Objective To verify the changes of optics and refraction of the eyes after retinal detachment surgery with the tamponade of silicone oil in vitreous cavity. Methods The optical calculation was taken as the following by using the parameter of Gullstrand model eye:（1）The refraction of silicone filled eye in non-accommodative status;（2）The refraction of silicone filled eye in non-accommodative status;（3）The aniseikonia analysis when one eye filled with the silicone oil;（4）The IOL power re-calculation． Results （1） Compa red with the normal eye,the eye filled with silicone oil is moved toward high hyperopia of +9．19 D;（2）When corrected,the accommodation amplitude reduced 1.42 D induced by filling silicone oil. Conclusion When eye filled with silicone oil,the change of refractive power tends to be highly hyperopic,the amplitude of accommodation decreased,and the regular IOL power calculation formula is no longer available. (Chin J Ocul Fundus Dis，2000，16：139-212)
Objective To review research progress on femoral attachment positioning during medial patellofemoral ligament (MPFL) reconstruction, so as to provide a reference for accurate positioning in clinic. Methods The literature at home and abroad on femoral attachment positioning during MPFL reconstruction was extensively reviewed and summarized. Results MPFL is the main ligament that restricts patellar outward migration, so MPFL reconstruction is the main treatment for patellar dislocation, but the accuracy of intraoperative femoral attachment positioning will significantly affect the effectiveness. At present, there are three main methods for femoral attachment positioning in MPFL reconstruction, including imaging positioning, bony landmark positioning, and new technology. Among them, the main imaging positioning method is the “Schöttle point” method, but it has high requirements for fluoroscopic positioning, and can only be accurately positioned under standard lateral fluoroscopy of the femur. The bony landmark positioning method mainly locates the femoral attachment by touching or dissecting the bony landmarks such as adductor tubercles and medial epicondyle of femur, but its disadvantages are that the positioning is not accurate enough, the intraoperative visual field exposure requirements are high, and a large incision is required. In order to avoid the problem that the simple bony landmark positioning method, in recent years, the combination of bony landmarks combined with arthroscopy, three-dimensional (3D) printing technology, and robot-assisted positioning methods have begun to be used in clinical practice. New technology localization methods have shown good results by preparing guides before operation, planning positioning paths in advance, or directly using robots to assist positioning during operation. Conclusion The accurate positioning of the femoral attachment in MPFL reconstruction is crucial, and the method of accurate and rapid intraoperative determination needs to be further improved and optimized. In the future, it is expected that the combination of computer image recognition correction technology and intraoperative position assistance will solve this problem.