花背蟾蜍(Bufo raddei Strauch)眼形态发生过程中角膜上皮表面结构的扫描电镜观察

扫描电镜观察表明,花背蟾蜍眼形态发生过程中角膜上皮细胞表面形态结构的变化,大致可分三个阶段。1.从神经管期至肌肉感应期预定角膜上皮表面无明显变化;2.在心跳期和鳃血循环期预定角膜上皮表面出现较多的细胞缢束和其下细胞表面的下陷;3.在以后各期,角膜上皮中纤毛细胞的纤毛逐渐退化消失,在右鳃盖封闭期纤毛细胞全部消失。上述变化与视网膜及其中光感受器的发育分化密切相关,纤毛的退化和消失更精确地反映了这种依赖关系,似可作为角??膜上皮分化的一个形态指标。     

复合氨基酸治疗眼角膜溃疡的研究

复合氨基酸在临床上的应用越来越被人们重视,我们利用水解猪血粉的方法得到含１７种氨基酸的复合液,配制成滴眼剂用于多种原因引起的眼角膜溃疡疾病的治疗研究取得了较好的效果。     

重组牛碱性成纤维细胞生长因子眼用凝胶作为角膜保护剂在翼状胬肉手术中的临床应用研究

摘要 目的：探讨重组牛碱性成纤维细胞生长因子（r-bFGF）眼用凝胶在翼状胬肉手术中的临床应用价值。方法：按照随机数字表法,将我院2019年1月~2020年12月期间收治的100例翼状胬肉手术患者分为对照组（n=50）和研究组（n=50）。手术方式均采用翼状胬肉切除联合结膜瓣转移术,对照组术中接受常规处理,研究组在对照组的基础上结合r-bFGF眼用凝胶。对比两组手术效果、眼表相关指标、视力、眼压、不良反应和并发症发生率。结果：两组术后3个月视觉疼痛模拟评分（VAS）、眼表疾病指数（OSDI）下降,泪膜破裂时间（BUT）、基础泪液分泌试验（SIT）升高（P<0.05）,研究组术后3个月VAS、OSDI低于对照组,BUT、SIT高于对照组（P<0.05）。两组术后3个月视力升高,眼压下降（P<0.05）,研究组术后3个月视力高于对照组,眼压低于对照组（P<0.05）。两组不良反应发生率比较无差异（P>0.05）。研究组的临床治愈率较对照组高（P<0.05）。研究组的并发症发生率低于对照组（P<0.05）。结论：r-bFGF眼用凝胶用于翼状胬肉手术中,可减少翼状胬肉患者的术后痛苦,改善眼角、视力和眼压症状,获得更好的临床治愈率。     

Effects of epidermal growth factor on deoxyribonucleic acid synthesis and stomach weight in hypophysectomized adult mice

Epidermal growth factor (EGF) or saline was administered intraperitonally to hypophysectomized adult male CD2F₁ mice or intact controls at 0700 hr. Subgroups of mice were killed at 4, 8, or 12 hr after injection. EGF was shown to stimulate [³H]TdR incorporation into DNA into several organs as previously reported. The response to EGF was found to be enhanced in both hypophysectomized and fasted mice. Differences in [³H]TdR incorporation into DNA, corneal epithelium mitotic index, RNA in pancreas and kidney of hypophysectomized and intact mice are reported. EGF was shown to result in stomach enlargement due to increased luminal contents in both hypophysectomized and intact mice.     

不同切口超声乳化术联合小梁切除术对白内障合并青光眼患者视力、角膜内皮细胞及生活质量的影响

摘要 目的：探讨不同切口超声乳化术联合小梁切除术对白内障合并青光眼患者视力、角膜内皮细胞及生活质量的影响。方法：回顾性分析2018年4月~2019年7月期间我院收治的150例白内障合并青光眼患者的临床资料,根据手术方式的不同分为A组（n=75,单切口超声乳化术联合小梁切除术）和B组（n=75,双切口超声乳化术联合小梁切除术）。比较两组患者眼压、裸眼视力、最佳矫正视力、角膜内皮细胞、生活质量及并发症。结果：两组术后3个月健康调查简表(SF-36)各维度评分均升高,且B组高于A组（P<0.05）。两组术后3个月眼压均降低,且B组低于A组（P<0.05）;两组术后3个月裸眼视力和最佳矫正视力均升高,且B组高于A组（P<0.05）。两组术后3个月角膜内皮细胞面积均增加,但B组小于A组（P<0.05）;角膜内皮细胞密度均下降,但B组高于A组（P<0.05）。B组术后并发症总发生率低于A组（P<0.05）。结论：与单切口超声乳化术联合小梁切除术相比,白内障合并青光眼患者采用双切口超声乳化术联合小梁切除术治疗,在改善患者眼压、裸眼视力、最佳矫正视力、角膜内皮细胞、生活质量及减少并发症发生率方面的效果更佳。     

The stimulatory effect of ROCK inhibitor on bovine corneal endothelial cells

Reagents which can promote the proliferation, adhesion and migration of cultured corneal endothelial cells (CECs) will be helpful for the treatment of reduced visual acuity due to CECs deficiency. The objectives of this study were to investigate the potential use of an inhibitor of Rho-associated protein kinase (ROCK), Y-27632, to cultured bovine corneal endothelial cells (B-CECs) and evaluated its effects on the proliferation, adhesion and migration of B-CECs. The proliferation of cultured B-CECs was moderately enhanced by 10 μM Y-27632. Y-27632 induced fibroblast-like morphological changes in the cultured B-CECs and normal cell morphology could recover after Y-27632 removal. In addition, Y-27632 was found to significantly enhance the adhesion and migration of B-CECs. Furthermore, the hanging drop aggregation assay showed that Y-27632 promoted B-CECs to form cellular networks and sheets, which proliferated along the liquid–air interface and migrated to the surface of the lid of dish. Our study demonstrated that Y-27632 is a potentially powerful reagent which can enhance the proliferation of cultured B-CECs. Y-27632 will be useful in CEC injection therapy and topical application for CEC deficiency.     

