{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T03:42:14Z","timestamp":1648698134644},"reference-count":11,"publisher":"Akademiai Kiado Zrt.","issue":"20","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,5,1]]},"abstract":"<jats:p>Megfigyelhet\u0151, hogy egyes betegek a sz\u00fcrkeh\u00e1lyog-m\u0171t\u00e9t sor\u00e1n be\u00fcltetett monofok\u00e1lis m\u0171lencse implant\u00e1l\u00e1sa ut\u00e1n, t\u00e1voli korrekci\u00f3 mellett is j\u00f3l haszn\u00e1lhat\u00f3 k\u00f6zeli l\u00e1t\u00e1s\u00e9less\u00e9get \u00e9rnek el. Ezt a jelens\u00e9get nevezik pszeudoakkomod\u00e1ci\u00f3nak, aminek meg\u00e9rt\u00e9se \u00e9s m\u00e9r\u00e9se a pseudophaki\u00e1s szemek akkomod\u00e1ci\u00f3j\u00e1nak \u00faj technik\u00e1kkal t\u00f6rt\u00e9n\u0151 p\u00f3tl\u00e1sa, illetve helyre\u00e1ll\u00edt\u00e1sa miatt elengedhetetlen. \n <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n I. A sz\u00fcrkeh\u00e1lyog-m\u0171t\u00e9t ut\u00e1n megfigyelhet\u0151 akkomod\u00e1ci\u00f3 m\u00e9r\u00e9se. II. A csarnokm\u00e9lys\u00e9g m\u00e9r\u00e9se Scheimpflug-k\u00e9palkot\u00e1ssal, \u00e9s az eredm\u00e9nyek \u00f6sszehasonl\u00edt\u00e1sa a standard, ultrahangos m\u00f3dszerrel. III. Egy \u00faj optikai eszk\u00f6z, az el\u00fcls\u0151 szegmentum optikai koherenciatomogr\u00e1f (Visante OCT) el\u00fcls\u0151csarnok-m\u00e9lys\u00e9g m\u00e9r\u00e9s\u00e9nek eredm\u00e9nyeit, illetve annak ism\u00e9telhet\u0151s\u00e9g\u00e9t \u00e9s megb\u00edzhat\u00f3s\u00e1g\u00e1t vizsg\u00e1lni immerzi\u00f3s ultrahangos m\u00f3dszerrel \u00f6sszehasonl\u00edtva, phaki\u00e1s szemeken. \n <jats:italic>M\u00f3dszer:<\/jats:italic>\n I. Az akkomod\u00e1ci\u00f3t defokusz\u00e1l\u00f3 m\u00f3dszerrel, parci\u00e1lis koherencia-interferometria m\u00f3dszer\u00e9vel \u00e9s a szem el\u00fcls\u0151csarnok-m\u00e9lys\u00e9ge v\u00e1ltoz\u00e1s\u00e1nak a musculus ciliaris farmakol\u00f3giai befoly\u00e1sol\u00e1sa sor\u00e1n m\u00e9rt\u00fck. II. A szem el\u00fcls\u0151 csarnok\u00e1nak m\u00e9lys\u00e9g\u00e9t Pentacammal m\u00e9rt\u00fck, \u00e9s az eredm\u00e9nyeket \u00f6sszehasonl\u00edtottuk a standard ultrahangos m\u00f3dszerrel phaki\u00e1s \u00e9s pseudophaki\u00e1s szemeken. III. K\u00e9t vizsg\u00e1l\u00f3 m\u00e9r\u00e9si eredm\u00e9nyeit \u00e9s azok ism\u00e9telhet\u0151s\u00e9g\u00e9t vetett\u00fck \u00f6ssze Visante OCT-vel t\u00f6rt\u00e9n\u0151 el\u00fcls\u0151csarnok-m\u00e9lys\u00e9g m\u00e9r\u00e9se ut\u00e1n. \n <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n I. A defokusz\u00e1l\u00f3 technik\u00e1val 0,83 D-\u00e1s teljes akkomod\u00e1ci\u00f3s amplit\u00fad\u00f3t igazoltunk. Parci\u00e1lis koherencia-interferometria m\u00f3dszer\u00e9vel a m\u0171lencs\u00e9k elmozdul\u00e1sa fiziol\u00f3gi\u00e1s akkomod\u00e1ci\u00f3s inger mellett minim\u00e1lis volt. A musculus ciliaris farmakol\u00f3giai b\u00e9n\u00edt\u00e1sa sor\u00e1n a m\u0171lencse \u00e1tlagosan 0,18 mm-t mozdult el\u0151re. II. Phaki\u00e1s szemeken a Pentacam \u00e9s ultrahangos m\u00f3dszer eredm\u00e9nyei azonosak, pseudophaki\u00e1s szemeken azonban az optikai m\u00f3dszer l\u00e9nyegesen kisebb csarnokm\u00e9lys\u00e9get m\u00e9r. III. El\u00fcls\u0151 szegmentum optikai koherenciatomogr\u00e1f az immerzi\u00f3s ultrahangos eszk\u00f6zn\u00e9l nagyobb csarnokm\u00e9lys\u00e9get m\u00e9r phaki\u00e1s szemeken. \n <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>\n A pseudophaki\u00e1s szemeken megfigyelhet\u0151 akkomod\u00e1ci\u00f3s amplit\u00fad\u00f3 h\u00e1tter\u00e9ben \u00e1ll\u00f3 akkomod\u00e1ci\u00f3, illetve pszeudoakkomod\u00e1ci\u00f3 m\u00e9r\u00e9se igen bonyolult, \u00e9s a k\u00fcl\u00f6nb\u00f6z\u0151 m\u00f3dszerekkel csak egy-egy r\u00e9szfolyamat m\u00e9rhet\u0151. A nem kontakt optikai m\u00f3dszerekkel a standard ultrahangos m\u00f3dszerhez k\u00e9pest jelent\u0151sen elt\u00e9r\u0151 csarnokm\u00e9lys\u00e9gek m\u00e9rhet\u0151k. Az el\u00fcls\u0151csarnok-m\u00e9lys\u00e9g m\u00e9r\u00e9s\u00e9nek intra- \u00e9s interobserver ism\u00e9telhet\u0151s\u00e9ge, valamint megb\u00edzhat\u00f3s\u00e1ga az optikai eszk\u00f6zzel l\u00e9nyegesen jobb.<\/jats:p>","DOI":"10.1556\/oh.2009.28565","type":"journal-article","created":{"date-parts":[[2009,5,21]],"date-time":"2009-05-21T01:18:20Z","timestamp":1242868700000},"page":"943-948","source":"Crossref","is-referenced-by-count":1,"title":["Examination of accommodation in pseudophakic eyes"],"prefix":"10.1556","volume":"150","author":[{"given":"G\u00e1bor","family":"N\u00e9meth","sequence":"first","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Szem\u00e9szeti Klinika Debrecen Nagyerdei krt. 98. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Tsorbatzoglou","sequence":"additional","affiliation":[{"name":"2 J\u00f3sa Andr\u00e1s K\u00f3rh\u00e1z Szem\u00e9szeti Oszt\u00e1ly Ny\u00edregyh\u00e1za"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"M\u00f3dis","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Szem\u00e9szeti Klinika Debrecen Nagyerdei krt. 98. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Berta","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Szem\u00e9szeti Klinika Debrecen Nagyerdei krt. 98. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1016\/S0886-3350(02)01893-X","volume":"29","year":"2003","journal-title":"J. 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