1.Research progress on visual quality assessment methods
Baiwei WEN ; Changjun LAN ; Xuan LIAO
Recent Advances in Ophthalmology 2017;37(8):793-796
The evaluation of visual quality about human eyes has always been an important issue in the field of eye science and visual optics,and it is mainly divided into subjective evaluation method and objective evaluation method,evaluation indicators including visual acuity,contrast sensitivity,wavefront aberration and retinal straylight,and so on.In addition,according to different principles and standards,visual system imaging quality evaluation methods can also be divided into visual refractive system and retinal nerve system evaluation,geometrical optics and physical optics evaluation,static and dynamic visual function evaluation.The selection of visual quality evaluation method should be considered from multiple dimensions on comprehensive consideration.in recent years,the improvement of quality of life promotes the development of visual quality assessment methods,and more attention is paid to the evaluation of continuous functional visual acuity.This article reviews the research progress of visual quality assessment methods.
2.Focus on the evaluation of visual quality in cataract patients
Chinese Journal of Experimental Ophthalmology 2018;36(5):326-329
With the improvement of cataract examination methods,intraocular lens (IOL) design and process,surgical equipments and techniques,cataract surgery was gradually developed from vision rehabilitation to refractive surgery.Therefore,the assessment of visual quality is getting more attention.Clinically,in addition to the extension of concept of visual acuity,contrast sensitivity function (CSF),modulation transfer function (MTF),point spread function (PSF),wavefront aberration and scattering index are also used,with a view to making a comprehensive assessment of visual quality of cataract patients preoperatively and postoperatively.Ophthalmologists should pay attention to the methods and results of evaluation on the visual quality,to provide support for the design of personalized surgery and the improvement of visual quality.
3.Application of swept-source optical coherence tomography biometer in cataract
Changjun LAN ; Yue PENG ; Xuan LIAO
Chinese Journal of Experimental Ophthalmology 2019;37(2):123-128
Recently,optical biometers based on swept-source optical coherence tomography (SS-OCT) technology have been applied to clinical ophthalmology.Compared with previous optical biometers,SS-OCT instruments have many advantages,such as faster processes,more accurate results,higher detection rate,and more built-in formulas for calculating the intraocular lens (IOL) power;moreover,SS-OCT images can be used to detect preliminary maculopathy and predict postoperative tilt of IOL.In this paper,we reviewed the application of SS-OCT biometer in cataract,mainly focus on the principle of work,the evaluation of repeatability and reproducibility,the consistency comparison with other biometers,and the application of SS-OCT in other aspects of cataract.
4. Binocular vision problems associated with refractive surgery and the use of risk screening
Changjun LAN ; Qingqing TAN ; Xuan LIAO
Chinese Journal of Experimental Ophthalmology 2020;38(2):81-84
Although binocular vision problems do not appear to be one of the common complications of refractive surgery, the available evidence suggests that these problems can occur after refractive surgery, and preoperative binocular vision status may predict the risk of postoperative binocular vision anomalies.Furthermore, because ophthalmologists usually do not clearly recognize binocular vision, or they do not pay enough attention to it, the existing literature may underestimate the actual prevalence of binocular vision problems after refractive surgery.This paper discusses the existing literature on refractive surgery-related binocular vision anomalies and recommends a screening protocol and risk stratification.It also discusses the expected results of binocular vision testing, the diagnostic criteria for common binocular vision problems, and strategies for treating these anomalies before and after refractive surgery.
5. Repeatability and reproducibility of swept-source optical coherence tomography biometer for measuring the biological parameters of the eyeballs in healthy people
Bo LIU ; Xuan LIAO ; Changjun LAN ; Yue PENG ; Qingqing TAN
Chinese Journal of Experimental Ophthalmology 2019;37(11):921-925
Objective:
To evaluate the repeatability and reproducibility of swept-source optical coherence tomography biometrics (Tomey OA-2000) for measuring the biological parameters of the eyeballs in healthy people.
