[Estimation of preoperative corneal power in patients with myopic LASIK based on postoperative corneal data measured from Orbscan II].

OBJECTIVE: Compare the change of pre- and post-operative posterior corneal curvature measurements in peripheral fitting zones using the Orbscan II topographer in patients undergoing myopic laser in situ keratomileusis (LASIK). To establish a new ratio of the anterior and posterior corneal curvature for the calculation of preoperative total corneal power using postoperative corneal data alone in patients after LASIK. METHODS: Retrospectively analyzed the changes of posterior corneal curvature in peripheral 7 to 10 mm fitting zones in 151 right eyes (151 individuals) 3 month after LASIK as measured by Orbscan II. The new ratio between the anterior and posterior corneal curvature was measured. The new ratio was used to estimate pre-operative total corneal refractive power in 30 eyes. The estimated total corneal refractive power was compared with the value measured from Orbscan II preoperatively. The accuracy of intraocular lens power estimated in 2 cases underwent cataract surgery after corneal refractive surgery was studied. RESULTS: The mean difference in estimated pre- and post-operative power of the posterior cornea was (-0.005 ± 0.154) mm (t = 0.417, P = 0.677). The ratio between the preoperative anterior central (0 - 7 mm) corneal curvature and the posterior peripheral (7 to 10 mm) corneal curvature was 1.167 ± 0.030. Estimated mean pre-operative total corneal power was (43.49 ± 1.79) D, whereas the value measuring from Orbscan II preoperatively was (43.77 ± 1.53) D. The mean difference between these two measurements was (-0.28 ± 1.00) D (t = -1.523, P = 0.139). The spherical equivalent refraction after cataract extraction of the two cases undertaken cataract surgery after corneal refractive surgery was 0.54 D and 0.69 D, respectively. CONCLUSIONS: The difference in posterior corneal curvature measurement following myopic LASIK using the peripheral fitting zone with the Orbscan II, as compared to the preoperative values, is clinically insignificant. The pre-LASIK corneal power can be estimated using post-LASIK data together with the new calculated ratio. This will be useful in post-LASIK patients requiring cataract surgery but without the availability of pre-LASIK corneal data for the estimation of the intraocular lens power.

Occurrence of phthalates in sediment and biota: relationship to aquatic factors and the biota-sediment accumulation factor.

Phthalate compounds in sediments and fishes were investigated in 17 Taiwan's rivers to determine the relationships between phthalate levels in sediment and aquatic factors, and biota-sediment accumulation factor (BSAF) for phthalates. Mean concentrations (range) of di(2-ethylhexyl) phthalate (DEHP), butyl benzyl phthalate (BBzP) and di-n-butyl phthalate (DBP) in sediment at low-flow season were 4.1 (<0.05-46.5), 0.22 (<0.05-3.1) and 0.14 (<0.05-1.3)mgkg(-1)dw; those at high-flow season were 1.2 (<0.05-13.1), 0.13 (<0.05-0.27) and 0.09 (<0.05-0.22)mgkg(-1)dw, respectively. Trace levels of dimethyl phthalate (DMP), diethyl phthalate (DEP) and di-n-octyl phthalate (DOP) in sediment were found in both seasons. Concentrations of DEHP in sediments were significantly affected by temperature, suspended solids, ammonia-nitrogen, and chemical oxygen demand. The highest concentration of DEHP in fish samples were found in Liza subviridis (253.9mgkg(-1)dw) and Oreochromis miloticus niloticus (129.5mgkg(-1)dw). BSAF of DEHP in L. subviridis (13.8-40.9) and O. miloticus niloticus (2.4-28.5) were higher than those in other fish species, indicating that the living habits of fish and physical-chemical properties of phthalates, like logKow, may influence the bioavailability of phthalates in fish. Our data suggested that DEHP level in river sediments were influenced by water quality parameters due to their effects on the biodegradation processes, and that the DEHP level in fish was affected by fish habitat and physiochemical properties of polluted contaminants.