So ɔhaw bi wɔ w’aniwa anim? Momma yensua corneal dystrophy ho ade!

So w’ani te nka sɛ ɛyɛ kusuu? Ɛtɔ mmere bi a, ɛyɛ den ma wo sɛ wobɛhwɛ hann? Anaasɛ wote nka bere nyinaa sɛ biribi asɛe w’ani? Ɛtɔ mmere bi a eyinom betumi ayɛ tebea bi a ɛfa aniwa no ani hwɛbea ho sɛnkyerɛnne. Ɛnnɛ yɛrebɛka tebea a ɛte saa biako ho asɛm, "Corneal Dystrophy". Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne Aniwa a Ɛyɛ Fɛ?

Sɛ yɛbɛka no tiawa a, ani a ɛyɛ mmerɛw yɛ asɛmfua a wɔde frɛ tebea horow kuw bi a ɛka ani , w’ani fã a ɛda adi pefee no. Nyarewa ahorow bɛboro 20 na ɛwɔ saa kuw yi ase. Saa dystrophy ahorow yi betumi ama nsakrae anaasɛ asɛe aniwa no ntini ahorow. Ɛte sɛ nea wowɔ nsensanee nketenkete anaa nsensanee wɔ ahwehwɛ a emu da hɔ so a wuntumi nhu pefee bere a wohwɛ mu no. Sɛ saa ɔsɛe yi mu yɛ den a, wubetumi anya nsakrae wɔ w’ani so na mpo woahwere w’ani.

Nea ɛho hia ne sɛ saa ani a ɛyɛ mmerɛw yi yɛ awosu mu tebea horow. Ɛne sɛ, nsakrae a ɛba yɛn DNA mu na ɛde ba . Nsakrae ahorow bi a wubetumi anya afi w’awofo hɔ. Afoforo nso betumi aba mpofirim, a ɛba ara kwa. Nyarewa ahorow bi ba esiane nneɛma bi a abenfo da so ara nte ase yiye nti.

So ani a ɛyɛ mmerɛw ahorow bi wɔ hɔ?

Yiw, wɔkyekyɛ mu sɛnea ɛka ani no fã ahorow no te. Titiriw sɛnea edidi so yi:

• Wɔn a ɛka ani no akyi ntini (epithelial ne subepithelial).
• Wɔn a ɛka ani no akyi ne mfinimfini (Epithelial-stromal).
• Wɔn a ɛka ani no mfinimfini fã (Stromal).
• Wɔn a ɛka ani no fã a ɛwɔ mu paa (endothelial).

Afei ma yɛnhwɛ saa ahorow yi mu biara mu nkɔ akyiri kakra.

Epithelial ne subepithelial ani a ɛyɛ mmerɛw

Eyinom yɛ nyarewa a ɛka ani no fã a ɛwɔ soro no. Nhwɛso ahorow bi ne:

• Epithelial basement membrane a ɛyɛ mmerɛw sɛ ɛbɛyare
• Epithelial recurrent erosion dystrophies (ahorow nketewa abiɛsa nso wɔ hɔ) .
• Gelatinous drop-te sɛ dystrophy a ɛyɛ mmerɛw
• Lisch ntini a ɛwɔ nipadua no mu a ɛyɛ mmerɛw
• Meesmann ɔyare a ɛma obi ho kyere no
• Subepithelial mucinous dystrophy a ɛma nipadua no yɛ mmerɛw

Saa dystrophies yi mu dodow no ara pue wɔ mmofraase . Nanso, epithelial basement membrane dystrophy taa ba (ɛwom sɛ ɛnyɛ bere nyinaa de) wɔ mpanyin afe so. Ɔfoforo no ne ani a ɛyɛ mmerɛw a ɛte sɛ gelatinous drop.Eyi betumi aba wɔ mfe biara a obi adi ansa na wadi mfe 20 mu.

Epithelial-stromal dystrophies a ɛwɔ nipadua no mu

Eyinom ka ani no akyi fã ne mfinimfini fã a ɛwɔ n’ase no nyinaa.

• Granular corneal dystrophy (ahorow 1 ne 2) .
• Lattice corneal dystrophy (eyi nso wɔ subtypes ne ahorow ahorow) .
• Reis-Bückler ɔyare a ɛma obi ho kyere no
• Thiel-Behnke a ɛma obi ho kyere no

Saa tebea horow yi nyinaa taa ba wɔ mmofraase . Lattice corneal dystrophy type 1 betumi aba bere a obi adi mfe 20 akyi.

