准分子激光切削角膜的数学模型与切削技术研究

本文在分析国内外研究人眼角膜的数学模型的基础上,提出了能够用于进行近视、远视、散光等屈光手术的数学模型,并就准分子激光的切削原理和“飞点扫描”技术进行了研究,本文的研究成果直接用于准分子激光眼科治疗机,取得了满意的手术效果。     

人眼波前像差表示、测量及矫正研究

目的:波前像差引导的准分子激光角膜消融是屈光手术的新方法,研究人眼波前像差的测量原理、方法、表示、人眼波前像差准分子激光矫正的原理,以此理论用于准分子激光人眼像差矫正系统。方法:采用理论研究、计算机模拟、实验室实验等手段。分析人眼像差的概念和产生的原因,用数学的Zern ike多项式来表示像差,理论上定量分析Zern ike多项式表示的波前像差与角膜切削深度的关系,研究准分子激光切削角膜的机理,研究准分子激光进行矫正人眼像差的原理框图。结果:通过计算机模拟和实验室实验,用准分子激光矫正低阶和高阶像差是可行的。结论:用波前像差来引导屈光手术,使人眼的视力能够达到20/10上,并能避免当前PRK、LASIK屈光手术前后像差增大而引起的对视觉质量的影响。     

用二次谐波成像技术研究经飞秒激光切削后角膜变化

本文用二次谐波成像技术（second harmonic generation SHG）来研究飞秒激光切削后角膜结构的变化.在生物学研究,材料科学等方面都有很广泛应用的SHG成像技术能在不破坏的角膜情况下获得高对比度的角膜层析图像,分辨率为500 nm,实验装置是利用现有的双光子显微镜.本文还根据成像结果评价了飞秒激光在角膜切削中的质量,为飞秒激光微米级的精确切削和临床应用提供了实验支持.     

应用YAG、CO_2和He-Ne激光防治动物蹄病的实验性研究

应用Nd YAG激光和CO2 激光对牛离体蹄匣角质的截割、切削、打孔、扩创、清创试验和CO2 激光He Ne激光对家畜常见蹄病的临床治疗实验结果表明 ,上述方法是一种高效、安全、能改善劳保卫生条件的蹄病防治方法。     

应用YAG、CO2和He—Ne激光防治动物蹄病的实验性研究

应用Nd:YAG激光C2铎牛离体蹄匣角质的截割、切削、打孔、扩创、清创试验和CO2激光He-Ne激光对家畜常见蹄病的临床治疗实验结果表明，上述方法是一种高效、安全、能改善劳保卫生条件的蹄病防治方法。     

准分子激光眼科治疗机中激光器控制实现

准分子激光眼科治疗机可以用来进行近视、远视、散光等屈光不正的矫正手术。其中激光器的控制为手术提供能量稳定的激光脉冲,是对手术安全性、可靠性的重要保证。本文简述了一准分子激光眼科治疗机的整体组成部分,并详细描述了激光器的控制部分:计算机与激光器的通信控制、激光发射停止控制、充换气流程控制。目前,这种准分子激光治疗机已经应用于临床,并取得了良好的效果。     

人眼波前像差数值表示及测量方法的研究

人眼离焦和散光两个缺陷可以通过佩戴框架眼镜、角膜接触镜、激光屈光手术得到矫正。但是,即使矫正后的眼睛屈光处于最佳状态,但仍不能获得最佳视觉敏锐度。这是因为人眼存在着光学像差。从人眼像差的测量方法和数值表示法来进行分析,并引入Zern ike多项式来表示波前像差,为用准分子激光进行眼球像差矫正提供理论依据。     

准分子激光双面式切削原位角膜磨镶术的研究进展

准分子激光双面式切削原位角膜磨镶术(Both-sided LASIK,BSL)是准分子激光原位角膜磨镶术(laser in situ keratomileusis, LASIK)的改良,BSL将部分激光切削分布在角膜瓣基质面,因而减少了对角膜基质床的切削,最大限度的保留了角膜基质床的剩余厚度,为降低术后角膜膨出提供可能,对屈光度相对偏高和/或角膜相对偏薄的患者,尽量增加手术的安全性,并为LASIK术后屈光回退的增强手术提供了一种新的方法。本文对近年BSL的研究进展作一综述。     

