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AIM: To investigate the effect of d-δ-tocopherol on the growth of human lens epithelial SRA cells and its related molecular mechanism, and to provide experimental basis for the treatment and prevention of posterior cataract with d-δ-tocopherol. METHODS: The experiment was divided into 6 groups, blank control group and experimental group, that is, five different concentrations of d-δ-tocopherol(40, 60, 80, 100, 120)μmoL/L. The proliferation inhibition rate of each group was detected by thiazolam(MTT)assay. The morphology of human lens epithelial SRA cells was observed under inverted microscope. Cell cycle was detected by flow cytometry and the expression of bcl-2, bax, Cyclin D1, P21 protein was detected by Western Blot(WB). RESULTS: With the increase of d-δ-tocopherol concentration, the SRA cells decreased significantly compared with the control group; the MTT results showed that with the increase of d-δ-tocopherol concentration, the inhibition rate of cell proliferation increased gradually, the difference was statistically significant(PPPCONCLUSION: d-δ-tocopherol can significantly inhibit the proliferation of human lens epithelial SRA cells and block the cell cycle in S phase. d-δ-tocopherol can inhibit the proliferation of human lens epithelial cells. The proliferation of human lens epithelial SRA cells may be achieved by inhibiting the expression of bcl-2, P21, Cyclin D1 and inducing the expression of bax.

AIM: To explore the teaching effect of problem-based learning(PBL)on cultivating students' clinical thinking in clinical practice teaching of ophthalmology. METHODS: A total of 141 clinical undergraduate students were selected to attend the ophthalmology course in the first semester of the 2017-2018 academic year, students were randomly assigned to the traditional lecture based learning(LBL)teaching group of 69 and the PBL model teaching group of 72 in the clinical practice class. The two groups of students studied the same courses at the early stage, and there was no statistically significant difference in college entrance examination scores, gender, age, and practice time of ophthalmology(P>0.05). At the end of the internship, the teaching effects of the two teaching methods were compared and analyzed by means of students' curriculum assessment questionnaire survey and the clinical examination results. RESULTS: The evaluation of students' satisfaction with the training of various abilities of the course showed that the satisfaction of each ability of the PBL teaching group was higher than that of the traditional teaching group(LBL). Among these abilities, there were statistically significant differences in learning interest improvement, knowledge expansion ability, problem-solving ability and doctor-patient communication ability(PPCONCLUSION: PBL teaching method is more effective in clinical practice teaching of ophthalmology, which is beneficial to train clinical thinking and improve teaching quality.

AIM: To establish a reference range of retinal nerve fiber layer(RNFL)thickness by optical coherence tomography(OCT)in Chinese teenagers aged from 13 to 18 years old, and investigate its relationship with age, eye side, gender, and ethnic group.METHODS: A total of 402 eyes from 201 normal Chinese aged from 13 to 18 years old were recruited for this study. Optic disk with 3.4mm diameter circle in different global average, quadrant and part-time bit retinal nerve fiber layer thickness(RNFLT)was measured by RNFL thickness average analysis program. Their RNFLT at different part-time bit, quadrant and global average RNFLT around the disc were measured by OCT with 3.4mm diameter circle, using the RNFL thickness average analysis program. The data was analyzed with SPSS statistical 19.0. The influences of several factors(such as age, eye side, gender, and ethnic group)on RNFLT were also analyzed.RESULTS: The global average RNFLT at 13, 14, 15, 16, 17, 18 years old was 108.32±9.42μm, 109.23±9.67μm, 110.36±11.14μm, 111.27±10.21μm, 109.23±9.67μm, 112.11±8.83μm respectively. RNFLT of right eyes was 109.82±8.93μm and of left eyes was 110.33±9.89μm. All of the male's average RNFLT was 110.14±10.02μm, and all of the female's average RNFLT was 109.96±11.22μm. The average RNFLT of Han nationality was 110.22±9.31μm and of non-Han nationality was 109.87±8.65μm. The average RNFLT of all was 110.02±9.87μm, the RNFLT at the superior, nasal, inferior and temporal quadrant was 146.56 ±18.88μm, 76.49±13.28μm, 136.64±16.29μm, 82.01±12.55μm respectively. There was no significant difference in gender, eye side, and ethnic group(all PCONCLUSION: This study has established a normal standard reference of RNFLT and its related indexes by OCT in Chinese teenagers aged 13-18 years old. Gender, age, eye side, and ethnic group have no effect on their RNFLT, which has significant difference with adult's data. And for the diagnosis and follow-up of diseases involving in RNFL changes, the adult's data can not be used.

AIM:To observe the effect of platelet-derived growth factor receptor-α antisense oligonucleotide(PDGFR-α ASODN)on the proliferation of rabbit lens epithelial cells N/N1003A in vitro and investigate its mechanism. METHODS: PDGFR-α ASODN was transfected into N/N1003A cells with LipofectamineTM 2000. The proliferations of the transfected cells were analyzed by MTT assay and the expressions of PDGFR-α mRNA were detected by RT-PCR. Phase microscope and transmission electron microscope were used to observe the changes of cell morphology and ultramicrostructure. Flow cytometry was applied to detect the changes of cell cycle and apoptosis rate.RESULTS: After N/N1003A cells were treated by PDGFR-α ASODN, the proliferations of the cells were significantly inhibited(PPPCONCLUSION: PDGFR-α ASODN can silence PDGFR-α gene expression in rabbit lens epithelial cells, inhibit cell proliferation, and induce cell apoptosis, which provides the experimental basis for the application of PDGFR-α ASODN to prevent the formation of posterior capsular opacification.

AIM:To evaluate the quality of life and influence factors in glaucoma patients after trabeculectomy. METHODS:The quality of life of 123 cases of glaucoma after trabeculectomy patients were evaluated with a scale of life quality for diseases with visual impairment. RESULTS:The quality of life scores of glaucoma patients after trabeculectomy were low. The Visual status was the significant factor to the patient's quality of life; The analysis of multiple stepwise linear regression indicated the visual status(β=-10.139, P=0.000), health education(β=2.576, P=0.000), number of operations(β=-3.598, P=0.002)and gender(β=3.807, P=0.013)are the main influencing factors. CONCLUSION: The scores of quality of life of glaucoma patients after trabeculectomy were low. Therefore, doctors should not only pay attention to the clinical treatment of patients with glaucoma, but also take care of the quality of life according to the patient's occupation, economic status when protecting visual function. It is necessary to give some health education and psychological treatment to improve their quality of life.