Stromal dystrophies a ɛma obi ho yɛ hyew

Eyinom ka ani no mfinimfini a ɛyɛ den no titiriw.

• Macular dystrophy a ɛyɛ mmerɛw
• Schneider ahwehwɛ mu yare a ɛma obi ho yɛ hyew
• Awosu mu awosu mu stromal dystrophy
• Fleck dystrophy a ɛma obi ho kyere no
• Akyi amorphous dystrophy a ɛwɔ akyi
• Ansa na Descemet na ɛbae
• Central cloudy dystrophy a ɛwɔ François mu

Mpɛn pii no stromal dystrophies ka mmofra . Nanso, eyinom mu abien betumi anya nkɔso bere a worenyin no. Schneider ani a ɛyɛ mmerɛw betumi aba bere a wɔadi mfe 30 akyi, na mpɛn pii no , anim a ɛyɛ mmerɛw ansa na Descemet aba no ba bere a wɔadi mfe 30 akyi.

Endothelial cornea a ɛyɛ mmerɛw

Eyinom yɛ nyarewa a ɛka ani a ɛyɛ mmerɛw yiye a ɛwɔ ani no mu no.

• Fuchs endothelial dystrophy a ɛma nipadua no yɛ adwuma yiye
• Akyi polymorphous dystrophy a ɛwɔ nipadua no mu
• Awo mu awosu mu endothelial dystrophy
• X-a ɛne endothelial dystrophy wɔ abusuabɔ

Wɔ ani a ɛyɛ mmerɛw nyinaa mu no, Fuchs endothelial corneal dystrophy na abu so sen biara , na ɛyɛ ani a wɔde si ananmu a wɔyɛ wɔ United States nyinaa mu 39%.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya anim a ɛyɛ mmerɛw?

Ɛsono sɛnea ani a ɛyɛ mmerɛw no ho sɛnkyerɛnne gyina ɔkwan pɔtee a wowɔ so. Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa . Sɛ sɛnkyerɛnne ahorow no da adi ampa a, ɛtaa ka aniwa abien no nyinaa na bere kɔ so no, ɛyɛ kɛse nkakrankakra.

Fa no sɛ w’aniwa no te sɛ ahwehwɛ a wɔayɛ no pɛpɛɛpɛ, emu da hɔ, na mfomso biara nni ho. Nanso ani a ɛyɛ mmerɛw betumi asakra saa. Wɔ tebea horow yi pii mu no, ntini foforo nyin wɔ ani no so, anaasɛ ɛboaboa ano wɔ mmeae a ɛnsɛ sɛ ɛyɛ. Afei, sɛ́ anka wobɛhwɛ ahwehwɛ a emu da hɔ mu no, ɛte sɛ nea worehwɛ ahwehwɛ dedaw a mfomso wɔ ho na wɔabɔ mu. Ɛyɛ den sɛ wubehu saa asɛm no mu , ɛnte saa?

Saa ara nso na ntini foforo a ɛba anaasɛ ɛboaboa ano no ma ɛyɛ den sɛ wobehu aniwa no fã a ɛka ho no. Eyi nti na nnipa a wɔwɔ ani a ɛyɛ mmerɛw no taa hu ade a ɛyɛ kusuu anaasɛ ɛyɛ sum no.

Nsɛnkyerɛnne a ɛtaa ba ne eyinom:

