ABSTRACT
AIM: To detect an earlier improvement in mild to moderate keratoconus following corneal cross-linking (CXL) with total corneal refractive power (TCRP) using ray tracing method. METHODS: A total of 40 eyes of 30 consecutive patients who underwent CXL for progressive keratoconus were retrospectively enrolled. The following keratometric parameters provided by Pentacam HR, including maximum keratometry (Kmax), steepest keratometry (Ksteep), 3 mm zonal TCRP centered over corneal apex (TCRPapex,zone 3 mm), zonal mean keratometry and TCRP centered over corneal cone (Kmcone,zone and TCRPcone,zone 1, 2, 3 mm) were evaluated preoperatively and 1, 3, 6, and 12mo postoperatively. Groups 1 and 2 were defined based on Kmax at postoperative 1mo as improved (the initial improvement group) or worsen (the initial deterioration group) compared to the preoperative level. RESULTS: In the overall group, only keratometric parameters based on ray tracing method displayed significant improvement early at 3mo postoperatively, in which TCRPcone,zone 1 mm and 2 mm exhibited the largest flattening (0.57 D and 0.53 D, respectively). In Group 1, only Kmax, Kmcone,zone 2 mm and TCRPcone,zone 2 mm showed significant improvement initially at 1mo postoperatively, in which Kmax exhibited the largest improvement (1.05 D), followed by TCRPcone,zone 2 mm (0.82 D). In Group 2, only keratometric parameters based on ray tracing method and Kmcone,zone 3 mm showed slight but not significant improvement early at 3mo, in which TCRPcone,zone 3 mm displayed the most improvement (0.19 D), followed by TCRPcone,zone 2 mm (0.15 D). CONCLUSION: The findings indicate that a 2 mm zonal TCRP centered over Kmax could earlier detect keratometric improvement by CXL compared to other commonly used parameters in mild to moderate keratoconic eyes.
ABSTRACT
In a pot experiment, hyperaccumulator Sedum plumbizincicola and low-cadmium accumulating Oryza sativa cultivar "Zhongxiang No. 1" were planted in rotation on a heavy metals-polluted soil, and calcium magnesium phosphate (Ca-P) and rock phosphate (P-R) were amended, aimed to study the effects of the rotation and phosphate amendment on the growth of the two plants and the zinc- and cadmium accumulation in their shoots. After the amendment of 50 g P-R x kg(-1), the Zn and Cd uptake by S. plumbizincicola was 11.5 mg x pot(-1) and 0 x 79 mg x pot(-1), respectively, being significantly higher than that after the amendment of 4 g Ca-P x kg(-1). After the planting of S. plumbizincicola, the Zn and Cd concentrations in "Zhongxiang No. 1" increased, but the amendment of Ca-P decreased the accumulation of Zn and Cd in rice shoot significantly. The rotation with S. plumbizincicola and the amendment of Ca-P and P-R could immobilize the Zn and Cd in the contaminated soil as indicated by the quantitative change of NH4OAc-extractable Cd and Zn, and the efficiency of amendment with Ca-P was better than that of amendment with P-R. Field trial showed that amendment with Ca-P could not only increase the rice yield, but also reduce the Zn and Cd accumulation in rice shoot to a certain extent.
