dzºÎÇÑ ¼ö¼ú°æÇè°ú ÀÓ»ó°æÇèÀ» ¹ÙÅÁÀ¸·Î ÃÖ¼±À» ´ÙÇÏ´Â Áø·á¸¦ ÇÏ°Ú½À´Ï´Ù.
ESIRISÀÇ ¼Ò°³
º» ¿ø¿¡¼´Â ¾ÈÀüÇÏ°í Á¤È®ÇÑ ¶ó½Ä¼ö¼ú¿¡ Àý´ëÀûÀ¸·Î ¿ä±¸µÇ´Â ÃÊ°í¼Ó Eye-tracker(¾È±¸ÃßÀûÀåÄ¡)¸¦
ÀåÂøÇØ À¯·´ ¾È°ú ÇÐȸ¿¡¼ ÃÖ°íÀÇ ±âÁ¾À¸·Î äÅÃµÈ ÃÖ½ÅÇü Á¦7¼¼´ë ÀΰøÁö´É ·¹ÀÌÀú¸¦ µµÀÔÇÔÀ¸·Î½á
±âÁ¸ÀÇ ¶ó½Ä°ú´Â ´Ù¸¥ ¾ÈÀüÇÏ°í Á¤È®ÇÑ ¸ÂÃãÇü(ORK-System)¶ó½ÄÀÌ °¡´ÉÇÏ°Ô µÇ¾ú½À´Ï´Ù.
º» ¿øÀÇ SCHWIND ESIRIS (½´ºóÆ® ¿¡½º¾ÆÀ̸®½º)´Â ÃÖ½ÅÇü ÀΰøÁö´É ·¹ÀÌÁ®·Î °³ÀÎÀÇ °¢¸·¿¡ ¸Â°Ô
ÃÖÀûÈÇÑ ¶ó½Ä ½Ã½ºÅÛÀ» µµÀÔ ÇÔÀ¸·Î½á ±âÁ¸ÀÇ È¹ÀÏÈµÈ ¶ó½Ä¿¡¼ ¹þ¾î³ª ȯÀÚºÐÀÇ ½Ã·Â »óÅ¿¡ ¸Â´Â
¸ÂÃãÇü ¶ó½ÄÀÌ °¡´ÉÇØ ´Ü¼øÈ÷ "Àߺ¸ÀδÙ" ´Â °ÍÀº ¹°·Ð, "¾î¶»°Ô Àß º¸À̳ª" ¶ó´Â ÁúÀûÀÎ ½Ã·Â¿¡¼µµ ÇÑ °ÉÀ½¾Õ¼°Ô µÇ¾ú½À´Ï´Ù.
±âÁ¸ÀÇ ·¹ÀÌÀú°¡ ´ëºÎºÐ ÃÊ´ç 10Hz¿¡¼ 50Hz·Î ¼ö¼ú½Ã°£ÀÌ ±æ¾îÁüÀ¸·Î ºÒÆíÇßÀ¸³ª, º»¿øÀÇ Flying spot ·¹ÀÌÀú´Â 200Hz·Î(ÃÊ°í¼Ó ºö¼Óµµ) ¼ö¼ú½Ã°£ÀÌ ±ØÈ÷ ªÀ¸¸ç(-5D 23ÃÊ) ¾ÈÀüÇÏ°í Á¤È®ÇÕ´Ï´Ù.
ESIRIS VIP-7 SeriesÀÇ BeamÀº µ¿ÀÏÇÏ°Ô Àý»èµÇ´Â ¹æ½Ä(Homogenizer Array)ÀÌ ¾Æ´Ñ ±¹³» ¿¢½Ã¸Ó ·¹ÀÌÀú Áß °¡Àå ÀÛ°í ¸Å²ô·¯¿î ÀýÁ¦¸éÀ» Á¦°øÇÏ´Â Real Gauss Beam ÇüÅ·ΠÁ¤È®ÇÑ ÁÖ¹®¿¡ µû¸¥ Àý»è(customized ablation)À» À§ÇØ Á߽ɺδ 0.4mm, ÁÖº¯ºÎ´Â 0.2mm+0.2mm·Î ÀÌ·ç¾îÁ® ³î¶øµµ·Ï ¸Å²ô·¯¿î Àý»èÀÌ °¡´ÉÇÕ´Ï´Ù.
