1.Myopia Control in Japan: Current Strategies and Clinical Evidence
Annals of Optometry and Contact Lens 2026;25(2):59-66
The prevalence of pediatric myopia continues to increase worldwide, with East Asia bearing a particularly high burden of early-onset and progressive disease. In Japan, systematic school-based vision screening enables early detection, creating a clinical environment in which myopia control is an integral part of pediatric eye care. This review summarizes the current strategies, clinical evidence, and distinctive characteristics of myopia control in Japan with a primary focus on optical interventions. In Japan, myopia control is implemented within a structured framework that integrates pharmacological, optical, and lifestyle approaches. Optical strategies play a central role in clinical practice. Orthokeratology (Ortho-K) has been widely adopted and supported by national clinical practice guidelines that emphasize safety, patient education, hygiene management, and long-term follow-up. Soft contact lenses (SCLs) for myopia control have gained increasing attention, particularly dual-focus designs supported by robust international evidence, along with emerging optical concepts such as extended depth-of-focus lenses. Although regulatory approval for myopia control remains limited, Japanese clinical practice has adopted a cautious stepwise approach that balances international evidence with local clinical experience and ethical considerations. Limited published data from Japan indicate that Ortho-K and various SCLs designs have been investigated in the pediatric population. Overall, myopia control in Japan is characterized by evidence-based practices, regulatory awareness, and an emphasis on safety and education. This experience provides insights into how Ortho-K and SCLs may be integrated into routine clinical care, and highlights the importance of continued research, guideline development, and international collaboration.
3.A Case of Severe Friction Melanosis Improved by Intake of Food Containing Hot Water Extract of Coix lacryma-jobi L. var. ma-yuen Stapf with Husks
Shizuka UEHARA ; Mitsuru YOSHIDA
Japanese Journal of Complementary and Alternative Medicine 2024;21(1):23-25
Friction melanosis is a cutaneous entity characterized by a brownish pigmentation distributed on the skin over bony regions of various sites including a trunk or the limbs. In this report, we presented the case of a 44-year-old woman who developed severe friction melanosis around both knees and lower extremities for about 10 years. Coix-seed Reactive Derivatives (CRD) was administrated orally 4.0 g/day for 20 weeks and the lesions of pigmentation improved moderately. Further research is needed to define the optimal duration of CRD intake against friction melanosis.
4.A Case of Facial Seborrheic Keratosis Improved by Intake of Food Containing Hot Water Extract of Coix lacryma-jobi L. var. ma-yuen Stapf with Husks
Shizuka UEHARA ; Mitsuru YOSHIDA
Japanese Journal of Complementary and Alternative Medicine 2024;21(1):27-30
In this report, we presented the case of a 37-year-old woman who developed facial seborrheic keratosis for about 8 years. Coix-seed Reactive Derivatives(CRD) was administrated orally 4.0 g/day for 20 weeks, and the lesions of seborrheic keratosis improved moderately. Further research is needed to define the optimal dose and duration of CRD intake against these lesions.
5.Advancements and Challenges in Robot-Assisted Bone Processing in Neurosurgical Procedures
Yoshihiro KITAHAMA ; Hiroo SHIZUKA ; Yuto NAKANO ; Yukoh OHARA ; Jun MUTO ; Shuntaro TSUCHIDA ; Daisuke MOTOYAMA ; Hideaki MIYAKE ; Katsuhiko SAKAI
Neurospine 2024;21(1):97-103
Objective:
Practical applications of nerve decompression using neurosurgical robots remain unexplored. Our ongoing research and development initiatives, utilizing industrial robots, aim to establish a secure and efficient neurosurgical robotic system. The principal objective of this study was to automate bone grinding, which is a pivotal component of neurosurgical procedures.
Methods:
To achieve this goal, we integrated an endoscope system into a manipulator and conducted precision bone machining using a neurosurgical drill, recording the grinding resistance values across 3 axes. Our study encompassed 2 core tasks: linear grinding, such as laminectomy, and cylindrical grinding, such as foraminotomy, with each task yielding unique measurement data.
Results:
In linear grinding, we observed a proportional increase in grinding resistance values in the machining direction with acceleration. This observation suggests that 3-axis resistance measurements are a valuable tool for gauging and predicting deep cortical penetration. However, problems occurred in cylindrical grinding, and a significant error of 10% was detected. The analysis revealed that multiple factors, including the tool tip efficiency, machining speed, teaching methods, and deflection in the robot arm and jig joints, contributed to this error.
