Purposes: The aim of this study was to determine self-management and its association with self-efficacy and knowledge among glaucoma patients undergoing day surgery. Patients and methods: A total of 223 glaucoma patients were recruited from September 2021 to May 2022，and they were investigated with the Glaucoma Self Management Questionnaire (GSMQ)，The Self-Efficacy in Chronic Disease Scale (SECD-6), and the glaucoma knowledge questionnaire. Results: : Of the 223 study participants, 61.4% were male, 38.6% were female, and the mean age was 46.57±12.49 years old. The study population had a total GSMQ score of 54.03±6.95 with the lowest score found in the life adjustment dimension. The total SECD-6 score was 38.86±11.62, showing a significantly positive correlation with the total GSMQ score（r=0.368, P＜0.001）. The total score of disease knowledge was 16.20±7.97, without significant correlation with the total GSMQ score (r=0.077, P=0.252) . Multivariate linear regression analysis showed that self-efficacy and enducation level was independently associated with self-management (P<0.001；P=0.028). Conclusions: Glaucoma patients undergoing daytime surgery demonstrated good overall self-management, yet further improvement was required in terms of life adjustment. Low self-efficacy and educational level were identified as risk factors for self-management. Therefore, self-management programs should prioritize enhancing patients' self-efficacy and delivering individualized education.
Objective: To investigate the changes and clinical significance of sclera thickness in patients with central serous retinochoroidal disease (CSC). Methods: The clinical data of 80 patients (80 eyes) with CSC treated in our hospital from June 2023 to May 2024 were collected by retrospective analysis. A total of 80 non-CSC patients (80 eyes) with age and gender matching the observation group were selected as the control group. Slit-lamp microscope, ophthalmic optical biometrics instrument and iOP detector were used to measure the axial length, equivalent bulb degree and iOP. Subfoveal choroidal thickness (SFCT) and scleral thickness in four quadrants (nasal, temporal, upper and lower) 6-7mm behind the corneal limbus were measured. Results: There were no significant differences in age, gender, equivalent spherical lens, axial length and intraocular pressure between 2 groups (P>0.05). Compared with control group, SFCT and nasal, temporal, upper and lower sclera thickness in observation group were significantly increased (P<0.05). Through the correlation analysis of Peason, SFCT showed a significant positive correlation with nasal, temporal, upper and lower scleral thickness (P<0.05). Conclusion: Patients with CSC have relatively thick SFCT and scleral thickness, and with the increase of SFCT, scleral thickness also presents a corresponding increasing trend. This discovery will help us to understand the pathogenesis of CSC more deeply and provide new ideas for clinical diagnosis and treatment.
Objective: To explore the comparison of different screening methods for retinopathy of prematurity (ROP) detection and the analysis of related factors. Method: 1200 premature infants born in the obstetrics and gynecology department of our hospital from January 2022 to August 2023 were selected, all of whom underwent retinal screening. According to the screening method, they were divided into a BIO group of 400 cases (800 eyes), a Retcam III group of 400 cases (800 eyes), and a Retcam III combined with scleral compression group of 400 cases (800 eyes). The stages of ROP detection in the three groups were compared, and the impact of different gestational ages and gestational weeks on the detection rate of ROP was analyzed. The incidence of adverse reactions in the children during the examination process was recorded. Result: Out of 400 premature infants with 800 eyes, 47 cases (94 eyes) of ROP patients were detected in the BIO group, 46 cases (92 eyes) of ROP patients were detected in the Retcam III group, and 48 cases (96 eyes) of ROP patients were detected in the Retcam III combined with scleral compression method group. There was no statistically significant difference in the staging results of different screening methods (P>0.05). Using the BIO group as the gold standard for detecting ROP patients, the detection rate of ROP is higher with younger gestational age, with a detection rate of 40.00% at<28 weeks. The difference in comparison between different gestational age groups is statistically significant (χ2=22.584, P<0.05). The smaller the birth weight, the higher the ROP detection rate, with a ROP detection rate of 40.00% in premature infants weighing less than 1350g. The difference between different gestational age groups is statistically significant (χ2=41.817, P<0.05). The incidence of adverse reactions in the Retcam III group and the Retcam III combined with scleral compression method group was significantly lower than that in the BIO group (χ2=11.011, P<0.05). Conclusion: Retcam III and Retcam III combined with scleral compression have a high consistency in detecting ROP with BIO, and the incidence of adverse reactions is relatively low. The incidence of ROP is higher in premature infants with low birth age and low birth weight. Therefore, screening and intervention for such premature infants should be strengthened.
Congenital cataract is a serious disease seriously affecting the visual function of infants and young children. With the development of technologies of cataract surgery and intraocular lens implantation, high-quality visual rehabilitation can be obtained after congenital cataract surgery. However, how to better prevent and treat the adverse events and complications related to surgery, the treatment of other eye dysplasia and form deprivation amblyopia that may be associated with surgery are still the clinical problems that need to be paid attention to after congenital cataract surgery. In this article it summaries the occurrence, risk factors, treatment and prevention of high intraocular pressure and secondary glaucoma after congenital cataract and intraocular lens implantation, in order to further improve the understanding of the prevention and treatment of high intraocular pressure and glaucoma after congenital cataract surgery, and prevent further damage to visual function caused by postoperative complications.
