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Nyaya iyi ndeye 200th yeUday Devgan, MD's "Back to Basics" yeEye Surgery News.Makoramu aya ave achiraira vanovhiya vane ruzivo uye vane ruzivo rwakafanana mune zvose zvekuvhiyiwa kwecataract uye vanopa rubatsiro rwakakosha kune maitiro ekuvhiya.Ndinoda kutenda uye kukorokotedza Uday nokuda kwekubatsira kwake mukubudiswa uye mupiro wake weunyanzvi hwekugadzirisa chirwere checataract.
Mukupera kwa2005, ndakatanga iyi "kudzokera kune yekutanga" koramu ndichibatsirana nevapepeti veHealio/Ocular Surgery News, ndichiongorora zvakakosha zvecataract uye kuvhiyiwa kwerefractive.
Iye zvino, anenge makore 17 gare gare, uye panhamba 200 mumagazini yedu yemwedzi, kuvhiyiwa kweziso kwakachinja zvikuru, kunyanya refractive cataract operation.Iyo chete inogara ichiita seyakagadzika mukuvhiyiwa kweziso ndeyekuchinja, sezvo maitiro edu uye maitiro anoramba achichinja gore negore.
Phaco machines yakaita nhanho huru mujet uye ultrasonic energy delivery.Nzira dzakapfuura dzaive incisions 3 mm yakafara kana yakakura, kushandisa giravhiti infusion uye shoma ultrasound simba modulation.Michina yemazuva ano inopa kumanikidzirwa infusions, kushingaira kudzvinyirira kutarisa, uye advanced power modulation for more stable anterior chambers.Makore gumi apfuura, isu takaparadzana nedabbled in phaco to the dual in phaco to the dual infusion. pasina silicone cannula.Kunyange zvazvo izvi zvakabvumira kushandiswa kwekucheka kweviri, imwe neimwe isingasviki 2mm yakafara, haina kugamuchirwa zvakanyanya muUnited States.Isu ikozvino tinodzokera kune coaxial ultrasonography, kunyange nekaduku kaduku, pakati pe2mm range.Our ultrasound systems zvino inopa kuchengetedzwa kusati kwamboitika uye kwakarurama kwekuvhiyiwa kwecataract.
Paive nemultifocal IOLs mwedzi 200 yapfuura, asi magadzirirwo awo aitove cruder kupfuura zvatinazvo nhasi.Newer trifocal uye bifocal diffractive IOL madhizaini anopa huwandu hwakawanda hwekuona kwakanaka pasina magirazi.Kare, toric IOLs ainyanya kugadzirwa nesilicone sheet haptics, iyo yakanga isina kugadzikana kweiyo hydrophobic yekushandiswa kweIOLs mune dzakasiyana-siyana madhigirii eOl acrylic. zvakasiyana-siyana zvakasiyana-siyana zvekugadzirwa kweIOL.Takasvika pakugumisa kuti zviduku hazvisi nguva dzose zviri nani, uye tinoda kuva neIOL huru inoda 2.5mm cutout pane diki modhi inoda kupfuura 1.5mm cutout.Akawedzera focal kureba lenses anoramba achishanduka, uye matsva magadzirirwo kugarisa maIOLs ari mune remangwana pombi 1. kukwanisa kudzoreredza kuona kwechokwadi kwepwere kuvarwere vedu.
Kushandisa kwedu intraocular lenses kwakavandudza zvakanyanya refractive kurongeka, izvo zvaunza refractive cataract kuvhiyiwa pamberi.Zvirinani biometrics, zvese muaxial kureba kuyerwa uye corneal refraction zviyero, zvakanatsiridza zvakanyanya refractive kurongeka uye tiri kufambira mberi nemaumbirwo ari nani. Isu tave ikozvino pane imwe nhanho yekupfurwa kweiyo dynamic pfuti ichakurumidza kutsiva iyo dynamic formula. maverengero nzira vachishandisa crowdsourcing uye artificial intelligence.Neramangwana self-calibrating yeziso biometer, varwere vanogona kutora zviyero pamushini mumwechete pamberi uye mushure mekuvhiyiwa kwecataract kuunganidza data yekuenderera mberi kwekuvandudza mune refractive mhedzisiro.
Nzira dzedu dzekuvhiya dzakasvika kure mumwedzi yapfuura ye200. Kunyange zvazvo nheyo dzekuvhiyiwa kwe intraocular dzichiripo, takavaka pamusoro payo kuti tive nemigumisiro iri nani kune varwere vedu.Vose vanovhiya vanofanira kutarisa teknolojia yavo yemazuva ano uye vanobvuma kuti nzira yavanoita nayo nhasi iri nani kudarika makore 10 apfuura.Femtosecond digital lasers, intraoperative system, intraoperative-D zviratidzo zvemusoro wepamusoro-soro, uye 3 ikozvino yave kuwanikwa mumakamuri edu ekuvhiya.Kushandiswa kweanterior chamber IOLs kuri kuderera nenzira dzakasiyana siyana dzekuchengetedza IOL kune sclera.Mukati me subspecialties, zvikamu zvitsva zvekuvhiya zvakagadziridzwa, senge minimally invasive glaucoma surgery uye lamellar keratoplasty.Kunyange intraocular lens extractions, inowanzo shandiswa kune decapsular extractions, cavolved standard extrasions (zvichida ma sutures akawanda kuti avhare chigero chakaitwa nechigero) kuti uite manyorero madiki ekuvhiya cataract maitiro, ayo Anosanganisira masherufu ekucheka kuti avhare zvirinani munguva shoma, uye sutures, kana iripo.
Ndichiri kuda kugamuchira yakadhindwa vhezheni yeHealio/Ocular Surgery News padhesiki rangu kaviri pamwedzi, asi ndinozviwanawo ndichiverenga maemail eHealio anenge zuva rega rega uye kazhinji ndichitsvaga shanduro dzepamhepo dzezvinyorwa zvandinofarira.Kufambira mberi kukuru mukudzidza kwekuvhiya kunofanira kunge kuri kushandiswa kwakapararira kwevhidhiyo, iyo yatinogona kunakidzwa zvino pamafoni edu uye mahwendefa mu-high-definition yemakore apfuura, yakanzi Cataraach yakasununguka makore apfuura. inobudisa vhidhiyo itsva, yakarongwa, yakarondedzerwa zuva rega rega (Mufananidzo 2) .Sezvo zvekunyora uku, kune mavhidhiyo e1,500 anofukidza misoro yose mukuvhiyiwa kwecataract.Dai ndaigona kuchengeta mwedzi ye200, iyo inenge inenge mavhidhiyo e6,000. Ndinogona kungofungidzira kuti inoshamisa sei ramangwana rekuvhiyiwa kwecataract richava.