• Title/Summary/Keyword: LASEK

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Objective Assessment of Visual Quality and Ocular Scattering Based on Double-pass Retinal Images in Refractive-surgery Patients and Emmetropes

  • Kim, Jeong-mee
    • Current Optics and Photonics
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    • v.3 no.6
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    • pp.597-604
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    • 2019
  • This study was performed to evaluate objective visual quality and ocular scattering in myopic refractive-surgery patients, compared to emmetropes. Optical vision-quality parameters (modulation transfer function (MTF) cutoff and Strehl ratio) and objective scattering index (OSI) were measured using an optical quality analysis system (OQAS II) based on the double-pass technique. In all subjects, the higher the MTF cutoff and Strehl ratio, the lower the OSI and ocular higher-order aberrations (HOAs). The MTF cutoff and Strehl ratio for the laser-assisted subepithelial keratectomy (LASEK) group were lower than those for the emmetropia group, while the OSI, ocular HOAs, and spherical aberration (SA) for the LASEK group were higher than those for emmetropia group. Ocular scattering would be one of the important factors in regard to visual quality. Therefore, the quality of the retinal image in the LASEK patients has been shown to reduce the quality of vision more than in the emmetropes.

Determination Factors Affecting the High Order Aberrations in Preoperative and Postoperative LASEK (라섹 수술 전과 후의 고위수차에 영향을 미치는 결정변수)

  • Kim, Tae-Heung;Lee, Hyun;Rhee, Kang-Oh;Lee, Tae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.9
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    • pp.5621-5627
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    • 2014
  • To specify the standard of LASEK surgery, this study examined the determination factors affecting the high order aberrations (HOAs) in preoperative and postoperative LASEK. 51 adult patients (102 eyes) were evaluated at the baseline and 2 months after LASEK surgery from Nov 2011 to Jul 2012. The postoperative HOAs ($0.538{\mu}m$) were higher than the preoperative ($0.341{\mu}m$). In linear regression analysis, the refractive components that affected the postoperative HOAs were $J_0$ of corneal astigmatism (CA, 0.400), $J_0$ of refractive astigmatism (RA, 0.389), corneal astigmatism (CA, 0.282), spherical equivalent (SE, 0.239), refractive astigmatism (RA, 0.213), and pupil size (PS, 0.194) with a high R. In multiple regression, $J_0$ of CA, PS and SE were significant factors with the postoperative HOAs. In conclusion, both HOAs and $J_0$ of CA should be considered when determining the suitable factors for LASEK surgery.

A Review on the Follow-up Study of the Refractive Surgeries (굴절교정수술에 대한 follow-up Study Review)

  • Jung Se-yeon;Kim Yoon-bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.2
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    • pp.170-176
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    • 2004
  • Refractive surgeries for myopia are rapidly spreading in our daily lives. In this study Korean and foreign follow-up studies, mainly focused on long-term outcomes of LASIK and LASEK, were analyzed. Examining the evidence of the efficacy, accuracy, stability, complications and patient satisfaction will help refine our approach to refractive surgeries.

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After Lasek Surgeried and TransPRK Surgeried for Myopia, Comparison of High-order Aberrations (근시에서의 라섹과 TransPRK라섹 수술 후 고위수차 비교)

  • Park, Jun-Sung
    • Journal of Korean Clinical Health Science
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    • v.3 no.2
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    • pp.372-377
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    • 2015
  • Purpose: The aim of this study is to compare total high order aberrations between surgery which uses TransPRK and general laser assisted sub-epithelial keratomileusis. Methods: The patients who had general laser assisted sub-epithelial and TransPRK laser assisted sub-epithelial by visiting ophthalmic clinic in Ulsan from January 2014 to August 2014 was researched. Results: When comparing total high order aberrations before and after operation, it was found that total high order aberration in general laser assisted sub-epithelial group increased to $0.222{\pm}0.078{\mu}m$ from $0.074{\pm}0.019{\mu}m$ while that in TransPRK assisted sub-epithelial group increased to $0.179{\pm}0.045{\mu}m$ from $0.076{\pm}0.032{\mu}m$. When comparing the increment in total high order aberrations between two groups after surgery, it was found that the increments of TransPRK assisted sub-epithelial group were statistically smaller than that of general laser assisted sub-epithelial group (p<0.05). Conclusions: This study made a comparative analysis of total high order aberrations between general laser assisted sub-epithelial and TransPRK assisted sub-epithelial which was introduced recently and the result showed a significant difference. The findings of this study suggest that TransPRK assisted sub-epithelial can be used widely in simply improving eye sight and quality of vision by reducing an increase in high order aberration caused by orthokeratology surgery. It is expected that TransPRK assisted sub-epithelial will be helpful for improving the understanding quality of eye sight which occurs by several methods of vision correction surgery.

Experiences in Appearance Management With Esthetic Treatment of Female College Students (심미적 치료를 적용한 여대생의 외모관리 경험)

  • Kim, Jeong Soo
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.359-371
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    • 2014
  • Purpose: This study was conducted in order to describe the process of appearance management with esthetic treatment and for development of a substantive theory that explains lifestyle in female college students. Methods: The participants were seven students who had undergone a surgical procedure with LASEK, cosmetic, and wearing orthodontic brackets. Data were collected through face-to-face interviews and analyzed using grounded theory in Strauss and Corbin (1998). Results: The core category, 'discovering factors of social opportunities' incorporated the relationship between and among all categories and explained the process. Theses processes were categorized acording to four stages: 'facing appearance stress', 'screening medical information', 'applying esthetic treatment', and 'restoring self-confidence'. Conclusion: The findings of this study indicate an understanding and profound insight on the issue of psycho-social health promotion in young female.

