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The author of this paper made an investigation of the shape of optic discs in 250 normal male subjects (500 normal eyes) aged 16-18, during physical examination. An optic disc with clear margin was revealed in 449 eyes (89.8%). Seven fundi out of the 500 eyes showed an epipapillary membrane. The incidence was 1.4%. The medullated nerve fibers on the retina were found in six eyes (1.2%). The cilio-retiual vessels (including the arteries and veins) were present in 68 eyes (13.6%). The average number of the vessels...

The author of this paper made an investigation of the shape of optic discs in 250 normal male subjects (500 normal eyes) aged 16-18, during physical examination. An optic disc with clear margin was revealed in 449 eyes (89.8%). Seven fundi out of the 500 eyes showed an epipapillary membrane. The incidence was 1.4%. The medullated nerve fibers on the retina were found in six eyes (1.2%). The cilio-retiual vessels (including the arteries and veins) were present in 68 eyes (13.6%). The average number of the vessels on the opticdisc was 20.79±2.93. 25 eyes (5%) had a cup/disc ratio (horizontal diameter) of≥0.6. The rest eyes (475 eyes) were<0.6.The shape of the optic cup in 166 eyes was investigated and could be grouped into 5 types: Type Ⅰ and Ⅱ which were funnel shaped and cylindrical occured in 93 eyes (56%). The rest (type Ⅲ, Ⅳ and Ⅴ) that were slightly oblique made up 44% of the total.Finally the cause of the variations in the shape of the optic cup was discussed.

笔者在体检中对我国16~18岁男性青年的视盘情况做了统计分析:计250正常人500只眼,其中视盘边界清晰者有449只眼(89.8%),具有乳头上膜者7眼(1.4%);视网膜具有有髓神经纤维者6眼(1.2%),具有睫状血管者(包括动脉和静脉)68眼(13.6%)。视盘上的血管数平均为20.79±2.93条。杯/盘比值(横径)≥0.6者有25眼(5%),其余475眼杯/盘比值均在0.6以下。此外对166眼的视杯形态作了观察并分作5型:ⅠⅡ型为漏斗型和圆柱型,计93眼(56%);其余3型视杯略有倾斜,计73眼(44%)。最后对视杯形态不同的原因略作讨论。

Clinical analysis of 71 cases (122eyes) of concomitant squint treated hy Phum-Blossom acupunctnre (122 eyes). The effect was commented by recovring of eye position and increasing of vision. The concomitant squint treated with s-s needles was derided into 3 stages according to the severity. The recent and excellent therepeutic effect was 97.4%.40% of squinl within 15°in normal vision was turned to normal eye position, called functional cure. The author suggested that concomitant squint with s-s needles was an...

Clinical analysis of 71 cases (122eyes) of concomitant squint treated hy Phum-Blossom acupunctnre (122 eyes). The effect was commented by recovring of eye position and increasing of vision. The concomitant squint treated with s-s needles was derided into 3 stages according to the severity. The recent and excellent therepeutic effect was 97.4%.40% of squinl within 15°in normal vision was turned to normal eye position, called functional cure. The author suggested that concomitant squint with s-s needles was an convinent, economic and safe therapy. Operation might be avoided in most cases.

本文分析了梅花针治疗共同性斜视71例(122只眼)临床疗效。疗效评定以眼位恢复和视力增进为标准。根据病证,分三期论治,近期有效率为97.4%,远期疗效亦为满意。从本文资料分析结果,提出梅花针对本病适应症意见;斜视在15度以内者,有40%恢复了眼位、双眼视力正常,达到功能治愈。并认为本疗法具有简便、经济、安全,不少病人免于手术,容易推广的优点。

There are 174 cases of primary retinal detachment reported in our ar ticle. 128 eyes were treated with surgical method. In all these cases myopes accounted for 82.2%, high degree of myopia 45%. Round holes were mostly seen; horse-shoe hole and other types of holes occurred less. Holes on the quadrant of retina occurred in the following order: upper temporal, lower temporal, lower nasal and upper nasal. The number of holes on the temporal half retina was more than three times as high as that on the nasal half....

There are 174 cases of primary retinal detachment reported in our ar ticle. 128 eyes were treated with surgical method. In all these cases myopes accounted for 82.2%, high degree of myopia 45%. Round holes were mostly seen; horse-shoe hole and other types of holes occurred less. Holes on the quadrant of retina occurred in the following order: upper temporal, lower temporal, lower nasal and upper nasal. The number of holes on the temporal half retina was more than three times as high as that on the nasal half. The site of holes was largely located in between the equator and the ora serrata (77%). The surgical methods we adopted were simple electro-coagulation, scleral shortening and silicone strap. We insist that the retinal break should be on the summit of the indentation andon the anterior slope of silicone strap which is parallel with the equator. Macula holes should be treated with ruby laser. The result was not affected by the surgical method or the pcesence of a hole, but the area of retinal detachment had some influence on the result. The relations between retinal detachment and myopia, the condition of retinal detachment and the site of the hole as well as the method of surgery used, the problem of drainage of subretinal fluid and the causes of the surgical failure were discussed.We believe that drainage of subretinal fluid is very important.

本文报告174例原发性视网膜脱离的病例,128只眼施行了手术。近视眼占82.2%,高度近视占45%。裂孔以园形最多,马蹄形及其他形态的裂孔次之。发生裂孔的象限依次为颞上、颞下、鼻下、鼻上;颞半侧裂孔数约为鼻半侧的三倍强。裂孔的位置在赤道部与锯齿缘之间者最多,占77%。手术方式采用单纯电凝、巩膜层间缩短和硅胶填压。我们主张填压必须针对裂孔,位于裂孔后缘并与赤道平行。黄斑部裂孔应用红宝石激光治疗。术式与裂孔的有无和疗效无明显关系,脱离的范围与疗效有关。本文对近视与网膜脱离的关系,网膜的情况与裂孔位置的关系、手术方式问题、放水问题与手术失败的原因进行了讨论,认为放水是很重要的。

 
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