[소식] 2017 아시아-태평양 굴절레이저 심포지엄(로우에너지 스마일) 공식 강연

[소식] 2017 아시아-태평양 굴절레이저 심포지엄(로우에너지 스마일) 공식 강연

2017.04.25 8170

Taking Vision Further!

더 나은 시력의 질을 위해

2017 아시아-태평양 굴절레이저 심포지엄이

지난 주말 22일, 23일 양일간 진행되었습니다.

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4301B-4306
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4401A-4406
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4801A-4915
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ZEISS Event Schedule - 22 April, Saturday
Peony Ballroom
Master Class 1: Workflow Development and Marketing
Master Class 2: SMILE Meeting: SMILE Refractive
Matching your profile perfectly. ZEISS MICROSCOPY

릴렉스 스마일(ReLEX SMILE)의 기술 보유사

독일 칼 자이스(Carl Zeiss)가 주최한 이번 학회에는

전 세계 50여 국의 안과 전문의, 업계 관련자가 모여

레이저 굴절교정의 수술 증례와 연구결과를 공유했는데요.

Asia Pacific Refractive Lasers Symposium 2017
Taking vision further.
Programme
22 - 23 April 2017 Sands Expo and Convention Centre
22 April 2017, Saturday Session 2 - Optimizing SMILE Outcomes Moderator: Prof. Gerard Sutton
Speaker Topic Biography
Asst. Prof. Jod Mehta Effect of Angle Kappa on Visual Outcomes in SMILE Head of the Corneal Service and Senior Consultant in the Refractive Service of the Singapore National Eye Center (SNEC). Head of the Tissue Engineering and Stem Cell Group at the Singapore Eye Research Institute and Assoc Professor with DUKE-NUS GMS. Examiner for the Royal College of Surgeons of Edinburgh and has trained 16 international fellows, 5 masters students and 6 PhD students. He has published >270 peer-reviewed papers and 15 book chapters. Current H-index 36, citations 4184. He has given >100 invited plenary, symposium and named lectures globally. His research work as generated 13 patents, 4 of which have been licensed to companies. He is on the Executive committee and international committee for the International Society of Refractive Surgeons (ISRS).
Prof. Gerard Sutton The Learning Curve of SMILE Prof. Gerard Sutton is the Sydney Medical School Foundation Professor of Corneal & Refractive Surgery. His areas of expertise include cataract, corneal and refractive surgery. Past career highlights include Chief Ophthalmologist Sydney Olympics 2000, Council of Asia Cornea Society 2009, establishment of first degree in Refractive Surgery-Sydney University 2010, Fellow of the Asia Pacific Academy of Professors of Ophthalmology 2015, KOVA Excellence Award 2015, Lions International Achievement Award 2015, APAO Achievement Award 2015, Lions International Centennial Award 2016 and RANZCO Council Lecture 2016.
Dr. Glenn Carp The Science of SMILE Dr. Glenn Carp is a consultant ophthalmologist and specialist laser refractive surgeon at the London Vision Clinic. Dr. Carp received the Eli Dahan award for recognised outstanding performance over his specialist training program. On completion of his ophthalmology training in South Africa, he moved to the UK to undertake fellowships in cornea and anterior segment surgery at the Western Eye Hospital, and corneal laser refractive surgery with Prof. Reinstein at the London Vision Clinic. Since 2007, he has been involved in training for six fellows and has performed over 13,000 procedures. He is a regular presenter on the podium at international conferences and is involved with research into Presbyond and SMILE.
Dr. David SY Kang High Order Aberrations After SMILE Dr. David Kang is the founder and clinical director at Eyereum Ophthalmic Clinic in Korea, and a member of ASCRS, ESCRS, AAO, APAO, etc. He has rights to 6 patents in Ophthalmology, including removing lenticules during the ReLEx SMILE.

