Lens opacity attenuates the contrast sensitivity and clarity of eye due to scattering of light,which leads to poor vision in cataract patients.Phacoemulsification with primary intraocular lens is the primary surgical approach.Some complaints of vision discomfort commonly occur although the vision acuity is good.It is,therefore,vital for us to seek an objective evaluation system of visual quality after cataract surgery.Contrast sensitivity test and visual questionnaire offer valuable input for this issue.Contrast sensitivity can estimate vision function more accurately to better measure visual impairment preoperatively and vision outcome after cataract extraction.

Keratoconus is a corneal ectasia disease that dramatically affects visual function.Currently,the treatment approach of keratoconus includes wearing of spectacles or contact lenses,epikeratophakia,keratoplasty,etc.Femtosecond laser is a type of infrared laser operated in pulse form,which is accurate,safe and simple in operation.This technique has been applied in keratoplasty,intrastromal corneal ring implantation and cross-linking.Combination therapy may achieve better outcome.This review focuses on the related application of femtoseeond laser in keratoconus treatment.

Background It is very important for us to understand retinal function change in the patient with diabetic mellitus in clinic. At present,the study about diabetic mellitus associated with macular edema includes fundus fluorescense angiography ( FFA) and multifocal electroretinogram ( mfERG) etc.. However, seldom research is performed in the mfERG findings for different types of diabetic macular edema. Objective This study aimed to investigate the mfERG change in different types of diabetic macular edema compared with normal population. Methods Fifty-seven eyes with diabetic macular edema from 40 patients and 35 eyes from age-and gender-matched normal subjects were enrolled in this study. The eyes with diabetic macular edema were assigned to local macular edema group (n=16) ,diffuse macular edema group (n = 22) and cystoid macular edema ( n = 17 ) based on the manifestation of FFA. MfERG was recorded in all the individuals. The informed consent was obtained from each subject prior to any the medical examination. Results In focal diabetic macular edema group,the response density of P1 wave was significantly attenuated in ring 1 , showing a statistical difference in comparison with controls (t =2. 170,P = 0.038) ,and the latencies of P1 and N1 waves showed obvious prolong in ring 4 and 5 (t = 2.519,P = 0. 017 ;t = 2. 451 ,P = 0. 020). In diffuse diabetic macular edema group,the response densities of P1 and N1 waves were declined in ring 1,3,5 and ring 1,3,4,5 respectively,and the latencies of P, in ring 3,4 were significantly delayed respectively in comparison with controls (all P < 0. 05 ). In cystoid diabetic macular edema group, the response densities of P1 and N1 waves were lowed from ring 1 through 5 respectively, and the latencies of P1 and N1 waves were significantly longer from ring 3 through 5 and ring 4 respectively with the statistically significant difference from controls (all P<0. 05). The visual function of fovea was badly damaged. Conclusion These studies indicate that the most serious damage of visual function is in foveal area in cystoid diabetic macular edema group, and is then parafoveal area of diffuse diabetic macular edema group and perifoveal area in focal diabetic macular edema group. The outcome of mfERG presents a good consistency with FFA findings in the patients with diabetic macular edema.

Autosomal dominant optic atrophy(ADOA),also called Kjer-type optic atrophy,is the most decrease of visual acuity,color vision deficit,visual field defects,and it is also characterized by temporal pallor of the optic disc.Deafness,cataract,ophthalmoplegia,ptosis and so on,can also accompany ADOA.Up to now,it has been verified that four known genetic loci are associated with ADOA,including OPA1(3q28-29),OPA3(19q13.2-13.3),OPA4(18q12.2-12.3)and OPA5(22q12.1-13.1).The OPA1 and OPA3 genes have been cloned.But genotypephenotype correlations and pathogenic mechanisms of ADOA are not very clear.The recent researches about clinical features,relevant candidate gene and loci,differentiation diagnosis were reviewed.

Congenital idiopathic nystagmus (CIN) is characterized by monoocular or biocular involuntary,rhythmical,repeated oscillations.CIN is often referred to congenital 'motor' nystagmus since nystagmus occurs in the absence of a clinically demonstrable defect in the visual sensory system.CIN is genetically heterogeneous,and patterns of its inheritance have been well-known to include autosomal dominant.autosomal recessive and X-linked patterns.In recent years, many different genetic loci for CIN have been mapped,and researchers have found some candidate causing-disease genes.This review focuses on the recent advances of gene mapping and candidate gene analysis for molecular research of CIN.

ObjectiveTo study the correlations among age,sex,eye and mERG results.Methods60 normal eyes of 46 volunteers were divided into 6 groups at different ages.RETIscan 3.12 system of Rodenstock was used to carry out mERG examination.ResultsVariation of mERG parameters among normal eyes was significant.Age,sex and eyes have little influence on mERG results,except latency A was longer in male than in female.The size of pupil and fixation were found to influence the results directly.ConclusionsCare should be exercised in explaining the results.Disease history and other examinations shoud be taken into consideration.Attention should be given to the changes in wave-form and vision mountain in addition to amplitudes and latencies.

