RESULTS: All the 87 eyes of corneal descemet membrane detachment were treated with gas injection to anterior chamber, and had obvious curative effects.

CONCLUSION: Early detection in operation, proper and prompt treatment are the key factors for prevention of postoperative complication and gaining good vision recovery.]]> Jie-Han Chen and Guo-Sheng Dai 2142true METHODS: Fifty-three eyes diagnosed with fungal keratitis were treated with the local shallow ‘slope type flap appearance' lamellar corneal excision.

RESULTS: In 53 patients 53 eyes, 48 eyes corneal epithelial were basically healed in 3 to 10 days after operation. It cost an average of 6.6±3.4 days for repairing corneal epithelial, and the time for anterior chamber inflammation and artial flash was 20.2 ±15.1 days, visual recovered≥0.05. The pre-operative visual acuity compared with post-operative visual acuity, it showed significant differences(t=10.40, P<0.01).

CONCLUSION: It is an effective method of local shallow ‘slope type flap appearance' lamellar corneal excision treatment for fungal keratitis.]]> Li Xu and Yan-Hua Sun 2141true METHODS: There are 5 cases 6 eyes with mooren's ulcer, margin corneal degeneration, herpes simplex keratitis or corneal dermoid tumor. DLKP with or without scleral ring transplantation were taken in these patients, and a retrospective study was made. All patients were followed up for 18 months. The postoperative complications, postoperative vision, the transparency of tissue lens were observed.

RESULTS: Their visual acuities were HM/10cm -0.06 preoperatively. In the follow-up, the best-corrected visual acuities of 5 eyes improved obviously, ranging in 0.2-0.5. One eye had moderate turbidity, its visual acuities(0.05)slightly improved.

CONCLUSION: DLKP is effective and safe for keratopathy, and easy be performed in primary hospital.]]> Bin Wang and Chang-Bing Li 2140true METHODS: Totally 79 eyes from 67 cases(age≥80 years old)of age-related cataract during Vision Action were involved in this study, for whom middle incision cataract extraction combined with intraocular lens implantation was performed. Visual acuity, intraocular pressure, complications and clinical signs were followed up for 1 month and analyzed.

RESULTS: Postoperatively, 42 eyes(53.2%), 63 eyes(79.7%), and 69 eyes(87.3%)got visual acuity better than 0.3 on 1 day, 1 week, and 1 month post operation respectively. And no significant change was found for intraocular pressure between pre- and post operation. Posterior capsule rupture occurred in 4 eyes during surgeries, and iridodialysis in 1 eye. And corneal edema and anterior chamber flare almost disappeared in about 1 week post operation.

CONCLUSION: Middle incision cataract extraction is safe and effective for aged cataract patients during Vision Action, and could be master in short term.]]> Shi-Tou Lü,Bao-Yun Li,Yan Tang,Qiong Li and Xiao-Yong Yuan 2139true METHODS:Totally 48 cases of the cataract patients who were admitted to our hospital between March of 2010 and December of 2011 were chosen as treatment group to be treated with phacoemulsification. Another 48 cataract patients in our hospital during the same period were chosen as control group to be treated with traditional phacoemulsification.

RESULTS: The total efficiency of the treatment group was obviously higher than that of the control group, and the difference was statistically significant(P<0.05).

CONCLUSION: The therapeutic results of phaco-emulsification for cataract have significant effect and are worthy of promotion.]]> Jian-Jun Song 2138true METHODS: Patients were divided into two groups randomly, with 172 eyes of 166 cases in group A and 180 eyes of 175 cases group B, topical anesthesia cataract extraction with small incision non-phacoemulsification or phacoemulsification combined with intraocular lens implantation was performed in the two groups, respectively.

RESULTS: There was no significant difference in postoperative visual acuity and corneal astigmatism between the two groups(P>0.05), and no significant difference in the postoperative complication rate between the two groups(P>0.05).

CONCLUSION: Cataract extraction with small incision is a feasible, effective and recommendable approach for cataract surgery.]]> Long-Ting Jin and Li Sun 2137true METHODS:This study evaluated 62 eyes of 41 patients with myopia and cataract who received phacoemulsification combined the foldable intraocular lens implantation, and the intraoperative and postoperative complications, postoperative visual acuity were observed. The follow-up time was from 1 month to 6 months, average 3 months.

RESULTS: Posterior capsule rupture postoperatively occurred in 3 eyes and no other intraoperative complications. The first day after surgery, the uncorrected visual acuity of <0.1 were in 7 eyes(11%), 0.1≤visual acuity<0.5 in 42 eyes(68%), visual acuity≥0.5 in 13 eyes(21%); follow-up 3 months, the uncorrected visual acuity <0.1 were in 4 eyes(6%), 0.1≤ visual acuity<0.5 in 40 eyes(65%), visual acuity≥0.5 in 18 eyes(29%). The best-corrected visual acuity <0.1 were in 2 eyes(3%), 0.1≤visual acuity<0.5 in 36 eyes(58%), visual acuity≥0.5 in 24 eyes(39%), in the follow-up posterior lens capsule opacity was in 3 eyes(5%), without retinal detachment, choroidal detachment and macular edema.

CONCLUSION: It is safe and effective for high myopia with cataract to implant a foldable intraocular lens after phacoemulsification.]]> Li-Jun Ji,Ji-Bing Yu,Jing-Ying Sun and Fang Huang 2136true METHODS: In a randomized controlled clinical trial, 148 eyes 132 patients were divided randomly into two groups, the base in limbus of cornea conjunctival flap(group A)was 64 cases(72 eyes)and base in fornex(group B)was 68 cases(76 eyes). The follow-up time was 6-12 months to observe intraocular pressure, filtering bubble, anterior chamber depth and intraoperative and postoperative complications.

RESULTS: No statistically significant difference of the two modes of conjunctival flap on the postoperative success rate and postoperative IOP. The fornix base conjunctival flap(group B)can get a better bleb. Limbal base conjunctival flap(group A)showed more complications, such as late bleb leakage, hypotony.

CONCLUSION: The basement by the fornix conjunctival flap(group B)is better than the limbal base conjunctival flap(group A).]]> Yun-Cui Cheng and Feng Qiao 2135true METHODS: Thirteen consecutive patients with acute PACG were recruited into the study. Each patient received oxybuprocaine(4g/L), and double frequency 532 LPI immediately. The intraocular pressures(IOP)of 15 minutes, 30 minutes and 60 minutes after double frequency 532 LPI were documented.

RESULTS: The mean IOP of this group of patients was reduced from 60.6 ±8.8mmHg(1kPa=7.5mmHg), before double frequency 532 LPI to 37.4 ±7.3mmHg in 15 minutes, 26.2±6.6mmHg in 30 minutes, and 17.1±5.3mmHg in 60 minutes after LPI. The cornea edema patients cleared up, no serious complications.

CONCLUSION: Double frequency 532 LPI in the treatment of PACG is safe, effective, and can be used for treatment of first choice.]]> Chun Shi,Xiu-Duo Liu and Jian Ying 2134true METHODS:For 25 glaucoma patients 26 eyes whose intraocular pressure was still abnormal after full antihypertensive treatment, the anterior chamber puncture was performed to release aqueous, then the patients underwent the trabeculectomy, the efficacy and complications were observed.

RESULTS: All operations were successfully completed,without choroidal hemorrhage, vitreous loss or other serious complications, postoperative intraocular pressure was ≤21mmHg, and postoperative visual acuity improved in 25 eyes, the total efficiency was 96.2%.

CONCLUSION:Treatment of glaucoma with trabeculectomy is safe, simple, and reliable. And for the glaucoma with uncontrolled persistent ocular hypertension, release of aqueous and then trabeculectomy is still the most effective, ideal technique.]]> Jie Wang 2133true METHODS: Totally 130 cases 130 eyes of BRVO were randomly divided into control group and treatment group. The control group was treated by 532nm laser retinal laser photocoagulation, treatment group was treated by 532nm laser retinal photocoagulation combined with compound anisodine with local blocking. Observation of 3 months after treatment in two groups of patients with visual function and the changes of fundus fluorescein angiography(FFA)examination of retinal circulation.

RESULTS: Combined compound anisodine treatment group compared with simple laser treatment control group, the difference was statistically significant in improved visual acuity(P=0.02<0.05). Direct ophthalmoscopy and FFA examination revealed that the retinal hemorrhage absorption, the degree of macular edema reduction, capillary nonperfusion area disappearance, and no new blood vessel formation in the treatment group were better than those in control group.

CONCLUSION: Double frequency Nd:YAG 532nm laser combined with compound anisodine in treatment of BRVO after 3 months, the visual function and FFA was significantly better than that of 532nm laser treatment.]]> Qing-Sheng Yu,Li-Xia Lin,Ying Niu,Ju-Hua He,Yang Fan and Yu-Cai Qi 2132true METHODS: Sixty-four cases of allergic conjunctivitis were divided into treatment group(32 cases)and control group(32 cases), two groups had no significant difference in age, sex, clinical situation and causation of disease(P >0.05). Autologous serum subconjunctival injection was used in the treatment group, one time a week, four times in one course of treatment. Olopatadine was used in control group, two times a day.

RESULTS: After four weeks treatment, the cure rate in treatment group and control group was 84.4% and 90.6%, respectively.The difference between the two groups was not statistically significant(χ²=0.571, P>0.25).

CONCLUSION: Treating allergic conjunctivitis with autologous serum subconjunctival injection has the same therapeutic effect as olopatadine.]]> Xiu-Wu Tang,Jin-Hua Li and Yu-Huan Qu 2131true METHODS:Clinical data of 62 cases with vitreous hemorrhage caused by various reasons were retrospective analyzed.

RESULTS: The patients with vitreous hemorrhage caused by injury were 11 cases, accounting for 18%(11/62). High myopia, hypertension, diabetes and other causes of retinal lesions resulting in vitreous hemorrhage were 51 cases, accounting for 82%(51/62).

CONCLUSION: The image is clear by using ultrasound diagnosis of vitreous hemorrhage, which plays a supporting role to clinical treatment options and prognosis monitoring, at the same time it can observe the changes of vitreous hemorrhage before and after treatment to provide clinical practical value.]]> Li-Xia Ma and Yan Ma 2130true METHODS: Sixteen anophthalmic patients(16 eyes)after ophthalmectomy received early secondary orbital implant insertion of hydroxyapatite. The cause, time, future, effect and complications of the operation were analyzed retrospectively. Patients were follow-up for 10(ranged 6 to 13)months.

RESULTS: Severe ocular trauma combining contaminative tissue or sporadic foreign bodies of fossa orbitalis, severe endophthalmitis, ocular tumor, transferring from other hospital were the main causes of the operation of early secondary orbital implant insertion of hydroxyapatite. Sixteen patients received this operation successfully at the 12(ranged 7 to 15)day. All patients had a good cosmetic result and prosthetic motility. There were no complications of implant infection, exposure or extrusion, ptosis in all patients except for bulbar conjunctiva and conjunctival cyst in one patient respectively.

CONCLUSION: Procedure and effectiveness of early secondary orbital implant insertion of hydroxyapatite is similar to one - stage operation. It is safe and effective under the condition of selecting patient reasonably and perfect operation skill.]]> Bo Zeng,Xiong Zhou,He-Zheng Zhou and Xiu-Mei He 2129true METHODS: Totally 81 cases, 83 orbits with orbital disease were reviewed retrospectively. First, the prevalence situation was statistically classified. Then, the prevalence situation of orbital disease and new characteristics was analyzed.

RESULTS: Injuries of the orbit were found in 15 of 83 orbits(18%), space-occupying lesions were 56 orbits(67%),the others were 12 orbits(14%). In the space-occupying lesions, there were 3 orbits with inflammation(4%), 14 orbits with cyst(17%), 19 orbits with primary tumor(23%), 19 orbits with secondary tumor(23%), 1 orbit with the others(1%). 47 orbits were benign lesion(57%), 21 orbits were malignancy lesion(25%), 15 orbits were injuries of the orbit(18%).