Speaker	Topic	Biography
Asst. Prof. Jod Mehta	Effect of Angle Kappa on Visual Outcomes in SMILE	Head of the Corneal Service and Senior Consultant in the Refractive Service of the Singapore National Eye Center (SNEC). Head of the Tissue Engineering and Stem Cell Group at the Singapore Eye Research Institute and Assoc Professor with DUKE-NUS GMS. Examiner for the Royal College of Surgeons of Edinburgh and has trained 16 international fellows, 5 masters students and 6 PhD students. He has published >270 peer-reviewed papers and 15 book chapters. Current H-index 36, citations 4184. He has given >100 invited plenary, symposium and named lectures globally. His research work as generated 13 patents, 4 of which have been licensed to companies. He is on the Executive committee and international committee for the International Society of Refractive Surgeons (ISRS).
Prof. Gerard Sutton	The Learning Curve of SMILE	Prof. Gerard Sutton is the Sydney Medical School Foundation Professor of Corneal & Refractive Surgery. His areas of expertise include cataract, corneal and refractive surgery. Past career highlights include Chief Ophthalmologist Sydney Olympics 2000, Council of Asia Cornea Society 2009, establishment of first degree in Refractive Surgery-Sydney University 2010, Fellow of the Asia Pacific Academy of Professors of Ophthalmology 2015, KOVA Excellence Award 2015, Lions International Achievement Award 2015, APAO Achievement Award 2015, Lions International Centennial Award 2016 and RANZCO Council Lecture 2016.
Dr. Glenn Carp	The Science of SMILE	Dr. Glenn Carp is a consultant ophthalmologist and specialist laser refractive surgeon at the London Vision Clinic. Dr. Carp received the Eli Dahan award for recognised outstanding performance over his specialist training program. On completion of his ophthalmology training in South Africa, he moved to the UK to undertake fellowships in cornea and anterior segment surgery at the Western Eye Hospital, and corneal laser refractive surgery with Prof. Reinstein at the London Vision Clinic. Since 2007, he has been involved in training for six fellows and has performed over 13,000 procedures. He is a regular presenter on the podium at international conferences and is involved with research into Presbyond and SMILE.
Dr. David SY Kang	High Order Aberrations After SMILE	Dr. David Kang is the founder and clinical director at Eyereum Ophthalmic Clinic in Korea, and a member of ASCRS, ESCRS, AAO, APAO, etc. He has rights to 6 patents in Ophthalmology, including removing lenticules during the ReLEx SMILE.

스마일라식 세션에서는 아이리움안과 강성용 원장이

'로우에너지 스마일 수술의 임상적, 전자 현미경학적 고찰'이란 주제로

로우에너지(Low Energy) 스마일의 우수한 수술 효과에 대해 발표했습니다.

국내 의료진의 강연이 더욱 주목받은 이유!

로우에너지 스마일은 이미 국내외적으로

수술 결과를 인정받았기 때문인데요.

※ 로우에너지 스마일 대한안과학회 학술상 수상>>http://news.khan.co.kr/kh_news/khan_art_view.html?artid=201704251108018&code=940100

※강성용 원장 '로우에너지 스마일라식'연구결과, 세계학회(ESCRS)서 아시아인 첫 공식 강연>> http://www.cctvnews.co.kr/news/articleView.html?idxno=57436

