· AIM: To evaluate the optical performance of toric intraocular lenses(IOLs) after decentration and with different pupil diameters, but with the IOL astigmatic axis aligned.· METHODS: Optical performances of...· AIM: To evaluate the optical performance of toric intraocular lenses(IOLs) after decentration and with different pupil diameters, but with the IOL astigmatic axis aligned.· METHODS: Optical performances of toric T5 and SN60 AT spherical IOLs after decentration were tested on a theoretical pseudophakic model eye based on the Hwey-Lan Liou schematic eye using the Zemax ray-tracing program. Changes in optical performance were analyzed in model eyes with 3-mm, 4-mm, and 5-mm pupil diameters and decentered from 0.25 mm to 0.75 mm with an interval of 5° at the meridian direction from0° to 90°. The ratio of the modulation transfer function(MTF) between a decentered and a centered IOL(MTFDecentration/MTFCentration) was calculated to analyze the decrease in optical performance.· RESULTS: Optical performance of the toric IOL remained unchanged when IOLs were decentered in any meridian direction. The MTFs of the two IOLs decreased,whereas optical performance remained equivalent after decentration. The MTFDecentration/MTFCentrationratios of the IOLs at a decentration from 0.25 mm to 0.75 mm were comparable in the toric and SN60 AT IOLs. After decentration, MTF decreased further, with the MTF of the toric IOL being slightly lower than that of the SN60 AT IOL. Imaging qualities of the two IOLs decreased when the pupil diameter and the degree of decentration increased, but the decrease was similar in the toric and spherical IOLs.· CONCLUSION: Toric IOLs were comparable to spherical IOLs in terms of tolerance to decentration at the correct axial position.展开更多
The landscape of ophthalmology has obser ved monumental shifts with the advent of artificial intelligence(AI)technologies.This article is devoted to elaborating on the nuanced application of AI in the diagnostic realm...The landscape of ophthalmology has obser ved monumental shifts with the advent of artificial intelligence(AI)technologies.This article is devoted to elaborating on the nuanced application of AI in the diagnostic realm of anterior segment eye diseases,an area ripe with potential yet complex in its imaging characteristics.Historically,AI’s entrenchment in ophthalmology was predominantly rooted in the posterior segment.However,the evolution of machine learning paradigms,particularly with the advent of deep learning methodologies,has reframed the focus.When combined with the exponential surge in available electronic image data pertaining to the anterior segment,AI’s role in diagnosing corneal,conjunctival,lens,and eyelid pathologies has been solidified and has emerged from the realm of theoretical to practical.In light of this transformative potential,collaborations between the Ophthalmic Imaging and Intelligent Medicine Subcommittee of the China Medical Education Association and the Ophthalmology Committee of the International Translational Medicine Association have been instrumental.These eminent bodies mobilized a consortium of experts to dissect and assimilate advancements from both national and international quarters.Their mandate was not limited to AI’s application in anterior segment pathologies like the cornea,conjunctiva,lens,and eyelids,but also ventured into deciphering the existing impediments and envisioning future trajectories.After iterative deliberations,the consensus synthesized herein serves as a touchstone,assisting ophthalmologists in optimally integrating AI into their diagnostic decisions and bolstering clinical research.Through this guideline,we aspire to offer a comprehensive framework,ensuring that clinical decisions are not merely informed but transformed by AI.By building upon existing literature yet maintaining the highest standards of originality,this document stands as a testament to both innovation and academic integrity,in line with the ethos of renowned journals such as Ophthalmology.展开更多
We report the case of a high myopic patient who had been implanted with angle-supported phakic intraocular lenses (pIOL) in 1990 and who subsequently and gradually developed complications in both eyes including endoth...We report the case of a high myopic patient who had been implanted with angle-supported phakic intraocular lenses (pIOL) in 1990 and who subsequently and gradually developed complications in both eyes including endothelial cell loss, chronic glaucoma, cataract, pupil ovalization and severe iris atrophy. The patient was impaired by photophobia, glare, halo, loss in visual acuity and concerned about the cosmetically deforming aspect of her eyes. Cataract surgery was performed after explantation of the pIOL followed by combined implantation of a standard IOL in the capsular bag and a Dr Schmidt artificial iris in the sulcus. There were no intraoperative and postoperative complications except slight bilateral corneal oedema which resolved completely within 1 month after surgery. Uncorrected and corrected visual acuity improved progressively to reach 0.3 and 0.6 at the last follow-up visit (±1 year), respectively. The patient was very satisfied with the functional and aesthetical outcomes.展开更多