ESIRIS VIP-7ÀÇ Æ¯Â¡Àº flying spot¿¡¼ Á¦°øµÇ´Â ¸ðµç Á¾·ùÀÇ beam patternÀÌ °¡´ÉÇÕ´Ï´Ù.
±×·¯³ª ÀÌ·¯ÇÑ º¹ÀâÇÑ beam pattern¿¡ ´ëÇÑ ±³Á¤°ª ÀÔ·ÂÀº Çѹø¿¡ ÀÚµ¿À¸·Î ÀÌ·ç¾îÁý´Ï´Ù.
¾È±¸ÃßÀûÀåÄ¡
¹Ì¼¼ÇÑ ´«¶³¸²±îÁö Àâ¾Æ³»´Â ¼¼°è ÃÖ°í¼Ó 330Hz
ÀÌÁ߾ȱ¸ÃßÀûÀåÄ¡(Dual Eye-Tracker)´Â ȯÀÚÀÇ ¾Æ¹«¸® ¹Ì¼¼ÇÑ ¾È±¸¶³¸²µµ Æ÷Âø °¡´ÉÇϸç 200Hz¿¡¼ 500Hz±îÁö
¾÷±×·¹À̵尡 °¡´ÉÇÕ´Ï´Ù.
±×¸®°í ¼ö¼ú Áß ½Ã¼úÀÚ°¡ ÀÔ·ÂÇÑ ¾È±¸ ¿òÁ÷ÀÓ Çã¿ë ¿ÀÂ÷ ¹üÀ§¸¦ ¹þ¾î³ª°Ô µÇ¸é ·¹ÀÌÀú Á¶»ç°¡ ÀϽÃÀûÀ¸·Î ¸ØÃß¾ú´Ù°¡
Çã¿ë ¹üÀ§ ³»·Î µ¹¾Æ¿ÔÀ» ¶§ ´Ù½Ã ÀÚµ¿À¸·Î ·¹ÀÌÀú°¡ Á¶»çµÇ¾î Á¤È®ÇÏ°í ¾ÈÀüÇÑ ½Ã¼úÀÌ °¡´ÉÇÕ´Ï´Ù.
¿î¿ë½Ã½ºÅÛ
1 pulse¿¡ 0.55 micronÀÇ ablation depth(Àý»è±íÀÌ)¸¦ ½ÇÇöÇÔÀ¸·Î½á corneal shock(°¢¸·¿¡ ´ëÇÑ Ãæ°Ý)¿Í heat damage(¿¿¡ ÀÇÇÑ ¼Õ»ó)°¡ °ÅÀÇ ¾ø¾î
LASEK, PRK ¼ö¼ú½Ã ȯÀÚÀÇ ÅëÁõÀÌ °ÅÀÇ ¾øÀ¸¸ç, ½Ã·Â ȸº¹ ¼Óµµ°¡ ºü¸¨´Ï´Ù.
ÀÌ pulse´ç Àý»è±íÀÌ°¡ Áö³ªÄ¡°Ô ³ôÀ» °æ¿ì °¢¸· ¿ÜÀÇ ´Ù¸¥ ¾È±¸ ¼¼Æ÷Á¶Á÷¿¡ ´êÀ» °æ¿ì DNA¸¦ Æı«ÇÒ ¼öµµ ÀÖ´Ù´Â M.D. SeilerÀÇ ±Ç°í¿¡ µû¶ó ESIRISÀÇ
pulse´ç Àý»è ±íÀÌ°¡ °áÁ¤ µÇ¾ú½À´Ï´Ù.
