Application value of paper towel combined with 360° horizontal turning over method in preoperative preparation of gastroscopy / 中国实用护理杂志

Objective:To investigate the effect of paper towel combined with 360° horizontal turning over method on the field of vision, operation time and detection of small lesions before gastroscopy, so as to improve the detection rate of early gastrointestinal cancer.Methods:The outpatients and inpatients who voluntarily accepted gastroscopy in the First Affiliated Hospital of Shandong First Medical University from May to October 2020 were enrolled. A prospective randomized controlled study was used. They were divided into the experimental group (paper towel group combined with 360° horizontal turning over) and the control group (routine) according to the random number table. Finally, a total of 948 patients were included, including 487 cases in the experimental group and 461 cases in the control group. The visual field clarity, operation time, rinse times, detection of micro lesions and detection of early cancer of the two groups were compared.Results:The scores of gastric mucosa clarity (fundus, body, antrum and whole stomach) in experimental group were (1.61 ± 0.79), (1.18 ± 0.56), (1.01 ± 0.36), (3.20 ± 0.51) points, which were significantly lower than (2.56 ± 0.82), (2.01 ± 0.65), (1.98 ± 1.10), (5.05 ± 0.89) points in control group. The difference was statistically significant ( t values were 0.02-0.07, all P<0.05). The operation time of the experimental group was (5.91 ± 0.41) min, which was significantly shorter than (6.80 ± 0.72) min of the control group, and the difference was statistically significant ( t=-7.46, P<0.05). The number of flushing in the experimental group was 67 times, accounting for 13.8%, which was significantly lower than 144 times in the control group, accounting for 31.2%, and the difference was statistically significant ( χ2=54.78, P<0.05). The number of microlesions in the experimental group was 398 cases, which was higher than 245 cases in the control group. The difference was statistically significant ( χ2=8.43, P<0.05). For biopsy pathology, the detection of precancerous lesions or early carcinomas in the experimental group (56 cases) was significantly higher than that in the control group (24 cases), and the difference was statistically significant ( χ2=6.45, P<0.05). Conclusions:The application of paper towel combined with 360° horizontal turning over method before gastroscopy can significantly improve the clarity of gastroscope field of vision, shorten the operation time, increase the detection rate of small lesions, and effectively improve the detection rate of early gastrointestinal cancer, which is a simple and practical preoperative preparation method.

Research progress on Clarity system in external beam radiation therapy of prostate cancer / 中华放射肿瘤学杂志

External beam radiation therapy (EBRT) is one of the main treatments for prostate cancer, and image-guided implementation of EBRT is more suitable for accurate radiotherapy. As a new type of image-guided technology, the Clarity system has been applied in the real-time tracking during EBRT for prostate cancer in clinical practice. While improving the accuracy of EBRT targeting, it also significantly reduces the side effects of traditional EBRT. In this article, the application of Clarity system in EBRT of prostate cancer and its existing problems were systematically elucidated.

Can the use of the CROS system provide head shadow effect contribution to unilateral Cochlear Implant Users? / O Sistema CROS pode oferecer contribuição do efeito sombra da cabeça a usuários de implante coclear unilateral?

ABSTRACT Purpose The aim of this study was to evaluate the contribution of the CROS system on the head shadow effect in unilateral implant users. Methods Prospective cross-sectional study, approved by the ethics committee under protocol 2.128.869. Eleven adults with post-lingual deafness users of unilateral Advanced Bionics CI were selected. Speech recognition was evaluated with recorded words presented at 65dBA at 0o azimuth and at 90o on the side contralateral to the CI, with noise at 55dBA, using CI alone and CI + CROS system. The results were analyzed using paired t-test with a 0.05 alpha. Results The mean speech recognition scores were significantly better with CI + CROS in relation to the condition of CI alone (p <0.05, p <0.005 and p <0.005 respectively). In the presentation at 0o azimuth, no significant differences were found. Conclusion Users of unilateral CI without useful residual hearing for the use of hearing aids or unable to undergo bilateral surgery can benefit from the CROS device for speech recognition, especially when the speech is presented on the side contralateral to the CI.