Involvement of pigment epithelium-derived factor,docosahexaenoic acid and neuroprotectin D1 in corneal inflammation and nerve integrity after refractive surgery

Alterations in corneal innervations result in impaired corneal sensation, severe dry eye and damage to the epithelium that may in turn lead to corneal ulcers, melting and perforation. These alterations can occur after refractive surgery. We have discovered that pigment epithelium-derived factor (PEDF) plus docosahexaenoic acid (DHA or the docosanoid bioactive neuroprotectin D1 (NPD1)) induces nerve regeneration after corneal surgery that damages the stromal nerves. We found that PEDF is released from corneal epithelial cells after injury, and when DHA is provided to the cells it stimulates the biosynthesis of NPD1 by an autocrine mechanism. The combination of PEDF plus DHA also decreased the production of leukotriene B4 (LTB4), a neutrophil chemotactic factor, thereby decreasing the inflammation induced after corneal damage. These studies suggest that PEDF plus DHA and its derivative NPD1 hold promise as a future treatment to restore a healthy cornea after nerve damage.     

飞秒激光辅助全板层角膜移植术治疗圆锥角膜临床观察

目的:评价飞秒激光辅助全板层角膜移植治疗圆锥角膜患者早期临床效果。方法:回顾性分析。15例17眼圆锥角膜患者均采用飞秒激光辅助联合Anwar大气泡技术暴露后弹力层的角膜移植手术。术前17只眼均测量裸眼视力(Uncorrected visual acuity,UCVA)、最佳矫正视力(Best corrected visual acuity,BCVA)、角膜内皮细胞计数(endothelial cell density,ECD)、角膜中央平均厚度、角膜曲率1(K1)、角膜曲率2(K2)、角膜地形图角膜散光度数和眼压(intraocular pressure,IOP)。所有患者随访时间为术后第1周、第1月、第2月和第3月。结果:到第3月时,UCVA和BCVA均有明显提高。测量中央角膜中央厚度为(493.0±46.80)μm;角膜曲率已接近正常水平,K1和K2平均值分别为(44.56±4.86)D和(40.22±3.60)D,以上数据与术前相比,差异均具有统计学意义(P0.001)。散光值下降至(4.57±3.60)D(P=0.185,P0.05)。角膜内皮细胞丢失率为14.3%。术后眼压均正常。结论:飞秒激光辅助全板层角膜移植治疗圆锥角膜患者早期临床效果明显,具有精确性、安全性和可预测性。     

超声乳化白内障手术后患者角膜内皮细胞损伤的研究

目的:探讨超声乳化白内障手术患者角膜内皮细胞的损伤情况。方法:收集我院确诊为白内障的患者121例,随机分配为微切口组与常规切口组。常规切口组采用3.0 mm切口超声乳化白内障手术方案,微切口组采用1.8 mm小切口超声乳化白内障手术。手术前、手术后1日、7日、1个月、3个月监测患者角膜内皮细胞密度、六角形细胞比例、角膜内皮细胞变异系数及中央角膜厚度。结果:与治疗前相比,两组患者手术后1日、7日、1个月、3个月的角膜内皮细胞密度、六角形细胞比例及角膜内皮细胞变异系数均较治疗前显著降低(P0.05);手术后1日、7日时,两组患者的中央角膜厚度均较手术前明显变薄,有统计学差异(P0.05);手术后1个月、3个月,两组患者的中央角膜厚度均呈降低趋势,最终与手术前相似。微切口组患者不同时点六角形细胞比例与同期常规切口组比较均显著升高,角膜内皮细胞变异系数与同期常规切口组比较均明显降低有统计学差异(P0.05)。两组患者手术前后不同时间点角膜内皮细胞密度、中央角膜厚度组间比较均无统计学差异(P0.05)。结论:超声乳化白内障手术后患者角膜内皮细胞损伤与手术切口有相关性,缩小手术面积的小切口手术使术后修复增快,安全有效,适宜临床推广。     

角膜屈光手术后屈光回退的手术治疗进展*

屈光回退是角膜屈光手术后的并发症之一,其治疗方法主要为药物治疗和手术治疗。对于需要再次手术的患者,应根据初次手术方式、距离初次手术时间、回退度数,在充分评价角膜情况后合理选择增效术,确保手术的安全性和有效性。目前,准分子激光原位角膜磨镶术和飞秒激光小切口角膜基质透镜取出术是治疗近视和近视散光的主要手术方式。本文就两者术后屈光回退手术治疗的适应症、不同增效术的优缺点及注意事项作一综述。