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Recent Advances in Ophthalmology

1980  to  Present  ISSN: 1003-5141

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Antitumor effects of HSV-tk/GCV suicide gene system for retinoblastoma in vitro

Tao LI ; Hong ZHANG ; Erjuan XIE ; Feng LIANG ; Wei LI ; Guigang LI

Recent Advances in Ophthalmology.2003;23(5):305-309.

Objective To investigate the killing effect of herpes simplex virus thymidine kinase/gancyclovir (HSV-tk/GCV) suicide gene therapy system on retinoblastoma (Rb) cells and the mechanism of bystander effect. Methods By using liposome, pCMV/hytk-IREShrGFP plasmid was transferred into HXO-Rb44 cells. A fluorescence microscope was used to detect the transduction effeciency. The positive cell clones were selected by hygromycin and were named HXO-Rb44/tk. RT-PCR was resorted to demonstrate the sucessful transduction and transcription of hytk gene in the HXO-Rb44/tk cells. The morphologic features and growth patterns of HXO-Rb44/tk were compared with those of HXO-Rb44. Then MTT assay was used to determined the killing effect of GCV on HXO-Rb44/tk and the mixture of HXO-Rb44/tk and HXO-Rb44 in different ratios ("bystander effect"). The mechanism of bystander effect was studied by the experiment of supernatant shifting. Results The transduction effeciency was 20%. 530bp hytk gene strand was seen through HXO-Rb44/tk RT-PCR. There were no differences in the morphologic features or the growth patterns between HXO-Rb44/tk and HXO-Rb44. HXO-Rb44/tk was more sensitive to GCV than was HXO-Rb44. The cytotoxicity of HXO-Rb44/tk was dose and time dependent. An obvious "bystander effect" was seen even with low proportions of HXO-Rb44/tk, but this effect disappeared when transferring GCV containing supernatant of HSV-tk-positive cells to the negative cells. Conclusion The transfer of the HSV-tk gene into Rb cells followed by the administration of GCV could serve as a model for gene therapy for retinoblastoma, the "bystander effect" in HSV-tk/GCV-mediated gene therapy occurs by transfer of GCV metabolite from cell to cell through gap junction.

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Hydroxyapatite orbital implant drilling and pegging

Zhengjun FAN ; Jianming QI

Recent Advances in Ophthalmology.2000;20(6):432-433.

Objective To evaluate the efficacy and safty of pegging hydroxyapatite orbital implants.Methods Fourty-five patients who received drilling and pegging of hydroxyapatite orbital implants were studied retrospectively, and all patients used the peg and sleeve system followed-up 2 to 24 months.Results The rate of success of the first operations is 82.2%. Complications associated with pegging included peg hole drilled on an angle, drilling off-center, drilled hole shallow, granuloma and infection, total complications occured in 22.2% in the review, most that are of a minor nature can be cured.Conclusions The hydroxyapatite orbital implants can be directly coupled to the prosthesis through a peg system, allowing a wide range of prosthesis movement and giving a more lifelike quality to the prosthesis. When and how to drill and exactly hole on implant is the key for pegging.

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Vitreous surgery for macular holes

Hongshen HUANG ; Jian SUN ; Guirong HU ; Jinlian ZHENG

Recent Advances in Ophthalmology.2000;20(6):430-431.

Objective To review the anatomic and visual outcomes of a series of patients with macular holes who underwent vitreous surgery without adjunctive therapy.Methods We performed a retrospective review of 16 patients who underwent vitrectomy, fluid-gas exchange and perflu oropropane(C3 F8) gas temponade for 14 eyes with idiopathic and 2 eyes with traumatic macular holes.Results Anatomical closure of the macular holes was achieved in 15(93%) of 16 eyes with an average follow-up of 7 months. Only one eye needed performing second surgery. Three(19%) eyes achieved postoperative visual acuity of 0.4, four (25%)eyes 0.2~0.3,and nine(56%)eyes 0.1 or worse. Conclusions Vitreous surgery without adjunctive therapy with intraocular gas tamponade and postoperative posturing is a well tolerated and effective intervention for idiopathic or some traumatic macular holes. Anatomical closure of the macular hole is associated with a significant improvement in visual acuity in most eyes.

