丝裂霉素C联合可调整缝线小梁切除术治疗青光眼疗效观察

目的：探讨丝裂霉素c联合可调整缝线小梁切除术治疗青光眼临床疗效。方法：我院近3年来小梁切除术98例,术中采用巩膜瓣下放置含丝裂霉素c棉片2～5分钟,然后迅速以平衡盐溶液冲洗,切除2ram×3mm包括小粱在内的深层角巩膜缘组织,并做虹膜根部切除,用10—0尼龙线间断缝合巩膜瓣2～4针后,再于巩膜瓣一侧或两侧作1条或2条巩膜瓣缝合,形成前房。术后2周、3月、1年及1．5年检查视力、眼压、前房、滤过泡等情况。结果：术后眼压控制良好,Ⅰ°、Ⅱ°浅前房发生率低,滤过泡形成良好,43％视力保持不变或改善,炎症反应轻,并发症少。结论：应用丝裂霉素c联合可调整缝线小梁切除术治疗青光眼,有效地控制眼压水平。最大限度地减少术后并发症,提高青光眼的手术成功率。     

泪小管显微吻合术的疗效观察及预后影响因素分析

目的探讨泪小管显微吻合术的疗效观察及预后影响因素。方法分为切开泪囊逆行插管吻合法68例和直接插管吻合法60例。观察两种方法临床疗效,观察预后影响因素。结果切开泪囊逆行插管吻合法总有效率86．76％和直接插管吻合法总有效率91．66％;两种方法总有效率比较P〉0．05,差异无统计学意义。结论泪小管显微吻合术治疗外伤性泪管断裂具有手术野层次清晰;操作精细、准确,对组织损伤极小,在手术过程中寻找鼻侧断端很关键,可采用多种方法应用,以达到最大程度促进创伤的恢复,减少手术失败率,促进患者康复。     

显微外科技术二联法治疗复发性翼状胬肉的疗效观察

目的 观察显微外科技术治疗复发性翼状胬肉临床疗效.方法 对复发性翼状胬肉32例(34眼)采用显微镜下切除胬肉联合自体角膜缘干细胞移植手术,术中用含0.02%丝裂霉素C棉片在裸露的巩膜上放置5 min,随访7～23个月,观察临床效果.结果 32例(34眼)全部治愈,无再复发病例,无明显并发症发生.结论 应用显微外科技术二联法治疗复发性翼状胬肉有较好疗效.     

踏遍千里路 回归合气道 对话日本合气道师范小林弘明

作为合气道大师小林保雄的独生子,小林弘明练习合气道已四十余载。在游历多个国家,体验诸多故事之后,他对合气道,从最初的痛苦、排斥、质疑,到欣然接受。如今合气道对于他来说,已不只是爱与恨那么简单,而已成为人生的一部分。     

外伤性颈动脉海绵窦瘘2例报告

外伤性颈动脉海绵窦瘘是颈动脉系统和海绵窦之间的异常交通。由于动脉压降低和静脉压升高并存 ,引起眼眶和眼的缺氧和静脉充血综合征。海绵窦瘘一旦发生 ,则有明显的眼部症状和体征 ,近期我院遇见 2例 ,现报告如下 :1　典型病例1 1　例 1　男 ,3 2岁。 1997年 6月 3 0日因车祸摔伤头部 ,当时昏迷约半小时 ,苏醒后无不适 ,未予特殊处理。两个月后出现右眼球突出 ,低头后加重 ,伴眼胀眼痛 ,耳部有吹风样耳鸣及搏动感 ,就诊于当地医院诊断为炎性假瘤 ,给予皮质类固醇类药物治疗 ,未见好转。于 1997年 12月 3 0日就诊于我院。检查视力右眼 1 0 ,…     

儿童眼球穿孔伤95例临床分析

目的 探讨儿童眼球穿孔伤的特点,正确的指导治疗和预防.方法 回顾性分析1999年4月至2005年4月眼球穿孔伤患儿95例的流行病学特点,以及治疗的经验.结果 95例患儿均经手术治疗,其中6例行眼球摘除术,3例行眼眶内容物摘除术.出院时视力<0.05者26例,0.05～0.10者21例,0.12～0.30者23例;0.40～1.00者12例;13例不能配合检查.结论 儿童眼球穿孔伤是儿童致盲的主要原因之一.提高对本病的认识,才能更好地做好预防工作.早期、及时、合理的治疗可使致盲率最大可能地降低.     

