AIM:To observe the efficacy and safety of pars plana vitrectomy(PPV)with eye position guided fluid-air exchange(FAX)and air to mponade in the treatment of rhegmatogenous retinal detachment(RRD).METHODS:RRD patients wi...AIM:To observe the efficacy and safety of pars plana vitrectomy(PPV)with eye position guided fluid-air exchange(FAX)and air to mponade in the treatment of rhegmatogenous retinal detachment(RRD).METHODS:RRD patients without severe proliferative vitreoretinopathy(PVR)C1 or more were enrolled.All patients underwent PPV combining with air tamponade.During operation,the primary retinal break(s)were placed at lower site and subretinal fluid was aspirated through the break(s)at the same time when eye position guided FAX was proceeding.Sufficient laser spots were made to seal the retinal break(s)after FAX,and filtered air was left in vitreous cavity as to mponade agent finally.The main outcomes were primary and final success rates,best corrected visual acuity(BCVA),and the secondary outcomes were rate of postoperative cataract surgery and high intraocular pressure.RESULTS:A total of 37 eyes(20 males and 17 females)with a follow-up time of≥6 mo were included.The range of RRD was 5.6±1.8 h,and the number of retinal breaks was 1.9±1.2.The breaks located at inferior quadrants(between 3:00 and 9:00)in 5 cases(13.5%),and both superior and inferior breaks were found in 3 cases(8.1%).A total of 25 cases(67.6%)with macular detached involvement,9 cases(24.3%)with intraocular lens,and 8 patients(21.6%)were treated with phacoemulsification and intraocular lens implantation together.The success rate of primary retinal reattachment was 100%(37/37).At 6 mo postoperatively,BCVA(logMAR)was increased from 1.13±1.07 to 0.23±0.15(P<0.001).Phacoemulsification combined with intraocular lens implantation was performed in 2 patients(5.4%),and one of them underwent macular epiretinal membrane peeling in addition(2.7%).Furthermore,high intraocular pressure was found in 4 cases(10.8%).CONCLUSION:PPV with air tamponade by eye position guided FAX can achieve a high reattachment success rate in the management of patients with RRD,and it has the advantages of short postoperative prone time and fewer operative complications.展开更多
This paper gives an overview of studies on parameters displayed on the Automotive Head Up Display （A-HUD） including calculation and construction of symbology page based on study results. A study has been made on vit...This paper gives an overview of studies on parameters displayed on the Automotive Head Up Display （A-HUD） including calculation and construction of symbology page based on study results. A study has been made on vital parameters required for car drivers and design calculations have been made based on design parameters like field of view, distance from the design eye position, minimum character size viewable from a distance of 1.5m between driver and the projected image, and optical magnification factor. lhe display format suitable for A-HUD applications depends upon the parameters required to be displayed. The aspect ratio chosen is 4：3. This paper also provides method to design the symbology page embedding six vital parameters with their relative positioning and size considering relative position between display device and optical elements which has been considered with a magnification factor of 2.5. The field of view obtained is 6.7° × 4.8°.展开更多
Objective To compare the perceived eye position,Titmus and stereopsis function across various types of anisometropia to identify differences in binocular visual function.Methods This study included 204 anisometropic p...Objective To compare the perceived eye position,Titmus and stereopsis function across various types of anisometropia to identify differences in binocular visual function.Methods This study included 204 anisometropic patients(observation group,interocular spherical equivalent difference≥1.5D or cylindrical≥1.0D)and 57 non-anisometropic controls(interocular differences<1.5D spherical or<1.0D cylindrical).Participants were initially stratified based on documented amblyopia history(94 with vs.110 without),followed by further subgrouping of the observation group into hyperopic,myopic,and astigmatic anisometropia types for comparative analysis with controls.Standardized assessments comprised best-corrected visual acuity(BCVA,logMAR),cycloplegic refraction,Titmus near stereopsis(arcsec),binocular perceptual eye position(PEP)deviation,and three-order stereopsis thresholds measured via a computerized binocular vision assessment system.Statistical analysis adhered to CONSORT guidelines(SPSS v26.0,α〓〓=〓〓0.05).Results(1)No significant differences were observed between patients with documented amblyopia history and those without regarding equivalent spherical lens difference,horizontal/vertical PEP,three-order stereopsis,or Titmus test results.(2)The control group demonstrated superior vertical PEP,three-order stereopsis,and Titmus performance compared to all anisometropia subgroups(myopic,hypermetropic,and astigmatic;P〓〓<0.05),though horizontal PEP showed no significant variation(P〓〓>0.05).(3)While Titmus results showed no difference between astigmatic and myopic anisometropia groups(P〓〓=〓〓0.72),significant differences existed among other groups(P<0.05).Notably,the hyperopic anisometropia group exhibited the poorest normal rates for vertical PEP,Titmus,and three-order stereopsis among all groups(P〓〓<0.001).Additionally,the astigmatism group outperformed both myopia and hypermetropia groups in 0-order and 1-order stereopsis(P〓〓<0.05).Conclusions The study revealed no significant difference in visual function between anisometropic amblyopia patients who achieved normal BCVA(≤0.0 LogMAR)and non-amblyopic anisometropic controls.However,all forms of anisometropia demonstrated varying degrees of impairment to binocular fusion and stereopsis,with hypermetropic anisometropia showing the most pronounced deficits,particularly in near stereopsis.Notably,vertical PEP instability may contribute to the progression of hyperopic anisometropia.展开更多
