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AIM: To investigate the refractive status of the preschool children in Xiantao, Hubei Province in order to find out the abnormal refraction error beyond the physiological range. METHODS: In this cross-sectional study, we investigated preschool children in kindergartens and the scattered ones were 12 716(25 432 eyes)ranging from 6mo～6 years old. 1 581 children(3 162 eyes)were diagnosed ametropia by Suresight refractive screening instrument, which were confirmed again after mydriasis optometry. RESULTS: The incidence rate of ametropia in preschool children in Xiantao was 12.4%, and statistics showed no significant difference between boys and girls(P>0.05), but had differences of morbility rate among each age group(PCONCLUSION: The incidence rate of ametropia decreases with age increasing in the preschool children from 6mo～6 years old, which imply preschool children should have mydriasis optometry in order to find out amblyopia and other congenital eye disease.

AIM:To evaluate the changes of postoperative dry eye and tear-film after femtosecond laser in situ keratomileusis(femto LASIK)or sub-Bowman's keratomileusis(SBK). METHODS:Two hundred and twenty patients(440 eyes)accepted the refractive surgery from January to September 2013 in our hospital were analyzed retrospectively. Two hundred and fifty-two eyes in 126 patients were performed with femto-LASIK, and 188 eyes in 94 cases were performed with SBK. The changes on corneal fluorescence staining(FL), tear film break-up time(BUT), and Schirmer Ⅰ test(SⅠt)were obtained preoperatively, 1, 3 and 6mo postoperatively. RESULTS:There were significant difference between femo-LASIK and SBK on FL at 1mo postoperatively(PP>0.05). At 1wk and 1mo postoperatively, the differences on BUT between the two groups were statistically significant(PP>0.05). At 1wk,1 and 3mo postoperatively, the differences on SⅠt between the two groups were statistically significant(PP>0.05).CONCLUSION:Both patients treated by femto-LASIK or SBK have dry eye after surgeries in early stage.However, tear-film function in femto-LASIK group recovers faster than that in SBK group.

ATM: To investigate the relationship between the oculus dominans and the eye with higher diopter among myopes, and to study the difference between the Worth 4 dot test and hole-in-the-card test. METHODS: Totally 125 cases were divided into two groups as physiogenic anisometropic group and pathological anisomitropic group according to the degree of binoculus anisometropy. Worth 4 dot test and hole-in-the-card test were used to distinguish oculus dominans respectively based on medical optometry.RESULTS: In physiogenic anisometropic group, the oculus dominans and the eye with higher diopter among myopes had significant relationship by hole-in-the-card test(Z = -4.057, PZ=-3.558, PP>0.05); distinguish the oculus dominans had no statistically significant difference between the Worth 4 dot test and hole-in-the-card test(n=125, P>0.05). CONCLUSION:The oculus dominans is determined by gene or formed during juvenile period, then myopia anisometropic may affect the choice of that. The Worth 4 dot test has some reference significance for observing oculus dominans.

Poly(aspartic acid-citric acid) copolymer (PAC) is a new product of poly(carboxylic acid) scale inhibitor. The study aims to develop a “green” water treatment agent for calcium phosphate scale. The article compares the efficiency of three polymeric antiscalants, poly(aspartic acid-citric acid) copolymer (PAC), polymaleic acid (HPMA) and a compound inhibitor (PAC-HPMA), for calcium phosphate scale prevention under varying experimental conditions. Inhibitor concentration, calcium concentration, system pH, temperature and experimental time were varied to determine their influences on inhibitor performance by the static scale inhibition method. The copolymer (PAC) was characterized by FTIR, 1H NMR and 13C NMR. The compound inhibitor was applied in the actual circulating cooling water system. An atomic force microscope (AFM), X-ray powder diffraction (XRD) and a scale formation process analysis were used to explore the scale inhibition mechanism. The results showed that scale inhibition rates of PAC, HPMA and PAC-HPMA against Ca3(PO4)2 were, respectively, about 23%, 41.5% and 63% when the dosage was 8mg/L in the experiment. The compound inhibitor showed the better inhibition performance than the above two kinds of monomers. Under the actual working conditions, the inhibition rate of compound inhibitor was close to 100% and completely met the actual application requirements of scale inhibitor in circulating cooling water systems. The main inhibition mechanism was the decomposition-chelation dispersion effect. The compound inhibitor can be used as an efficient “green” scale inhibitor for calcium phosphate.