Goo, Hyeyoon;Kim, Hoon;Ahn, Jin-Chul;Cho, Kyong Jin
Medical Lasers
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v.8
no.2
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pp.50-58
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2019
Background and Objectives Low-level light therapy (LLLT) is an application of low-power light for various purposes such as promoting tissue repair, reducing inflammation, causing analgesia, etc. A previous study suggested the effect of light emitting diode (LED) light with the wavelength of 740 nm for promoting wound healing of corneal epithelial cells. This current study aimed to confirm the effect of LLLT for managing inflammation of a dry eye disease (DED) mouse model. Materials and Methods A total of 50C57BL/6 female mice were randomly grouped into 5 groups to compare the effect of LLLT:1) Control group, 2) Only LLLT group, 3) Dry eye group, 4) LLLT in dry eye group, and 5) Early treatment group. DED was induced with 4 daily injections of scopolamine hydrobromide and desiccation stress for 17 days, and LLLT at 740 nm was conducted once every 3 days. To analyze the effect of LLLT on the DED mouse model, tear volume, corneal surface irregularities, and fluorescence in stained cores were measured, and the level of inflammation was assessed with immunohistochemistry. Results The DED mouse model showed significant deterioration in the overall eye condition. After LLLT, the amount of tear volume was increased, and corneal surface irregularities were restored. Also, the number of neutrophils and the level of inflammatory cytokines significantly decreased as well. Conclusion This study showed that LLLT at 740 nm was effective in controlling the corneal conditions and the degree of inflammation in DED. Such findings may suggest therapeutic effects of LLLT at 740 nm on DED.
The corneal structure and function changes somewhat with aging. We were performed the analysis of women college students on the base curve, power, and astigmatism axis of the cornea by keratometer. All women subjects were between the ages of 19 and 20 years. On the corneal base curve. the right eye of the ages of 19 was 7.64 mm in vertical and 7.81 mm in horizontal. But, the left eye was 7.65 mm in vertical and 7.83 mm in horizontal on the other hand, the right and left eye of the ages of 20 was 7.72 mm in vertical and 7.75 mm in horizontal. On the corneal diopter power, the right eye of the ages of 19 was 44.21 diopter in vertical and 43.32 diopter in horizontal. But, the left eye was 44.23 diopter in vertical and 43.24 diopter in horizontal. On the other hand, the right eye of the ages of 20 was 43.67 diopter in vertical and 43.62 diopter in horizontal. But, the left eye was 43.73 diopter in vertical and 43.6 diopter in horizontal. According to the corneal astigmatism axis style, the right eye of the ages of 19 have 83% positive for with the rule astigmatism, and 16% positive for against the rule astigmatism. But, the left eye of the ages of 19 have 86% positive for with the rule astigmatism, and 12% positive for against the rule astigmatism. On the other hand, the right eye of the ages of 19 have 56% positive for with the rule astigmatism, and 44 % positive for against the rule astigmatism. But, the left eye of the ages of 20 have 56% positive for with the rule astigmatism, and 41% positive for against the rule astigmatism. According to the diopter power of corneal astigmatism. The right eye of the ages of 19 have 36% positive for behind 1 diopter and left eye have 31%. But, the right and left eye of the ages of 20 have 37.5%. The right and left eye of the ages of 19 have 42% positive for 1 diopter, and the right eye of the ages of 20 have 34.4% positive for 1 diopter and the left eye have 43.8%. The right eye of the ages of 19 have 12% positive for 2 diopter and left eye have 22%. But, the right eye of the ages of 20 have 15.6% positive for 2 diopter and the left eye have 12%. The right eye of the ages of 19 have 4% positive for 3 diopter and left eye have 3%. But, the left eye of the ages of 20 have 3% positive for 3 diopter and the left eye have 6%. On the other hand, the right eye of ages of 19 have 6% positive over 4 diopter, and the left eye have 2%. But, the right eye of ages of 20 have only 9% positive over 4 diopter.
Journal of the Korea Academia-Industrial cooperation Society
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v.14
no.8
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pp.3933-3940
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2013
The purpose of present study was to determine the frequency of RA with age and to investigate the age-related trends and changing-factors in RA, CA and IAs. The refractive power of the eye and the power of corneal anterior surface were measured with auto-refractor among 1,017 inhabitants aged 5 to 59 years in Cheongju in July 2010. The overall frequency of RA was 22.7%, and frequency of RA increased from 8.9% in 5~9 years age group to 36.8% in 20~29 years age group. It then dipped to 19.2% in 40~49 years age group but increased again 28.6% in 50~59 years age group. $J_{45}$ components for RA, CA, and IAs were fairly stable in different age groups, the changes in $J_0$ components for both RA and CA appeared to be decreased after age of 30 years. In addition, the refractive power on the vertical direction was changed slightly with age, but the refractive power on the horizontal direction was changed significantly with age. It was expected that the change in the frequency of astigmatism with age was due to the change in the refractive power of horizontal meridian.