CONCLUSION: The benign lesions are predominant in children patients with orbital disease, injuries of the orbit were worth to attention in clinic.]]> Ming-Yu Ren and Hong Zhao 2128true METHODS: Fifty-nine patients(60 eyes)with pterygium were randomly divided into 2 groups: group A accepted simple pterygium excision in 27 patients(27 eyes); group B accepted pterygium extended excision with corneal limbal stem cells autograft transplantation in 32 patients(33 eyes), then the recurrence rate, epithelial healing time of postoperative wound on cornea, and tear function were compared.

RESULTS: All the patients were followed up for 15-25(18±3.6)months, 8 eyes(30%)recurred in group A and 2 eyes(6%)in group B, the average epithelial healing time of postoperative wound of group B was shorter than that of group A, the tear film break-up time prolonged, there were statistical significant differences between two groups.

CONCLUSION: It is effective and safe that pterygium extended excision with corneal limbal stem cells autograft transplantation. It has low recurrence, causes less discomfort, take less time and helps wound surface to heal quickly.]]> Xue-Ping Wang 2127true METHODS: A total of 120 cases 120 eyes underwent pterygium surgery were divided into 2 groups randomly, group A(pterygium excision with limbal stem cell transplantation)and group B(pterygium excision with amniotic membrane transplantation). The incision condition of the wound margin of conjunctiva and corneal were observed everyday by slit lamp microscope on the first week after pterygium surgery, and the growth of transplantation, with or without infection and corneal epithelium repair and corneal growth of new blood vessels also were observed everyday by slit lamp microscope on the first week after pterygium surgery. Naked visual acuity, corneal curvature and corneal astigmatism were measured and compared in preoperative 2 weeks, postoperative 3 weeks.

RESULTS: In group A and B, the results of naked visual acuity, corneal curvature and corneal astigmatism in postoperative 3 weeks were different to that of preoperative with statistical significance(P<0.05). While the changes in postoperative 3 weeks had no statistical significance difference between two groups(P >0.05).

CONCLUSION: The surgery for pterygium can change the corneal refraction. Both pterygium excision with limbal stem cell transplantation and pterygium excision with amniotic membrane transplantation can decrease astigmatism degree and improve visual acuity. We should choose the operation method according to the patient's condition.]]> Ling Li and Hui Yue 2126true METHODS: Totally 48 eyes of primary pterygium, a special metal ring was placed on the head of pterygium under local anesthesia, which filled with 200ml/L alcohol in metal ring, 40-60 seconds later, adequate flushing with saline, then peeled and cleaned up the degenerative organization of pterygium using a special curette, transplanted an autologous conjunctival flap with corneal limbus.

RESULTS: Follow-up one week to one year, postoperatively 48 eyes had good operative effect, smooth and clean in operation location, complete tissue construction, little scar and less astigmatism than preoperative.

CONCLUSION: The peeling operation of pterygium aided alcohol soak is a safe, effective method.]]> Lie Ma,Fang Liu and Li-Ping Gu 2125true METHODS:Clinical data of 137 cases(138 eyes)with ocular trauma in our hospital were reviewed; injured causes, time, place and time of get hurt by species, kind, and complications of injury classification and operation method, eyesight before and after treatment were recorded. Vision < 0.1 as the poor standards of prognosis was compared with visual acuity ≥0.1 group. The difference in vision between before and after treatment was analyzed.

RESULTS:The gender ratio of 137 cases of ocular trauma was 6.61:1, with 19-49 years old for young adults, with an average age of 33.28 years. The first cause of injury was metal implements, the second was wood. 90 cases(90 eyes)underwent second stage surgical treatment, accounting for 65.2%. There were 34 cases(34 eyes)accepted the vitrectomy, the best-corrected visual acuity(BCVA)≥0.5 in 31 cases(31 eyes)6 months after surgery, accounting for 22.5%, BCVA≥ 0.1 in 77 cases(77 eyes), accounting for 55.8%. Constituent ratio of visual acuity before and after treatment had statistically significant difference. The visual acuity were markedly improved after treatment(the Chi-square=137.40, P=0.000). 1 case of explosion hurt patient's 1 eye performed eye excision.

CONCLUSION: Ocular trauma in undeveloped areas accords with international ocular trauma in epidemiological characteristics, and has its own characteristics. Positive first phase treatment and second phase vitrectomy can effectively improve the postoperative BCVA, reduce the complications and improve the quality of life for ocular trauma patients after injury.]]> Chang-Tao Hu,Yong-Qin Chen,Li-Jun Chen,Li-Rong Yang and Tao Zhou 2124true METHODS:Clinical materials of 15 cases 17 eyes with chronic dacryocystitis after dacryocystorhinostomy under nose endoscope were reviewed.

RESULTS:Of all patients, 13 cases 15 eyes were cured and 2 cases 2 eyes were improved. The total treatment effectiveness was 100%.

CONCLUSION:Dacryocystorhinostomy under nose endoscope is an effective and reliable treatment method for chronic dacryocystitis.]]> Sheng-Ming Tang 2123true in stiu keratomileusis(LASIK)for myopia and astigmatism.

METHODS: Totally 48 cases 96 eyes with myopia were measured before and one month after LASIK, with auto refractor(TOPCOON)objectively, girdle-shaped scissors-shadow scope and subjectively trial lens. The data obtained were statistically analyzed.

RESULTS: Both spherical power and astigmatism results of three measurements had no statistical difference preoperatively(F=4.32, P=0.69; F=0.57, P=0.57). Postoperatively, refraction test with girdle-shaped scissors-shadow scope and trial lens had no statistical difference(P=0.68; P=0.15). But refraction with auto refractor had statistical difference with the tests with the first two methods(P=0.00).

CONCLUSION: Preoperatively, the objective refraction with an auto refractor is approximate to the retinoscopy optometry and the subjective refraction. The postoperative objective refraction with an auto refractor is less accurate than that preoperatively. It is not sufficient to determine the accurate value of the ametropia. Cycloplegic dioptoscopy can get a relative accurate diopter values after LASIK.]]> Hai Huang,Xue-Wen Huang and Xu-Min Wen 2122true METHODS:Totally 112 eyes of 56 patients who have undergone LASEK in our hospital from May 2011 to August 2011 were divided into experimental group(use of pranoprofen)and control group. Corneal irritation and healing of epithelium between these two groups were compared and observed.

RESULTS: Corneal irritation in the study group was much better than that of the control group on 1-day and 3-day after operation. However, there was no obvious difference in the healing of the epithelium.

CONCLUSION:Pranoprofen eyedrops can significantly alleviate corneal irritation after LASEK, and will not affect the healing of epithelium, nor increase the ratio of secondary ocular hypertension.]]> Lin Pang,Li-Xia Guo,Ji Li,Ya-Juan Zhang and Jian-Jun Pang 2121true METHODS: Seventeen adult patients with clinical diagnosis of horizontal strabismus were enrolled to our study, including 19 eyes and 36 extraocular muscles. There were 10 males, 7 females, aged from 18- 71, with an average age of 32.65; 14 exotropia cases(8 males, 6 females), 3 esotropia cases(2 males, 1 female). All of the patients had the examination of best-corrected visual acuity(BCVA), slit-lamp microscope, indirect ophthal-moscopy, fluorescein and synoptophore. A professional anesthesiologist conducted the whole closely monitoring by using monitor during the operation. The changes of ECG, respiration, oxygen saturation and blood pressure between preoperative and intraoperative were comparatively analyzed with local anesthesia monitoring, the differences of medial and lateral rectus, different gender and different age group were compared.

RESULTS: There were 36 extraocular muscles pulled of the 17 cases adult horizontal strabismus in local anesthesia care, the incidence of oculocardiac reflex was 86.1%; pulling medial and lateral rectus, the positive rates of oculocardiac reflex were respectively 100% and 72.2%. Oculocardiac reflex had no statistical differences in different gender. The positive rates of oculocardiac reflex were significantly higher in 18-30 years than that of 31-71 years. Intraoperative respiratory frequency increased with oculocardiac reflex synchronization, but unrelated with pulling the rectus, gender and different age groups. No significant changes in oxygen saturation. Blood pressure appeared a transient increase at the beginning of the operation, a transient decrease when first pulling the rectus, there was no obvious difference in gender and age.

CONCLUSION: In local anesthesia care of adult horizontal strabismus operation, the oculocardiac reflex had a high incidence, pulling medial rectus occurred 100%; respiratory increased with oculocardiac reflex synchronization; blood pressure increased at the beginning, while decreased with pulling the rectus.]]> Yi-Zhou Sun,Kai-Bo Yang,Yi-Fan Zhong,Lei Chen and Han-Qiang Liu 2120true METHODS: Totally 186 patients(272 eyes)with refractive errors in children with amblyopia were randomly divided into three groups: hypermetropic, myopic and astigmatic amblyopia. And degree of amblyopia and therapeutic effect of age were compared. Treatment included wearing the appropriate glasses, cover the eye, or alternately covered with fine eyesight job training and amblyopia treatment instrument applications.

RESULTS:The basic cure rate in patients with hyperopic amblyopia was the highest(78.5%), myopic amblyopia(64.6%), astigmatism amblyopia(52.6%), there was significant difference(P<0.05). The treatment effect of hyperopic amblyopia, mild amblyopia, and age of onset of amblyopia was good(P<0.05).

CONCLUSION: The results of treatment are associated with types of refractive error. These data show that therapeutic effect is correlated with refractive status, degree of amblyopia and age.]]> Shi-Yuan Chen,Zhi-Yu Wang and Ai-Yun Shi 2119true METHODS:Totally 2000 cases 2 278 eyes from August 2005 to June 2011 in our hospital after cataract surgery were retrospectively analyzed. The patients were followed up for 3 months to 3 years. The vision, after-cataract and the fundus condition were recorded.

RESULTS: The last postoperative follow-up: the best-corrected visual acuity was≥0.05 in 2 257 eyes(visual recovery rate 99.08%); ≥0.3 in 2 098 eyes(the demaimed rate 92.10%). During follow-up visual acuity decreased in 392 eyes, of which after-cataract was in 278 eyes, fundus disease in 107 eyes, postoperative delayed uveitis in 5 eyes, ocular trauma in 2 eyes.

CONCLUSION: Corneal astigmatism after cataract surgery, after-cataract and fundus disease are main reasons of visual function damage. Postoperative delayed uveitis is worth paying more attention. In poor and backward area, the ophthalmologists should also publicize the related prevention and control knowledge to patients with diabetes and hypertension.]]> Shao-Wu Yang,Hong-Bin Tang,Guang-Sheng Gao,Xin Gao,Yan Wang and Jie Hu 2118true METHODS:Twenty-one cases 21 eyes with traumatic cataract underwent cataract extraction and intraocular lens(IOL)implantation, and intraoperatively, anterior vitrectomy was performed for the children.

RESULTS: Following up for 6-24 months postoperatively,the visual acuity was <0.12 in 4 cases(19.0%), 0.15-0.3 in 9 cases(42.9%), ≥0.5 in 6 cases(28.6%), eyes without cooperation in 2 cases(9.5%).

CONCLUSION: Anterior vitrectomy in the children with traumatic cataract can make a significant reduction of complications and improve visual function.]]> Bing Qin 2117true METHODS: The retrospective studies on postoperative effects were conducted in 52 cases 52 eyes of lens subluxation using appropriate surgical method according to the disease.

RESULTS: With 6 months' follow-up, visual acuity improved and no complication was found in all cases.