Conclusion
We successfully measured the resistance exerted on the tool tip during bone machining with a robotic arm across 3 axes. The resistance ranged from 3 to 8 Nm, with the measurement conducted at a processing speed approximately twice that of manual surgery performed by a surgeon. During the simulation of foraminotomy under endoscopic grinding conditions, we encountered a -10% error margin.
6.Advancements and Challenges in Robot-Assisted Bone Processing in Neurosurgical Procedures
Yoshihiro KITAHAMA ; Hiroo SHIZUKA ; Yuto NAKANO ; Yukoh OHARA ; Jun MUTO ; Shuntaro TSUCHIDA ; Daisuke MOTOYAMA ; Hideaki MIYAKE ; Katsuhiko SAKAI
Neurospine 2024;21(1):97-103
Objective:
Practical applications of nerve decompression using neurosurgical robots remain unexplored. Our ongoing research and development initiatives, utilizing industrial robots, aim to establish a secure and efficient neurosurgical robotic system. The principal objective of this study was to automate bone grinding, which is a pivotal component of neurosurgical procedures.
Methods:
To achieve this goal, we integrated an endoscope system into a manipulator and conducted precision bone machining using a neurosurgical drill, recording the grinding resistance values across 3 axes. Our study encompassed 2 core tasks: linear grinding, such as laminectomy, and cylindrical grinding, such as foraminotomy, with each task yielding unique measurement data.
Results:
In linear grinding, we observed a proportional increase in grinding resistance values in the machining direction with acceleration. This observation suggests that 3-axis resistance measurements are a valuable tool for gauging and predicting deep cortical penetration. However, problems occurred in cylindrical grinding, and a significant error of 10% was detected. The analysis revealed that multiple factors, including the tool tip efficiency, machining speed, teaching methods, and deflection in the robot arm and jig joints, contributed to this error.
Conclusion
We successfully measured the resistance exerted on the tool tip during bone machining with a robotic arm across 3 axes. The resistance ranged from 3 to 8 Nm, with the measurement conducted at a processing speed approximately twice that of manual surgery performed by a surgeon. During the simulation of foraminotomy under endoscopic grinding conditions, we encountered a -10% error margin.
7.Advancements and Challenges in Robot-Assisted Bone Processing in Neurosurgical Procedures
Yoshihiro KITAHAMA ; Hiroo SHIZUKA ; Yuto NAKANO ; Yukoh OHARA ; Jun MUTO ; Shuntaro TSUCHIDA ; Daisuke MOTOYAMA ; Hideaki MIYAKE ; Katsuhiko SAKAI
Neurospine 2024;21(1):97-103
Objective:
Practical applications of nerve decompression using neurosurgical robots remain unexplored. Our ongoing research and development initiatives, utilizing industrial robots, aim to establish a secure and efficient neurosurgical robotic system. The principal objective of this study was to automate bone grinding, which is a pivotal component of neurosurgical procedures.
Methods:
To achieve this goal, we integrated an endoscope system into a manipulator and conducted precision bone machining using a neurosurgical drill, recording the grinding resistance values across 3 axes. Our study encompassed 2 core tasks: linear grinding, such as laminectomy, and cylindrical grinding, such as foraminotomy, with each task yielding unique measurement data.
Results:
In linear grinding, we observed a proportional increase in grinding resistance values in the machining direction with acceleration. This observation suggests that 3-axis resistance measurements are a valuable tool for gauging and predicting deep cortical penetration. However, problems occurred in cylindrical grinding, and a significant error of 10% was detected. The analysis revealed that multiple factors, including the tool tip efficiency, machining speed, teaching methods, and deflection in the robot arm and jig joints, contributed to this error.
Conclusion
We successfully measured the resistance exerted on the tool tip during bone machining with a robotic arm across 3 axes. The resistance ranged from 3 to 8 Nm, with the measurement conducted at a processing speed approximately twice that of manual surgery performed by a surgeon. During the simulation of foraminotomy under endoscopic grinding conditions, we encountered a -10% error margin.
