Objective To explore the clinical effect of eyelash valgus suture method in the treatment of senile entropion. Method From August 2016 to July 2020, the ophthalmology department of the People’s Hospital of Huaiyang County, Henan Province (now the Department of Ophthalmology, the First People’s Hospital of Zhoukou City, Henan Province) visited elderly patients with entropion of the eyelids, and other causes of lower eyelids were excluded. 69 cases (100 eyes) of senile lower eyelid varus diagnosed and treated with eyelash valgus suture method were followed up for 6 months to 1 year to observe the effect. Results All 69 cases (100 eyes) were successfully corrected at one time. After the operation, 66 cases (97 eyes) returned to normal position of the lower eyelid. There was no over- and under-feeling, and 3 cases (3 eyes) had mild blepharoplasty and compression. Bandage for 1-3 days and return to normal. The corneal irritation symptoms disappeared after the operation. During the follow-up period of 6 months to 1 year, there were no complications and no recurrence cases. Conclusion Eyelash valgus suture method for treatment of senile lower eyelid entropion is simple, easy to operate, safe and effective, patient satisfaction, low recurrence rate, and it is worthy of clinical application.

Purpose: To explore the clinical effect of cauterization in the treatment of fungal corneal ulcers. Methods: The author gave cauterization treatment to corneal lesions with repeated use of red-burning lancets or cauterizers and 2% iodine tincture to 49 patients (49 eyes) who were diagnosed with fungal corneal ulcers in the Department of Ophthalmology of the First People's Hospital of Zhoukou City from July 2016 to July 2023 after clearing the wound. Postoperative visual acuity, epithelial repair time, healing time, and other ocular conditions were observed. RESULTS: All 49 cases (49 eyes) were cured, of which 42 cases (42 eyes) were fixed by primary surgery and 7 cases (7 eyes) were cured by secondary surgery. Postoperative visual acuity was significantly improved compared with preoperative (p < 0.01), corneal epithelial repair time was 3-7 (3.90 ± 1.53) days, and the mean healing time of the affected eyes was 3-19 (5.5 ± 4.3). No recurrence was seen at 6 months of follow-up observation. Conclusion: Cauterization treatment of fungal corneal ulcers is a cost-effective treatment method, easy to operate and master, and suitable for promotion.

Objectives: To evaluate the clinical value of peripheral retinal diseases in myopic patients examined by 200-degree ultra-wide field laser ophthalmoscope (Daytona). Methods: This was a prospective case-control study. We collected 1 000 myopic patients (2 000 eyes) who were scheduled to undergo refractive surgery in Aier Eye Hospital. They were examined by 200-degree ultra-wide field laser ophthalmoscope (Daytona) with non-mydriasis and three-mirror contact lens with mydriasis. The examination results were recorded and statistically analyzed. Results: A total of 230 cases (310 eyes) with peripheral retinopathy were found by 200-degree ultra-wide field laser ophthalmoscope (Daytona). The positive rate was 15.50%; 242 cases (322 eyes) with peripheral retinopathy were found by three- mirror contact lens, and the positive rate was 16.10%. The two methods were consistent in the detection of peripheral Retinopathy in myopic patients (the Kappa value is between 0.8 and 1.0). Conclusion: 200-degree ultra-wide field laser ophthalmoscope (Daytona) is an effective and rapid method for detecting peripheral retinopathy. It provides a broad clinical application prospects for peripheral retinopathy screening before refractive surgery.

Effectively killing or reducing the number of ocular microbes before surgery is an important measure to reduce postoperative endophthalmitis. Both povidone-iodine disinfectant and tobramycin can effectively reduce the incidence of endophthalmitis after ophthalmic surgery. Through literature reports, the author comprehensively analyzes the control ability of povidone-iodine disinfectant and tobramycin eye drops and injection on the microscopy of conjunctival sac in ophthalmic surgery, and provides theoretical basis for preoperative preparation of ophthalmic surgery

