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	<title>Refractive surgery &#8211; Pr. Damien Gatinel</title>
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	<link>https://www.gatinel.com</link>
	<description>Ophtalmologie</description>
	<lastBuildDate>Wed, 22 Jul 2026 08:28:10 +0000</lastBuildDate>
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		<title>Bilateral Corneal Ablation Simulator (OD / OS)</title>
		<link>https://www.gatinel.com/calculateurs/simulateur-bilateral-dablation-corneenne-od-os/</link>
		
		<dc:creator><![CDATA[Damien Gatinel, MD, PhD]]></dc:creator>
		<pubDate>Tue, 09 Jun 2026 11:58:28 +0000</pubDate>
				<guid isPermaLink="false">https://www.gatinel.com/calculateurs/simulateur-bilateral-dablation-corneenne-od-os/</guid>

					<description><![CDATA[A simulator that predicts residual stromal thickness and ablation parameters for both eyes to make refractive planning safer.]]></description>
										<content:encoded><![CDATA[<p>This tool plans refractive surgery for both eyes (OD and OS) at the same time on a single page. From preoperative pachymetry, refraction and corneal parameters, it estimates the <strong>residual stromal bed (RSB)</strong>, the <strong>percent tissue altered (PTA)</strong>, the ablation depth and the tissue volumes for the chosen technique (PRK / TransPRK, LASIK / Femto-LASIK or SMILE / KLEX). Colour-coded alerts compare these values against the surgeon-defined safety thresholds to limit the risk of post-operative ectasia.</p>
<h2 id="key-features">Key features</h2>
<ul>
<li>Simultaneous bilateral planning for OD and OS, with one-click symmetry copy between the two eyes</li>
<li>Choice of one or several techniques: PRK / TransPRK, LASIK / Femto-LASIK, SMILE / KLEX</li>
<li>Continuous clinical summary: RSB, PTA, central ablation, stromal depths, treated area and volumes</li>
<li>Colour-coded safety alerts based on the customised RSB threshold and the 40% PTA limit</li>
<li>Standard mode (average corneal parameters) and Custom mode (anterior and posterior radii and asphericities: R1, R2, Q1, Q2)</li>
<li>3D visualisations of the surfaces and the lenticule, K1/K2 meridian profiles, and PDF, CSV, TXT or clipboard export</li>
</ul>
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		<title>PRESBYpath — Custom pseudo-accommodative profile designer</title>
		<link>https://www.gatinel.com/calculateurs/presbypath-concepteur-de-profil-pseudo-accommodatif-personnalise/</link>
		
		<dc:creator><![CDATA[olivier]]></dc:creator>
		<pubDate>Tue, 09 Jun 2026 11:58:28 +0000</pubDate>
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					<description><![CDATA[Design a custom multifocal corneal profile to correct presbyopia by LASIK or PRK.]]></description>
										<content:encoded><![CDATA[<p>PRESBYpath converts a patient&rsquo;s data — refraction, keratometry, asphericity and higher-order wavefront — into a custom multifocal corneal profile for presbyopic LASIK or PRK. The optimiser computes an asphericity change (ΔQ) or a combination of Zernike polynomials, together with a spherical addition, so as to maintain good image quality across the whole intended pseudo-accommodative vergence range, and for two pupil diameters at once (distance vision under mesopic conditions and near vision in myosis). Its distinctive feature is that it renders a vergence map expressed directly in dioptres rather than in microns of optical path difference.</p>
<h2 id="key-features">Key features</h2>
<ul>
<li>Design of patient-specific multifocal LASIK / PRK profiles</li>
<li>Optimisation by an image-quality score across two pupils and the whole depth of field</li>
<li>Two laser-programming strategies: modulating asphericity Q or spherical aberration</li>
<li>Quality index combining MTF (MTF/MTFa), PSF, Strehl ratio and depth of field</li>
<li>Vergence map in dioptres (total / low-order / higher-order aberrations)</li>
<li>Ablation-profile audit, simulated optotype rendering and a Z(4,0) fallback mode without aberrometry</li>
</ul>
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