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Refractive Surgery
Refractive surgery is an optional eye surgery used to improve the refractive state of the eye and decrease or eliminate dependency on glasses or contact lenses. This can include various methods of surgical remodeling of the cornea ( keratomileusis), lens implantation or lens replacement. The most common methods today use excimer lasers to reshape the curvature of the cornea. Refractive eye surgeries are used to treat common vision disorders such as myopia, hyperopia, presbyopia and astigmatism. History The first theoretical work on the potential of refractive surgery was published in 1885 by Hjalmar August Schiøtz, an ophthalmologist from Norway. In 1930, the Japanese ophthalmologist Tsutomu Sato made the first attempts at performing this kind of surgery, hoping to correct the vision of military pilots. His approach was to make radial cuts in the cornea, correcting effects by up to 6 diopters. The procedure unfortunately produced a high rate of corneal degeneration, ...
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Ophthalmology
Ophthalmology (, ) is the branch of medicine that deals with the diagnosis, treatment, and surgery of eye diseases and disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medical degree, a doctor specialising in ophthalmology must pursue additional postgraduate residency training specific to that field. In the United States, following graduation from medical school, one must complete a four-year residency in ophthalmology to become an ophthalmologist. Following residency, additional specialty training (or fellowship) may be sought in a particular aspect of eye pathology. Ophthalmologists prescribe medications to treat ailments, such as eye diseases, implement laser therapy, and perform surgery when needed. Ophthalmologists provide both primary and specialty eye care—medical and surgical. Most ophthalmologists participate in academic research on eye diseases at some point in their training and many inc ...
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Japanese People
are an East Asian ethnic group native to the Japanese archipelago. Japanese people constitute 97.4% of the population of the country of Japan. Worldwide, approximately 125 million people are of Japanese descent, making them list of contemporary ethnic groups, one of the largest ethnic groups. Approximately 120.8 million Japanese people are residents of Japan, and there are approximately 4 million members of the Japanese diaspora, known as . In some contexts, the term "Japanese people" may be used to refer specifically to the Yamato people, who are primarily from the historically principal islands of Honshu, Kyushu and Shikoku and constitute by far the largest group. In other contexts, the term may include other groups native to the Japanese archipelago, including Ryukyuan people, who share connections with the Yamato but are often regarded as distinct, and Ainu people. In recent decades, there has also been an increase in the number of people with both Japanese and non-Japanes ...
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Laser
A laser is a device that emits light through a process of optical amplification based on the stimulated emission of electromagnetic radiation. The word ''laser'' originated as an acronym for light amplification by stimulated emission of radiation. The first laser was built in 1960 by Theodore Maiman at Hughes Research Laboratories, based on theoretical work by Charles H. Townes and Arthur Leonard Schawlow and the optical amplifier patented by Gordon Gould. A laser differs from other sources of light in that it emits light that is coherence (physics), ''coherent''. Spatial coherence allows a laser to be focused to a tight spot, enabling uses such as optical communication, laser cutting, and Photolithography#Light sources, lithography. It also allows a laser beam to stay narrow over great distances (collimated light, collimation), used in laser pointers, lidar, and free-space optical communication. Lasers can also have high temporal coherence, which permits them to emit light ...
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Halogen
The halogens () are a group in the periodic table consisting of six chemically related elements: fluorine (F), chlorine (Cl), bromine (Br), iodine (I), and the radioactive elements astatine (At) and tennessine (Ts), though some authors would exclude tennessine as its chemistry is unknown and is theoretically expected to be more like that of gallium. In the modern IUPAC nomenclature, this group is known as group 17. The word "halogen" means "salt former" or "salt maker". When halogens react with metals, they produce a wide range of salts, including calcium fluoride, sodium chloride (common table salt), silver bromide and potassium iodide. The group of halogens is the only periodic table group that contains elements in three of the main states of matter at standard temperature and pressure, though not far above room temperature the same becomes true of groups 1 and 15, assuming white phosphorus is taken as the standard state.This could also be the case for group 12, al ...
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Noble Gas
The noble gases (historically the inert gases, sometimes referred to as aerogens) are the members of Group (periodic table), group 18 of the periodic table: helium (He), neon (Ne), argon (Ar), krypton (Kr), xenon (Xe), radon (Rn) and, in some cases, oganesson (Og). Under Standard temperature and pressure, standard conditions, the first six of these Chemical element, elements are odorless, colorless, monatomic gases with very low chemical reactivity and cryogenics, cryogenic boiling points. The properties of oganesson are uncertain. The intermolecular force between noble gas atoms is the very weak London dispersion force, so their boiling points are all cryogenic, below . The noble gases' Chemically inert, inertness, or tendency not to Chemical reaction, react with other chemical substances, results from their electron configuration: their Electron shell, outer shell of valence electrons is "full", giving them little tendency to participate in chemical reactions. Only a few hun ...
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Dimer (chemistry)
In chemistry, dimerization is the process of joining two identical or similar Molecular entity, molecular entities by Chemical bond, bonds. The resulting bonds can be either strong or weak. Many symmetrical chemical species are described as dimers, even when the monomer is unknown or highly unstable. The term ''homodimer'' is used when the two subunits are identical (e.g. A–A) and ''heterodimer'' when they are not (e.g. A–B). The reverse of dimerization is often called Dissociation (chemistry), dissociation. When two oppositely-charged ions associate into dimers, they are referred to as ''Bjerrum pairs'', after Danish chemist Niels Bjerrum. Noncovalent dimers Anhydrous carboxylic acids form dimers by hydrogen bonding of the acidic hydrogen and the carbonyl oxygen. For example, acetic acid forms a dimer in the gas phase, where the monomer units are held together by hydrogen bonds. Many OH-containing molecules form dimers, e.g. the water dimer. Dimers that form based on w ...
