AIM：To evaluate the rotational stability and visual outcomes of a single-piece hydrophilic acrylic toric intraocular lenses（IOL） over a 1.5-year follow-up period.Data from the 6-month follow-up study have been prev...AIM：To evaluate the rotational stability and visual outcomes of a single-piece hydrophilic acrylic toric intraocular lenses（IOL） over a 1.5-year follow-up period.Data from the 6-month follow-up study have been previously reported.METHODS：Forty eyes of 26 cataract patients（mean age：72.8±7.9y） with pre-existing corneal astigmatism of 1.0 to 2.6 D were enrolled in the study.Mean axial length was 23.17±0.88 mm.Main outcome measures after implantation of the Torica-a A IOL（Human Optics） were IOL rotational stability,subjective refraction,astigmatism correction,uncorrected and corrected distance visual acuity（UDVA,CDVA）.RESULTS：There was no significant change in the parameters evaluated between the 6-month and 1.5-year follow-ups.At last visit,mean absolute IOL rotation（objective method） was 1.81°±1.87°（range 0.00° to 7.20°） with 78.6% of eyes having IOL rotation 〈3°,92.9% of eyes 〈5° and 100% of eyes 〈8°.No patient required secondary IOL repositioning during the course of the study.Mean residual refractive cylinder was-0.60±0.40 D.There was a significant reduction in the magnitude of the J0 vector postoperatively（P〈0.0001） with a mean absolute change of 0.76±0.40 D.The mean J45 vector was close to zero preoperatively and postoperatively and didn＇t change significantly（P=0.28）.Mean monocular UDVA and CDVA was 0.09±0.12 log MAR and-0.01±0.12 log MAR,respectively.No treatment with Nd：YAG laser was required.CONCLUSION：The Torica-a A IOL shows good and stable visual performance and rotational stability over a 1.5-year follow-up period.展开更多
Based on the upper bound of limit analysis, the plane-strain analysis of the slopes reinforced with a row of piles to the 3D case was extended. A 3D rotational failure mechanism was adopted to yield the upper bound of...Based on the upper bound of limit analysis, the plane-strain analysis of the slopes reinforced with a row of piles to the 3D case was extended. A 3D rotational failure mechanism was adopted to yield the upper bound of the factor of safety. Parametric studies were carried out to explore the end effects of the slope failures and the effects of the pile location and diameter on the safety of the reinforced slopes. The results demonstrate that the end effects nearly have no effects on the most suitable location of the installed piles but have significant influence on the safety of the slopes. For a slope constrained to a narrow width, the slope becomes more stable owing to the contribution of the end effects. When the slope is reinforced with a row of piles in small space between piles, the effects of group piles are significant for evaluating the safety of slopes. The presented method is more appropriate for assessing the stability of slopes reinforced with piles and can be also utilized in the design of plies stabilizing the unstable slopes.展开更多
Objective:To analyze the enduring rotational steadiness of AcrySof IQ Toric intraocular lens(IOL)in cataract patients suffering from myopia in a long-term study.Methods:A retrospective study was conducted on a case se...Objective:To analyze the enduring rotational steadiness of AcrySof IQ Toric intraocular lens(IOL)in cataract patients suffering from myopia in a long-term study.Methods:A retrospective study was conducted on a case series involving 78 patients.A total of 120 eyes with an axial length(AL)ranging from 24-30 mm and corneal astigmatism≥1.50 D underwent implantation of AcrySof IQ Toric IOL guided by the version navigation system.The eyes were divided into two groups based on AL.Group A included 60 eyes with high myopia(AL≥26 mm),while Group B consisted of eyes with low to moderate myopia(24 mm≤AL<26 mm).Data on the preoperative AL were collected.Measurements were taken for residual astigmatism,the best corrected visual acuity(BCDVA),corneal astigmatism,and IOL rotation occurring between 24-and 48-months post-surgery.The percentage of eyes with an IOL rotation of under 5°and 10°was analyzed.Results:The mean length of follow-up times was recorded as 34.27±4.98,and the average rotation was 2.73±1.29°.Group A exhibited a