基金Supported by the Natural Science Basic Research Project of Shaanxi Province(No.2019JM-578)。
文摘AIM:To observe the efficacy and safety of pars plana vitrectomy(PPV)with eye position guided fluid-air exchange(FAX)and air to mponade in the treatment of rhegmatogenous retinal detachment(RRD).METHODS:RRD patients without severe proliferative vitreoretinopathy(PVR)C1 or more were enrolled.All patients underwent PPV combining with air tamponade.During operation,the primary retinal break(s)were placed at lower site and subretinal fluid was aspirated through the break(s)at the same time when eye position guided FAX was proceeding.Sufficient laser spots were made to seal the retinal break(s)after FAX,and filtered air was left in vitreous cavity as to mponade agent finally.The main outcomes were primary and final success rates,best corrected visual acuity(BCVA),and the secondary outcomes were rate of postoperative cataract surgery and high intraocular pressure.RESULTS:A total of 37 eyes(20 males and 17 females)with a follow-up time of≥6 mo were included.The range of RRD was 5.6±1.8 h,and the number of retinal breaks was 1.9±1.2.The breaks located at inferior quadrants(between 3:00 and 9:00)in 5 cases(13.5%),and both superior and inferior breaks were found in 3 cases(8.1%).A total of 25 cases(67.6%)with macular detached involvement,9 cases(24.3%)with intraocular lens,and 8 patients(21.6%)were treated with phacoemulsification and intraocular lens implantation together.The success rate of primary retinal reattachment was 100%(37/37).At 6 mo postoperatively,BCVA(logMAR)was increased from 1.13±1.07 to 0.23±0.15(P<0.001).Phacoemulsification combined with intraocular lens implantation was performed in 2 patients(5.4%),and one of them underwent macular epiretinal membrane peeling in addition(2.7%).Furthermore,high intraocular pressure was found in 4 cases(10.8%).CONCLUSION:PPV with air tamponade by eye position guided FAX can achieve a high reattachment success rate in the management of patients with RRD,and it has the advantages of short postoperative prone time and fewer operative complications.
文摘This paper gives an overview of studies on parameters displayed on the Automotive Head Up Display （A-HUD） including calculation and construction of symbology page based on study results. A study has been made on vital parameters required for car drivers and design calculations have been made based on design parameters like field of view, distance from the design eye position, minimum character size viewable from a distance of 1.5m between driver and the projected image, and optical magnification factor. lhe display format suitable for A-HUD applications depends upon the parameters required to be displayed. The aspect ratio chosen is 4：3. This paper also provides method to design the symbology page embedding six vital parameters with their relative positioning and size considering relative position between display device and optical elements which has been considered with a magnification factor of 2.5. The field of view obtained is 6.7° × 4.8°.
基金supported by the 2021 Myopia Prevention and control Funding in Nan'an District,Chongqing,China(99–2021226).
文摘Objective To compare the perceived eye position,Titmus and stereopsis function across various types of anisometropia to identify differences in binocular visual function.Methods This study included 204 anisometropic patients(observation group,interocular spherical equivalent difference≥1.5D or cylindrical≥1.0D)and 57 non-anisometropic controls(interocular differences<1.5D spherical or<1.0D cylindrical).Participants were initially stratified based on documented amblyopia history(94 with vs.110 without),followed by further subgrouping of the observation group into hyperopic,myopic,and astigmatic anisometropia types for comparative analysis with controls.Standardized assessments comprised best-corrected visual acuity(BCVA,logMAR),cycloplegic refraction,Titmus near stereopsis(arcsec),binocular perceptual eye position(PEP)deviation,and three-order stereopsis thresholds measured via a computerized binocular vision assessment system.Statistical analysis adhered to CONSORT guidelines(SPSS v26.0,α〓〓=〓〓0.05).Results(1)No significant differences were observed between patients with documented amblyopia history and those without regarding equivalent spherical lens difference,horizontal/vertical PEP,three-order stereopsis,or Titmus test results.(2)The control group demonstrated superior vertical PEP,three-order stereopsis,and Titmus performance compared to all anisometropia subgroups(myopic,hypermetropic,and astigmatic;P〓〓<0.05),though horizontal PEP showed no significant variation(P〓〓>0.05).(3)While Titmus results showed no difference between astigmatic and myopic anisometropia groups(P〓〓=〓〓0.72),significant differences existed among other groups(P<0.05).Notably,the hyperopic anisometropia group exhibited the poorest normal rates for vertical PEP,Titmus,and three-order stereopsis among all groups(P〓〓<0.001).Additionally,the astigmatism group outperformed both myopia and hypermetropia groups in 0-order and 1-order stereopsis(P〓〓<0.05).Conclusions The study revealed no significant difference in visual function between anisometropic amblyopia patients who achieved normal BCVA(≤0.0 LogMAR)and non-amblyopic anisometropic controls.However,all forms of anisometropia demonstrated varying degrees of impairment to binocular fusion and stereopsis,with hypermetropic anisometropia showing the most pronounced deficits,particularly in near stereopsis.Notably,vertical PEP instability may contribute to the progression of hyperopic anisometropia.