RESUMO Objetivo O objetivo deste estudo foi avaliar o efeito do sistema CROS em fenômenos como efeito sombra da cabeça em usuários de implante coclear unilateral. Método Estudo transversal prospectivo, aprovado pelo conselho de ética sob protocolo 2.128.869. Onze adultos com surdez de instalação pós-lingual usuários de IC Advanced Bionics unilateral foram selecionados. O reconhecimento de fala foi avaliado com palavras gravadas apresentadas a 65dBA a 0o azimute e a (90o no lado contralateral ao IC), com ruído a 55dBA, usando somente o IC e IC+sistema CROS. Os resultados foram analisados usando teste t pareado com alfa de 0,05. Resultados Os escores médios de reconhecimento de fala foram significativamente melhores com IC + CROS em relação à condição apenas IC (p <0,05, p <0,005 e p <0,005 respectivamente). Na apresentação à frente não foram encontradas diferenças significantes. Conclusão Os usuários de IC unilateral sem resíduo útil para uso de prótese auditiva ou impossibilitados de submeter-se à cirurgia bilateral podem se beneficiar do dispositivo CROS para o reconhecimento de fala, sobretudo quando a fala for apresentada ao lado contralateral ao IC.

Relationship between Vowel Production and Speech Clarity in Post-stroke Dysarthria Patients / 中国康复理论与实践

Objective:To explore the characteristics of vowel production of dysarthria after stroke, and the relationship between vowel production and speech clarity. Methods:From October, 2019 to January, 2020, 19 patients with post-stroke dysarthria and 18 healthy controls were asked to read a short essay to extract vowels, and measured the jaw distance, tongue distance, F2i/F2u, vowel space area (VSA), vowel articulation index (VAI), F1 and F2 variability, and speech clarity. The correlation between vowel production and speech clarity were analyzed. Results:Tongue distance, F2i/F2u, VSA, VAI, and speech clarity were less in the patients than in the controls (|t| > 2.268, P < 0.05), while F2 variability was more (t = 2.375, P < 0.05). F2i/F2u (r = 0.465), VAI (r = 0.488) and F2 variability (r = -0.504) were correlated to speech clarity (P < 0.05). Conclusion:The vowel production impaired in patients with post-stroke dysarthria, featured as abnormal articulatory movements, concentration of vowels and poor stability of vowels, which impacts the speech clarity.

Pure Endoscopic Excision of Parenchymal Brain Tumors: Feasibilty, Risks, Advantages and Realities - A Beginners Perspective

Background Neuroendoscopy is gaining popularity and is reaching new realms. Young neurosurgeons are exploring the various possibilities associated with the use of neuroendoscopy. Neuroendoscopy in excision of parenchymal brain tumors is less explored, and young neurosurgeons should be aware of the realities. The present article is an approach to put forward the difficulties faced by a young neurosurgeon and the lessons learnt. Objective To report the experience of surgical excision of parenchymal brain tumors, in selected cases, using pure endoscopic approach and to discuss its feasibility, technical benefits, risks and comparison with conventional microscopic excision. Method Eight patients of variable age group with parenchymal brain tumors were operated upon by a single surgeon and followed up for a period varying from6months to 2 years. Data regarding operating time, illumination, clarity of the field, size of craniotomy, blood loss and course of recovery was evaluated. All of the tumors were resected using rigid high definition zero and 30° endoscope. Results Out of eight cases, seven had lesions in the supratentorial and one in the infratentorial location. The age group ranged from 27 to 74 years old. Near to gross total resection was achieved in all except two cases. All of the patients recovered well without any significant morbidity or mortality. Hospital stay was reduced by 1 day on average. Conclusion Excision of parenchymal brain tumors via pure endoscopic method is a safe and efficient procedure. Although there is an initial period of learning curve, it is not steep for those already practicing neuroendoscopy, but the approach has its advantages.

