Objective: To explore the current status of humanistic caring ability of ophthalmic nurses under ambulatory surgery and its influencing factors. Methods: Totally 231 ophthalmic nurses in departments of ambulatory surgery in an ophthalmic center in Guangdong province were investigated by general information scale, Caring Ability Inventory (CAI), Nurses’ Job Satisfaction Scale, the Jefferson Scale of Empathy-Health Professionals and Narrative Competence Scale. Results: The overall rate of CAI was 75.59%. Clinical leadership, nurses’ job satisfaction, empathy and narrative competence were the influencing factors of the humanistic caring ability (P＜0.05). And those factors explained 61.7% of the variability of ophthalmic nurses' humanistic caring ability. Conclusion: The humanistic caring ability of ophthalmic nurses under ambulatory surgery code was at the medium level. Nursing managers should take various measures to improve the job satisfaction of nurses, strengthen the training of empathy and narrative competence, so as to improve the humanistic care ability of nurses.

Abstract Objective: This study aims to explore the correlation between clinical signs and depression levels in patients with dry eye disease, providing a reference for the construction of personalized treatment for dry eye patients. Methods: A total of 108 dry eye patients who visited the outpatient clinic of Yanbian University Affiliated Hospital from August 2021 to August 2022 were selected for investigation. The Ocular Surface Disease Index (OSDI) score, Schirmer’s test (SIt), tear film break-up time (BUT), and corneal fluorescein staining (FL) score were collected. The Self-Rating Depression Scale (SDS) was used to assess the depression level of patients and divided into mild depression, moderate depression, and severe depression. Spearman correlation analysis was used to analyze the correlation between depression level and dry eye disease. The clinical indicators of dry eye patients with different degrees of depression were analyzed for differences. The differences in dry eye indicators and SDS scores between male and female patients were analyzed. The differences in dry eye indicators and SDS scores among different occupational groups were compared. Results: The total SDS score of dry eye patients was (67.40±8.95). Spearman correlation analysis showed that the total SDS score was positively correlated with OSDI and FL (P<0.001), and negatively correlated with SIt and BUT (P<0.001). There was no statistically significant difference in SIT between mild depression and moderate depression subjects (P>0.05), while there were significant differences in other clinical indicators between groups (P<0.05). Conclusion: Dry eye patients generally have a high level of depression, which is significantly correlated with their condition. In addition, there are also differences in clinical indicators of dry eyes among different occupations and genders.

Myopia is a hot topic that has attracted more and more attention in recent years, and the trend of younger age and high incidence of myopia has seriously threatened the daily life of patients and become a social problem related to people's health and even the national economy and people's livelihood. Because its pathogenesis is not fully clarified, it is difficult to block its progression from the etiological point of view. Therefore, this article aims to discuss some therapeutic control methods of myopia to reduce the incidence of myopia and improve the quality of life of patients.

In recent years, ectopia lentis has gradually attracted the attention of ophthalmologists, and the exploration and improvement of surgery for ectopia lentis has been in progress. With the invention of phacoemulsification technology and the improvement of intraocular implant materials, the implantation and fixation of intraocular lens (IOL) in patients with ectopia lentis has become the focus of ophthalmologists. Suspensory IOL implantation is a classic operation for IOL implantation in patients with severe lens dislocation or aphakia with insufficient capsular bag support. It has mainly gone through three stages: traditional trans-sclera suture-fixed posterior chamber IOL, kontless posterior chamber IOL fixation represented by Z suture, and sutureless intrascleral IOL fixation. Understanding and mastering the advantages and limitations of various IOL fixation methods is of great importance for improving the diagnosis and treatment level of ophthalmologists and as well as the prognosis of patients.

The five instruments, including OPD-SCAN III wavefront aberrometer, Pentacam AXL anterior segment analyzer, IOLMaster 700, Lenstar LS900, and NIDEK ARK-1 automatic computerized refractor, were applied to measure the corneal curvature, corneal astigmatism, and axis alignment of cataract patients before surgery. The consistency of the measurements was analyzed and evaluated to guide clinical application and improve the accuracy of refractive cataract surgery. A total of 52 patients (103 eyes) who underwent phacoemulsification combined with intraocular lens implantation surgery from December 2019 to March 2020 at the Fourth Affiliated Hospital of China Medical University were selected. The five instruments were used to measure the flat corneal curvature (K1), steep corneal curvature (K2), and the mean keratometry (Km) of the eyes being examined. OPD-SCAN III was used as the commonly used instrument, and the results were compared pairwise with the other four instruments to explore whether there were statistical differences. The consistency analysis was performed using the Bland-Altman test. The results showed that there was a statistically significant difference between OPD-SCAN III and Pentacam AXL (P<0.05), while there was no statistically significant difference between OPD-SCAN III and the other three instruments. In conclusion, the consistency of OPD-SCAN III wavefront aberrometer with IOLMaster 700, Lenstar LS900, and NIDEK ARK-1 automatic computerized refractor was good, but there were differences with the measurements made by Pentacam AXL anterior segment analyzer.