调整非球面因子的近视矫正模型及仿真

针对人眼角膜形状的非球面性,给出了以非球面因子为参数的二次曲面来对角膜表面建模,以此推导了近视矫正量公式,给出各参数的确定方法。与球面假设的近视模型比较,在相同术区大小和矫正近视度数的情况下,非球面假设的近视矫正模型可减小角膜最大切削深度。本模型保证了正常角膜的非球性,理论上可减少术后球差,改善术后视觉质量;本模型可用于指导单纯近视的矫正。     

拟环纹狼蛛对褐飞虱的捕食作用及其模拟模型的研究Ⅱ.单种捕食者-单种猎物系统的模拟模型及其稳定性分析

本文提出了描述单种捕食者-单种猎物系统的模拟模型。在拟环纹狼蛛对褐飞虱功能反应实验的基础上,分析了模型中备个参数对模型局部稳定性的影响以及拟环纹狼蛛-褐飞虱系统的局部稳定性。     

The effect of excimer laser keratectomy on corneal glutathione-related enzymes in rabbits

Glutathione related enzymes are involved in the metabolism and detoxification of cytotoxic and carcinogenic compounds as well as reactive oxygen species. Excimer laser is a very useful tool for the treatment of refractive errors and removing superficial corneal opacities. Previous studies have shown that excimer laser may initiate free radical formation in the cornea. In the present study, we evaluated the effect of excimer laser keratectomy on corneal glutathione-related enzyme activities in rabbits. Animals were divided into five groups, and all groups were compared with the controls (group 1), after epithelial scraping (group 2), transepithelial photorefractive keratectomy (PRK) (group 3), traditional PRK (group 4) and deep traditional PRK (group 5). Corneal glutathione peroxidase (GPx), glutathione S-transferase (GST) and glutathione reductase (GR) activities were measured after 24h. Corneal GPx and GR activities significantly decreased only in group 5 (p < 0.05) but GST activities significantly decreased in all groups when compared with the control group (p < 0.05). In conclusion, excimer laser inhibits the glutathione dependent defense system in the cornea, this effect becomes more prominent after high doses of excimer laser energy and antioxidants may be useful to reduce free radical mediated complications.     

角膜屈光手术消融精度影响因素的分析

论述了眼球角膜屈光不正和准分子激光消融角膜的原理,分析了Lasik屈光手术中角膜消融精度的一些关键影响因素,并结合自己研制的准分子激光眼科治疗仪的特点,逐一对这些影响因素加以分析和解决。     

高聚物基PCR微流控芯片技术

PCR微流控芯片是一种完美的体外无限扩增核酸的技术 ,是第三代PCR技术。目前英国、德国、日本、中国等多家研究单位已经成功地应用自己研制的PCR微流控芯片在实验室完成了DNA扩增。基于目前大多芯片采用硅或者玻璃作为基片 ,存在加工工艺复杂和价格昂贵的缺点 ,通过对不同材料性能比较 ,认为价格便宜、加工方法简单的高聚物是今后芯片材料发展的趋势。通过对三种高聚物加工方法的比较 ,认为准分子激光直写入微加工方法因其灵活性大 ,加工质量高 ,将成为高聚物加工方法的主流。最后针对PCR微流控芯片的温控系统提出了优化方案。     

Quantification of biomechanical properties of human corneal scar using acoustic radiation force optical coherence elastography

Biomechanical properties of corneal scar are strongly correlated with many corneal diseases and some types of corneal surgery, however, there is no elasticity information available about corneal scar to date. Here, we proposed an acoustic radiation force optical coherence elastography system to evaluate corneal scar elasticity. Elasticity quantification was first conducted on ex vivo rabbit corneas, and the results validate the efficacy of our system. Then, experiments were performed on an ex vivo human scarred cornea, where the structural features, the elastic wave propagations, and the corresponding Young’s modulus of both the scarred region and the normal region were achieved and based on this, 2D spatial distribution of Young’s modulus of the scarred cornea was depicted. Up to our knowledge, we realized the first elasticity quantification of corneal scar, which may provide a potent tool to promote clinical research on the disorders and surgery of the cornea.     

