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.Likholomo tsena esale li laela lingaka tse buoang tse qalang le 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.
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 e le 'ngoe feela e bonahalang e le teng ka ho sa feleng ha 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 infusion ea matla a khoheli le matla a fokolang a matla a ultrasound.Mechine ea morao-rao e fana ka li-infusions tse qobelloang, ts'ebetso ea khatello e sebetsang, le ho fetola matla a matla bakeng sa likamore tse ling tse tsitsitseng tse ka pele. ntle le silicone cannula.Le hoja sena se ne se lumella ho sebelisoa ha likhahla tse peli, e 'ngoe le e' ngoe e ka tlaase ho 2mm ka bophara, e ne e sa amohelehe ka ho pharaletseng United States. Hona joale re khutlela ho coaxial ultrasonography, le hoja ho na le sekhahla se senyenyane, bohareng ba 2mm.
Ho ne ho e-na le li-IOL tse ngata likhoeling tse 200 tse fetileng, empa meralo ea bona e ne e bile e le cruder ho feta eo re nang le eona kajeno.Liqapi tse ncha tsa trifocal le bifocal diffractive IOL li fana ka pono e ngata e ntle ntle le likhalase.Nakong e fetileng, li-toric IOLs li ne li entsoe ka li-silicone sheet haptics, tse neng li se na botsitso ba li-degree tsa hydrophobic tsa hydrophobic kajeno tsa IOL le acrylic. mefuta e fapaneng ea meralo e fapaneng ea IOL.Re fihletse qeto ea hore tse nyane ha li betere ka linako tsohle, 'me re ka mpa ra ba le IOL e kholo e hlokang sekoahelo sa 2.5mm ho feta mohlala o monyane o lokelang ho feta ho cutout ea 1.5mm. Lilense tse atolositsoeng tse tsepameng li ntse li tsoela pele ho fetoha, le meralo e mecha ea ho amohela li-IOL li ka moso, li-adapter tsa nakong e tlang. re tsebe 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. mekhoa ea ho bala ka ho sebelisa batho ba bangata le bohlale ba maiketsetso
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 bakeng sa bakuli ba rona.Lingaka tsohle tse buoang li lokela ho sheba thekenoloji ea bona ea morao-rao le ho lumela hore tsela eo ba sebetsang ka eona kajeno e molemo ho feta lilemo tse 10 tse fetileng.Femtosecond digital lasers, intraoperative system-display headlaser,3 e fumaneha hona joale ka 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 boloka IOL ho sclera.Ka hare ho li-subspecialties, lihlopha tse ncha tsa ho buoa li entsoe, tse kang opereishene ea glaucoma e fokolang le lamellar keratoplasty. (ho hloka li-sutures tse ngata ho koala sekheo se entsoeng ka sekere) ho sebelisa mekhoa ea ho buoa e nyenyane ea cataract, e nang le likarolo tsa li-shelving bakeng sa ho tiisa hantle ka nako e fokolang, le li-sutures, haeba li le teng.
Ke ntse ke rata ho fumana khatiso ea litaba tsa Healio/Ocular Surgery deskeng ea ka habeli ka khoeli, empa ke boetse ke iphumana ke bala mangolo-tsoibila a Healio hoo e ka bang letsatsi le leng le le leng 'me hangata ke ntse ke bala likhatiso tseo ke li ratang ka ho fetesisa.Ntlha e kholo ka ho fetisisa thutong ea ho buoa e tlameha ho ba tšebeliso e pharalletseng ea video, eo hona joale re ka e thabelang ka lifono le matlapa a rona ka tlhaloso e phahameng ea lilemo tse 4 tse fetileng. e hatisa video e ncha, e hlophisitsoeng, e phetiloeng letsatsi le leng le le leng (Setšoantšo sa 2) Ha ho ngoloa sena, ho na le livideo tse 1,500 tse buang ka lihlooho tsohle tsa ho buuoa ka cataract.Haeba nka boloka likhoeli tse 200, hoo e ka bang livideo tse 6 000. Ke ka inahanela feela hore na bokamoso ba ho buuoa ka cataract bo tla ba bo hlollang hakae.