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1.
Chinese Journal of Ocular Fundus Diseases ; (6): 616-620, 2017.
Article in Chinese | WPRIM | ID: wpr-668950

ABSTRACT

Objective To observe the efficacy of lamellar hole-associated epiretinal proliferation (LHEP) flap insertion and autologous blood for degenerative type lamellar macular hole (LMH).Methods Retrospective case review.Twenty-eight eyes of 28 patients with LMH were enrolled in this study.There were 2 males (2 eyes) and 26 females (26 eyes).Best corrected visual acuity (BCVA),medical optometry,slit-lamp biomicroscop,indirect ophthalmoscope,spectral domain optical coherence tomography,b-scan ultrasonography and axial length detection were performed on all patients.Logarithm of the minimum angle of resolution (logMAR) was used to calculate visual acuity.There were 10 eyes (35.7%) with degenerative type LMH (flap insertion group) and LHEP.There were 18 eyes (64.3%) with tractional type LMH (general group).The differences of BCVA,AL,horizontal hole diameter from retina and lens state between two groups were not significant (P> 0.05).The differences of horizontal hole diameter of internal limiting membrane (ILM),central foveal thickness (CFT) and integrity of ellipsoidal zone between two groups were significant (P< 0.05).LHEP flap insertion and autologous blood without ILM peeling were used in eyes of flap insertion group.Vitrectomy combined ILM peeling were used in eyes of general group.The follow-up was ranged from 3 to 14 months.The changes of CFT,central foveal form and logMAR BCVA were observed.Results At latest follow-up,the BCVA of flap insertion group and general group were 0.34±0.27,0.31±0.29;which significantly better than the preoperative BCVA (Z=-3.519,-4.945;P< 0.001).The CFT of flap insertion group and general group were (200.10±58.78),(226.61±70.49) μm.There was no difference between pre-and post-operative CFT in eyes of general group (Z=-1.455,P=0.146).There was significant difference between pre-and post-operative CFT in eyes of flap insertion group (Z=-2.798,P=0.005).In flap insertion group,regular recovery of the foveal contour occurred in 9 eyes (90.0%),improvement in 1 eyes (10.0%).In general group,regular recovery of the foveal contour occurred in 10 eyes (55.6%),improvement in 8 eyes (44.4%).The closure rate of LMH were 100% both in two groups.Conclusion LHEP flap insertion and autologous blood is an effective treatment of degenerative type LMH.

2.
Microbiology ; (12)1992.
Article in Chinese | WPRIM | ID: wpr-683737

ABSTRACT

The strain, Bacillus amyloliquefaciens BF 7658 possesses the ability to produce protease and some other enzyme as well as ?-amylase. In the experiment, we have observed interference of protease with ?-amylase. If the relative ratio of activity of ?-amylase to protease was 13 : 1, 21 : 1, 27 : 1, the ?-amylase activity of culture incubated at 37℃ for 24h decreased 27.42% and 8.8% respectively. Purified ?-amylase lost the activity about 13—17% by incubation with the protease in 0.2mol/L phosphate buffer pH7.9 at 37℃ for 24h. It is confirmed that protease is one of fatters of unstability of ?-amylase.The pH and temperature affected the stability of both enzymes when cultures were heated in a 60℃ bath for 30 min. Protease activity lost about 90% and ?-amylase activity almost remained unchange.The stability of ?-amylase can be increased by adding 0.01mol/L calcium ion at pH7.0 and treating at high temperature (70℃), but protease activity is inaetivited completely. Different strains and culture conditions also affected the production ratio of ?-amylase and protease. Some strains produced high level of ?-amylase but low level of protease have been obtained.

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