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Corneal collagen crosslinking for corneal ectasia of post-LASIK: one-year results

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International Journal of Ophthalmology(English edition) 2012年第2期5卷 190-195页

作者： Gang Li, Xiu-Jun Peng Chinese PLA General Hospital & Chinese PLA Postgraduate Medical School Beijing 100853 China Department of Ophthalmology Navy General Hospital of Chinese PLA Beijing 100048 China

AIM: To evaluate the efficacy and safety of corneal collagen crosslinking (01) to prevent the progression of post-laser in situ keratomileusis (LASIK) corneal ectasia. METHODS: In a prospective, nonrandomized, single-centre study, CXL was performed in 20 eyes of 11 patients who had LASIK for myopic astigmatism and subsequently developed keratectasia. The procedure included instillation of 0.1% riboflavin-20% dextrane solution 30 minutes before UVA irradiation and every 5 minutes for an additional 30 minutes during irradiation. The eyes were evaluated preoperatively and at 1-, 3-, 6-, and 12-month intervals. The complete ophthalmologic examination comprised uncorrected visual acuity, best spectacle-corrected visual acuity, endothelial cell count, ultrasound pachymetry, corneal topography, and in vivo confocal microscopy. RESULTS: CXL appeared to stabilise or partially reverse the progression of post-LASIK corneal ectasia without apparent complication in our cohort. UCVA and BCVA improvements were statistically significant (P<0.05)beyond 12 months after surgery (improvement of 0.07 and 0.13 logMAR at 1 year, respectively). Mean baseline flattest meridian keratometry and mean steepest meridian keratometry reduction (improvement of 2.00 and 1.50 diopters (D), respectively) were statistically significant (P < 0.05) at 12 months postoperatively. At 1 year after 01, mean endothelial cell count did not deteriorate. Mean thinnest cornea pachymetry increased significantly. CONCLUSION: The results of the study showed a long-term stability of post-LASIK corneal ectasia after crosslinking without relevant side effects. It seems to be a safe and promising procedure to stop the progression of post-LASIK keratectasia, thereby avoiding or delaying keratoplasty.

关键词： crosslinking keratoconus ultraviolet cornea ectasia laser in situ keratomileusis

Progress of corneal collagen cross-linking combined with refractive surgery

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International Journal of Ophthalmology(English edition) 2014年第1期7卷 157-162页

作者： Na Li Xiu-Jun Peng Zheng-jun Fan Department of Ophthalmology Navy General Hospital of Chinese PLA

As a photochemical reaction that can stiffen the cornea,corneal collagen cross-linking(CXL) is the only promising method of preventing the progress of keratectasia,such as keratoconus and secondary ectasia following refractive surgery. The aim of CXL is to stabilize the underlying condition,with a small chance of visual improvement. Combining CXL with refractive surgery targeting both stabilization and reshaping of the corneal tissue for visual function improvement is a good treatment option. This review aims to provide a comprehensive and unbiased summary of the published research regarding combined CXL and refractive surgery,including measures and results,to help elucidate the future direction of CXL.

关键词： cornea cross-linking refractive surgery keratoconus ectasia

Promoted Li+ conduction in PEO-based all-solid-state electrolyte by hydroxyl-modified glass fiber fillers

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Rare Metals 2023年第3期42卷 875-884页

作者： Xin Wang xiu Shen peng Zhang Ai-jun Zhou Jin-Bao Zhao Yangtze Delta Region Institute(Huzhou) University of Electronic Science and Technology of ChinaHuzhou 313001China State Key Laboratory of Physical Chemistry of Solid Surfaces Collaborative Innovation Centre of Chemistry for Energy MaterialsState-Province Joint Engineering Laboratory of Power Source Technology for New Energy VehicleEngineering Research Center of Electrochemical TechnologyMinistry of EducationCollege of Chemistry and Chemical EngineeringXiamen UniversityXiamen 361005China College of Energy and School of Energy Research Xiamen UniversityXiamen 361102China School of Materials and Energy University of Electronic Science and Technology of ChinaChengdu 611731China

