蕭裕泉醫師眼科筆記

  2.2mm傷口、15分鐘、恢復快、無痛免縫線、高階、同時精準矯正「近視」「散光」「老花眼」 提高白內障手術品質，本診所自2022年2月起使用新一代威力揚白內障影像導引系統-Alcon ARGOS / VERION(阿爾戈斯光學生物測量儀)，精確掃描測量眼球數據及定位，好的檢查是手術成功的關鍵，讓高階五合一白內障手術更加完美！ 我們是台北市東區最佳眼科診所擁有20多年眼科手術經驗，累積上千例的「高階五合一白內障手術」及「各種困難案例」！一流團隊，無可取代! 微創小切口五合一白內障手術指的是在進行白內障手術的同時，一起解決白內障、近視/遠視、散光、老花眼、高階像差，想要接受「高階五合一白內障手術」的病患朋友不需捨近求遠，立即來電諮詢， 預約門診 02-23460266 台北市東區唯一通過衛生福利部評鑑「眼科國際醫療合作院所」 https://youtu.be/bHmLOgSFM-M 官網連結 https://www.asianewvision.com/tw/service.php?act=view...... 蕭醫師分享給國外醫師的手術影片(3:47) https://youtu.be/2pqE9fo8j5c #這輩子視力從來沒這麼清楚過 #高階五合一白內障超音波手術 #奈焦飛秒白內障前置手術 #無痛手術l恢復迅速l隔天正常生活 #板南線捷運永春站 #交通方便l容易回診檢查 +2

The art of advanced technology IOLs Is this IOL centered? Angle kappa and multifocal IOLs by Richard Tipperman, MD Richard Tipperman, MD Almost every clinician has had the experience of seeing a patient with a multifocal IOL where the rings on the optic are "perfectly centered" referable to the pupil and yet the patient is unhappy with his/her visual function; another patient will have a multifocal IOL where the rings are clearly "decentered" in relation to the pupil yet the patient is very pleased. How can this be possible? Is one patient just "high maintenance" while the other is easygoing? A better explanation than "baseline personality" rephrases the question of "Is the IOL centered?" to "Is the IOL centered in reference to what?"         It is likely much more important that the IOL be centered in relation to the patient's true visual axis rather than the geometric center of the pupil. To u...

30130324 眼科教授醫學會學會 ReSTOR Toric +2.5D Central zoom 0.938mm 較大 Cataract 先做 dominant eye, +2.5D in dominant eye Distant vision excellent Flap thickness 愈薄，愈不會 dry eye. Nerve supply 非只是 3 ， 9 點進入，是從 360 度進入， 所以 hinge 在那個位置，其實沒差！（新觀念） Flap diameter 愈大，愈乾。 逆性散光或斜性散光，要注意非角膜散光比率高，約 10%! 角膜塑型術及近視雷射手術，可減少旁中心離焦， 可以控制近視度數加深。戴眼鏡會有旁中心離焦，近視度數易會加深。 現在有一種鏡片，可以控制近視度數， 眼鏡也要戴好 戴眼鏡如果沒戴好或戴歪 , 戴眼鏡如天天地震 , 也容易加深 近視 300 度以內，除非內隱斜視太強，可以看近不戴眼鏡， 不然建議都戴著，近視比較不會加深。因為看近要調整力較好。 CCC coming full circle Touqui effect, 當角膜前表面後表面的軸度沒有很一致時， 有時會開到 45 度，不是想像中在合力的中間 , 變成怪怪的！ 術前提到 dry eye symptm  

 Anit-inflammation Perfecting cataract surgery EyeWorld Supplement to EyeWorld August 2012 Inflammation remains a significant challenge to modern cataract surgery. Left untreated, inflammation can ruin even the most consummately performed surgery utilizing the most advanced techniques and technology. Experts gathered to discuss “Ocular Anti-Inflammation: Prevention, Diagnosis, and Curative Treatment Options” at an EyeWorld Educational Symposium held at the 2012 ASCRS•ASOA Symposium & Congress. The event was supported by an educational grant from ISTA Pharmaceuticals (Irvine, Calif.). NSAID issues 2012 “Cataract surgery is evolving,” said Dr. Katsev. According to Dr. Katsev, patients’ standards have been increasing in the last decade in part thanks to the increasing role of premium IOLs in cataract surgery. In that time, the use of premium IOLs has increased dramatically, he said, but the promise of great vision these IOLs make does not necessa...