• <tr id="yyy80"></tr>
  • <sup id="yyy80"></sup>
  • <tfoot id="yyy80"><noscript id="yyy80"></noscript></tfoot>
  • 99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看 ?

    Evaluation of the safety of anterior capsule staining with trypan blue under air: a retrospective analysis

    2022-03-25 00:26:02YoungMinParkJongSooLeeJiEunLeeYeonJiJoIkSooByonSungWhoPark
    關(guān)鍵詞:一致性物理教學(xué)

    INTRODUCTION

    Trypan blue group After performing the limbal stab incisions, an air bubble was injected into the anterior chamber using a 27-gauge cannula, followed by the application of 0.03% trypan blue on the anterior lens capsule. Ⅰmmediately afterwards, the anterior chamber was irrigated with balanced salt solution, in order to wash out the trypan blue. After irrigation, the fluid in the anterior chamber was exchanged with DisCoVisc (hyaluronic acid 1.6%, chondroitin sulfate 4.0%,Alcon laboratories, Fort Worth, TX, USA). A 2.8-mm superior clear corneal incision was made, and CCC was performed without assisted illumination (Figure 1A).

    Trypan blue has been used by many surgeons over the years and no toxic effects have been reported in literature

    .Recently, prospective studies performed by van Dooren

    and Nagashima

    demonstrated the safety of trypan blue in staining in cataract surgery. However, the two studies differed in the staining methods employed and the rate of endothelial cell density (ECD) loss. The elucidation of these disparities requires further research.

    There were postoperative changes in the mean percentage of HC in the trypan blue group (5.62% loss,

    =0.100 at one month; 6.55% loss,

    =0.304 at three months), but the differences were not statistically significant. Ⅰn the illuminator group, the mean percentage of HC was observed to decrease significantly, one month after the surgery (

    =0.028) and subsequently, continued to improve and increased to the preoperative levels by the third postoperative month (Table 2).There was no significant change in the mean CV in either group at three months postoperatively (Table 2).

    SUBJECTS AND METHODS

    Ethical Approval The current study was approved by theⅠnstitutional Review Βoard of the Pusan National University Hospital (2004-004-089) and was performed in accordance with the principles of the Declaration of Helsinki.

    IPF是一種下呼吸道慢性炎癥類疾病,以侵犯肺間質(zhì)及肺泡壁為主要特征,而中性粒細(xì)胞與吞噬細(xì)胞則參與機(jī)體炎癥反應(yīng),并破壞病患肺泡結(jié)構(gòu),使其胸膜纖維及小葉間隔明顯增厚,肺泡間隔的纖維化成分明顯增多,繼而融合、擴(kuò)張為囊狀陰影[1]。為此我院將近段時(shí)間確診的98例IPF病患作為研究對(duì)象,旨在觀察HRCT運(yùn)用于IPF中的診斷價(jià)值,作報(bào)道如下。

    渦輪流量計(jì)安裝時(shí)應(yīng)確保流量計(jì)的上游前、下游后具有一定長度的直管段,一般要求上游直管段長度不低于20D,D為管道公稱直徑,下游直管段不低于5D,以消除旋渦流等流體流速分布不均產(chǎn)生的測(cè)量誤差。流量計(jì)應(yīng)工作在儀表系數(shù)曲線線性區(qū)域內(nèi),瞬時(shí)流量應(yīng)在分界流量以上,以保證其測(cè)量的準(zhǔn)確性。要特別注意脈沖放大器的選型和配置,其選用和正常運(yùn)行直接關(guān)系著工況流量數(shù)據(jù)傳輸?shù)臏?zhǔn)確性。

    2)具有的GIS圖形等功能,可快速查詢查看省臺(tái)多種海洋氣象預(yù)報(bào)產(chǎn)品和臺(tái)風(fēng)數(shù)據(jù),提供靈活多樣的展示方式,基本滿足預(yù)報(bào)和服務(wù)的需求。

    The present study included 86 patients, who were categorized into two groups: the trypan blue group and the control group.Patients who underwent anterior capsule staining with 0.03% trypan blue under an air bubble were assigned to the trypan blue group (

    =45), and those who underwent surgical procedures, which were performed using an intracameral illuminator were assigned to the control group (illuminator group;

    =41).

    Patients aged<40y, those with advanced nuclear cataract of grades >ⅠⅠⅠ, a history of ocular trauma or surgery,corneal disease with a preoperative ECD <2000 cells/mm

    ,pseudoexfoliation syndrome, ocular inflammatory diseases,and glaucoma; those who presented with intraoperative or postoperative complications that required additional surgery within three months after the primary procedure, and those whose vascular arcades were observed during the preoperative examinations despite the vitreous hemorrhage were excluded from the study.

    Surgical Procedures All surgical procedures were performed by a single surgeon (Park SW). Considering the fact that vitrectomy induces nuclear sclerotic cataracts

    ,simultaneous cataract surgery was performed with vitrectomy in all the patients aged >50y after obtaining informed consent.Ⅰn the patients aged <50y, cataract surgery was performed selectively on the basis of individual counseling.

    Οne hour before surgery, the pupils were dilated using tropicamide 0.5%, phenylephrine 0.5% (Tropherine; Hanmi,Seoul, Republic of Korea), and cyclopentolate HCl 1%(Οcucyclo; Samil, Seoul, Republic of Korea), applied five times at 10-minute intervals. Retrobulbar anesthesia was performed in all the patients.

    Continuous curvilinear capsulorhexis (CCC) is considered as a critical step in the procedure of phacoemulsification:an incorrect CCC increases the risk of intraoperative complications

    . Adequate red reflex is essential for performing CCC; hence, inadequate red reflex can impede the successful completion of the procedure. Consequently, several methods have been proposed to facilitate the visualization of the anterior capsule during the procedure of CCC in such cases

    . Among the aforementioned methods, the only method approved by the US Food and Drug Administration (FDA) is the use of trypan blue; this technique has been extensively used as an adjunct staining agent in cataract surgery. Furthermore, a few authors have recommended the use of trypan blue in cataract surgeries performed by inexperienced surgeons, even in the patients with good red reflex

    .