Application of the IoT Concept in the Field of Medical Devices: Development of a Prototype of a Mechanotherapeutic Simulator and Software for Its Control

  • Lasek, Mikhail Petrovich;Karmanov, Vladislav Nikolaevich;Makarov, Roman Vladimirovich;Makarov, Pavel Andreevich;Gryaznov, Dmitriy Yurievich;Ustyugov, Vladimir Aleksandrovich
    • International Journal of Computer Science & Network Security
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    • v.22 no.6
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    • pp.63-66
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    • 2022
  • The article discusses the application of the IoT concept in the sensitive field of medical devices on the example of a developed prototype of a mechanotherapeutic simulator. Mechanotherapy is a complex of therapeutic, preventive, and restorative exercises conducted using simulators, specially designed for developing movements in individual joints. Mechanotherapy is used for the early and painless restoration of joint mobility, to prevent complications associated with prolonged immobilization of the injured area of extremities. Using the mechanotherapy simulator allows developing the joint painlessly, which accelerates the metabolism in the injured area, and soft tissues are restored to normal. The article provides information about the electronic components that ensure the wireless operation of the device and describes in detail the applied software as well as the client application for a mobile device.

Reliability of Autorefractometry after Corneal Refractive Surgery (레이저 굴절교정수술 후 자동굴절검사법의 신뢰성)

  • Lee, Ki-Seok
    • The Korean Journal of Vision Science
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    • v.20 no.4
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    • pp.443-451
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    • 2018
  • Purpose : To find out the reliability of autorefractometer after laser refractive surgery Methods : We measured and compared spherical and cylinder powers of those undergone LASEK surgery with 1.0 of naked vision after at least 3 months of the surgery with an autorefractometer(CANON Full Auto Ref-Keratometer RK-F1, Japan) and a retinoscope(Streak Retinoscope 18200, WelchAllyn, USA), and also applied spherical equivalent powers. The refractive status before surgery was divided into high, medium, and low myopia according to the results measured using an autorefractometer, and then analyzed again the reliability of the autorefractometer after surgery according to the preoperative refractive status. The agreement of two methods was identified using Bland-Altman(Bland-Altman limits of agreement(LoA)). Results : After the surgery, when comparing spherical, cylinder and equivalent powers in the whole data measured by autorefractometry and retinoscopy significant differences were found(p<0.01). According to the degree of refractive errors, all sort of refractive errors was shown significantly different(p<0.01) except for cylinder power of the medium myopia. In general, the refractive errors especially spherical and spherical equivalent powers by autorefractometry were shown a myopic trend from -0.38 D to -0.53 D. On the other hand, it was shown a hyperopic trend of approximately +0.30 D using retinoscopy. In comparison of two objective refractions, it was shown a myopic trend as $-0.51{\pm}0.45D$(LoA +0.36 D ~ -1.39 D) and compatible. Conclusion : Even though it would be positive in terms of compatibility of the methods, it is necessary that the glasses should be prescribed by subjective refraction since autorefractometry is shown myopic in those undergone the surgery and suffering from myopic regression.

Study of Masking Effect of Soft Contact Lenses on Cornea after Refractive Surgery (각막굴절교정 수술 안에 대한 소프트콘택트렌즈 착용 시 Masking 효과)

  • Moon, Ye-Rim;Park, Hyung-Min;Chu, Byoung-Sun
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.91-98
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    • 2016
  • Purpose: This study investigated the masking effect of the hydrogel lens and silicone hydrogel lens on the cornea with refractive surgery and without surgery. Methods: 24 university students (means age: $23.48{\pm}2.89years$) without refractive surgery (12, control group) and with refractive surgery (LASIK: 8, LASEK: 4, experimental group) participated in the study. Mean refractive errors of right eyes were -2.73 D for control group and -0.24 D for experimental group. The differences in the refractive power and corneal topography map between pre- and post-wearing the -3.00 D lenses were compared, and 2 kinds of hydrogel contact lenses (0.89 Mpa, 0.49 Mpa) and 2 kinds of silicone hydrogel lenses (1.5 Mpa, 0.8 Mpa) were used for -3.00 D lenses. NVision-K5001 (Shin nippon, Japan) was used to measure the refractive power and Keratograph 5M (Oculus, Germany) to measure the corneal topography map change. Results: Variations in the refractive power increased to the plus direction in the experimental group after wearing soft contact lenses. The corneal topography map showed significant changes on the both groups after wearing soft contact lenses (p<0.05). However there were no significant differences in the refractive power and corneal topography map variations by lens materials. Conclusions: Wearing soft contact lenses showed corneal topography map changes. Especially wearing soft contact lenses on the flat cornea after corneal refractive surgery showed greater corneal power changes. Therefore, it should pay attention to refractive change in case of prescribing soft contact lenses to patients with corneal refractive surgery.