●AIM:To evaluate the long-term effects of pattern scan laser(PASCAL)pan-retinal photocoagulation(PRP)on diabetic retinopathy(DR)in Chinese patients.●METHODS:In this retrospective study,we evaluated clinical data of ...●AIM:To evaluate the long-term effects of pattern scan laser(PASCAL)pan-retinal photocoagulation(PRP)on diabetic retinopathy(DR)in Chinese patients.●METHODS:In this retrospective study,we evaluated clinical data of 29 patients(53 eyes)with severe non-proliferative DR(SNPDR)or proliferative DR(PDR)who received PRP and follow-up at our hospital from 2008 to 2013.Sixteen patients(29 eyes)received PASCAL PRP and 13 patients(24 eyes)received 100-ms conventional laser PRP.●RESULTS:After long-term follow-up(mean,min-max days:719.8,290-1666 for PASCAL PRP vs 743.5,240-1348 for conventional PRP,P=0.569),patients receiving PASCAL PRP required fewer photocoagulation sessions than the conventional PRP group(2.6±1.0 vs 3.9±0.9,P<0.01).Best corrected visual acuity(BCVA)was reduced slightly in PASCAL PRP group while reduced significantly in conventional PRP group.At last visit,24 eyes in the PASCAL group(88.9%)and 21 eyes in the conventional group(91.7%)were improved or stable.Two eyes in PASCAL PRP group(7.4%)and 3 eyes in the conventional PRP group(12.5%)developed vitreous hemorrhage or vitreous fibrovascular proliferation.●CONCLUSION:PASCAL PRP is as effective and may be more conducive to maintaining visual acuity with less treatment sessions for DR treatment compared to conventional laser PRP.展开更多
Purpose:To evaluate the clinical efficacy of Pattern Scan Laser Photocoagulator (PASCAL) by observing the efficacy of PASCAL on retinopathy.Methods:A total of 92 patients with retinopathy (121 eyes) who underwent PASC...Purpose:To evaluate the clinical efficacy of Pattern Scan Laser Photocoagulator (PASCAL) by observing the efficacy of PASCAL on retinopathy.Methods:A total of 92 patients with retinopathy (121 eyes) who underwent PASCAL between December 2008 and February 2009 in our center were retrospectively analyzed to evaluate the visual acuity changes and recovery conditions of the patients from baseline to posterior to the treatment.The retinopathy included:diabetic retinopathy,ischemic retinal vein occlusion.(IRVO),central serous chorioretinopathy (CSC),retinal periphlebitis (Eales disease) and retinal degeneration /holes.Results:The patients were subject to a 12-month follow up after PASCAL.The visual acuity findings were stated as below:for diabetic retinopathy.(73 eyes),10 eyes had improved visual acuity;55 eyes were stabilized and 8 eyes progressed;for IRVO (13 eyes),4 eyes showed improvement,6 eyes were stabilized and 3 eyes progressed;for CSC (9 eyes),6 eyes were alleviated and 3 eyes progressed;for retinal periphlebitis (5 eyes),2 eyes had enhanced visual acuity and 3 eyes showed stable visual acuity;for retinal degeneration /holes (21 eyes),5 eyes presented improved visu-al acuity,16 eyes were stabilized and no eye progressed.Indirect ophthalmoscopic reexamination confirmed secured blockage by laser spots and favorable absorption of the retinal edema and newborn capillaries.No obvious leakage was observed during fundus fluorescein angiography and no laser-related ocular adverse effect was reported.Conclusion:PASCAL is accurate,effective and well-tolerated.The duration of short laser pulse falls within the safety range,ensuring the stabilization and improvement in the pa-tient's visual acuity.The parameters,long-term efficacy and complications of PASCAL should be further demonstrated by performing long-term clinical trials with larger sample size.展开更多
Research Background and Purpose: The number of diabetic patients is rapidly increasing, making it crucial to find methods to prevent diabetic retinopathy (DR), a leading cause of blindness. We investigated the effects...Research Background and Purpose: The number of diabetic patients is rapidly increasing, making it crucial to find methods to prevent diabetic retinopathy (DR), a leading cause of blindness. We investigated the effects of prophylactic pattern scanning laser retinal photocoagulation on DR development in Spontaneously Diabetic Torii (SDT) fatty rats as a new prevention approach. Methods: Photocoagulation was applied to the right eyes of 8-week-old Spontaneously Diabetic Torii (SDT) fatty rats, with the left eyes serving as untreated controls. Electroretinography at 9 and 39 weeks of age and pathological examinations, including immunohistochemistry for vascular endothelial growth factor and glial fibrillary acidic protein at 24 and 40 weeks of age, were performed on both eyes. Results: There were no significant differences in amplitude and prolongation of the OP waves between the right and left eyes in SDT fatty rats at 39 weeks of age. Similarly, no significant differences in pathology and immunohistochemistry were observed between the right and left eyes in SDT fatty rats at 24 and 40 weeks of age. Conclusion: Prophylactic pattern scanning retinal laser photocoagulation did not affect the development of diabetic retinopathy in SDT fatty rats.展开更多