Purpose: The purpose of this study to evaluate visual acuity and refractive state and measure and analyze the components of eye's optical system in children and teenagers. Methods: With subjects of 124 (230 eyes) children and teenagers who had no eye diseases, correlation between the correlation between refractive errors and component's of eye's optical system was investigated. The spherical equivalent power of cycloplegic clinical refraction or manifest clinical refraction(SE), corneal power(CP), corneal radius(CR), axial length(AL), anterior chamber depth(ACD) and axial length to corneal radius (AL/CR) ratio were measured and analysed. Results: the SE was negatively correlated with the AL(r = -0.80, p = 0.00), the ACD(r = -0.35, p = 0.00) and the CR(r = -0.11, p=0.00) and positively correlated with the CP(r = +0.11, p=0.00). The AL was positively correlated with the AL/CR ratio (r = +0.84, p = 0.00), the ACD(r = +0.47, p=0.00) and the CR(r = +0.38, p = 0.00) and negatively correlated with the CP(r = -0.38, p=0.00). The CR was negatively correlated with CP(r = -1.00, p = 0.00), the AL/CR ratio(r = -0.19, p = 0.00) and the ACD(r = -0.06, p = 0.39). The CP was positively correlated with the AL/CR ratio(r = +0.19, p = 0.00) and the ACD(r = +0.06, p = 0.39). The ACD was positively correlated with the AL/CR ratio(r = 0.53, p = 0.00). Conclusions: the highest change of refractive errors was shown that the AL/CR ratio was a very important indicator for diagnosing the refractive errors of the children and teenagers.
The aim of study was to provide the preliminary data to find out characteristics of the difference between both refractive errors through analysis of ocular components variation. We measured spherical equivalent power and corneal radius with KR-8800, and axial length and anterior chamber depth with IOL Master, and the difference of measuring values between the right eye and left eye was applied as the absolute values in 100 adults aged 20~59 years. In all participants, the most common results showed that spherical equivalent power was $-1.83{\pm}2.17D$, axial length was 23.00~24.99mm, corneal radius was 7.50~7.89mm, and anterior chamber depth was 3.60~4.09mm. There are significant correlations between both eyes in axial length and anterior chamber depth with the difference of both spherical equivalent power. The difference of both axial lengths was the biggest with the difference of both refractive errors, and shown the highest correlation. The convergence complex study through classification by aspects is needed since the difference of both refractive errors is closely related with ocular components variation, and poor visual function would be caused by the difference of both refractive errors.
This study investigated the effects of mechanical factors involved in several corneal refractive surgeries on the surgical outcomes. Then we proposed possible new techniques from the mechanical point of a view utilizing finite element method. The models studied are: circumferential keratetomy, combination of excimer laser photorefractive keratectomy and circumferential keratotomy for myopia treatment, arcuate keratotomy for astigmatism treatment. The cornea was assumed to be nonlinear elastic and almost incompressible material as the most soft tissue in the human body. In the circumferential keratotomy the effect of the incision location was investigated. The angle and location of the incision were varied to predict the surgical outcomes in the arcuate keratotomy. The finite element analysis results showed that the location of incision was a critical factor affecting the surgical outcomes in the circumferential keratotomy. In the combination of the excimer laser photorefractive keratectomy and circumferential keratotomy, it was predicted that the circumferential can increase or decrease the refractive power depending on the incision location or it can be used to adjust the overcorrection of undercorrection. In the arcuate keratotomy for astigmatism, the most diopter changes were predicted when the location and the angle of the incision were 3.0mm from the apex and $90^{\circ}$, respectively. In the arcuate keratotomy, the effects of an incision were studied within the incision area as well as outside the incision area. Also, the arcuate keratotomy with two incisions located on the opposite area of the cornea was also studied. As a conclusion, the finite element method is a useful technique in the area of corneal refractive surgeries to develop new techinques.
Purpose: This study was to investigate the relevance between refractive and anatomical changes temporarily on the eyes after alcohol ingestion. Methods: Eight subjects (16 eyes) which were $24.5{\pm}1.5$ aged males drunk the alcohol of 0.42 g per kg of body weight within 30 minutes. Refractive errors, the radius of corneal curvature, corneal thickness, pupillary size, intraocular pressure, and the length of the ocular axis at 1 h, 4 h, and 24 h after alcohol ingestion were compared with them of non-alcoholic state. Results: At 1 h after alcohol ingestion, breath alcohol concentration was the highest (p<0.001), more negative spherical power was needed (p<0.05) for correction, pupillary diameter was decreased (p<0.05), intraocular pressure was decreased (p<0.001), and the length of the ocular axis was increased compared with each one of non-alcoholic state. At 4 h after alcohol ingestion, all anatomical changes were the same tendency as at 1 h after alcohol ingestion. But at 24 h after alcohol ingestion, both refractive changes and anatomical changes were not significant compared with them of non-alcoholic state. Conclusions: Temporary changes of refractive error after alcohol ingestion may be related with decrease of intraocular pressure and increase of the length of ocular axis.