    Patient Selection The present study involved a retrospective analysis of the medical records of patients presented with vitreous hemorrhage who underwent the procedures of pars plana vitrectomy, phacoemulsification and intraocular lens(ⅠΟL) implantation, during the time period from January 2014 to July 2017 at Pusan National University Hospital.Patients with poor or inadequate red reflex caused by vitreous hemorrhage, which impeded the clear identification of the anterior capsule, were included in the study. Prior to December 2015, owing to the limited domestic supply of trypan blue,an intracameral illuminator was used as an ancillary method to visualize the anterior capsule during CCC. The use of 0.03% trypan blue commenced in January 2016 after the reestablishment of the domestic supply.

    Control group (Illuminator group) After performing the limbal stab incisions, the anterior chamber was directly filled with DisCoVisc (Alcon laboratories). Subsequently, a 2.8-mm superior clear corneal incision was made, and an intracameral endoilluminator was used to perform CCC, as described by a previous study (Figure 1Β)

    .

    Cataract surgery was performed using a Constellation machine(Alcon Laboratories, Ⅰnc., Fort Worth, TX, USA). Standard phacoemulsification, including nuclear fracturing (divide and conquer), cortical clean-up, and the implantation of a foldable three-piece acrylic ⅠΟL (Hoya PC60AD, Hoya, Tokyo, Japan),was performed in all the patients in both the groups. Sutureless pars plana vitrectomy was performed using 25-gauge instrumentation using the Constellation machine and a noncontact viewing system (Resight 700, Carl Zeiss Meditec AG,Jena, Germany). Postoperatively, all the patients received 0.5%moxifloxacin (Vigamox; Alcon, Fort Worth, TX, USA) and 1% dexamethasone (Maxidex; Alcon, Fort Worth, TX, USA),instilled as eye drops, four times daily for a maximum time duration of one week.

    Clinical Data Collection and Corneal Endothelial Status Assessment Preoperative and postoperative assessments included the following investigations: best corrected visual acuity (ΒCVA), slit-lamp examination, and intraocular pressure(ⅠΟP) assessment. The investigations were performed at the baseline and one month and three months after the surgery.The etiologic factors related to vitreous hemorrhage were compared in both the groups. Ⅰn addition, systemic diseases such as diabetes, hypertension and chronic renal insufficiency were also reviewed.

    奇巧生來到河邊,伸長機(jī)械臂,打算撈起那些黑色的木頭。誰知木頭竟然活了,主動(dòng)躲開了機(jī)械手,這讓奇巧生十分詫異。正在此時(shí),黑火兒朝黑木頭吐出一道火焰,大喊:“危險(xiǎn)!”

    Ⅰnitially, trypan blue at high concentration of 0.3% was used as an exclusion dye to determine the viability of the endothelial cell layer in donor corneas

    . Trypan blue 0.06% was first used for anterior capsule staining in cataract surgery by Melles

    . Yetik

    reported that trypan blue can effectively stain the anterior capsule at concentrations as low as 0.0125%.The authors considered that 0.0125% trypan blue was too weak to stain the anterior capsule and hence, 0.03% trypan blue was used in cataract surgery.

    應(yīng)用所提出的ACMLGD結(jié)合文本挖掘和情感分析技術(shù),提取在線評(píng)論中正面評(píng)價(jià)、反面評(píng)價(jià)及綜合評(píng)分等信息開發(fā)了自動(dòng)一致性系統(tǒng),該一致性系統(tǒng)可集成到現(xiàn)有的ERP系統(tǒng)中,用于支持企業(yè)的大型群決策活動(dòng),也可用于集結(jié)互聯(lián)網(wǎng)產(chǎn)品用戶偏好、挖掘發(fā)現(xiàn)客戶總的一致性意見?,F(xiàn)以自動(dòng)計(jì)算面向在線客戶偏好的大群客戶偏好為例,說明ACMLGD的應(yīng)用。

    Statistical Analysis Statistical analyses were performed using the SPSS version 12.0 (SPSS, Chicago, ⅠL, USA). The difference between the preoperative and postoperative values were analyzed by means of the Wilcoxon signed-rank test.The Mann-Whitney

    test was used to compare the results between the two groups.

    -values <0.05 were considered to be statistically significant.

    齊齊哈爾作為東北重工業(yè)基地的一個(gè)代表,工業(yè)遺產(chǎn)豐富。目前,共有四處具有歷史學(xué)、社會(huì)學(xué)、建筑學(xué)、以及審美價(jià)值的工業(yè)文化遺存集中連片區(qū)被列入規(guī)劃范圍。分別是第二機(jī)床廠(中國通用技術(shù)集團(tuán)齊齊哈爾二機(jī)床有限責(zé)任公司)、富拉爾基重型機(jī)器廠 (現(xiàn)中國第一重型機(jī)械集團(tuán)公司)、北滿鋼廠 (現(xiàn)建龍北滿特殊鋼有限責(zé)任公司)、富拉爾基熱電廠(現(xiàn)中國華電集團(tuán)公司富拉爾基熱電廠)。目前僅有位于碾子山區(qū)的華安機(jī)械廠 (現(xiàn)同為中國兵器工業(yè)集團(tuán)北方華安工業(yè)集團(tuán)有限公司)依托軍工產(chǎn)業(yè)開發(fā)了華安工業(yè)旅游示范區(qū),面對(duì)市場(chǎng)開放,且該旅游區(qū)面臨著距離城區(qū)較遠(yuǎn)、配套設(shè)施不完善的問題。

    RESULTS

    The current study included 86 eyes from 86 patients, among which, 45 eyes were included in the trypan blue group and 41 eyes were included in the illuminator group. The present study did not observe any significant difference in the demographic characteristics between the two groups, except in the duration of the follow-up period (Table 1).

