AIM:To describe a novel suture approach for transscleral fixation of C-loop intraocular lenses(IOL)and to compare the surgical outcomes with the four-haptics posterior chamber(PC)-IOL technique.METHODS:We retrospectiv...AIM:To describe a novel suture approach for transscleral fixation of C-loop intraocular lenses(IOL)and to compare the surgical outcomes with the four-haptics posterior chamber(PC)-IOL technique.METHODS:We retrospectively analyzed 16 eyes of 16 patients who underwent transscleral fixation of C-loop PCIOLs using a flapless one-knot suture technique,which were followed up for longer than 17mo.In this technique,the capsulorless IOL was suspended using a single suture for transscleral fixation of four feet.Then we compared its surgical outcomes and complications with the four-haptics PC-IOLs using the Student's t test and Chi-square test.RESULTS:Sixteen patients of 16 eyes with a mean age of 58.3±10.1y(42-76y)who received transscleral C-loop IOL implantation due to trauma,vitrectomy,or cataract surgery with inadequate capsule support showed improved visual acuity.The difference was not significant between two IOLs except the surgery time(P>0.05).The mean operation times of C-loop IOL surgery was 24.1±1.83min and 31.3±4.47min of the four-haptics PC-IOL method(P<0.0001).In the C-loop IOLs group,there was statistical difference between the preoperative and the postoperative UCVA(log MAR,1.20±0.50 vs 0.57±0.32,P=0.0003).There was no statistical difference between the preoperative and the postoperative BCVA(log MAR,0.66±0.46 vs 0.40±0.23,P=0.056).However,there was no statistically significant difference in postoperative UCVA and BCVA between the two IOLs(P>0.05).We did not detect any optic capture,IOL decentration or dislocation,suture exposed,or cystoid macular edema in patients underwent C-loop IOLs surgery.CONCLUSION:The novel flapless one-knot suture technique for transscleral fixation of C-loop IOL is a simple,reliable,and stable technique.展开更多
针对分布式光伏出力的不确定性对新型配电网合环运行产生的影响,文中提出了一种考虑合环电流约束的新型配电网负荷均衡分布鲁棒优化模型。考虑新型配电网合环电流的稳态约束和暂态约束,建立了新型配电网负荷均衡优化模型。在此基础上,采...针对分布式光伏出力的不确定性对新型配电网合环运行产生的影响,文中提出了一种考虑合环电流约束的新型配电网负荷均衡分布鲁棒优化模型。考虑新型配电网合环电流的稳态约束和暂态约束,建立了新型配电网负荷均衡优化模型。在此基础上,采用K-means聚类对分布式光伏出力历史数据进行聚类,得到具有代表性的典型场景,同时考虑1-范数和∞-范数对置信区间的约束,建立考虑合环电流约束的新型配电网负荷均衡分布鲁棒优化模型。最后采用列与约束生成(column and constraint generation,C&CG)算法对模型进行求解,在改进的IEEE-99节点上进行算例分析,验证了文中所提模型的有效性。展开更多
基金Supported by the Gongli Hospital of Pudong New Area,Shanghai(No.2017YQNJJ-13)。
文摘AIM:To describe a novel suture approach for transscleral fixation of C-loop intraocular lenses(IOL)and to compare the surgical outcomes with the four-haptics posterior chamber(PC)-IOL technique.METHODS:We retrospectively analyzed 16 eyes of 16 patients who underwent transscleral fixation of C-loop PCIOLs using a flapless one-knot suture technique,which were followed up for longer than 17mo.In this technique,the capsulorless IOL was suspended using a single suture for transscleral fixation of four feet.Then we compared its surgical outcomes and complications with the four-haptics PC-IOLs using the Student's t test and Chi-square test.RESULTS:Sixteen patients of 16 eyes with a mean age of 58.3±10.1y(42-76y)who received transscleral C-loop IOL implantation due to trauma,vitrectomy,or cataract surgery with inadequate capsule support showed improved visual acuity.The difference was not significant between two IOLs except the surgery time(P>0.05).The mean operation times of C-loop IOL surgery was 24.1±1.83min and 31.3±4.47min of the four-haptics PC-IOL method(P<0.0001).In the C-loop IOLs group,there was statistical difference between the preoperative and the postoperative UCVA(log MAR,1.20±0.50 vs 0.57±0.32,P=0.0003).There was no statistical difference between the preoperative and the postoperative BCVA(log MAR,0.66±0.46 vs 0.40±0.23,P=0.056).However,there was no statistically significant difference in postoperative UCVA and BCVA between the two IOLs(P>0.05).We did not detect any optic capture,IOL decentration or dislocation,suture exposed,or cystoid macular edema in patients underwent C-loop IOLs surgery.CONCLUSION:The novel flapless one-knot suture technique for transscleral fixation of C-loop IOL is a simple,reliable,and stable technique.
文摘针对分布式光伏出力的不确定性对新型配电网合环运行产生的影响,文中提出了一种考虑合环电流约束的新型配电网负荷均衡分布鲁棒优化模型。考虑新型配电网合环电流的稳态约束和暂态约束,建立了新型配电网负荷均衡优化模型。在此基础上,采用K-means聚类对分布式光伏出力历史数据进行聚类,得到具有代表性的典型场景,同时考虑1-范数和∞-范数对置信区间的约束,建立考虑合环电流约束的新型配电网负荷均衡分布鲁棒优化模型。最后采用列与约束生成(column and constraint generation,C&CG)算法对模型进行求解,在改进的IEEE-99节点上进行算例分析,验证了文中所提模型的有效性。