Methods:
A diagnostic test was carried out in this study.One hundred and three healthy volunteers who were recuited from July to September 2018 in Affiliated Hospital of North Sichuan Medical College were included, and the right eyes were examined.Two examiners used OA-2000 for 3 consecutive measurements, respectively.One week later, the first examiner used OA-2000 for 3 consecutive measurements.The ocular biological parameters including axial length (AL), anterior chamber depth (ACD), corneal curvature (K), lens thickness (LT), central corneal thickness (CCT), pupil diameter (PD), and white to white (WTW) were measured.The repeatability and reproducibility of each parameter based on within-subject standard deviation (SW), repeatability limit of standard deviation (2.77SW), coefficient of variation (CoV) and intra-class correlation coefficient (ICC) was evaluated.This study followed the Declaration of Helsinki.This study protocol was approved by Ethic Committee of the Affiliated Hospital of North Sichuan Medical College (No.2018ER[A]019).
Results:
Of the ocular biological parameters measured by OA-2000, CoV was less than 2% while ICC was greater than 0.950, except PD and WTW.The repeatability and reproducibility of K, AL and ACD were all good.For K1(ø=2.5 mm and 3.0 mm), the SW was less than 0.120 D, the 2.77SW was less than 0.350 D, the CoV was less than 0.293%, and the ICC was greater than 0.990; For K2 (ø = 2.5 mm and 3.0 mm) , the SW were less than 0.175 D, the 2.77SW were less than 0.485 D, the CoV was less than 0.396%, the ICC was greater than 0.980; for Km (ø = 2.5 mm and 3.0 mm), the SW were less than 0.099 D, 2.77SW were less than 0.275 D, CoV was less than 0.227%, ICC was greater than 0.996; ACD SW was less than 0.024 mm, 2.77SW was less than 0.066 mm, CoV was less than 0.668%, ICC were greater than 0.993; the SW of AL was less than 0.014 mm, the 2.77SW was less than 0.038 mm, the CoV was less than 0.057%, and all of the ICCs were 1.000.
Conclusions
Except PD and WTW, the ocular biological parameters measured by OA-2000 have good repeatability and reproducibility, in which the accuracy of AL measurement is the highest.
6.Bibliometric analysis of myopia research from 2013 to 2022 based on Web of Science
Weiqi ZHONG ; Zhiming GU ; Changjun LAN ; Xuan LIAO
Chinese Journal of Experimental Ophthalmology 2024;42(7):647-655
Objective:To analyze the current status and hotspots of myopia research in the past 10 years and the future development direction based on the bibliometric method.Methods:Relevant original research and reviews on myopia published from January 1, 2013 to December 31, 2022 were retrieved from the Web of Science core database.Co-occurrence analysis of countries, research organizations, and authors was performed using the VOSviewer software.Cluster analysis of keywords and co-cited references was performed using the CiteSpace software.Results:A total of 9 745 articles were included, involving 123 countries/regions, 7 150 institutions, and 29 343 authors.The analysis revealed that the global publication in myopia has been increasing, with China having the highest publication, and research from the United States being the most cited.Keyword analysis showed that the early hotspots of myopia mainly focused on refractive surgery, diagnosis and treatment of complications, genetics, and epidemiological characteristics, while recent research has rapidly shifted towards myopia prevention and control.The results of the cluster analysis of the co-cited references showed that myopia research contained several clusters, such as #0 school-aged children, #1 small incision lenticule extraction, #2 myopia control, #3 refractive error, #4 contact lenses, etc.The current research frontier focuses on myopia management technology, myopia and retinal and choroidal vessels, and the application of artificial intelligence in myopia.Conclusions:Myopia research in the past 10 years covers a wide range of disciplines, including ophthalmology, molecular biology, genetics, optometry and epidemiology.In the future, there is a need to further explore the etiology and pathogenesis of myopia, enhance early identification and screening methods, improve management techniques for myopia, advance artificial intelligence-assisted diagnosis of myopia to develop more effective and safe strategies for myopia prevention and control.
7.Construction of Marek's disease virus serotype 814 strain as an infectious bacterial artificial chromosome.