白内障小切口囊外摘出术与超声乳化吸出术的疗效比较

目的 比较白内障小切口囊外摘出术与超声乳化吸出术两种方法的疗效.方法 将326例(360眼)老年性白内障患者按随机数字表法分为A、B组,每组163例(180眼),分别采用超声乳化吸出术及小切口囊外摘出术,均植入后房型人工晶状体,对其术后视力、术中及术后并发症进行比较.结果 术后7 d裸眼视力:A组和B组≤0.4者分别占18.33%(33/180)和18.89%(34/180);0.5～0.9者占66.11%(119/180)和66.67%(120/180);≥1.0者占15.56%(28/180)和14.44%(26/180).术中后囊破裂玻璃体脱出:A组和B组分别占4.44%(8/180)和3.33%(6/180).术后角膜内皮水肿:A组和B组分别占16.11%(29/180)和17.22%(31/180).两种手术疗效相似,差异均无统计学意义(P＞0.05).结论 白内障小切口囊外摘出术经济、简便、容易掌握,适宜于目前我国基层医院开展.

Abstract：

Objective To compare the effect of extracapsular cataract extraction and phacoemulsification. Methods Three hundred and twenty-six cases (360 eyes) of senile cataract were divided into two groups by random digits table with 163 cases (180 eyes) in each. One group underwent phacoemulsification (phacoemulsification group),and the other group underwent extracapsular cataract extraction with small incision(no-phacoemulsifieation group). A comparison was carried out between the two groups of the vision and complications after operation. Results In phacoemulsification group,7 d after operation 18.33%(33/180)had 0.4 or less in vision,66.11%( 119/180) were 0.5-0.9,15.56%(28/180) were 1.0 or better. In no-phacoemulsification group,7 d after operation, 18.89% (34/180) were 0.4 or less in vision,66.67% (120/180) were 0.5-0.9,14.44% (26/180) were 1.0 or better. During operation,posterior capsular ruptured and vitreous prolapsed in 4.44% (8/180) in phacoemulsification group and 3.33%(6/180) in no-phacoemulsification group. Corneal edema:there were 16.11%(29/180) in phacoemulsification group and 17.22%(31/180) in no-phacoemulsification group. The curative effect between the two kinds of operation mentioned above was almost the same and had no significant difference (P ＞0.05). Conclusion The no-phacoemulsification is simple and economical, wihch is suitable for basic hospitals.     

老年性白内障超声乳化术后低视力分析

目的探讨老年人白内障术后永久性低视力的原因。方法对1252只眼老年人白内障患者行白内障超声乳化摘除联合人工晶状体植入术。白内障术后3个月，除外手术并发症等原因，将矫正视力〈0．3者按原因分类。结果引起术后永久性低视力的主要原因为高度近视眼视网膜病变，占28．0％；老年性黄斑变性，占23．0％；糖尿病视网膜病变累及黄斑，占14．0％。结论老年性白内障术后永久性低视力主要原因是黄斑病变，白内障超声乳化摘除及人工晶状体植入术对低视力者仍有重要意义。     

眼外伤相关因素临床分析

目的 讨论眼外伤的相关因素.方法 对885例(974眼)眼外伤患者据相关因素进行临床分析.结果 右眼伤与左眼伤比率1∶1.113,男∶女3.836∶1,多发年龄10～40岁,高峰年龄20～30岁;职业依次为工人、农民、学生及学龄前儿童;受伤地点多见于工作场所、家庭、公共环境;致伤物种类主要为异物;致伤性质主要为挫伤、穿孔伤;并发症最常见和较为重要的为葡萄膜炎、白内障、前房积血.出院裸眼视力低于0.05者236眼,占24.22%.眼球摘除者45眼占4.6%.且就诊时间越晚致盲率越高.结论 眼外伤是主要的致盲眼病之一,积极预防是最关键和重要的.     

白内障小切口囊外摘出术与超声乳化吸出术的疗效比较

Objective To compare the effect of extracapsular cataract extraction and phacoemulsification. Methods Three hundred and twenty-six cases (360 eyes) of senile cataract were divided into two groups by random digits table with 163 cases (180 eyes) in each. One group underwent phacoemulsification (phacoemulsification group),and the other group underwent extracapsular cataract extraction with small incision(no-phacoemulsifieation group). A comparison was carried out between the two groups of the vision and complications after operation. Results In phacoemulsification group,7 d after operation 18.33%(33/180)had 0.4 or less in vision,66.11%( 119/180) were 0.5-0.9,15.56%(28/180) were 1.0 or better. In no-phacoemulsification group,7 d after operation, 18.89% (34/180) were 0.4 or less in vision,66.67% (120/180) were 0.5-0.9,14.44% (26/180) were 1.0 or better. During operation,posterior capsular ruptured and vitreous prolapsed in 4.44% (8/180) in phacoemulsification group and 3.33%(6/180) in no-phacoemulsification group. Corneal edema:there were 16.11%(29/180) in phacoemulsification group and 17.22%(31/180) in no-phacoemulsification group. The curative effect between the two kinds of operation mentioned above was almost the same and had no significant difference (P ＞0.05). Conclusion The no-phacoemulsification is simple and economical, wihch is suitable for basic hospitals.