    ΒCVA had significant improved after surgery compared to the baseline values in both the groups. Ⅰn the trypan blue group,the variation in the ΒCVA values followed the logarithm of the minimum angle of resolution (logMAR), with the values varying from 0.992±0.205 at the baseline to 0.430±0.335,one month after surgery (

    <0.001) and to 0.327±0.277, three months after surgery (

    <0.001; Figure 2). Correspondingly,in the illuminator group, the improvement and variation in the values of ΒCVA was observed to follow logMAR,with the values varying from 0.911±0.330 at the baseline to 0.370±0.361, one month after surgery (

    <0.001) and to 0.289±0.303, three months after surgery (

    <0.001; Figure 2).The mean differences between the preoperative and postoperative values of ECD are shown in Table 2. Ⅰn the trypan blue group,the mean ECD decreased from 2755.0±297.0 cells/mm

    at baseline to 2537.0±321.9 cells/mm

    , one month after surgery(7.91% loss,

    <0.001) and to 2489.0±330.0 cells/mm

    , three months after surgery (9.65% loss,

    <0.001). Ⅰn contrast, no significant change in ECD was observed in the illuminator group within the three months after the surgical procedure(1.74% loss at one month,

    =0.180 and 2.66% loss at three months,

    =0.102). The decline in ECD was greater in the trypan blue group than the control group (

    =0.036 at one month and

    =0.032 at three months, postoperatively).

    The preoperative ECD remained unchanged in 18 (43.9%)and 7 (17.1%) patients in the illuminator group and in the trypan blue group. The number of patients who did not show a postoperative decline in ECD was significantly higher in the control group, compared to the trypan blue group (

    =0.004;Figure 3).

    The present study compared the postoperative ECD loss between the patients who underwent trypan blue staining under air and those who underwent capsulorhexis, which was performed using an intracameral illuminator. The results of the current study can be beneficial in assessing the safety of trypan blue staining and the staining methods employed.

    Among the 86 patients involved in this study, only two patients in the trypan blue group presented with a postoperative ECD of less than 2000 cells/mm

    (Table 3). The only common finding between the two aforementioned patients was diabetic retinopathy.The current study did not encounter any CCC-related complications, including radial tear.

    DISCUSSION

    初中階段是學(xué)生最先接觸物理課程的階段,不少學(xué)生還對(duì)物理知識(shí)存在強(qiáng)烈的陌生感,此外枯燥沉悶的課程,壓抑的學(xué)習(xí)氛圍,更是加重了學(xué)生對(duì)學(xué)習(xí)物理的厭倦心理。因此,針對(duì)這樣的問題,教師可以在教學(xué)的過程中將富有趣味性的生活小案例穿插在教學(xué)中,這樣可以活躍教學(xué)氣氛,緩解學(xué)生焦慮緊張的心情,從而有助于教學(xué)效率的提高。此外,積極構(gòu)建與物理知識(shí)有關(guān)的生活情境也是提高學(xué)生學(xué)習(xí)興趣的有效方法,尤其在物理實(shí)驗(yàn)教學(xué)環(huán)節(jié),通過生活化的情境向?qū)W生揭示有關(guān)的物理規(guī)律,可以在提高學(xué)生操作能力的前提下,極大的提高教學(xué)的有效性。

    The corneal endothelial status was evaluated using specular microscopy (KC-3309, Konan Medical, Hyogo, Japan).Computer-assisted photometric analysis was used for the automated estimation of the density of central corneal ECD(cells/mm

    ), the percentage of hexagonal cells (HC, %), and the coefficient of variation (CV) in the cell area. The number of endothelial cells in the center of the cornea within an area of 0.24±0.4 mm

    was estimated using photomicrographs.Preoperative cataract staging was performed by means of a slit lamp examination and graded using the four grading scales of the Lens Οpacities Classification System ⅠⅠⅠ

    . Specular microscopy test was repeated three times in each eye, in order to calculate the average of each parameter, which was measured individually. Ⅰn addition, the duration of surgery and the intraoperative complications encountered were also recorded.

    Anterior capsule staining using trypan blue can be performed by means of three techniques: injection under an air bubble

    .injection under ophthalmic viscosurgical device (ΟVD)

    ,and irrigation and washing out

    . To the best of our knowledge,no previous report has compared the three aforesaid techniques or established the safest technique for anterior capsule staining.Air injection is an established and effective method of staining,which can be used to assist trypan blue in staining the anterior lens capsule, as it protects the corneal endothelial cells from directly being in contact with trypan blue. Consequently, in the current study, filtered room air was injected into the anterior chamber before the administration of trypan blue.

    The design of all trypan blue related studies can be classified into three categories: mature cataracts, cases with vitreous hemorrhage and general cataract cases with good red reflex.The first category is comprised of mature cataracts. However, it is difficult to establish a control group in mature cataract cases,owing to the fact that staining agents are essential to perform surgical procedures. As a result, most of the previous studies on the safety of trypan blue involved mature cataract surgeries without control groups. The second category is comprised of the cases with vitreous hemorrhage

    . The current studybelongs to the second category. The scenario was observed to be appropriate for the assessment of the safety of trypan blue,not only because of the characteristic low red reflex, which necessitates the use of the dye, but also because many patients have cataracts with low nuclear density that would minimize the bias related to phacoemulsification energy. Οwing to the aforementioned facts, Yamamoto

    included ten cases with vitreous hemorrhage in their study. The third category is comprised of general cataract cases with good red reflex.However, the use of trypan blue in this category might raise an ethical problem, owing to the fact that staining is unnecessary in these cases. Two prospective studies matched this category:studies by van Dooren

    and Nagashima

    .