slightly higher average rotation of 2.87±1.31°,compared to the rotation of 2.59±1.27°observed in Group B.At both the 24-36 month and 26-48 month post-operation marks,the degree of IOL rotation did not show a statistically significant difference between the two groups,with none of the patients experiencing a rotation exceeding 10°(P>0.05).The percentage of rotation degrees under 5°was recorded as 98.22%.After the procedure,the BCDVA was 0.1322±0.03 LogMAR.There was a substantial increase in theχvalue after the operation as compared to the pre-operativeχ^(2) value(χ^(2)=76.79).The standard deviation of preoperative corneal astigmatism was statistically significant(P<0.05)at 2.17±1.08 D.Following the surgical procedure,the remaining astigmatism was measured at 0.41±0.26 D.The data showed a notable gap in statistical significance(t=4.281,P<0.05).Conclusion:The AcrySof Toric IOL was a reliable solution for managing corneal astigmatism in cataract patients with myopia,demonstrating excell展开更多
AIM:To evaluate the postoperative intraocular lens(IOL)rotational stability and residual refractive astigmatism following combined 25-gauge vitrectomy and cataract surgery with implantation of a plate haptic toric IOL...AIM:To evaluate the postoperative intraocular lens(IOL)rotational stability and residual refractive astigmatism following combined 25-gauge vitrectomy and cataract surgery with implantation of a plate haptic toric IOL.METHODS:In this retrospective case series,32 eyes of 32 patients underwent a combined 25-gauge vitrectomy and phacoemulsification for vitreoretinal diseases and cataract with regular corneal astigmatism of at least 1 diopter(D).A plate haptic toric IOL(AT Torbi 709M,Carl Zeiss Meditec AG)was implanted in all eyes.The outcome measures were rotational stability and refractive astigmatism up to 6mo postoperatively as well as the best corrected visual acuity(BCVA).RESULTS:Preoperative refractive astigmatism was 2.14±1.17 D,which was significantly reduced to 0.77±0.37 D six to eight weeks postoperatively and remained stable throughout the observation period(0.67±0.44 D at three months and 0.75±0.25 D at six months;for all groups:P<0.0001 compared to baseline).BCVA improved significantly from 0.36±0.33 logMAR preoperatively to 0.10±0.15 logMAR following surgery(P=0.02).Mean IOL axis deviation from the target axis was 3.4°±2.9°after six to eight weeks and significantly decreased over time(2.4°±2.6°six months after surgery;P=0.04).In one patient IOL,re-alignment was performed.CONCLUSION:Corneal astigmatism is significantly reduced following combined 25-gauge vitrectomy and cataract surgery.The plate haptic toric IOL position and axis remain stable during the observation period of six months.展开更多
文摘AIM：To evaluate the rotational stability and visual outcomes of a single-piece hydrophilic acrylic toric intraocular lenses（IOL） over a 1.5-year follow-up period.Data from the 6-month follow-up study have been previously reported.METHODS：Forty eyes of 26 cataract patients（mean age：72.8±7.9y） with pre-existing corneal astigmatism of 1.0 to 2.6 D were enrolled in the study.Mean axial length was 23.17±0.88 mm.Main outcome measures after implantation of the Torica-a A IOL（Human Optics） were IOL rotational stability,subjective refraction,astigmatism correction,uncorrected and corrected distance visual acuity（UDVA,CDVA）.RESULTS：There was no significant change in the parameters evaluated between the 6-month and 1.5-year follow-ups.At last visit,mean absolute IOL rotation（objective method） was 1.81°±1.87°（range 0.00° to 7.20°） with 78.6% of eyes having IOL rotation 〈3°,92.9% of eyes 〈5° and 100% of eyes 〈8°.No patient required secondary IOL repositioning during the course of the study.Mean residual refractive cylinder was-0.60±0.40 D.There was a significant reduction in the magnitude of the J0 vector postoperatively（P〈0.0001） with a mean absolute change of 0.76±0.40 D.The mean J45 vector was close to zero preoperatively and postoperatively and didn＇t change significantly（P=0.28）.Mean monocular UDVA and CDVA was 0.09±0.12 log MAR and-0.01±0.12 log MAR,respectively.No treatment with Nd：YAG laser was required.CONCLUSION：The Torica-a A IOL shows good and stable visual performance and rotational stability over a 1.5-year follow-up period.
