Litaba

Taba ena ke karolo ea bo-200 ea khoeli ea Uday Devgan, MD ea "Back to Basics" bakeng sa Litaba tsa Opereishene ea Mahlo. Litšiea tsena li 'nile tsa laela ba qalang le lingaka tse buoang tse nang le phihlelo ka mokhoa o tšoanang likarolong tsohle tsa ho buuoa ka cataract le ho fana ka thuso ea bohlokoa mosebetsing oa ho buuoa. ho leboha le ho thoholetsa Uday bakeng sa tlatsetso ea hae khatisong le tlatsetso ea hae ho ntlafatseng bonono ba ho buoa lera.
Hoetla ka 2005, ke ile ka qala karolo ena ea "ho khutlela mekhoeng ea motheo" ka ts'ebelisano le bahlophisi ba Healio/Ocular Surgery News, ho hlahloba lintlha tsa motheo tsa cataract le opereishene ea refractive.
Hona joale, hoo e ka bang lilemo tse 17 hamorao, 'me ka palo ea 200 makasineng ea rona ea khoeli le khoeli, ho buuoa ka mahlo ho fetohile haholo, haholo-holo refractive cataract surgery.Ntho feela e sa fetoheng eo ho bonahalang e le teng ho buuoa ka mahlo ke phetoho, ha mekhoa le mekhoa ea rona e ntse e tsoela pele ho fetoha. selemo le selemo.
Mechini ea Phaco e entse tsoelo-pele e kholo ho jet le ho fana ka matla a ultrasonic. Mekhoa e fetileng e ne e le li-incision tse 3 mm ka bophara kapa tse kholoanyane, li sebelisa ho kenngoa ha matla a khoheli le matla a fokolang a matla a ultrasound.Mechine ea morao-rao e fana ka li-infusions tse qobelloang, ho hlahloba khatello e sebetsang, le ho feto-fetoha ha matla ka matla bakeng sa botsitso bo eketsehileng. likamore tse ka pele. Lilemong tse leshome tse fetileng, re ile ra kenella ka phaco ea matsoho a mabeli ho arola infusion ho tswa ho nale ea phaco, e neng e sebelisoa ntle le silicone cannula. e amoheloang United States.Hona joale re khutlela ho coaxial ultrasonography, le hoja re e-na le sekhahla se senyenyane, bohareng ba limilimithara tse 2. Hona joale mekhoa ea rona ea ultrasound e fana ka tšireletseho e e-s'o ka e e-ba teng le ho nepahala bakeng sa ho buuoa ka cataract.
Ho ne ho e-na le li-IOL tse ngata likhoeling tse 200 tse fetileng, empa liqapi tsa tsona li ne li le thata ho feta tseo re nang le tsona kajeno. Liqapi tse ncha tsa trifocal le bifocal diffractive IOL li fana ka pono e fapaneng e ntle ntle le likhalase. , e neng e se na botsitso ba hydrophobic acrylic IOLs tseo re li sebelisang kajeno.Re boetse re fana ka li-toric IOLs ka likhato tse fapaneng le ka mefuta e sa tšoaneng ea liqapi tsa IOL.Re fihletse qeto ea hore tse nyenyane ha li molemo kamehla, 'me re' d ho e-na le ho ba le IOL e kholo e hlokang ho seha ka 2.5mm ho feta mohlala o monyenyane o lokelang ho feta 1.5mm cutout. nakong e tlang, ho ikamahanya le lilense tsa intraocular ho tla khona ho khutlisetsa pono ea bocha ho bakuli ba rona.
Tšebeliso ea rona ea lilense tsa intraocular e ntlafalitse haholo ho nepahala ha refractive, e leng se tlisitseng opereishene ea refractive cataract ho ea pele.Li-biometric tse molemo, ka bobeli ka litekanyo tsa bolelele ba axial le litekanyo tsa refraction ea cornea, li ntlafalitse haholo ho nepahala ha refractive 'me li ntse li tsoela pele ka mekhoa e metle.Re se re le teng hona joale. ka nako eo mohopolo oa mokhoa o le mong o tsitsitseng o tla nkeloa sebaka ke mekhoa e matla le e tsoelang pele ea ho bala ho sebelisa batho ba bangata le bohlale ba maiketsetso. opereishene ea cataract ho bokella lintlha bakeng sa ntlafatso e tsoelang pele ho liphetho tsa refractive.
Mekhoa ea rona ea ho buoa e fihlile nako e telele likhoeling tse fetileng tsa 200. Le hoja metheo ea ho buuoa ka intraocular e ntse e le teng, re hahile holim'a eona ho finyella liphello tse molemo ho bakuli ba rona.Lingaka tsohle tse buoang li lokela ho sheba theknoloji ea bona ea morao-rao le ho lumela hore tsela eo ba e sebelisang ka eona. sebetsa kajeno ho feta lilemo tse 10 tse fetileng.Femtosecond lasers, intraoperative aberrometers, digital surgical guide systems, le head-up 3D displays li se li fumaneha likamoreng tsa rona tsa ts'ebetso.Tšebeliso ea li-IOL tsa kamore e ka pele e ntse e fokotseha ka mekhoa e mengata e fapaneng ea ho sireletsa. The IOL to the sclera.Ka hare ho li-subspecialties, lihlopha tse ncha ka ho feletseng tsa ho buoa li entsoe, tse kang opereishene ea glaucoma e fokolang le lamellar keratoplasty. koala sekheo se entsoeng ka sekere) ho sebelisa mekhoa ea ho buoa ea ho seha leihlo le lenyenyane la cataract, e nang le likarolo tsa litšepe bakeng sa ho tiisa hamolemo ka nako e nyane, le li-suture, haeba li teng.
Ke ntse ke rata ho fumana khatiso ea litaba tsa Healio/Ocular Surgery deskeng ea ka habeli ka khoeli, empa hape ke iphumana ke bala mangolo-tsoibila a Healio hoo e ka bang letsatsi le leng le le leng 'me khafetsa ke ntse ke bala likhatiso tseo ke li ratang haholo. e be tšebeliso e atileng ea video, eo hona joale re ka e natefelang lifono le matlapa a rona ka tlhaloso e phahameng.Ntlheng ena, lilemong tse 4 tse fetileng ke ile ka theha sebaka sa mahala sa ho ruta se bitsoang CataractCoach.com se phatlalatsang video e ncha, e hlophisitsoeng, e phetoa letsatsi le letsatsi. (Setšoantšo sa 2) .Ha ho ntse ho ngoloa sena, ho na le livideo tsa 1,500 tse buang ka lihlooho tsohle tsa ho buuoa ka cataract.Haeba nka boloka likhoeli tsa 200, hoo e ka ba livideo tse ka bang 6 000. Ke ka inahanela feela hore na bokamoso ba ho buuoa ka cataract bo tla ba bo hlollang hakae.