A Native-Like Corneal Construct Using Donor Corneal Stroma for Tissue Engineering

Tissue engineering holds great promise for corneal transplantation to treat blinding diseases. This study was to explore the use of natural corneal stroma as an optimal substrate to construct a native like corneal equivalent. Human corneal epithelium was cultivated from donor limbal explants on corneal stromal discs prepared by FDA approved Horizon Epikeratome system. The morphology, phenotype, regenerative capacity and transplantation potential were evaluated by hematoxylin eosin and immunofluorescent staining, a wound healing model, and the xeno-transplantation of the corneal constructs to nude mice. An optically transparent and stratified epithelium was rapidly generated on donor corneal stromal substrate and displayed native-like morphology and structure. The cells were polygonal in the basal layer and became flattened in superficial layers. The epithelium displayed a phenotype similar to human corneal epithelium in vivo. The differentiation markers, keratin 3, involucrin and connexin 43, were expressed in full or superficial layers. Interestingly, certain basal cells were immunopositive to antibodies against limbal stem/progenitor cell markers ABCG2 and p63, which are usually negative in corneal epithelium in vivo. It suggests that this bioengineered corneal epithelium shared some characteristics of human limbal epithelium in vivo. This engineered epithelium was able to regenerate in 4 days following from a 4mm-diameter wound created by a filter paper soaked with 1 N NaOH. This corneal construct survived well after xeno-transplantation to the back of a nude mouse. The transplanted epithelium remained multilayer and became thicker with a phenotype similar to human corneal epithelium. Our findings demonstrate that natural corneal stroma is an optimal substrate for tissue bioengineering, and a native-like corneal construct has been created with epithelium containing limbal stem cells. This construct may have great potential for clinical use in corneal reconstruction.     

Conformational behavior of polyethylenimine derivatives revealed by fluorescence spectroscopy

Conformation behavior of polyethylenimine has been examined by studies of the fluorescence characteristics of derivatives of the polymer containing pyrenyl ligands. Excimer formation within the macromolecular matrix serves as a sensitive probe of group proximities. The experimental observations combined with nearest neighbor analyses lead to quantitative assessments of the extent of interaction between polymer side chains.     

角膜生物力学的测量及临床应用进展

摘要：角膜是重要的屈光间质,约占眼光学系统总屈光力的70％;因其特殊的生理结构,可表现出复杂的生物力学性质。随着近年来科学技术的进步,用于测量角膜生物力学的方法也在不断更新,获得的生物力学参数也更加精确。越来越多的国内外研究团队将对角膜生物力学的研究同临床相结合,发现当角膜形态发生变化时,其生物力学参数也会发生相应的改变。因此,可以通过对患者角膜生物力学的测量来判断病变的发展程度,也可以根据所测得的力学参数来进行手术设计,甚至可以初判患者的愈后情况。但在角膜生物力学方面的研究仍缺乏深度,对其与部分临床疾病的联系仍缺乏充分的认知,仍需探讨如何将角膜生物力学检查更好地服务于临床。本文将对角膜生物力学的离体、活体测量方法及其目前在圆锥角膜、青光眼、翼状胬肉、屈光不正及屈光不正的矫正等临床方面的应用研究作一综述。     

Mathematical modelling of corneal swelling

This paper presents a differential model of the corneal transport system capable of modelling thickness changes in response to osmotic perturbations applied to either limiting membrane. The work is directed towards understanding corneal behaviour in vivo. The model considers the coupled viscous flows within the corneal stroma and across the epithelial and endothelial membranes. The flows within the stroma are established based on transport theory in porous media, while the flows across the membranes are described using the phenomenological equations of irreversible thermodynamics. The ability of the numerical model to reproduce corneal thickness changes in response to endothelial perturbations was tested against available experimental data. The sensitivity of the model to changes in stromal and membrane transport coefficients was examined.