Nūhou

ʻO kēia pukana ka 200th o Uday Devgan, MD's "Back to Basics" kolamu no Eye Surgery News. Ua aʻo ʻia kēia mau kolamu i nā mea lapaʻau novice a me nā loea i nā ʻano āpau o ka ʻoki cataract a hāʻawi i ke kōkua koʻikoʻi i ka hoʻomaʻamaʻa ʻana.
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 o ka maka, ʻoi aku ka nui o ka ʻoki cataract refractive.
Phaco machines have great strides in jet and ultrasonic energy delivery.Previous techniques were incisions 3 mm wide or large, using gravity infusion and limited ultrasound power modulation. cannula.ʻOiai uaʻae kēia i ka hoʻohanaʻana i nāʻokiʻokiʻelua,ʻo kēlā me kēia ma lalo o 2mm ākea,ʻaʻole i hoʻohana nuiʻia maʻAmelika Hui PūʻIa. Ke hoʻi nei mākou i kēia manawa i ka ultrasonography coaxial,ʻoiai me ka liʻiliʻi liʻiliʻi, i ka waena waena o 2mm. ʻO kā mākou mau'ōnaehana ultrasound i kēia manawa e hāʻawi i ka palekana a me ka pololeiʻole no ke kāpili cataract.
He 200 mau mahina i hala aku nei nā IOL multifocal, akā ʻoi aku ka ʻoi aku o kā lākou mau hoʻolālā ma mua o ka mea i loaʻa iā mākou i kēia lā. IOL designs.We've come to the conclusion that smaller is not always better, and we would want a great IOL e pono ana i ka 2.5mm cutout ma mua o ka liʻiliʻi kükohu pono e hele i loko o 1.5mm cutout. hihio opio i ko makou poe mai.
ʻO kā mākou hoʻohana ʻana i nā lens intraocular ua hoʻomaikaʻi maikaʻi i ka pololei refractive, kahi i lawe mai ai i ke kaʻina cataract refractive i ke alo. ka lehulehu a me ka naauao hana.
Ua hele lōʻihi mai kā mākou ʻano hana i nā mahina 200 i hala. ʻOiai e mau ana nā kumu o ka ʻoki intraocular, ua kūkulu mākou ma luna o ia mea e hoʻokō i nā hopena maikaʻi aʻe no kā mākou poʻe maʻi. Ke emi nei ka hoʻohana ʻana o ke keʻena mua IOL me nā ʻano like ʻole o ka hoʻopaʻa ʻana i ka IOL i ka sclera. I loko o nā subspecialties, ua hoʻomohala ʻia nā ʻāpana hana hou loa, e like me ke ʻoki glaucoma minimally invasive a me keratoplasty lamellar. (e koi ana i na humuhumu he nui e pani i kahi incision i hanaia me ka wili) i ka manuale liilii incision cataract oki 'ana, e hiʻona ana i nā shelving oki no ka maikai sila i loko o ka liʻiliʻi manawa, a me nā sutures, ina kekahi.
Makemake au e loaʻa ka mana paʻi o Healio/Ocular Surgery News ma kaʻu pākaukau i 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. e paʻi ana i kahi wikiō hou, hoʻoponopono ʻia, 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 cataract.