In the polyoxyethylene(PEO)-based solid-state electrolytes,the low ionic conductivity of lithium ions limits its application in solid-state lithium batteries,so optimizing the conduction path of lithium ions is beneficial to improve the ionic conductivity.In this work,we report the use of hydrothermal carbon nano-sphere(HCS)modified glass fibers(GF)as a functional filler(GF@HCS)to improve the ionic conductivity of PEO composite solidstate electrolytes.The oxygen atoms in the hydroxyl groups on the surface of HCS can be complexed with Li ions as its transport sites,which means that it can promote the longdistance transport of Li ions along the glass fiber surface.With addition of 2 wt%GF@HCS fillers,the degree of crystallinity of PEO composite solid-state electrolyte is the smallest,and the ionic conductivity is significantly increased from 8.9×10^(-5) to 4.4×10^(-4) S·cm^(-1) at 60℃.Moreover,the PEO composite solid-state electrolyte exhibits better lithium-metal interface stability in symmetric lithium batteries and superior rate performance in LiFePO4 solid-state batteries.

关键词： Filler modification Hydrothermal carbon spheres Transport channel Polyoxyethylene(PEO)composite electrolyte All-solid-state battery

Iontophoresis-assisted corneal crosslinking using 0.1% riboflavin for progressive keratoconus

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International Journal of Ophthalmology(English edition) 2017年第5期10卷 717-722页

作者： Hong-Zhen Jia Xu Pang Zheng-jun Fan Na Li Gang Li Xiu-Jun Peng Chinese PLA Medical School Beijing 100853 China Department of Ophthalmology Chinese PLA Navy General Hospital Beijing 100048 China

AIM：To report the clinical results of iontophoresis-assisted epithelium-on corneal crosslinking（I-CXL） using 0.1% riboflavin in distilled water for progressive keratoconus. METHODS：In this prospective clinical study, we examined 94 eyes of 75 patients with progressive keratoconus who were treated with I-CXL using 0.1% riboflavin in distilled water. Best correct visual acuity（BCVA）, Scheimpflug tomography, corneal topography, anterior segment optical coherence tomography, intraocular pressure, and endothelial cell density were evaluated at baseline and 1, 3, 6, 12, and 24 mo after I-CXL.RESULTS：After 24 mo I-CXL, compared to the level at baseline, BCVA significantly improved 0.14±0.07（P=0.010）; mean keratometry signifi cantly decreased 0.72±1.97（P=0.021）; maximum keratometry significantly reduced 2.30±5.01（P=0.014）; central keratoconus index significantly reduced 0.04±0.08（P=0.007）. The demarcation line was visible in 83.1% of eyes at 1mo after treatment, with a depth of 298.95±51.97 μm, and gradually indistinguishable. One eye had repeat treatment. Intraocular pressure and endothelial cell density did not change significantly.CONCLUSION：I-CXL using 0.1% riboflavin halts keratoconus progression within 24 mo, resulting in a significant improvement in visual and topographic parameters. Moreover, the depth of the demarcation line is similar to that previously reported in standard epithelium-off CXL procedures.

关键词： corneal cross-linking iontophoresis keratoconus distilled water riboflavin

Changes of matrix metalloproteinases in the stroma after corneal cross-linking in rabbits

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International Journal of Ophthalmology(English edition) 2021年第1期14卷 26-31页

作者： Hong-Zhen Jia Xu Pang Xiu-Jun Peng Department of Ophthalmology the Sixth Medical Center of Chinese PLA General HospitalBeijing 100048China