Objective: To improve the professional skills and theoretical level of the nurses, a new training method was adopted in strabismus ward. Methods: The head nurse arranged a nurse to participate in medical team the director of the department for 3–4 months. The medical works that the nurse had to follow included coperative outpatient medical work with the doctors, clinical examination before strabismus surgery, making individual surgical plans, nursing rounds of wards after surgery, and regular theoretical training of the department. Results: After implementing the training method of strabismus specialist nurses, the trained nurses mastered the common examination methods for strabismus patients, and could analyse the relevant examination reports. The ability of the nurses’ professional work and consultative capacity were improved. Furthermore, the satisfaction of doctors and patients on nursing work was improved. Conclusion: The new training method of specialist nurses in strabismus ward exerts positive effect on clinical nursing work, which is worthy of application in clinical practice.

We reported a case of achromatic retinitis pigmentosa admitted to the hospital in January 2019. The patient was diagnosed by fundus fluorescein angiography because of poor vision, and no abnormality was found by routine ophthalmological examination and general examination. After fundus fluorescein angiography (FFA), a rare non-pigmented retinitis pigmentosa was finally diagnosed, which prevented misdiagnosis and missed diagnosis of the disease. For the patients without typical triad of retinitis pigmentosa, we should pay attention to missing the diagnosis in clinical practice. FFA can make a definite diagnosis of retinitis pigmentosa.

Fungal endophthalmitis is a disease which is a rare kind of interocular infection in clinic. Fungal endophthalmitis often results in severe visual impairment because of delayed diagnosis and limited effectiveness of antifungal drugs.Fungal endophthalmitis includes endogenous and exogenous endophthalmitis which is common and progresses rapidly. Postoperative infection is one of the common causes of fungal endophthalmitis. Trabeculectomy is an anti-glaucoma filtering operation, and it is one of the effective methods for glaucoma surgery at present. Glaucoma-filtering bleb infection is one of the complications of trabeculectomy, which can lead to severe visual impairment.In this article, we analyzed and discussed the risk factors, diagnosis and treatment methods about the filtering bleb-associated fungal endophthalmitis.

Objective: To explore the perioperative nursing methods of persistent pupillary membrane. Methods: In the perioperative period, 13 cases (15 eyes) with persistent pupillary membrane were given preoperative nursing care, psychological nursing, careful observation of the change of condition, safety nursing, continuous nursing and observation of its effect. Results: A total of 13 cases (15 eyes) with persistent pupillary membrane were successfully operated, among which 6 cases had improved postoperative visual acuity compared with preoperative visual acuity, and no postoperative complications occurred. The satisfaction rate of hospitalization was 92.3% (12/13). Conclusion: It is an effective nursing method to give psychological nursing, safety nursing and continuous nursing to children with persistent pupillary membrane in perioperative period.

Objective: To evaluate the effects of different anterior segment measurement devices on ocular biological parameters, so as to accurately predict intraocular lens (IOL) diopter in patients with congenital imperfect dislocation of lens (EL). Methods: A total of 105 eyes of 75 congenital EL patients from August 2020 to August 2022 were included in this study. All patients underwent lens subluxation operation and implanted Cionni's modified capsular tension ring (MCTR). The patients’ eye parameters were measured by optical coherence tomography (IOL Master 700, Carl Zeiss Meditec AG, Jena, Germany) and anterior segment analyzer (Pentacam HR System, Oculus Optikgerate GmbH, Wetzlar, Germany). To analyze the accuracy of different corneal curvature (K), the prediction errors of SRK/T, Haigis and Wang-Koch (WK) correction formulas were compared. Results: The K value obtained by IOL Master was significantly greater than that measured by Pentacam, which resulted in more significant farsighted drift when calculated using SRK/T formula. The IOL diopter number calculated using Pentacam's total corneal diopter (TCRP) was shown to have the highest accuracy, indicating that TCRP is closest to the actual diopter of the cornea. However, in some special patients with long ocular axes, it is better to use the TCRP measured by the IOL Master when using the WK-adjusted Haigis formula. Conclusions: In most cases, TCRP is the best choice for K value when calculating IOL diopter in EL patients. However, TCRP measured by IOL Master was more appropriate for patients with long AL using WK-adjusted Haigis formula.