CONCLUSION: Although the eye conditions are poor in patients of traumatic cataracts with lens subluxation, satisfactory therapeutic effects can be achieved if appropriate combined operations are adopted according to the comprehensive analysis of the conditions.]]> Zhi-Qiang Tang,Da-Jing Li and Wu-Feng Zhang 2116true METHODS: The ways how to deal with the IOL with broken loop during the surgery of twenty-five patients twenty-five eyes from March 2006 to May 2011 were reviewed and summarized: one way was that IOL with broken loop were implanted into capsules(twenty-three eyes), another way was that IOL with broken loop were replaced in surgery or after operation(two eyes).

RESULTS: From the twenty-five eyes, one IOL with broken loop was replaced in surgery, one IOL with broken loop was replaced the third day after operation because of the serious dislocation downwards, the rest were on their locations; one month after operation eight eyes had best-corrected visual acuity with spectacles of 0.8-1.0, fourteen eyes were 0.5-0.8, only one eye was 0.2(combining with diabetic retinopathy), all were on their locations; six months after operation fifteen eyes were on their locations.

CONCLUSION: Most of IOLs with broken loop would neither dislocate nor affect the increase of visual acuity if they are implanted to suitable location in capsule, it is one of choice to deal with the emergency.]]> ,Fulati·Abudureyimu,Gang Liu and Yan-Li Qin]]> Yong Sun,,Fulati·Abudureyimu,Gang Liu and Yan-Li Qin 2115true METHODS: The LPI was performed on 21 cases 21 eyes with acute primary angle-closure glaucoma in preclinical stage and 15 cases 15 eyes with chronic primary angle-closure glaucoma in early stage. The central anterior chamber depth, anterior chamber angle and intraocular pressure(IOP)were observed postoperatively. All cases were followed up for 1 year.

RESULTS: The central anterior chamber depth was significantly increased, the anterior chamber angles were wider, and the IOP was significantly decreased postoperatively in all cases. But 1 year after operation among patients with chronic primary angle-closure glaucoma in early stage, the central anterior chamber depth became thinner and the IOP increased, 3 cases needed topical anti-glaucoma drops to control their IOP, 1 case was performed filterable operation after no use of drug therapy to control their IOP.

CONCLUSION:LPI is an effective method to treat acute primary angle-closure glaucoma in preclinical stage, but it is need to pay attention to choice of indications in chronic primary angle-closure glaucoma in early stage. In order to avoid further damage on visual function, all cases which were performed LPI need close follow-up.]]> Qiong Ding,Rong-Qiang Tan,Chun-Chang Zheng,Lin-Bin Wu,Jia-Cheng Zhou and Cheng Zheng 2114true METHODS: Totally 94 cases 102 glaucoma eyes underwent Ahmed valve implantation.Neovascular glaucoma eyes were treated with retinal photocoagulation 1-2 weeks after operation. Patients were followed up for over a six-month period.

RESULTS: The mean intraocular pressure(IOP)was lowered from 48.52±6.42mmHg preoperatively to 11.20±3.34mmHg postoperatively. Compared with preoperative IOP, the IOP at each period after surgery was significantly lower(P<0.01). Complete success was achieved in 96 eyes and there was qualified success in 2 eyes. The total success rate was 96.1%. Some of the complications were transient hyphema, early post-operative hypotony, and a transient shallow anterior chamber.

CONCLUSION: AGV implantation is a new and effective technique in glaucoma.]]> Xia Li,Qing-Song Wu and Jia-Zhang Li 2113true METHODS:The cases with PDR which need more times surgery after vitrectomy were retrospectively analyzed in 3 years.

RESULTS: Twenty-six eyes(13.8%)of 24 cases needed more times surgery in 189 eyes. Of those 26 eyes, 3 eyes had vitreous hemorrhage again, 1 eye had hyphema, 11 eyes(5.8%, 3 eyes accompanied by neovascular glaucoma)had retinal detachment which occupied 42.3% of reoperation eyes, 6 eyes(3.2%)had cataract extraction, 5 eyes had pure silicon oil removing. 6 eyes(3.2%)of 189 eyes happened neovascular glaucoma. Every glaucoma eye accompanied by cataract extraction. 19 eyes had two times surgery, 7 eyes had three or more operations(5 eyes combining with retinal detachment).

CONCLUSION:Retinal detachment is the main cause for the reoperation after vitrectomy for PDR. Three or more times surgery may be needed if retinal detachment occurred after vitrectomy. It is worth paying more attention to neovascular glaucoma. Appearing retinal detachment must be on the alert and cataract extraction must be careful.]]> Jie-Mei Liu,Zhong-Ning Huang,Dong-Ming Yin,Qian-Li Meng and Liang Zhang 2112true METHODS: Totally 93 cases with severe PDR were randomly divided into 2 groups. Group 1 were treated with PPV + membrane peeling +panretinal photocoagulation +focal or grid macular laser. Group 2 were treated with panretinal photocoagulation + focal or grid macular laser. Follow-up was at least 12 months.

RESULTS: At postoperative one year, visual acuity in group 1 improved in 12 eyes(27.9%), unchanged in 11 eyes(25.6%), decreased in 20 eyes(46.5%). In group 2, visual acuity improved in 14 eyes(28.0%), unchanged in 24 eyes(48.0%), decreased in 12 eyes(24.0%). The percentage of improvement in 2 groups has no statistical significant difference, whereas the stabilized and worsened eyes in group 1 and group 2 were significantly different.

CONCLUSION: PPV may worsen the visual acuity of the patients with severe PDR, compared with the panretinal photocoagulation.]]> Qi Zhang,Jie Feng,Xu-Kang Cheng and Jian-Bin Chen 2111true METHODS: In 234 cases of premature infants born from May 2011 to May 2012 in Suzhou and its surrounding areas, with birth weight from 650g to 2 550g and birth week from 27⁺⁴ weeks to 36 weeks. They were divided into oxygen group and non-oxygen group. Chi-square test was used for statistical analysis.

RESULTS: Effects of oxygen inhalation had no significant difference on the incidence of ROP.

CONCLUSION: Test results indicate that after the control of oxygen concentration, the effects of oxygen inhalation has no significant difference on the incidence of ROP which is not a direct cause of ROP. Limited oxygen use can not prevent the occurrence of ROP.]]> Zhi-Zhe Li,Li-Li Qiang and Zhen Wang 2110true METHODS: Preoperatively the eyes were examined by slit lamp three mirror contact lens examination and ultrasound biomicroscopy(UBM). During the operation, real-time localization was used to identify the scope and position of ablatio corporis ciliaris. All of the 11 cases underwent the improved saturation.

RESULTS: During the follow-up of 3-12 months, visual acuity was improved in all the other patinets except the one with preoperative visual acuity of no light perception, visual acuity>0.5 in 5 cases,0.3-0.5 in 4 cases and 0.1 in one case. Intraocular pressure(IOP)was 10-18mmHg. Shallow anterior chamber, deformed pupil and changes of the fundus were all recovered.

CONCLUSION: Real-time localization with the improved saturation is a useful, effective and safe method to treat traumatic ablatio corporis ciliaris.]]> Li Jiang and Xian-Wei Wu 2109true METHODS: Iris incaceration for traumatic iridodialysis was performed in 56 cases(56 eyes)and the clinical effects were analyzed.

RESULTS:Iridodialysis was recovered to normal in 56 eyes postoperatively. There was no recurred iridodialysis, anterior synechia and sympathetic ophthalmia postoperatively.

CONCLUSION: Iris incaceration is an effective technique for traumatic iridodialysis.]]> Shi-Long Yan,Jie Tian and Chun-Xia Feng 2108true METHODS: Pars plana vitrectomy(PPV)combined with silicone oil tamponade was applied for the treatment of 21 cases with suppurative endophthalmitis. Anti-infection anti-inflammatory therapy was given subconjunctivally by vein, and eye drops postoperatively.

RESULTS: Followed up for 3-12 months after PPV, 21 cases of bacterial infection was controlled, the postoperative visual acuity had significantly increased compared with preoperation.

CONCLUSION: PPV combined with silicone oil tamponade can control inflammation, stabilize retinal function. For the treatment of some suppurative endophthalmitis patient with retinal circumstance or inflammation, the curative effect is accurate and reliable, the method is worthy of promotion.]]> Xing-Hui Zhang and Xin-Dian Luo 2107true METHODS: A total of 24 cases(24 eyes)of pterygium underwent pterygium excision combined with autologous limbus epithelial transplantation. All patients were measured by Schirmer test and tear film break-up test(BUT)on 1 day before operation, 1 month and 2 months after operation respectively.

RESULTS: The result of Schirmer test were 15.5±7.81mm, 15.76±7.39mm and 16.00±8.05mm, and BUT were 8.15±3.611, 10.05±3.03, and 10.50±4.26 seconds on 1 day before operation, 1 month and 2 months after operation respectively. The difference of BUT had statistical significance between preoperation and postoperation(P<0.05), but there was no significant change in Schirmer test in different time(P >0.05).

CONCLUSION: The form of the ocular surface and the stability of tear film were restored by pterygium excision combined with autologous limbus epithelial transplantation.]]> Mei-Hua Wang and Jian-Feng Xu 2106true METHODS: Ninety-two patients(92 eyes)with ocular blunt trauma underwent vitrectomy were randomly divided into two groups from January 2009 to December 2011. The treatment group 46 patients(46 eyes)accepted vinpocetine 20mg for intravenous infusion once daily lasting for 14 days. While the control group 46 patients(46 eyes)received no special interventions. The visual acuity changes were observed 1 month, 3 months, 6 months, and 12 months after treatment.

RESULTS: The visual acuity of the treatment group increased significantly than the control group(P<0.05).

CONCLUSION:Vinpocetine plays an important role in the treatment of ocular trauma underwent vitrectomy to some extend.]]> Peng-Liang Xie,Lu-Fang Zheng,Cun-Ning Liu and Ling-Di Bai 2105true METHODS: The clinical data of 36 children patients with congenital ptosis who underwent improved frontal muscle flap suspension at the Department of Ophthalmology of Shenzhen Children's Hospital from January 2010 to October 2010 were retrospectively analyzed.

RESULTS:After one-year follow-up, all patients with congenital ptosis were totally cured and they acquired satisfactory long-term effects, except one suffered trichiasis.

CONCLUSION: Improved frontal muscle flap suspension is an effective therapy to congenital ptosis, which can not only simplify the operation, but also prevent the complication of the surgery.]]> Yue-Li Zhang,Hui Zhong,Li Zhang,Ling-Yan Chen and Shi-Yi Xiao 2104true METHODS: A randomly controlled study was performed on 54 patients: 12 patients in nonsurgical group; 42 patients in surgical group.

RESULTS: In the nonsurgical group, visual acuity of the original fixating eye had no significant decline, and that of the fellow eye improved and had cosmetic effect, the satisfaction rate was 75%. In surgical group, the recent treatment satisfaction rate was 81%.

CONCLUSION: The nonsurgical method converting fixating eye is an effective way to rectify the hypertropia symptom of DVD patients.]]> Xiu-Fang You,Li-Gui Zhang and Xiu-Xia You 2103true METHODS: We performed a retrospective chart review of all patients presenting with dacryocystoceles to our hospital between the years of 2002 and 2011.

RESULTS: Nine patients 10 eyes were identified(4 male, 5 female), presenting at a median age of 7 days of life. All patients presented with cellulitis or dacryocystitis, and required systemic and local antibiotics. Bacteria were detected in 90% in the lacrimal sac. 3 cases of G^-bacteria, which sensitive to levofloxacin, ciprofloxacin, and 6 cases of G ⁺ bacteria which sensitive to levofloxacin and tobramycin. Minimum sensitivity of bacteria to erythromycin. Two eyes required probing in the operating room.