국민일보 www.kmib.co.kr
강성용 원장, 로우에너지 스마일라식 연구성과 '대한안과학회 학술상' 수상
입력 2017-04-17 16:45
Scanning Electron Microscopy
Energy Level Zoom Energy Level 2 Zoom 2 Energy Level 3 Zoom 3 Energy Level 4 Zoom 4
Energy 20 Zoom x500 Energy 21 Zoom x500 Energy 22 Zoom x500 Energy 24 Zoom x500
Energy 26 Zoom x500 Energy 28 Zoom x500 Energy 30 Zoom x500
5Diopter Spherical Equivalent Lenticules Obtained For Analysis; 3 From Each Energy
Each human lenticule was fixed with 2% glutaraldehyde/paraformaldehyde in 0.1 M phosphate buffered saline, pH 7.4, for 2 hours and washed three times for 30 minutes in 0.1 M PBS. CLs were postfixed for 2 hours with 1% OsO4 dissolved in 0.1 M PBS, dehydrated in a gradually ascending series of ethanol solutions (50-100%), infiltrated with isoamyl acetate, and dried in a critical point dryer (HCP-2; Hitachi, Tokyo, Japan). Samples were coated with gold by ion sputter (IB-3 Eiko, Japan) at 6 mA for 6 minutes, and then examined with a scanning electron microscope (FE-SEM S-900; Hitachi, Tokyo, Japan) at an acceleration voltage of 10-20 kV and photographed at different magnifications ranging from 100-10000x. Images were digitalized and stored as tagged image file format files in the microscope computer. SEM examinations were performed for anterior and posterior surfaces of the lenticules (AS-Len and PS-Len) with each FSL energy group.
사진: 스마일(ReLEX SMILE) 레이저 에너지 단계별 각막 렌티큘 표면 비교. 연구 논문 중 발췌
강남 아이리움안과 강성용 원장이 국내 안과학계 최고의 권위를 자랑하는 '제 117회 대한안과학회'에서 학술상을 수상했다. 시상식은 지난 15일 광주 김대중 컨벤션센터에서 거행됐다.
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강성용 원장 '로우에너지 스마일라식' 연구결과, 세계학회서 아시아인 첫 공식 강연
2016년 09월 26일 14:03:28 | 홍미경 기자 | har97@cctvnews.co.kr
국내 의료진이 유럽 굴절수술학회에서 릴렉스스마일(ReLEX SMILE, 이하 '스마일라식') 수술 후 시력의 질 향상을 위한 연구결과를 공식 발표하였다. 아이리움안과 강성용 원장은 '저에너지와 고에너지 스마일라식 수술 후 AFM 현미경으로 관찰한 각막 지형과 수술결과 비교'란 주제로 강연을 진행하였다. 특히 이번 강연은 '수술 결과와 레이저 에너지세기의 상관관계'에 대하여 작년 프랑스안과학회에 해당 내용이 공식 발표된 이래 아시아 의료진으로서는 최초 발표라는 점, 그리고 스마일라식의 거장, 영국의 댄 라인슈타인(Dan Reinstein)과 공동으로 연구한 내용이기에 크게 주목 받았다.
ESCRS Presentation Data
Column 1 Column 2 Column 3 Column 4
Energy 20 Energy 21 Energy 22 Energy 23
Energy 24 Energy 25 Energy 26 Energy 27
Energy 28 Energy 29 Energy 30 Energy 31
COPENHAGEN 2016 XXXIV Congress of the ESCRS

Energy Level	Zoom	Energy Level 2	Zoom 2	Energy Level 3	Zoom 3	Energy Level 4	Zoom 4
Energy 20	Zoom x500	Energy 21	Zoom x500	Energy 22	Zoom x500	Energy 24	Zoom x500
Energy 26	Zoom x500	Energy 28	Zoom x500	Energy 30	Zoom x500

Column 1	Column 2	Column 3	Column 4
Energy 20	Energy 21	Energy 22	Energy 23
Energy 24	Energy 25	Energy 26	Energy 27
Energy 28	Energy 29	Energy 30	Energy 31

최근 안과학계의 화두가 '시력의 질'인 만큼,

차세대 시력교정술로 여겨지는 스마일라식의 보완점을 찾고

시력의 질 향상 방안을 제시한 로우에너지 스마일라식은

릴렉스 스마일의 세계적 대가

영국 댄 라인슈타인 박사가 공동 연구에 참여할 만큼

전 세계 의료진들의 뜨거운 관심을 받고 있습니다.

CONCLUSIONS
Near Threshold Pulse Energy at Spot Seperation 4.5um Results in Less Total RMS, S4 And Coma
Optic Zone Enlargement Results in Less Total RMS, S4 But Does Not Influence Coma
Triple Centration Results in Better Treatment Centration Than Subjective Fixation.
Better Centration Results in Less Vertical Coma Induction
There Exists an Inherent Systematic Intercept for the Induction of Vertical Coma
Aberrations after SMILE, Vertical Coma CAN BE REDUCED.

2017 아시아-태평양 굴절레이저 심포지엄 '로우에너지 스마일'에 대해 강연 중인 강성용 원장

강연이 끝난 후에는 로우에너지 스마일라식에 대한

세계 각지의 의료진들의 질문들이 이어졌습니다.

국내 유일 스마일라식 엠버서더 닥터로서

의학자문활동과 학술활동을 활발히 펼치는

강성용 원장의 연구성과에

많은 의료진들의 관심이 집중되었는데요.