Objective: To explore the effectiveness of visual function training in the prevention and control of myopia among preclinical myopic children. Methods: Children and adolescents who visited the Third Affiliated Hospital of Jinzhou Medical University for ophthalmic specialty in August 2022 were selected for the study. After cycloplegic refraction, children and adolescents aged 7-8 years with a refractive error of ≤+0.75D and >-0.50D in the preclinical stage of myopia were chosen. A total of 25 individuals were initially selected; however, after excluding 3 with incomplete follow-up results, 21 preclinical myopic children and adolescents were statistically analyzed. The observed indicators included equivalent sphere power, axial length, corneal curvature, NRA、 PRA、 accommodation amplitude、accommodation sensitivity, and convergence and divergence flexibility. Follow-up evaluations were conducted 2, 4, and 6 months after baseline data collection. The training frequency was twice a week, lasting 30 minutes each time. Results: 1. Changes in accommodation amplitude and sensitivity: Overall, accommodation amplitude showed an increasing trend and differences were statistically significant at each time point. Further pairwise comparisons showed significant differences 2, 4, and 6 months after treatment compared to baseline (t=-2.37, -2.98, -3.40; P<0.05). Accommodation flexibility initially increased and then decreased, with significant differences at all time points. Significant differences were found when comparing 2 and 4 months after treatment to baseline (t=-4.11, -2.66; P<0.05), and when comparing 2 and 4 months after treatment to 6 months after treatment (t=-3.78, 2.40; P<0.05). 2. Changes in binocular NRA、PRA accommodation flexibility、convergence and divergence flexibility: Overall, PRA gradually decreased over time and showed statistically significant differences at all time points. Further pairwise comparisons indicated significant differences 2, 4, and 6 months after treatment compared to baseline (t=2.74, 3.66, 4.96; P<0.05), and significant differences between 2 months after treatment and 6 months after treatment (t=2.33;P<0.05). Accommodation flexibility initially increased and then decreased, with significant differences at all time points. Statistically significant differences were found when comparing 2 and 4 months after treatment to baseline (t=-3.49, -2.55; P<0.05), and when comparing 2 and 4 months after treatment to 6 months after treatment (t=3.24, 2.34; P<0.05). Conclusion: Visual function training is effective in the prevention and control of myopia in children during the preclinical stage. Early proactive intervention in children and adolescents with related high-risk factors can effectively reduce the prevalence of myopia, providing a scientific basis for developing targeted strategies and measures for the prevention of myopia among students.
Smile surgery has been widely promoted in China due to its small incision, no need for corneal flap fabrication, good postoperative predictability, and biomechanical stability. Its safety and effectiveness have been widely recognized by refractive surgeons both domestically and internationally. The common postoperative complications include diffuse lamellar keratitis (DLK), corneal epithelial defect, haze under the corneal epithelium, corneal epithelial implantation, foreign body under the corneal cap, and occasional corneal interlayer infection. Complication of marginal keratitis after Smile surgery is relatively rare. This article reports a case of eye redness and foreign body sensation 3 days after Smile surgery. Slit lamp examination revealed conjunctival ciliary congestion, and an inflammatory infiltration area parallel to the corneal edge was visible in the cornea. There was a 1-2mm transparent corneal area between the infiltration area and the corneal edge, and keratitis was limited to the edge of the Smile surgical incision above the nose. Activated dendritic cells were observed under confocal microscopy, and no obvious pathogens were found. The diagnosis was marginal keratitis. Local corticosteroids and immunosuppressive agents were administered to the eyes, and the condition rapidly improved. Follow up for 1 year showed stable vision and no other adverse reactions in the patient.
Mammalian target protein of rapamycin (mTOR) is a protein kinase that primarily involves in the regulation of nutrient levels andgrowth metabolism in vivo. mTOR serves as a crucial target for cancer, aging, and other metabolic related pathological diseases, participating in various biological processes such as proliferation, transdifferentiation, and autophagy. Te eye is considered an area with immune privilege, as the vascular system afects vision and is located outside the central light path. Many areas of the eye have mechanisms for transporting immune cells to the afected areas related to developmental, damaged, or aging. Although the immune response is primarily aimed at reparing or protecting itself, immune cells may secrete some cytokines, leading to infammation or fbrosis, which in turn can damage vision. Results from studies have confirmed that mTOR is closely related to pterygium, age-related macular degeneration (AMD), glaucoma, cataract, diabetic retinopathy (DR), eye tumors and other eye diseases. Currently, mTOR inhibitors are widely used as immunosuppressants and approved for cancer treatment; however, there are few reports on the use of mTOR inhibitors for eye diseases. Therefore, in the article it provides a brief overview of the role, regulatory mechanisms, and drug treatment of the mTOR signaling pathway in related ophthalmic diseases, providing ideas for the pathological mechanisms and treatment of related ophthalmic diseases, in order to carry out more in-depth research in the future.
A 40-year-old male patient, pain in the left eye was found with difficulty in raising the upper eyelid and vision loss for 1 day .Blindness in the left eye,intraocular pressure T+,scar can be seen from the left eyebrow arch to the temporal side,blepharoptosis completely covers the pupil with a diameter of about 4.0mm,direct and indirect response to light(-),eyeball protrusion and fixation .Auscultation:The upper eyelidof the left eye is heard with a wind murmur consistent with the pulse.Ocular CT examination showed multiple fractures of orbit ,optic nerve thickening,tortuous and dilated superior ocular vein,and enlarged cavernous sinus region.Previous:Patient had severe closed craniocerebral injury 40 days ago.
