Izindaba

Lolu daba luyikholomu yama-200 ka-Uday Devgan, ka-MD ethi “Back to Basics” Yezindaba Zokuhlinzwa Kwamehlo.Lawa makholomu abelokhu efundisa abaqalayo kanye nabahlinzayo abanolwazi ngokufanayo kuzo zonke izici zokuhlinzwa kolwelwesi lwama-cataract futhi banikeza usizo olubalulekile ekuhlinzeni.Ngingathanda ukubonga nokuhalalisela u-Uday ngeqhaza lakhe ekushicilelweni kanye negalelo lakhe ekufezekiseni ubuciko bokuhlinza ulwelwesi amehlo.
Ekwindla ka-2005, ngaqala le kholamu “yokubuyela ezisekelweni” ngokubambisana nabahleli be-Healio/Ocular Surgery News, ngibuyekeza izisekelo ze-cataract kanye nokuhlinzwa kwe-refractive.
Manje, cishe eminyakeni engu-17 kamuva, futhi ngenombolo engu-200 kumagazini wethu wanyanga zonke, ukuhlinzwa kwamehlo kuye kwashintsha kakhulu, ikakhulukazi ukuhlinzwa kwe-cataract refractive.Ukuphela okungaguquki okubonakala kuhlala njalo ekuhlinzweni kwamehlo kuwushintsho, njengoba amasu nezindlela zethu ziqhubeka nokuguquguquka. minyaka yonke.
Imishini ye-Phaco yenze intuthuko enkulu ekulethweni kwejethi kanye ne-ultrasonic energy.Izindlela zangaphambilini zaziyi-3 mm ububanzi noma ngaphezulu, zisebenzisa ukufakwa kwamandla adonsela phansi kanye nokuguquguquka kwamandla okulinganiselwe kwe-ultrasound.Imishini yesimanje manje ihlinzeka ngokufakwa okuphoqelekile, ukuqapha kwengcindezi esebenzayo, kanye nokuguquguquka kwamandla okuthuthukisiwe ukuze kuzinze kakhudlwana. amakamelo angaphambili.Eminyakeni eyishumi edlule, sangena nge-phaco yezandla ezimbili ukuze sihlukanise ukumnika enaliti ye-phaco, eyayisetshenziswa ngaphandle kwe-silicone cannula.Nakuba lokhu kuvumela ukusetshenziswa kokusikeka okubili, ngalinye lingaphansi kuka-2mm ububanzi, lalingekho kakhulu. yamukelwa e-United States.Manje sibuyela emuva ku-coaxial ultrasonography, nakuba sinomsindo omncane, phakathi no-2mm ububanzi.Izinhlelo zethu ze-ultrasound manje zihlinzeka ngokuphepha okungakaze kubonwe kanye nokunemba kokuhlinzwa kwe-cataract.
Bekunama-IOL amaningi ezinyangeni ezingu-200 ezedlule, kodwa amadizayini awo abengaqinile kunalokhu esinakho namuhla.Imiklamo ye-IOL emisha ye-trifocal kanye ne-bifocal diffractive ihlinzeka ngezinhlobonhlobo zokubona okuhle ngaphandle kwezibuko.Esikhathini esedlule, ama-toric IOL ayeklanywe kakhulu ngama-silicone sheet haptics. , ebingenakho ukuzinza kwama-hydrophobic acrylic IOLs esiwasebenzisayo namuhla.Siphinde futhi sinikeze ama-toric IOL ngamadigri ahlukahlukene nangezinhlobonhlobo zemiklamo ye-IOL ehlukahlukene.Sifinyelele esiphethweni sokuthi ezincane azihlali zingcono ngaso sonke isikhathi, futhi thina' d esikhundleni sokuba ne-IOL enhle kakhulu edinga ukusika okungu-2.5mm kunemodeli encane edinga ukunqamuka okungu-1.5mm. Amalensi obude obugxilile anwetshiwe ayaqhubeka nokuguquguquka, futhi imiklamo emisha yokufaka i-IOL isendleleni (Umfanekiso 1). esikhathini esizayo, ukulungisa amalensi e-intraocular azokwazi ukubuyisela umbono wobusha ngempela ezigulini zethu.
