Effect of high-vacuum setting on phacoemulsification efficiency

Abstract

A high-vacuum setting improved phacoemulsification efficiency using an active fluidics system and torsional phacoemulsification.

Digital technology, tele-medicine and artificial intelligence in ophthalmology: A global perspective

“…This process is time-consuming and costly, but also makes ophthalmology one of the specialities particularly well-suited to DL techniques and its real-world application. The application of DL to ophthalmic images, such as digital fundus photographs and visual fields, has been reported to achieve the automated screening and diagnosis of common vision-threatening diseases, including diabetic retinopathy (DR) ( Abramoff et al, 2016 ; Gulshan et al, 2016 ; Raumviboonsuk et al, 2019 ; Ting et al, 2017 ), glaucoma ( Liu et al, 2019 ; Li et al, 2018 ; Masumoto et al, 2018a ; Asaoka et al, 2016 ), age-related macular degeneration (AMD) ( Grassmann et al, 2018 ; Burlina et al, 2017 ) and retinopathy of prematurity (ROP) ( Brown et al, 2018 ) with high accuracy. As such, DL may prove to be a valuable and viable adjunct to the existing diagnostic processes, and there may be a role for it to serve as an alternative to ophthalmologists and trained human image graders.…”

“…Since 2016, many groups have published on the application of DL for DR screening ( Table 2 ) ( Gulshan et al, 2016 ; Ting et al, 2017 ; Gargeya and Leng, 2017 ). In April 2018, the DL algorithm developed by Abramoff et al, called IDx-DR, received the first approval from the FDA for detecting more-than-mild DR in adults who have DM using DL without clinician-assisted interpretation.…”

“…Recent DL technologies with predictive learning features that worked directly from the globally labelled images as glaucomatous or not based on clinical consensus reported an AUC ranging from 0.942 to 0.986, avoiding errors in localization and segmentation ( Li et al, 2018 ; Ting et al, 2017 ). Furthermore, Liu et al, (2019) investigated a DL system and assessed its generalisability in various data sets, reporting similar high sensitivity (82.2%–96.1%) and specificity (70.4%–97.1%).…”

“…The health and integrity of cornea and lens are critical for normal vision. Despite considerable advancement in surgical technology, intraocular lens design, and biometry calculation for cataract surgery ( Liu et al, 2017 ; Ting et al, 2017 ; Brandsdorfer and Kang, 2018 ) cataract remains the leading cause of reversible blindness in the world, affecting approximately 12.6 million people globally ( Flaxman et al, 2017 ). On the other hand, corneal opacity represents the 5th leading cause of blindness, with 1.3 million people being affected ( Flaxman et al, 2017 ).…”

Acute corneal perforation 1 week following uncomplicated cataract surgery: the implication of undiagnosed dry eye disease and topical NSAIDs

“…Cataract surgery is one of the most commonly performed surgeries worldwide, with approximately 20 million procedures being performed annually. With the advancement of phacoemulsification technology, intraocular lens designs and power calculation and surgical techniques, 1,2 patients' expectation of good visual and refractive outcomes following cataract surgery is continually rising. 3 This is reflected by the lower preoperative visual impairment threshold and the rising cataract surgery rates observed in many countries.…”