1 diopter, 6mm OZ(±¤ÇкΠ³ÐÀÌ)¸¦ ¼ö¼ú ÇßÀ» ¶§, 12 micronÀ¸·Î(TTZ Á¦¿Ü) Multiscan¿¡ À̾î ablation depth °¡ °¡Àå Àû½À´Ï´Ù. ½Ã¼úÀÚ°¡ »ç¿ëÇϱ⠼ս±µµ·Ï °£ÆíÇÏ°Ô ÇÁ·Î±×·¥ µÇ¾î ÀÖÀ¸¸ç, Ms-Windows ¿î¿µÃ¼Á¦ ±â¹ÝÀÇ Æí¸®ÇÑ ¿î¿ë ½Ã½ºÅÛÀ¸·Î ¼ö¼ú »óȲÀÇ µ¿¿µ»ó Ç¥½Ã ¹× °¢¸·¿¬¸¶ÀÇ ±×·¡ÇÈ ½Ã¹Ä·¹À̼ÇÀº ¹°·Ð ¸Å ȯÀÚ¸¶´ÙÀÇ ·¹ÀÌÀú Á¶»ç ½Ã°£, ·¹ÀÌÀú Á¶»ç ¼ö, °¢¸·»óÅ µîÀÌ Á¾ÇÕÀûÀ¸·Î °³°³Àθ¶´Ù ´Ù¸£°Ô 󸮵Ǿî Á¤È®ÇÏ°í ¾ÈÀüÇÑ ¼ö¼úÀÌ °¡´ÉÇÕ´Ï´Ù.
Æí¸®¼º
[29 Cm Working Distance between Patient Cornea and Microscope]
ȯÀÚÀÇ °¢¸·°ú Microscope(¸¶ÀÌÅ©·ÎÇö¹Ì°æ)ÀÇ ÃÊÁ¡ °Å¸®°¡ 29cm·Îmicrokeratome operation(°¢¸·Àý»è±â »ç¿ë)¿¡ ÇÊ¿äÇÑ °ø°£ È®º¸°¡ ÃæºÐÇÏ¸ç ºÒÇÊ¿äÇÏ°Ô
laser delivery arm(·¹ÀÌÀú ÆÈÀÇ À̵¿)À» Á¥È÷°Å³ª microscope¿¡ À̹°ÁúÀÌ ¹¯´Â °ÍÀ» ÇÇÇϱâ À§ÇÑ ´Ù¸¥ ºÒÇÊ¿äÇÑ µ¿ÀÛÀ» Á¦°ÅÇÏ¿´½À´Ï´Ù.
[Auto Continue mode]
¼ö¼ú Áß ·¹ÀÌÀú¸¦ ¸ØÃ߰ųª ÀÔ·ÂÇÑ Hot-zone(Çã¿ëµÇ´Â ¾È±¸ ¿òÁ÷ÀÓ ¹üÀ§)À» ³Ñ¾î ¼³¶§ ·¹ÀÌÀú´Â ³²Àº ÀÔ·Â °ªÀ» ´Ù½Ã ½ÇÇàÇÏ¿© À̶§ ȯÀÚ¿¡°Ô ·¹ÀÌÀú°¡ Á¶»çµÈ ¸ðµç Á¤º¸¸¦ TFT monitor·Î ½Ã¼úÀÚ¿¡°Ô ¾Ë·ÁÁÝ´Ï´Ù.