test101

Objective To investigate the safety ,feasibility and effectiveness of conjunctival cyst extraction under slit lamp microscope .Methods:57 eyes from 56 patients with conjunctival cyst were treated by using a disposable 1 ml syringe to aspirate the fluid in the capsule and complete extraction of the capsule with negative pressure.Postoperative follow-up was conducted to observe the ocular surface disease index ,Results Conjunctival cysts were removed completely in 57eyes from 56patients,and no complications occurred after the operation.No recurrence was observed for 2years .Conducsion: Removing conjunctival cyst by using disposable 1ml syringe under slit lamp microscope is safe ,feasible and effective.The patients have good medical experience.

Objective To investigate the safety ,feasibility and effectiveness of conjunctival cyst extraction under slit lamp microscope .Methods:57 eyes from 56 patients with conjunctival cyst were treated by using a disposable 1 ml syringe to aspirate the fluid in the capsule and complete extraction of the capsule with negative pressure.Postoperative follow-up was conducted to observe the ocular surface disease index ,Results Conjunctival cysts were removed completely in 57eyes from 56patients,and no complications occurred after the operation.No recurrence was observed for 2years .Conducsion: Removing conjunctival cyst by using disposable 1ml syringe under slit lamp microscope is safe ,feasible and effective.The patients have good medical experience.

Objective: To explore the perioperative treatment of PTK and corneal stromal lens transplantation for corneal dystrophy. Methods: The clinical data of 26 patients who underwent PTK combined with corneal stromal lens transplantation in the Eye and Otolaryngology Hospital of Fudan University from July 2015 to May 2021 were analyzed and summarized. Results: All patients achieved epithelial remodeling within 1 month, and after 6 months of postoperative follow-up, 26 patients had no complications, and the surgical eye correction vision improved by at least 2 rows. Conclusion: Active and effective perioperative care and safe and standardized management of corneal stromal lens are helpful to the treatment of corneal malnutrition surgery, increase the success rate of surgery, reduce complications, and contribute to the postoperative recovery of patients.

Objective: To explore the application value of artificial intelligence (AI) in the diagnosis of diabetic optic neuropathy (DON) by analyzing the parameter characteristics of artificial intelligence (AI) based on fundus color photos.
Methods: From January 1, 2020 to April 30, 2022, patients diagnosed with diabetes were collected in Dongguan Donghua Hospital, Hengli Hospital of Dongguan and Community Healthcare Center of Dongguan Liaobu. General information was collected and 50°field vision fundus images(centered on macula and the edge of the images were more than 1PD away from the center of the optic disc) were taken. All the images were divided into DON(+) and DON(-) groups by 3-4 ophthalmologists. All the parameters were detected and analyzed by AI system, and their differences between the two groups were compared. The correlation between each parameter and DR stage with the incidence of DON was analyzed as well.
Results: A total of 526 diabetic patients (945 eyes) were included in this study, including 335 males and 191 females. The mean age was 51.58±12.21 years, and the mean disease duration was 5.51±5.20 years. All the enrolled cases were divided into DON (+) group (205 eyes) and DON (-) group (740 eyes) . According to ophthalmologists’ interpretation, 723 eyes had no DR, 7 eyes had mild nonproliferrative diabetic retinopathy (NPDR), 184 eyes had moderate NPDR, 24 eyes had severe NPDR, 7 eyes had Proliferrative diabetic retinopathy (PDR). Among the parameters detected by AI, there were significant differences in horizontal and vertical optic cup diameter, horizontal and vertical C/D, retinal vein equivalent(RVE) in zone B, and retinal arteriole-to venule ratio(AVR) in zone B between DON(+) and DON(-) groups. There were no significant differences between the two groups in horizontal and vertical optic disc diameter, arc-shaped spot-to-disc area ratio, and retinal artery equivalent(RAE) in zone B. In the analysis of risk factors, horizontal and vertical optic cup diameter, horizontal and vertical C/D, and AVR in zone B were negatively correlated with the diagnosis of DON. RVE in zone B and the severity of DR were positively correlated with the diagnosis of DON.
Conclusions: The AI detection parameters based on fundus color photography have significant changes in the diameter of optic cup, C/D and RVE in zone B in DON patients. The incidence of DON is related to the severity of DR.