Hongyu CUI ; Yunfeng WANG ; Xingming SHI ; Guangzhi TONG ; Desong LAN ; Lai HE ; Huaji QIU ; Changjun LIU ; Mei WANG
Chinese Journal of Biotechnology 2008;24(4):569-575
The aim of this study was to construct the complete genome of Marek's disease virus serotype 814 strain as an infectious bacterial artificial chromosome (BAC). Using self-designed selection marker Eco-gpt (1.3 kb) and BAC vector pBeloBAC11 (7.5 kb), we constructed the transfer plasmid pUAB-gpt-BAC11. The plasmid pUAB-gpt-BAC11 and MDV total-DNA were cotransfected into secondary CEFs; we put the virus-containing cells in selection medium for eight rounds and obtained purified recombinant viruses. Recombinant viral genomes were extracted and electroporated into E. coli, BAC clones were identified by restriction enzyme digestion and PCR analysis. Finally, we obtained 38 BAC clones, DNA from various MDV-1 BACs was transfected into CEFs, and recombinant virus was reconstituted by transfection of MDV-BAC2 DNA. We successfully cloned the complete genome of MDV-1814 strain as an infectious bacterial artificial chromosome. With these cloned genomes, a revolutionary MDV-DNA engineering platform utilizing RED/ET recombination system was constructed successfully, which can help the understanding of MDV gene functions and promote the using of MDV as a vector for expressing foreign genes. In addition, it opens the possibility to generate novel MDV-1 vaccines based on the BACs.
Animals
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Chickens
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immunology
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virology
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Chromosomes, Artificial, Bacterial
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genetics
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Cloning, Molecular
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DNA, Recombinant
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genetics
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DNA, Viral
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genetics
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Fibroblasts
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metabolism
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Genetic Engineering
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methods
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Mardivirus
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classification
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genetics
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physiology
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Serotyping
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Transfection
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Viral Proteins
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genetics
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physiology
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Virus Replication
8.Accuracy of different intraocular lens power calculation formulas in cataract patients with shallow anterior chamber: a meta-analysis
Xiaoyu LI ; Li YANG ; Yue HAI ; Qingqing TAN ; Changjun LAN ; Xuan LIAO
Chinese Journal of Experimental Ophthalmology 2023;41(6):576-581
Objective:To systematically compare the accuracy of intraocular lens (IOL) power calculation formulas in cataract patients with shallow anterior chamber.Methods:A comprehensive literature search was conducted in MEDLINE, EMBASE, Cochrane Library, and the Chinese databases including CNKI, Wanfang, and VIP databases.The peer-reviewed literature on the accuracy of IOL power calculation formulas in cataract patients with shallow anterior chamber was searched from the establishment of the database until August 2020.Literature screening, data extraction and quality assessment were performed according to inclusion and exclusion criteria.The mean difference ( MD) of mean absolute error (MAE) among different formulas was analyzed.Meta-analysis was performed using Revman 5.3 software. Results:Seven studies involving 499 eyes were included.The accuracy of six formulas, Barrett Universal Ⅱ, Haigis, SRK/T, Hoffer Q, Holladay 1 and Holladay 2, was evaluated.The MAE of Barrett Universal Ⅱ was significantly lower than that of Hoffer Q ( MD=0.11 D; 95% CI: 0.05-0.17 D; P<0.001), Haigis ( MD=0.08 D; 95% CI: 0.03-0.13 D; P=0.002), and Holladay 2 ( MD=-0.06 D; 95% CI: -0.11--0.01 D; P=0.020). No significant difference was found in the remaining pairwise comparisons (all at P>0.05). Conclusions:The Barrett Universal Ⅱ formula is more accurate than Hoffer Q, Haigis, and Holladay 2 formulas in predicting IOL power in cataract patients with shallow anterior chamber.