AIM:To observe changes in the content of matrix metalloproteinases(MMPs)in the corneal stroma after corneal cross-linking(CXL)in rabbits,and further explore the corneal pathophysiological process after CXL.METHODS:Forty-two rabbits(42 eyes)were randomly divided into seven groups.One group served as the control group,while the other six groups were treated with CXL.The concentrations of MMPs in corneal stroma were evaluated through parallel reaction monitoring at baseline and 3,7,15,30,90,and 180 d after treatment.RESULTS:The levels of MMP-2 in the corneal stroma of rabbits were 0.76±0.07,2.78±1.39,4.12±0.69,2.00±0.29,2.00±0.30,1.22±0.18,and 1.35±0.18(10^(-9)mol/g)at baseline and 3,7,15,30,90,and 180 d after treatment,respectively.The contents of tissue inhibitor of metalloproteinase-1(TIMP-1)were 1.83±0.26,7.94±0.58,6.95±2.64,3.81±0.48,3.07±0.92,1.72±0.19,and 1.69±0.74(10^(-9)mol/g),respectively.The ratios of MMP-2/TIMP-1 were 0.42±0.33,0.36±0.20,0.62±0.10,0.54±0.15,0.68±0.13,0.71±0.10,and 0.68±0.09,respectively.After CXL,the expression of MMP-2 and TIMP-1 in the rabbit corneal stroma was initially increased and subsequently decreased.The levels of MMP-2 remained higher than those recorded at baseline 180 d after treatment,but it was not statistically significant.The levels of TIMP-1 returned to baseline levels at 90 d after treatment.The ratio of MMP-2/TIMP-1 started to rise from 7 d after CXL.It was significantly higher than that calculated at baseline 30-180 d after CXL.The results for MMP-1,-3,-7,-9,-13,and TIMP-2 were negative.CONCLUSION:CXL can lead to changes in the content of MMP-2 and TIMP-1 in the rabbit corneal stroma.The ratio of MMP-2/TIMP-1 remains higher versus baseline,indicating that MMP-2 is involved in the corneal pathophysiological process after CXL.

关键词： corneal cross-linking keratoconus rabbit riboflavin matrix metalloproteinase

Riboflavin concentration in corneal stroma after intracameral injection

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International Journal of Ophthalmology(English edition) 2015年第3期8卷 470-475页

作者： Na Li Xiu-Jun Peng Zheng-jun Fan Xu Pang Yu Xia Teng-Fei Wu Chinese PLA Medical School & Chinese PLA General Hospital Department of Ophthalmology Navy General Hospital of Chinese PLA

AIM: To evaluate the enrichment of riboflavin in the corneal stroma after intracameral injection to research the barrier ability of the corneal endothelium to riboflavin in vivo.METHODS: The right eyes of 30 New Zealand white rabbits were divided into three groups. Different concentrations riboflavin-balanced salt solutions(BSS)were injected into the anterior chamber(10 with 0.5%, 10 with 1%, and 10 with 2%). Eight corneal buttons of 8.5mm in diameter from each group were dissected at 30 min after injection and the riboflavin concentrations in the corneal stroma were determined using high-performance liquid chromatography(HPLC) after removing the epithelium and endothelium. The other two rabbits in every group were observed for 24 h and sacrificed. As a comparison, the riboflavin concentrations from 16 corneal stromal samples were determined using HPLC after instillation of 0.1% riboflavin-BSS solution for30 min on the corneal surface(8 without epithelium and 8with intact epithelium).RESULTS: The mean riboflavin concentrations were11.19, 18.97, 25.08, 20.18, and 1.13 μg/g for 0.5%, 1%, 2%,de-epithelialzed samples, and the transepithelial groups,respectively. The color change of the corneal stroma and the HPLC results showed that enrichment with riboflavin similar to classical de-epithelialized corneal collagen crosslinking(CXL) could be achieved by intracameral 1%riboflavin-BSS solution after 30min; the effect appeared to be continuous for at least 30 min.CONCLUSION: Riboflavin can effectively penetrate the corneal stroma through the endothelium after an intracameral injection in vivo, so it could be an enhancing method that could improve the corneal riboflavin concentration in transepithelial CXL.

关键词： riboflavin cornea intracameral injection high-performance liquid chromatography endothelium

Upholding morality and honesty in global scientific research during the coronavirus disease pandemic

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Chinese Medical Journal 2020年第20期133卷 2401-2402页

作者： peng Lyu Yue Wang xiu-Yuan Hao Bing Liu jun-Min Wei The Chinese Medical Journal Chinese Medical Association Publishing HouseBeijing 100052China National Institutes For Food and Drug Control Beijing 102629China Chinese Medical Association Publishing House Beijing 100052China

Coronavirus disease 2019(COVID-19)is currently causing great damage to the health of people worldwide.At a press conference on May 31,2020,Tedros Adhanom Ghebreyesus,the Director-General of the World Health Organizati... 详细信息

关键词： damage Director cases

Influence of element substitutions on poisoning behavior of ZrV_(2)alloy:theoretical and experimental investigations

