Effects of different capsulotomy diameters during phacoemulsification on corneal and blood aqueous barrier / 国际眼科杂志(Guoji Yanke Zazhi)

·AIM: To Evaluate the effects of different capsulotomy diameters during phacoemulsification on corneal and blood aqueous barrier. ·METHODS: Totally 78 cases (100 eyes) with cataract were treated by femtosecond laser assisted phacoemulsification. The patients were randomly divided into two groups. There were 36 cases (50 eyes) in experimental group, in which the capsulotomy diameter was 4.7mm,and 42 cases(50 eyes) in the control group, in which the capsulotomy diameter was 6. 0mm. Phacoemulsification power and time were recorded for each procedure. Follow-up exams were performed on 1d, 1wk and 2mo after surgery. Preoperative and postoperative best corrected visual acuity, central corneal thickness, aqueous flare, corneal endothelial cell count were assessed for the two groups. · RESULTS: No significant difference was found on preoperative best corrected visual acuity ( BCVA), hardness of the lens nucleus, centrel corneal thickness (CCT) and the effective phaco time and the average phaco power of the two groups(P>0.05). There was also no statistically significant difference on BCVA between the two groups after surgery(P>0.05). The change of central corneal thickness and the aqueous flare cells in the experimental group were less than those in the control group at 1d and 1wk postoperatively (P<0.05), while the difference was not obvious at 2mo after (P>0.05). The rate of lost corneal endothelial cell was significantly lower in the experimental group than the control group at 2mo postoperatively (P>0.05). · CONCLUSION: The phacoemulsification with small capsulotomy diameters decreases the injury to the corneal and blood aqueous barrier. The patients recovered more quickly.

Quantitative Analysis of Aqueous Flare in Diabetic Patients

PURPOSE: We performed quantitative analysis of aqueous flare to evaluate the influence of diabetes mellitus on the flare values reflecting microvascular injuries of the retina. METHODS: We compared aqueous flare values of diabetic patients without diabetic retinopathy (80 patients, 160 eyes), with those of normal control group (21 persons, 42 eyes) and diabetic retinopathy patients (20 patients, 40 eyes). The correlation between flare values and the risk factors of diabetic retinopathy was evaluated in diabetic patients without diabetic retinopathy. RESULTS: Flare values were highest in diabetic retinopathy patients, and higher in diabetic patients without diabetic retinopathy than normal control group with statistical significance (p<0.01). Flare values were not significantly correlated with the risk factors of diabetic retinopathy. CONCLUSIONS: Microvascular injury appears to be developed in diabetic patients without diabetic retinopathy.

Quantitative Analysis of Aqueous Flare in Diabetic Patients

PURPOSE: We performed quantitative analysis of aqueous flare to evaluate the influence of diabetes mellitus on the flare values reflecting microvascular injuries of the retina. METHODS: We compared aqueous flare values of diabetic patients without diabetic retinopathy (80 patients, 160 eyes), with those of normal control group (21 persons, 42 eyes) and diabetic retinopathy patients (20 patients, 40 eyes). The correlation between flare values and the risk factors of diabetic retinopathy was evaluated in diabetic patients without diabetic retinopathy. RESULTS: Flare values were highest in diabetic retinopathy patients, and higher in diabetic patients without diabetic retinopathy than normal control group with statistical significance (p<0.01). Flare values were not significantly correlated with the risk factors of diabetic retinopathy. CONCLUSIONS: Microvascular injury appears to be developed in diabetic patients without diabetic retinopathy.

