中华眼科杂志最新文献

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[A case of goldenhar syndrome presenting with entropion]. 以内翻为表现的goldenhar综合征1例。
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20250609-00273
Y N Xu, S Y Peng, Z X Deng, Q L Zhang
{"title":"[A case of goldenhar syndrome presenting with entropion].","authors":"Y N Xu, S Y Peng, Z X Deng, Q L Zhang","doi":"10.3760/cma.j.cn112142-20250609-00273","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20250609-00273","url":null,"abstract":"<p><p>A 6-year-old female child was admitted to the ophthalmology department due to \"increased tearing in the right eye since infancy\". The main ocular manifestation of the child was entropion of the right lower eyelid. Through detailed physical examination, the girl was found to have multiple accompanying manifestations, including right hemifacial microsomia, right facial nerve palsy, right ear malformation, and cervical spine malformation. Based on the child's clinical manifestations and examination results, the diagnosis of Goldenhar syndrome was confirmed.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"380-382"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Left eye optic neuropathy and right eye retinopathy after embolization of middle cerebral artery aneurysm: a case report]. [脑中动脉瘤栓塞后左眼视神经病变及右眼视网膜病变1例]。
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20250708-00301
Z X Chen, M Zhang, X J Lu, H J Guan, M Ji
{"title":"[Left eye optic neuropathy and right eye retinopathy after embolization of middle cerebral artery aneurysm: a case report].","authors":"Z X Chen, M Zhang, X J Lu, H J Guan, M Ji","doi":"10.3760/cma.j.cn112142-20250708-00301","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20250708-00301","url":null,"abstract":"<p><p>A 45 year old patient presented with left upper visual field defect and decreased vision on the first postoperative day following \"stent-assisted endovascular embolization for a ruptured left middle cerebral artery aneurysm with subarachnoid hemorrhage\" performed in the neurology department. Lumbar puncture showed normal cerebrospinal fluid pressure initially, but repeated follow-up measurements during hospitalization indicated elevated intracranial pressure. The patient exhibited unequal pupil size, with a positive relative afferent pupillary defect (RAPD) in the left eye and slight pallor of the left optic disc. Half a month later, the patient developed decreased vision in the right eye. Fundus examination revealed optic disc hyperemia, edema with blurred margins, multiple peripapillary cotton-wool spots accompanied by small patchy hemorrhages, and scattered microaneurysms in the macular area. Based on the medical history, the diagnosis was confirmed as: left eye surgery-associated posterior ischemic optic neuropathy, and right eye Purtscher retinopathy. After treatment with mecobalamin tablets, citicoline sodium capsules, and compound vitamin B tablets, the ocular symptoms in the right eye showed some improvement.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"383-387"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Artificial intelligence in pediatric ophthalmology: applications and perspectives]. 人工智能在儿童眼科中的应用与展望
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20251218-00541
J H Li, M Kong
{"title":"[Artificial intelligence in pediatric ophthalmology: applications and perspectives].","authors":"J H Li, M Kong","doi":"10.3760/cma.j.cn112142-20251218-00541","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20251218-00541","url":null,"abstract":"<p><p>Pediatric visual health is not only inextricably linked to an individual's lifelong cognitive development and quality of life, but also constitutes a major public health issue concerning the quality of the national population and the long-term development of the nation. However, the early identification and timely intervention of abnormal visual development in children are severely constrained by multiple factors: the shortage of specialized pediatric ophthalmologists, limited screening capacity in primary healthcare settings, and the highly insidious onset of most childhood ocular diseases. Against this backdrop, the widespread adoption of artificial intelligence (AI) technology has emerged as a core strategic pathway to improve screening