Nkhani

Nkhaniyi ndi gawo la 200 la Uday Devgan, MD's "Back to Basics" la Nkhani Zokhudza Opaleshoni ya Maso. Mizatiyi yakhala ikulangiza madokotala odziwa bwino opaleshoni omwe ali ndi chidziwitso pazochitika zonse za opaleshoni ya ng'ala ndipo amapereka chithandizo chofunikira pakuchita opaleshoni. kuthokoza ndi kuyamika Uday chifukwa cha zomwe adathandizira pakufalitsa komanso kuthandizira kwake pakuwongolera luso la opaleshoni ya ng'ala.
Chakumapeto kwa chaka cha 2005, ndidayamba ndime iyi ya "kubwerera ku zoyambira" mogwirizana ndi akonzi a Healio/Ocular Surgery News, ndikuwunikanso zoyambira za cataract ndi opaleshoni yotsitsimula.
Tsopano, pafupifupi zaka 17 pambuyo pake, ndipo pa nambala 200 m’magazini athu a mwezi uliwonse, opaleshoni ya maso yasintha kwambiri, makamaka opaleshoni ya ng’ala ya refractive.Chokhachokhacho chimene chikuwoneka kukhala chokhazikika pa opaleshoni ya maso ndicho kusintha, pamene njira zathu ndi njira zathu zikupitirizabe kusintha. chaka chilichonse.
Makina a Phaco apita patsogolo kwambiri mu jet ndi ultrasonic energy delivery.Njira zam'mbuyomu zinali zopangira 3 mm m'lifupi kapena zokulirapo, pogwiritsa ntchito kulowetsedwa kwa mphamvu yokoka komanso mphamvu zochepa za ultrasound. zipinda zam'mbuyo.Zaka khumi zapitazo, tinalowa mu phaco-manja awiri kuti tilekanitse kulowetsedwa ndi singano ya phaco, yomwe inkagwiritsidwa ntchito popanda silicone cannula. kutengera ku United States.Tsopano timabwereranso ku coaxial ultrasonography, ngakhale ndi kagawo kakang'ono, pakati pa 2mm range.Makina athu a ultrasound tsopano amapereka chitetezo chosaneneka ndi kulondola kwa opaleshoni ya cataract.
Panali ma IOL ambiri miyezi 200 yapitayo, koma mapangidwe awo anali onyansa kuposa omwe tili nawo lero.Mapangidwe atsopano a trifocal ndi bifocal diffractive IOL amapereka masomphenya abwino ambiri opanda magalasi. , yomwe inalibe kukhazikika kwa ma IOL a hydrophobic acrylic omwe timagwiritsa ntchito lero.Timaperekanso ma toric IOL mu madigiri osiyanasiyana komanso mumitundu yosiyanasiyana ya IOL. d m'malo mwake mukhale ndi IOL yabwino kwambiri yomwe imafuna chodulira cha 2.5mm kusiyana ndi kachitsanzo kakang'ono kamene kakufunika kudutsa 1.5mm cutout.Magalasi otalikirapo akupitiriza kusinthika, ndipo mapangidwe atsopano kuti agwirizane ndi ma IOL ali paipi (Chithunzi 1). M'tsogolomu, kusintha magalasi a intraocular adzatha kubwezeretsa masomphenya achichepere kwa odwala athu.
Kugwiritsiridwa ntchito kwathu kwa magalasi a intraocular kwathandizira kwambiri kulondola kwa refractive, zomwe zabweretsa opaleshoni ya refractive ng'ala patsogolo.Ma biometrics abwino, onse mumiyeso ya kutalika kwa axial ndi miyeso ya refraction ya cornea, asintha kwambiri kulondola kwa refractive ndipo akupita patsogolo ndi mapangidwe abwinoko.Ife tiri pano tsopano. panthawi yomwe lingaliro la njira imodzi yokhazikika lidzasinthidwa posachedwa ndi njira zowerengera zowombera pogwiritsa ntchito njira zowerengera anthu ambiri komanso luntha lochita kupanga. opaleshoni ya ng'ala kuti asonkhanitse deta kuti apititse patsogolo zotsatira za refractive.
Njira zathu zopangira opaleshoni zafika patali kwambiri m'miyezi yapitayi ya 200. Ngakhale kuti zofunikira za opaleshoni ya intraocular zilipobe, tamangapo kuti tipeze zotsatira zabwino kwa odwala athu.Ochita opaleshoni onse ayenera kuyang'ana luso lawo lamakono ndikuvomereza kuti momwe iwo amachitira. zimagwira ntchito lero kuposa momwe zinalili zaka 10 zapitazo.Femtosecond lasers, intraoperative aberrometers, machitidwe opangira opaleshoni ya digito, ndi mawonedwe a mutu wa 3D tsopano akupezeka m'zipinda zathu zopangira opaleshoni. The IOL to the sclera.Within subspecialties, magulu atsopano a opaleshoni apangidwa, monga opaleshoni ya glaucoma yochepa kwambiri ndi lamellar keratoplasty. Tsekani chocheka chopangidwa ndi lumo) kuti mugwiritse ntchito njira zazing'ono za opaleshoni ya ng'ala, zomwe Zimakhala ndi shelving amadula kuti asindikize bwino pakanthawi kochepa, ndi ma sutures, ngati alipo.
Ndimakondabe kulandira uthenga wosindikiza wa Healio/Ocular Surgery News pa desiki panga kawiri pamwezi, koma ndimadzipezanso ndikuwerenga maimelo a Healio pafupifupi tsiku lililonse ndipo nthawi zambiri ndikusakatula zolemba zomwe ndimakonda pa intaneti. kukhala kugwiritsa ntchito mavidiyo ambiri, omwe tsopano tikhoza kusangalala nawo pa mafoni athu ndi mapiritsi momveka bwino.Pankhaniyi, zaka 4 zapitazo ndinapanga malo ophunzitsira aulere otchedwa CataractCoach.com omwe amasindikiza kanema watsopano, wosinthidwa, wofotokozedwa tsiku lililonse. (Chithunzi 2) .Polemba izi, pali mavidiyo a 1,500 omwe ali ndi mitu yonse ya opaleshoni ya cataract.Ngati ndingathe kusunga miyezi ya 200, izo zikanakhala za mavidiyo a 6,000. Ndikungoganizira momwe tsogolo la opaleshoni ya cataract lidzakhala lodabwitsa.