Atomic Force Microscopy (AFM)
A. Anterior surface
Measurement Type 100 nJ 105 nJ 110 nJ 115 nJ 120 nJ 135 nJ 140 nJ 150 nJ
Average Roughness (Ra) (nm at 2500μm²) ~300 ~350 ~400 ~420 ~420 ~450 ~700 ~750
Root Mean Square Roughness (Rq) (nm at 2500μm²) ~350 ~380 ~400 ~410 ~410 ~420 ~600 ~650
Ten-point Mean Height Roughness (Rz) (nm at 2500μm²) ~3500 ~3500 ~4000 ~4500 ~4500 ~4500 ~8000 ~9000
B. Posterior surface
Measurement Type 100 nJ 105 nJ 110 nJ 115 nJ 120 nJ 135 nJ 140 nJ 150 nJ
Average Roughness (Ra) (nm at 2500μm²) ~550 ~600 ~800 ~1000 ~1050 ~1250 ~1350 ~1450
Root Mean Square Roughness (Rq) (nm at 2500μm²) ~700 ~750 ~850 ~1200 ~1250 ~1450 ~1700 ~1900
Ten-point Mean Height Roughness (Rz) (nm at 2500μm²) ~5000 ~6000 ~8000 ~9500 ~10000 ~9000 ~11000 ~14000

Measurement Type	100 nJ	105 nJ	110 nJ	115 nJ	120 nJ	135 nJ	140 nJ	150 nJ
Average Roughness (Ra) (nm at 2500μm²)	~300	~350	~400	~420	~420	~450	~700	~750
Root Mean Square Roughness (Rq) (nm at 2500μm²)	~350	~380	~400	~410	~410	~420	~600	~650
Ten-point Mean Height Roughness (Rz) (nm at 2500μm²)	~3500	~3500	~4000	~4500	~4500	~4500	~8000	~9000

Measurement Type	100 nJ	105 nJ	110 nJ	115 nJ	120 nJ	135 nJ	140 nJ	150 nJ
Average Roughness (Ra) (nm at 2500μm²)	~550	~600	~800	~1000	~1050	~1250	~1350	~1450
Root Mean Square Roughness (Rq) (nm at 2500μm²)	~700	~750	~850	~1200	~1250	~1450	~1700	~1900
Ten-point Mean Height Roughness (Rz) (nm at 2500μm²)	~5000	~6000	~8000	~9500	~10000	~9000	~11000	~14000

스마일(ReLEX SMILE)수술 시 레이저 에너지 강도에 따른 각막 전후면부 거칠기 추이

▷ 에너지가 낮을수록 매끄러운 결과를 보인다.

※ 해당 자료는 발표 내용 중에 포함된 것으로, 무단 도용과 배포를 금지합니다.

강성용 원장은 연구결과와 함께

로우에너지 스마일에 대한 독자적인 노하우를 전했습니다.

로우에너지 스마일은 단순히 레이저 에너지를 낮추는 수술이 아닙니다.

환자의 눈 조건에 맞는 레이저 에너지 강도를 설정하고,

환자마다 다른 '각막정점'을 정확히 맞추는 센트레이션(centration)기술,

또한 렌티큘 두께를 최소화하면서도 빠르고 용이하게 분리하는

의료진의 술기 등이 모두 반영된 고도의 맞춤형 수술입니다.

아이리움안과는 스마일라식 관련 특허 2건을 획득해

더욱 믿을 수 있고 안정적인 로우에너지 스마일 수술을 시행합니다.

구분 설명 특허명 등록일 및 기관
1차 로우에너지 스마일의 안전성을 더한 렌티큘 분리기술(도구) 특허 - 2016. 7. 22, 특허청
2차 로우에너지 스마일을 PLUS 가 되게 한 렌티큘 적출 기술(도구) 특허 - 2016. 12. 6, 특허청
The PATENT

구분	설명	특허명	등록일 및 기관
1차	로우에너지 스마일의 안전성을 더한	렌티큘 분리기술(도구) 특허	- 2016. 7. 22, 특허청
2차	로우에너지 스마일을 PLUS 가 되게 한	렌티큘 적출 기술(도구) 특허	- 2016. 12. 6, 특허청

스마일라식의 또 한 번의 진화를 이끈

로우에너지 스마일라식

한 단계 더 시력의 질 향상을 위해

꾸준한 연구활동을 하는 아이리움안과 의료진들에게

앞으로도 많은 관심과 격려 부탁드립니다!