基金Projects(51278382,51479050)supported by the National Natural Science Foundation of ChinaProject(2015CB057901)supported by the National Key Basic Research Program of China+3 种基金Project(201501035-03)supported by the Public Service Sector R&D Project of Ministry of Water Resource of ChinaProject(2014B06814)supported by the Fundamental Research Funds for the Central Universities,ChinaProject(B13024)supported by the"111"ProjectProject(YK913004)supported by the Open Foundation of Key Laboratory of Failure Mechanism and Safety Control Techniques of Earthrock Dam of the Ministry of Water Resources,China
文摘Based on the upper bound of limit analysis, the plane-strain analysis of the slopes reinforced with a row of piles to the 3D case was extended. A 3D rotational failure mechanism was adopted to yield the upper bound of the factor of safety. Parametric studies were carried out to explore the end effects of the slope failures and the effects of the pile location and diameter on the safety of the reinforced slopes. The results demonstrate that the end effects nearly have no effects on the most suitable location of the installed piles but have significant influence on the safety of the slopes. For a slope constrained to a narrow width, the slope becomes more stable owing to the contribution of the end effects. When the slope is reinforced with a row of piles in small space between piles, the effects of group piles are significant for evaluating the safety of slopes. The presented method is more appropriate for assessing the stability of slopes reinforced with piles and can be also utilized in the design of plies stabilizing the unstable slopes.
基金This study was funded by a research grant from Alcon(IIT#68022037)Subject of Medical and Health Research in Heilongjiang Province(20230707020332).
文摘Objective:To analyze the enduring rotational steadiness of AcrySof IQ Toric intraocular lens(IOL)in cataract patients suffering from myopia in a long-term study.Methods:A retrospective study was conducted on a case series involving 78 patients.A total of 120 eyes with an axial length(AL)ranging from 24-30 mm and corneal astigmatism≥1.50 D underwent implantation of AcrySof IQ Toric IOL guided by the version navigation system.The eyes were divided into two groups based on AL.Group A included 60 eyes with high myopia(AL≥26 mm),while Group B consisted of eyes with low to moderate myopia(24 mm≤AL<26 mm).Data on the preoperative AL were collected.Measurements were taken for residual astigmatism,the best corrected visual acuity(BCDVA),corneal astigmatism,and IOL rotation occurring between 24-and 48-months post-surgery.The percentage of eyes with an IOL rotation of under 5°and 10°was analyzed.Results:The mean length of follow-up times was recorded as 34.27±4.98,and the average rotation was 2.73±1.29°.Group A exhibited a slightly higher average rotation of 2.87±1.31°,compared to the rotation of 2.59±1.27°observed in Group B.At both the 24-36 month and 26-48 month post-operation marks,the degree of IOL rotation did not show a statistically significant difference between the two groups,with none of the patients experiencing a rotation exceeding 10°(P>0.05).The percentage of rotation degrees under 5°was recorded as 98.22%.After the procedure,the BCDVA was 0.1322±0.03 LogMAR.There was a substantial increase in theχvalue after the operation as compared to the pre-operativeχ^(2) value(χ^(2)=76.79).The standard deviation of preoperative corneal astigmatism was statistically significant(P<0.05)at 2.17±1.08 D.Following the surgical procedure,the remaining astigmatism was measured at 0.41±0.26 D.The data showed a notable gap in statistical significance(t=4.281,P<0.05).Conclusion:The AcrySof Toric IOL was a reliable solution for managing corneal astigmatism in cataract patients with myopia,demonstrating excell
文摘AIM:To evaluate the postoperative intraocular lens(IOL)rotational stability and residual refractive astigmatism following combined 25-gauge vitrectomy and cataract surgery with implantation of a plate haptic toric IOL.METHODS:In this retrospective case series,32 eyes of 32 patients underwent a combined 25-gauge vitrectomy and phacoemulsification for vitreoretinal diseases and cataract with regular corneal astigmatism of at least 1 diopter(D).A plate haptic toric IOL(AT Torbi 709M,Carl Zeiss Meditec AG)was implanted in all eyes.The outcome measures were rotational stability and refractive astigmatism up to 6mo postoperatively as well as the best corrected visual acuity(BCVA).RESULTS:Preoperative refractive astigmatism was 2.14±1.17 D,which was significantly reduced to 0.77±0.37 D six to eight weeks postoperatively and remained stable throughout the observation period(0.67±0.44 D at three months and 0.75±0.25 D at six months;for all groups:P<0.0001 compared to baseline).BCVA improved significantly from 0.36±0.33 logMAR preoperatively to 0.10±0.15 logMAR following surgery(P=0.02).Mean IOL axis deviation from the target axis was 3.4°±2.9°after six to eight weeks and significantly decreased over time(2.4°±2.6°six months after surgery;P=0.04).In one patient IOL,re-alignment was performed.CONCLUSION:Corneal astigmatism is significantly reduced following combined 25-gauge vitrectomy and cataract surgery.The plate haptic toric IOL position and axis remain stable during the observation period of six months.
