摘要：Introduction: Visual rehabilitation after open globe injury may be a challengi ng process because of ametropia following aphakia, corneal scarring with high or irregular corneal astigmatism or loss of contrast sensitivity due to traumatic aniridia. We report on contact lens fitting for visual rehabilitation in patient s after open globe injury. Patients: From 2000 to 2003, contact lenses were fitt ed unilaterally for the visual rehabilitation in 13 patients after open globe in jury. In three patients we found unilateral aphakia, in 8 patients a high or irr egular astigmatism after penetrating or autorotation keratoplasty and in two pat ients a traumatic aniridia, in one case combined with aphakia. Results: 11 rigid contact lenses were fitted with different designs of the front and back surface as well as two iris-print lenses. In 11 patients (86%) a good visual rehabili tation was achieved with an increase of visual acuity up to 9 lines while obtain ing a good contact lens tolerance. One patient wearing an iris-print contact le ns was unable to tolerate the contact lens due to its thickness and its weight. In another patient fitting of a contact lens was not possible because of the com plicated corneal condition. We did not observed severe contact lens complication s at any time. Conclusions: In addition to operative procedures for visual rehab ilitation after open globe injuries, the use of contact lenses is another possib le procedure for refractive correction. Different problems such as ametropia fol lowing aphakia, irregular or high astigmatism or aniridia can be solved with goo d visual results, good tolerance and less complications.

摘要：目的:探讨显微镜直视下裂孔定位法在巩膜扣带术中定位和封闭视网膜裂孔的疗效。方法:2000/2004年的住院孔源性视网膜脱离,随访超过2mo的患者65例65眼。通过手术显微镜巩膜顶压作裂孔定位,冷凝。根据术前设计分别行环扎+巩膜外加压,或巩膜外加压。结果:术后65例65眼视网膜裂孔均位于手术嵴上,裂孔封闭好。出院后3例视网膜脱离复发,经二次手术后视网膜复位。65例65眼术后视力均有不同程度的提高。并发症有高眼压4眼,视网膜脱离复发3眼。一次手术成功率是95%。随访2mo以上,最佳矫正视力≥1.0的8眼,≥0.8并<1.0的5眼,≥0.5并<0.8的16眼,≥0.3并<0.5的9眼,≥0.1并<0.3的20眼,≥0.05并<0.1的6眼,<0.05的1眼。结论:显微镜直视下裂孔定位法定位、封闭裂孔准确、操作简单、效果好。

摘要：目前,白内障的手术效果不仅仅局限于单纯的复明,更注重了“恢复自然的视觉”。当前的研究重点在于如何减少白内障术中散光和利用白内障手术切口的设计来矫正角膜散光。而随着屈光手术的日趋完善,对于白内障术后残余散光的矫正亦更加有效。通过手术切口的选择,来减少手术源性散光和改善术前散光是提高病人术后裸眼视力的有效方法。1资料与方法1.1临床资料选择白内障手术患者72例（90眼）,将患者分为3组：A组：无论角膜曲率如何,全部选择上方作为手术切口方向。

摘要：目的　分析准分子激光原位角膜磨镶术后角膜地形图的动态变化特点。方法　对 14 3例 (2 0 6眼 )近视患者手术后 1,3,6个月进行角膜地形图随访。结果　Simk的差值较术前降低 ,术后 6个月切削形态呈平滑型87 3% ,切削形态随术后时间延长而逐渐变规则。术后偏心切削占 34 9% ,偏心切削在 1mm以内对最佳矫正视力影响不大。结论　角膜地形图的检查可准确显示LASIK术后角膜的形态变化 ,对手术设计的改进和手术疗效的预测具有重要的临床意义。

摘要：我们在临床实践中针对后囊破损情况及无后囊者,研究设计出不同手术方法植入后房型人工晶体取得满意效果。适应症如下:(1)因外伤或白内障囊外摘除术中致晶体后囊破损直径小于5mm,如玻璃体脱出者行玻璃体切除后。

摘要：0 引言准确的综合验光是准分子激光手术成功的前提,传统的电脑+检影+试片的验光模式已不能满足于患者日益增长的对术后视觉质量改善的要求.为了提高准分子激光屈光性角膜手术的术后视力和改善视觉质量,我们应用综合验光进行术前检查和手术设计,临床效果满意.