Visual Prognosis and the Development of After-cataract following Cataract Surgery in Atopic Dermatitis

PURPOSE: To investigate the visual prognosis, the interval, and the rate of development of after-cataract following cataract surgery in atopic dermatitis. METHODS: Twenty eyes of 13 patients diagnosed as cataract associated with atopic dermatitis were operated between January, 1994 and January, 2000. Visual acuity, postoperative inflammatory reaction, the interval, and the rate of development of after-cataract were investigated and compared with the cataract cases without atopic dermatitis. RESULTS: The average preoperative best corrected visual acuity of 20 eyes was 0.23+/-0.22. The average postoperative best corrected visual acuity at 1, 2, 7, and 12 months after surgery were 0.78+/-0.23, 0.83+/-0.16, 0.78+/-0.23, 0.83+/-0.26, respectively. These values showed no significant difference compared to the postoperative visual acuity of the cataract cases without atopic dermatitis. Aqueous flares measured with laser flare meter were 15.09+/-9.20, 11.15+/-4.68, and 7.38+/-0.75 photon counts/millisecond at 10 days, 1, and 2 months after surgery, which did not seem to influence the final visual acuity and the development of after-cataract (p>0.05). Among the 20 eyes, 66.67% finally developed after-cataract and the average time interval of the development of after-cataract was 11.25+/-4.22 months. CONCLUSIONS: Visual prognosis following cataract surgery in atopic dermatitis is good, while after-cataract seems to develop more frequently and earlier compared to the cases without atopic dermatitis.

Postsurgical Inflammation Measured with Laser Flare Meter after Silicone or PMMA Intraocular Lens Implantation

It has been reported that silicone intraocular lens(IOL) induces severer and longer intraocular inflammation than polymethylmethacrylate(PMMA) IOL after extracapsular cataract extraction and IOL implantation. In order to evaluate the effect of IOL type on intraocular inflammation the authors measured the aqueous flare intensity by using the laser flare meter(FM 500 Kowa company) from postoperative one day to six months in 100 eyes with phacoemulsification followed by silicone IOL implantation (silicone group) and 100 eyes with phacoemulsification followed by PMMA IOL implantation(PMMA group). Every subject had a simple cataractous lens without systemic disease like diabetes or hypertension. There were no statistically significant differences between two groups in postsurgical aqueous flare intensity during the followed up period(p>0.05). The changes of aqueous flare intensity was spiking on the postoperative one day, declining rapidly in the first week and then keeping a steady state in both groups. Conclusively, we considered that surgically induced inflammation was not influenced by IOL type of PMMA or silicone in cataract operation without complication.

Quantitative determination of aqueous flare and cells in healthy eyes / 眼科

Objective To quantify aqueous flare and cells in the eyes of healthy subjects and to evaluate the effect of age and sex on the blood aqueous barrier. Design Prospective case series. Participants Four hundred and forty-two eyes of 221 healthy sub- jects. Methods Aqueous flare and cells of 442 eyes were evaluated with FC-2000 laser flare cell meter (LFCM). Main Outcome Mea- sures Aqueous flare and cells. Results The mean flare values of all of eyes was 4.7?2.9 pc/ms, it was 3.1 pc/ms in the age group of less than 10 years, 3.8 pc/ms in the age group of 40-49 years and 11.0 pc/ms in the age group of 80 years or over. The mean flare val- ues in the age groups of 50 years or over were significantly higher than that in the age group of 40-49 years (P

Clinical Efficacy of Laser Flare-Cell Meter

Aqueous flare, the scattering of light by the Tyndall phenomenon, have been applied for the assessment of aqueous protein by the ophthalmologists. Since the intensity of flare ultimately reflects the severity of ocular inflammation. Laser flare-cell meter was developed to determine protein concentration and number of cells in the aqueous with non-invasive technique. The principle of evaluation was similar to that of slit-lamp examination in the viewpoint of scattering of light. The significant linear correlation was observed between the values of concentration for protein and photon counts, in the range from 5mg/100ml to 2,500ml/100ml in boine serum albumin (BSA) and from 5mg/100ml to 1,000mg/100ml in human gamma globulin (HGG), the valuses of HGG was three times higher than those of BSA in the same concentration. In experiments for WBC, RBC and latex particles with diameter of 2.95 micrometer, although somewhat differences was observed according to the sort of cells, significant linear correlation was shown between the number of detected peaks and that of cells.