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Phacoemulsification and implantation of artificial lens for traumatic cataract

Shuhua QIN ; Bin HONG ; Wei GAO

Recent Advances in Ophthalmology.2000;20(6):428-429.

Objective To investigate the effect of surgical management of phacoemulsification and implantation of artificial lens for traumatic cataract.Methods The surgery was performed on 19 patients.Results Post-operatively, the visual acuities were 0.5 or better in 57.9% and 1.0 or better in 15.8% in one week; 0.5 or better in 78.9% and 1.0 or better in 21.0% in one month.Conclusion It can have better effect to perform phacoemulsification and implantation of artificial lens in different conditions with surgery skill and better equipment.

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Comparative study on the effects of collagenase inhibitor in different eye drops

Yuanping SHEN ; Luo ZHANG ; Zheng HU

Recent Advances in Ophthalmology.2000;20(6):426-427.

Objective To investigate, compare and filtrate the collagenase inhibitor effects among six kinds of eye drops for clinical use.Methods The collagenase inhibitor’s effects were detected by rat's collagen and collagenase with comassie brilliant blue colorimetric method.Results The inhibitting collagenase effects among six kinds of eye drops were different: the effect of cartopril was the strongest;the acetylcysteine and sodium edetate were more strong and the sodium citrate, sodium hyposulfite and tetracycline were less strong.Conclusion  0.5g*L-1cartopril eye drops has stronger efficacy to inhibit collagenase, with less side effect or stimulation,more convenient resource and preparation than other eye drops.

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Observation of the curative effect of thiotepa and mitomycin C on excision of pterygium

Shuya LUO ; Aimin YANG ; Xijuan MAO ; Qingling ZHOU

Recent Advances in Ophthalmology.2000;20(6):424-425.

Objective To probe the curative effect of thiotepa and mitomycin C for the prevention of the relapse of pterygium after its operation.Methods One hundred and eighty-two cases with pterygium were randomly divided into two groups:one group of thiotepa(158 cases with 169 eyes)and the other group of mitomycin C (24 cases with 24 eyes) and a comparative study was conducted.Thiotepa was used through dropping on the third day after the operation(1∶2 000),while MMC was used in the same way during the operation and on the third day after the operation respectively(0.2g*L-1).Results In the group of thiotepa,the wounded skin on the cornea was repaired significantly more rapidly than that in the group of mitomycin C,and the rate of the relapse of pterygium was lower in the former group than that in the latter one.Conclusion Applying thiotepa by dropping after the excision of pterygium is a safe,simple and effective supplementary measure for the prevention of pterygium relapse and also effective for recurring cases.

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Excimer laser in situ keratomileusis for treatment of high myopia

Jing ZHU ; Xiaoyan ZHANG

Recent Advances in Ophthalmology.2000;20(6):420-421.

Objective To evaluate the effects of the excimer laser in situ keratomileusis (LASIK) for treatment of high myopia.Methods LASIK was performed on 308 eyes of 186 patients who were followed up for one year. The patients were divided into two groups (group A and group B) according to preoperative diopters.Results One year after surgery, in group A(-6.0~-10.0D) the uncorrected visual acuities of 0.5 and 1.0 were in 95.76% and 77.58% of the eyes, the mean residual refraction was -0.32D±0.46D. In group B(-10.25~-20.0D) the uncorrected visual acuities of 0.5 and 1.0 were in 62.24% and 37.06% of the eyes, the mean residual refraction was -0.92D±1.13D.Conclusion It is an effective and safe refraction surgery to correct high myopia with LASIK.