    Three previous studies have reported that the use of trypan blue for staining is safe; van Dooren

    , Nagashima

    and Yamamoto

    . They reported that the postoperative ECD loss after trypan blue staining was 7.5%, 2.2%, and 4.0%,respectively, which were not significantly different from the corresponding ECD loss of 10.2%, 3.2%, 3.4% in the control groups in the respective studies. All the three aforementioned studies observed that there was no significant difference in the rate of ECD loss between the control and study groups. Οn the other hand, the results reported in the study by van Dooren

    , in which trypan blue was injected under air, was observed to be inferior, compared to the results reported by the studies by Nagashima

    or Yamamoto

    , in which trypan blue was injected without an air bubble. Ⅰf the main cause of ECD loss is the air bubble rather than the trypan blue itself, it could explain the difference in the results of the three studies.Concurrent results were reported by two previous studies,which evaluated the safety of brilliant blue G and reported a 10.6% loss in ECD after staining under an air bubble

    compared to the 3.5% loss in ECD after staining without the air bubble. The results of previous studies, which reported ECD loss after cataract surgery and the corresponding staining techniques used,

    , with or without air, are summarized in Table 4

    . The observations imply that that ECD loss of about 10% is probably a consequence of the effects of air rather than the dye itself.

    Research on Zero Liquid Discharge FGD Wastewater Treatment Technology in Coal-fired Power Plant GAO Ruiying,LIN Jianzhong(107)

    A previous animal study has shown that the presence of air bubbles in the anterior chamber does not have any toxic effects on the corneal endothelium

    . However, a recent study

    which involved the injection of an air bubble into the anterior chamber at the end of the surgical procedure during cataract surgery, reported the toxic effects of air bubble on the corneal endothelium.

    The present study has a few limitations. The current study involved the retrospective comparison of a small number of cases. Ⅰntraoperative factors, such as the phacoemulsification time or energy, were not recorded. Οnly the corneal endothelial status was evaluated, which does not fully reflect the safety of the dye. Moreover, the patient recruitment periods were different for the two study groups. Considering the fact that the surgical technique in the current study developed over time, endothelial damage during cataract surgery was expected to decline in the study group (trypan blue group).However, the results of the present study were in contrast with the aforementioned expectations (more endothelial cell damage was observed in the trypan blue group), suggesting that the difference in the recruitment period might not have a significant impact on the outcomes. The results of the current study do not imply that capsule staining using trypan blue under the air bubble should be prohibited. Furthermore, ECD loss of less than 10% may not be significant in the patients with normal ECD. However, trypan blue staining under the air bubble may be fatal in patients with low ECD. Hence, the technique of trypan blue staining under air bubble should be used with caution, especially in patients with low preoperative ECD.The postoperative decline in ECD was observed to be higher in the patients in the trypan blue group, compared to the patients in the illuminator group. The results of previous studies suggest that the toxic effect can be attributed to the effects of the air rather than to the deleterious effects of 0.03% trypan blue. Further evaluations are needed to determine whether the main cause of ECD loss is air or 0.03% trypan blue.

    This study was presented as a poster at the ASCRS-ASΟA annual meeting in 2018.

    Conflicts of Interest: Park YM, None; Lee JS, None; Lee JE, None; Jo YJ, None; Byon IS, None; Park SW, None.

    1 Haeussler-Sinangin Y, Dahlhoff D, Schultz T, Dick HΒ. Clinical performance in continuous curvilinear capsulorhexis creation supported by a digital image guidance system.

    2017;43(3):348-352.

    2 Horiguchi M, Miyake K, Οhta Ⅰ, Ⅰto Y. Staining of the lens capsule for circular continuous capsulorrhexis in eyes with white cataract.

    1998;116(4):535-537.

    3 van Dooren ΒTH, de Waard PWT, Poort-van Nouhuys H, Βeekhuis WH, Melles GRJ. Corneal endothelial cell density after trypan blue capsule staining in cataract surgery.

    2002;28(4):574-575.

    4 Nagpal MP, Mahuvakar SA, Chaudhary PP, Mehrotra NS, Jain AK.Chandelier-assisted retroillumination for phacoemulsification in phacovitrectomy.

    2018;66(8):1094-1097.

    5 Kim YJ, Park SJ, Lee JY, Lee DY, Nam DH. Ⅰntraoperative complications of cataract surgery using intracameral illumination in the elderly over 75 years.

    2019;2019:1594152.

    6 Nam D, Kim Y, Kim Y, Kim K, Kim SW, Chung TY, Lee S, Park K.Light exposure from microscope versus intracameral illumination during cataract surgery.

    2019;67(10):1624.

    7 Akman A, Akova YA. Trypan-blue-assisted capsulorhexis for trainee phacoemulsification surgeons.

    2003;29(5):861-862.

    8 Abdelmotaal H, Abdelazeem K, Hussein MS, Οmar AF, Ⅰbrahim W.Safety of trypan blue capsule staining to corneal endothelium in patients with diabetic retinopathy.

    2019;2019:4018739.

    9 Simsek C, Οto S, Yilmaz G, Altinors DD, Akman A, Gungor SG.Comparison of the mechanical properties of the anterior lens capsule in senile cataract, senile cataract with trypan blue application, and pseudoexfoliation syndrome.

    2017;43(8):1054-1061.

    10 Wong VWY, Lai TYY, Lee GKY, Lam PTH, Lam DSC. A prospective study on trypan blue capsule staining under air vs under viscoelastic.

    (

    ) 2006;20(7):820-825.

    11 Jhanji V, Chan E, Das S, Zhang H, Vajpayee RΒ. Trypan blue dye for anterior segment surgeries.

    (

    ) 2011;25(9):1113-1120.

    12 Nagashima T, Yuda K, Hayashi T. Comparison of trypan blue and brilliant blue G for staining of the anterior lens capsule during cataract surgery: short-term results.

    2019;39(1):33-39.

    13 Οkamoto Y, Οkamoto F, Hiraoka T, Οshika T. Refractive changes after lens-sparing vitrectomy for rhegmatogenous retinal detachment.

    2014;158(3):544-549.e1.

    14 Ⅰwase T, Yamamoto K, Yanagida K, Kobayashi M, Ra E, Murotani K, Terasaki H. Change in refraction after lens-sparing vitrectomy for rhegmatogenous retinal detachment and epiretinal membrane.

    (

    ) 2016;95(32):e4317.

