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Biomedical subjects

Arthur C K Cheng

Publications and source records attributed to Arthur C K Cheng.

At least 19 recordsLinked to original sources

Effect of corneal curvature and corneal thickness on the assessment of intraocular pressure using noncontact tonometry in patients after myopic LASIK surgery.

PURPOSE: To evaluate the effect of corneal curvature and corneal thickness on the assessment of intraocular pressure (IOP) using noncontact tonometry (NCT) in patients after myopic LASIK surgery. METHODS: All patients who had myopic LASIK in a university-based eye clinic between February 2002 and May 2002 were retrospectively analyzed. Preoperative NCT was compared with postoperative NCT, postoperative corneal thickness, and postoperative corneal curvature. RESULTS: The difference between the mean preoperative NCT (15.46 +/- 2.50 mm Hg) and postoperative NCT (6.30 +/- 1.57 mm Hg) was significant (9.16 +/- 1.96 mm Hg, P < 0.010). Preoperative NCT significantly correlated with postoperative NCT (P < 0.001), postoperative corneal thickness (P = 0.006), and postoperative anterior corneal curvature (P < 0.010). CONCLUSIONS: Both corneal thickness and anterior corneal curvature affect IOP assessment in patients with myopic LASIK. Although correction formulas can be used to estimate the actual IOP, alternative methods should be investigated to assess IOP independent of corneal thickness and curvature.

Adult↗

Intraocular pressure measurement in patients with previous LASIK surgery using pressure phosphene tonometer.

PURPOSE: To compare intraocular pressure (IOP) assessment in post-LASIK patients using non-contact tonometry, pressure phosphene tonometry and applanation tonometry. METHODS: Sixty-two consecutive LASIK patients were analysed preoperatively and postoperatively with non-contact, pressure phosphene and applanation tonometry. Comparisons among these values were assessed with paired sample Student t-test, Pearson's correlation test and Bland-Altman plotting. RESULTS: There was no significant difference for preoperative IOP measurement between non-contact, pressure phosphene and applanation tonometry. The mean +/-SD difference between the preoperative non-contact tonometry and postoperative pressure phosphene tonometry IOP measurements was 0.80 +/- 2.77 mmHg (P < 0.01). Postoperative applanation tonometry significantly underestimated IOP measurement by 5.45 +/- 2.96 mmHg (P < 0.001) and postoperative non-contact tonometry significantly underestimated IOP measurement by 9.96 +/- 2.25 mmHg (P < 0.001). CONCLUSION: Pressure phosphene tonometry may provide an alternative method for the assessment of IOP in post-LASIK patients.

Adult↗

Effect of alcohol on the efficacy of excimer laser power.

PURPOSE: To evaluate the effect of various alcohol concentrations on excimer laser power. SETTING: University Eye Clinic, The Chinese University of Hong Kong, Hong Kong, China. METHODS: The fluency of the Technolas 217z laser (Bausch & Lomb) was calibrated according to the standard calibration procedure. The effect of ethanol 20%, 40%, 60%, and 80% and sodium hypochlorite 0.06% solutions on laser fluency was assessed in 5 experiments. RESULTS: Ethanol concentrations of 20% and 40% had no significant effect on laser fluency. Ethanol concentrations of 60% and 80% reduced fluency to 97.6%. Sodium hypochlorite had no effect on laser fluency. CONCLUSIONS: A high concentration of ethanol affected laser fluency and should be avoided in the operating theater. Ethanol 20%, which is commonly used during laser-assisted subepithelial keratectomy, did not affect laser fluency.

Ethanol↗