• Aniwa a ɛyera: Eyi ba bere a ani no ani kyinkyim anaasɛ ɛnsa yiye no. Wei kyerɛ sɛ sɛ wohyɛ ahwehwɛ anaa ahwehwɛ a wode hwɛ ade mpo a, w’ani nhu ade yiye.
• Corneal haze: Eyi betumi ama w’aniwa ayɛ te sɛ nea mununkum ayɛ. Eyi taa yɛ nkɛntɛnso a aka a efi ɔsɛe anaa nsakrae a ɛba ani no mu ba.
• Amannɔne nipadua ho nkate: Ɛte sɛ nea biribi akɔhyɛ aniwa no mu , nanso sɛ wohwɛ a, wunhu hwee.
• Aniwa mu yaw anaa aniwa a ɛyɛ yaw: Ebia saa sɛnkyerɛnne ahorow yi bɛda adi kɛse bere a woasɔre bere a woato mu akyɛ no, sɛ nhwɛso no, bere a wosɔre anɔpa no.
• Hann a wɔte nka (Photophobia): Eyi kyerɛ sɛ hann a ɛhyerɛn no bɛyɛ nea wontumi nnyina ano na ebetumi ama obi ayɛ basaa anaasɛ wate yaw.
• Aniwa a nsu wom (Epiphora): Sɛ w’ani te nka sɛ ayow a, ebia eyi fi sɛ wo nusu nhyehyɛe no rebɔ mmɔden sɛ ɛbɛma nusu pii aba de atua ka.
• Nystagmus: Aniwa a ɛkɔ ntɛmntɛm a wontumi nni so fi ɔfã biako kɔ ɔfã foforo anaasɛ ɛyɛ kurukuruwa.

Dɛn na ɛde ani a ɛyɛ mmerɛw ba?

Aniwa mu yare ahorow yi mu biara ne awosu mu nneɛma wɔ abusuabɔ . Eyinom betumi ayɛ nsakrae "de novo" (a ɛkyerɛ sɛ ɛba wo nipadua mu kwa) anaasɛ wobetumi anya afi w'awofo no mu biako anaa wɔn baanu nyinaa hɔ.

Nsakrae ahorow bi a wonya fi awo mu hwehwɛ sɛ awosu mu abɔde no bi pɛ fi ɔwofo biako hɔ. Nsakrae afoforo hwehwɛ sɛ wɔyɛ awosu mu abɔde a wɔayɛ no foforo no abien, biako fi ɔwofo biara hɔ. Afei nso, ani a ɛyɛ mmerɛw ahorow bi da so ara wɔ hɔ, na nhwehwɛmu foforo ho hia na ama wɔahu awosu mu nsakrae pɔtee a ɛde ba ankasa.

Hena na ɔwɔ asiane kɛse mu ma tebea yi?

Aniwa mu yare dodow no ara nka nnipa wɔ ɔkwan soronko so esiane abusuakuw anaa ɔbarima ne ɔbea nna nti. Nea ɛka ho nkutoo ne Fuchs endothelial corneal dystrophy.Asiane pɔtee pii wɔ hɔ a ɛde ba:

• Abusuakuw: Ɛda adi sɛ aborɔfo benya bi.
• Mfe a wɔadi: Nnipa a wɔadi boro mfe 30 no taa nya bi.
• Bɔbeasu: Mmea taa nya bi.

Dɛn ne nsɛnnennen a ebetumi afi ani a ɛyɛ mmerɛw mu aba?

Saa tebea horow yi a ɛhyɛ w’aniwa a ɛyɛ mmerɛw no nkatanim ase no ka ɔkwan a hann fa so fa w’aniwa no mu. Ne saa nti, sɛnea w’aniwa no mu da hɔ no so tew, na ɛma hann a ɛfa mu no kyinkyim. Eyi kyerɛ sɛ ani a ɛyɛ mmerɛw no betumi ama obi aniwa nhu ade kɛse , nanso ɛmma obi nhu ani koraa .

Nanso, aniwa a ɛyera kɛse betumi ayɛ ɔhaw kɛse. Ebetumi aka sɛnea wubetumi aka kar, akenkan, na woayɛ da biara da nnwuma pii.

Ɔkwan bɛn so na wohu sɛ obi anya ani a ɛyɛ mmerɛw?

Aniwa ho ɔbenfo, aniwa ho ɔyaresafo anaa aniwa ho oduruyɛfo betumi ahu sɛ obi anya aniwa mu yare. Wɔde nnwinnade ne akwan horow a wɔaka abom na ɛyɛ saa. Ɔfã a ɛho hia sen biara ne aniwa mu nhwehwɛmu , titiriw kanea a wɔapaapae mu nhwehwɛmu . Nea ɛka kanea a wɔapaapae mu nhwehwɛmu ho ne sɛ wode afiri a wɔde hwɛ nneɛma nketenkete titiriw bɛhwɛ w’ani mu. Eyi ma nnuruyɛfo hu nsakrae anaa ɔsɛe biara a ebetumi aba wɔ ani a ɛyɛ mmerɛw ho.

