Recent advances in wavefront-guided LASIK

Manche, Edward E.; Roe, Joshua

doi:10.1097/icu.0000000000000488

Cited by 46 publications

(35 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The goal of subspecialty training fits well with the desire of fellowship-seeking residents to acquire special skills and to work with new technology. Recent advances in technology, such as refractive surgery technology and microinvasive glaucoma surgical techniques, have revolutionized multiple ophthalmic subspecialties, [11][12][13] which motivates residents to seek fellowship training to obtain skills to work with new technology. The constant popularity of cornea, glaucoma, and retina fellowships parallels the higher numbers of fellowship positions available in these fields.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Postgraduate Career Decisions of Ophthalmology Residents

Chen

Zafar

Srikumaran

et al. 2020

Journal of Academic Ophthalmology

View full text Add to dashboard Cite

Objective This study aims to identify factors that influence ophthalmology residents' decision to pursue fellowship training or to practice comprehensive ophthalmology after residency. Design This is a cross-sectional study. Methods An anonymous survey was sent to ophthalmology residents in the United States from the graduating class of 2018. The main outcome measure was the decision to seek fellowship training or to practice comprehensive ophthalmology. Information on demographics, residency program characteristics, and factors influencing career choices were collected. Results The overall response rate was 24.0% (112/467). Among the 112 respondents, 88 (78.6%) matched into subspecialty training. Compared with residents entering comprehensive ophthalmology, there was a greater proportion of Asians (37.5 vs. 8.3%) and a smaller proportion of non-Hispanic whites (47.7 vs. 70.8%, p = 0.029) among residents pursuing fellowship training. Residents pursuing fellowships had fewer children (0.4 vs. 0.8, p = 0.049), had less debt (median debt ≤ $100,000 vs. > $200,000, p = 0.008), had more first-author publications (4.3 vs. 1.2, p< 0.001), decided on their postgraduate career path earlier (median time postgraduate second year [PGY2] versus postgraduate third year [PGY3], p = 0.016), and were more likely to plan to practice in an academic setting (51.1 vs. 29.2%, p< 0.001) and in an urban location (44.3 vs. 12.5%, p = 0.004). In a multiple logistic regression model, factors predictive of fellowship training included a desire to acquire special skills (odds ratio [OR] =4.39; 95% confidence intervals [CI]: 1.70–16.37) and work with new technology (OR = 2.92; 95% CI: 1.16–10.02). Factors that predicted a career in comprehensive ophthalmology were higher levels of educational debt (OR = 0.35; 95% CI: 0.12–0.77), a later timing of postgraduate decision (OR = 0.17; 95% CI: 0.02–0.65), and lifestyle considerations (OR = 0.13; 95% CI: 0.03–0.36). Gender, prestige, or perceived favorable job market was not significant factors. Conclusion The majority of U.S. ophthalmology residents matched into fellowships. A desire to gain special skills and a desire to work with new technology were major factors influencing residents to seek fellowship training. Lifestyle considerations and educational debt were more important in the decision to choose a comprehensive ophthalmology career. Future research that includes more trainees and programs may minimize the selection bias issues present in this study.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors Influencing Postgraduate Career Decisions of Ophthalmology Residents

Chen

Zafar

Srikumaran

et al. 2020

Journal of Academic Ophthalmology

View full text Add to dashboard Cite

show abstract

“…PRK is accepted as an effective and desirable method of treating refractive errors, but regression of refractive error and haze are challanges for PRK treatment especially in high diopters [1,9]. Wavefront-guided LASIK is a welltolerated and effective keratorefractive procedure with a trend superiority [10]. Miraftab [11] et al reported that UDVA improvement was superior in FS-LASIK when compared with PRK, but the two methods did not significantly differ in terms of CDVA improvement.…”

Section: Discussionmentioning

confidence: 99%

Comparison of PRK and Fs-Lasik Procedures in Treatment of Myopia and Myopic Astigmatism