coverage, ensure the standardization and consistency of diagnosis and treatment, and deliver inclusive pediatric eye health services. Nevertheless, the clinical application of AI in pediatric ophthalmology faces multiple challenges, including the scarcity of high-quality data on pediatric visual development, insufficient model robustness, limited generalization ability, the lack of multi-center clinical validation, and ethical and regulatory frameworks that lag behind technological innovation. This paper systematically summarizes the core bottlenecks and challenges confronting the promotion and application of AI technology in the field of pediatric ophthalmology, provides an in-depth analysis of its application prospects in childhood ocular disease screening, precision diagnosis and treatment, and full-cycle health management, and puts forward a strategic vision for building an open and collaborative national intelligent platform for pediatric eye health. This work aims to advance the deep integration of AI technology with standardized clinical practice in pediatric ophthalmology, and ultimately establish a new full-cycle, intelligent, and inclusive service system for pediatric eye health.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"396-400"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Clinical observation on the mydriatic effects of different doses of compound tropicamide eye drops during fundus examination of premature infants]. [不同剂量复方托品酰胺滴眼液对早产儿眼底检查的效果观察]。
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20250915-00381
G P Li, Y L Xu, Q F Hao, H X Guo, X Y Cheng, L M Xu
{"title":"[Clinical observation on the mydriatic effects of different doses of compound tropicamide eye drops during fundus examination of premature infants].","authors":"G P Li, Y L Xu, Q F Hao, H X Guo, X Y Cheng, L M Xu","doi":"10.3760/cma.j.cn112142-20250915-00381","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20250915-00381","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To evaluate the efficacy and safety of low-dose compound tropicamide eye drops for pupillary dilation in premature infants undergoing the fundus examination. &lt;b&gt;Methods:&lt;/b&gt; A non-inferiority, randomized, controlled, crossover trial was conducted. Preterm infants hospitalized in the Department of Neonatology, the First Affiliated Hospital of Zhengzhou University scheduled for retinopathy of prematurity screening between October 2024 and June 2025 were enrolled. Participants were randomly assigned to group A or group B using simple randomization. Group A received standard-dose (90 μl) compound tropicamide eye drops in the first fundus examination, but low-dose (45 μl) drops in the second examination, whereas group B received the two doses in the reverse order. The primary efficacy outcomes were the pupil diameter measured 60 to 75 minutes after dilation and the difficulty of fundus examination as assessed by the ophthalmologist (classified as easy, difficult, or impossible). The difference in pupil diameter between the two groups and its 95% confidence interval (&lt;i&gt;CI&lt;/i&gt;) were calculated and compared with the non-inferiority margin to determine non-inferiority. The safety was assessed based on changes in vital signs and adverse events. A linear mixed model and generalized estimating equations were used to compare differences between groups. &lt;b&gt;Results:&lt;/b&gt; A total of 72 infants were enrolled. Group A comprised 34 infants, of whom one was lost to follow-up during the second examination; group B comprised 38 infants, of whom three were lost to follow-up during the second examination. In the two groups, the gestational ages at birth were (30.85±2.38) and (31.81±2.61) weeks, the birth weights were (1 262.06±422.56) and (1 357.63±389.31) g, and male infants accounted for 35.29% (12 cases) and 50.00% (19 cases), respectively. No statistically significant differences were observed in demographic characteristics or clinical complications between the two groups (all &lt;i&gt;P&gt;&lt;/i&gt;0.05). At 60 to 75 minutes after dilation, the difference in pupil diameter between the low-dose and standard-dose regimens was 0.24 mm (95% &lt;i&gt;CI:&lt;/i&gt; 0.18 to 0.29), with the upper limit of the 95% CI falling below the pre-specified non-inferiority margin. The rate of examination