CONCLUSION: Congenital dacryocystoceles with typical clinical manifestations can be early detected by neonatology and ophthalmologist, many with congenital lacrimal duct obstruction and become infected, which require systemic antibiotic treatment. Referral in the early neonatal period can aid intervention in time before complications such as infection occur.]]> Hong-Wei Deng,Jing-Xian Zhang,Xiao-Lan Lai,Hong Yin and Fang-Wei Ying 2102true METHODS: Twenty-eight Uygurs eyes of chronic dacryocystitis selected from the Ophthalmology Department of the Fifth Teaching Hospital of Xinjiang Medical University between June 2010 and May 2012 were studied retrospectively, including 12 eyes underwent endoscopic dacryocystorhinostomy and 16 eyes underwent traditional dacryocystorhinostomy.

RESULTS:Nine eyes were cured(75.0%)on endoscopic dacryocystorhinostomy and 15 eyes were cured(93.8%)on traditional dacryocystorhinostomy. There was no statistical significance between two groups(P>0.05).

CONCLUSION: The effect of endoscopic dacryocystorhinostomy is similar with that of traditional dacryocystorhinostomy. It is an effective mini-invasive operation with no facial surgical scar.]]> Ji-Wen Zhang and Yan Cai 2101true METHODS: For 41 patients with chronic dacryocystitis and lacrimal duct stenosis, DCR has been given. And during DCR operation, lacrimal duct was probed and a new type drainage tube was planted for 3 to 6 months. Three months later after removal of drainage tube, flow of tears, pus excretion and lacrimal duct clearance were observed.

RESULTS: Upon removal of drainage tube, clear lacrimal duct ratio was 100%. Three months after tube removal, rechecking reports 38 cases with clear lacrimal duct(93%, 38/41)and 3 cases with block duct(7%, 3/41). Except for 8 cases with minor lacerations, no other complications were observed.

CONCLUSION: DCR associated with lacrimal duct drainage tube placement is an effective treatment for chronic dacryocystitis and lacrimal duct stenosis. Surgical equipment required a simple, small difficulty operation, operation under direct vision, which makes it a very applicable good method at primary hospital.]]> Dong-Bin Chen,Chao Xu and Wen-Yong Liao 2100true in situ keratomileusis(LASIK).

METHODS: Totally 136 patients 272 eyes treated with LASIK were divided into two groups according to using protein-free calf blood extract eye gel or not. Tear tests were performed before and after surgery and contrasted between two groups.

RESULTS: Tear tests of protein-free calf blood extract eye gel group were better than that of control group(P<0.05).

CONCLUSION: Protein-free calf blood extract eye gel can benefit the epithelium recovery from mechanical injury, and stabilize lacrimal film after LASIK.]]> Dai-Zong Wen,Xue-Xi Li and Qiao-Ya Lin 2099true METHODS: A total of 100 dry eyes patients, from the outpatient department in our hospital between January and December of 2011, were randomly divided into two groups: group A was treated by 1g/L pranoprofen drops combined with 1g/L sodium hyaluronate eye drops, 1 drop each time, 4 times/d for each eye; group B was treated by 1g/L sodium hyaluronate eye drops alone, 1 drop each time, 4 times/d, for each eye, All patients met the inclusion criteria before treatment and were observed before and after 14 days of treatment with questionnaire scores, Schirmer Ⅰ trial, corneal fluorescein staining scores. The results of the two groups were compared for statistical analysis.

RESULTS: The effect of 1g/L pranoprofen eye drops combined 1g/L of sodium hyaluronate eye drops was significantly better than that of 1g/L of sodium hyaluronate eye drops in the treatment of dry eye patients. There was significant difference between two groups.

CONCLUSION: 1g/L pranoprofen is effective for dry eye to relieve symptoms and improve corneal situation.]]> Wei-Peng Wang 2098true METHODS: Totally 90 young myopia patients 180 eyes were divided into 3 groups: group A without glasses(30 children); group B monocular correction <1.0(30 children); group C binoculus correction=1.0(30 children). All patients were subjected to cycloplegic refratometry by compound tropicamide and reinspected the next day. One year later, all patients were subjected to cycloplegic refratometry again to observe the change of myopia number. The diopter took monocular correction to 1.0 as standard.

RESULTS: All patients' myopia increased year by year, the increase of diopter in group C was significantly lower than that of group A and B, and group B was significantly lower than group A.

CONCLUSION: Different degrees correction and uncorrection of refractive error will affect the refraction evolution process, under-correction or uncorrection will increase the myopic development.]]> Ping-Hui Hu and Xiao-Mei Guo 2097true METHODS: Totally 552 eyes underwent standard and personalized LASEK surgery, used soft contact lens, and 1g/L fumilone eye-drops, levofloxacin eye-drops and bFGF eye-drops after surgery, and 5 to 7 days later, soft contact lens was removed and bFGF eye gel was added, the eyes were reviewed after 1 day, 7 days, 1 month, 3 months, 6 months and 1 year.

RESULTS: Uncorrected vision ≥1.0 in 480 eyes(87.0%), <1.0-0.8 in 62 eyes(11.2%), <0.8-0.6 in 10 eyes(1.8%).

CONCLUSION: LASEK is an effective, safe, reliable treatment for myopia, especially for low-middle myopia.]]> Bin Sun 2096true METHODS: Twenty-six adults 49 eyes with high ametropic amblyopia were selected to wear RGP. These adults were followed up for 6 months, and the curative effect was retrospectively analyzed.

RESULTS: The corrected visual acuity of these eyes with RGP was 4.79±0.17, better than that with spectacles(4.64±0.16). The result was statistically significant(P<0.01, t-test). After 1, 3 and 6 months, there was no decrease in the corrected visual acuity with RGP. In general, the patients felt comfortable and no serious complications occurred within follow-up period.

CONCLUSION: RGP has good therapeutic effect and it is a safe and effective method for providing better optic corrections and better corrected visual acuity in treatment of high ametropic amblyopia in adults.]]> Hua Wang and Ying-Zhuo Guo 2095true METHODS: The 15 cases identified with corneal endotheliitis were treated with periocular injection of IFN-α-2b combined ganciclovir 0.25g one time a day given by intravenous infusion and in conjunction with aciclovir eyedrops every two hours and tobramycin & dexamethasone eyedrops 4 times a day, and continuously treated for 1 week.

RESULTS: All 15 cases were cured and visual acuity improved after 1 week of the above treatment, the cure rate was 100%. In 4-12 months follow-up, there was no recurrent case.

CONCLUSION: IFN-α-2b combined ganciclovir on corneal endotheliitis can get higher cure rate, lower recurrent rate and the treating course is short.]]> Hai-Ying Cai and Ming-Zhen Bei 2094true METHODS:A total of 1 274 cases(1 274 eyes)of cataract patients of poverty received SIECCE and IOL implantation. Complications and postoperative visual acuity were recorded.

RESULTS:All patients received uneventful surgery. During surgery, 30 eyes(2.35%)had posterior capsule rupture, 240 eyes(18.84%)had corneal edema. Postoperative visual acuity >0.5 reached 85% in 1 week, the number reached 90% in 3 months.

CONCLUSION:SIECCE is effective and safe in sight-regaining program, which should be promoted.]]> Xiao-Hong Wang and Shao-Xin Pan 2093true METHODS: From December 2009 to December 2010, 32 cases of diabetic cataract patients 46 eyes in our department underwent phacoemulsification and IOL implantation, preoperative conventional slit-lamp, intraocular pressure measurement, B-ultrasound was performed, and besides, computer optometry, if necessary, FFA inspection, and glucose was detected. Surgery was performed using Alcon Legacy phacoemulsification instrument, Germany Zeiss VlSu150 surgical microscope. Clear corneal incision was made, which was about 2.8mm long, and the postoperative follow-up was 1-3 months.

RESULTS: Three months postoperatively, 12 eyes were with best-corrected visual acuity>0.3, 23 eyes were≥0.5. Of the 15 eyes with diabetic retinopathy, 12 eyes were with corrected visual acuity≥0.5, the rest 3 eyes had no visual iprovement, the diabetic retinopathy was in Ⅲ-Ⅳ grade. Postoperative complications included corneal edema in 10 eyes. delayed uveitis in 6 eyes, postoperative hypertension in 4 eyes. after cataract in 3 eyes and posterior capsular rupture in 1 eye.

CONCLUSION: Phacoemulsification and IOL implantation is an ideal method for treating diabetes complicated with cataract.]]> Ke-Lin Ren 2092true METHODS: Corneal astigmatism in 46 cases(46 eyes)was measured based on preoperative corneal topography, then they underwent horizontal limbal incision 3mm from the sclera edge, after the operation, they were divided into 2 groups by visante oct: group A of incision depth of 1/2 the depth of the sclera(23 eyes); B group incision depth of 1/3 the depth of the sclera(23 eyes); respectively, after l week, 1 month, 3 months, corneal astigmatism was observed and statistically analyzed.

RESULTS: Postoperatively, uncorrected visual acuity in groups A, B was significantly improved, while according to the test results of corneal topography, astigmatism of postoperative 1 month, 3 months was decreased compared with astigmatism of postoperative 1 week group A had statistical significance.

CONCLUSION: 1/2 scleral incision has less effect on astigmatism for rigid intraocular lens after cataract phacoemulsification.]]> Jing Liu,Ke-Zheng Wen and Peng-Chao Tai 2091true METHODS: Thirty aphakia eyes underwent secondary posterior chamber IOL implantation with suture fixation under anterior chamber irrigation after vitrectomy. All the cases were followed up for 1.5 years.

RESULTS: Thrity cases(30 eyes)underwent posterior chamber IOL implantation successfully. The complications included hemorrhage of the ciliary body(1 case)in the operation and vitreous hemorrhage(1 case)and choroid detachment(2 cases)after the operation. The visual acuity of all cases was more improved than before, 24 cases(80%)had obtained post-operative visual acuity ≥0.3, of these, 8 cases(27%)≥0.5; 6 cases(20%)<0.3, of these, 2 cases(7%)<0.1.

CONCLUSION: The method of anterior chamber irrigation is safe and successful which can obtain stableintraocular pressure during and after the operation and lower complications. The operation is an effective method for improving the visual acuity after vitrectomy.]]> Qi-Hua Xu,Jian-Gang Zhu,Hui-Ying Chen and Xue-Dong Xu 2090true METHODS: Clinical data of 63 cases(72 eyes)withangle-closure glaucoma were analyzed retrospectively. All of them accepted the surgery of mini-incision cataract extraction with IOL and goniosynechialysis. Regular visual acuity(VA), slit-lamp, intraocular pressure(IOP)and gonioscope examination were performed before and after surgery. They were followed up for 1-6 months.

RESULTS: VA improved significantlypostoperation in 70 eyes. At the time of 3 and 6 months follow-up, IOP was significantly lower than that before operation in 65 eyes(P<0.05)and few complications occurred.

CONCLUSION: The efficacy ofmini-incision cataract extraction with IOL and goniosynechialysis for angle-closure glaucoma was definite and no severe complications occurred. This surgery should be widely applied in the primary hospitals without phacoemulsification equipment since it is economic, safe and easy to perform.]]> Yan-Rong Wang,Rong Li,Jing Xie,Dong Wu,Hai-Hui Li and Wen-Jing Hu 2089true METHODS:Fifty-seven cases 83 eyes acute angle-closure glaucoma with postoperative intraocular pressure in the normal range, anterior chamber depth normal were randomly divided into single operation and postoperative observation of compound anisodine treated group, visual acuity, visual field improvement situation of two groups were compared.

RESULTS:The difference between preoperative and postoperative intraocular pressure of the two groups was statistically significant(P<0.01); visual acuity, visual field changes between the two groups had significant difference(P<0.05).