9.Efficacy of capsular tension ring implantation on high myopia patients with cataract: a meta-analysis
Xiaoyu LI ; Weiyin ZENG ; Qingqing TAN ; Changjun LAN ; Xuan LIAO
Chinese Journal of Experimental Ophthalmology 2023;41(7):675-682
Objective:To systematically evaluate the efficacy of phacoemulsification and intraocular lens (IOL) with and without capsular tension ring (CTR) in patients with high myopia and cataract.Methods:MEDLINE, EMBASE, Cochrane Library, and Chinese databases including CNKI, Wanfang Data, and VIP databases were searched from their establishment to October 2020 to obtain peer-reviewed clinical studies comparing the efficacy of cataract phacoemulsification and IOL implantation combined with CTR implantation (experimental group) and cataract phacoemulsification and IOL implantation (control group) in patients with high myopia and cataract.Literature screening, data extraction and methodological quality assessment were implemented based on inclusion and exclusion criteria.A meta-analysis of postoperative best corrected visual acuity (BCVA) in logarithm of the minimum angle of resolution unit, posterior capsular opacification (PCO), capsular contraction syndrome (CCS), retinal detachment (RD) was performed using Revman 5.3 software with mean difference ( MD) and odds ratio ( OR) describing the effect sizes of measurement data and count data, respectively. Results:Eight studies with 2 085 eyes were included in this study, including 1 054 eyes in the experimental group and 1 031 eyes in the control group.Meta-analysis showed that there was no significant difference in BCVA between the two groups at 1 week, 1 month, and 3 months after surgery, but the improvement in BCVA at 6 months after surgery was significantly better in the experimental group than in the control group ( MD: -0.11; 95% CI: -0.15--0.07; P<0.01). The incidence rates of postoperative PCO ( OR: 0.24; 95% CI: 0.15-0.36; P<0.01) and CCS ( OR: 0.08; 95 % CI: 0.01-0.65; P=0.02) and RD ( OR: 0.21; 95% CI: 0.05-0.82; P=0.02) were lower in the experimental group than in the control group, and the differences were statistically significant. Conclusions:The combination of CTR in the treatment of patients with high myopia and cataract can improve the postoperative visual quality and reduce the incidence of postoperative PCO, CCS and RD.
10.Agreement evaluation between adaptive optics visual simulator and conventional refraction methods
Guimei ZHOU ; Qingqing TAN ; Xuan LIAO ; Jiulin QIAN ; Changjun LAN
Chinese Journal of Experimental Ophthalmology 2022;40(3):241-246
Objective:To evaluate the difference and agreement of cycloplegic refraction between adaptive optics visual simulator (VAO) and conventional refraction methods.Methods:A diagnostic test study was conducted.Thirty-one eyes of 31 healthy subjects including 15 males and 16 females were enrolled in November, 2019 in Affiliated Hospital of North Sichuan Medical College.Mean age of the subjects was (20.1±1.0) years, and the right eye was taken for data analysis.Cycloplegic refraction was measured by VAO and conventional refraction methods, respectively.Spherical power, cylindrical power, Jackson cross-cylinder power at axis 90° and 180° (J 0) and Jackson cross-cylinder power at axis 45° and 135° (J 45) vector powers were recorded.Paired t-test was used to compare the refractive parameters between different refraction methods, and the intraclass correlation coefficient (ICC) and Bland-Altman plots were used to evaluate the agreement between VAO and conventional refraction methods.This study adhered to the Declaration of Helsinki, and the research protocal was approved by an Ethics Committee of Affiliated Hospital of North Sichuan Medical College (No.2020ER[A]018). Written informed consent was obtained from each subject prior to any medical examination. Results:For subjective refraction, the ICC for spherical power, cylindrical power, J 0 and J 45 between VAO and phoropter were 0.97, 0.75, 0.84 and 0.09, respectively.For objective refraction, the ICC for spherical power, cylindrical power, J 0 and J 45 between VAO and autorefractor were 0.98, 0.70, 0.74 and 0.61, respectively.The mean differences in spherical power, cylindrical power, J 0 and J 45 between VAO and phoropter were (0.05±0.32), (-0.23±0.28), (-0.10±0.14) and (-0.04±0.16)D, respectively, and the differences in cylindrical power and J 0 were statistically significant (both at P<0.01), whereas no significant differences in spherical power and J 45 were found ( P=0.41, 0.18). The mean differences in spherical power, cylindrical power, J 0 and J 45 measured by VAO and autorefractor were (-0.70±0.26), (-0.07±0.46), (-0.03±0.27) and (0.01±0.12)D, respectively, and the spherical power measurement by VAO was significantly more negative than the autorefractor ( t=15.09, P<0.01), while no significant differences in cylindrical power, J 0 and J 45 were found ( P=0.39, 0.59, 0.63). No significant difference values in spherical power, cylindrical power, J 0 and J 45 were found between the two objective refraction methods and phoropter subjective refraction (all at P>0.05). Conclusions:With cycloplegia, spherical power obtained by VAO objective refraction is more negative compared with autorefractor.There is a good agreement of spherical power and astigmatism vector values measured by VAO and phoropter subjective refraction, and the measurement differences are clinically acceptable.