Pharmaceutical mechanism and control strategy for storage of ellagic acid stably in traditional Chinese medicine oral liquid / 药学学报

Ellagic acid is ubiquitous in plants and is considered as a potential candidate for antioxidant and antineoplastic drugs. However, ellagic acid has poor solubility and precipitates easily even after initial solubilization. Improvement of its bioavailability has been a concern of pharmaceutical industry. It was found that storage in Sanlejiang oral liquid at low temperature keeps its stability. Ellagic acid is anomalous in a way that is easily soluble at low temperatures but precipitates at high temperatures. In order to reveal the mechanism of this phenomenon and develop precipitation prevention and control strategies, ellagic acid in Sanlejiang oral liquid was stored at high, medium and low temperatures for three months. The changes of composition and phase state of the whole system during storage were systematically tracked and studied by means of precipitation amount or morphology, HPLC chemical profile of supernatant versus precipitates, and comprehensive characterization of physical phase state. The results show that the amount of precipitation at low temperature is only 1/3 of that at normal room temperature. As the temperature rises, the sedimentation increases sharply. HPLC analyses of supernatant versus precipitates revealed that ellagic acid precipitation originated from two ways: chemical degradation and physical deposition. The chemical sedimentation is related to the hydrolysis of tannins under acidic condition, forming chebulagic acid and corilagin. Physical sedimentation is related to the decrease of the association degree and viscosity of polyphenol colloids when temperature rises. This study elucidated the stability mechanism of ellagic acid in liquid preparations of TCM, and provided the mechanistic basis for efficient utilization and solution prepartion of ellagic acid.

Futuro e aposentadoria: evidências de validade para uma medida de perspectiva temporal / Future and retirement: evidence of validity for a measure of temporal perspective / Futuro y jubilación: evidencias de validad para una medida de perspectiva provisional

Planejar o futuro com clareza de objetivos pode facilitar o ajustamento à aposentadoria. Este estudo examinou evidências de validade de um instrumento adaptado para o Brasil que investiga a perspectiva de tempo futuro relativa à aposentadoria, no contexto do planejamento da aposentadoria. O instrumento foi respondido de forma on-line por 141 trabalhadores, homens e mulheres, de 25 a 66 anos (M = 44,01; DP = 10,87). Análises fatoriais exploratórias revelaram uma estrutura unidimensional, as cargas fatoriais permaneceram estáveis e com evidências de fidedignidade do instrumento. Escores da escala revelaram um aumento linear, conforme a faixa etária dos respondentes. Aplicações do instrumento e seus desdobramentos para intervenções são discutidos, considerando-se a pirâmide demográfica de envelhecimento da população e o cenário socioeconômico brasileiro.

Planning the future with clarity of goals can make it easier to adjust to retirement. This study examined evidence of validity of an instrument adapted for Brazil that investigates the future time perspective related to retirement, in the context of retirement planning. The instrument was answered online by 141 male and female workers, ages 25 to 66 years (M = 44.01, SD = 10.87). Exploratory factor analyses revealed a one-dimensional structure, factor loadings remained stable and with evidence of reliability of the instrument. Scale scores revealed a linear increase according to the age group of the respondents. Applications of the instrument and its contributions for interventions are discussed, considering the demographic pyramid of aging of the population and the Brazilian socioeconomic scenario.

Tener objetivos claros al planear el futuro puede facilitar el ajuste a la jubilación. Este estudio examinó las evidencias de validez de un instrumento adaptado para Brasil que investiga la perspectiva de tiempo futuro referente a la jubilación en el contexto de su planificación. 141 trabajadores hombres y mujeres, con edades entre 25 y 66 años (M = 44,01; DP = 10,87) contestaron el instrumento por internet. Análisis factoriales exploratorios revelaron una estructura unidimensional. Las cargas factoriales permanecieron estables en el instrumento y con evidencias de confiabilidad. La puntuación de la escala reveló un aumento linear según el grupo de edad de los respondientes. Aplicaciones del instrumento y sus consecuencias para intervenciones son discutidas teniendo en cuenta la pirámide demográfica de la vejez de la población y el escenario socioeconómico brasileño.