difficulty was 3% (95% &lt;i&gt;CI:&lt;/i&gt; 1% to 11%) after standard-dose administration and 7% (95% &lt;i&gt;CI:&lt;/i&gt; 3% to 16%) after low-dose administration, with a rate difference of 4% (95% &lt;i&gt;CI:&lt;/i&gt; -1% to 9%, &lt;i&gt;P=&lt;/i&gt;0.087; after Bonferroni correction, &lt;i&gt;P=&lt;/i&gt;0.435). The lower limit of the 95% CI was above -5%. After low-dose administration, the oxygen saturation by pulse oximetry was 0.09% lower (95% &lt;i&gt;CI:&lt;/i&gt; -0.32 to 0.15, &lt;i&gt;P=&lt;/i&gt;0.470; after Bonferroni correction, &lt;i&gt;P=&lt;/i&gt;1.000), and the heart rate was 0.34 beats/min lower (95% &lt;i&gt;CI:&lt;/i&gt; -1.11 to 0.43, &lt;i&gt;P=&lt;/i&gt;0.381; after Bonferroni correction, &lt;i&gt;P=&lt;/i&gt;1.000), compared with standard-dose administration, with no statistically si","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"346-352"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Chinese expert consensus on the standardized application of generative artificial intelligence large models in ophthalmology (2026)]. 【关于生成式人工智能大模型在眼科规范化应用的中国专家共识(2026)】。
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20250721-00317
{"title":"[Chinese expert consensus on the standardized application of generative artificial intelligence large models in ophthalmology (2026)].","authors":"","doi":"10.3760/cma.j.cn112142-20250721-00317","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20250721-00317","url":null,"abstract":"<p><p>With the rapid development of generative artificial intelligence (AI) technologies and large AI models, these technologies are expected to play an important role in multiple aspects of medical workflows in ophthalmology. However, their rapid and widespread adoption has also introduced multiple challenges regarding application specifications, ethical constraints, and legal compliance. To ensure the safe, effective, and compliant application of generative AI large models in ophthalmology, the Intelligent Ophthalmology Subcommittee (China) of Technical Committee on Smart Medical Digitalization of IEEE Technology and Engineering Management Society convened domestic experts in the field. Drawing upon relevant Chinese laws and regulations governing medical practice, data security, and privacy protection, and incorporating the latest research advances, the expert panel held multiple online and offline seminars nationwide. Using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system, Good Practice Statements, and the Delphi method, the panel developed a consensus framework addressing the ethical, technical, and legal issues associated with the application of generative AI large models in ophthalmology. Designed to be continuously updated as technology advances, this framework aims to provide evidence-based support for clinical practice.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"329-345"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Characterization of copy number variations in concomitant exotropia using single nucleotide polymorphism microarray]. [使用单核苷酸多态性微阵列表征共同性外斜视的拷贝数变化]。
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20250815-00350
W T Zhou, Y Z Zhao, J Li, X F Shi
{"title":"[Characterization of copy number variations in concomitant exotropia using single nucleotide polymorphism microarray].","authors":"W T Zhou, Y Z Zhao, J Li, X F Shi","doi":"10.3760/cma.j.cn112142-20250815-00350","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20250815-00350","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To investigate the genetic characteristics of copy number variations (CNVs) in families with concomitant exotropia. &lt;b&gt;Methods:&lt;/b&gt; A family-based molecular genetic study. The study included 25 unrelated concomitant exotropia families who visited Tianjin Eye Hospital between August 2019 and August 2021. Patients and healthy individuals from these families were included as subjects. Clinical data were collected through detailed medical history interviews, family history documentation, and comprehensive ophthalmic and systemic examinations to confirm the diagnosis of probands and affected family members. Peripheral blood samples were obtained for genomic DNA extraction, followed by single nucleotide polymorphism (SNP) genotyping using single nucleotide polymorphism array (SNP array). CNV detection was performed using the PennCNV tool. Gene enrichment analysis and protein-protein interaction (PPI) network analysis were conducted to explore the biological functions of candidate genes and their potential pathogenic mechanisms. The Benjamini-Hochberg method was used for multiple comparison correction, and node permutation randomization test was used for significance assessment of network analysis. &lt;b&gt;Results:&lt;/b&gt; A total of 74 subjects from 25 families with concomitant exotropia were enrolled in the study, including 55 patients with concomitant exotropia. Among all subjects, 33 were male (44.6%) and 41 were female (55.4%). Among the 55 patients with concomitant exotropia, 27 were male (49.1%) and 28 were female (50.9%). The age at onset was 6.0 (3.3, 10.0) years. Using the prism and alternate cover test, the deviation angle was -30&lt;sup&gt;Δ&lt;/sup&gt; (-39&lt;sup&gt;Δ&lt;/sup&gt;, -25&lt;sup&gt;Δ&lt;/sup&gt;) at distance (6 m) and -35&lt;sup&gt;Δ&lt;/sup&gt; (-40&lt;sup&gt;Δ&lt;/sup&gt;, -30&lt;sup&gt;Δ&lt;/sup&gt;) at near (33 cm). Based on the SNP genotyping technique, this analysis identified seven novel concomitant exotropia-associated CNVs, located at chromosomal regions 2p25.1, 20q13.33, 15q22.2, 7q34, 13q14.2, 8p21.1, and 3q25.33. Analysis of familial distribution showed that the CNV at 2p25.1 had the highest detection rate (28%), being present in seven families. Co-segregation analysis revealed that CNVs at 15q22.2, 7q34, and 13q14.2 exhibited complete co-segregation with the disease phenotype (100% penetrance), whereas regions at 2p25.1, 20q13.33, 8p21.1, and 3q25.33 showed incomplete penetrance of 73.3%, 92.3%, 83.3%, and 80%, respectively. These seven CNVs covered the exonic regions of nine protein-coding genes, including &lt;i&gt;ROCK2, SYCP2, VPS13C, RB1, BRAF, CCDC25, ESCO2, PBK&lt;/i&gt; and &lt;i&gt;IFT80&lt;/i&gt;. Gene enrichment analysis revealed that these genes were enriched in pathways associated with muscular movement regulation (&lt;i&gt;q&lt;/i&gt;&lt;0.001). Gene intersection analysis identified two genes (&lt;i&gt;ESCO2&lt;/i&gt; and &lt;i&gt;BRAF&lt;/i&gt;) that overlap with genes related to oculomotor neural development, and four genes (&lt;i&gt;ESCO2, BRAF, RB1&lt;/i&gt; and &lt;i&gt;IFT80&lt;/i&gt;) that overlap with genes related to extraocular musc","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"353-362"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Repeatability of the new anterior segment optical coherence tomographic device and its consistency with the Scheimpflug imaging device in measuring corneal biometric parameters]. [新型前段光学相干层析仪的重复性及其与Scheimpflug成像仪测量角膜生物特征参数的一致性]。
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20251210-00524
J Y Li, H Liu, Q W Li, Y Huang, S Z Zhao
{"title":"[Repeatability of the new anterior segment optical coherence tomographic device and its consistency with the Scheimpflug imaging device in measuring corneal biometric parameters].","authors":"J Y Li, H Liu, Q W Li, Y Huang, S Z Zhao","doi":"10.3760/cma.j.cn112142-20251210-00524","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20251210-00524","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To investigate the repeatability and consistency of corneal biological parameters measured by the new anterior segment optical coherence tomographic device (Dream-OCT) and the Scheimpflug imaging device (Pentacam). &lt;b&gt;Methods:&lt;/b&gt; This was a cross-sectional study. Clinical data of myopic patients (right eyes) who underwent corneal refractive surgery at the Eye Hospital of Tianjin Medical University from July to September 2024 were collected using the consecutive enrollment method, including corneal biological parameters measured continuously three times by Dream-OCT and Pentacam. The central corneal thickness (CCT), horizontal corneal diameter (WTW), steep keratometry (Ks), flat keratometry (Kf), and mean keratometry (Km) of the anterior corneal surface, posterior corneal surface, and total cornea were recorded, as well as the astigmatism degree, astigmatism axis of the anterior corneal surface, posterior corneal surface, and total cornea, and the astigmatism degree component J&lt;sub&gt;0&lt;/sub&gt; at the 0° or 90° axis and the astigmatism degree component J&lt;sub&gt;45&lt;/sub&gt; at