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Ophthalmology belongs to microsurgical subject and anatomy is intricate. In clinical practice, students are required to skillfully use eye examination equipment. The foreign students from Medical School of Vienna University are eager to learn and know theoretical knowledge very well. Department of ophthalmology has developed specific and individualized teaching plans according to the characteristics and needs of foreign students. Through the configuration of high quality teachers, the practice teaching is ensured. Chinese and foreign students are encouraged to share their knowledge and form a study group. Opportunities for hands-on practice of ophthalmology are increased by using Wetlab condition. Problem-based heuristic teaching is used to stimulate students' learning initiative. Through these teaching measures, the students' quality of clinical practice has been enhanced, the teaching level of clinical ophthalmology has been improved and sustainable development has also been achieved.
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Objective To observe curative effect of olopatadine in treatment of allergic conjunctivitis combined with frequently winking in children. Design Prospective case series. Participants Ninety seven children with frequently winking aged 3-12 years in Shanghai Eye and ENT Hospital. Methods According to the factor in causation of frequently winking (FW), 97 children were divided into allergic conjunctivitis (AC) group, trichiasis combined AC group, AC with tics group, trichiasis group, tics group and unknown cau-sation group after clinical examination. The first 3 groups with AC were treated with olopatadine 0.1% ophthalmic solution b.I.d.(n=35) and emedastine 0.05% ophthalmic solution was used q.I.d, in AC group as control(n=32). The patients were followed after 3 weeks and the extent of symptoms of FW was recorded. Main Outcome Measures Extent of the symptoms of FW. Result The effective rate of olopatadine in treating FW caused by AC or AC combined with other diseases was 80.43%. The effective rate in FW children caused mainly by AC was 82.86% which was higher than that of control drug emedastine (75.0%) (P=0.02). Seven cure cases were all in olopatadine treating group. Conclusion AC is the most common and main causative factor in FW children. Early use of olopatadine ophthalmic drop can effectively alleviate FW symptoms. (Ophthalmol CHN, 2009, 18: 272-274)
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Objective Development of eyeball is visually regulated by messengers that released from the retina, and research demonstrated that retinoic acid (RA) is the only extrinsic biochemical candidate that could act as a growth controller. Present study was designed to evaluate the RA system in retina of guinea pig eye with experimental form deprivation myopia. Methods The form deprivation myopia models were monocularly established in the 24 2-week-old guinea pigs by occluding the lateral eyes using white translucent hemispheres for two weeks, and the fellow eyes were as normal control. Refraction diopter was detected with streak retinoscopy after cycloplegia, and axial length and vitreous depth were calculated with Cinescan A/B ultrasonography before and 2 weeks after experiment. All animals were sacrificed and retina was dissected 2 weeks after experiment. The RA level in retina was delected by High Performance Liquid Chromatography (HPLC). The expressions of RA-binding proteins Ⅰ(CRABP-Ⅰ) and RA receptor-β(RAR-β) protein and mRNA were assayed by Western-blotting and Real-time PCR, respectively. The experiment and use of animals followed the Standard of Association for Research in Vision and Ophthalmology. Results The spherical equivalent refraction was (+ 3. 00 ± 0. 75) D in the model group and (+ 2. 88 ± 0. 67) D in control eyes (t= 0. 672, P ＞ 0. 05), the ocular axial length was (7. 822 ± 0. 083) mm in model group and (7. 791 ±0.073) mm in control eyes before experiment (t = 0. 346, P ＞ 0. 05). In 2 weeks after experiment, the spherical equivalent refraction was (- 3. 82 ± 0. 13) D versus (1. 99 ± 0. 58) D and axial length was (8. 346 ± 0. 047) mm versus (7. 888 ± 0. 042) mm between model eyes and control eyes (t = 8. 376, P ＜ 0. 001; t = 3. 343, P ＜0. 05). No significant difference in the level of RA in retina before and after experiment (1. 394 ±0. 079 μg/g vs 1. 295 ±0. 023 μg/g) (t =0. 897, P ＞0. 05) but obviously elevated after experiment in model eyes compared with control eyes (2. 356 ± 0.098 μg/g vs 1.499 ±0.035 μg/g) (t =4. 934, P ＜0. 01). The expression of CRABP-Ⅰ and RAR-β mirrored these directional changes. Conclusion The RA system in retina is upregulated in the eye of guinea pig with form deprivation myopia. This findings suggests that RA may act as a messenger in the development of experimental myopia.
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Objective To provide the possible methods to relieve the symptoms of video display terminal users by diagnosing the visual problems.Methods Several tests including primary eye care, tear break time (BUT), refractive analysis, facility of accommodation, phoria and FCC were done on 121 patients respectively.Results In the 121 patients, 47 patients(39%) were accommodative failure, 66 patients(55%) were lag of accommodation checking with FCC, 53 patients (43.8%) were uncorrected presbyopia, 65 patients (53.7%) were break up time of tear film＜10s, 87 patients (71.8%) couldn't been corrected the refraction errors or the correction of refractive errors was unsatisfied, 24 patients(19.8%) were esophoria, 17 patients (14%) were exophoria, 8 patients (7%) were anisometropia. Conclusion Proper accommodation training, amplitude correction of ametropia and presbyopia and relieving the symptoms of dry eye can to some extent solve the problems of VDT users.