Same-day surgery mode is an efficient medical mode, and the key point of its management is multidisciplinary collaboration optimization of the process and integration of enhanced recovery after surgery concept. This paper introduces the establishment of multidisciplinary collaboration system, clinical pathway maintenance, patient visit procedure optimization, preoperative and postoperative care and follow-up management of same-day surgery mode for children with strabismus correction under general anesthesia at West China Tianfu Hospital of Sichuan University, aiming to promote the further improvement of the pediatric same-day surgery process and provide a reference for the promotion of the pediatric same-day surgery mode.
Objective To detecte the pathogenetic mechanism of cortical deficit in persons with strabismic amblyopia by blood oxygenation level dependent-functional magnetic resonance imaging(BOLD-fMRI)． Methods The data of BOLD-fMRI of occipital visual cortex in 11 persons with strabismic amblyopia and 8 healthy ones were collected by 1．5T MRI system．The results of binocular pixel exponent in strabismic amblyopia group was compared with that in the normal group and the result of and average activation of cortical neuron in strabismic amblyopia group was analyzed.Results The binocular pixel exponent was lower in the strabismic amblyopia group(14．13％±4．55％)than that in the normal group(47．82％±5．34％)(PConclusions The reduction of cortical binocular cells and the undersampling and coding of higher-spatial-frequency components of visual stimuli may be related to the strabismic amblyopia．BOLD-fMRI may provide a new path to detecte the pathoffenetic mechanism of cortical deficit in people with strabismic amblyopia. (Chin J Ocul Fundus Dis，2004，20：19-22)
We have utilized the binocular flat and stereoscopic pattern to record visual evoked potentials (VEP) in normal and strabismic subjects. The aim was to find an electrophysiological correlation with the degree of binocular interaction in these subjects.The perception as tridimensional or flat derived from the disparity obtained with polaroid filters placed in front of the eyes. In normal subjects, the results demonstrated a significant increase of VEP amplitude during tridimensional perception of the pattern. In strabismic subjects the electrophysiological response were not correlated with the binocular conditions. The findings in the present study suggest that the binocular disparity in VEP examination is a useful technique and a better objective index for evaluating stereoscopic function than the psychophysical technique. （Chin J Ocul Fundus Dis,1992,8:10-13）
Purpose To identify the expression of alternatively spliced mRNA isoforms of the NMDA-R1 in the visual cortex of strabismic cats. Methods Two pai rs of normal and strabismic cats were used．The amblyopic cats had been made monocularly esotropic (by tenotomy) at the age of weeks，resulting in behavioral am blyopia．Animals were sacrificed about 6 months by intraperitoneal administration of Nembutal．Cryostat sections of fresh，frozen central visual cortex of the ats were cut to 20 micron thickness．A series of digoxygenin-labelled oligonucle otide probes basing on the human gene sequence were used for ISH．Control probes included sense oligonucleotides and short segment probes which were adjacent to ，but did not，span the splice junctions．A computer-assisted systematic morphometric ounting procedure was used to enumerate hybridising cells． Results The number of positive cells expressing NMDA-R1 mRNA in t he strabismic amblyopic cats was decreased，notably in layer IV of visual cortex (P＜0．0001)．The pattern of isoform expression varied between normal and strabismic amblyopic cats with decreased numbers of 1-a，1- b and 1-1 isoforms and apparently increased expression of 1-3 P ＜0．0001)，whereas no significant difference was found for the 1-2 and 1-4 isoforms (P＞0．05)． Conclusion Transcriptional inhibition of NMDA-R1 mRNA and of specifie isoforms may underlie the change in receptor expression．Alternatively，preferentialloss of neurones bearing particular NMDA-R1 isoforms and compensation with a proportional increase in cells expressing other isoforms may occurr during the critical period of visual plasticity． (Chin J Ocul Fundus Dis，2000，16：71-138)
Pattern-reversal electroretinograms(P-ERG)and visual evoked potential(P-VEP) were simultaneously recorded in 20 kittens reared with unilateral convergent strabismus,induced surgically at around 3 weeks after birth.P-VEP responses evoked through the normal and squint eyes consisted of two components at the initial stages,however changed systematically with age,and the second component of the squint eye disappesred earlier than that of the normal eye.P-ERG response for the variance in retinal function of squint eyes was more sensitive than the F-ERG.P-VEP responses from the squint eyes reduced significantly in amplitude as compared with those evoked through the normal eyes,even one week after surgery,while P-ERG responses unchanged and persisted through 30 weeks.Reduction of P-ERG amplitude of squint eyes developed about 6 weeks postnatal and the spatial resolution returned gradually at later stages.The results suggest that the strabismus may affect not only striate cortex,but also retina in developing kittens.In comparison with retinal deficits,cortical deficits may arise earlier and manifest more severe.