<span style="font-family:Verdana;">Laser surface hardening is becoming one of the most successful heat treatment processes for improving wear and fatigue properties of steel parts. In this process, the...<span style="font-family:Verdana;">Laser surface hardening is becoming one of the most successful heat treatment processes for improving wear and fatigue properties of steel parts. In this process, the heating system parameters and the material properties have important effects on the achieved hardened surface characteristics. The control of these variables using predictive modeling strategies leads to the desired surface properties without following the fastidious trial and error method. However, when the dimensions of the surface to be treated are larger than the cross section of the laser beam, various laser scanning patterns can be used. Due to their effects on the hardened surface properties, the attributes of the selected scanning patterns become significant variables in the process. This paper presents numerical and experimental investigations of four scanning patterns for laser surface hardening of AISI 4340 steel. The investigations are based on exhaustive modelling and simulation efforts carried out using a 3D finite element thermal analysis and structured experimental study according to Taguchi method. The temperature distribution and the hardness profile attributes are used to evaluate the effects of heating parameters and patterns design parameters on the hardened surface characteristics. This is very useful for integrating the scanning patterns</span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">’</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> features in an efficient predictive modeling approach. A structured experimental design combined to improved statistical analysis tools </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">is</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> used</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> to</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> assess the 3D model performance. The experiments are performed on a 3 kW Nd:Yag laser system. The modeling results exhibit a great agreement between the predicted and measured values for the hardened surface characteristics. The model evaluation reveal</span></span></span><span><span><span>s </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">also its ability to provide not only accurate and robust predictions of the temperature distribution and the hardness profile as well an in-depth analysis of the effects of the process parameters.</span></span></span>展开更多
Laser surface transformation hardening becomes one of the most modern processes used to improve fatigue and wear properties of steel surfaces. In this process, the material properties and the heating parameters are th...Laser surface transformation hardening becomes one of the most modern processes used to improve fatigue and wear properties of steel surfaces. In this process, the material properties and the heating parameters are the factors that present the most significant effects on the hardened surface attributes. The control of these factors using predictive modeling approaches to achieve desired surface properties leads to conclusive results. However, when the dimensions of the surface to be treated are larger than the cross-section of the laser beam, various laser-scanning patterns are involved. This paper presents an experimental investigation of laser surface hardening of AISI 4340 steel using different laser scanning patterns. This investigation is based on a structured experimental design using the Taguchi method and improved statistical analysis tools. Experiments are carried out using a 3 kW Nd: YAG laser source in order to evaluate the effects of the heating parameters and patterns design parameters on the physical and geometrical characteristics of the hardened surface. Laser power, scanning speed and scanning patterns (linear, sinusoidal, triangular and trochoid) are the factors used to evaluate the hardened depth and the hardened width variations and to identify the possible relationship between these factors and the hardened zone attributes. Various statistical tools such as ANOVA, correlations analysis and response surfaces are applied in order to examine the effects of the experimental factors on the hardened surface characteristics. The results reveal that the scanning patterns do not modify the nature of the laser parameters’ effects on the hardened depth and the hardened width. But they can accentuate or reduce these effects depending on the type of the considered pattern. The results show also that the sinusoidal and the triangular patterns are relevant when a maximum hardened width with an acceptable hardened depth is desired.展开更多
Retinal laser photocoagulation is a proven, effective treatment for various retinal disorders, including diabetic retinopathy, retinal vein occlusions, and sickle cell retinopathy. To minimize iatrogenic retinal damag...Retinal laser photocoagulation is a proven, effective treatment for various retinal disorders, including diabetic retinopathy, retinal vein occlusions, and sickle cell retinopathy. To minimize iatrogenic retinal damage while maintaining therapeutic effects, retinal laser technology has evolved significantly since its introduction in ophthalmology more than half a century ago. These innovations have included both optimizations of laser parameters in addition to the development of novel laser delivery systems. This review summarizes recent innovations in retinal laser technology, including subthreshold micropulse laser, selective retinal therapy and nanosecond laser, innovative modes of laser delivery including pattern scanning laser, endpoint management, navigated laser, and newly described photo-mediated ultrasound therapy.展开更多
基金Supported by National Natural Science Foundation of China(No.81670866)Sun Yat-Sen University Clinical Research 5010 Project(No.2013007).