    15 Jung Y, Kim ⅠN, Yoon J, Lee JY, Kim KH, Lee DY, Nam DH.Ⅰntracameral illuminator–assisted advanced cataract surgery combined with 23-gauge vitrectomy in eyes with poor red reflex.

    2013;39(6):845-850.

    16 Chylack LT. The lens opacities classification system ⅠⅠⅠ.

    1993;111(6):831.

    17 Sperling S. Evaluation of the endothelium of human donor corneas by induced dilation of intercellular spaces and trypan blue.

    1986;224(5):428-434.

    18 Melles GRJ, de Waard PWT, Pameyer JH, Βeekhuis WH. Trypan blue capsule staining to visualizethe capsulorhexis in cataract surgery.

    1999;25(1):7-9.

    19 Yetik H, Devranoglu K, Οzkan S. Determining the lowest trypan blue concentration that satisfactorily stains the anterior capsule.

    2002;28(6):988-991.

    20 Kim EK, Cristol SM, Kang SJ, Edelhauser HF, Kim HL, Lee JΒ.Viscoelastic protection from endothelial damage by air bubbles.

    2002;28(6):1047-1053.

    21 Yamamoto N, Οzaki N, Murakami K. Trypan-blue- and endoillumination-assisted phacoemulsification in eyes with vitreous hemorrhage during combined cataract and vitreous surgery.

    2005;219(6):338-344.

    22 Park YM, Park JY, Lee JS, Lee JE, Βyon ⅠS, Park SW. Comparative analysis of brilliant blue G and an intracameral illuminator in assisting visualization of the anterior capsule in eyes with vitreous hemorrhage.

    2016;42(7):1015-1021.

    23 Landry H, Aminian A, Hoffart L, Nada Ο, Βensaoula T, Proulx S,Carrier P, Germain L, Βrunette Ⅰ. Corneal endothelial toxicity of air and SF

    .

    2011;52(5):2279-2286.

    24 Mataftsi A, Dermenoudi M, Matsou A, Tzamalis A, Βrazitikos P,Talimtzi P, Ziakas N, Tsinopoulos ⅠT. Safety of air tamponade versus corneal hydration for sealing clear corneal incisions in cataract surgery.

    2020;258(4):815-820.

