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@#AIM: To investigate the clinical effect of autologous penetrating keratoplasty in the treatment of corneal blindness. <p>METHODS: Totally 8 patients with corneal blindness were treated by autologous penetrating keratoplasty in our hospital from 2014-01 to 2018-03. Using retrospective analysis, the patients were followed up for one year. To observe the intraoperative complications and postoperative conditions such as visual acuity, corneal transparency, and other were observed.<p>RESULTS: The uncorrected visual acuity of all the 8 patients was greater than 0.02 1wk after operation, and the rate of restoration of visual acuity was 100%(8/8). The corrected visual acuity of 5 patients(5-8)was more than 0.3 1mo after operation. The corrected visual acuity of 3 patients(3-8)with severe cataract before operation was improved to 0.08-0.2. One year later, all the corneal grafts in the recipient eyes were transparency and no recurrence of infection or secondary infection occurred in all 8 patients. <p>CONCLUSION: Corneal graft is easy to grow and there are no exclusion reactions, fewer postoperative complications after autologous corneal transplantation. So, corneal implants can remain transparent for a long time, and the surgery cost is lower. Autologous corneal transplantation can not only provide long-term useful vision for patients with monocular blindness combined with corneal blindness, but also reduce their financial burden and bring great benefits to patients.
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AIM:To investigate the ocular surface condition among exotropia patients of different age groups by Oculus anterior segment analyzer. METHODS: The ocular surface condition of 66 patients with extropia were examined by Oculus anterior segment analyzer, including tear meniscus height, tear meniscus height after irritation,redness index,non-invasive break-up time(BUT),average BUT. Three groups were divided according to age:2-7 years,8-18 years and 19-46 years. RESULTS: BUT, temporal conjunctival redness index, temporal ciliary redness index,nasal ciliary redness index of 2-7 years group were statistically different to those of 8-18 years group and 19-46 years group. There were no statistically differentiations between redness index at different areas in each group and no statistically differentiations in redness index between dominant eye and nondominant eye(P>0.05). Redness index showed a positive lineal correlation with age. CONCLUSION:Patients are combined with dry eye and unstable tear firm beside strabismus before surgery. Ocular surface assessment should be paid attention to in preschool children in order to prevent complications around operation. Ocular surface data of children with different ages needs to be screened and collected in China.
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@#AIM:To investigate the clinical effect of scleral allograft combined with conjunctival flap autograft for refractory purulent corneal ulcer. <p>METHODS: Twenty patients(20 eyes)with purulent corneal ulcer admitted to our hospital during June 2015 to June 2017 were selected. The results showed that the drug treatment was not effective and could not be performed by penetrating keratoplasty, and then allogeneic scleral transplantation combined with conjunctival flap autograft covering was performed. A retrospective analysis was carried out. The intraoperative complications, postoperative scleral and conjunctival flap growth and postoperative complications of this palliative operation were observed. <p>RESULTS: Of the 20 patients, 18 had good growth of sclera and conjunctival flap, the cure rate was 90%. One case had bad healing of conjunctival flap and was cured by amniotic membrane transplantation; 1 case had enucleation because of severe vitreous cavity infection; 2 cases had lens prolapse, the incidence rate was 10%. Secondary glaucoma occurred in 3 cases with an incidence of 15%, which was cured by cryociliary surgery.<p>CONCLUSION:Scleral allograft combined with conjunctival flap autograft is a palliative operation. It is an effective way to control the corneal infection and maintain the appearance of the eyeball in the patients with severe purulent corneal ulcer, which is ineffective in drug treatment and unable to perform penetrating keratoplasty. It can replace the previous enucleation of the eye contents to control the infection. It can not only avoid the eye pain and psychological trauma caused by the loss of eyeball, but also save money for improving the appearance in the later stage.
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<p><b>OBJECTIVE</b>To investigate the frequencies distribution of GSTT1 and GSTM1 null genotypes in 24 Yunnan populations.</p><p><b>METHODS</b>GSTT1 and GSTM1 genotypes were analyzed by PCR procedure.</p><p><b>RESULTS</b>The range of frequencies for GSTT1 and GSTM1 null genotypes in the populations were 0.188-0.633 and 0.400-0.745, respectively, and in the districts were 0.286-0.583, 0.433-0.745 respectively. There was significant relationship between GSTT1 frequencies and populations.</p><p><b>CONCLUSION</b>The frequencies of GSTT1 and GSTM1 null genotypes in 24 Yunnan populations were different, but they were almost the same in different districts of Yunnan.</p>