法分为主观测量法和客观测量法。主观测量法以移近移远法、负镜片法为代表。客观测量法以动态视网膜检影法和自动屈光仪法为代表。本文就调节力测量方法、测量准确度和调节力的最新研究进展进行综述，为眼科临床研究和应用提供选择依据。
Accommodation is an important function of the human eye, which can change the parameters of ocular refractive system and also has a strong correlation with the development of myopia and presbyopia. Several subjective measurements have been applied in accommodation assessment such as push-up test, push-down test and minus-lens procedures. It can be measured objectively by measuring the change in refraction of the eye with dynamic retinoscopy or autorefractor. This article reviews the application of measurement of accommodative amplitude and research progress in accommodation, providing clinical information for further studies．
目的：探讨老年性糖尿病性白内障患者治疗及延续护理的措施。方法：对2014年1月～2014年12月142例老年性糖尿病性白内障患者随机平均分为A组和B组，A组接受常规的出院指导；B组接受常规的出院指导及加强延续护理，根据老年性糖尿病性白内障患者 的具体情况制定护理措施 (眼部的护理、用药指导、饮食护理、心理护理、自我监测指导、定期随访及复查等内容)，并进行跟踪处理。结果：实施延续护理一年后的患者，体重、空腹血糖、餐后2 h血糖与未实施延续护理的患者相比，差异有显著意义 (P＜0.05)。结论：护士对老年性糖尿病性白内障患者及家属进行用眼和糖尿病相关的知识宣教、针对性的心理护理、药物治疗护理及日常生活指导等，老年性糖尿病性白内障患者的遵医率提高，减少了因疾病而对生活工作的影响，生活质量有不同程度的提高。
Purpose: To explore the treatment and continuing nursing of patients diagnosed with senile and diabetic cataract．Methods: In total, 142 patients diagnosed with senile and diabetic cataract admitted to Zhongshan Ophthalmic Center from January to December 2014 were randomly assigned into groups A and B. In group A, patients received conventional instruction after discharge, and those in group B additionally received continuing nursing care after discharge including ocular nursing, use of anti-diabetic drugs, psychological nursing, diet nursing, self-monitoring guidance, re-examination and regular follow-up according to the patients’ conditions．Results: After one year of continuing nursing care, visual acuity of patients in group B was increased without complications. Body mass index, the fasting and 2h postprandial plasma glucose, and the systolic and diastolic blood pressure were decreased significantly compared with those in group A (all P＜0．05)．Conclusion: Continuing nursing care, including knowledge education related to ocular use and diabetes mellitus, targeted psychological nursing, medication nursing and daily life guidance, play a pivotal role in enhancing the compliance rate of the patients, reducing the influence upon work and life and enhancing the quality of life to varying extent．
总结20例高度近视固定性内斜视的护理经验。认为术前做好心理护理及自我护理管理教育；术后做好眼部的观察和护理，密切观察眼部症状，及时处理并发症，详细做好出院宣教及电话回访，是保证治疗效果，预防并发症，提高患者生活质量的关键。
To summarize the nursing experience of 20 cases of high myopia complicated with fixed esotropia. Before surgery, psychological nursing and self-care education were necessary. After the operation, ocular symptoms and complications should be closely observed and treatment in a timely manner. Explicit instructions after discharge and telephone follow-up played a pivotal role in improving clinical efficacy, preventing complications and enhancing patients' quality of life．
目的：总结了日间病房收治 8 例板层角膜移植手术的管理及其效果。方法：回顾分析8例日间病房模式下行角膜移植手术患者的工作流程和病历资料。结果：8例患者术后恢复理想，其中1例真菌性角膜溃疡的患者术后2个月感染复发行常规住院治疗。结论：板层角膜移植日间病房模式的管理重点包括详细制定并不断完善工作流程，对患者入选条件、术前后护理、出院后随访这些关键环节进行质控，并简化护理文书、加强心理护理和医护合作，提高工作效率。
Purpose：The management and efficacy of lamellar keratoplasty of 8 patients in day-care unit were summarized．Methods：The work flow and medical record of 8 cases undergoing corneal transplantation in day-care unit were retrospectively analyzed．Results：Eight patients were fully recovered．One case with fungal keratohelcosis was re-infected at postoperative 2 months and hospitalized．Conclusion：During lamellar keratoplasty in day-care unit, the work flow should be explicitly established and modified. The quality of patient selection, preoperative and postoperative nursing, follow-up after discharge should be carefully assured．In addition, nursing paperwork should be simplified, psychological nursing should be strengthened, and doctors and nurses should cooperate closely to enhance work efficiency．