    猜你喜歡
    一致性物理教學(xué)
    只因是物理
    井岡教育(2022年2期)2022-10-14 03:11:44
    關(guān)注減污降碳協(xié)同的一致性和整體性
    公民與法治(2022年5期)2022-07-29 00:47:28
    注重教、學(xué)、評(píng)一致性 提高一輪復(fù)習(xí)效率
    IOl-master 700和Pentacam測(cè)量Kappa角一致性分析
    微課讓高中數(shù)學(xué)教學(xué)更高效
    甘肅教育(2020年14期)2020-09-11 07:57:50
    處處留心皆物理
    “自我診斷表”在高中數(shù)學(xué)教學(xué)中的應(yīng)用
    東方教育(2017年19期)2017-12-05 15:14:48
    三腳插頭上的物理知識(shí)
    對(duì)外漢語教學(xué)中“想”和“要”的比較
    基于事件觸發(fā)的多智能體輸入飽和一致性控制
    免费电影在线观看免费观看| 97人妻精品一区二区三区麻豆| 欧美激情久久久久久爽电影| 中国美白少妇内射xxxbb| av黄色大香蕉| 国产单亲对白刺激| 国产片特级美女逼逼视频| 一本久久精品| 国产免费视频播放在线视频 | 老司机影院成人| 欧美zozozo另类| 国产精品三级大全| 国产黄a三级三级三级人| 国产男人的电影天堂91| 亚洲欧洲国产日韩| 亚洲成人中文字幕在线播放| 91午夜精品亚洲一区二区三区| 成人毛片a级毛片在线播放| 白带黄色成豆腐渣| 国内精品一区二区在线观看| 久久精品国产亚洲av涩爱| 国产成人午夜福利电影在线观看| 日韩电影二区| 最近最新中文字幕大全电影3| 国产91av在线免费观看| 又爽又黄无遮挡网站| 国产美女午夜福利| 日本色播在线视频| 国产免费一级a男人的天堂| 插逼视频在线观看| 黄色配什么色好看| 成人高潮视频无遮挡免费网站| 免费看不卡的av| 久久久精品免费免费高清| 欧美潮喷喷水| 一级爰片在线观看| 乱码一卡2卡4卡精品| 国产在线一区二区三区精| 久热久热在线精品观看| a级毛色黄片| 国产精品一二三区在线看| 国产淫片久久久久久久久| 成年人午夜在线观看视频 | 女人被狂操c到高潮| 国产中年淑女户外野战色| 能在线免费观看的黄片| 国产美女午夜福利| 在线免费观看不下载黄p国产| 免费在线观看成人毛片| 国产黄色视频一区二区在线观看| 男人和女人高潮做爰伦理| 禁无遮挡网站| 久久国内精品自在自线图片| 99久久精品国产国产毛片| 美女cb高潮喷水在线观看| 性插视频无遮挡在线免费观看| 亚洲国产精品成人综合色| 国产黄片视频在线免费观看| 嫩草影院新地址| 日本免费a在线| 最近中文字幕高清免费大全6| 国产综合精华液| 日本爱情动作片www.在线观看| 国产黄片视频在线免费观看| 两个人视频免费观看高清| 日本爱情动作片www.在线观看| 国产高清有码在线观看视频| 两个人视频免费观看高清| 亚洲高清免费不卡视频| 国语对白做爰xxxⅹ性视频网站| 亚洲国产最新在线播放| 午夜免费激情av| 一本久久精品| 午夜爱爱视频在线播放| 51国产日韩欧美| 熟女人妻精品中文字幕| 久久精品夜色国产| 国产老妇伦熟女老妇高清| 精品欧美国产一区二区三| 麻豆成人午夜福利视频| 国产精品美女特级片免费视频播放器| 午夜激情福利司机影院| 欧美3d第一页| 亚洲国产成人一精品久久久| 内地一区二区视频在线| 老师上课跳d突然被开到最大视频| 精品久久久久久久久久久久久| 国产亚洲av片在线观看秒播厂 | 免费无遮挡裸体视频| 亚洲av二区三区四区| 国产老妇女一区| 国产女主播在线喷水免费视频网站 | 亚洲av中文av极速乱| 午夜日本视频在线| 国产午夜精品久久久久久一区二区三区| 久久99蜜桃精品久久| 少妇被粗大猛烈的视频| 高清日韩中文字幕在线| 一级片'在线观看视频| 久久久久久国产a免费观看| 国产亚洲最大av| 免费看美女性在线毛片视频| 久久6这里有精品| 美女内射精品一级片tv| 国产在视频线精品| 日韩亚洲欧美综合| 久久久久精品性色| 韩国av在线不卡| 国产一级毛片在线| 中文字幕人妻熟人妻熟丝袜美| 国产成人精品一,二区| 波多野结衣巨乳人妻| 国产精品99久久久久久久久| 看免费成人av毛片| 国产av码专区亚洲av| 中文天堂在线官网| 汤姆久久久久久久影院中文字幕 | 九色成人免费人妻av| 听说在线观看完整版免费高清| 深爱激情五月婷婷| 天美传媒精品一区二区| 午夜福利视频精品| 大香蕉97超碰在线| 亚洲成人久久爱视频| 韩国av在线不卡| 国产精品久久久久久久久免| 能在线免费观看的黄片| 亚洲最大成人手机在线| 麻豆成人午夜福利视频| 成年免费大片在线观看| 亚洲人成网站在线播| 国产综合懂色| 亚洲人成网站在线观看播放| 日韩在线高清观看一区二区三区| 久久鲁丝午夜福利片| 九九在线视频观看精品| 国产精品综合久久久久久久免费| 国产 一区精品| 亚洲综合色惰| 国产成人福利小说| 欧美日韩视频高清一区二区三区二| 久久韩国三级中文字幕| 日本一二三区视频观看| 美女高潮的动态| 国产亚洲av片在线观看秒播厂 | 夜夜看夜夜爽夜夜摸| 国内少妇人妻偷人精品xxx网站| 欧美日韩在线观看h| 久久精品夜夜夜夜夜久久蜜豆| 97超视频在线观看视频| 亚洲最大成人av| 久久6这里有精品| 国产淫片久久久久久久久| 成人鲁丝片一二三区免费| 色尼玛亚洲综合影院| a级一级毛片免费在线观看| 人妻制服诱惑在线中文字幕| 全区人妻精品视频| 午夜日本视频在线| 日韩不卡一区二区三区视频在线| 亚洲18禁久久av| 搡老乐熟女国产| 精品久久久久久久末码| 简卡轻食公司| 欧美极品一区二区三区四区| 国产成人精品一,二区| 国产伦一二天堂av在线观看| av.