Izindaba

Lolu daba luyikholomu yama-200 ka-Uday Devgan, ka-MD ethi “Back to Basics” Yezindaba Zokuhlinzwa Kwamehlo.Lawa makholamu abelokhu efundisa abaqalayo kanye nabahlinzayo abanolwazi ngokufanayo kuzo zonke izici zokuhlinzwa kolwelwesi lwama-cataract futhi banikeza usizo olubalulekile ekuhlinzeni.
Ekwindla ka-2005, ngaqala le kholamu “yokubuyela ezisekelweni” ngokubambisana nabahleli be-Healio/Ocular Surgery News, ngibuyekeza izisekelo ze-cataract kanye nokuhlinzwa kwe-refractive.
Manje, cishe eminyakeni engu-17 kamuva, futhi ngenombolo ye-200 kumagazini wethu wanyanga zonke, ukuhlinzwa kwamehlo kuye kwashintsha kakhulu, ikakhulukazi ukuhlinzwa kwe-cataract refractive.Ukuphela okungaguquki okubonakala kuvamile ekuhlinzweni kwamehlo kuwushintsho, njengoba amasu nezindlela zethu ziqhubeka zishintsha njalo ngonyaka.
Imishini ye-Phaco yenze intuthuko enkulu ekulethweni kwamandla e-jet kanye ne-ultrasonic energy.Amasu angaphambili ayeyi-incisions 3 mm ububanzi noma ngaphezulu, kusetshenziswa ukumnika amandla adonsela phansi kanye nokuguqulwa kwamandla okulinganiselwe kwe-ultrasound.Imishini yesimanje manje inikeza ukucwiliswa okuphoqelekile, ukuqapha kwengcindezi esebenzayo, nokuguquguquka kwamandla okuthuthukisiwe kwamakamelo angaphambili azinzile. ngaphandle kwe-silicone cannula.Nakuba lokhu kuvumela ukusetshenziswa kokusikeka okubili, ngakunye ngaphansi kobubanzi obungu-2mm, akuzange kusetshenziswe kabanzi e-United States.Manje sibuyela emuva ku-coaxial ultrasonography, nakuba sinomcu omncane, phakathi no-2mm ububanzi.Izinhlelo zethu ze-ultrasound manje zinikeza ukuphepha okungakaze kubonwe kanye nokunemba kokuhlinzwa kwe-cataract.
Kwakukhona ama-IOL amaningi ezinyangeni ezingu-200 ezedlule, kodwa imiklamo yawo yayingenangqondo nakakhulu kunalokho esinakho namuhla.Imiklamo ye-IOL entsha ye-trifocal ne-bifocal diffractive inikeza ububanzi obubanzi bokubona okuhle ngaphandle kwezingilazi.Esikhathini esidlule, ama-toric IOL aklanywe ngokuyinhloko ngama-silicone sheet haptics, angenakho ukuzinza kwamadigri e-Hydrophobic we-acrylic we-hydrophobic we-acrylic ahlukahlukene namuhla. imiklamo ehlukahlukene ye-IOL.Sifinyelele esiphethweni sokuthi encane ayihlali ingcono ngaso sonke isikhathi, futhi singathanda ukuba ne-IOL enhle kakhulu edinga ukusika okungu-2.5mm kunemodeli encane edinga ukudlula ekusikeni okungu-1.5mm.Amalensi obude obugxilile anwetshiwe ayaqhubeka nokuguquguquka, futhi imiklamo emisha yokufaka i-IOL ifakwe kumugqa wesikhathi esizayo, i-lens izoba yi-lens1. sikwazi ukubuyisela umbono wobusha ngempela ezigulini zethu.
Ukusebenzisa kwethu amalensi e-intraocular kuye kwathuthukisa kakhulu ukunemba kwe-refractive, okulethe ukuhlinzwa kwe-cataract refractive ngaphambili. I-biometrics engcono, kokubili ezilinganisweni zobude be-axial kanye nezilinganiso zokuhlehliswa kwe-corneal, ithuthukise kakhulu ukunemba kwe-refraction futhi iqhubekela phambili ngokuhlelwa okungcono. Izindlela zokubala zisebenzisa i-crowdsourcing kanye nobuhlakani bokwenziwa.Nge-biometer yamehlo ezilinganisa ikusasa, iziguli zingathatha izilinganiso emshinini ofanayo ngaphambi nangemva kokuhlinzwa kwe-cataract ukuze ziqoqe idatha yokuthuthukiswa okuqhubekayo emiphumeleni ye-refractive.
Izindlela zethu zokuhlinza sezihambe ibanga elide ezinyangeni ezingu-200 ezedlule. Nakuba izisekelo zokuhlinzwa kwe-intraocular zisekhona, sakhe phezu kwayo ukuze sizuze imiphumela engcono ezigulini zethu.Bonke odokotela abahlinzayo kufanele babheke ubuchwepheshe babo bamanje futhi bavume ukuthi indlela abasebenza ngayo namuhla ingcono kunaseminyakeni eyi-10 edlule.I-Femtosecond lasers, i-intraoperative-D i-surgery ye-surgery, i-3 manje isiyatholakala emakamelweni ethu okuhlinza.Ukusetshenziswa kwama-IOL egumbi langaphambili kuncipha ngezindlela eziningana ezihlukene zokuvikela i-IOL ku-sclera.Ngaphakathi kwe-subspecialties, sekusungulwe izigaba ezintsha zokuhlinza, ezifana nokuhlinzwa kwe-glaucoma ehlaselayo kancane kanye ne-lamellar keratoplasty. (idinga ukuthungwa okuningi ukuze kuvalwe ukusika okwenziwe ngesikelo) ukuze kwenziwe amasu wokuhlinza i-cataract encane, efaka ukusikeka kwamasheluvu ukuze kuvalwe kangcono ngesikhathi esincane, kanye nokuthungatha, uma kukhona.
Ngisathanda ukwamukela inguqulo ephrintiwe ye-Healio/Ocular Surgery News etafuleni lami kabili ngenyanga, kodwa ngiphinde ngizithole ngifunda ama-imeyili e-Healio cishe nsuku zonke futhi ngivame ukuphequlula izinguqulo ze-inthanethi zezincwadi engizikhonzile.Intuthuko enkulu yokufunda ngokuhlinzwa kufanele kube ukusetshenziswa okubanzi kwevidiyo, esingakwazi manje ukuyijabulela kumafoni namathebulethi ethu ngendlela enencazelo ephezulu, i-Catara eyadala ingosi yokufundisa yamahhala eminyakeni engu-4 edlule. ishicilela ividiyo entsha, ehleliwe, elandiwe nsuku zonke (Umfanekiso 2).Kusukela kulokhu kubhalwa, kunamavidiyo angu-1,500 ahlanganisa zonke izihloko ekuhlinzweni kwe-cataract.Uma ngingagcina izinyanga ezingu-200, lokho kungaba amavidiyo angaba ngu-6,000.Ngingacabanga nje ukuthi ikusasa lokuhlinzwa kwe-cataract liyoba elimangalisa kangakanani.