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Nuclear Science and Techniques 2023年第7期34卷 253-266页

作者： Shuang Yang Run-Jie Fang Guo Yang Li-jun Lv Xing-Bo Han Wei Liu xiu-Jie He peng-Fei Zhu School of Mathematics Physics and StatisticsShanghai University of Engineering ScienceShanghai 201620China Shanghai Institute of Applied Physics Chinese Academy of SciencesShanghai 201800China China Nuclear Power Technology Research Institute Co.Ltd Shenzhen 518000China Sino-French Institute of Nuclear Engineering and Technology Sun Yat-Sen UniversityZhuhai 519082China

A ZrV_(2)alloy is typically susceptible to poisoning by impurity gases,which causes a considerable reduction in the hydrogen storage properties of the alloy.In this study,the adsorption characteristics of oxygen on ZrV_(2)surfaces doped with Hf,Ti,and Pd are investigated,and the effect of oxygen on the hydrogen storage performance of the alloy was discussed.Subsequently,the adsorption energy,bond-length change,density of states,and differential charge density of the alloy before and after doping are analyzed using the first-principles method.The theoretical results show that Ti doping has a limited effect on the adsorption of oxygen atoms on the ZrV_(2)surface,whereas Hf doping decreases the adsorption energy of oxygen on the ZrV_(2)surface.Oxygen atoms are more difficult to adsorb at most adsorption sites on Pd-substituting surfaces,which indicates that Pd has the best anti-poisoning properties,followed by Hf.The analysis of the differential charge density and partial density of states show that the electron interaction between the oxygen atom and surface atom of the alloys is weakened,and the total energy is reduced after Hf and Pd doping.Based on theoretical calculations,the hydrogen absorption kinetics of ZrV_(2),Zr_(0.9)Hf_(0.1)V_(2),and Zr(V_(0.9)Pd_(0.1))_(2) alloys are studied in a hydrogen-oxygen mixture of 0.5 vol%O_(2) at 25℃.The experimental results show that the hydrogen storage capacities of ZrV_(2),Zr_(0.9)Hf_(0.1)V_(2),and Zr(V_(0.9)Pd_(0.1))_(2) decrease to 19%,69%,and 80%of their original values,respectively.The order of alloy resistance to 0.5 vol%O_(2) poisoning is Zr(V_(0.9)Pd_(0.1))_(2)>Zr_(0.9)Hf_(0.1)V_(2)>ZrV_(2).Pd retains its original hydrogen absorption performance to a greater extent than undoped surfaces,and it has the strongest resistance to poisoning,which is consistent with previous theoretical calculations.

关键词： Hydrogen storage ZrV_(2) First-principles Poisoning effect

Study on the surface properties of surface modified silicone intraocular lenses

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International Journal of Ophthalmology(English edition) 2012年第1期5卷 84-87页

作者： Gui-Qin Wang Han-Qing Gu and Xiu-Jun Peng Department of Ophthalmology the Naval General Hospital Beijing 100048 China

AIM: To prepare a new-type soft intraocular lens (IOL) that silicone intraocular lenses (IOLs) were modified by surface modification technique to assess IOLs biocompatibility. METHODS: With the technique of ion beam combined with low temperature and low pressure plasma, the surface characteristics of the IOLs including physical and optical properties were determined by the instruments of IOLs resolution, UV/VIS scanning spectrophotometer, contact angle measurement system, electron spectroscopy for chemical analysis (ESCA) and scanning electron microscope (SEM). RESULTS: The color of titanium (Ti) modified IOLs was light yellow and that of titanium nitride (TiN) modified IOLs was light brown. The absorptive degree of ultraviolet rays and the hydrophilicity of the surfaces of modified IOLs were increased, and appeared suitable chemical compositions. The resolution of unmodified and modified IOLs reached normal standard. The surfaces of unmodified and Ti-modified IOLs appeared uniform. The surfaces of TIN-modified IOLs presented fine porcelain structure. CONCLUSION: The optical properties of all IOLs and the surface morphology of the modified IOLs were not affected by modification processes. The surface properties of the modified IOLs were improved.

关键词： silicone intraocular lenses surface modification technique surface property biocompatibility