目的研发人工晶体计算机信息管理系统代替手工管理,提高工作效率和管理质量。方法以Microsoft Visual Studio 2008为开发平台,以临床需求为牵引设计系统功能,系统开发后在眼科手术室试用3个月征求医师和护士意见并改进,重复3次。通过比...目的研发人工晶体计算机信息管理系统代替手工管理,提高工作效率和管理质量。方法以Microsoft Visual Studio 2008为开发平台,以临床需求为牵引设计系统功能,系统开发后在眼科手术室试用3个月征求医师和护士意见并改进,重复3次。通过比较计算机信息管理系统和手工管理两种方式的工作效率、准备晶体的正确率以及成本,评价所研发系统的功能。结果使用信息管理系统的工作效率显著提高(P<0.01),同时降低了人力成本和经济成本;两种管理方式在准备晶体的正确率方面差异无统计学意义(P>0.05)。结论研发的人工晶体计算机信息管理系统能显著提高工作效率和管理质量。展开更多
文摘· AIM: To evaluate the optical performance of toric intraocular lenses(IOLs) after decentration and with different pupil diameters, but with the IOL astigmatic axis aligned.· METHODS: Optical performances of toric T5 and SN60 AT spherical IOLs after decentration were tested on a theoretical pseudophakic model eye based on the Hwey-Lan Liou schematic eye using the Zemax ray-tracing program. Changes in optical performance were analyzed in model eyes with 3-mm, 4-mm, and 5-mm pupil diameters and decentered from 0.25 mm to 0.75 mm with an interval of 5° at the meridian direction from0° to 90°. The ratio of the modulation transfer function(MTF) between a decentered and a centered IOL(MTFDecentration/MTFCentration) was calculated to analyze the decrease in optical performance.· RESULTS: Optical performance of the toric IOL remained unchanged when IOLs were decentered in any meridian direction. The MTFs of the two IOLs decreased,whereas optical performance remained equivalent after decentration. The MTFDecentration/MTFCentrationratios of the IOLs at a decentration from 0.25 mm to 0.75 mm were comparable in the toric and SN60 AT IOLs. After decentration, MTF decreased further, with the MTF of the toric IOL being slightly lower than that of the SN60 AT IOL. Imaging qualities of the two IOLs decreased when the pupil diameter and the degree of decentration increased, but the decrease was similar in the toric and spherical IOLs.· CONCLUSION: Toric IOLs were comparable to spherical IOLs in terms of tolerance to decentration at the correct axial position.
基金Supported by National Natural Science Foundation of China(No.82160195,No.81800804,No.82201148)Jiangxi Province Double Thousand Plan Technology Innovation High-end Leading Talent Project(No.jxsq2023201036)+1 种基金Jiangxi Province Major(Key)R&D Special Plan(No.20223BBH80014,No.20181BBG70004,No.20203BBG73059)Jiangxi Province Outstanding Youth Fund(No.20192BCBL23020).
文摘The landscape of ophthalmology has obser ved monumental shifts with the advent of artificial intelligence(AI)technologies.This article is devoted to elaborating on the nuanced application of AI in the diagnostic realm of anterior segment eye diseases,an area ripe with potential yet complex in its imaging characteristics.Historically,AI’s entrenchment in ophthalmology was predominantly rooted in the posterior segment.However,the evolution of machine learning paradigms,particularly with the advent of deep learning methodologies,has reframed the focus.When combined with the exponential surge in available electronic image data pertaining to the anterior segment,AI’s role in diagnosing corneal,conjunctival,lens,and eyelid pathologies has been solidified and has emerged from the realm of theoretical to practical.In light of this transformative potential,collaborations between the Ophthalmic Imaging and Intelligent Medicine Subcommittee of the China Medical Education Association and the Ophthalmology Committee of the International Translational Medicine Association have been instrumental.These eminent bodies mobilized a consortium of experts to dissect and assimilate advancements from both national and international quarters.Their mandate was not limited to AI’s application in anterior segment pathologies like the cornea,conjunctiva,lens,and eyelids,but also ventured into deciphering the existing impediments and envisioning future trajectories.After iterative deliberations,the consensus synthesized herein serves as a touchstone,assisting ophthalmologists in optimally integrating AI into their diagnostic decisions and bolstering clinical research.Through this guideline,we aspire to offer a comprehensive framework,ensuring that clinical decisions are not merely informed but transformed by AI.By building upon existing literature yet maintaining the highest standards of originality,this document stands as a testament to both innovation and academic integrity,in line with the ethos of renowned journals such as Ophthalmology.
文摘We report the case of a high myopic patient who had been implanted with angle-supported phakic intraocular lenses (pIOL) in 1990 and who subsequently and gradually developed complications in both eyes including endothelial cell loss, chronic glaucoma, cataract, pupil ovalization and severe iris atrophy. The patient was impaired by photophobia, glare, halo, loss in visual acuity and concerned about the cosmetically deforming aspect of her eyes. Cataract surgery was performed after explantation of the pIOL followed by combined implantation of a standard IOL in the capsular bag and a Dr Schmidt artificial iris in the sulcus. There were no intraoperative and postoperative complications except slight bilateral corneal oedema which resolved completely within 1 month after surgery. Uncorrected and corrected visual acuity improved progressively to reach 0.3 and 0.6 at the last follow-up visit (±1 year), respectively. The patient was very satisfied with the functional and aesthetical outcomes.
文摘目的研发人工晶体计算机信息管理系统代替手工管理,提高工作效率和管理质量。方法以Microsoft Visual Studio 2008为开发平台,以临床需求为牵引设计系统功能,系统开发后在眼科手术室试用3个月征求医师和护士意见并改进,重复3次。通过比较计算机信息管理系统和手工管理两种方式的工作效率、准备晶体的正确率以及成本,评价所研发系统的功能。结果使用信息管理系统的工作效率显著提高(P<0.01),同时降低了人力成本和经济成本;两种管理方式在准备晶体的正确率方面差异无统计学意义(P>0.05)。结论研发的人工晶体计算机信息管理系统能显著提高工作效率和管理质量。