Observation on the effect of body position intervention combined pronase in sifting gastroscopy / 中国实用护理杂志

Objective To explore the application of body position intervention combined pronase in gastric mucosal cleaning in painless gastroscopy.Methods A total of 200 patients who underwent painless gastroscopy from July 2016 to July 2017 in the digestive endoscopy center were selected as the subjects.According to the random digital table method,the patients were randomly divided into the experimental group and the control group of 100 cases.In the experimental group,before the gastroscope was examined,pronase plus Dimethicone Powder and lidocaine mucilage was used,and then the body position intervention (right supine 5 min-supine 5 min-left lying position 5 min) was examined,and the control group was taken Dimethicone Powder and Lido before the intensive examination.The caking mortar was then placed on the left side of the examination bed 15 min for examination.The upper gastrointestinal tract visual field definition and endoscopic operation time were compared between the two groups under magnifying endoscopy under white light and narrowband imaging.Results In the experimental group,72.0％ (72/100),20.0％ (20/100),6.0％ (6/100) and 2.0％ (2/100) of A,B,C,D grade of the visual field clarity of mucosa under white light were better than 32.0％ (32/100),30.0％ (30/100),13.0％ (13/100) and 25.0％ (25/100) of the control group,respectively.The difference was statistically significant (x2=39.54,P ＜ 0.05).There were 0,6,29 and 65 cases of 1,2,3,4 scores of microvascular visual field intelligibility scores under magnifying endoscopy combined with narrow band imaging in the experimental group,which were better than those in the control group (11,31,28 and 30 cases respectively).The difference between the two groups was statistically significant (Z =-6.07,P ＜ 0.05).The examination time of the experimental group was (10.64 ± 3.83) minutes,which was lower than that of the control group (11.67 ± 4.89) minutes,and the difference was statistically significant (t=1.978,P ＜ 0.05).Conclusions The effect of pronase as an anti mucilage agent combined with body position is obvious,and the effect of dispelling the mucus and removing the mucus is comprehensive,and it can effectively shorten the time of examination.It is worthy of clinical application.

Research progress in instability mechanism and stabilizer of anthocyanins in oral liquid preparation of traditional Chinese medicine / 药学学报

Anthocyanins has a high health benefits and biological activity, which can make the solution easily absorbed and has a bright color, beautiful appearance in oral liquid. However, due to its particularity antioxidant activity, it is easy to be affected by the external physical and chemical factors, and then oxidation, polymerization, degradation and other unstable phenomena occurs that seriously affect the stability of products and shelf life. The traditional methods of pH regulation, deoxygenation and light avoidance could not meet the demand of stable anthocyanins. Addition of stabilizer to anthocyanins is a new effective way to improve the stability of anthocyanins. This paper is prepared to summarize systematically the principle and application methods of anthocyanins stabilizers to explore the key technology of clarification and stabilization of traditional Chinese medicine in the natural oral liquid, which may provide theoretical support and technical reference for the development and utilization of anthocyanins stabilizer.

Relationship among serf-concept clarity, social support, self-esteem and subjective well-being in secondary vocational school students / 中国心理卫生杂志

Objective:To explore the relationship among the self-concept clarity,social support,self-esteem and subjective well-being in secondary vocational school students.Methods:Totally 308 students were selected from one secondary vocational school in Guangzhou (196 males and 112 females).They were measured with the Self-concept Clarity Scale (SCCS),Perceived Social Support Scale (PSSS),Self-esteem Scale (SES) and Well-being Index Scale (WBIS).Results:The scores of the SCCS,PSSS,SES and WBIS were positively correlated with each other (r =0.15-0.53,Ps ＜ 0.01).Results of path analysis showed that self-concept clarity had a positive effect on social support,self-esteem and subjective well-being (β =0.21,0.47,0.20).Social support and self-es teem both had a positive effect on subjective well-being (β =0.30,0.37),social support had a positive effect on self-esteem (β =0.38).Conclusion:There may be close relationship among self-concept clarity,social support,selfesteem and subjective well-being.The role of self-concept clarity in improving subjective well-being should be paid more attention in educational practices.

