Akụkọ

Okwu a bụ 200th nke Uday Devgan, kọlụm "Back to Basics" MD maka akụkọ ịwa ahụ anya. Ndị kọlụm ndị a na-ezi 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 nke ịwa ahụ. Ọ ga-amasị m ikele ma kelee Uday maka ntinye aka na mbipụta ya na ntinye aka nke ịwa ahụ.
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-agbanwe kwa afọ.
Igwe Phaco emeela nnukwu ọganihu na jet na ultrasonic energy delivery.Previous techniques are incisions 3 mm wide or ibu, na-eji ike ndọda infusion na mmachi ultrasound ike modulation.Modern igwe ugbu a na-enye amanye infusions, arụ ọrụ nrụgide nlekota oru, na elu ike modulation maka ihe kwụsiri ike ihu ihu chambers.Ten afọ gara aga, anyị dabbled na dual-aka infusion na-eji a phacole phacole. silicone cannula.Ọ bụ ezie na nke a na-ekwe ka iji ihe nkedo abụọ, nke ọ bụla na-erughị 2mm n'obosara, a naghị anabata ya na United States. Anyị na-alaghachi na coaxial ultrasonography, n'agbanyeghị na 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-adịghị nwere kwụsie ike nke hydrophobic acrylic IOLs na-eji dị iche iche taa na degrees IOLs anyị na-eji dị iche iche nke hydrophobic acrylic. dị iche iche IOL designs. Anyị na-abịa ná nkwubi na nta bụ bụghị mgbe niile ka mma, na anyị ga-amasị na-enwe a oké IOL nke na-achọ a 2.5mm cutout karịa a nta nlereanya nke kwesịrị ịga site a 1.5mm cutout. Extended focal ogologo anya m na-anọgide na-evolve, na ọhụrụ aghụghọ nabata IOLs na-na na pipeline (Figure 1). ọhụụ ntorobịa nye ndị ọrịa anyị.
Anyị ojiji nke intraocular anya m emewo budata mma refractive ziri ezi, nke wetara refractive cataract ịwa ahụ n'ihu. Mma biometrics, ma na axial ogologo nha na corneal refraction nha, emewo nke ukwuu mma refractive ziri ezi na na-na-aga n'ihu na mma formulations. Anyị ugbu a na a ebe echiche nke a otu static ịgbakọ usoro ga-e dochie anya echiche nke a otu static usoro na-echigharịkwuru site na-eji usoro mgbako na-agbanwe agbanwe na-adịghị anya igwe mmadụ. ọgụgụ isi.Na biometer nke na-eme onwe ya n'ọdịnihu, ndị ọrịa nwere ike were nha n'otu igwe tupu ịwa ahụ cataract iji nakọta data maka mmelite na-aga n'ihu na nsonaazụ refractive.
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 ewuwo ya iji nweta nsonaazụ dị mma maka ndị ọrịa anyị. Ndị dọkịta na-awa niile kwesịrị ileba anya na nkà na ụzụ ha ugbu a ma kweta na ụzọ ha si arụ ọrụ taa dị mma karịa ka ọ dị afọ 10 gara aga. Femtosecond lasers, intraoperative ngosi aberrometers, dijitalụ na-ahụ maka isi ihe na-ahụ maka isi ihe, usoro nhazi usoro nhazi nke dijitalụ 3 dị ugbu a. Anyị na-arụ ọrụ ụlọ.The ojiji nke anterior ụlọ IOLs na-ebelata na ọtụtụ ụzọ dị iche iche nke ichebe IOL na sclera.Within subspecialties, kpamkpam ọhụrụ ịwa edemede e mepụtara, dị ka minimally invasive glaucoma ịwa ahụ na lamellar keratoplasty.Ọbụna intraocular lens extractions, na-ejikarị eme ihe maka denscapular glaucoma. (na-achọ ka ọtụtụ sutures mechie mbepụ nke ejiri mkpa) na ntuziaka obere mbepụ cataract ịwa usoro, nke Atụmatụ shelving mbepụ maka mma akara na obere oge, na sutures, ma ọ bụrụ na ọ bụla.
M ka na-amasị m ịnata mbipụta nke Healio/Ocular Surgery News na tebụl m ugboro abụọ n'ọnwa, ma m na-ahụkwa onwe m na-agụ Healio emails fọrọ nke nta kwa ụbọchị na ugboro ugboro na-eme nchọgharị na online nsụgharị nke ọkacha mmasị m publications.The kasị ukwuu ọganihu na ịwa ahụ mmụta ga-abụ nke zuru ebe nile ojiji nke video, nke anyị nwere ike ugbu a na-enweta na ekwentị anyị na mbadamba na elu-definition afọ gara aga m na-akpọ Cataract na saịtị a n'efu afọ anọ gara aga na-akpọ. na-ebipụta vidiyo ọhụrụ, dezie, nke a na-akọ kwa ụbọchị (Njirimara 2) .Dịka 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-adị.