CONCLUSION:Application of compound anisodine on acute angle-closure glaucoma can obviously improve the postoperative visual acuity, visual field.]]> Zhong-You Yang,Fu-Bin Pei,Bo-Wen Lu,Shou-Shan Jiang,Xiu-Zhi Xi,Chun-Ping Ming and Xin Sun 2088true METHODS:A total of 108 eyes of 58 patients with PDR were grouped into 3 groups. PDR without macular edema(macular treated by krypton yellow laser); PDR without macular edema(macular without treat); PDR with macular edema(macular treated by krypton yellow laser); all patients were treated by pan retinal photocoagulation(PRP); the postoperative vision, fundus fluorescein angiography and macular OCT were compared.

RESULTS:The group of PDR without macular edema(macular treated by krypton yellow laser)was better in vision than other groups.

CONCLUSION: Macular treated by krypton yellow laser before PRP can prevent macular edema.]]> Xue-Jun Hu,Shao-Ping Ha and Xue-Jun Hou 2087true METHODS: Twenty-five cases 25 eyes with CRAO underwent the drugtreatment of compound anisodine combined with xueshuantong and puerarin; the postoperative visual acuity recovery, visual field defect, and retinal blood circulation were observed.

RESULTS: After the drug therapy, out of the 25 eyes with CRAO, 2 eyes were cured, 8 eyes with obvious effect, 13 eyes with effect, 2 eyes with no effect, the total effective rate was 92%.

CONCLUSION: Drug therapy of compound anisodine combined with xueshuantong and puerarin has obvious effect on CRAO.]]> Hai-Long Xu and Yong Li 2086true METHODS: Case history, operative methods and prognosis of 17 patients(24 eyes)with chronic dacryocystitis treated by nasal endoscopic dacryocystorhinostomy in our hospital from 2010 to 2011 were retrospectively analyzed.

RESULTS: There were 17 patients recovered, one patient recurred. The case again treated with endoscopic operation and recovered. The follow up time was 6-18 months after operation.

CONCLUSION: This operative method of chronic dacryocystitis treated with nasal endoscopic dacryocysyorhinostomy might have excellent effect, less injury, low recurrence rate, high curative rate and does not affect beauty.]]> Xing-Zhong Zhu,Bin Wang,Jun Sun,Yu-Liang Sun and Wei-Wei Liang 2085true METHODS:Ninety pterygium patients from March 2007 to March 2010 were randomly divided into corneal transplantation group and amniotic membrane transplantation group, with 45 cases in each group. Corneal transplantation group were treated with surgical excision plus limbal stem cell transplantation, amniotic membrane transplantation group were treated with surgical excision plus amniotic membrane transplantation, the treatment effects of two groups were observed.

RESULTS: All the patients in two groups had been followed up for about 2 years; wound healing time of corneal transplantation group was shorter than that of amniotic membrane transplantation group, with the statistically significant difference(P<0.05); 42 cases in corneal transplantation group were cured, and recurrence in 3 cases; 39 cases in amniotic membrane transplantation group were cured, and recurrence in 6 cases; and the difference of recurrence rate of two groups was statistically significant(P<0.05).

CONCLUSION: Surgical excision combined withlimbal stem cell transplantation can treat pterygium, with low recurrence rate, fewer complications, and short healing time.]]> Li-Rong Chen,Jun-Ping Yao,Zhu Yuan,Yi-Zhuan Zhang,Yu Zhou and Bo Gao 2084true METHODS: All 124 eyes of 112 patients affected by recurrent pterygium and referred to our ophthalmologic department were considered. Each patient underwent autograft transplantation of corneal limbal stem cells.

RESULTS: Totally 115 eyes of 103 patients were cured, the rate of operation success was 92.7%, while 9 eyes of 8 patients were with recurrence, the recurrent rate was 7.3%.

CONCLUSION: There are good curative effect and low recurrence rate of corneal limbal stem cell transplantation in the treatment of recurrent pterygium.]]> Jing Chen,Feng-Nian Luo,Gang Du and Lei Zhang 2083true METHODS: The clinical efficacy of 201 cases(242 eyes), which were performed biological amnion membrane transplantation combined with mitomycin C in the treatment of pterygium in Nongsanshi Hospital from September 2008 to September 2011 were retrospectively investigated.

RESULTS: The postoperative follow-up period was 6 to 24 months. 197 cases(238 eyes)were cured(98.3%), 4 cases(4 eyes)recurred(1.7%).

CONCLUSION: Biological amnion membrane transplantation withmitomycin C in treatment of pterygium is simple, practical, safe, and efficient and can reduce the recurrence rate significantly. It is a valuable therapeutic method for the treatment of pterygium.]]> Ji-Guang Wu,Ming-Shan Yang and Hong-Mei Wang 2082true METHODS: A retrospective case series study. Twenty-six eyes of 26 cases with recurrent pterygium in our hospital from January 2009 to January 2012 underwent pterygium excision combined with autologous limbal stem cell transplantation and recurred more than one year. In this study, when the pterygium tissue was excised, the conjunctiva was cut and preserved after it was fully free, then the preserved conjunctiva was put reversely to cover the amniotic membrane and sutured after amniotic membrane covering the bare conjunctiva. The conjunctival graft healing condition, amniotic membrane dissolution, corneal wound repair, corneal neovascularization and pterygium recurrence rate 1 week, 2 weeks, 1 month, and 3 months after operation were observed. The follow-up period was 12 months.

RESULTS: Conjunctival graft healing time was 6.03±2.76 days, amniotic membrane dissolved absorption time was 14.26±3.64 days, corneal wound repair time was 5.42±1.58 days. In postoperative 3 months, new conjunctiva in bare sclera surface and conjunctival graft healed well, no obvious pterygium postoperative complications. In postoperative 1 year, 2 cases with recurrent pterygium recurred, pterygium recurrence rate was 8%, cure rate was 92%.

CONCLUSION: For recurrent pterygium, due to the traditional autologous corneal limbal stem cell transplantation has injured partial limbal and conjunctival scar, the postoperative pterygium recurrence rate is very high after single conjunctival transplantation or amniotic membrane transplantation. This method takes the pterygium conjunctiva reverse transplantation and avoids large area wound of ocular surface, obtains surgery materials easily and controls the postoperative recurrence of pterygium well, which is a good choice for treating recurrent pterygium.]]> Guang-Yong Qin and Li Liu 2081true METHODS: In this retrospective case series from April 2009 to January 2012, 60 patients 60 eyes were included and allocated for primary enucleation and either homologous sclera-wrapped HA orbital implant or autologous sclera-wrapped HA orbital implant under local anesthesia, in order to compare conveniently, the same number cases in either series was selected. The main outcome measures included socket examination, HA implant exposure.

RESULTS: Six eyes in the homologous group had the splits in conjunctiva; 1 eye had HA exposure. 7 eyes in the autologous group had the splits in conjunctiva; 5 eyes had HA exposure and 2 of them had HA out of the orbit finally.

CONCLUSION: Homologous sclera wrapping HA is a good way to perform orbital implant surgery.]]> Xue-Fang Liu,Yan-Ning Ding and Jie Huo 2080true METHODS: Primary HA orbital implants were performed in 69 cases 69 eyes with double sclera or withrectus lamellar scleral for covering.

RESULTS: Thetime of follow-up was 4 to 24 months. All patients had no exposure of HA.

CONCLUSION: Primary HA orbital implants with double sclera or withrectus lamellar scleral for covering can prevent the exposure of HA effectively.]]> Wei Hong 2079true METHODS: Sixty children with traumatic ocular disease were randomly divided into low-dose ketamine- propofol group(group A, n=30)and ketamine group(group B, n=30). The change of vital signs, effect and adverse reaction to anesthesia, intraocular pressure, the time of operation, duration of reviving and leaving operation room, ketamine mean consumption were all recorded in the preoperation, intraoperation and postoperation period.

RESULTS: There was no significant difference in thehemodynamic and respiratory function among 2 groups(P>0.05). The incidence of adverse reaction and hyper intraocular pressure was less than that of group B(P<0.05). Ketamine consumption in group B was significantly more than that in group A, recovery time were also longer in group B than those in group A(P<0.05).

CONCLUSION: The low-doseketamine combined with proprofol is a safe, efficacy anesthesia with stable hemodynamic function and intraocular pressure, quicker recovery and less adverse effect in pediatric ocular trauma surgery.]]> Hua-Ling Wang and Jiang-Long Lai 2078true METHODS: The retrospective analysis included 12 pediatric patients suffered from orbital blowout fracture from 2008-2010.

RESULTS: Of the 12 pediatric patients, most of the orbital blowout fractures were located in orbital floor when the patients fell over. Diplopia occurred and embedded musculi were observed by CT. Early interventions were taken. Diplopia improved in all of the 12 pediatric patients. One week after surgery, eye movements in 6 patients became normal gradually; 4 patients' muscle recuperated in 3 months; 2 patients couldn't move their eyes normally within 6 months and traction tests were positive.

CONCLUSION: The pediatric orbital blowout fracture more often happen in floor orbital and cranny blowout is their configuration. Restricted movement and diplopia are main signs. Enophthalmos occurs rarely. Trauma and operation both can cause muscle's hurt. Early intervention usually led to better improvement and more complete resolution of ocular motility limitation and diplopia than late repairs.]]> Shu-Gang Wang,Zong-Ming Liu and Fan-You Zhang 2077true in situ keratomileusis(LASIK)with monovision correction for myopia in older patients.

METHODS: Totally 104 myopic patients(186 eyes)with the age of 40 years or older were treated with LASIK. Monovision correction was chosen for all these patients. The preoperative refraction, refractive diopter supposed to be corrected, and the curative effects were analyzed.

RESULTS: The postoperative uncorrected visual acuity(UCVA)were improved significantly than of the preoperative in all 186 eyes after 1 month of operation(P<0.01). The postoperative UCVA ≥1.0 in 83.7% cases of nondominant eye(87/104)and 91.5% cases of dominant eye(75/82). The postoperative UCVA were better than preoperative best-corrected visual acuity(BCVA in most cases of dominant eye(P<0.01), and kept the same level in most cases of nondominant eye(P>0.05). The postoperative refraction of nondominant eyes was -0.70±0.12D, which share the same change with preoperative design -0.78±0.11D(P>0.05), but was higher than that of dominant eyes -0.04±0.28D(P<0.01). All the patients were satisfied with the postoperative far vision and 82.7% of the patients were satisfied with the postoperative near vision.

CONCLUSION: Most of 40 years of age or older patients treated with LASIK are high myopic or high myopic anisometropia patients; LASIK with monovision correction is safe and effective for older myopic patients. Actual corrective diopter may be reduced because of age-related presbyopia, and the far vision and near vision would be satisfactory postoperatively.]]> Yan Lu,Li-Kun Xia,Jie Yu and Guang-Rui Chai 2076true METHODS: Totally 18 cases of perforated corneal ulcer from different causes were covered by Tenon's capsule and conjunctival flap, respectively. After operation, the healing of corneal ulcer, exposed portions of the cornea, postoperative inflammation, anterior chamber formation and complications such as glaucoma, iris adhesion were observed.

RESULTS: Seventeen cases(94%)were healed, the exposed portion of cornea was transparent. No serious infection was encountered, and anterior chamber were formed. Intraocular pressure in 2 cases(11%)of secondary glaucoma was normal under local drug treatment. Iris adhesion was found in 7 cases(39%), evisceration was performed in 1 case(6%)after corneal perforation and staphyloma.

CONCLUSION: The above treatment is a safe and practical approach in case of absence of corneal donor.]]> 2013/8/26 15:29:08 Yong-Qiang Wang,Ye Yuan,Hua Jiang and Zhen-Li Lu 2075true METHODS: Retrospective analysis of 28 cases(28 eyes)with infectious keratitis due to chestnut thorn from June 2009 to October 2012. All patients had the clinical manifestations such as local infiltration, edema and ulcer formation. Chestnut thorn located deeply into corneal stroma, but did not penetrate into the anterior chamber. All patients underwent emergency surgery to remove chestnut thorn, of which 14 patients underwent corneal debridement joint multilayer amniotic membrane transplantation as the treatment group, and the other 14 patients refused amniotic membrane transplantation and had the chestnut thorn removed only as the control group. The corneal epithelial healing time, the degree of improvement of visual acuity and the incidence of complications were compared between the two groups after 3 months.