Intraocular pressure is measured after a cornea air puff by observing biomechanical properties such as thickness or displacement of the cornea. In this paper, we deal with a frequency domain analysis of corneal deformation in the air puff tonometry that is used to diagnose glaucoma or lasik. We distinguish the patient from the normal by measuring the oscillation frequency in the neighborhood of the central cornea section. A binary image was obtained from the video images, and cornea vertical oscillation profile was extracted from the difference between the vertical displacement data and the curve fitting. In terms of Fourier transform, a vibration frequency of 479.2Hz for the patient was obtained as well as more higher 702.8Hz for the normal due to stiffness. Hilbert-Huang transform's empirical mode decomposition generally describes local, nonlinear, and nonstationary data. After the data were decomposed into intrinsic mode functions, a spectrum and power were analysed. Finally, we confirm that the patient has 6 times more higher power ratio for the specific intrinsic mode function between the patient and the normal.
Kim, You Na;Lee, Jin Ah;Kim, Jae Yong;Kim, Myoung Joon;Tchah, Hung Won
Journal of The Korean Ophthalmological Society
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v.59
no.11
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pp.1017-1023
/
2018
Purpose: A recently introduced phacoemulsification system, the WhiteStar $Signature^{(R)}$ PRO, has demonstrated improved nucleus followability and cutting efficiency via an improved pump regulator with a higher reaction response and an automatic occlusion sensing system. In this study, we compared various phacoemulsification parameters between the new system and an older version of the device. Methods: A total of 80 eyes of 68 patients with cataracts who had undergone phacoemulsification by a single surgeon were included in this study. Forty eyes of patients underwent phacoemulsification using the older $Signature^{(R)}$ system (WhiteStar); these patients were classified as the control group. Another 40 eyes of patients underwent phacoemulsification with the newer enhanced system, the WhiteStar $Signature^{(R)}$ PRO; these patients were assigned to the experimental group. During the operation, operative parameters, including the effective phaco time (parameter of effective phaco time with a specific coefficient for the transversal movement expressed in seconds, EFX), ultrasound time (seconds [s]), effective phacoemulsification time (EPT, s), average phacoemulsification power (AVG, %), and balanced salt solution usage, were measured to determine the performance enhancement offered by the updated system. Central corneal thickness was measured before and after surgery to compare corneal edema. The relationships between the two groups were analyzed using an independent t-test. Results: The Signature $PRO^{(R)}$ system showed a lower EFX (p < 0.001), a shorter EPT (p < 0.001), and a smaller AVG (p < 0.001). Postoperative corneal thickness did not differ significantly between the two groups. Conclusions: Comparing the efficacy of the improved reaction speed of the device and automatic occlusion sensing system in performing phacoemulsification, the updated Signature $PRO^{(R)}$ system demonstrated superior followability and cutting efficiency regardless of nuclear cataract hardness.
The purpose of this study was to perform a clinical test using ez NANOsence II RGP contact lenses for the effects of visual acuity and cornea on subjects with abnormal refraction status. One hundred twenty one adults (twenty nine males, ninety two females, range = 17 to 43, mean = 22.86) were recorded. The subject's history including, the symptoms from previous lens wear, were studied. The subjects were observed, both pre and post lens wear, for any symptoms and signs of change of the eye. The Visual acuity and the binocular status were tested at the far distance using the contact lens. The refraction test was performed on the naked eye using the objective method (Topcon KR-8100, Japan). The Stereopsis test was performed at the near distance after contact lens wear by the Titmus fly (Stereo Optical Co., U.S.A) and TNO (TECH, The netherlands). The contrast sensitivity diagnosis was performed at 1m distance after contact lens wear by the contrast sensitivity chart (pelli-Robertson, USA). The corneal topography was analyzed on the naked eye after lens wear by ORB scan (Bausch Lomb, U.S.A.). The ultra structure of surface on the contact lens was observed using SEM (JMS-5800, Japan). The chemical component's of the contact lens was analyzed by EDS program. The results of this study were as follows: 1. The longer of contact lens wear period, The subjects have acquired the most improved visual function. 2. Subjects had experienced few side effects wearing the contact lenses. 3. The lenses were easy to use by the subjects. 4. The longer of contact lens wear period, the power of cornea had more decrease. but the base curve of cornea had more increase and corneal astigmatism was decrease (p<0.01). Also, the thickness of corneal center was few decrease. 5. Longer periods of using the contact lens showed stereopsis and contrast sensitivity at more normal values. 6 The corneal topographical after lens wear showed most subjects with similar morphology for different wear periods. 7. The surface ultrastructure of the new and used contact lens was the similar fine shape. 8. The chemical component's of in the new and used contact appeared to have similar results. In conclusion, this study showed that the surface ultrastructure and chemical component's of the new and used contact lens are similar. In addition, the subjects had improved the quality of vision and few experienced any side effects during long periods of contact lens wear. Also they have decrease of corneal astigmatism during the long period of lens wear. Our test has showed that the chemical composition and fine structure of contact lens have related to the visual function on contact lens wearer. In this paper, we suggested that ez NANOsence II RGP contact lenses had a moderate effect for correcting vision of abnormal refraction eye.
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