文摘●AIM:To evaluate the long-term effects of pattern scan laser(PASCAL)pan-retinal photocoagulation(PRP)on diabetic retinopathy(DR)in Chinese patients.●METHODS:In this retrospective study,we evaluated clinical data of 29 patients(53 eyes)with severe non-proliferative DR(SNPDR)or proliferative DR(PDR)who received PRP and follow-up at our hospital from 2008 to 2013.Sixteen patients(29 eyes)received PASCAL PRP and 13 patients(24 eyes)received 100-ms conventional laser PRP.●RESULTS:After long-term follow-up(mean,min-max days:719.8,290-1666 for PASCAL PRP vs 743.5,240-1348 for conventional PRP,P=0.569),patients receiving PASCAL PRP required fewer photocoagulation sessions than the conventional PRP group(2.6±1.0 vs 3.9±0.9,P<0.01).Best corrected visual acuity(BCVA)was reduced slightly in PASCAL PRP group while reduced significantly in conventional PRP group.At last visit,24 eyes in the PASCAL group(88.9%)and 21 eyes in the conventional group(91.7%)were improved or stable.Two eyes in PASCAL PRP group(7.4%)and 3 eyes in the conventional PRP group(12.5%)developed vitreous hemorrhage or vitreous fibrovascular proliferation.●CONCLUSION:PASCAL PRP is as effective and may be more conducive to maintaining visual acuity with less treatment sessions for DR treatment compared to conventional laser PRP.
文摘Purpose:To evaluate the clinical efficacy of Pattern Scan Laser Photocoagulator (PASCAL) by observing the efficacy of PASCAL on retinopathy.Methods:A total of 92 patients with retinopathy (121 eyes) who underwent PASCAL between December 2008 and February 2009 in our center were retrospectively analyzed to evaluate the visual acuity changes and recovery conditions of the patients from baseline to posterior to the treatment.The retinopathy included:diabetic retinopathy,ischemic retinal vein occlusion.(IRVO),central serous chorioretinopathy (CSC),retinal periphlebitis (Eales disease) and retinal degeneration /holes.Results:The patients were subject to a 12-month follow up after PASCAL.The visual acuity findings were stated as below:for diabetic retinopathy.(73 eyes),10 eyes had improved visual acuity;55 eyes were stabilized and 8 eyes progressed;for IRVO (13 eyes),4 eyes showed improvement,6 eyes were stabilized and 3 eyes progressed;for CSC (9 eyes),6 eyes were alleviated and 3 eyes progressed;for retinal periphlebitis (5 eyes),2 eyes had enhanced visual acuity and 3 eyes showed stable visual acuity;for retinal degeneration /holes (21 eyes),5 eyes presented improved visu-al acuity,16 eyes were stabilized and no eye progressed.Indirect ophthalmoscopic reexamination confirmed secured blockage by laser spots and favorable absorption of the retinal edema and newborn capillaries.No obvious leakage was observed during fundus fluorescein angiography and no laser-related ocular adverse effect was reported.Conclusion:PASCAL is accurate,effective and well-tolerated.The duration of short laser pulse falls within the safety range,ensuring the stabilization and improvement in the pa-tient's visual acuity.The parameters,long-term efficacy and complications of PASCAL should be further demonstrated by performing long-term clinical trials with larger sample size.