the 45° or 135° axis. The intraclass correlation coefficient (&lt;i&gt;ICC&lt;/i&gt;), paired &lt;i&gt;t&lt;/i&gt; test, or Wilcoxon test, and Bland-Altman analysis were used to assess the repeatability, difference, and agreement of the data obtained by the two devices. &lt;b&gt;Results:&lt;/b&gt; A total of 100 patients with myopia (100 right eyes) were enrolled, including 50 males and 50 females, with an average age of (23.35±3.82) years. The &lt;i&gt;ICC&lt;/i&gt; of various corneal biological parameters measured by Pentacam and Dream-OCT were ≥0.830 and ≥0.840, respectively, with the &lt;i&gt;ICC&lt;/i&gt; values of Dream-OCT being slightly higher than those of Pentacam. The CCT measured by Dream-OCT [(537.76±25.89) μm] was lower than that measured by Pentacam [(550.05±25.26) μm], while the WTW [(11.78±0.39) mm], Ks [(43.97±1.31), (-6.48±0.21), (43.64±1.37) D], Kf [(42.63±1.10), (-6.08±0.20), (42.39±1.22) D], and Km [(43.27±1.23), (-6.29±0.20), (43.00±1.24) D] of the anterior corneal surface, posterior corneal surface, and total cornea measured by Dream-OCT were all higher than the corresponding values measured by Pentacam, with statistically significant differences (all &lt;i&gt;P&lt;/i&gt;&lt;0.05). There were no statistically significant differences in the other corneal biological parameters between the two instruments (all &lt;i&gt;P&lt;/i&gt;&gt;0.05). The 95% limits of agreement between the two instruments were wide for CCT (-3.514 to 28.094 μm), anterior corneal astigmatism axis (-29.504° to 33.123°), posterior corneal astigmatism axis (-10.370° to 11.650°), total corneal astigmatism axis (-29.926° to 34.169°), total corneal Ks (-1.770 to 0.439 D), Kf (-1.535 to 0.297 D), Km (-1.479 to 0.303 D), and astigmatism power (-0.917 to 1.063 D). In contrast, the 95% limits of agreement were narrow for WTW and Ks, Kf, Km, and astigmatism power of the anterior and posterior corneal surfaces. &lt;b&gt;Conclusions:&lt;/b&gt; Both Dream-OCT and Pentacam demonstrat","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"370-379"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Clinical evaluation of different ophthalmic optical coherence tomography devices using a retinal biomimetic phantom]. [不同眼科光学相干断层扫描设备使用视网膜仿生幻影的临床评价]。
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20250730-00319
P Yu, Z X Hu, H K Zhang, L C Duan, X W Zhao, B Y Hong, W Zhou, M H Liang, Y M Qiao, S N Wang, Y X Zhang, H Yan
{"title":"[Clinical evaluation of different ophthalmic optical coherence tomography devices using a retinal biomimetic phantom].","authors":"P Yu, Z X Hu, H K Zhang, L C Duan, X W Zhao, B Y Hong, W Zhou, M H Liang, Y M Qiao, S N Wang, Y X Zhang, H Yan","doi":"10.3760/cma.j.cn112142-20250730-00319","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20250730-00319","url":null,"abstract":"<p><p><b>Objective:</b> To investigate the consistency of different optical coherence tomography (OCT) devices in measuring key retinal parameters. <b>Methods:</b> This study consisted of a cross-sectional study and an experimental study. A total of five OCT devices of different brands (Optovue OCT, Topcon OCT, Intalight OCT, TowardPi OCT, and Zeiss Cirrus OCT) were included, and corresponding devices were selected according to different measurement objects and parameters. Retinal thickness and cup-to-disc ratio were measured in 8 eyes of 4 healthy volunteers recruited from the Department of Ophthalmology, Tianjin Medical University General Hospital, between May and August 2024. In addition, retinal thickness and avascular zone area were measured in retinal biomimetic phantoms. One-way analysis of variance or two-way analysis of variance was used for statistical analysis. <b>Results:</b> The 4 healthy volunteers had a mean age of (31.8±4.8) years, including 3 males and 1 female. Their body mass index was (21.7±1.2) kg/m², ranging from 20.1 to 23.2 kg/m². Differences were observed among OCT devices in retinal thickness measurements of some macular sectors. Using Optovue OCT as the reference, the retinal thicknesses measured in the nasal macular sector of the left eye by Topcon OCT, Intalight OCT, and TowardPi OCT were 98.2%±3.3%, 102.7%±2.6%, and 115.9%±9.4% of the Optovue OCT value, respectively. Pairwise comparisons showed that the TowardPi OCT measurement was significantly higher than