cylindrical component
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Author(s):  
A.N. Kulikov ◽  
◽  
E.V. Kudryashova ◽  
P.P. Mikhailov ◽  
A.R. Suleimanova ◽  
...  

Purpose. To assess the possibility of using intrastromal keratoplasty with intracorneal ring segments implantation as an independent technique to achieve visual rehabilitation in patients with keratoconus of the stages I and II. Material and methods. There were examined and operated 14 eyes (10 patients) with keratoconus of the stages I and II (classification by Izmailova SB, 2014). Patients were divided into two groups depending on the keratoconus stage. All patients underwent intrastromal keratoplasty with intracorneal ring segments implantation using the femtosecond technology. The on average follow-up was 5.7 months. Results. In the first group: the average UCVA value increased with from 0.31±0.21 to 0.81±0.31 (p<0.05); the BCVA increased from 0.89±0.08 to 0.94±0.10 (p>0.05); the spherical component of refraction decreased from 0.96±1.25 to 0.08±0.20 (p<0.05); the cylindrical component of refraction decreased from 4.25±1.73 to 0.50±1.22 (p<0.05). In the second group: UCVA increased from 0.51±0.40 to 0.61±0.28 (p<0.05); the BCVA increased from 0.70±0.17 to 0.81±0.26 (p>0.05); the spherical component of refraction decreased from 4.88±2,61±0.53±0.63 (p<0.05); the cylindrical component of refraction decreased from 2.69±1.65 to 1.41±1.02 (p<0.05). Conclusion. 1. After implantation of intracorneal ring segments, both in patients with I and in patients with the II stage of keratoconus, there was an increase in the UCVA and BCVA, as well as a significant reduction in maximal keratometry and coma, which provides the improving of the quality of vision. 2. In all cases the UCVA and BCVA that were obtained after the treatment reached a sufficiently high level to ensure the possibility of performing their professional functions, without resorting to additional surgical treatment techniques. That characterizes this method as an independent and sufficient to achieve high visual acuity in patients with I and II stages of keratoconus. Key words: keratoconus, corneal intrastromal segments, femtosecond laser, visual rehabilitation.


2021 ◽  
pp. 32-34
Author(s):  
I.F. Nuriev ◽  
◽  
O.I. Orenburkina ◽  

Purpose. Is to propose a marking of a toric intraocular lens (TIOL) to accurately determine its position in the capsular bag during surgery in patients with corneal astigmatism in a narrow rigid pupil. Material and methods. The study included 19 patients (24 eyes) with corneal astigmatism from 1.25 to 5.0 diopters. The maximum observation period for patients after surgery is 6 months. Results. The mean uncorrected visual acuity (UVA) after surgery was 0.6±0.21. The spherical postoperative component of refraction was 0.09±0.81, the cylindrical component was 0.25±0.52 diopters. During the entire observation period after surgery, stable refraction and visual functions were noted. Conclusion. The proposed improved lens marking technique makes it possible to accurately determine the position of the cylindrical component of the THIOL, ensuring the correct position of the lens under conditions of a narrow rigid pupil. Key words: cataract phacoemulsification, astigmatism, toric intraocular lenses, marking.


2021 ◽  
Vol 30 (1) ◽  
pp. 188-198
Author(s):  
Bellamkonda Prasanna Nagasai ◽  
Sudersanan Malarvizhi ◽  
Visvalingam Balasubramanian

Abstract Wire arc additive manufacturing (WAAM), a welding-based additive manufacturing (AM) method, is a hot topic of research since it allows for the cost-effective fabrication of large-scale metal components at relatively high deposition rates. In the present study, the cylindrical component of low carbon steel (ER70S-6) was built by WAAM technique, using a GMAW torch that was translated by an automated three-axis motion system using a rotation table. The mechanical properties of the component were evaluated by extracting tensile, impact toughness and hardness specimens from the two regions of the building up (vertical) direction. It is found that the tensile properties of the built material exhibited anisotropic characteristics. The yield strength and ultimate tensile strength varied from 333 to 350 MPa and from 429 to 446 MPa, respectively, (less than 5 % variation).


2020 ◽  
Vol 9 (10) ◽  
pp. 3144
Author(s):  
Abinaya Priya Venkataraman ◽  
Delila Sirak ◽  
Rune Brautaset ◽  
Alberto Dominguez-Vicent

Objective: To evaluate the performance of two subjective refraction measurement algorithms by comparing the refraction values, visual acuity, and the time taken by the algorithms with the standard subjective refraction (SSR). Methods: The SSR and two semi-automated algorithm-based subjective refraction (SR1 and SR2) in-built in the Vision-R 800 phoropter were performed in 68 subjects. In SR1 and SR2, the subject’s responses were recorded in the algorithm which continuously modified the spherical and cylindrical component accordingly. The main difference between SR1 and SR2 is the use of an initial fogging step in SR1. Results: The average difference and agreement limits intervals in the spherical equivalent between each refraction method were smaller than 0.25 D, and 2.00 D, respectively. For the cylindrical components, the average difference was almost zero and the agreement limits interval was less than 0.50 D. The visual acuities were not significantly different among the methods. The times taken for SR1 and SR2 were significantly shorter, and SR2 was on average was three times faster than SSR. Conclusions: The refraction values and the visual acuity obtained with the standard subjective refraction and algorithm-based methods were similar on average. The algorithm-based methods were significantly faster than the standard method.