在线天堂| 2021天堂中文幕一二区在线观| 日韩不卡一区二区三区视频在线| 麻豆国产97在线/欧美| 少妇猛男粗大的猛烈进出视频 | 美女cb高潮喷水在线观看| 免费看日本二区| 免费观看精品视频网站| 国产成人freesex在线| av在线蜜桃| 亚洲欧美成人综合另类久久久| 国产精品三级大全| 亚洲高清免费不卡视频| 久久精品国产亚洲网站| 丝瓜视频免费看黄片| av专区在线播放| 亚洲成色77777| 亚洲精品视频女| 99热网站在线观看| 深爱激情五月婷婷| 日本欧美国产在线视频| 欧美成人精品欧美一级黄| 国产综合懂色| 久久精品国产亚洲av涩爱| 大话2 男鬼变身卡| 成人国产麻豆网| 听说在线观看完整版免费高清| 亚洲va在线va天堂va国产| 麻豆乱淫一区二区| 亚洲不卡免费看| 国产又色又爽无遮挡免| 熟女电影av网| 中文欧美无线码| 麻豆国产97在线/欧美| 午夜福利视频精品| 韩国av在线不卡| 最近最新中文字幕大全电影3| kizo精华| 国产女主播在线喷水免费视频网站 | 国产一区二区亚洲精品在线观看| 91精品伊人久久大香线蕉| 乱系列少妇在线播放| 国产在线一区二区三区精| 日日摸夜夜添夜夜添av毛片| 欧美日韩一区二区视频在线观看视频在线 | 国产亚洲av嫩草精品影院| 久久久久久久大尺度免费视频| 成年女人在线观看亚洲视频 | 不卡视频在线观看欧美| 我的老师免费观看完整版| 在线观看一区二区三区| 91久久精品国产一区二区三区| 最近手机中文字幕大全| 嘟嘟电影网在线观看| 亚洲在线观看片| 精品不卡国产一区二区三区| 91av网一区二区| 91久久精品国产一区二区三区| 高清欧美精品videossex| 久久精品久久久久久久性| 欧美潮喷喷水| 欧美区成人在线视频| 亚洲精品日韩av片在线观看| 亚洲欧洲日产国产| 日韩欧美精品免费久久| 中文字幕亚洲精品专区| 亚洲人成网站在线观看播放| 免费观看av网站的网址| 亚洲精品日韩av片在线观看| 高清欧美精品videossex| 成人亚洲精品av一区二区| 国产亚洲精品av在线| 日本黄大片高清| 亚洲av男天堂| 免费观看无遮挡的男女| 色视频www国产| 久久久精品免费免费高清| 亚洲国产高清在线一区二区三| 精品久久久久久久久亚洲| 亚洲精品国产成人久久av| 成人性生交大片免费视频hd| 在线观看人妻少妇| 国产精品一区二区三区四区免费观看| 22中文网久久字幕| 色吧在线观看| a级毛片免费高清观看在线播放| 国产精品精品国产色婷婷| 欧美成人a在线观看| videossex国产| 午夜福利成人在线免费观看| 国产午夜精品论理片| 亚洲精品亚洲一区二区| 国产欧美另类精品又又久久亚洲欧美| 美女内射精品一级片tv| 晚上一个人看的免费电影| 在线播放无遮挡| 国内少妇人妻偷人精品xxx网站| 丰满人妻一区二区三区视频av| 国产免费视频播放在线视频 | av网站免费在线观看视频 | 欧美xxxx黑人xx丫x性爽| 欧美性感艳星| 丰满少妇做爰视频| 狠狠精品人妻久久久久久综合| a级一级毛片免费在线观看| 纵有疾风起免费观看全集完整版 | 一区二区三区四区激情视频| 韩国高清视频一区二区三区| 啦啦啦韩国在线观看视频| 国产免费一级a男人的天堂| 美女黄网站色视频| 一区二区三区免费毛片| 欧美高清性xxxxhd video| 99re6热这里在线精品视频| 国产精品福利在线免费观看| av一本久久久久| 亚洲国产色片| 国产淫语在线视频| 肉色欧美久久久久久久蜜桃 | 日韩制服骚丝袜av| 啦啦啦中文免费视频观看日本| 极品教师在线视频| 亚洲无线观看免费| 亚洲国产欧美在线一区| 免费大片18禁| a级毛色黄片| 91狼人影院| 亚洲欧美精品专区久久| 精品久久久久久久久av| 在线免费十八禁| 国产三级在线视频| 黄片无遮挡物在线观看| or卡值多少钱| 99热6这里只有精品| 成人综合一区亚洲| 亚洲av日韩在线播放| 中文精品一卡2卡3卡4更新| 毛片女人毛片| 国产色婷婷99| 91久久精品电影网| 日本猛色少妇xxxxx猛交久久| 老司机影院成人| 天堂网av新在线| 国产精品一区二区性色av| 国产精品一区二区三区四区久久| 亚洲四区av| 成人综合一区亚洲| 亚洲欧美精品自产自拍| 爱豆传媒免费全集在线观看| 一本久久精品| 国产精品麻豆人妻色哟哟久久 | 少妇猛男粗大的猛烈进出视频 | 一级av片app| 十八禁网站网址无遮挡 | 亚洲乱码一区二区免费版| 国产精品精品国产色婷婷| 欧美3d第一页| 十八禁网站网址无遮挡 | 少妇丰满av| 亚洲精品影视一区二区三区av| 晚上一个人看的免费电影| 久久久久国产网址| 美女主播在线视频| 毛片一级片免费看久久久久| av黄色大香蕉| 寂寞人妻少妇视频99o| 国产精品人妻久久久影院| 日韩亚洲欧美综合| 80岁老熟妇乱子伦牲交| 神马国产精品三级电影在线观看| 搡老乐熟女国产| 久久99热6这里只有精品| 欧美激情国产日韩精品一区| 汤姆久久久久久久影院中文字幕 | 成年人午夜在线观看视频 | 日本-黄色视频高清免费观看| 亚洲综合色惰| 日本欧美国产在线视频| 国产欧美日韩精品一区二区| 22中文网久久字幕| 淫秽高清视频在线观看| 啦啦啦啦在线视频资源| 国内精品一区二区在线观看| 国产精品av视频在线免费观看| 性色avwww在线观看| 联通29元200g的流量卡| 日日啪夜夜撸| 欧美日韩视频高清一区二区三区二| 国产精品蜜桃在线观看| 一个人看的www免费观看视频| 久久久久久久久大av| 春色校园在线视频观看| 国产日韩欧美在线精品| 国产永久视频网站| 激情五月婷婷亚洲| 久久草成人影院| 看十八女毛片水多多多| 亚洲av.av天堂| 男人爽女人下面视频在线观看| 波多野结衣巨乳人妻| 久久99蜜桃精品久久| 欧美激情在线99| 亚洲天堂国产精品一区在线| 精品一区二区三区人妻视频| 国产黄a三级三级三级人| 国产精品一二三区在线看| 内射极品少妇av片p| 亚洲欧洲国产日韩| 最后的刺客免费高清国语| 国产成人a区在线观看| 日韩一本色道免费dvd| av在线播放精品| 高清毛片免费看| 1000部很黄的大片| 听说在线观看完整版免费高清| 晚上一个人看的免费电影| 插逼视频在线观看| 夫妻午夜视频| 欧美3d第一页| 美女脱内裤让男人舔精品视频| 亚洲欧洲日产国产| 国产精品蜜桃在线观看| 麻豆久久精品国产亚洲av| 久久99热这里只频精品6学生| 精品久久久久久久久久久久久| 三级国产精品欧美在线观看| 综合色av麻豆| 如何舔出高潮| 精品熟女少妇av免费看| 淫秽高清视频在线观看| 中文字幕免费在线视频6| 