RESULTS: The corneal epithelial average healing time of the treatment group was significantly shortened compared with the control group(t=13.6, P<0.05), the visual acuity of the treatment group was improved significantly higher than that in the control group, and the incidence of complications of the treatment group was significantly decreased compared with the control group.

CONCLUSION: For the patients with corneal ulcer due to deep chestnut thorn, emergency surgery of corneal debridement joint multilayer amniotic membrane transplantation can promote the repair of the cornea and prevent the occurrence of complications after injury.]]> 2013/8/26 15:29:08 Ai-Chao Zhang,Jiang Zhu and Rui Wang 2074true METHODS: Totally 106 patients with severe contusion hyphema underwent viscoelastican and irrigation for hyphema through tunnel incision with urokinas.

RESULTS: The hyphema was clear in all patients but 2 cases were rebleeding. The surgery method was superior to the conventional operation in the aspects of vision, intra-ocular pressure and complication.

CONCLUSION:Improved irrigation for hyphema could be extended, the operating methods is simple, safe and effective.]]> 2013/8/26 15:29:08 Qian-Wei Zhu and Zi-Bin Liu 2073true METHODS: Forty-three eyes with the diagnosis of subclinical keratoconus(KCS group, mean age 25.32±4.18 years)and 60 normal eyes(control group, mean age 24.63±4.82 years)were included in this study. Corneal higher-order aberrations in each eye were measured by OPD Scan ARK-10000. Root mean square(RMS)values were calculated for total higher-order aberrations(HOAs), total coma(TC), total trefoil(TT)and total spherical aberration(TS)in 3mm and 6mm central area. The aberrometric parameters were respectively compared between two groups by Student's t-test.

RESULTS: In 3mm central area, the RMS of corneal HOAs, TC, TT and TS were 0.424±0.175μm, 0.113±0.068μm, 0.262±0.132μm, 0.016±0.010μm respectively in KCS group, while those in control group were 0.310±0.093μm, 0.070±0.038μm, 0.244±0.106μm, 0.019±0.016μm respectively, the differences were statistically significant in HOAs and TC(t=3.896, 3.748; P=0.000, 0.000), except for TT and TS(t=0.740, 1.169; P=0.231, 0.124). In 6mm central area, the RMS of corneal HOAs, TC, TT and TS were 0.987±0.292μm, 0.642±0.260μm, 0.487±0.208μm, 0.292±0.145μm respectively in KCS group, while that in control group were 0.587±0.146μm, 0.252±0.113μm, 0.337±0.182μm, 0.271±0.065μm respectively, the differences were statistically significant in HOAs, TC and TT(t=8.273, 9.231, 3.800; P=0.000, 0.000, 0.000), except for TS(t=0.888, P=0.191).

CONCLUSION: The corneal higher-order aberration, especially TC, is significantly higher in subclinical keratoconic eyes than in normal eyes. It may be a potential diagnostic tool for subclinical keratoconus.]]> 2013/8/26 15:29:08 Dai-Jin Ma,Li-Jia Luo,Wang Cai and Rui-Ling Zhu 2072true METHODS: From June 2010 to November 2012, free cataract phacoemulsification and IOL implantation were performed for 1800 poor patients of cataract(1800 eyes), and the effects of the operation and complications of age-related cataract were analyzed.

RESULTS:A total of 1326 eyes(73.67%)of the operated eyes had age-related cataract. On the first day after the operation, vision was restored in 98.72% and vision was 0.3 or better in 89.52%. Intraoperative complications included posterior capsule rupture in 32 eyes(2.41%), equilibrium liquid reflux in 7 eyes(0.53%), complete rupture of suspensory ligament in 1 eye(0.075%), and partial rupture in 5 eyes(0.38%). Postoperative complications included corneal edema in 103 eyes(7.77%), mild corneal edema in 79 eyes(5.96%), moderate to severe corneal edema in 24 eyes(1.81%), reactive uveitis in 6 eyes(0.45%), transient high intraocular pressure in 9 eyes(0.68%), IOL clamp in 3 eyes(0.23%), and macular edema in 6 eyes(0.45%). Severe complications, such as bullous keratitis, explosive suprachoroidal hemorrhageor and endophthalmitis did not doccurred.

CONCLUSION: Ultrasonic phacoemulsification, offered free to poor patients of cataract in China, has various advantages, including remarkable effect, shorter operational time, minimal operational trauma, faster visual restoration and fewer complications.]]> 2013/8/26 15:29:08 Yu-Ming Teng,Shu Ma,Yang Liu and Ying Liu 2071true METHODS: A total of 30 patients(40 eyes)were enrolled in the study. All the patients were randomly divided into two groups: group A: 20 eyes were treated with macular grid photocoagulation before cataract surgery; group B: 20 eyes were treated with cataract surgery only.

RESULTS: The patients treated with macular grid photocoagulation before cataract surgery. Postoperative visual acuity was improved, the edema of macular decreased. The patients treated with cataract surgery only, visual acuity showed no evident change and macular edema remained stable or creased.

CONCLUSION: Macular grid photocoagulation before cataract surgery for diabetes patients can improve the outcome and vision of the patients.]]> 2013/8/26 15:29:08 Jun-Yan Li,Juan Shao,Yan Wang,Chun-Mei Wang,Qing-Xin Jin and Juan Liu 2070true METHODS:The clinical records of 127 patients were analyzed retrospectively and causes and related factors were concluded. All cases of eviscerations were under an operating microscope, and the short and long term complications after operation were observed.

RESULTS: The cause of the evisceration was mainly of perforation by corneal ulcer(114 eyes, 89.8%), in which the purulent ulcer(103 eyes, 90.4%),Moorens ulcer(5 eyes, 4.4%)and with vitreous purulence(34 eyes, 29.8%). The secondary cause of the evisceration was the impossibility to repair because of the big tissue defect caused by severe rupture of eyeball and the lost significance of the repair because of the most prolapse of retina and choroid(8 eyes, 6.3%). And the third cause was the complication of corneal staphyloma(5 eyes, 3.9%). The short and long term complications after operation were visible edema of eyelid and conjunctiva(97 eyes, 76.4%)and active bleeding from operating incision(2 eyes, 1.6%), and long term observation had not yet found the sympathetic ophthalmitis or narrow conjunctival sac as complications.

CONCLUSION: The corneal infectious disease is common in western Africa and mainly causes by the large perforation with purulent corneal ulcer. The operation under surgery microscope can minimize the laceration and defection of bulbar conjunctiva and efficiently avoid the residual choroid and pigment, which could easily occur under traditional operation of the naked eye.]]> 2013/8/26 15:29:08 Hui Li and Yong-Ming Pang 2069true METHODS: CGP corneal contact preparation was used after surface anesthesia by Alcaine focus on posterior capsular membrane ruffles acutely with aiming light emit Nd:YAG laser. The energy of mono pulse for cutting ruffle was 0.4-1.0mJ. The total energy was 20-30mJ(average 24.00±0.0625mJ).

RESULTS: The visual acuity correction was 1.0 in 31 eyes(58%)after the laser release incision, accounting for 0.6-0.8 in 17 eyes(32%), accounting for 0.4-0.5 in 5 eyes(9%).No complication like IOL injury, vitreous hernia, cystoid macular edema, retinal detachment occurred after the treatment.

CONCLUSION: Nd:YAG laser release incision of posterior capsular membrane ruffles improve the eyesight. It's simple, reliable safety and curative.]]> 2013/8/26 15:29:09 Jian Yang,Bing Wu,Feng Sun,Hai-Yan Qin,Xue-Long Yang and Zhen-Kui Ren 2068true METHODS: We retrospectively analyzed records of 16 cases(16 eyes)of endophthalmitis from January 2010 to December 2012, 13 males, 3 females. The patients' ages ranged from 42 to 82 years old(mean 60 years). Five patients received evisceration therapy, all the other patients underwent pars plana vitrectomy.

RESULTS: Endophthalmitis was diagnosed as resulting from eye injuries in 8 eyes, endogenous endophthalmitis in 2 eyes, cataract surgery in 2 eyes, glaucoma surgery in 2 eyes, keratitis in 1 eye, hypermature stage cataract phacoanathylactic endophthalmitis in 1 eye. The postoperative visual acuities of 8 patients increased in various degrees. Six patients(55%)were out of blindness(visual acuity >0.05).

CONCLUSION: Eye injury is the most common cause of endophthalmitis, and vitrectomy can recover the visual function of the patients to different levels.]]> 2013/8/26 15:29:09 Hong-Lu Song,Chao-Ying Wang and Ying-Qing Liu 2067true METHODS: Spiral cranial CT and CAD three-dimensional reconstruction imaging were done to declinate the shape and contour of skull defect. The bone defect was repaired by the individual EH compound implants in 35 patients with cranial bone defect due to craniectomy from different disease. The patients were followed up for 6-24 months to evaluate the operation effect.

RESULTS:Postoperative following-up showed that the looks of the patients receiving EH implants successfully were satisfactory and repairing effects were good. Mild collection of the fluid under the scalp was found in 2 cases and disappeared after suction and pressure dressing. No other frequent complications were observed after cranioplasty.

CONCLUSION:Individual prefabricated EH implant is an ideal material of repairing cranial bone because the looks are satisfactory and there are few postoperative complications in the patients with cranial bone defect repaired by the EH implants.]]> 2013/8/26 15:29:09 Hai-Xiao Zhou,Xiao-Jiao Liu and An-Huai Yang 2066true METHODS: According to relevant data before operation 40 eyes of 37 cases of children with mild congenital ptosis were treated with upper eyelid blepharoplasty combined with levator aponeurosis plication in general anesthesia. The clinical data were recorded and analyzed, the effect was evaluated.

RESULTS: In the 40 eyes of 37 cases, the satisfactory rate was 78%(31 eyes), 5 eyes(12%)were under-corrected, 1 eye(2%)was over corrected, 3 eyes(8%)were return to back.

CONCLUSION: The effect is affirmative that upper eyelid blepharoplasty combined with levator aponeurosis plication in general anesthesia treated the mild congenital ptosis in children, it is one of main methods for treating mild congenial ptosis in children.]]> 2013/8/26 15:29:09 Xiao-Bo Huang,Yu Song and Ying Wu 2065true METHODS: Totally, 79 patients(89 eyes)who received treatment at our hospital were selected. Eighty-nine eyes of 79 patients with pterygium were randomly divided into two groups: 40 patients(45 eyes)in group A underwent sliding limbal autograft transplantation with MMC and 39 patients(44 eyes)in group B underwent simple limbal autograft transplantation. Recurrence rate and complications were observed during the 12-month follow-up.

RESULTS: One of 45 eyes(2%)of group A and six of 44 eyes(14%)in group B were recurrent with significant difference(P<0.05). One eye with corneal epithelium damage was observed in group A, it was healed with treatment after 5 days. Photaesthesia, lachrymation and pain were relevantly severe in 4 eyes, and 3 eyes displayed delayed union in conjunctival wounds(12-15 days). In B group, 3 eyes slight edema of grafts, 1 eye was growth of a wound granulation, and 1 eye was relevantly severe in photaesthesia, lachrymation and pain. Complications compared two groups had no significant difference(P>0.05).