2020 ◽  
Vol 17 (2) ◽  
pp. 209-215
Author(s):  
Е. P. Gurmizov ◽  
К. B. Pershin ◽  
N. F. Pashinova ◽  
А. Iu. Tsygankov

Purpose. Evaluation of the visual and refractive results of additional correction using LASIK and PRK methods in patients with residual refractive error after previous cataract surgery. Patients and methods. The prospective open study included 57 patients (79 eyes) who previously underwent cataract phacoemulsification (n = 37) or refractive lensectomy (n = 42) with various IOL models implantation (2012–2017). The average age of patients was 50.8 ± 13.9 (19–79) years. Operations LASIK (91.1 %) and PRK (8.9 %) were carried out according to standard methods. In 6 cases, femtosecond laser supported by laser correction. The target refraction ranged from –0.25 to 0.25 D in most (97.5 %) cases. The follow-up period ranged from 6 to 9 months. Results. The patients were divided into groups according to the type of residual refractive error (Group 1 — myopia, group II — emmetropia and group III — hyperopia). Statistically significant differences were determined for the species of previously implanted IOLs — in group II, the frequency of monofocal IOLs was significantly higher (p < 0.05). In group II, the values of the cylindrical component of refraction were significantly higher compared with groups I and III (p < 0.05). In group I, a significant (p < 0.05) decrease in the spherical component of refraction from –1.36 ± 0.92 to –0.2 ± 0.8 D was observed. In patients of group II, there was a slight increase in the spherical component of refraction from 0 ± 0.20 to 0.25 ± 0.29 D (p > 0.05). In group III, a significant (p < 0.05) decrease was observed in the spherical component of refraction from 1.27 ± 0.69 to 0.43 ± 0.49 D. When analyzing the cylindrical component of refraction in group I, its decline was noted from –0.69 ± 0.5 to –0.38 ± 0.46 D (p > 0.05). In group II, the largest decrease in the cylindrical component was observed from –1.6 ± 1.0 to 0.03 ± 1.10 Dptr (p < 0.01). In all the studied groups, a statistically significant (p < 0.05) increase in UCFVA was revealed in the postoperative period. Indicators K1 and K2 did not significantly change. Conclusion. The high efficiency of the correction using the LASIK, PRK and femtoLASIK methods on pseudophakic eyes with the achievement of the target refraction in most of the studied cases was shown. This method can be used as an alternative to spectacle and contact correction in patients with residual refractive error after cataract phacoemulsification and refractive lensectomy with IOL implantation.


2020 ◽  
Vol 56 (5) ◽  
pp. 397-407
Author(s):  
Yongjun Li ◽  
Zeyong Wang ◽  
Yu Zhang ◽  
Jianping Peng ◽  
Xiaorong Gao

Author(s):  
Mohammad Sahlabadi ◽  
David Gardell ◽  
Jonasan Younan Attia ◽  
Seyedvahid Khodaei ◽  
Parsaoran Hutapea

Surgical needles are commonly used by medical professionals to reach target locations inside of the body for disease diagnosis or other medical interventions — such as biopsy, brachytheraphy, thermal ablation, and drug delivery [1, 2]. The effectiveness of these procedures depends on the accuracy with which the needle tips reach the targets, such as tumors or certain organs/tissues. In procedures, such as deep brain stimulation and prostate brachytheraphy, it is impossible to reach the surgical sites via simple needle trajectory because of anatomical constraints. Although needles are considered minimally invasive devices, needle insertion still causes tissue damage of varying degrees so it is desirable to reach multiple targets, or multiple sites on a single target, to obtain multiple high-quality biopsy samples with each insertion [1, 2]. Recently there has been a substantial and growing interest in the medical community to develop innovative surgical needles for percutaneous interventional procedures. The answer to the challenge of developing advanced surgical needles could be found in nature. Insects such as honeybees (Fig. 1), mosquitos, and horse flies have sophisticated sting mechanics and stinger structures, which they use to steer their stingers to a specific target, such as a human, and to release their venom in a certain path in skin [3]. We are studying these mechanisms, evolved in nature over millions of years, as a basis to develop bioinspired needles. Surgical needles are typically consisted of a hollow cylindrical component (cannula) and an inner solid cylindrical component (stylet). Our hypothesis is that a surgical needle (stylet) that mimics insect stinger mechanics and structures can be easily controlled for sophisticated needle steering during surgery and can result in more effective and less invasive percutaneous procedures. The focus of this work is to mimic honeybee stinger such as shown in Fig. 1 to design innovative surgery needles. One of the critical issues in designing surgery needles is the insertion force required to penetrate and to navigate the needle inside the tissue [2]. Larger insertion forces increase tissue damages thus may result in a more painful procedure [2]. Another consideration is the needle trajectory path (needle tip deflection) and the difficulty to control the needle path. The needle deviates from the target and thus it is very difficult to navigate the needle in the tissue. There is a need to design advanced surgery needles that provide smaller insertion force. This can lead to a less invasive procedure, in other words, less tissue damage and pain [3]. The needle trajectory path of these new needle designs must be understood for the needle design optimization. As stated previously, it is hypothesized that a honeybee-inspired needle can be utilized to reduce the insertion force. In this work, the experimental work to understand the mechanics of bioinspired needles is presented. 3D printing of the needles and their insertion tests are performed to investigate the effect of the needle designs on the insertion force and the needle deflection (trajectory path) curves. Understanding these factors should shed some lights on some design parameters to develop innovative surgery needles.


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