AIM:To investigate the effectiveness of a modified inferior oblique muscle belly transposition for treatment of V-pattern exotropia combined with mild to moderate inferior oblique muscle overaction.METHODS:Thirteen ca...AIM:To investigate the effectiveness of a modified inferior oblique muscle belly transposition for treatment of V-pattern exotropia combined with mild to moderate inferior oblique muscle overaction.METHODS:Thirteen cases(23 affected eyes)of V-pattern exotropia with inferior oblique muscle overaction(+or++)who underwent the modified inferior oblique muscle belly transposition procedure were retrospectively reviewed.The amount of V-pattern,grade of inferior oblique overaction,degree of vertical strabismus,abnormal head posture,and the fovea-disc angle were evaluated before and after surgery.RESULTS:The V-pattern was corrected in all cases,and the amount of V-pattern reduced by 17.85±5.13 prism diopter(PD)on average(t=16.07,P<0.001).The surgical cure rate for mild to moderate inferior oblique muscle overaction was 87.0%(20/23).The degree of the foveadisc angle has a mean reduction of 5.45°±2.87°(t=3.95,P=0.003)after surgery.The mean vertical deviation in 5 cases with a small-angle hypertropia(5.23±3.06 PD)in the primary position reduced by 3.15±1.86 PD(t=6.10,P<0.001).No serious complications were observed.CONCLUSION:The modified inferior oblique muscle belly transposition procedure can effectively treat mild to moderate inferior oblique overaction and relieve the V-pattern,which is safe and easy to perform.展开更多
Ada provides full capacities of supporting object orientation, but the diversified objects patterned in Ada are so intricate that Ada95's aim would be demolished. In order to complement the disfigurement that Ada...Ada provides full capacities of supporting object orientation, but the diversified objects patterned in Ada are so intricate that Ada95's aim would be demolished. In order to complement the disfigurement that Ada does lack for a pristine notion of class, this paper presents a remolded object pattern known as A object, an Ada based class description language A ObjAda aiming at support for A object pattern and the related approach for key algorithms and implementation. In consequent, A ObjAda hereby promotes Ada with highlighted object orientation, which not only effectively exploits the capacities in Ada95, but also rationally hides befuddling concepts from Ada95.展开更多
The evolution and transition of planar wave trains propagating through defects(obstacles) in an excitable medium are studied. When the frequency of the planar wave trains is increased, three different dynamical regime...The evolution and transition of planar wave trains propagating through defects(obstacles) in an excitable medium are studied. When the frequency of the planar wave trains is increased, three different dynamical regimes,namely fusion, "V" waves, and spiral waves, are observed in turn and the underlying mechanism is discussed. The dynamics is concerned with the shapes of the defects. Circle, triangle, and rectangle defects with different sizes are considered. The increase of pacing frequency broadens the fan-shaped broken region in the behind of a rectangle defect.The increase of width of a triangle defect leads to breakup of wave trains easier while the change of height shows opposite effect, which is presented in a phase diagram. Dynamical comparison on defects with different shapes indicates that the decrease of the defect width along the propagation of wave trains makes the fan-shaped region and the minimal frequency for breakup of spiral both increased.展开更多
AIM:To compare outcomes of conventional and Hangback methods of inferior oblique(IO)recession in V-pattern strabismus with inferior oblique overaction(IOOA).METHODS:Comparative randomized study was conducted consistin...AIM:To compare outcomes of conventional and Hangback methods of inferior oblique(IO)recession in V-pattern strabismus with inferior oblique overaction(IOOA).METHODS:Comparative randomized study was conducted consisting of 50 patients,age 6 to 35 y having V-pattern strabismus[>15 prism diopter(PD)]with IOOA.They were divided equally in two groups and underwent IO recession,group A by conventional method and group B by Hang-back method.Parameters evaluated were reduction in V-pattern and IOOA,shift in torsion,improvement in binocular status.Success was a residual V-pattern of less than 10 PD at 1 y of follow up.RESULTS:The mean V-pattern preoperatively and postoperatively at 1 y was 24±5.4 PD and 4.2±3.51 PD in group A and 23.44±6.44 PD and 5.76±3.8 PD in group B respectively.The mean reduction in V-pattern was 20±6.78 PD in group A and 18.2±5.48 PD in group B.The mean correction of IOOA was 18.48±3.13 PD in group A and 16±2.93 PD in group B.Mean shift in extorsion was 3.08±1.8 degree in group A and 3.72±2.14 degree in group B.CONCLUSION:Both the procedures achieve a significant and comparable reduction in V-pattern and IOOA.Hang-back recession being a landmark free surgery eliminates the need for intrascleral suturing thereby reducing the risk of scleral perforation with possible postoperative adjustment of muscle.It may be considered as a good alternative for IO recession in patients of V-pattern strabismus with mild to moderate amount of IOOA.展开更多
