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http://dx.doi.org/10.1001/jamaophthalmol.2024.0575 | DOI Listing |
JAMA Ophthalmol
May 2024
Department of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland.
Curr Eye Res
February 2023
School of Engineering, University of Liverpool, Liverpool, UK.
Recent advances, specifically in the understanding of the biomechanical properties of the cornea and its response to diseases and surgical interventions, have significantly improved the safety and surgical outcomes of corneal refractive surgery, whose popularity and demand continue to grow worldwide. However, iatrogenic keratectasia resulting from the deterioration in corneal biomechanics caused by surgical interventions, although rare, remains a global concern. On one hand, in vivo biomechanical evaluation, enabled by clinical imaging systems such as the ORA and the Corvis ST, has significantly improved the risk profiling of patients for iatrogenic keratectasia.
View Article and Find Full Text PDFSemin Ophthalmol
May 2021
Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical School, Boston, MA, USA.
The emergence of SMILE in the last decade has provided an alternative to LASIK for patients considering cornea laser refractive surgery. SMILE offers a novel approach using the femtosecond laser to create an intrastromal lenticule that can be removed through a small three to four millimeter incision.The purpose of this study is to review the recent literature on popular SMILE claims - reduced iatrogenic dry eye, better recovery of corneal sensation, and a biomechanically stronger cornea - summarize the published outcomes, and determine which claims are myths versus realities.
View Article and Find Full Text PDFPublic Health Genomics
October 2010
Global Biopolitics Research Group, King's College London, London, UK. stuart.hogarth @ kcl.ac.uk
The new wave of companies offering genome scans direct-to-consumer (DTC) has prompted commentary from scientists, clinicians, bioethicists and those interested in the ethical, legal and social issues arising from genomics. It has thus brought a far wider range of actors into a longstanding debate about the regulation of genetic tests. However, some of the recent discussion is characterised by misunderstanding of the regulatory landscape, a failure to grasp the lessons of the past and lack of clarity of thought.
View Article and Find Full Text PDFSince 1980 a 'new' history of nursing has been emerging, one that attempts to address serious problems within nursing historiography such as the subordination of nursing history to medical history. There is a need for nurses to reject the narrow celebratory narratives produced by typical amateur medical historians. While problems of 'outsiders' writing the history of professions have been highlighted, problems inherent in the production of their own history by 'insiders' have been overlooked.
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