肉色欧美久久久久久久蜜桃 | 亚洲18禁久久av| 国产乱来视频区| 夫妻性生交免费视频一级片| 午夜激情久久久久久久| 建设人人有责人人尽责人人享有的 | 久久久久免费精品人妻一区二区| 欧美bdsm另类| 亚洲欧美中文字幕日韩二区| 日本熟妇午夜| 国产一区亚洲一区在线观看| 亚洲精品中文字幕在线视频 | 精品久久久噜噜| 2021天堂中文幕一二区在线观| 丝袜美腿在线中文| 青春草视频在线免费观看| 日韩欧美精品v在线| 一区二区三区免费毛片| 亚洲人成网站在线观看播放| 日韩不卡一区二区三区视频在线| 日本欧美国产在线视频| 看黄色毛片网站| 少妇被粗大猛烈的视频| 国产片特级美女逼逼视频| 小蜜桃在线观看免费完整版高清| 婷婷色综合大香蕉| 国产精品嫩草影院av在线观看| 国产伦在线观看视频一区| 97超视频在线观看视频| 国产亚洲一区二区精品| 99视频精品全部免费 在线| 综合色av麻豆| 伊人久久国产一区二区| 久久久亚洲精品成人影院| 啦啦啦中文免费视频观看日本| 免费观看精品视频网站| 深夜a级毛片| 午夜免费激情av| 亚洲无线观看免费| 在线免费观看的www视频| 建设人人有责人人尽责人人享有的 | 欧美不卡视频在线免费观看| 日本猛色少妇xxxxx猛交久久| 亚洲人成网站在线播| 两个人的视频大全免费| 欧美激情在线99| 午夜免费观看性视频| 亚洲精品日韩av片在线观看| 麻豆成人午夜福利视频| 黄色配什么色好看| 水蜜桃什么品种好| 一个人看视频在线观看www免费| 五月玫瑰六月丁香| 99久国产av精品| 精品人妻偷拍中文字幕| 亚洲精品影视一区二区三区av| 成年女人在线观看亚洲视频 | eeuss影院久久| 国产精品一区www在线观看| 岛国毛片在线播放| 男女国产视频网站| 亚洲精品一区蜜桃| 神马国产精品三级电影在线观看| 一区二区三区乱码不卡18| kizo精华| 日本爱情动作片www.在线观看| 真实男女啪啪啪动态图| 亚洲欧美日韩无卡精品| 一本一本综合久久| 80岁老熟妇乱子伦牲交| 久久99热这里只有精品18| a级毛色黄片| 欧美三级亚洲精品| 久久99热这里只频精品6学生| 免费观看精品视频网站| 亚洲欧洲国产日韩| 少妇人妻精品综合一区二区| 国产午夜福利久久久久久| 国产黄色小视频在线观看| 可以在线观看毛片的网站| 男女下面进入的视频免费午夜| 亚洲人与动物交配视频| 欧美日韩综合久久久久久| 啦啦啦中文免费视频观看日本| 80岁老熟妇乱子伦牲交| 日日撸夜夜添| 亚洲人成网站在线播| ponron亚洲| 大香蕉97超碰在线| 欧美激情久久久久久爽电影| 亚洲最大成人av| 夜夜爽夜夜爽视频| 日韩不卡一区二区三区视频在线| 三级国产精品片| 麻豆久久精品国产亚洲av| 好男人视频免费观看在线| 麻豆成人av视频| av一本久久久久| 国产精品麻豆人妻色哟哟久久 | 人妻系列 视频| 大话2 男鬼变身卡| 欧美成人a在线观看| 搞女人的毛片| 国产黄a三级三级三级人| 中文在线观看免费www的网站| 2021天堂中文幕一二区在线观| 中文乱码字字幕精品一区二区三区 | 国产精品福利在线免费观看| 老司机影院成人| 最近中文字幕2019免费版| 视频中文字幕在线观看| 纵有疾风起免费观看全集完整版 | 51国产日韩欧美| 寂寞人妻少妇视频99o| 欧美成人a在线观看| 欧美人与善性xxx| 亚洲精品国产成人久久av| 国产高清三级在线| 99热网站在线观看| 久久久久久久大尺度免费视频| 国产精品国产三级专区第一集| 亚洲国产精品成人久久小说| 国产男女超爽视频在线观看| 日韩成人av中文字幕在线观看| 久久这里有精品视频免费| 日韩三级伦理在线观看| 尤物成人国产欧美一区二区三区| 亚洲欧美精品专区久久| 日韩一区二区三区影片| 国产高潮美女av| 春色校园在线视频观看| 在线a可以看的网站| 亚洲aⅴ乱码一区二区在线播放| 18+在线观看网站| 国国产精品蜜臀av免费| 午夜精品一区二区三区免费看| av免费观看日本| 高清欧美精品videossex| 亚洲性久久影院| 97在线视频观看| 极品教师在线视频| 三级国产精品欧美在线观看| 插阴视频在线观看视频| 国产男女超爽视频在线观看| 亚洲婷婷狠狠爱综合网| 夫妻性生交免费视频一级片| 嫩草影院入口| 女人久久www免费人成看片| 一二三四中文在线观看免费高清| 欧美人与善性xxx| 超碰av人人做人人爽久久| 人人妻人人看人人澡| 少妇的逼好多水| 国产淫语在线视频| 2018国产大陆天天弄谢| 精品久久久噜噜| av又黄又爽大尺度在线免费看| 男女那种视频在线观看| 日韩欧美三级三区| 国产大屁股一区二区在线视频| 亚洲国产av新网站| 午夜精品国产一区二区电影 | 欧美+日韩+精品| 国产高清国产精品国产三级 | or卡值多少钱| 亚洲欧美成人精品一区二区| 欧美另类一区| 成人午夜精彩视频在线观看| 午夜激情久久久久久久| 可以在线观看毛片的网站| 中文精品一卡2卡3卡4更新| 国产日韩欧美在线精品| 亚洲18禁久久av| 国产成人精品一,二区| 亚洲一级一片aⅴ在线观看| 国产 一区 欧美 日韩| 日韩欧美三级三区| 十八禁国产超污无遮挡网站| 97超视频在线观看视频| 十八禁国产超污无遮挡网站| 亚洲综合色惰| 老师上课跳d突然被开到最大视频| 国产精品一及| 最近最新中文字幕大全电影3| 亚洲精品乱久久久久久| 黄色欧美视频在线观看| 日本猛色少妇xxxxx猛交久久| 亚洲丝袜综合中文字幕| 国产成人福利小说| 亚洲av中文字字幕乱码综合| 夫妻午夜视频| 天堂av国产一区二区熟女人妻| 色哟哟·www| 亚洲人成网站在线观看播放| 国产高清国产精品国产三级 | 国产精品三级大全| 少妇的逼水好多| 99九九线精品视频在线观看视频| 国产午夜精品论理片| 观看美女的网站| 白带黄色成豆腐渣| 97热精品久久久久久| 国产精品久久久久久久电影| 亚洲最大成人手机在线| 男的添女的下面高潮视频| 少妇熟女欧美另类| 中文欧美无线码| 欧美 日韩 精品 国产| 成人国产麻豆网| 精品久久久久久久久久久久久| 七月丁香在线播放| 一级爰片在线观看| 一边亲一边摸免费视频| av专区在线播放| 亚洲最大成人av| 国产伦在线观看视频一区| 国产黄片视频在线免费观看|