Ukusebenzisa kwethu amalensi e-intraocular kuye kwathuthukisa ngokuphawulekayo ukunemba kwe-refractive, okulethe ukuhlinzwa kwe-cataract refractive ngaphambili.I-biometrics engcono, kokubili ezilinganisweni zobude be-axial kanye nezilinganiso ze-refraction ye-corneal, ithuthukise kakhulu ukunemba kwe-refractive futhi iqhubekela phambili ngokubunjwa okungcono. esikhathini lapho umqondo wefomula eyodwa emile uzothathelwa indawo maduze izindlela zokubala eziguqukayo neziguqukayo kusetshenziswa i-crowdsourcing kanye nobuhlakani bokwenziwa. Nge-biometer yamehlo ezilinganisa ikusasa, iziguli zingathatha izilinganiso emshinini ofanayo ngaphambi nangemuva ukuhlinzwa kwe-cataract ukuqoqa idatha yokwenza ngcono okuqhubekayo emiphumeleni ye-refractive.
Izindlela zethu zokuhlinza ziye zahamba ibanga elide ezinyangeni ezingu-200 ezedlule. Nakuba izisekelo zokuhlinzwa kwe-intraocular zisekhona, sakhe phezu kwayo ukuze sizuze imiphumela engcono yeziguli zethu.Bonke odokotela abahlinzayo kufanele babheke ubuchwepheshe babo bamanje futhi bavume ukuthi indlela abahlinza ngayo ukusebenza namuhla kungcono kunaseminyakeni eyi-10 edlule.Ama-laser e-Femtosecond, ama-aberrometers angaphakathi kokusebenza, amasistimu okuqondisa ngokuhlinzwa kwedijithali, nezibonisi ze-3D zekhanda phezulu manje seziyatholakala emakamelweni ethu okuhlinza. i-IOL kuya ku-sclera.Ngaphakathi kwe-subspecialties, sekusungulwe izigaba zokuhlinza ezintsha ngokuphelele, njengokuhlinzwa kwe-glaucoma ehlasela kancane kanye ne-lamellar keratoplasty. vala i-incision eyenziwe ngesikelo) ukwenza amasu wokuhlinza ulwelwesi oluncane lwe-cataract, oluhlanganisa i-shelving ukusikeka ukuze kuvalwe kangcono ngesikhathi esincane, nama-sutures, uma ekhona.
Ngisathanda ukuthola inguqulo ephrintiwe ye-Healio/Ocular Surgery News etafuleni lami kabili ngenyanga, kodwa futhi ngizithola ngifunda ama-imeyili e-Healio cishe nsuku zonke futhi ngivame ukuphequlula izinguqulo ze-inthanethi zezincwadi engizikhonzile.Intuthuko enkulu yokufunda ngokuhlinzwa kufanele kube ukusetshenziswa okusabalele kwevidiyo, esingakujabulela manje kumafoni namathebulethi ethu ngencazelo ephezulu.Kulokhu, eminyakeni emi-4 edlule ngenze isiza sokufundisa samahhala esibizwa nge-CataractCoach.com esishicilela ividiyo entsha, ehleliwe, elandiwe nsuku zonke. (Umfanekiso 2).Kusukela kulokhu kubhalwa, kunamavidiyo angu-1,500 ahlanganisa zonke izihloko ekuhlinzweni kwe-cataract.Uma ngingagcina izinyanga ezingu-200, lokho kungaba amavidiyo angaba ngu-6,000.Ngingacabanga nje ukuthi ikusasa lokuhlinzwa kwe-cataract liyoba elimangalisayo kangakanani.