Çetinkaya

2019

Bozok Tıp Dergisi

View full text Add to dashboard Cite

Miyopi ve miyopik astigmatizma tedavisinde uygulanan fotorefraktif keratektomi (PRK) ile Femtosaniye Lazer in situ keratomileusis (FS-LASIK) prosedürlerinin sonuçlarının kıyaslanması. Gereç ve Yöntem: Miyopi ve/veya miyopik astigmatı olan ve PRK prosedürü uygulanan 57 hastanın 114 gözü ile, FS-LASİK uygulanan 57 hastanın 114 gözü retrospektif olarak kıyaslandı. Bulgular: İki grup arasında yaş ve cinsiyet açısından anlamlı bir farklılık yoktu. Yine iki grup arasında preoperatif ve postoperatif sferik değer, slendrik değer ve sferik eşdeğer, düzeltilmemiş görme keskinliği ve düzeltilmiş görme keskinliği açısından anlamlı bir farklılık yoktu. Öngörülebilirlik, etkinlik ve güvenilirlik endeks değerleri her iki grupta yüksekti ve benzerlik göstermekteydi. PRK grubunda iki gözde haze gelişti, ancak bu gözler 6 ay sonra düzeldi, ve üç gözde -1.00 D ye kadar regresyon gelişti. Ancak bunlar istatistiki olarak anlamlı değildi. Sonuç: Miyopi ve miyopik astigmatizma tedavisinde , hem PRK hem de FS-LASİK etkin, güvenilir ve öngörülebilir prosedürlerdir. Yüksek dioptrilerde PRK uygulanan gözlerde haze ve regresyon gelişebilir.

show abstract

“…A higher-order aberrometer can be used in refractive surgery to improve postoperative visual quality [15,16]. iDesign (Johnson & Johnson Vision, Santa Ana, CA, USA) is a new-generation aberrometer designed based on Hartmann-Shack theory to eliminate HOAs after refractive surgery and improve final visual quality.…”

Section: Introductionmentioning

confidence: 99%

“…iDesign (Johnson & Johnson Vision, Santa Ana, CA, USA) is a new-generation aberrometer designed based on Hartmann-Shack theory to eliminate HOAs after refractive surgery and improve final visual quality. Surgery using iDesign is referred to as wavefront-guided refractive surgery and has provided satisfactory results in many patients, so HOAs measured by iDesign may be crucial in determining visual quality [15][16][17][18][19][20][21]. Moreover, iDesign improves accuracy and resolution of HOAs measurements since it has more detection points and greater resolution than other aberrometers [16].…”

Section: Introductionmentioning

confidence: 99%

Correlation between higher-order aberrations and visual acuity recovery (CoHORT) after spectacles treatment for pediatric refractive amblyopia: A pilot study using iDesign measurement

Liu¹,

Tseng

Huang

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

To determine the correlation between higher-order aberrations (HOAs) and best-corrected visual acuity (BCVA) recovery speed after spectacles treatment using iDesign measurements in refractive amblyopic children. Methods This is a prospective case series. Children aged from 3 to 7 years with refractive amblyopia (Landolt C equivalent < 0.8) were recruited. All participants were followed for at least 6 months after full correction of the refraction error by spectacles. The HOAs were measured using iDesign before and after cycloplegia at first visit and at 3-month intervals. Then correlation between BCVA recovery after treatment for 6 months and HOAs was determined. Results We analyzed 24 eyes of 12 children (mean age, 4.5 years). Baseline mean BCVA was logarithm of minimal angle of resolution (logMAR) 0.335 (Landolt C equivalent 0.46), which improved to logMAR 0.193 (Landolt C equivalent 0.64) after treatment with full-correction spectacles for 6 months. The amblyopic eye BCVA recovery was negatively correlated with tetrafoil with/without cycloplegia (P = 0.006 and 0.022, respectively) and trefoil with cycloplegia (P = 0.049). Conclusions trefoil and tetrafoil measured with iDesign negatively correlates with the BCVA recovery speed of refractive amblyopic eyes after spectacles treatment in this pilot study.

show abstract

Recent advances in wavefront-guided LASIK

Cited by 46 publications

References 49 publications

Factors Influencing Postgraduate Career Decisions of Ophthalmology Residents

Factors Influencing Postgraduate Career Decisions of Ophthalmology Residents

Comparison of PRK and Fs-Lasik Procedures in Treatment of Myopia and Myopic Astigmatism

Correlation between higher-order aberrations and visual acuity recovery (CoHORT) after spectacles treatment for pediatric refractive amblyopia: A pilot study using iDesign measurement

Contact Info

Product

Resources

About