Nhwehwɛmu afoforo a w’ani ho ɔbenfo betumi de adi dwuma no bi ne:

• Corneal topography: Eyi ma wonya "map" a ɛkyerɛ wo cornea no ani. Ɛkyerɛ sɛ ebia mmeae bi wɔ ani no ani a ɛkorɔn anaa ɛba fam sen mmeae a atwa ho ahyia no anaa.
• Pachymetry: Eyi kyerɛ sɛnea w’aniwa no mu duru te. Eyi betumi aboa ma wɔahu ɔhaw ahorow a ɛwɔ ani no fã a emu dɔ (te sɛ endothelial dystrophy).
• Awosu mu nhwehwɛmu: Mpɛn pii no, eyi hwehwɛ sɛ wofa wo nnompe anaa wo mogya bi na wohwehwɛ DNA mu nsakrae pɔtee bi. Eyi betumi aboa ma woasi aniwa mu yare pɔtee a wowɔ no so dua.
• Optical Coherence Tomography (OCT): Ɛwom sɛ wɔtaa de eyi hwɛ w’aniwa anim de, nanso nhwehwɛmu yi nso betumi ama woanya w’aniwa ani hwɛbea ho mfonini a ɛsom bo. Eyi ho wɔ mfaso titiriw bere a woreyɛ nhyehyɛe ayɛ aniwa no ayaresa ahorow bi no.
• Aniwa mu nhwehwɛmu: Aniwa ho ɔbenfo betumi agye ntini ketewaa bi afi w’aniwa mu de akɔma afiri a wɔde yɛ nhwehwɛmu akɔyɛ nhwehwɛmu. Ɔyare ho ɔbenfo bɛhwehwɛ nhwɛsode no mu ahwɛ sɛ wowɔ ani a ɛyɛ mmerɛw anaa, na sɛ ɛte saa a, nea ɛyɛ. Saa nhwehwɛmu yi ntaa mma kɛse wɔ ani a ɛyɛ mmerɛw ho, nanso ebetumi aboa ma wɔahu yare no.

Wobetumi ayɛ nhwehwɛmu foforo a egyina wo yare no ho sɛnkyerɛnne ne nneɛma afoforo so. W’ani ho ɔbenfo betumi aka nhwehwɛmu afoforo a ebia wɔbɛkamfo akyerɛ wo ho asɛm pii akyerɛ wo.

Ɔkwan bɛn so na wɔsa ani a ɛyɛ mmerɛw?

Akwan pii wɔ hɔ a wɔfa so sa ani a ɛyɛ mmerɛw. Ayaresa no gyina ani no fã a ɛka no ne sɛnea tebea no mu yɛ den so.

Esiane sɛ ɛsono ayaresa a wubetumi apaw nti, w’ani duruyɛfo ne nea eye sen biara a wubenya ayaresa a wubetumi apaw ho nsɛm. Wobetumi akyerɛkyerɛ ayaresa a wobetumi apaw, nsɛnnennen a ebetumi aba, nea ebetumi afi mu aba, ne nsɛm afoforo mu akyerɛ wo.

Akwan titiriw a wɔfa so sa yare no bi ni:

Ayaresa a wɔde gu nipadua no so

Eyinom twe adwene si yare no ho sɛnkyerɛnne ne nkɛntɛnso a enya wɔ w’aniwa no ani a wɔbɛsa so. Nhwɛso ahorow:

• Nnuru a wɔde gu aniwa mu anaa srade: Eyinom tumi sa yare no ho sɛnkyerɛnne te sɛ ɛyaw, biribi a wɔte nka wɔ aniwa mu, ne nwura.
• Nnuru a ekum ɔyare mmoawa: Eyinom betumi aboa ma woasiw ɔyare mmoawa ano sɛ w’aniwa no asɛe na ɛyɛ mmerɛw sɛ mmoawa bɛka wo a.
• Ahwehwɛ titiriw: Te sɛ ahwehwɛ a wɔde di dwuma daa no, wɔde eyinom hyɛ ani no ani. Nsonsonoe titiriw a ɛwɔ mu ne sɛ wɔboa ma w’aniwa no sa yare na esiw ɔsɛe foforo ano.

Mfonini a wɔde sa yare a wɔde twa keratectomy (PTK) .

Nea ɛka phototherapeutic keratectomy (PTK) ho ne sɛ wɔde laser hann a wɔayɛ no yiye paa yi ani no afã horow. W’ani ho ɔbenfo betumi de n’ani asi mmeae a asɛe no so pɛpɛɛpɛ na ayi afi hɔ.