ObjectiveTo investigate a repair method for intractable exposure of hydroxyapatite implants.MethodsAt the upper edge of conjunctival defect,the conjunctival tissues were separated by scissors along the surface of exposed base plate of ocular prosthesis to make a conjunctival flap in the size as same as the exposed area.This procedure of separation was continued between the müller muscle and lavator through the fornix till the upper edge of tarsal plate to form a flap consisting of conjunctiva,aponeurosis and müller muscle,which was transposed to cover the defect area.Results5 patients with intractable exposure of hydroxyapatite implants treated with the above procedure,no case was found to be recurred in 5 to 6 months of follow-up.ConclusionThe transposition of conjunctiva-müller muscular flap is an effective method for the management of the intractable exposure of hydroxyapatite implants

ObjectiveTo compare the sweep pattern visual evoked response acuity SPVER-A with the logarithmic visual acuity.MethodsSPVER-A and logarithmic visual acuity were measured and compared in 50 people. 8-squared vertical gratings were presented as stimuli continuously.The responses were averaged and displayed through the discrete fourier transform on the monitor display.The SPVER acuity was determined by extrapolating the SPVER amplitude-spatial frequency function to baseline.ResultsThe overall correlation was r=0.699 between the SPVER-A and logarithmic visual acuity.Underestimation of acuity by the SPVER when the logarithmic visual acuity is better than 0.5.On the other hand,when the logarithmic visual acuity is worse than 0.5 the SPVER-A was overestimated.ConclusionSPVER-A has a good correlation to logarithmic acuity.The difference between two methods may indicate that the grating acuity and logarithmic /visual acuity activate different system.

To investigate the role of interleukin-l beta(IL-1β)and interleukin-8(IL-8) in the pathogenesis of vernal keratoconjunctivitis.MethodsThe levels of two cytokines of peripheral blood serum were determined with radioimmunoassay in 13 volunteers,13 patients with quiet vernal keratoconjunctivitis and 13 patients with active vernal keratoconjunctivitis.ResultsIL-1βserum levels in active and quiet vernal keratoconjunctivitis were(0.134 6±0.022 9)ng/ml,(0.213 1±0.036 0)ng/ml,IL-8 serum levels in active and quiet vernal keratoconjunctivitis were(0.230 4±0.014 5)ng/ml,(0.323 8±0.036 9)ng/ml,which were higher than(0.075 0±0.010 8)ng/ml,(0.67 2±0.023 1)ng/ml of normal controls,and the differences among the three groups were statistically significant(P<0.001).ConclusionIL-1β and IL-8 might play a significant role in the pathogenesis of vernal keratoconjunctivitis,and their possible roles in estimating and treating the diesease are worthy of further investigation.

It is kno wn that 8-Br-cAMP is one of selective bi nding site analogues for cAMP RIIα to af fect cell growth through regulation of g ene expression.The p16,p21wafl,p53 a nd Rb are antioncogenes which affect cel l growth through control of cell cycle.T he aim of this study is to investigate t he 8-Br-cAMP effect on the expression of antioncogenes in human HXO-Rb44 cells. Methods Cultured HXO-Rb44 cells in RPMI -1 640 medium were divided into two aliquot s.8-Br-cAMP (2×10-5mol/L) was added i nto one aliquot for 24h as the experime ntal group(EG),the another aliquot witho ut 8-Br-cAMP as the control group(CG).Af ter 24h,the cell suspension was dropped onto the nitrocellulose membrane.The mR NA of p16,p21wafl,wild type(w)p53,mut ant type(m) p53 and Rb were used respec tively with biotin-labeled cDNA probes b y intact cell RNA dot blot.The immunorea ctivity(IR) of P16,P21wafl,PRb,PCN A,cdk2 and cdk4 were detected respecti vely with specific monoclonal antibodies on dot blot.ResultsThe mRNA dot blot s ignals of mp53 and protein dot blot of cdk2-IR,cdk4-IR and PCNA-IR in EG were weaker than those in CG(P＜0.05～0.01). W hile,the mRNA signals of p16,p21wafl,wp53 and Rb in EG were stronger than tho se in CG(P＜0.05～0.01).The intensity of ea ch protein dot blot was consistent with that of their RNA dot blot (except for w P53-IR and mP53-IR not to be done).Conc lusions(1)8-Br-cAMP could up-regul ate expression of antioncogenes includin g p16,p21wafl,wp53,Rb,and protein exp ression of P16,P21wafl and PRb.(2) 8-Br-cAMP could down-regulate mp53 gene expression and protein expression of cd k2,cdk4 and PCNA.The results suggest t hat 8-Br-cAMP could inhibit human HXO-Rb 44 cell growth through interfering rela ted gene expression of cell cycle.