Objective To analyze the differences in total corneal astigmatism(TCA)and vectors in different regions centered on the corneal apex or pupil.Methods This cross-sectional study enrolled 102 patients(102 eyes)with age-re-lated cataracts who underwent phacoemulsification combined with intraocular lens implantation at the Weifang Eye Hospital from October 2021 to June 2022.Before surgery,anterior segment biometrical examinations were performed using Penta-cam to collect the TCA and axes at 2 mm,4 mm,and 6 mm diameter rings and zones with the corneal apex or pupil as the center,and vector analysis was made.Results In the ring mode,a significant difference was observed between the cor-neal apex-centered and pupil-centered astigmatism values for the 6 mm diameter(P＜0.05).In the zone mode,there were statistically significant differences between the corneal apex-centered and pupil-centered astigmatism values for the 2 mm,4 mm,and 6 mm diameters(all P＜0.05).The analysis of the zone and ring modes centered on the corneal apex showed that there were statistically significant differences in astigmatism values for the 2 mm and 6 mm diameters(both P＜0.05).The analysis of the zone and ring modes centered on the pupil showed that there were statistically significant differences in astigmatism values for the 2 mm,4 mm,and 6 mm diameters(all P＜0.05).In the same center,there were no statistically significant differences in astigmatism axes for 2 mm,4 mm,and 6 mm diameters under the ring and zone modes(all P＞0.05).In the same mode,there were no statistically significant differences in astigmatism axes for 2 mm,4 mm,and 6 mm diameters centered on the corneal apex and pupil(all P＞0.05).Vector analysis showed that in the ring mode,the apex-centered to pupil-centered TCA difference of 4 mm on the Y axis was statistically significant(P＜0.05).The comparison between the zone and ring centered on the pupil showed that the TCA difference of 4 mm on the Y axis was statistically sig-nificant(P＜0.05),whereas the other differences were not statistically significant(all P＞0.05).Conclusion The TCA shows a mild difference between the corneal apex-centered and pupil-centered modes and between the ring and zone modes,but the astigmatism axis has no obvious difference.There are some differences between vector analysis and con-ventional analysis of TCA.

Allergic conjunctivitis is the most common type of allergic eye disease, and the incidence in children and adolescents is increasing year by year. Drug therapy can only relieve some symptoms and only in a short period, while allergen immunotherapy is currently a therapy that can significantly improve the symptoms of chronic allergy and the course of the disease. This method has been used abroad for many years but has yet to be reported in China. The author reviews the effective mechanism and clinical efficiency of allergen immunotherapy and provides a reference for the further clinical application in China.

Objective:To study the prevalence and correlations of HIV infection among cross-border couples in the Dehong prefecture.Methods:A cross-sectional mass screening study with questionnaire interview and HIV testing was conducted among 17 594 registered cross-border couples from May 2017 through June 2018.Results:Among 32 400 participants, the overall prevalence of HIV infection was 2.27% (736/32 400), 2.44% (375/15 372) for Chinese citizens, and 2.12% (361/17 028) for foreign spouses. Among all the 13 853 couples with both spouses receiving HIV testing, 13 415(96.84%) were seroconcordant-negative couples, 142(1.03%) were serocondordant-positive couples, and 296(2.13%) were serodiscordant couples, including 167(1.20%) couples with positive husband and negative wife and 129(0.93%) couples with positive wife and negative husband. Multiple logistic regression analyses indicated that HIV infection was associated with drug use and risky sexual behaviors for male spouses. In contrast, HIV infection was associated with risky sexual behaviors for female spouses.Conclusion:The prevalence of HIV among cross-border couples in Dehong prefecture is high, underscoring the urgent need to scale up HIV testing, prevention, and behavioral intervention.