梁章敏 Chang-Min Liang

• 屈光手術專題演講會 Refractive Surgery Symposium
  王一中 I-Jong WangTaiwan Moderator

  戴明正 Ming-Cheng TaiTaiwan Moderator

  蔡宜佑 Yi-Yu TsaiTaiwan Moderator
• SMILE: Journeys for Patients and Surgeons
  謝宜靜 Yi-Ching HsiehTaiwan Speaker SMILE: Journeys for Patients and SurgeonsSmall-incision lenticule extraction (SMILE), a keratorefractive lenticule extraction (KLEx) procedure, has been performed using the VisuMax femtosecond laser for more than 10 years. The VISUMAX 800 femtosecond laser is the latest upgrade to the SMILE platform. The major improvement is the laser application time. Studies of SMILE with VISUMAX 800 showed equivalent visual outcomes for treating myopia with astigmatism while comparing to VISUMAX 500. However, overall satisfaction of patients and surgeons may be different. Optimize the procedure and extend the clinical applications are still in process.
• Innovative Refractive Surgery with SILK: Achieving Precise Outcomes and Exploring Its Potential to Delay Presbyopia
  林浤裕 Hung-Yu LinTaiwan Speaker Innovative Refractive Surgery with SILK: Achieving Precise Outcomes and Exploring Its Potential to Delay Presbyopia本演講聚焦 SILK應用於約40歲患者，探討屈光手術合併老花矯正時的術前精準規劃與留度決策。臨床經驗顯示，直接套用 LASIK 之留度策略於 SILK， 易導致雙眼不等視、遠距視力下降及融像不適；將預留度數減少50%後可獲得較佳的全程視力表現，同時減少雙眼不等視引發的不適。 SILK 採低能量 40 nJ/pulse、小光斑 1μm 並以雙凸透鏡（biconvex lenticule）設計，使微透鏡成形更精細、取出更容易，降低器械進出次數，進而提高屈光結果之可預測性與視覺品質。本演講將彙整台灣臨床病例與國際研究重點，解析景深延長之可能原因，並提出以精準化能量參數之建議，提升SILK術後度數之可預測性與提升患者滿意度。
• From Precision to Patient Satisfaction: Clinical Outcomes with SCHWIND ATOS SmartSight
  梁章敏 Chang-Min LiangTaiwan Speaker From Precision to Patient Satisfaction: Clinical Outcomes with SCHWIND ATOS SmartSightThe SCHWIND ATOS femtosecond laser system, incorporating SmartSight technology, represents a new generation of minimally invasive refractive surgery designed to enhance both surgical precision and patient satisfaction. Unlike traditional lenticule extraction platforms, ATOS combines a fast scanning speed with advanced eye-tracking, centration control, and energy modulation algorithms, enabling smoother lenticule interfaces and improved corneal biomechanical preservation. This prospective study evaluated the visual and refractive outcomes of myopia and myopic astigmatism correction performed with the SCHWIND ATOS. A total of 120 eyes from 60 patients were enrolled and followed for 6 months. Postoperative uncorrected distance visual acuity (UDVA) reached 20/20 or better in 94% of eyes, while 98% were within ±0.50 D of the intended correction. Contrast sensitivity and higher-order aberration profiles demonstrated significant improvement compared with preoperative values. No intraoperative complications or visually significant postoperative haze were observed. Beyond optical performance, patient satisfaction was assessed through a standardized questionnaire addressing visual comfort, dryness, and night vision quality. Over 90% of patients reported high satisfaction with visual clarity and minimal postoperative discomfort. In conclusion, SCHWIND ATOS SmartSight achieves predictable refractive outcomes with excellent safety and stability while preserving corneal biomechanics. Its precision, smooth lenticule quality, and optimized patient experience position ATOS as a promising platform in the evolving landscape of lenticule-based refractive surgery.
• CLEAR Refractive Surgery with Smart Technology: Advancing Clinical Outcomes
  黃偉成 Wei-Cheng HuangTaiwan Speaker CLEAR Refractive Surgery with Smart Technology: Advancing Clinical OutcomesThis talk is divided into three parts. First, I will give a brief overview of the Ziemer Z8, a versatile femtosecond laser platform capable of performing femtosecond laser–assisted cataract surgery (FLACS), corneal procedures such as intracorneal ring segments (ICRS) and lamellar keratoplasty, as well as myopic correction with Keratorefractive Lenticule Extraction (KLEx). The Z8 is a compact, mobile system that can be moved between different operating rooms. However, in order to achieve this compact and portable design, it uses a rotating, vibrating handpiece, which is often the main barrier to acceptance for many surgeons. In the second part, I will share our current clinical experience and outcome data with KLEx using this platform, to provide colleagues who are interested in this system with a more in-depth understanding. Finally, I will introduce a major upcoming upgrade of the system, which will enable direct integration with a corneal topographer. With iris registration, this will allow automatic centration and automatic rotation for astigmatism correction.
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• 屈光手術專題演講會 Refractive Surgery Symposium
  翁林仲 Lin-Chung WoungTaiwan Moderator

  張朝凱 Chao-Kai ChangTaiwan Moderator

  林丕容 Pi-Jung LinTaiwan Moderator Refractive Surgery of LVC and ICL for Presbyopia
• Refractive Surgery of LVC and ICL for Presbyopia
  林丕容 Pi-Jung LinTaiwan Speaker Refractive Surgery of LVC and ICL for Presbyopia
• Bridging Cornea and Lens: The Modern Role of Phakic IOLs in a Myopic World
  Thomas KOHNENGermany Speaker Power and Precision: The New Era of Phacoemulsification TechnologyBridging Cornea and Lens: The Modern Role of Phakic IOLs in a Myopic WorldFrom Awareness to Action: Stepwise Learning to Manage Capsular Rupture During Cataract Surgery
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