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Basic research in excimer laser refractive surgery

Research Project

Project/Area Number 11671737
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Ophthalmology
Research InstitutionOsaka University

Principal Investigator

MAEDA Naoyuki  Osaka University Graduate School of Medicine, Associate Professor, 医学系研究科, 助教授 (00273623)

Co-Investigator(Kenkyū-buntansha) FUJIKADO Takashi  Osaka University Graduate School of Medicine,Professor, 医学系研究科, 教授 (50243233)
WATANABE Hitoshi  Osaka University Graduate School of Medicine,Associate Professor, 医学系研究科, 助教授 (60252673)
OHGURO Nobuyuki  Osaka University Graduate School of Medicine,Lecturer, 医学系研究科, 講師 (00303967)
TANO Yasuo  Osaka University Graduate School of Medicine,Professor, 医学系研究科, 教授 (80093433)
井上 幸次  大阪大学, 医学系研究科, 助教授 (10213183)
Project Period (FY) 1999 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 2002: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 2001: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2000: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1999: ¥1,000,000 (Direct Cost: ¥1,000,000)
KeywordsRefractive surgery / visual function / optical property / corneal topography / wavefront analysis / videokeratoscope / wavefront sensor / biomechanics / エキシマレーザー / 角膜形状 / PRK / CASIK / 収差 / 不正乱視 / UASIK / 波面収差 / LASIK
Research Abstract

This study was performed to establish the methods that can predict the corneal topographic change and the alteration of optical quality due to refractive surgery
1) Correlation between corneal topography and visual function
Linear regression analyses were performed using corneal topography to predict the visual acuity and contrast sensitivity, and quantitative indices were obtained
2) Relationship between biomechanics and corneal topography or visual function
Diurnal variations in vision and corneal topography following radial keratotomy were investigated, and we found out that mild hypoxia with soft contact lens can reduced this change. Animal model of scleral shortening procedure were developed using pig eyes, and the effect of surgery on the corneal topography were shown
3) Factors that affected to the surgical effects
Multivariate analysis was performed to predict the surgical effects in astigmatic keratotomy, and results indicated preoperative amount of astigmatism and intraoperative misalignment were the important factors. The epidemiological study was performed to indicate the effects of factors such as sex and age on corneal topography
4) Evaluation of optical quality using wavefront sensor
To evaluate the optical quality of the eye, wavefront sensor was developed. The relationship between higher-order astigmatism and amount of correction in LASIK, tear film, sclerosis of lens, effects of accommodation, and severity of keratoconus were clarified

Report

(5 results)
  • 2002 Annual Research Report   Final Research Report Summary
  • 2001 Annual Research Report
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (30 results)

All Other

All Publications (30 results)

