Iindaba

Lo mbandela ungowama-200 ka-Uday Devgan, ikholomu ye-MD ethi "Buyela kwiSiseko" kwi-Eye Surgery News.Ezi kholamu ziye zayala i-novice kunye noogqirha abanamava ngokufanayo kuzo zonke iinkalo zotyando lwe-cataract kunye nokubonelela ngoncedo oluxabisekileyo kwindlela yokuhlinzwa.
Ekwindla ka-2005, ndaqala le kholamu "yokubuyela kwisiseko" ngokusebenzisana nabahleli be-Healio / Ocular Surgery News, ukuphonononga izinto ezisisiseko ze-cataract kunye notyando lokubuyisela.
Ngoku, malunga neminyaka eyi-17 kamva, kwaye kwinani lama-200 kwiphephancwadi lethu lenyanga, utyando lwamehlo luye lwatshintsha kakhulu, ngokukodwa utyando lwe-cataract oluyi-refractive.Ekuphela kwento ehlala ihleli ebonakala ihleli kuqhaqho lwamehlo lutshintsho, njengoko ubuchule bethu kunye nobuchule bethu buqhubeka nokuguquka minyaka le.
Oomatshini be-Phaco baye benza inkqubela enkulu kwi-jet kunye nokuhanjiswa kwamandla e-ultrasonic.Iinkqubo zangaphambili zaziyi-3 mm ububanzi okanye ubukhulu obukhulu, zisebenzisa i-gravity infusion kunye ne-modulation ye-ultrasound elinganiselweyo.Amashishini anamhlanje ngoku anikezela ngokunyanzeliswa kokunyanzeliswa, ukubeka iliso loxinzelelo olusebenzayo, kunye nokuguqulwa kwamandla okuhamba phambili kumagumbi angaphambili azinzile.Iminyaka elishumi edlulileyo, sahlula-i-dabbled kwi-phaco esetyenziswa kwi-phaco esetyenzisiweyo kwi-dual. ngaphandle kwe-cannula ye-silicone.Nangona oku kuvumeleke ukusetyenziswa kwee-cuttings ezimbini, nganye ngaphantsi kwe-2mm ububanzi, ayizange yamkelwe ngokubanzi e-United States.Ngoku sibuyela kwi-coaxial ultrasonography, nangona i-incision encinci, phakathi kwe-2mm uluhlu.
Kwakukho ii-IOL ezininzi kwiinyanga ezingama-200 ezidlulileyo, kodwa uyilo lwazo lwalungenangqondo ngakumbi kunento esinayo namhlanje.Uyilo olutsha lwe-trifocal kunye ne-bifocal diffractive IOL lubonelela ngoluhlu olubanzi lombono olungileyo ngaphandle kweeglasi.Kwixesha elidlulileyo, ii-toric ze-toric zenziwa ngokuyintloko nge-silicone sheet haptics, engazange ibe nozinzo lwe-iOLs ye-hydrophobic ye-iOL inikezela ngeedigri ezahlukeneyo ze-hydrophobic kunye ne-acrylic namhlanje. iintlobo ezahlukeneyo zoyilo lwe-IOL.Siye safikelela kwisigqibo sokuba encinci ayisoloko ingcono, kwaye singathanda ukuba ne-IOL enkulu efuna i-2.5mm cutout kunemodeli encinci ekufuneka idlule kwi-1.5mm cutout.Iilensi ezigxininisiweyo ezandisiweyo ziyaqhubeka nokuguquguquka, kunye noyilo olutsha ukulungiselela i-IOLs kwi-iOLs ikwixesha elizayo, i-adaptha ye-lens ikwixesha elizayo. sikwazi ukubuyisela umbono wolutsha ngokwenene kwizigulane zethu.
Ukusebenzisa kwethu iilensi ze-intraocular kuye kwaphucula kakhulu ukuchaneka kwe-refractive, nto leyo eye yazisa utyando lwe-cataract oluyi-refractive ngaphambili. iindlela zokubala usebenzisa i-crowdsourcing kunye ne-intelligence yokwenziwa.Ngexesha elizayo le-biometer yamehlo yokuzijonga, izigulane zinokuthatha imilinganiselo kumatshini ofanayo ngaphambi nangemva kotyando lwe-cataract ukuqokelela idatha yokuphucula ngokuqhubekayo kwiziphumo zokuhlaziya.
Iindlela zethu zotyando ziye zahamba ixesha elide kwiinyanga ezidlulileyo ze-200. Nangona iziseko zotyando lwe-intraocular zisekho, siye sakha phezu kwayo ukuze sifezekise iziphumo ezingcono kwizigulane zethu.Bonke oogqirha kufuneka bajonge iteknoloji yabo yangoku kwaye bavume ukuba indlela abasebenza ngayo namhlanje ingcono kuneminyaka eyi-10 eyadlulayo.I-Femtosecond lasers yedijithali, i-intraoperative ye-header-display systems, i-3 ngoku ekhoyo kumagumbi ethu okusebenza.Ukusetyenziswa kwegumbi elingaphambili le-IOLs liyancipha ngeendlela ezininzi ezahlukeneyo zokukhusela i-IOL kwi-sclera.Ngaphakathi kwee-subspecialties, iindidi ezintsha zotyando ziye zaphuhliswa, ezifana noqhaqho oluncinci lwe-glaucoma kunye ne-lamellar keratoplasty. (idinga iisutures ezininzi ukuvala isikere esenziwe ngesikere) kwi-manual yobuchule botyando bokusika urhatyazo oluncinci, oluneempawu zokusikwa kweeshelufu zokutywinwa ngcono ngexesha elincinci, kunye nokuthunga, ukuba kukho.
Ndisathanda ukufumana ushicilelo olushicilelweyo lweNdaba zeHealio/Ocular Surgery kwidesika yam kabini ngenyanga, kodwa ndizifumana ndifunda ii-imeyile ze-Healio phantse yonke imihla kwaye ndiphequlula rhoqo iinguqulelo ze-intanethi zeempapasho endizithandayo.Eyona nkqubela phambili enkulu yokufunda utyando kufuneka ibe kukusetyenziswa ngokubanzi kwevidiyo, esinokuyonwabela ngoku kwiifowuni zethu kunye neetafile kwi-high-definition ephezulu, i-Catarach idala i-4 iminyaka edlulileyo. ipapasha ividiyo entsha, ehleliweyo, echazwe yonke imihla (Umfanekiso 2) .Njengoko lo mbhalo, kukho iividiyo ze-1,500 ezigubungela zonke izihloko kwi-cataract surgery.Ukuba ndingagcina iinyanga ze-200, oko kuya kuba malunga neevidiyo ze-6,000. Ndiyakwazi ukucinga ukuba ikusasa lotyando lwe-cataract liya kuba njani.