[Auto Sliding / Auto Fixation]
ȯÀÚ°¡ ¼ÀÖ´Â À§Ä¡·Î bed°¡ ÀÚµ¿À¸·Î À̵¿µÇ¸ç ´©¿ì¸é ´Ù½Ã ¿øÀ§Ä¡·Î µ¹¾Æ°©´Ï´Ù. À̶§ ·¹ÀÌÀú´Â ÀÚµ¿À¸·Î ȯÀÚÀÇ pupil center(µ¿°øÁß½É)¿¡ Eye tracking
(¾È±¸ÃßÀû)À» ¸ÂÃß°Ô µÇ¸ç, ±âÁ¸ÀÇ ºÒÇÊ¿äÇÑ ¸ðµç µ¿ÀÛÀÌ Á¦°ÅµÇ¾î ¼ö¼úÀÌ Æí¸®ÇØÁö°í ½Ã°£À» ÁÙÀÏ ¼ö ÀÖ½À´Ï´Ù.
Patient bed head rest´Â ȯÀÚÀÇ ¸Ó¸®¿¡ ¾Ë¸Â°Ô ¼³°èµÇ¾î ¼ö¼ú Áß ¸Ó¸®¸¦ Àâ°í Àְųª ÇÏ´Â ºÒÆíÀÌ ¾øÀ¸¸ç ȯÀÚ ¶ÇÇÑ ¸Å¿ì ¾ÈÁ¤°¨ ÀÖ°Ô ¸Ó¸®¸¦ °íÁ¤ÇÒ ¼ö ÀÖ½À´Ï´Ù.
Full auto patient bed systemÀÇ È¯ÀÚÁß½ÉÀûÀÎ ÀÎü°øÇÐÀû ¼³°è·Î ȯÀÚÀÇ ÀÔ/ÃâÀÔÀÌ ¿ëÀÌÇÏ°í ¼ö¼ú½Ã ȯÀÚÀÇ ±äÀåÀ» ´ú¾îÁÖ´Â ÃÖ÷´Ü µðÀÚÀÎ ½Ã½ºÅÛÀ» °®Ãß°í ÀÖ½À´Ï´Ù.
ESIRISÀÇ ÀåÁ¡
[Auto Continue mode]
¼¼°è ÃÖ÷´ÜÀ¸·Î °³ÀÎÀÇ °¢¸·¿¡ ¸Â°Ô ÃÖÀûÈµÈ ¿þÀ̺êÇÁ·ÐÆ® ½Ã½ºÅÛÀ» µµÀÔÇÔÀ¸·Î½á, ±âÁ¸ÀÇ ¶ó½Ä ¼ö¼úó·³ ´Ü¼øÇÑ ½Ã·ÂÀÇ Çâ»óÀÌ ¾Æ´Ñ '¾î¶»°Ô Àß º¸À̴°¡'
Áï, ½Ã·ÂÀÇ ÁúÀû Çâ»ó¿¡ ´ëÇÑ ¹®Á¦·Î ´Ù°¡¼°í ÀÖ½À´Ï´Ù.
[ÃÖ´ÜÀÇ ¼ö¼ú½Ã°£]
·¹ÀÌÀú Á¶»ç ¼Óµµ°¡ Ÿ ±âÁ¾¿¡ ºñÇØ °¡Àå ºü¸£¸ç, ¼ö¼ú ½Ã°£ÀÌ °¡Àå ºü¸£´Ù´Â °ÍÀº ±×¸¸Å Á¤È®ÇÏ°í ¾ÈÀüÇÏ´Ù´Â °ÍÀÔ´Ï´Ù.
[ÃÖ´ÜÀÇ ¼ö¼ú½Ã°£]
¶ó½Ä ¼ö¼ú½Ã ¹®Á¦°¡ µÇ´Â ¾ß°£ ´«ºÎ½ÉÀ̳ª ¾ß°£ ºû¹øÁü Çö»óµµ °ÅÀÇ »ý±âÁö ¾ÊÀ¸¸ç ±âÁ¸ÀÇ ¶ó½Ä¼ö¼ú·Î ÀÎÇÑ ºÎÁ¤³½Ã, ½É°¢ÇÑ ½Ã·ÂÀúÇÏ, °¢¸·Áß½ÉÀÌÅ» µîÀÇ
ºÎÀÛ¿ëÀ» °®°í Àִ ȯÀڵ鲲 ¸ÂÃ㠽÷ ±³Á¤ ¹× ¶ó½Ä ÀçÄ¡·á°¡ °¡´ÉÇÏ¿© ¶ó½Ä ºÎÀÛ¿ë¿¡¼ ÇعæµÉ ¼ö Àִ ȹ±âÀûÀÎ ½Ã½ºÅÛÀÔ´Ï´Ù.