those of Optovue OCT, Topcon OCT, and Intalight OCT (95%<i>CI</i>:-0.27 to -0.05, <i>P</i><0.001; 95%<i>CI</i>: -0.29 to -0.06, <i>P</i><0.001; 95%<i>CI</i>:-0.25 to -0.02, <i>P</i>=0.006). In retinal biomimetic phantoms, avascular zone area measurements also differed among OCT devices. Using the reference value obtained by the Nikon MM400N measuring microscope as the standard, the measured values were 85.70% for Zeiss Cirrus OCT and 23.50% for Optovue OCT in the superficial foveal avascular zone; in the L-shaped avascular zone, the measured values of the two Intalight OCT devices were 85.30% and 45.80%, respectively. <b>Conclusion:</b> Different OCT devices show differences in measuring some key retinal parameters in healthy subjects and retinal biomimetic phantoms.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"363-369"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Strengthening the prevention and control of visual impairment among children in China]. [加强中国儿童视力障碍的预防和控制]。
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20251228-00555
W Zhang, X T Li
{"title":"[Strengthening the prevention and control of visual impairment among children in China].","authors":"W Zhang, X T Li","doi":"10.3760/cma.j.cn112142-20251228-00555","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20251228-00555","url":null,"abstract":"<p><p>Children's visual health serves as a strategic cornerstone for national health and human capital, exerting a lifelong influence that profoundly shapes individual development and social well-being. At present, visual impairment among Chinese children is characterized by a high overall prevalence and a complex, multifactorial etiology. Major conditions include refractive errors, amblyopia, strabismus, congenital cataract, congenital glaucoma, retinopathy of prematurity, and cerebral visual impairment. A substantial proportion of these impairments are preventable or curable; however, the current prevention and control system remains constrained by limited public awareness, insufficient alignment of screening, diagnostic and therapeutic technologies, and a fragmented service system. In response, this paper focuses on delineating the core etiologies and multidimensional health hazards of childhood visual impairment, identifying key bottlenecks in existing prevention and treatment practices, and exploring theoretically grounded and practically integrated strategies to establish a tiered, collaborative, and efficient prevention and control pathway. This effort aims to consolidate progress in addressing childhood visual impairment in China, reduce avoidable visual impairment, and ultimately improve the overall level of children's visual health nationwide.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"321-328"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Progress in the development and application of disease-specific databases related to eye diseases]. [与眼病有关的疾病特异性数据库的开发和应用进展]。
中华眼科杂志 Pub Date : 2026-05-11 DOI: 10.3760/cma.j.cn112142-20251014-00422
D Niu, M H Li, Y S Wang, Z F Zhang
{"title":"[Progress in the development and application of disease-specific databases related to eye diseases].","authors":"D Niu, M H Li, Y S Wang, Z F Zhang","doi":"10.3760/cma.j.cn112142-20251014-00422","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20251014-00422","url":null,"abstract":"<p><p>A disease-specific database is a data integration and information management system that serves clinical research on the etiology, diagnosis, treatment, and prognosis of a specific disease, and it has become a powerful tool to meet the evolving demands of contemporary ophthalmic clinical research. This review synthesizes recent domestic and international findings, offering a systematic summary and analysis of the construction of disease-specific databases, along with the classification, current applications, and developmental trends of ophthalmic disease-specific databases. Additionally, it highlights high-quality ophthalmic disease-specific databases from around the world, aiming to provide a reference for the advancement of such databases in ophthalmology.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"62 5","pages":"388-395"},"PeriodicalIF":0.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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