Nkhani

Nkhaniyi ndi gawo la 200 la Uday Devgan, MD's "Back to Basics" kwa Nkhani Zokhudza Opaleshoni Yamaso. Mizatiyi yakhala ikulangiza madokotala odziwa bwino opaleshoni omwe ali ndi chidziwitso pazochitika zonse za opaleshoni ya ng'ala ndikupereka chithandizo chamtengo wapatali pakuchita opaleshoni.
Chakumapeto kwa chaka cha 2005, ndidayamba ndime iyi ya "kubwerera ku zoyambira" mogwirizana ndi akonzi a Healio/Ocular Surgery News, ndikuwunikanso zoyambira za cataract ndi opaleshoni yotsitsimutsa.
Tsopano, pafupifupi zaka 17 pambuyo pake, ndipo pa chiwerengero cha 200 m'magazini athu a mwezi uliwonse, opaleshoni ya maso yasintha kwambiri, makamaka opaleshoni ya cataract ya refractive.Zokhazikika zokhazokha zomwe zimawoneka kuti zimakhala zokhazikika mu opaleshoni ya maso ndikusintha, pamene njira zathu ndi njira zathu zikupitirizabe kusintha chaka chilichonse.
Makina a Phaco apita patsogolo kwambiri mu jet ndi akupanga mphamvu yoperekera mphamvu.Njira zam'mbuyomu zinali zopanga 3 mm m'lifupi kapena zazikulu, pogwiritsa ntchito kulowetsedwa kwa mphamvu yokoka ndi mphamvu yochepa ya ultrasound modulation.Makina amakono tsopano amapereka infusions zokakamiza, kuyang'anitsitsa kuthamanga kwachangu, ndi kusinthika kwamphamvu kwamphamvu kwa zipinda zolimba zakunja. popanda silicone cannula.Ngakhale kuti izi zinalola kugwiritsa ntchito mabala awiri, omwe ali osachepera 2mm m'lifupi, sanavomerezedwe kwambiri ku United States.Tsopano timabwereranso ku coaxial ultrasonography, ngakhale ndi incision yaying'ono, pakati pa 2mm range.Makina athu a ultrasound tsopano amapereka chitetezo chosaneneka ndi kulondola kwa opaleshoni ya cataract.
Panali ma IOL ambiri miyezi 200 yapitayo, koma mapangidwe awo anali ovuta kuposa omwe tili nawo masiku ano.Mapangidwe atsopano a trifocal ndi bifocal diffractive IOL amapereka masomphenya ambiri abwino opanda magalasi. mitundu yosiyanasiyana ya mapangidwe a IOL.Tafika potsimikiza kuti zazing'ono sizikhala bwino nthawi zonse, ndipo timakonda kukhala ndi IOL yayikulu yomwe imafuna kudula kwa 2.5mm kusiyana ndi chitsanzo chaching'ono chomwe chiyenera kudutsa 1.5mm cutout.Magalasi otalikirapo otalikirapo akupitiriza kusinthika, ndipo mapangidwe atsopano kuti agwirizane ndi IOLs ali m'mapaipi amtsogolo. athe kubwezeretsa masomphenya achichepere kwa odwala athu.
Kugwiritsiridwa ntchito kwathu kwa magalasi a intraocular kwasintha kwambiri kulondola kwa refractive, zomwe zabweretsa opaleshoni ya refractive ng'ala patsogolo. Njira zowerengera pogwiritsa ntchito kuchuluka kwa anthu komanso luntha lochita kupanga.Pokhala ndi biometer yodziyimira yokha yamtsogolo, odwala amatha kuyeza pamakina omwewo asanachitike komanso pambuyo pa opaleshoni ya ng'ala kuti asonkhanitse deta kuti apitilize kuwongolera zotsatira za refractive.
Njira zathu zopangira opaleshoni zafika patali kwambiri m'miyezi yapitayi ya 200. Ngakhale kuti zofunikira za opaleshoni ya intraocular zidakalipo, tamangapo kuti tipeze zotsatira zabwino kwa odwala athu.Ochita opaleshoni onse ayenera kuyang'ana luso lawo lamakono ndikuvomereza kuti momwe amachitira masiku ano ndi abwino kuposa zaka 10 zapitazo.Femtosecond lasers digital, intraoperative system, 3D ndi opangira opaleshoni ya mutu tsopano ikupezeka muzipinda zathu zogwirira ntchito.Kugwiritsa ntchito ma IOL a m'chipinda cham'mbuyo kukuchepa ndi njira zingapo zopezera IOL ku sclera.In subspecialties, magulu atsopano opangira opaleshoni apangidwa, monga opaleshoni ya glaucoma yochepa kwambiri ndi lamellar keratoplasty. (zomwe zimafuna ma suture angapo kuti atseke chocheka chopangidwa ndi lumo) kuti agwiritse ntchito njira zazing'ono za opaleshoni ya ng'ala, zomwe Zimakhala ndi mabala a mashelufu kuti asindikize bwino pakapita nthawi yochepa, ndi ma sutures, ngati alipo.
Ndimakondabe kulandira nkhani yosindikiza ya Healio/Ocular Surgery News pa desiki yanga kawiri pamwezi, koma ndimadzipezanso ndikuwerenga maimelo a Healio pafupifupi tsiku lililonse komanso kusakatula masamba a pa intaneti omwe ndimakonda. imasindikiza kanema watsopano, wosinthidwa, wofotokozedwa tsiku lililonse (Chithunzi 2) .Polemba izi, pali mavidiyo a 1,500 omwe amakhudza mitu yonse mu opaleshoni ya cataract.Ngati ndingathe kusunga miyezi ya 200, izi zikanakhala mavidiyo a 6,000. Ndikungoganizira momwe tsogolo la opaleshoni ya cataract lidzakhala lodabwitsa.