TEN YEARS' EXPERIENCE IN LOW VISION PRACTICE

The Low Vision Clinic at the Palmerston North Hospital has now been oerating for 70 years. Over the course of these ten years a number of factors have emerged which can be as readily applied to general ophthalmological practice as to low vision practice. The philosophy of low vision care is one of which all ophthalmologists should be aware and includes factors to be taken into account when dealing with children, people in the workplace, and everyday factors involved in daily living activities, all of which are equally relevant in routine ophthalmological practice. This paper endeavours to share some thoughts on these factors and also discusses means by which the visually handicapped can be helped in areas where specialist low vision services are not readily available.     

PROGRESS IN INFANT STRABISMUS THERAPY ANALYSIS OF LONG TERM RESULTS

The infant cases in 25 years of orthoptic practice have been selected for review. They comprise 750 infants among 5,497 patients seen by a single examiner during the period, 1952–1976. For the purpose of comparison, the review has been divided into three main time spans and has been analysed in relation to initial presentation treatment and results. A serious delay between onset and presentation has been documented, with evidence of recent improvement. Such delay is shown to be quite unwarranted and its elimination offers opportunity for major improvement in results. Results in large angle strabismus have shown no improvement over the period, in spite of improving techniques of diagnosis and treatment, but very considerable improvement in overall results has accompanied a marked fall in the proportion of large angle strabismus. This is attributed to earlier detection of strabismus while the angle is still small and intermittent and, to a lesser extent, to improved methods of treatment involving less use of glasses and surgery. The sensitive period for human binocular extinction is shown to taper off above the age of two years.     

Chlamydial conjunctivitis (in adults), uveitis, and reactive arthritis, including SARA

This chapter deals with Chlamydia -induced ocular and rheumatic diseases of the adult. All of these may follow a primary urogenital infection with Chlamydia trachomatis in genetically predisposed patients. Besides the infection with Chlamydia trachomatis, infections with Chlamydia pneumoniae and Chlamydia psittaci are also discussed as possible causative agents. Chlamydial conjunctivitis is frequently a secondary infection, and the organism is transferred from the urogenital tract to the eye by autoinoculation. Uveitis and reactive arthritis are believed to be triggered – among other infections – by a preceding urogenital infection. Both of them are closely associated with HLA-B27 positivity. The simultaneous occurrence of uveitis and reactive arthritis is termed Reiter's syndrome.We report on clinical characteristics, diagnosis and the role of Chlamydia in the pathogenesis of chlamydial conjunctivitis, uveitis and reactive arthritis as well as on the currently recommended treatment regimens.     

视网膜色素变性治疗循证指南(2021年)

视网膜色素变性(retinitis pigmentosa,RP)是眼科常见的遗传性视网膜疾病,常合并眼部多种并发症.针对RP原发病治疗的报道较多,包括药物、激光、手术治疗以及基因治疗和细胞治疗等.既往的治疗方法大多疗效不明确,而近期发展的某些基因治疗和细胞治疗方法经临床试验证实了其安全性,可改善部分患者视功能,值得进行...