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EN
Presbyond® Laser Blended Vision (LBV) method involves the non-linear aspheric ablation of the cornea with controlled induction of spherical aberrations in both eyes and the induction of micromonovision of -0.75 to -1.50 D in the non-dominant eye. The article presents the results of published studies analyzing the effect of laser correction of presbyopia using the Presbyond® LBV method on the stereopsis. The studies published so far indicate that the Presbyond® LBV treatment allows for maintaining functional postoperative stereoscopy, achieving patient satisfaction and independence from glasses.
PL
Cel pracy: Określenie mechanizmu prowadzącego do podwyższonego ciśnienia wewnątrzgałkowego po przeszczepieniach pełnościennych i warstwowych rogówki w oparciu o własne obserwacje kliniczne i dane z piśmiennictwa. Materiał i metody: Ocena morfometryczna przedniego odcinka oka u pacjentów po przeszczepach rogówek za pomocą spektroskopowej optycznej tomografii koherentnej, gonioskopii i biomikroskopii. Wyniki: Przed- i pooperacyjna ocena tomograficzna przedniego odcinka oka chorych poddanych keratoplastyce ujawniła zmiany kształtu obwodowej rogówki, zwężenie kąta przesączania, obecność zrostów przednich oraz różne formy bloku źrenicznego. Wnioski: Podwyższone ciśnienie wewnątrzgałkowe jest wynikiem złożonego mechanizmu, na który mają wpływ czynniki przedoperacyjne, w tym występowanie jaskry, oraz śródoperacyjne i pooperacyjne, takie jak: zmiany konfiguracji kąta przesączania, obecność zrostów przednich czy przedni lub tylny blok źreniczny. Diagnostyka z zastosowaniem spektroskopowej optycznej koherentnej tomografii przedniego odcinka oka jest metodą o wyjątkowym znaczeniu zarówno w rozpoznaniu przyczyny, jak i planowaniu dalszego leczenia u tych 7pacjentów.
EN
Purpose: To determine the pathomechanism of increased intraocular pressure after penetrating and lamellar keratoplasty based on clinical observation and literature data. Materials and methods: Morphometric analysis of the anterior segment of the eye using spectroscopic optical coherence tomography, gonioscopy and biomicroscopy. Results: Pre- and postoperative spectroscopic optical coherence tomography scans in patients after keratoplasty reveal deformation of the peripheral cornea, narrowing of the iridocorneal angle, presence of anterior synechiae and various types of pupillary block. Conclusions: The mechanism of elevated intraocular pressure after corneal grafting is complex and depends on pre-, intra- and postoperative factors, such as anatomy changes of the iridocorneal angle, presence of anterior synechiae, as well as anterior and posterior pupillary block. Spectroscopic optical coherence tomography plays an important role in diagnosis and further treatment management.
EN
Laser vision correction became a popular method of refractive error treatment. The laser vision correction techniques influence the corneal biomechanical properties including corneal hysteresis and corneal resistance factor. The ocular response analyzer and Corvis ST devices are used in clinical practice to measure the corneal biomechanics. Reasonable laser treatment planning, taking into account the impact on corneal biomechanics, may potentially improve the safety of the refractive procedures. Thicker caps in refractive lenticule extraction and thinner flaps in flap-related procedures promote better corneal biomechanics preservation. The myopic refractive treatment appears to have a greater effect on corneal biomechanics weakening than hyperopic correction.
EN
Laser vision correction (LCV) is a common corneal surgery for the treatment of refractive errors. The rapid development of LVC techniques make this procedures safe and efficient. Despite the high safety profile of corneal refractive surgery, there are however some clinical conditions that constitute absolute or relative contraindication for this procedures. The aim of the paper was to overview and summarise the currently known systemic contraindications for LVC.
EN
The role of corneal biomechanical properties in patients referred to laser vision correction (LVC) is currently being raised. Understanding of corneal biomechanics may support the proper selection of refractive surgery candidates, improve the refractive outcomes and safety of refractive procedures. The Ocular Response Analyzer (ORA) and Corvis ST are commonly used devices to assess corneal biomechanical parameters in LVC. The vertical corneal incisions have a greater impact on corneal biomechanics weakening than horizontal incisions. Maintaining the high biomechanical strength of the cornea following LVC can decrease the potential risk of postoperative ectasia.
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