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Xenon
Xenon is a chemical element; it has symbol Xe and atomic number 54. It is a dense, colorless, odorless noble gas found in Earth's atmosphere in trace amounts. Although generally unreactive, it can undergo a few chemical reactions such as the formation of xenon hexafluoroplatinate, the first noble gas compound to be synthesized. Xenon is used in flash lamps and arc lamps, and as a general anesthetic. The first excimer laser design used a xenon dimer molecule (Xe2) as the lasing medium, and the earliest laser designs used xenon flash lamps as pumps. Xenon is also used to search for hypothetical weakly interacting massive particles and as a propellant for ion thrusters in spacecraft. Naturally occurring xenon consists of seven stable isotopes and two long-lived radioactive isotopes. More than 40 unstable xenon isotopes undergo radioactive decay, and the isotope ratios of xenon are an important tool for studying the early history of the Solar System. Radioactive xe ...
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Diamond Knife
A diamond knife is a very sharp knife in which the edge is made from diamond, invented by Humberto Fernández-Morán in 1955. Diamond knives are used for medical and scientific applications where an extremely sharp and long-lasting edge is essential. The knives are very expensive to purchase, depending on the quality and size of the knife; in addition the knives must be professionally sharpened as the edge dulls. Eye surgery Diamond knives are used in eye surgery, specifically in refractive surgery. In particular they are the main tool, together with the microscope, for the radial keratotomy invented by Svyatoslav Fyodorov to correct myopia and for the Mini Asymmetric Radial Keratotomy (M.A.R.K.), invented by Marco Abbondanza to correct astigmatism and cure the first and second stages of keratoconus. Ultramicrotomy Metal microtome knives or razor blades are too soft and dull to cut ultrathin sections. In 1950, Latta and Hartmann discovered that the edge of broken glass could b ...
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Svyatoslav Fyodorov
Svyatoslav Nikolayevich Fyodorov (; 8 August 1927 – 2 June 2000) was a Russian ophthalmologist, politician, professor, full member of the Russian Academy of Sciences and Russian Academy of Medical Sciences. He is considered to be a pioneer of refractive surgery. He was also one of the candidates in the 1996 Russian presidential election, running as a member of the Party of Workers' Self-Government. Life and career Fyodorov was born in ''Proskurov'', Ukrainian SSR (now Khmelnytskyi, Ukraine), to ethnic Russian parents. Fyodorov graduated from Rostov Medical Institute in Rostov on Don, then worked as a practicing ophthalmologist in a small town in Rostov Oblast. Cataract surgery In the 1960s he studied the pioneering work of the English ophthalmic surgeon Sir Harold Ridley, the inventor of the intraocular lens (IOL). Fyodorov began to use Ridley's intraocular lenses in his treatment of cataract. At first he used lenses manufactured by the Rayner company in England but ...
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Radial Keratotomy
Radial keratotomy (RK) is a refractive surgery, refractive surgical procedure to correct myopia (nearsightedness). It was developed in 1974 by Svyatoslav Fyodorov, a Russian Ophthalmology, ophthalmologist. It has been largely supplanted by newer, more accurate operations, such as photorefractive keratectomy, LASIK, Epi-LASIK and the Intraocular lens#Intraocular lenses for correcting refractive errors, phakic intraocular lens. Procedure When performing RK, incisions are made with a diamond knife. The incisions relax the steep central cornea in patients with myopia in order to achieve a decreased need for correction. The original technique – consisting of incisions from periphery to center – was called the "Russian technique", while the later advances of performing controlled incision from center to periphery was called the "American technique".Gulani AC, Fyodorov S: Future Directions in Vision course, June 1997 RK may be performed with different types, numbers, and patterns of ...
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Jose Barraquer
José Ignacio Barraquer Moner (24 January 1916 – 13 February 1998) was a Spanish Ophthalmology, ophthalmologist and Invention, inventor born in Barcelona who did most of his life's work in Bogotá, Colombia. His original pioneering investigations on corneal transplants and correction of corneal refraction led him to be designated as “Father of modern Refractive Surgery”. His ophthalmological surgical techniques and inventions are now in routine use by the ophthalmic community. Biography He was born in Barcelona, first son of Ignacio Barraquer (March 25, 1884 – May 13, 1965) and Josefa Moner Raguer (1893-1987). His grandfather, José Antonio Barraquer i Roviralta (1852-1924) was a pioneer of modern ophthalmology in Spain and a great histopathologist, and the brother of Lluis Barraquer i Roviralta (1855-1928), a pioneer of neurology and the founder, in 1882, of the first department of clinical neurology and electrotherapy in Spain; his son Lluis Barraquer Ferré (1887-19 ...
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Colombia
Colombia, officially the Republic of Colombia, is a country primarily located in South America with Insular region of Colombia, insular regions in North America. The Colombian mainland is bordered by the Caribbean Sea to the north, Venezuela to the east and northeast, Brazil to the southeast, Peru and Ecuador to the south and southwest, the Pacific Ocean to the west, and Panama to the northwest. Colombia is divided into 32 Departments of Colombia, departments. The Capital District of Bogotá is also the List of cities in Colombia by population, country's largest city hosting the main financial and cultural hub. Other major urban areas include Medellín, Cali, Barranquilla, Cartagena, Colombia, Cartagena, Santa Marta, Cúcuta, Ibagué, Villavicencio and Bucaramanga. It covers an area of 1,141,748 square kilometers (440,831 sq mi) and has a population of around 52 million. Its rich cultural heritage—including language, religion, cuisine, and art—reflects its history as a co ...
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