8.Advancements and Challenges in Robot-Assisted Bone Processing in Neurosurgical Procedures
Yoshihiro KITAHAMA ; Hiroo SHIZUKA ; Yuto NAKANO ; Yukoh OHARA ; Jun MUTO ; Shuntaro TSUCHIDA ; Daisuke MOTOYAMA ; Hideaki MIYAKE ; Katsuhiko SAKAI
Neurospine 2024;21(1):97-103
Objective:
Practical applications of nerve decompression using neurosurgical robots remain unexplored. Our ongoing research and development initiatives, utilizing industrial robots, aim to establish a secure and efficient neurosurgical robotic system. The principal objective of this study was to automate bone grinding, which is a pivotal component of neurosurgical procedures.
Methods:
To achieve this goal, we integrated an endoscope system into a manipulator and conducted precision bone machining using a neurosurgical drill, recording the grinding resistance values across 3 axes. Our study encompassed 2 core tasks: linear grinding, such as laminectomy, and cylindrical grinding, such as foraminotomy, with each task yielding unique measurement data.
Results:
In linear grinding, we observed a proportional increase in grinding resistance values in the machining direction with acceleration. This observation suggests that 3-axis resistance measurements are a valuable tool for gauging and predicting deep cortical penetration. However, problems occurred in cylindrical grinding, and a significant error of 10% was detected. The analysis revealed that multiple factors, including the tool tip efficiency, machining speed, teaching methods, and deflection in the robot arm and jig joints, contributed to this error.
Conclusion
We successfully measured the resistance exerted on the tool tip during bone machining with a robotic arm across 3 axes. The resistance ranged from 3 to 8 Nm, with the measurement conducted at a processing speed approximately twice that of manual surgery performed by a surgeon. During the simulation of foraminotomy under endoscopic grinding conditions, we encountered a -10% error margin.
9.Advancements and Challenges in Robot-Assisted Bone Processing in Neurosurgical Procedures
Yoshihiro KITAHAMA ; Hiroo SHIZUKA ; Yuto NAKANO ; Yukoh OHARA ; Jun MUTO ; Shuntaro TSUCHIDA ; Daisuke MOTOYAMA ; Hideaki MIYAKE ; Katsuhiko SAKAI
Neurospine 2024;21(1):97-103
Objective:
Practical applications of nerve decompression using neurosurgical robots remain unexplored. Our ongoing research and development initiatives, utilizing industrial robots, aim to establish a secure and efficient neurosurgical robotic system. The principal objective of this study was to automate bone grinding, which is a pivotal component of neurosurgical procedures.
Methods:
To achieve this goal, we integrated an endoscope system into a manipulator and conducted precision bone machining using a neurosurgical drill, recording the grinding resistance values across 3 axes. Our study encompassed 2 core tasks: linear grinding, such as laminectomy, and cylindrical grinding, such as foraminotomy, with each task yielding unique measurement data.
Results:
In linear grinding, we observed a proportional increase in grinding resistance values in the machining direction with acceleration. This observation suggests that 3-axis resistance measurements are a valuable tool for gauging and predicting deep cortical penetration. However, problems occurred in cylindrical grinding, and a significant error of 10% was detected. The analysis revealed that multiple factors, including the tool tip efficiency, machining speed, teaching methods, and deflection in the robot arm and jig joints, contributed to this error.
Conclusion
We successfully measured the resistance exerted on the tool tip during bone machining with a robotic arm across 3 axes. The resistance ranged from 3 to 8 Nm, with the measurement conducted at a processing speed approximately twice that of manual surgery performed by a surgeon. During the simulation of foraminotomy under endoscopic grinding conditions, we encountered a -10% error margin.
10.Two Cases of Plantar Keratosis Successfully Improved by Intake of Food Containing Hot Water Extract of Coix lacryma-jobi L. var. ma-yuen Stapf with Husks
Shizuka UEHARA ; Mitsuru YOSHIDA
Japanese Journal of Complementary and Alternative Medicine 2023;20(1):25-28
We reported 2 cases of plantar keratosis (59 years of age, female/39 years of age, male) successfully improved by intake of hot water extract of Coix lacryma-jobi L. var. ma-yuen Stapf with Husks. Both subjects were administered coix seed extract containing food for 20 weeks. The lesions improved gradually after 12 weeks, and almost cured by 20 weeks of administration. Although the food seemed to be effective in these cases, further studies are needed to define the optimal dose and duration.


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