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Application of bursting phacoemulsification for hard nucleus cataract

Junmin ZHAO ; Zenghua YU

Recent Advances in Ophthalmology.2000;20(6):418-419.

Objective To investigate the application of bursting phacoemulsification for hard nucleus cataract.Methods Phaco burst and chop technique were used to emulsify the hard nucleus cataract. The degree of nuclear hardness in 74 eyes was grade Ⅳ~Ⅴ.Results The visual acuity without correction was 0.8 or better in 75.67%, 79.73% and 83.87% one day, one week and three months after the operations respectively. There was no statistical difference between the mean preoperative astigmatism and postoperative astigmatism(P>0.05).There were corneal edema in 5 eyes, posterior capsular ruptures in 5 eyes. Little lens fragments dropped into the vitreous in 2 eyes.Conclusion The phaco burst technique is apt for phacoemulsification of hard nucleus cataract.

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Intravascular occlusion and clinical manifestation for eyes of carotid cavernous fistula

Xiaolong ZHENG ; Ling HE ; Weinong WANG ; Guodong GAO

Recent Advances in Ophthalmology.2000;20(6):416-417.

Objective To evaluate the effect of intravascular occlusion for carotid cavernous fistula (CCF) by analying the clinical features of CCF. Methods Twelve cases with CCF were analysed on their medical histories, clinical features in the eyes, clinical examinations and the therapeutic effects of balloon occlusion in internal carotid artery.Results Ten cases were treated successfully(83.33%), in which 2 cases were treated once more. There was no operation complication. The visual acuity of one case increased from no light perception to finger movement within 1 week preoperatively. The visual acuity of 10 cases improved 1~4 lines (Snellen chart). Some clinical symptoms and signs such as the lid, conjunctiva swelling, diplopia, the movement of eyeball and retinal hemorrhage were decreased remarkably. Carotid fistula of 12 cases with CCF were found to be occlusioned by digital subtraction angiography after operations.Conclusion The early diagnosis and treatment for CCF are necessary. Color doppler flow imaging, CT and DSA are useful examination methods for diagnosis of CCF. Intravascular occlusion is the best therapeutic method for CCF nowadays.

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Phacoemulsification and intraocular lens implantation with topical anesthesia in out-patient department

Ling HUI ; Weizhong ZHANG ; Li LI ; Yutong YANG ; Wei GAO ; Yi WANG

Recent Advances in Ophthalmology.2000;20(6):414-415.

Objective To evaluate the effect of phacoemulsification and intraocular lens implantation with topical anesthesia in out-patients department.Methods Phacoemulsification and intraocular lens implantation were performed successively in 132 patients(157 eyes) with topical anesthesia.Results Phacoemulsification and intraocular lens implantation were successfully performed in 152 eyes(96.8%)with topical anesthesia and 5 eyes(3.2%)need retrobulbar anesthesia additionally.The visual acuity and complications after operation in the topical anesthesia were the same as that performed previously under retrobular anesthesia.Conclusions Phacoemulsification and intraocular lens implantation may be performed with topical anesthesia through scleral tunnel incision.It is convenient for us to perform the operations on the out-patient patients with cataract.

Country

China

Publisher

新乡医学院

ElectronicLinks

http://www.ykxjz.com

Editor-in-chief

E-mail

ykxjz@xxmu.edu.cn

Abbreviation

Recent Advances in Ophthalmology

Vernacular Journal Title

眼科新进展

ISSN

1003-5141

EISSN

Year Approved

2009

Current Indexing Status

Currently Indexed

Start Year

1980

Description

历史沿革【现用刊名:眼科新进展;创刊时间:1980】,该刊被以下数据库收录【CA 化学文摘(美)(2009);Pж(AJ) 文摘杂志(俄)(2009)】,核心期刊【中文核心期刊(2008);中文核心期刊(1992)】,期刊荣誉【Caj-cd规范获奖期刊】。

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