Research Progress on the Prediction Methods for Settling Stability of Heterogeneous Liquid Preparations / 中国药学杂志

Heterogeneous liquid preparations are widely used in clinic, and played an important role in pharmaceutical preparations. But at the same time, since the instability of the physical and chemical properties of the heterogeneous liquid preparation, the dispersed particles have a large specific surface energy and form a thermodynamic unstable system. Especially when in the traditional Chinese medicine liquid preparation, which has a large number of unknown non quantitative components, can easily appear the phenomenon of subsidence, coalescence, stratification and phase inversion during the storage process. Therefore, it is of great significance to study the stability observation and prediction of heterogeneous liquid preparation for its prescription design, production process screening, quality evaluation, storage and transportation. However, only in the fields of food, beverage, cosmetics and other related fields have some research at home and abroad for the moment, and we fond there are few reports on heterogeneous liquid formulations. This paper attempts to study the methods of stability prediction in the fields mentioned above, and then we expect to provide a reference for the establishment of rapid, accurate, economic, scientific and objective prediction methods of the heterogeneous liquid preparation.

Relationship among Emotional Clarity, Maternal Identity, and Fetal Attachment in Pregnant Women with Gestational Diabetes Mellitus

PURPOSE: The purpose of this study was to examine the relationship among emotional clarity in emotional intelligence, maternal identity, and fetal attachment to measure how emotional clarity and maternal identity impact on fetal attachment and to determine mediating effects of maternal identity in pregnant women at the time of diagnosis with gestational diabetes mellitus (GDM). METHODS: This study used a correlational survey design. 88 pregnant women with GDM completed a study questionnaire of emotional clarity, maternal identity, and fetal attachment immediately after the diagnosis of GDM. Data were analyzed Mann-Whitney U test, and ANOVA with Duncan test, Pearson correlation, three-step regressions to test mediating effect, and Sobel test. RESULTS: The emotional clarity was positively related with maternal identity and fetal attachment. It affected maternal identity with 21.9% of explained variance. The emotional clarity and the maternal identity were significant predictors of fetal attachment by 57.7% of explained variance. The maternal identity mediated the relationship between emotional clarity and fetal attachment. CONCLUSION: The results suggest that a nursing program to enhance the emotional clarity and the maternal identity needs to be developed as an effective strategy to improve fetal attachment.

Optimization of Preparation Technology of Compound Sodium Lactate Injections for Improvement of Clar-ity / 中国药师

Objective:To optimize the preparation technology of compound sodium lactate injections for the improvement of clari-ty. Methods:The orthogonal test was adopted to screen the best preparation conditions using four influencing factors including the de-carburization temperature of the concentrated solution (A), pH value of the concentrated solution (B), decarburization time of the concentrated solution ( C) and the filling temperature of the injections ( D) with 3 levels for each, and the clarity of the injections as the index. Results:The best preparation conditions were as follows:the decarburization temperature was 60℃, pH value of the con-centrated solution was 6. 5, the decarburization time was 20minute and the filling temperature was 50℃. Conclusion: The optimal process can improve the clarity of compound sodium lactate injections.

