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<article article-type="research-article" dtd-version="1.3" xml:lang="en">
  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Czech and Slovak Ophthalmology</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">410</article-id>
      <article-id pub-id-type="doi">10.31348/2026/3</article-id>
      <article-categories>
        <subj-group>
          <subject>Original article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>The Role of the Tear Film in Refraction: Quantitative Evaluation Before and After Rexon-Eye Therapy</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Stankovičová</surname>
            <given-names>Veronika</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Nováček</surname>
            <given-names>Ladislav Viktor</given-names>
          </name>
          <contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5138-2438</contrib-id>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Rozsíval</surname>
            <given-names>Pavel</given-names>
          </name>
          <contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6628-7954</contrib-id>
        </contrib>
      </contrib-group>
      <pub-date date-type="pub" publication-format="electronic">
        <day>10</day>
        <month>12</month>
        <year>2025</year>
      </pub-date>
      <issue>4</issue>
      <elocation-id>2</elocation-id>
      <abstract>
        <p>Aim: The aim of this study was to assess the effect of Rexon-Eye therapy, based on quantum molecular resonance (QMR) technology, optical parameters, tear film stability, and patients’ subjective symptoms. Material and Methods: A total of 30 patients (20 women, mean age 64.9 years; 10 men, mean age 64.6 years) diagnosed with dry eye syndrome were included in the study. Common systemic comorbidities were recorded, most frequently arterial hypertension, hypercholesterolemia, thyroid disorders, type 2 diabetes mellitus, and hyperuricemia. Each patient underwent four treatment sessions (once weekly for 20 minutes) according to the manufacturer’s recommended protocol. Objective parameters – including objective scatter index (OSI), modulation transfer function cutoff (MTF cutoff), potential visual acuity (PVA), and vision break-up time (VBUT) – were assessed using the HD Analyzer before therapy and again 1 to 3 months after treatment completion. Subjective symptoms were evaluated using the standardized Ocular Surface Disease Index (OSDI) questionnaire. Results: No statistically significant changes were observed in OSI, MTF cutoff, or PVA. VBUT remained unchanged. By contrast, OSDI scores improved both statistically and clinically significantly. Conclusion: QMR therapy with the Rexon-Eye device led to significant improvement in subjective symptoms, while objective optical quality parameters showed no statistically significant changes. QMR therapy appears to be a safe and well-tolerated method that may expand therapeutic options in clinical practice.</p>
      </abstract>
      <kwd-group>
        <kwd>tear film</kwd>
        <kwd>dry eye syndromes</kwd>
        <kwd>optical quality</kwd>
        <kwd>visual acuity</kwd>
        <kwd>Rexon-eye therapy</kwd>
      </kwd-group>
    </article-meta>
  </front>
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</article>
