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Acoustic metasurfaces, as two-dimensional acoustic metamaterials, are a current research topic for their sub-wavelength thickness and excellent acoustic wave manipulation. They hold significant promise in noise reduction and isolation, cloaking, camouflage, acoustic imaging, and focusing. Resonant structural units are utilized to construct acoustic metasurfaces with the unique advantage of controlling large wavelengths within a small size. In this paper, the recent research progresses of the resonant metasurfaces are reviewed, covering the design mechanisms and advances of structural units, the classification and application of the resonant metasurfaces, and the tunable metasurfaces. Finally, research interest in this field is predicted in future.
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AIM: To observe ocular surface changes after phacovitrectomy in patients with mild to moderate meibomian gland dysfunction (MGD)-type dry eye and track clinical treatment response using a Keratograph 5M and a LipiView interferometer. METHODS: Forty cases were randomized into control group A and treatment group B; the latter received meibomian gland treatment 3d before phacovitrectomy and sodium hyaluronate before and after surgery. The average non-invasive tear film break-up time (NITBUTav), first non-invasive tear film break-up time (NITBUTf), non-invasive measured tear meniscus height (NTMH), meibomian gland loss (MGL), lipid layer thickness (LLT) and partial blink rate (PBR) were measured preoperatively and 1wk, 1 and 3mo postoperatively. RESULTS: The NITBUTav values of group A at 1wk (4.38±0.47), 1mo (6.76±0.70), and 3mo (7.25±0.68) were significantly lower than those of group B (7.45±0.78, 10.46±0.97, and 11.31±0.89; P=0.002, 0.004, and 0.001, respectively). The NTMH values of group B at 1wk (0.20±0.01) and 1mo (0.22±0.01) were markedly higher than those of group A (0.15±0.01 and 0.15±0.01; P=0.008 and P<0.001, respectively); however, there was no difference at 3mo. The LLT of group B at 3mo [91.5 (76.25-100.00)] significantly exceeded that of group A [65.00 (54.50-91.25), P=0.017]. No obvious intergroup difference was found in MGL or PBR (P>0.05). CONCLUSION: Mild to moderate MGD dry eye worsens in the short term after phacovitrectomy. Preoperative cleaning, hot compresses, and meibomian gland massage as well as preoperative and postoperative sodium hyaluronate promote the rapid recovery of tear film stability.
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AIM: To observe the effects of the different extents of internal limiting membrane (ILM) peeling on the surgical success and anatomical and functional outcomes of idiopathic macular hole (IMH). METHODS: In this retrospective cohort study, 36 patients were reviewed and divided into two groups according to the extent of ILM peeling: group A (18 patients), with the peeling area within one-half of the optic disc macular distance as the radius; group B (18 patients), with the peeling area larger than that of group A but did not exceed the optic disc macular distance as the radius. The main outcomes included the best corrected visual acuity (BCVA), light-adaptive electroretinography, macular hole (MH) closure rate, central macular thickness (CMT), retinal nerve fiber layer (RNFL) and ganglion cell complex (GCC) thickness [nine regions based on the Early Treatment of Diabetic Retinopathy Study (ETDRS) ring] before and 1, 3, and 6mo after surgery. RESULTS: The closure rate was 94.4% (17/18) both in groups A and B. The BCVA in both groups improved significantly compared with the preoperative values, but there was no difference between the two groups. The b-wave amplitude of the electroretinogram analysis was significantly improved in both groups compared to that of the preoperative period, with a greater increase in group A than in group B at 6mo (P=0.017). The CMT in both groups gradually decreased after surgery, and there was no difference between the two groups. The RNFL thickness of the temporal outer ring region in group B was significantly lower than that in group A at 3 and 6mo after surgery (P=0.010, 0.032). The GCC thickness of the temporal outer ring region in group B was significantly lower than that in group A at 6mo after surgery (P=0.038). CONCLUSION: Enlarging the extent of ILM peeling doesn't affect the IMH closure rate and visual acuity recovery, but the greater the extent of peeling, the greater the damage to the inner retinal structures.
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This work proposes a method for actively constructing acoustic metasurface (AMS) based on the split hollow cuboid (SHC) structure of local resonance, with the designed AMS flexibly manipulating the direction of reflected acoustic waves at a given frequency range. The AMS was obtained by precisely adjusting any one or two types of structural parameters of the SHC unit, which included the diameter of the split hole, the length, width, height, and shell thickness of the SHC. The simulation results showed that the AMS can flexibly manipulate the direction of the reflected acoustic waves, and the anomalous reflection angle obeys the generalized Snell's law. Furthermore, among the five structural parameters, the AMS's response frequency band is widest with the hole diameter and height, followed by the length and width, and narrowest with the shell thickness. It is worth noting that comprehensive manipulation of two parameters not only broadens the response frequency band, but also strengthens the effect of the anomalous reflection at the same response frequency. The subwavelength size of the AMS constructed with such a comprehensive method has the advantages of a small size, wide response band, simple preparation, and flexible modulation, and can be widely used in various fields, such as medical imaging and underwater stealth.