Preliminary Exploration of Self-emulsifying Particle Size Characterization Methods and Its Regularity / 中国中医药信息杂志

Objective To explore self-emulsifying particle size characterization methods and compare the regularity of various methods. Methods By setting the clarity level of turbidity standard solution, with two less soluble drugs-diterpene lactone compounds Chuanhuning and dihydropyridine drug nifedipine as model drugs, 10-12 clarity level prescriptions were selected from six different ternary phase diagram. Laser particle size scanner was used to determine the particle size, and UV-visible spectrophotometry to determine its absorbance. Three methods of particle size characterization rules were compared by drawing charts. Results There was a positive correlationship among droplet particle size, absorbance and clarity grade of emulsion formed by prescription in the same phase diagram. But, there was no regularity among droplet particle size, absorbance and clarity grade of emulsion formed by prescription in different phase diagram. Conclusion The droplet particle size of emulsion formed by prescription containing the same drugs and excipients in different proportions can be compared by clarity with visual method or absorbance with UV-visible spectrophotometer.

How Does Speaking Clearly Influence Acoustic Measures? A Speech Clarity Study Using Long-term Average Speech Spectra in Korean Language

OBJECTIVES: To investigate acoustic differences between conversational and clear speech of Korean and to evaluate the influence of the gender on the speech clarity using the long-term average speech spectrum (LTASS). METHODS: Each subject's voice was recorded using a sound level meter connected to GoldWave program. Average long-term root mean square (RMS) of one-third octave bands speech spectrum was calculated from 100 to 10,000 Hz after normalizing to 70 dB overall level using the MATLAB program. Twenty ordinary Korean were compared with 20 Korean announcers with equal numbers of men and women in each group. RESULTS: Compared with the LTASS of ordinary men, that of ordinary women was lower at low frequencies, but higher at 630, 800, 1,600, 5,000, and 10,000 Hz. Compared with the LTASS of male announcers, that of female announcers was lower at low frequencies. Compared with the LTASS of ordinary men, that of male announcers was significantly lower at 100, 125, 200, and 250 Hz. Compared with the LTASS of ordinary women, that of female announcers was lower at 100, 125, 160, 200, 250, 500, and 10,000 Hz. The LTASS of announcer showed lower levels at 100, 200 Hz and higher at 500, 630, 800, and 1,000 Hz that that of ordinary Koreans. CONCLUSION: This study showed that the drop-off of the LTASS in the low frequency region might make the ratings of women and announcers more clearly than those of men and ordinary persons respectively. This drop-off in the low frequency might result in less upward spread of masking and clearer speech. This study reduced an error resulting from a wide variability of clear speech strategies and intelligibility gains, because this study recruited professional speakers. We hope that our results demonstrate the difference in acoustic characteristics of the speech of ordinary Korean persons.

Adaptación transcultural de la escala de cuidado profesional (cps): adecuación semántica / Cultural adaptation to level of care professionals (cps): semantic adaptation

Para poder obtener el producto final de este estudio, fue necesario realizarle a la Escala de Cuidado Profesional (CPS), primera versión en español, la denominada Adecuación Semántica que hace parte del proceso de Adaptación Transcultural. Para esto las gestantes durante la prueba de campo, contestaron por cada uno de los ítems de la escala, preguntas que evalúan la comprensión y la claridad de sus enunciados y, la opción de medida que para ellas responde mejor el ítem. Además utilizando la técnica del parafraseo, cada gestante describió desde su perspectiva y de acuerdo a su conocimiento y lenguaje, lo que significaba cada enunciado para ellas. En el análisis de los ítems de la escala, los resultados mostraron que 13 de los ítems (de los 15 que contiene la escala), presentaban dificultades en la equivalencia conceptual y que por lo tanto, debían ser adecuados semánticamente teniendo en cuenta el parafraseo, el significado, la significancia y el proceso de traducción que con anterioridad sufrió la escala. Así mismo cobro importancia adoptar la opción de respuesta dicotómica que prevaleció entre las gestantes. Lo anterior llevo proponer una nueva escala en español, donde los ítems y la opción de respuesta están adecuados semánticamente. Sin embargo, se vio la necesidad de aplicar de nuevo esta escala con otro grupo de gestantes, siguiendo el mismo rigor metodológico y, teniendo en cuenta que cumplieran los mismos criterios de inclusión, con el fin de mejorar su proceso semántico. Los datos obtenidos de este último proceso demostraron similitudes socio demográficas, y una alta aceptabilidad de los ítems y opción de respuesta, no obstante se propone reformular de nuevo el ítem Nro. 2 dado que solo alcanzó una claridad del 76%.