[µ¶¼ö¸®½Ã·Â(Eagle Vision)¿¡ µµÀüÇÏ´Â ¿þÀ̺êÇÁ·ÐÆ®]
ESIRISÀÇ Æ¯¼ö ¼öÂ÷ºÐ¼®±â°¡ ÀåÂøµÈ ORK-Aberrometer(¼öÂ÷ºÐ¼®±â) Wavefront ½Ã½ºÅÛ°ú ORK-CAM(ÀÚµ¿ÀΰøÁö´É) software ÇÁ·Î±×·¥À» ÀÌ¿ëÇÏ¿© »ç¶÷¸¶´Ù
´Ù¸£°Ô ³ªÅ¸³ª´Â ¼öÂ÷¸¦ °Ë»çÇÏ¿© ¸ÂÃãÇü ¼ö¼úÀÌ °¡´ÉÇϸç ÀÌ·¸µí Á¤È®ÇÑ ¼öÂ÷ ºÐ¼®À» ÅëÇÏ¿© ÃÖÀûÈ ÇÁ·Î±×·¥À¸·Î ¼ö¼úÇÒ °æ¿ì 2.0ÀÌ»óÀÇ ½Ã·Â±îÁö °¡´ÉÇÕ
´Ï´Ù. ¿þÀ̺êÇÁ·ÐÆ®¸¦ ¼¼°è ÃÖÃʷΠâ½ÃÇÑ Dr. Theo Seiler¿Í Dr. Jorge L Alio ¿ª½Ã º» ±âÁ¾À» »ç¿ëÇÏ°í ÀÖ½À´Ï´Ù.
[ÀÚµ¿ÀΰøÁö´É(ORK-CAM)]
»ç¶÷Àº °³°³Àο¡ µû¶ó ±¼Àý°ª, µ¿°ø, ¿¬·É, °¢¸·Æ¯¼º µîÀÌ ¼·Î ´Ù¸£¸ç º» ±âÁ¾Àº ÀÌ¿¡ µû¸¥ ÃÖÀûÈ ¼ö¼ú»óŸ¦ ÀÚµ¿ ÇÁ·Î±×·¡¹ÖÇÏ¿© ÇÑÄ¡ÀÇ ¿ÀÂ÷µµ Çã¿ëÇÏÁö
¾Ê½À´Ï´Ù.
Prof.Barraquar.MD. ¹é³»Àå±¼Àý¼ö¼ú â½ÃÀÚ/Micro KeratomeÀÇ Ã¢½ÃÀÚ
A tendency has emerged to exchange the terms "customised" and "normalised" implying that we no longer consider this
advanced technology above the normal range...
¸ÂÃã ¶ó½Ä°ú ÀÏ¹Ý ¶ó½ÄÀ¸·Î ³ª´µ°í ÀÖÁö¸¸ ÃÖ÷´Ü ±â¼ú À§¿¡ ´õ ÀÌ»ó Æò¹üÇÑ ¶ó½ÄÀ» »ý°¢ÇÏÁö ¾Ê¾Æµµ µÈ´Ù.
Prof.Siganos.MD.(Greece) “Lasik”ÀÇ ÀúÀÚ/LasikÀÇ °øµ¿ â½ÃÀÚ
I have been successful in improving the quality of vision for these patients with the ESIRIS ...
