Akụkọ

Okwu a bụ 200th nke Uday Devgan, kọlụm "Back to Basics" MD maka akụkọ ịwa ahụ anya. Ogidi ndị a na-akụziri ndị novice na ndị dọkịta na-awa ahụ nwere ahụmahụ n'akụkụ niile nke ịwa ahụ cataract ma na-enye aka bara uru na omume ịwa ahụ. Ọ ga-amasị m. iji kelee na ikele Uday maka ntinye aka ya na mbipụta ya na ntinye aka ya n'ime ka nkà nke ịwa ahụ anya zuru oke.
N'oge mgbụsị akwụkwọ nke 2005, amalitere m kọlụm a "laghachi azụ na ntọala" na mmekorita ya na ndị editọ nke Healio/Ocular Surgery News, na-enyocha isi ihe nke cataract na ịwa ahụ.
Ugbu a, ihe fọrọ nke nta ka ọ bụrụ afọ 17 ka e mesịrị, na ọnụ ọgụgụ 200 na magazin anyị kwa ọnwa, ịwa ahụ anya agbanweela nke ukwuu, karịsịa ịwa ahụ cataract refractive. Naanị mgbe niile nke yiri ka ọ na-adịgide adịgide na ịwa ahụ anya bụ mgbanwe, dịka usoro na usoro anyị na-aga n'ihu na-amalite. kwa afọ.
Igwe Phaco enweela ọganihu dị ukwuu na jet na ultrasonic ike nnyefe. Usoro ndị gara aga bụ nkwụsị nke 3 mm n'obosara ma ọ bụ ibu, na-eji infusion ike ndọda na njedebe ultrasound ike modulation. Igwe ọgbara ọhụrụ ugbu a na-enye infusions mmanye, nlekota nrụgide na-arụ ọrụ, na mgbanwe ike dị elu maka ihe kwụsiri ike karị. Ụlọ ihu ihu. Afọ iri gara aga, anyị na-agbanye na phaco abụọ-aka iji kewaa infusion site na agịga phaco, nke a na-eji na-enweghị silicone cannula. Ọ bụ ezie na nke a na-ekwe ka a na-eji nkebi abụọ, nke ọ bụla na-erughị 2mm n'obosara, ọ bụghị n'ọtụtụ ebe. anabatara na United States. Ugbu a, anyị na-alaghachi na coaxial ultrasonography, n'agbanyeghị na ọ nwere obere mbepụ, n'etiti etiti 2mm. Usoro ultrasound anyị ugbu a na-enye nchebe na-enweghị atụ na nkenke maka ịwa ahụ cataract.
E nwere multifocal IOLs 200 ọnwa gara aga, ma ha aghụghọ bụ ọbụna cruder karịa ihe anyị nwere today.Newer trifocal na bifocal diffractive IOL aghụghọ na-enye a dịgasị iche iche nke ezi ọhụụ na-enweghị glasses.In n'oge gara aga, toric IOLs bụ isi e na silicone mpempe akwụkwọ haptics. , Nke na-enweghị nkwụsi ike nke hydrophobic acrylic IOLs anyị na-eji taa. Anyị na-enyekwa toric IOL na ogo dị iche iche na ụdị dịgasị iche iche nke IOL designs. Anyị abịala ná nkwubi okwu na obere adịghị mma mgbe niile, na anyị ' d kama inwe IOL dị ukwuu nke na-achọ nkwụsị 2.5mm karịa obere ihe nlereanya nke kwesịrị ịgafe 1.5mm cutout. Ogologo anya anya anya na-agbatị ogologo na-aga n'ihu na-aga n'ihu, na atụmatụ ọhụrụ iji nabata IOL dị na pipeline (Figure 1) . N'ọdịnihu, imegharị anya anya anya intraocular ga-enwe ike iweghachite ọhụụ ntorobịa n'ezie nye ndị ọrịa anyị.
Ojiji anyị na-eji lenses intraocular emewo ka izizi refractive dị mma nke ukwuu, nke butere ịwa ịwa ahụ cataract n'ihu. Biometrics ka mma, ma n'ihe nha ogologo axial na nha ihu corneal, emeela ka izizi refractive dịkwuo mma ma na-aga n'ihu na usoro ka mma. Anyị nọ ugbu a. n'oge ebe echiche nke otu static usoro ga-adịghị anya dochie anya ike na evolving ogbugba ngụkọta usoro iji crowdsourcing na artificial ọgụgụ isi. With a ga-eme n'ọdịnihu onwe calibrating anya biometer, ọrịa nwere ike na-atụ na otu igwe tupu na mgbe. ịwa ahụ cataract iji nakọta data maka mmelite na-aga n'ihu na nsonaazụ ntugharị.
Usoro ịwa ahụ anyị abịawo ogologo oge n'ime ọnwa 200 gara aga. Ọ bụ ezie na ihe ndị bụ isi nke ịwa ahụ intraocular ka dị, anyị wuru na ya iji nweta nsonaazụ ka mma maka ndị ọrịa anyị. Ndị dọkịta na-awa niile kwesịrị ileba anya na nkà na ụzụ ha dị ugbu a ma kweta na ụzọ ha si eme ya. arụ ọrụ taa dị mma karịa ka ọ dị afọ 10 gara aga. Laser femtosecond, aberrometers intraoperative, usoro nduzi ịwa ahụ dijitalụ, na ihe ngosi 3D nke isi dị ugbu a n'ime ụlọ ọrụ anyị. Ojiji nke ime ụlọ IOLs na-ebelata site na ọtụtụ ụzọ dị iche iche nke ichekwa. na IOL ka sclera.N'ime subspecialties, kpamkpam ọhụrụ ụdị ịwa ahụ ka emepụtara, dị ka minimally invasive glaucoma ịwa ahụ na lamellar keratoplasty. Ọbụna intraocular lens extractions, na-ejikarị maka densest cataracts, esiwo na ọkọlọtọ extracapsular extractions (chọrọ otutu sutures). mechie mbepụ nke ejiri mkpa mee) iji ntuziaka obere mbepụ cataract ịwa ahụ, nke na-egosipụta mbelata mbelata maka akara ka mma na obere oge, yana sutures, ọ bụrụ na ọ bụla.
Ọ ka na-amasị m ịnata mbipụta nke Healio/Ocular Surgery News na tebụl m ugboro abụọ n'ọnwa, mana ana m ahụ onwe m na-agụ ozi-e Healio fọrọ nke nta ka ọ bụrụ kwa ụbọchị ma na-achọgharịkarị ụdị ịntanetị nke akwụkwọ ndị ọkacha mmasị m. Ọganihu kacha ukwuu na mmụta ịwa ahụ kwesịrị. bụrụ ihe eji vidiyo eme ihe, nke anyị nwere ike ịnụ ụtọ ugbu a na ekwentị anyị na mbadamba ihe dị elu. N'akụkụ a, afọ 4 gara aga m mepụtara saịtị nkuzi n'efu nke a na-akpọ CataractCoach.com nke na-ebipụta vidiyo ọhụrụ, dezie, na-akọ kwa ụbọchị. (Nyocha 2) .Dị ka ederede a, enwere vidiyo 1,500 na-ekpuchi isiokwu niile na ịwa ahụ cataract. Ọ bụrụ na m nwere ike idebe ọnwa 200, nke ahụ ga-abụ ihe dị ka vidiyo 6,000. Enwere m ike iche n'echiche otú ọdịnihu nke ịwa ahụ cataract ga-esi dị egwu.