文摘Research Background and Purpose: The number of diabetic patients is rapidly increasing, making it crucial to find methods to prevent diabetic retinopathy (DR), a leading cause of blindness. We investigated the effects of prophylactic pattern scanning laser retinal photocoagulation on DR development in Spontaneously Diabetic Torii (SDT) fatty rats as a new prevention approach. Methods: Photocoagulation was applied to the right eyes of 8-week-old Spontaneously Diabetic Torii (SDT) fatty rats, with the left eyes serving as untreated controls. Electroretinography at 9 and 39 weeks of age and pathological examinations, including immunohistochemistry for vascular endothelial growth factor and glial fibrillary acidic protein at 24 and 40 weeks of age, were performed on both eyes. Results: There were no significant differences in amplitude and prolongation of the OP waves between the right and left eyes in SDT fatty rats at 39 weeks of age. Similarly, no significant differences in pathology and immunohistochemistry were observed between the right and left eyes in SDT fatty rats at 24 and 40 weeks of age. Conclusion: Prophylactic pattern scanning retinal laser photocoagulation did not affect the development of diabetic retinopathy in SDT fatty rats.
文摘<span style="font-family:Verdana;">Laser surface hardening is becoming one of the most successful heat treatment processes for improving wear and fatigue properties of steel parts. In this process, the heating system parameters and the material properties have important effects on the achieved hardened surface characteristics. The control of these variables using predictive modeling strategies leads to the desired surface properties without following the fastidious trial and error method. However, when the dimensions of the surface to be treated are larger than the cross section of the laser beam, various laser scanning patterns can be used. Due to their effects on the hardened surface properties, the attributes of the selected scanning patterns become significant variables in the process. This paper presents numerical and experimental investigations of four scanning patterns for laser surface hardening of AISI 4340 steel. The investigations are based on exhaustive modelling and simulation efforts carried out using a 3D finite element thermal analysis and structured experimental study according to Taguchi method. The temperature distribution and the hardness profile attributes are used to evaluate the effects of heating parameters and patterns design parameters on the hardened surface characteristics. This is very useful for integrating the scanning patterns</span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">’</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> features in an efficient predictive modeling approach. A structured experimental design combined to improved statistical analysis tools </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">is</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> used</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> to</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> assess the 3D model performance. The experiments are performed on a 3 kW Nd:Yag laser system. The modeling results exhibit a great agreement between the predicted and measured values for the hardened surface characteristics. The model evaluation reveal</span></span></span><span><span><span>s </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">also its ability to provide not only accurate and robust predictions of the temperature distribution and the hardness profile as well an in-depth analysis of the effects of the process parameters.</span></span></span>
文摘Laser surface transformation hardening becomes one of the most modern processes used to improve fatigue and wear properties of steel surfaces. In this process, the material properties and the heating parameters are the factors that present the most significant effects on the hardened surface attributes. The control of these factors using predictive modeling approaches to achieve desired surface properties leads to conclusive results. However, when the dimensions of the surface to be treated are larger than the cross-section of the laser beam, various laser-scanning patterns are involved. This paper presents an experimental investigation of laser surface hardening of AISI 4340 steel using different laser scanning patterns. This investigation is based on a structured experimental design using the Taguchi method and improved statistical analysis tools. Experiments are carried out using a 3 kW Nd: YAG laser source in order to evaluate the effects of the heating parameters and patterns design parameters on the physical and geometrical characteristics of the hardened surface. Laser power, scanning speed and scanning patterns (linear, sinusoidal, triangular and trochoid) are the factors used to evaluate the hardened depth and the hardened width variations and to identify the possible relationship between these factors and the hardened zone attributes. Various statistical tools such as ANOVA, correlations analysis and response surfaces are applied in order to examine the effects of the experimental factors on the hardened surface characteristics. The results reveal that the scanning patterns do not modify the nature of the laser parameters’ effects on the hardened depth and the hardened width. But they can accentuate or reduce these effects depending on the type of the considered pattern. The results show also that the sinusoidal and the triangular patterns are relevant when a maximum hardened width with an acceptable hardened depth is desired.
文摘Retinal laser photocoagulation is a proven, effective treatment for various retinal disorders, including diabetic retinopathy, retinal vein occlusions, and sickle cell retinopathy. To minimize iatrogenic retinal damage while maintaining therapeutic effects, retinal laser technology has evolved significantly since its introduction in ophthalmology more than half a century ago. These innovations have included both optimizations of laser parameters in addition to the development of novel laser delivery systems. This review summarizes recent innovations in retinal laser technology, including subthreshold micropulse laser, selective retinal therapy and nanosecond laser, innovative modes of laser delivery including pattern scanning laser, endpoint management, navigated laser, and newly described photo-mediated ultrasound therapy.
基金The Program for the New Century Excellent Talents in University,Ministry of Education of China(No.NCET-10-0075)the National Natural Science Foundation of China(No.50805123
