AIM:To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion(UCE) correction using anterior lamellar recession(ALR) with addressing the associated conditions including dermatochalas...AIM:To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion(UCE) correction using anterior lamellar recession(ALR) with addressing the associated conditions including dermatochalasis,brow ptosis,blepharoptosis,and lid retraction.METHODS:Chart review of patients with upper lid cicatricial entropion who had undergone ALR from 2013 to 2016 was reviewed.Success was defi ned as the lack of any lash in contact with the globe,no need for a second procedure,and acceptable cosmesis at the fi nal follow up.RESULTS:Sixty eight patients(97 eyelids) were operated by ALR with simultaneous correction of associated lid problems in each case when necessary.The mean followup time was 17.8 mo(range,6.0-24.0 mo).Concomitantly,levator tucking was performed in 19 eyelids(19.6%),upper lid retractor recession in 18 eyelids(18.6%),and internal browpexy in 31 eyelids(32.0%).In 95.8% of patients(95%CI:0.85-0.96),satisfactory functional and cosmetic outcome was achieved with a single surgical procedure.CONCLUSION:Based on the principles of lamellar recession and concurrently addressing the associated lid problems,this approach is an effective and safe treatment of UCE.展开更多
为了提升公路服务区雨水收纳能力,减小雨水径流对公路服务区功能的影响,以甘肃省卓尼县完冒服务区为研究对象,利用InfoWorks ICM模型,根据当地暴雨强度公式,通过设置1、5、10、30、50 a 5种不同的暴雨重现期,构建了不同情景下的公路服...为了提升公路服务区雨水收纳能力,减小雨水径流对公路服务区功能的影响,以甘肃省卓尼县完冒服务区为研究对象,利用InfoWorks ICM模型,根据当地暴雨强度公式,通过设置1、5、10、30、50 a 5种不同的暴雨重现期,构建了不同情景下的公路服务区雨水径流模型;对比低影响开发(low impact development,LID)设施改造前后雨水管网超载情况,分析了公路服务区在低影响开发(LID)设施改造前后的径流控制和峰值削减的效果以及雨水管网应对雨洪的能力。结果表明:低影响开发(LID)设施对公路服务区雨水管网峰值流量的削减以及径流控制有良好效果,缓解了雨水管网的负荷,减少了管网超载的管段个数,有效提高了雨水管网集水排水能力。研究结果可为公路服务区雨水高效利用技术建设以及低影响开发(LID)设施改造提供意见建议。展开更多
文摘AIM:To evaluate the functional and aesthetic outcomes of upper eyelid cicatricial entropion(UCE) correction using anterior lamellar recession(ALR) with addressing the associated conditions including dermatochalasis,brow ptosis,blepharoptosis,and lid retraction.METHODS:Chart review of patients with upper lid cicatricial entropion who had undergone ALR from 2013 to 2016 was reviewed.Success was defi ned as the lack of any lash in contact with the globe,no need for a second procedure,and acceptable cosmesis at the fi nal follow up.RESULTS:Sixty eight patients(97 eyelids) were operated by ALR with simultaneous correction of associated lid problems in each case when necessary.The mean followup time was 17.8 mo(range,6.0-24.0 mo).Concomitantly,levator tucking was performed in 19 eyelids(19.6%),upper lid retractor recession in 18 eyelids(18.6%),and internal browpexy in 31 eyelids(32.0%).In 95.8% of patients(95%CI:0.85-0.96),satisfactory functional and cosmetic outcome was achieved with a single surgical procedure.CONCLUSION:Based on the principles of lamellar recession and concurrently addressing the associated lid problems,this approach is an effective and safe treatment of UCE.