CONCLUSION: Sliding transplantation of auto-corneal limbus stem cell combined with MMC for pterygium had advantages of lower recurrence rate, rapid recovery and less complications.]]> 2013/8/26 15:29:09 Fu-Lu Zhong,Xue-Xi Li and Wei-Jie He 2064true METHODS: A comparative, prospective and randomized clinical trial was performed in 48 eyes of 48 patients with primary pterygium. All patients were randomly divided into two groups with 24 eyes of 24 patients in each group. In group A and B, continuous side whipstitch suture and interrupted suture were respectively adopted. The time spent in suture was recorded during surgery. The postoperative ocular discomfort and the time spent in taking out stitches were recorded during the 6-month follow-up.

RESULTS: The average surgical time was 14.05±2.30 minutes for group A and 19.34±2.12 minutes for group B(P<0.01). The ocular discomfort scale analysis showed a lower score in the 3^rd (1.32±0.60 vs 1.68±0.35, P<0.05), 5^th(0.87±0.24 vs 1.26±0.68, P<0.05)postoperative days in group A, compared with group B. The average time of removing stitches was 9.15±3.36 minutes in group A and 12.61±3.89 minutes in group B(P<0.01).

CONCLUSION: In the surgical management of primary pterygium, continuous side whipstitch suture can improve the surgical efficiency and decrease the ocular discomfort in the postoperative period. It proves to be an excellent option for conjunctival autograft attachment in primary pterygium surgery.]]> 2013/8/26 15:29:09 Chao-Peng Li,Su-Yan Li and Lei Jin 2063true METHODS: A total of 980 eyes of 760 cases underwent pterygium excision, the conjunctival graft with stem cells was interrupted sutured in the limbal sclera planting beds and bulbar conjunctiva. One hundred and sixty-two eyes which relapse again were divided into 2 groups, group A: 1g/L mitomycin C+norfloxacin eye drops for 1-3 months; Group B: dexamethasone eye drops and diclofenac sodium eye drops for 1-3 months or more.

RESULTS: One hundred and sixty-two eyes which relapse again were divided into the A and B groups use different medication treatment, Group A: 67 eyes(81.7%)were curd, 12 eyes(14.6%)relapse again, 3 eyes(3.7%)recurrence. Group B: 35 eyes(43.8%)were cured, 29 eyes(36.3%)relapse again, 16 eyes(20.0%)recurrence. The recurrence rate of group A was significantly lower than that of group B(P<0.01).

CONCLUSION: Pterygium excision combined with limbal stem cell transplantation without rejection, safe and effective, with low recurrence rate, postoperative eye drops is particularly important, which could effectively inhibit and reduce the recurrence rate and significantly improve the therapeutic effect.]]> 2013/8/26 15:29:09 Hai-Jia Xu,Zhuo Chen,Bi-Hua Xie and Bing-Hua Tang 2062true METHODS: In recent 4 years, clinical details of 122 cases(122 eyes)with mechanical ocular trauma in our hospital were analyzed retrospectively.

RESULTS: In the 122 cases of mechanical ocular trauma, open ocular trauma was in 116 eyes(95.1%), blunt ocular trauma in 6 eyes(4.9%), The ratio of male to female was 6.18:1, mechanical ocular trauma was mostly composed of open contusion which was mainly caused by foreign object. Most of patients had a significant visual improvement at the time of discharge.

CONCLUSION:The work and production accidents were major causes of mechanical ocular trauma. The condition of its was complex, with multiple complications and serious consequences, we should strengthen the prevention. To develop and promote timely hospital, Department of Ophthalmology microscopic operation technology and vitreosity operation can save the injured eyesight. Correct treatment can reduce the mechanical ocular trauma complications.]]> 2013/8/26 15:29:09 Ge-Qiang Yang,Quan-Chen Xiong and Li-Li Wang 2061true METHODS: Totally 1137 ocular trauma patients who lived in the ophthalmic in-patient department from January 2007 to December 2011 were chosen. The statistic analysis on general characteristic, injuries causes, prognosis and complications was done.

RESULTS: The ratio of male to female was 4.77:1. The peak ages were 20-49 years. The major occupational groups are manual workers such as workers and farmers. The top two causes of injury were contusion and perforating injuries. The highest average rate of blindness was from perforating injuries(45.65%). There was no significant differences between adjacent annual in injury causes constitutes(χ²=14.586, P=0.367). Most of the compositions were mixed, and the top three of them were traumatic cataract, hyphema and uveitis.

CONCLUSION: In order to reduce ocular trauma blinding rate, we should raise the awareness of the prevention of eye injuries, and provide the timely treatment to ocular trauma patients.]]> 2013/8/26 15:29:09 Qian Zhao and Hua Liu 2060true METHODS: The clinical data of 148 eyes of 128 cases with neonatal dacryocystitis were divided into three groups: group 1(<3 months), group 2(aged from 3 months to 6 months), group 3(aged from 6 months to 12 months). Group 1 underwent lacrimal sac massage. Group 2 and group 3 step by step underwent lacrimal sac massage or lacrimal duct pressure flush or probing of lacrimal.

RESULTS: The cure rate of lacrimal sac massage for group 1 was significantly higher than that for group 2(χ²=26.65,P<0.05); Pressure irrigation for group 2 was more effective than that for group 3(χ²=5.23,P<0.05); Probing of lacrimal passage for group 2 was more effective than that for group 3(χ²=3.90,P<0.05).

CONCLUSION: We should choose lacrimal sac massage step by step according to the patient's age, perform lacrimal duct pressure flush, lacrimal duct probing through combined treatment. Lacrimal sac massage seems to be the first treatment for neonatal dacryocystitis patients aged under 3 months. Lacrimal duct pressure flush or probing of lacrimal passage is an effective treatment for neonatal dacryocystitis and the best time for lacrimal duct pressure flush or probing of the lacrimal passage is 3-6 months after birth.]]> 2013/8/26 15:29:09 Jin-Ping Tang and Ying-Ping Zhang 2059true METHODS: Thirty-five patients with one or more point obstruction in upper lacrimal duct received lacrimal laser plasty at first. Then, when the obstruction was broken, modified surgery of dacryocystorhinostomy combined silicone intubation implantation in the both lacrimal ductule was performed. Irrigating of the lacrimal passage was made regularly after operation. The silicone tube was extracted in 4 weeks. The follow-up time was 6 months.

RESULTS: There were no intraoperation complications and the silicone tube did not fall off after operation. Irrigating test results of lacrimal passage showed 30 out of the 35 eyes(86%)were cured, improved in 3 cases, 2 cases was ineffective. The cure rate was 86% and the efficiency was 94%.

CONCLUSION: Dacryocystorhinostomy combined lacrimal laser plasty and silicone intubation implantation is an effective treatment for lacrimal duct with multi-point obstruction, there are less operation complications and higher rate of recanalization of lacrimal passage.]]> 2013/8/26 15:29:09 Jun-Hua Fan,Mei-Hua Wang and Lian-Hong Ni 2058true METHODS: From December 2009 to December 2012, 56 patients(60 eyes)with chronic dacryocystitis were studied. Silicone tube was placed for 1.5 months(group A)or more than 3 months(group B), and the follow-up was 6 months after extubation.

RESULTS: All eyes were successfully placed silicone tube. In group A(32 eyes), all lacrimal passage were unobstructed after extubation, after 6 months of postextubation, 21 eyes were cured(66%), 6 eyes were improved(19%), 5 eyes were failed(16%), the overall successful rate was 84%. In group B(28 eyes), 27 eyes of lacrimal passage were unobstructed after extubation, after 6 months of postextubation, 16 eyes were cured(57%), 5 eyes were improved(18%), 7 eyes were failed(25%), the overall successful rate was 75%. The difference between two groups had not statistically significance(P>0.05). Two eyes in group A and 5 eyes in group B had complications with no statistically significance(P>0.05).

CONCLUSION: With the time of silicone tube in lacrimal passages before extubation, 1.5 months or more than 3 months, the effective rate were similar, the granulation tissue proliferation is less in the former group.]]> 2013/8/26 15:29:09 Jian-Jun Tao,Qian Xing,Jiong Lu,Jian Li and Zheng Gu 2057true METHODS: A randomized, parallel-control approach was adopted, 100 cases of dry eye patients were divided into treatment group and control group equally, observation on the treatment of 3 months. The treatment group was applied Dextran and Hypromellose eye drops combined with oral Qiming granule, simply Dextran and Hypromellose eye drops for control group. Before and after treatment, tear secretion volume, break-up time, corneal fluorescein staining and symptom were observed.

RESULTS: After treatment, there was statistical significance for the break-up time, SⅠt and corneal fluorescein staining in both groups when compared with before treatment(P<0.05 or P<0.01). The total clinical effect satisfaction rates were 94% for treatment group and 76% for control group, both with no serious adverse reactions.

CONCLUSION: The combined Dextran and Hypromellose eye drops and Qiming granule perform better than Dextran and Hypromellose eye drops only in treatment of dry eye.]]> 2013/8/26 15:29:09 Jin-Lan Wan and Ming-Chang Zhang 2056true METHODS: From March 2007 to October 2012, 28 congenital nystagrnus children with residual compensatory head posture after surgery including 19 males and 9 females were admitted to our department. The average age of these children was 8.7 years old, ranging from 4 to 20. All of them were treated by pressing triple prism. Improvement of vision and compensatory head posture were used to evaluate the efficacy during the follow up.

RESULTS: Twenty-seven children adhere to follow-up. One child failed to follow-up. 1)Symptoms: most children did not complain visual distortion, dizziness when wearing glasses. Comfort rate was reaching 96%(26/27). 2)Visual improvement: vision rose from(0.5±0.3)to(0.6±0.2)after wearing glasses, however, the difference was not statistically significant(P>0.05). 3)Improvement of compensatory head posture: compensatory head posture was decreased after wearing glasses, from(9.6±2.2)° to(5.7 ± 2.2)° with significantly difference(P<0.05). Among them, 18 children(67%)had almost disappearance of residual compensatory head(<5°), 8(30%)had improvement(5°～10°). The improvement rate was 96%(26/27).

CONCLUSION: Pressing triple prism is an effective way to cure residual compensatory head posture after congenital nystagmus surgery.]]> 2013/8/26 15:29:10 Xiao-Lei Tang,Xiao-Li Wang,Tao Zeng and Yu Bai 2055true METHODS: Totally 25 patients(25 eyes)who underwent cataract surgery and IOL sulcus implantation due to posterior capsule rupture from August 2007 to December 2010 were reviewed. All patients were divided into three groups according to A-Scan length(AL): <22mm, 22-25mm and >25mm, and the differences between the actual spherical equivalent(SE)refraction in three months postoperation and that predicted by biometry using the SRK-Ⅱ and SRK-T formula were compared.

RESULTS: The mean visual acuity was improved after cataract surgery. The mean visual acuity was 0.49±0.21 in three months postoperation. The predicted SE refraction of IOL in the bag were -0.43±0.34D(AL<22mm), -0.36±0.22D(AL 22-25mm)and -1.16±0.80D(AL>25mm)respectively. The actual SE refraction was -1.25±0.98D(AL<22mm), -1.22±0.82D(AL 22-25mm)and -2.4±1.39D(AL>25mm). There was significant difference(P=0.001)between the predicted and actual SE refraction in the group of AL 22-25mm, and the myopic shift between the predicted and postoperative refraction was 0.8D. There were no significantly differences between another two groups(P=0.148,0.061).

CONCLUSION: In order to correct a myopic shift in the case ofsulcus implantation, the IOL power should be adjusted according to the AL. For patients with AL from 22mm to 25mm, the IOL power should be reduced by 0.8D.]]> 2013/8/26 15:29:10 Min Su,Geng-Ying Li,Li-Ling Du and Wei He 2054true METHODS: We did P-VEP examination for the hyperopic refractive children from May 2011 to August 2012. We divided these children into three groups according to different best corrected vision(BCV): better than 0.5 amblyopic group, 0.3-0.5 amblyopic group and lower than 0.3 amblyopic group. Their P₁₀₀ latency and amplitude were measured and compared with normal children group.