Aniwa a wɔde si ananmu

Wɔ tebea horow a nsakrae anaa ɔsɛe a ɛba w’aniwa so no mu yɛ den araa ma ɛka w’aniwa ani so no, ebia w’aniwa a wɔde si ananmu bɛyɛ ɔkwan a wobɛfa so. Nea ɛka oprehyɛn ahorow yi ho ne sɛ wode ntini foforo a efi obi a wawu de mae besi w’aniwa ntini ananmu. Eyinom betumi ayɛ nipadua a wɔde si nipadua foforo mu a edi mũ anaasɛ ne fã bi.

Sɛ wowɔ corneal dystrophy a, dɛn na wubetumi ahwɛ kwan?

Sɛ wowɔ corneal dystrophy a, nea wubetumi ahwɛ kwan no betumi ayɛ soronko kakra. Wohu sɛ nnipa dodow no ara wɔ saa tebea horow yi mu biako, mpɛn pii no ansa na wɔadi mfe 20.

Mpɛn pii no, ani a ɛyɛ mmerɛw no yɛ tebea a ɛkɔ so nya nkɔso . Wei kyerε sε ne nsunsuansoɔ no kɔ soro nkakrankakra wɔ berɛ mu - mpɛn pii no mfeɛ mu, ɛtɔ da bi mpo a mfeɛ du du pii. Nnipa binom nni sɛnkyerɛnne biara mfiase no, enti ebia wonnim mpo sɛ wɔwɔ saa tebea horow yi mu biako mfe pii. Nnipa binom nnya yare no ho sɛnkyerɛnne anaa ɔhaw biara da.

Esiane sɛ nneɛma ahorow pii wɔ hɔ a wubetumi anya nti, ɛyɛ papa sɛ wubebisa w’ani ho oduruyɛfo no nea wobɛhwɛ kwan. Wobetumi aka nea ebia ɛfa wo ho kɛse akyerɛ wo.

Bere tenten ahe na ani a ɛyɛ mmerɛw no di?

Corneal dystrophies yɛ tebea horow a ɛkɔ so wɔ nkwa nna nyinaa mu . Wɔne wɔn awo wo. Aniwa a wɔde si ananmu betumi "asa" saa tebea horow yi, nanso ɛno nyɛ ahotoso. Nnipa pii a wɔde wɔn ani a wɔde si ananmu no benya yare no awiei koraa wɔ ani a wɔde asi hɔ no mu. Sɛ ɛba saa a, ebia ɛho behia sɛ wɔyɛ ayaresa foforo – a wɔde ani a wɔde si ananmu mprenu so mpo.

Dɛn ne tebea yi ho anidaso?

Mpɛn pii no, ani a ɛyɛ mmerɛw no ma obi nhu ade yiye kodu baabi , nanso ɛntaa nsi koraa sɛ saa aniwa a ɛyera no bɛkɔ anim akodu anifurae koraa (tebea a wuntumi nhu hann mpo).

Sɛ wɔde w’aniwa si ananmu a, wubehyia asiane ahorow a ɛte sɛ wɔn a wɔde w’ani foforo ma afoforo no. Ɛho behia sɛ wonom nnuru a ɛma nipadua no tumi ko tia nyarewa wo nkwa nna nyinaa na amma wo nipadua no mu tumi a ɛko tia nyarewa no antow ahyɛ ntini a wɔde ahyɛ mu no so. Afei nso, sɛ wɔde nnuru a ɛma nipadua no tumi ko tia nyarewa di dwuma mpo a, pow betumi aba.

Esiane sɛ nneɛma pii wɔ hɔ a ɛsakra a ebetumi aka w’adwene nti, onipa a oye sen biara a wubebisa wo tebea no ho adwene ne w’ani duruyɛfo. Wobetumi de nsɛm pɔtee a ɛfa wo tebea pɔtee ho ama.

So wobetumi asiw ani a ɛyɛ mmerɛw ano?

Aniwa mu yare yɛ awosu mu tebea horow, a ɛkyerɛ sɛ ɔkwan biara nni hɔ a wɔbɛfa so asiw ano anaasɛ wɔbɛtew asiane a ɛwɔ hɔ sɛ wobenya bi no so.