  • [Publications] Maeda N., et al.: "Prediction of letter contrast sensitivity using videokeratographic indices"Am J Ophthalmol. 129. 759-763 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Inoue T., Maeda N., et al.: "Factors that influence the surgical effects of astigmatic keratotomy after cataract surgery"Ophthalmology. 108. 1269-1274 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Oshita T, Maeda N., et al.: "Topographic analysis of astigmatism induced by scleral shortening in pig eyes"Graefes Arch Clin Exp Ophthalmol. 239. 382-386 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Kuroda T, Maeda N., et al.: "Wavefront analysis in eyes with nuclear or cortical cataract"Am J Ophthalmol. 134. 1-9 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Koh S., Maeda N., et al.: "Effect of tear film break-up on higher-order aberrations measured with wavefront"Am J Ophthalmol. 134. 115-117 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Maeda N., et al.: "Wavefront aberrations measured with Hartmann-Shack sensor in patients with keratoconus"Ophthalmology. 109. 1996-2003 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Maeda N: "Wavefront technology and LASIK application"LASIK : Fundamentals, Surgical Techniques, and Complications (Eds, Dimitri T. Azar, Douglas D. Koch)(Marcel Dekker, Inc). 12 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Naoyuki Maeda, Shigeru Sato, Hitoshi Watanabe, Yoshitsugu Inoue, Takashi Fujikado, Yoshikazu Shimomura, Yasuo Tano: "Prediction of letter contrast sensitivity using videokeratographic indices"Am J Ophthalmol. 129. 759-763 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tomoyuki Inoue, Naoyuki Maeda, Kaoru Sasaki, Hitoshi Watanabe, Yoshitsugu Inoue, Koji Nishida, Yumiko Inoue, Shuji Yamamoto, Yoshikazu Shimomura, Yasuo Tano: "Factors that influence the surgical effects of astigmatic keratotomy after cataract surgery"Ophthalmology. 108. 1269-1274 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Oshita T, Hayashi S, Inoue T, Hayashi A, Maeda N, Kusaka S, Ohji M, Fujikado T, Tano Y: "Topographic analysis of astigmatism induced by scleral shortening in pig eyes"Graefes Arch Clin Exp Ophthalmol. 239. 382-386 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Teruhito Kuroda, Takashi Fujikado, Naoyuki Maeda, Tetsuro Oshika, Youko Hirohara, Toshifumi Mihashi: "Wavefront analysis in eyes with nuclear or cortical cataract"Am J Ophthalmol. 134. 1-9 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Shizuka Koh, Naoyuki Maeda, Teruhito Kuroda, Yuichi Hori, Hitoshi Watanabe, Takashi Fujikado, Yasuo Tano, Yoko Hirohara, Toshifumi Mihashi: "Effect of tear film break-up on higher-order aberrations measured with wavefront sensor"Am J Ophthalmol. 134. 115-117 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Naoyuki Maeda, Takashi Fujikado, Teruhito Kuroda, Toshifumi Mihashi, Yoko Hirohara, Koji Nishida, Hitoshi Watanabe, and Yasuo Tano: "Wavefront aberrations measured with Hartmann-Shack sensor in patients with keratoconus"Ophthalmology. 109. 1996-2003 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Kuroda, Teruhito: "Wavefront analysis of higher-order aberrations in patients with cataract"J Cataract Refract Surg. 28. 438-444 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Kuroda, Teruhito: "Wavefront analysis in eyes with nuclear or cortical cataract"Am J Ophthalmol. 134. 1-9 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Koh, Shizuka: "Effect of tear fdm break-up on higher-order abewations measured with wavefront nsor"Am J Ophthalmol. 134. 115-117 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Maeda, Naoyuki: "Wavefront aberrations measured with Hartman-Shack sensor in patients with keratoconus"Ophthalmology. 109. 1996-2003 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Ninomiya, Sayuri: "Evaluation of lenticnlar irregular astigmatism using wavefront analysis in patients with lenticonus"Arch Ophthalmol. 120. 1388-1393 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Ninomiya, Sayuri: "Changes of ocular aberration with accommodation"Am J Ophthalmol. 134. 924-926 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Maeda, Naoyuki: "LASIK : Fundamentals, Surgical Techniques, and Complications"Marcel Dekker, Inc. 13 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Tomoko, Goto et al.: "Gender -and age-related differences in corneal topography"Cornea. 20. 270-276 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Inoue, Tomoyuki, et al.: "Factors that influence the surgical effects of astigmatic keratotomy after cataract, surgery"Ophthalmology. 108. 1269-1274 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Maeda, Naoyuki: "Wavefront technology in Ophthalmology"Current Opinion in Ophthalmology. 12. 294-299 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Oshita, Takashi, et al.: "Topographic analysis of astigmatism induced by scleval shortening in pig eyes"Graefes Archive for clinical and experimental Ophthalmology. 239. 382-386 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Maeda,Naoyuki et al.: "Prediction of letter contrast sensitivity using vicleokeratographic indices"American Journal of Ophthalmology. 129. 759-763 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Tomidakoro,Atsuo et al: "Changes in anterior and posterior comed curvatunes in lceratoconus"Ophthalmology. 107. 1328-1332 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Inoue,Tomoyuki et al.: "Minimizing radial-keratotomy-induced dirnal variation in vision using contact tenses"Journal of Cataract and Refractive Surgery. 26. 1680-1683 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Shiotani Yasuyuki: "Comparison of topographic indices that correlate with visual acuity in videokeratography"Ophthalmology. (in press). (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Hori Yuichi: "Medical treatment of operative corneal perforation caused by laser in situ keratomileusis"Archives of Ophthalmology. 117. 1422-1423 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 前田 直之: "近視の手術と角膜形状"医学のあゆみ. 189. 467-471 (1999)

    • Related Report
      1999 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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