文摘AIM:To investigate the effectiveness of a modified inferior oblique muscle belly transposition for treatment of V-pattern exotropia combined with mild to moderate inferior oblique muscle overaction.METHODS:Thirteen cases(23 affected eyes)of V-pattern exotropia with inferior oblique muscle overaction(+or++)who underwent the modified inferior oblique muscle belly transposition procedure were retrospectively reviewed.The amount of V-pattern,grade of inferior oblique overaction,degree of vertical strabismus,abnormal head posture,and the fovea-disc angle were evaluated before and after surgery.RESULTS:The V-pattern was corrected in all cases,and the amount of V-pattern reduced by 17.85±5.13 prism diopter(PD)on average(t=16.07,P<0.001).The surgical cure rate for mild to moderate inferior oblique muscle overaction was 87.0%(20/23).The degree of the foveadisc angle has a mean reduction of 5.45°±2.87°(t=3.95,P=0.003)after surgery.The mean vertical deviation in 5 cases with a small-angle hypertropia(5.23±3.06 PD)in the primary position reduced by 3.15±1.86 PD(t=6.10,P<0.001).No serious complications were observed.CONCLUSION:The modified inferior oblique muscle belly transposition procedure can effectively treat mild to moderate inferior oblique overaction and relieve the V-pattern,which is safe and easy to perform.
基金Supported by National Natural Science Foundation of China(6 97730 41)
文摘Ada provides full capacities of supporting object orientation, but the diversified objects patterned in Ada are so intricate that Ada95's aim would be demolished. In order to complement the disfigurement that Ada does lack for a pristine notion of class, this paper presents a remolded object pattern known as A object, an Ada based class description language A ObjAda aiming at support for A object pattern and the related approach for key algorithms and implementation. In consequent, A ObjAda hereby promotes Ada with highlighted object orientation, which not only effectively exploits the capacities in Ada95, but also rationally hides befuddling concepts from Ada95.
基金Supported by the Natural Science Foundation of Zhejiang Province under Grant Nos.LQ14A050003 and LR17A050001Zhejiang Province Commonweal Projects under Grant No.GK180906288001China Scholarship Council under Grant No.201708330401
文摘The evolution and transition of planar wave trains propagating through defects(obstacles) in an excitable medium are studied. When the frequency of the planar wave trains is increased, three different dynamical regimes,namely fusion, "V" waves, and spiral waves, are observed in turn and the underlying mechanism is discussed. The dynamics is concerned with the shapes of the defects. Circle, triangle, and rectangle defects with different sizes are considered. The increase of pacing frequency broadens the fan-shaped broken region in the behind of a rectangle defect.The increase of width of a triangle defect leads to breakup of wave trains easier while the change of height shows opposite effect, which is presented in a phase diagram. Dynamical comparison on defects with different shapes indicates that the decrease of the defect width along the propagation of wave trains makes the fan-shaped region and the minimal frequency for breakup of spiral both increased.
文摘AIM:To compare outcomes of conventional and Hangback methods of inferior oblique(IO)recession in V-pattern strabismus with inferior oblique overaction(IOOA).METHODS:Comparative randomized study was conducted consisting of 50 patients,age 6 to 35 y having V-pattern strabismus[>15 prism diopter(PD)]with IOOA.They were divided equally in two groups and underwent IO recession,group A by conventional method and group B by Hang-back method.Parameters evaluated were reduction in V-pattern and IOOA,shift in torsion,improvement in binocular status.Success was a residual V-pattern of less than 10 PD at 1 y of follow up.RESULTS:The mean V-pattern preoperatively and postoperatively at 1 y was 24±5.4 PD and 4.2±3.51 PD in group A and 23.44±6.44 PD and 5.76±3.8 PD in group B respectively.The mean reduction in V-pattern was 20±6.78 PD in group A and 18.2±5.48 PD in group B.The mean correction of IOOA was 18.48±3.13 PD in group A and 16±2.93 PD in group B.Mean shift in extorsion was 3.08±1.8 degree in group A and 3.72±2.14 degree in group B.CONCLUSION:Both the procedures achieve a significant and comparable reduction in V-pattern and IOOA.Hang-back recession being a landmark free surgery eliminates the need for intrascleral suturing thereby reducing the risk of scleral perforation with possible postoperative adjustment of muscle.It may be considered as a good alternative for IO recession in patients of V-pattern strabismus with mild to moderate amount of IOOA.