ESIRIS ÀÇ Corwave ´Â ¼öÂ÷ °¨¼Ò »Ó ¾Æ´Ï¶ó °¢¸·ÀÇ ±Ùº»ÀûÀÎ ÁúÀ» °³¼± ½ÃÄÑ ÀϹݶó½Ä¿¡ ºñÇØ ¿ùµîÇÑ ½Ã·Â°ú ƯÈ÷ ¼ö¼ú ÈÄ Halo³ª
Glave¸¦ °ÅÀÇ ¹ß°ßÇÏÁö ¸øÇß´Ù.
Prof.Ao.MD.(Spain) ¡°Wavefront Lasik¡±ÀÇ ÀúÀÚ/WavefrontÀÇ ÃÖ°í ±ÇÀ§ÀÚ
I have used all of the early prototype lasers that were manufactured by Summit Technology.
I have some experience with the M-7 Laser and limited experience with the V-4 and M-8 platforms, I cumently use the
Schwind ESIRIS laser ...
VISX S4, MEL-80, Alcon L-4000 ¸ðµç ±âÁ¾À» »ç¿ëÇÏ°í ÀÖÁö¸¸ ESIRIS´Â À§¿¡ ¾ð±ÞÇÑ ¸ðµç ÀåºñµéÀÇ ÀåÁ¡À» ¸ðµÎ °¡Áö°í ÀÖÀ¸¸ç
ƯÈ÷ ¼ö¼ú °á°ú¿Í ¸¸Á·µµ¿¡¼ ¸¹Àº Â÷ÀÌ°¡ ÀÖÀ½À» ¹ß°ß ÇÏ¿´°í ³ª´Â ¸Å¿ì ¸¸Á·ÇÑ´Ù.
Prof.Brart.MD.(London) ¿µ±¹±¼ÀýÇÐȸ ´ëÇ¥ St.Tomas Hospital ¼³¸³±³¼ö
A tendency has emerged to exchange the terms "customised" and "normalised" implying that we no longer consider this
advanced technology above the normal range...
°¢¸·Àº Áö¹®°ú ºñ½ÁÇÏ´Ù. ³ª´Â ¸ðµç ȯÀÚ¿¡°Ô ESIRIS Wavefront¸¦ Á¢¸ñÇÏ°í ÀÖ°í, ÀϹݶó½Ä¿¡ ºñÇØ ¿ùµîÇÑ ½Ã·Â Â÷À̸¦ º¸ÀÌ°í ÀÖ´Ù.
ƯÈ÷, Halo ³ª Glave¸¦ °ÅÀÇ Ã£Áö ¸øÇß´Ù.
Prof.Arbelaez MD.(LA mer ca) Á¦3¼¼´ë ÀΰøÁö´É Wavefront â½ÃÀÚ
Using the ORK Corwave approach with the ESIRIS, I have good results in retreating cases with asymmetrical astigmatism,
decentrations and small optical zones. Better visual acuilty has been achieved and night symptoms have been reduced
by using this system...
ÇöÀç±îÁö ³»°¡ »ç¿ëÇÑ Excmer ÀåºñµéÀº ½Ã·Â±³Á¤ 0.8ÀÌ ¸ñÇ¥¿´´Ù. Áö±ÝÀº ½Ã·Â±³Á¤ 0.8ÀÌ ¸ñÇ¥°¡ ¾Æ´Ï´Ù. ȯÀÚµéÀº ±× ÀÌ»óÀÇ ½Ã·ÂÀ»
¿øÇÏ´Ù. ESIRIS »ç¿ë ÀÌÈÄ ¸ðµç ȯÀÚ¿¡ ÀÖ¾î ¶Ù¾î³ ½Ã·ÂÀ» Á¦°øÇÏ°í ÀÖÀ¸¸ç ƯÈ÷ ¾ß°£½Ã·ÂÀÇ ÁúÀº ȯÀÚ¿Í ³ª ¸ðµÎ¸¦ Å©°Ô ¸¸Á·½Ãŵ´Ï´Ù.
ÀÌ¿ë¾à°ü
°³ÀÎÁ¤º¸Ãë±Þ¹æħ