Sɛ mewɔ corneal dystrophy a, mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ corneal dystrophy a, ɛsɛ sɛ wokɔ w’ani duruyɛfo nkyɛn daa, sɛnea wɔkamfo kyerɛ no. Wobetumi ahwɛ wo tebea no so, ahwehwɛ nsakrae a aba w’ani ntini mu, ne sɛnkyerɛnne biara a worehu. Wobetumi nso ayɛ nsakrae na wɔayɛ w’ayaresa nhyehyɛe no foforo na ama atu mpɔn bere tenten biara a wobetumi.

Sɛ w’ani ho ɔbenfo kyerɛw nnuru ma w’ani a, ɛsɛ sɛ wode di dwuma sɛnea wɔakyerɛ wo no pɛpɛɛpɛ . Nnuru betumi asiw tebea horow yi ho sɛnkyerɛnne ano anaasɛ ama ntini a ɛsakra anaasɛ asɛe no ayɛ brɛoo.

Titiriw sɛ wɔayɛ w’aniwa a wɔde si ananmu biara a, ɛho hia yiye sɛ wobɛnom wo nnuru no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ. Saa a wobɛyɛ no bɛboa ma wo nipadua no ampow ntini a wɔde ahyɛ mu no. Eyi betumi aboa ma wɔasiw nsɛnnennen a emu yɛ den ano na wɔasiw aniwa a ɛyera daa mpo ano.

Bere bɛn na ɛsɛ sɛ mekɔ m’ani ho ɔyaresafo nkyɛn?

Wobɛyɛ nsrahwɛ a wobedi akyi daa wɔ nhyehyɛe a wɔayɛ ho nhyehyɛe mu.Ɛsɛ sɛ wokɔ w’ani ho ɔbenfo nkyɛn ma eyi. Afei nso, sɛ wuhu sɛnkyerɛnne anaa nsakrae bi wɔ w’ani so, anaasɛ sɛ ayaresa bi de ɔhaw ahorow reba anaasɛ ɛte sɛ nea entu mpɔn kɛse a, ɛsɛ sɛ wo ne wɔn kasa fa ho. Wɔbɛbɔ mmɔden aboa wo ma woanya ɔhaw ahorow a worehyia no ano aduru.

Nsɛm bɛn na ɛsɛ sɛ mibisa m’ani ho ɔyaresafo?

Wubetumi abisa w’ani ho ɔyaresafo no nsɛm yi:

• Aniwa mu yare bɛn na mewɔ?
• Ayaresa (aduru) bɛn na wokamfo kyerɛ?
• So sɛnkyerɛnne ahorow bi wɔ hɔ a ɛsɛ sɛ wɔde kɔ ayaresabea ntɛm ara?
• Dɛn ne bere tenten a mɛhwɛ ama me tebea no?
• So biribi wɔ hɔ a metumi ayɛ de ama m’adwene atu mpɔn?

Awiei koraa no, nea ɛsɛ sɛ yɛkae

Aniwa mu yare yɛ aniwa mu nyarewa a ɛtaa da adi bere a woyɛ abofra no . Sɛ wote nka sɛ ɛyɛ wo den sɛ wobɛbɔ mmɔden sɛ wobɛte nyarewa yi ase a, ɛnyɛ wo nkutoo na wowɔ. Aniwa mu yare ahorow bɛboro aduonu na ɛwɔ hɔ. Nea nyarewa yi de ba no nso tumi gu ahorow kɛse.

Nanso ɛnsɛ sɛ w’ankasa wobɔ mmɔden sɛ w’ankasa wobɛte ani a ɛyɛ mmerɛw no ase anaasɛ wubedi ho dwuma. W’ani duruyɛfo betumi aboa wo ma woate wo tebea pɔtee no, nea efi mu ba, ne sɛnea wobɛsa no ase. Na, esiane ayaresa ahorow pii nti, wowɔ hokwan pa sɛ wubedi wo tebea no ho dwuma na woatew nkɛntɛnso a enya wɔ w’asetra so no so. Nsuro, kɔ so yɛ den, na di wo duruyɛfo afotu akyi.

` Corneal Dystrophy, aniwa a ɛyɛ mmerɛw, awosu mu aniwa mu nyarewa, aniwa a enhu ade yiye, aniwa ayaresa, aniwa a wɔde si ananmu, aniwa akwahosan