RESULTS: The healthy eye's P₁₀₀ latency was 101.43±6.82ms, P₁₀₀ amplitude was 11.27±5.38μV. P₁₀₀ latency delay and P₁₀₀ amplitude decline in amblyopic group. Better than 0.5 amblyopic group, 110.54±8.47ms, 9.94±5.28μV; 0.3-0.5 amblyopic group 118.76±6.21ms, 8.57±7.21μV; and lower than 0.3 amblyopic group 124.54±7.36ms, 7.49±5.07μV. P₁₀₀ latency and amplitude have significant different between groups(P<0.05).

CONCLUSION: P₁₀₀ latency delay and P₁₀₀ amplitude decline in hyperopic refractive amblyopia and the changes are associated with degree of amblyopia.]]> 2013/8/26 15:29:10 Liang Qi,Yan-Ni Hu,Chang-Liang Yuan and Su Wang 2053true METHODS: Totally, 400 cases in China Southern Airlines flight cadets in December 1 to 10, 2012 were enrolled randomly as the test object. Yu's color test book and Panel D-15 test were used to assess the students of color vision. The result of Yu's was expresses as parachromatism, color weakness and normal. The result of Panel D-15 was expresses as normal, small mistake and cross the line.

RESULTS: The results of Yu's color test book showed that 386 cases were normal, 4 cases of full color blindness, 5 cases of red-green color blindness, red green weak in 5 cases. The results of Panel D-15 examination showed that 384 cases were normal, 5 cases of small mistake, across the line in 11 cases.

CONCLUSION: Panel D-15 can objectively evaluate pilot candidates, can reduce the rate of misdiagnosis, guarantee the quality of recruitment, to ensure flight safety.]]> 2013/8/26 15:29:10 Xiao-Ming Zeng and Chang-Liang Meng 2052true METHODS: Bacterial culture was conducted of the samples of aqueous humor and conjunctival sac collected from 807 patients during cataract operation from December 2010 to December 2012. Then, the bacterial culture results were analyzed.

RESULTS: On average, the bacterial culture positive rate was 0.93%, with no significant difference in the positive rates of samples collected at different times. The average bacterial culture positive rate of conjunctival sac was 9.54%, with significant difference between the positive rates before and after the operation(χ²=37.21, P<0.01). Most of the bacteria types in aqueous humor were the same as those in the conjunctival sac, with most frequent strain being staphylococcus epidermidis(60.00% for aqueous humor and 91.56% for the conjunctival sac). During continuous operations, >6 times of patients' aqueous humor and the positive rate of conjunctival sac bacteria culture is significantly greater than that of ≤5 times of patients. The result of the drug sensitive test indicated that most bacteria in aqueous humor and conjunctival sac were sensitive to Cephalosporins while they were highly resistant to penicillin, erythromycin, tetracycline, and Lomefloxacin.

CONCLUSION:Because of the bacterial pollution in the water from most of the conjunctival sac, preoperative conjunctival sac aseptic preparation is essential. Because intraoperative conjunctival sac, even real water may have some bacteria, strengthen the local application of antibiotics can effectively prevent postoperative intraocular infection.]]> 2013/8/26 15:29:10 Li-Ping Huang,Wei Wu,Zhi-Qian Xiao,Li-Hui Pang and Nan-Xia Hua 2051true METHODS: A total of 360 subjects(360 eyes)with emmetropia or myopia were recruited. Refraction, center corneal thickness(CCT), AL, intraocular pressure(IOP)were measured by automatic-refractor, Pachymeter, A-mode ultrasound and non-contact tonometer, respectively. Corneal curvature(CC), anterior chamber depth(ACD)and white-to-white distance(WWD)were measured by Orbscan II. Three dimensional frequency domain coherent optical tomography(3D-OCT)was used to examine the retinal nerve fiber layer thickness(RNFLT). The Pearson correlation coefficient(r)and multiple regression analysis were performed to evaluate the relationship between AL, age and ocular parameters.

RESULTS: The average AL was 24.15±1.26mm. With elongation of the AL, spherical equivalent(SE)(r=-0.742,P<0.01), CC(r=-0.395, P<0.01)and RNFLT(r=-0.374, P<0.01)all decreased, while the mean ACD(r=0.411, P<0.01)increased. On the contrary, there was not statistical significan with CCT(r=0.099, P=0.060)and WWD(r=0.061, P=0.252). There was also a significant correlation between AL and age(P=0.001), SE(P<0.001), ACD(P<0.001), CC(P<0.001)in Multiple linear regression analysis.

CONCLUSION: In longer eyes, there is a tendency toward myopia, a flatter cornea, a deeper ACD and a thinner RNFLT. Age is an influencing factor for the AL as well.]]> 2013/8/26 15:29:10 Xue-Qiu Yang,Shan-Shan Li,Jing-Jing Zhao and Wen-Juan Zhuang 2050true METHODS:The incidence of side effects and corresponding treatments of 1 759 patients in fundus fluorescein angiography from June 2010 to July 2012 were reviewed and analyzed.

RESULTS:Totally, 267 out of 1759(15.17%)patients had side effects, nausea was reported in 181 cases(10.29%), vomiting in 32 cases(1.82%), sneezing in 6 cases(0.34%), itchy skin and rash in 27 cases(1.53%), itchy throat and cough in 8 cases(0.45%), a transient palpitation and chest tightness in 8 cases(0.45%), dizziness, chest tightness, fatigue and cold sweat in 5 cases(0.28%).

CONCLUSION: Fluorescein sodium injection can cause the side effects of varying severity, mostly minor side effects. However, indications and contraindications should be strictly controlled and preparation for severe side effects should be ready during treatment to ensure patient safety in case of emergency.]]> 2013/8/26 15:29:10 Shu-Hua Zhang,Hai-Yan Huang and Jing Wu 2049true METHODS: There were 1 850 patients(2 600 eyes)who underwent phacoemulsification via surface anesthesia using 20g/L lidocaine. The analgesic effect was observed.

RESULTS: Totally 93% of 1 850 patients had not any pain during the surgery, a nice analgesic effect was showed, there was no complications duo to anaesthesia. Seven percent of all patients felt swelling pain during surgery but could tolerate. The naked or corrected visual acuity of 89.4% eyes was ≥0.6 one month after surgery.

CONCLUSION: Surface anesthesia of using 20g/L lidocaine is safe and painless for phacoemulsification.]]> 2013/7/29 14:34:28 Yong Liu,Wen-Fang Zhang and Zhi-Gang Zhou 2048true METHODS: Cataract patients 100 cases(100 eyes)with corneal astigmatism more than 1.50D detected by keratometry were collected in this study. Scleral tunnel incision was made as the main incision according to diameter direction of maximum corneal refractive power, meanwhile, an auxiliary incision was performed on the other side of the main incision. Extracapsular cataract extraction with intraocular lens implantation was performed by a small-incision. The preoperative and postoperative(3 days, 1 month, 3, 6, 12 months)corneal astigmatism and uncorrected visual acuity were measured.

RESULTS: The preoperative and postoperative(3 days, 1 month, 3, 6, 12 months)average corneal astigmatism were(+2.08±0.666)D,(-1.06±0.75)D,(+0.67±0.71)D,(+1.11±0.77)D,(+1.20±0.88)D and(+1.30±0.68)D, respectively. The preoperative and postoperative(3 days, 1 month, 3, 6, 12 months)average uncorrected visual acuity were 0.30±0.19, 0.55±0.25, 0.69±0.21, 0.66±0.18, 0.65±0.20, 0.60±0.22.

CONCLUSION: The use of composite and personalized incision in cataract surgery helps to reduce preoperative corneal astigmatism. Because of the advantage of simple process and low cost, this operation is suitable to popularize in poverty alleviation at the grassroots level.]]> 2013/7/29 14:34:28 Zhong-Yu Xu,Da-Si Liao,Ru-Mao Wu and Xi-He Wang 2047true METHODS: A survey of the operative complications, visual activity and intraocular pressure was taken, after the cases received the operation of phacoemulsification and intraocular lens implantation for phacolytic glaucoma.

RESULTS: The complications of the surgery were slight and easy to control. The intraocular pressure of 17 cases was between 41.7-62.4mmHg before the surgery, and it was 10.7-18.2mmHg after the surgery. Furthermore, the visual activity was light perception(LP)in pre-operation while it was ≥0.5 postoperatively.

CONCLUSION: Phacoemulsification and intraocular lens implantation is a safe and effect way for phacolytic glaucoma.]]> 2013/7/29 14:34:28 Yuan Chen,Qian Xing and Jiong Lu 2046true METHODS: Forty-two cases(42 eyes)with NVG were performed trabeculectomy combined with amniotic membrane transplantation. The vision acuity, intraocular pressure(IOP), anterior chamber depth, hyphema, iris neovascularization and filtering bleb after operation were observed. All patients were followed up for 6-12 months.

RESULTS: IOP were controlled in less than 21mmHg in 34 cases postopeartively. Symptoms of 6 cases were alleviated, and the IOP were controlled in less than 21mmHg with treatment of carteolol hydrochloride eye drops 6-12 months after operation.

CONCLUSION:Trabeculectomy combined with amniotic membrane transplantation is an ideal treatment for NVG.]]> 2013/7/29 14:34:28 Zhong Yue,Sen Song,Li Feng,Qian Yang and Wei-Wei Li 2045true METHODS: Phacoemulsification and intraocular lens implantation were performed on 16 patients(16 eyes)with Fuchs syndrome complicated with cataract and glaucoma, 2 patients(2 eyes)complicated cataract and glaucoma were treated with phacoemulsification and intraocular lens implantation combined with trabeculectomy. Visual acuities, intraocular pressure and treatment effects were evaluated after treatment.

RESULTS: The visual acuities of all eyes improved obviously. Sixteen eyes(88.89%)attained corrected vision above 0.5 three months after operation, 10 eyes with posterior capsule opacification attained corrected vision above 0.5 three months after the YAG laser posterior capsulotomy. Intraocular pressure of 2 eyes with glaucoma dropped to the normal range.

CONCLUSION: Phacoemulsification and intraocular lens implantation with trabeculectomy is effective and safe for Fuchs syndrome complicated with cataract and glaucoma. It is one of the ideal surgical treatments without severe complications at present.]]> 2013/7/29 14:34:28 Lian-Rong Su and Qi Li 2044true METHODS: Fourteen eyes with idiopathic choroidal neovascularization were treated with retrobulbar injection of TA and performed by low power TTT after one week. Laser parameters were as follows: spot diameter 0.8-3.0mm, low power 120-360mW, time 60 seconds. By 3 to 12 months of follow-up, visual acuity, ophthalmoscope, fundus fluorescein angiography(FFA)and optical coherence tomography(OCT)were used to observe the curative effects.

RESULTS: Visual acuity were improved in 5 eyes(36%), remained stable in 8 eyes(57%)and declined in 1 eye(7%)after treatment. The macular hemorrhage and exudation were reduced significantly in 12 eyes. FFA showed that the fluorescein leakage ceased or decreased in 7 eyes, unchanged in 5 eyes, and enlarged in 2 eyes. The macular edema of 12 eyes in OCT was reduced unequally.

CONCLUSION: Low power TTT combined with retrobulbar injection of TA shows good therapeutic effect on CEC.]]> 2013/7/29 14:34:28 Jian-Feng Xu,Gui-Zhou Li and Rui-Zhen Ye 2043true METHODS: Forty-five CSC cases(45 eyes), in our hospital from January 1, 2012 to September 31, 2012, were received 577nm micro-pulse laser in laser group. Forty cases(40 eyes)got drug in drug group. The efficacy of two groups was compared.

RESULTS: All eyes in laser group were cured at 6 weeks after treatment, which was shorter than that in drug group.