Objective To explore the importance of high-quality nursing in the process of wavefront aberration test. Methods This study retrospectively analyzed the nursing cooperation in 16 patients (32 eyes) during their wavefront aberration test. Results The uncorrected visual acuity ( UCVA ) in 15 patients of 16 patients reached more than 1. 0 both in one month and 6 months after the surgery; the post-operation refraction were less than 0. 5D with expected refraction; none of the 16 patients′ best corrected visual acuity ( BCVA) reduced after surgery. Conclusions The accuracy of data collection of wavefront aberration test is the foundation for excimer laser and high-quality nursing plays an important role in the test.

Objective To observe the nursing efficacy for myopic patients with high cornea curvature undergoing laser-assisted insight keratomileusis ( LASIK ) . Methods We retrospectively analyzed the nursing experience and surgery cooperation during LASIK for 35 myopic patients with pure high cornea curvature, including pre-operation examination, pre-operation preparation, cooperativeness during surgery, and post-operative nursing instruction. We also compared the pre-operation and post-operation anterior corneal surface elevation and posterior corneal surface elevation. Results All 35 patients had achieved their pre-operation best corrected visual acuity, without cornea staphyloma. The long-term efficacy needed to be follow-up in further study. Conclusions LASIK has shown safety and efficacy for myopic patients with high cornea curvature, and the success of which not only depended on the skill of the surgeon, but also on the peri-op nursing.

Objective To investigate effects of optimal nursing in improving postoperative complications of epipolis laser in situ ketatomileusis (Epi-LASIK).Methods A total of 80 patients (160 eyes) with myopia undergoing Epi-LASIK operation in our hospital from June 2010 to May 2014 were included in the study. Control group contained 40 patients from June 2010 to August 2012 and received routine nursing, while observation group contained 40 patients from September 2012 to May 2014 and were given additional optimal nursing. Postoperative pain symptoms,healing time of corneal epithelium and corneal haze (Haze) were compared between two groups.Results After 1 day and 3 days post operation,the scores of pain of patients in observation group were significant lower than those of control group (P<0.05). Average healing time of corneal epithelium of patients in observation group (5.05±0.58)days was shorter than control group (5.59±0.98)days. The difference was statistically significant (P<0.05). After 1,3 and 6 months,incidence rate of Haze in observation group was significantly lower than control group (P<0.05).Conclusions Optimal nursing effectively prevents and reduces postoperative complications of Epi-LASIK.

Objective To explore application effects of individualized nursing in excimer laser phototherapeutic keratectomy (PTK).MethodsRandomly 24 cases of bullous keratopathy underwent PTK surgery were divided as the control group and the observation group,and patients of control group received routine care while patients of observation group implemented personalized care. The curative effect,pain score, anxiety score and satisfaction degree of the two groups were observed.Results In observation group,patients were better than the control group in the degree of anxiety,postoperative pain and satisfaction (P<0.05). Control group had two cases lost corneal contact lens. There were no postoperative complications in the two groups.Conclusions The security of PTK is high to treat bullous keratopathy,and personalized nursing can enhance the awareness of cooperation and psychological ability of patients during operation,and improve patient′s satisfaction.

Traumatic cerebrospinal fluid leakage commonly presents in traumatic brain injury patients, and it may lead to complications such as meningitis, ventriculitis, brain abscess, subdural hematoma or tension pneumocephalus. When misdiagnosed or inappropriately treated, traumatic cerebrospinal fluid leakage may result in severe complications and may be life-threatening. Some traumatic cerebrospinal fluid leakage has concealed manifestations and is prone to misdiagnosis. Due to different sites and mechanisms of trauma and degree of cerebrospinal fluid leak, treatments for traumatic cerebrospinal fluid leakage varies greatly. Hence, the Craniocerebral Trauma Professional Group of Neurosurgery Branch of Chinese Medical Association and the Neurological Injury Professional Group of Trauma Branch of Chinese Medical Association organized relevant experts to formulate the " Chinese expert consensus on the diagnosis and treatment of traumatic cerebrospinal fluid leakage in adults ( version 2023)" based on existing clinical evidence and experience. The consensus consisted of 16 recommendations, covering the leakage diagnosis, localization, treatments, and intracranial infection prevention, so as to standardize the diagnosis and treatment of traumatic cerebrospinal fluid leakage and improve the overall prognosis of the patients.