目的：探讨人文关怀护理对提高眼科专科病房护理质量及病人满意度的效果。方法：建立人文关怀护理模式，优化环境，细化工作流程，注重护士人文关怀技能的培养，应用多元化的宣教工具，实施全程、连续、无缝隙的责任制护理。结果：人文关怀护理措施落实，护士沟通能力提高，转变过去的被动服务为主动服务，护理的质量及患者满意度明显提高，零差错，零投诉，患者满意度为99％。结论：将人文关怀护理体现在临床护理工作中才能给患者提供高品质的护理。
Purpose：To discuss the role of humanistic nursing care in improving the nursing quality and patients' degree of satisfaction in ophthalmic ward．Methods：A mode of humanistic nursing care was established，hospital environment was improved and work flow was arranged in details．Nurses received professional training of humanistic care skills．By using multiple educational approaches，nursing care with responsibility system can be delivered in a continuous and seamless manner．Results：The measures of humanistic nursing care were fully implemented．The nurses' communication ability was improved and the nurses worked more actively. The quality of nursing and patients' degree of satisfaction (99％) were equally significantly improved．No mistake occurred and no complaint was received from the patients．Conclusion：Proper application of humanistic care in clinical nursing provides high-quality nursing for patients．
目的：总结了角膜胶原交联术治疗圆锥角膜的护理及其效果。方法：回顾分析30例（31眼）角膜胶原交联术患者术前术后护理记录及病历资料。结果：30 例（31眼）患者病情得到控制，术后恢复理想，术后一个月复查视力都有提高。结论：角膜胶原交联术护理重点在于术前协助患者完善各项检查、相关健康知识宣教及有效的心理护理，术后严密观察病情变化、减轻病人痛苦、预防感染及促进角膜上皮修复治疗。
Purpose：To summarize the nursing experience and clinical efficacy of corneal collagen cross-linking in treating keratoconus．Methods：Preoperative and postoperative nursing and medical record of 30 patients (31 eyes) undergoing corneal collagen cross-linking were retrospectively analyzed．Results：The the severity of diseases in all 30 patients (31 eyes) was properly controlled．All cases were fully recovered．The visual acuity at postoperative one month was improved in all cases．Conclusion：assistance in terms of preoperative examination，education of health knowledge and effective psychological nursing play a pivatol role in the nursing before and after corneal collagen cross-linking．Following surgery，postoperative changes in the the severity of diseases should be strictly observed. Much attention should be diverted to ease patients' pain，prevent infection and accelerate the healing of corneal epithelium．
Professor Yuan Jin from Zhongshan Ophthalmic Center (ZOC) affiliated with Sun Yat-sen University has recently won the “Grand Challenge 2015 Young Scientist” award in “2015 Innovation Challenge Annual Meeting” held in Beijing. The meeting is organized by the Ministry of Science and Technology of the People Republic of China (MOST), the Bill & Melinda Gates Foundation in the United States and the US Agency for International Development. The journal Eye Science (ES) is the official publication of ZOC, sponsored by Sun Yat-sen University.
Professor Yuan Jin from Zhongshan Ophthalmic Center (ZOC) affiliated with Sun Yat-sen University has recently won the “Grand Challenge 2015 Young Scientist” award in “2015 Innovation Challenge Annual Meeting” held in Beijing. The meeting is organized by the Ministry of Science and Technology of the People Republic of China (MOST), the Bill & Melinda Gates Foundation in the United States and the US Agency for International Development. The journal Eye Science (ES) is the official publication of ZOC, sponsored by Sun Yat-sen University.
