Nūhou

ʻO kēia pukana ka 200th o Uday Devgan, MD's "Back to Basics" kolamu no Eye Surgery News. Ua aʻo kēia mau kolamu i nā poʻe lapaʻau novice a me nā ʻike i nā ʻano āpau o ka ʻoki cataract a hāʻawi i ke kōkua koʻikoʻi i ka hoʻomaʻamaʻa ʻana. e hoʻomaikaʻi a hoʻomaikaʻi iā Uday no kāna hāʻawi ʻana i ka paʻi ʻana a me kāna hāʻawi ʻana i ka hoʻomaʻamaʻa ʻana i ke ʻano o ka ʻoki cataract.
I ka hāʻule ʻana o 2005, hoʻomaka wau i kēia kolamu "back to basics" me ka hui pū ʻana me nā mea hoʻoponopono o Healio/Ocular Surgery News, e nānā ana i nā kumu o ka cataract and refractive surgery.
I kēia manawa, kokoke i 17 makahiki ma hope, a ma ka helu 200 i loko o kā mākou makasina mahina, ua loli nui ka ʻoki ʻana i ka maka, ʻoi aku ka nui o ke ʻoki cataract refractive. i kēlā me kēia makahiki.
Phaco machines ua hana nui strides i ka jet a me ka ultrasonic ikehu delivery.Previous hana i incisions 3 mm laula a nui paha, me ka umekaumaha infusion a me ka palena ultrasound mana modulation.Modern mīkini manawa hāʻawi i hoʻoikaika infusions, ikaika ka nānā 'ana, a holomua mana modulation no ka oi paʻa. nā keʻena mua. He ʻumi mau makahiki i hala aku nei, ua hoʻohana mākou i ka phaco ʻelua-lima e hoʻokaʻawale i ka infusion mai ka nila phaco, i hoʻohana ʻia me ka ʻole o ka silicone cannula. Ua hoʻohana ʻia ma ʻAmelika Hui Pū ʻIa. Ke hoʻi nei mākou i ka ultrasonography coaxial, ʻoiai me ka liʻiliʻi liʻiliʻi, i ka waena waena o 2mm. ʻO kā mākou ʻōnaehana ultrasound i kēia manawa ke hāʻawi nei i ka palekana a me ka pololei ʻole no ka ʻoki cataract.
He 200 mau mahina i hala aku nei nā IOL multifocal, akā ʻoi aku ka ʻino o kā lākou mau hoʻolālā ma mua o kā mākou i kēia lā. , 'A'ole i loa'a ka pa'a o ka hydrophobic acrylic IOLs a mākou e ho'ohana nei i kēia mau lā. Hā'awi pū mākou i nā IOL toric ma nā degere like'ole a ma nā'ano like'ole o ka IOL designs.We've mai i ka hopena o ka li'ili'i 'a'ole i mau maika'i, a mākou ' e loaʻa i kahi IOL nui e koi ana i kahi ʻoki ʻoki 2.5mm ma mua o kahi kumu hoʻohālike liʻiliʻi e pono ai e hele i kahi ʻoki ʻoki 1.5mm. Ke hoʻomau nei ka ulu ʻana o nā lens lōʻihi kikoʻī, a aia nā manaʻo hou e hoʻokipa i nā IOL i ka pipeline (Figure 1). i ka wā e hiki mai ana, hiki i ka hoʻololi ʻana i nā lens intraocular ke hoʻihoʻi i ka ʻike ʻōpio maoli i kā mākou poʻe maʻi.
ʻO kā mākou hoʻohana ʻana i nā lens intraocular ua hoʻomaikaʻi maikaʻi loa i ka pololei refractive, kahi i lawe mai ai i ke ʻoki cataract refractive i ka mua. i kahi manawa e hoʻololi koke ʻia ai ka manaʻo o kahi ʻano static hoʻokahi e nā ʻano helu helu pana e hoʻohana ana i ka crowdsourcing a me ka naʻauao. ʻokiʻoki cataract e hōʻiliʻili i ka ʻikepili no ka hoʻomaikaʻi mau ʻana i nā hopena refractive.
Ua hele lōʻihi kā mākou ʻano hana i nā mahina 200 i hala iho nei. ʻOiai e mau ana nā kumu o ka ʻoki intraocular, ua kūkulu mākou ma luna o ia mea e hoʻokō ai i nā hopena maikaʻi aʻe no kā mākou poʻe maʻi. ʻOi aku ka maikaʻi o ka hana i kēia lā ma mua o 10 mau makahiki i hala. ʻO nā lasers Femtosecond, intraoperative aberrometers, nā ʻōnaehana alakaʻi kikohoʻe, a me nā hōʻike 3D poʻo i kēia manawa i loko o kā mākou lumi hana. i ka IOL i ka sclera.Ma loko o nā subspecialties, ua hoʻomohala ʻia nā ʻāpana hana hou loa, e like me ke ʻoki glaucoma minimally invasive a me keratoplasty lamellar. ʻO nā ʻokiʻoki intraocular lens, hoʻohana pinepine ʻia no nā cataracts ʻoi loa, ua ulu mai nā extracapsular extraction maʻamau (e koi ana i nā sutures lehulehu. pani i kahi ʻoki i hana ʻia me ka ʻokiʻoki) i ka manuale liʻiliʻi liʻiliʻi ʻokiʻoki cataract, e hōʻike ana i nā ʻoki shelving no ka hoʻopaʻa maikaʻi ʻana i ka manawa liʻiliʻi, a me nā sutures, inā he.
Makemake au e loaʻa ka mana paʻi o Healio/Ocular Surgery News ma koʻu pākaukau ʻelua manawa o ka mahina, akā ʻike wau iaʻu iho e heluhelu ana i nā leka uila Healio kokoke i kēlā me kēia lā a nānā pinepine i nā mana pūnaewele o kaʻu mau puke punahele. ʻO ka hoʻohana nui ʻana o ka wikiō, hiki iā mākou ke hauʻoli i kēia manawa ma kā mākou kelepona a me nā papa i ka wehewehe kiʻekiʻe. Ma kēia ʻano, 4 mau makahiki i hala aku nei ua hana au i kahi kahua aʻo manuahi i kapa ʻia ʻo CataractCoach.com e hoʻopuka ana i kahi wikiō hou, hoʻoponopono, haʻi ʻia i kēlā me kēia lā (Figure 2).Ma kēia kākau ʻana, aia nā wikiō 1,500 e uhi ana i nā kumuhana āpau i ka ʻoki ʻoki ʻana.