To obtain the final product of this study was needed on the Professional Care Scale (CPS), the first Spanish version; the so-called Semantic Adaptation is part of the process of cultural adaptation. For pregnant women during this field test, answered by each of the items of the scale, questions that assess understanding and clarity of their statements and the option for them as best answer the item. Besides using the technique of paraphrasing, every pregnant woman from their perspective and described according to their knowledge and language, which meant each statement for them. In the analysis of scale items, the results showed that 13 of the items (of 15 containing the scale), had difficulties in the conceptual equivalence and therefore should be given adequate semantic paraphrases, meaning, significance and the translation process that previously suffered the scale. Also collecting importance of adopting the dichotomous response option that prevailed among pregnant women. This led to propose a new scale in Spanish, where the items and the answer choice is semantically appropriate. However, it became necessary to apply this scale again with another group of pregnant women, following the same methodological rigor and taking into account that met the same inclusion criteria, in order to improve their process semantics. Data from this latter process showed similarities sociodemographic, and high acceptability of the items and response option, however it is proposed to reformulate the item No. 2 since only reached 76% clarity.

The Surgical Outcomes of Simple Keratectomy for Limbal Dermoids

PURPOSE: To evaluate the results of simple keratectomy for limbal dermoids. METHODS: We reviewed the ocular records of 29 consecutive patients with limbal dermoids who had undergone simple keratectomy in Seoul National University Children's hospital from 1989 to 2006. The preoperative and postoperative visual acuity and astigmatism levels as well as the cosmetic outcomes were measured. RESULTS: The mean age at surgery was 28 months (range, 6~70 months), and the mean follow-up period was 56 months (range, 18~168 months). The mean visual acuity at the last follow-up was 20/30. The mean preoperative and postoperative cylinder was -2.64D and -2.12D, respectively, in the affected eye (p=0.064); and -0.79D and -0.43D, respectively, in the fellow eye (p=0.149). There was a significant correlation between preoperative astigmatism and the final visual acuity in the involved eye. No opaque lesions were visible at a distance of 1 meter in 16 of the 29 eyes (55.2%), and there were no significant complications related to the surgery. CONCLUSIONS: Simple keratectomy of limbal dermoids can be a good surgical technique to get a cosmetically acceptable corneal clarity without complication.

Combined Keratoplasty and Cataract Surgery

We evaluated the clinical results of the combined keratoplasty and cataract surgery. Fifty nine patients were devided into 3 groups according to the operation type: Group I; penetrating keratoplasty, cataract extraction and intraocular lens implantation (triple procedure), Group II; penetrating keratoplasty and cataract extraction, Group III; penetrating keratoplasty and intraocular lens implantation. The most common cause of corneal opacity was infection in group I and II, and aphakic bullous keratopathy in group III. The preoperative best corrected visual acuity was less than 20/200 in almost all patients. The postoperative corrected visual acuity of 20/100 or better was obtained in 70%(14 eyes), 53%(9 eyes) and 33.3%(5 eyes) in group I, II and III and 12 months. Clarity of the graft cornea was maintained 90.9% in group I, 55% in group, and 64.7% in group III. The two most common complication were graft rejection and glaucoma. From above results, combined keratoplasty and cataract surgery could be an available procedure which obtain a good visual outcome in patients who have both corneal opacity and cataract. Especially, the triple procedure offers patients the chance of an early visual rehabilitation after graft and cataract surgery with a little risk of complication. However, more careful preoperative examinations and postoperative managements should be necessary for a higher success-rate.