ʻAʻole anei like kou ʻike ma nā maka ʻelua? E kamaʻilio kākou e pili ana i ka Anisometropia!

Ua noʻonoʻo paha ʻoe inā like loa kou ʻike ma nā maka ʻelua? I kekahi manawa, me ka ʻike ʻole ʻia e kākou, ua nāwaliwali iki paha kekahi maka ma mua o kekahi. ʻO ia ke kumu i kapa ʻia ai ia he Anisometropia ma ke ʻano lapaʻau, he ʻokoʻa nui ia i ka ʻike maka o nā maka ʻelua. He mea ʻē paha kēia inoa, akā he ʻano ia a kākou e ʻike ai i kēlā me kēia manawa i waena o kākou. E kamaʻilio kākou e pili ana i ia mea me ka maʻalahi a me ka maopopo.

He aha maoli ka Anisometropia?

I ka ʻōlelo maʻalahi, ʻo Anisometropia kahi ʻokoʻa o ka hewa refractive o kou mau maka ʻelua. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia hewa refractive. ʻO ia hoʻi, aia kekahi kīnā i ke ala e komo ai ka mālamalama i ko mākou mau maka a kālele i ka retina i loko o ka maka. ʻO ia ke kumu ʻaʻole hiki iā mākou ke ʻike maopopo, a ua pōwehiwehi ko mākou ʻike.

Ana pinepine mākou i kēia hewa refractive ma kahi anakahi i kapa ʻia he diopter . Inā he kanaka ʻoe e ʻaʻahu ana i nā aniani, ua ʻike paha ʻoe i kēia mau waiwai diopter i kākau ʻia ma kāu palapala kauoha aniani (+ a i ʻole -). No laila, manaʻo pinepine mākou he anisometropia ke loaʻa ka ʻokoʻa o hoʻokahi diopter ma waena o nā mana o nā aniani ma nā maka ʻelua.

E noʻonoʻo, inā pono ʻoe i +1.00 mau aniani no kekahi maka a me +3.00 mau aniani no kekahi maka, aia kahi ʻokoʻa o 2.00 diopters. He kūlana paha kēlā i kapa ʻia ʻo anisometropia.

Aia kekahi mau ʻano anisometropia?

ʻAe, aia kekahi mau ʻano nui o kēia. E nānā kākou i ke ʻano o lākou. ʻOiai he mau huaʻōlelo lapaʻau iki kēia, e wehewehe maʻalahi wau iā lākou.

1. Anisometropia maʻalahi

ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ke olakino maikaʻi o kou ʻike ma kekahi maka (Emmetropic), ʻo ia hoʻi, ʻaʻohe kīnā. Akā, ʻo ka maka ʻē aʻe, ʻike maka mamao (Myopic) a i ʻole ʻike maka kokoke (Hypermetropic) .

• Inā maʻamau kekahi o kou mau maka a pōkole ka ʻike o kekahi maka, ua kapa ʻia ia he Simple Myopic Anisometropia.
• Inā maʻamau kekahi o kou mau maka a kokoke ka ʻike maka o kekahi, ua kapa ʻia ia he Simple Hypermetropic Anisometropia.

2. ʻAnisometropia hui pū ʻia

I kēia hihia, ua like kou ʻano o ka hemahema o ka ʻike ma nā maka ʻelua . Eia nō naʻe, ʻoi aku ka nui o ka hemahema ma kekahi maka ma mua o kekahi maka.

• Eia kekahi laʻana, inā ʻike mamao nā maka ʻelua, akā ʻike mamao kekahi maka ma mua o kekahi, he Compound Myopic Anisometropia ia.
• Eia kekahi, inā ʻike kokoke nā maka ʻelua, akā kokoke loa kekahi maka ma mua o kekahi, he Compound Hypermetropic Anisometropia ia.

3. Anisometropia i hui pū ʻia

He mea kūikawā iki kēia. Eia,He myopic kekahi maka a he hyperopic kekahi. Ua kapa ʻia hoʻi kēia he antimetropia.

4. Nā ʻano Anisometropia e pili ana i ka Astigmatism

I kekahi manawa, hiki ke hele pū ʻia kēia ʻano o ka anisometropia me kahi kīnā ʻike i kapa ʻia ʻo astigmatism . ʻO ka Astigmatism kahi ʻano i ʻole poepoe pono ka maka, akā ua like ke ʻano me ka pōpō a i ʻole ke kua o ka puna, i ʻole e nānā pono nā kukuna mālamalama e komo ana i ka maka. Aia kekahi mau ʻano anisometropia e pili ana me kēia:

• ʻAnisometropia Astigmatic maʻalahi: Hoʻokahi maka he maʻamau, ʻoiai ʻo kekahi maka he astigmatism a ʻike kokoke a ʻike mamao paha.
• ʻAnisometropia Astigmatic Hui Pū ʻia: Loaʻa ka Astigmatism ma nā maka ʻelua, a ʻike mamao a ʻike kokoke paha nā maka ʻelua. Eia nō naʻe, pono ka hoʻoponopono ʻana i kekahi maka ma mua o kekahi.
• ʻAnisometropia Astigmatic Hui ʻia: Loaʻa ka Astigmatism ma nā maka ʻelua. Eia nō naʻe, ʻike mamao kekahi maka a ʻike kokoke kekahi.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia ʻano anisometropia?

Hiki i kēia ke hana i kekahi, ʻoiaʻiʻo. Eia nō naʻe, ʻo kēia ʻano, i kapa ʻia ʻo anisometropia , hiki i kekahi manawa ke alakaʻi i nā kūlana e like me ka amblyopia (i ʻike ʻia hoʻi ʻo "lazy eye," ʻo ia hoʻi ka ʻike maikaʻi ʻole i hoʻokahi maka) a me ka strabismus (i ʻike ʻia hoʻi ʻo "crossed eye," ʻo ia hoʻi ʻaʻole kuhikuhi nā maka ʻelua i ka ʻaoʻao like).

ʻO ka Anisometropia kahi maʻi i ʻoi aku ka maʻamau ma mua o ko mākou manaʻo. Wahi a nā noiʻi, ua manaʻo ʻia aia ma kahi o 28% o ka heluna kanaka e loaʻa ana i kēia maʻi.

He aha nā hōʻailona o ka Anisometropia?

Eia ka mea nui. ʻO ka hapa nui o ka manawa, ʻaʻole ʻoe a i ʻole kāu keiki e ʻike maopopo he loaʻa iā lākou kēia maʻi. ʻOi aku ka ʻōlelo ʻana o nā keiki ʻōpio, "E Māmā, ʻaʻole hiki iaʻu ke ʻike maikaʻi me kēia maka e like me kekahi." Maʻa lākou iā ia. I kekahi manawa he paʻakikī ke haʻi aku ke ʻole ʻoe e ʻike ua kū ʻole nā ​​maka o kāu keiki.

No laila, ʻike pinepine ʻia kēia i ka wā o ka nānā ʻana i ka hihiʻo a i ʻole ka hoʻokolokolo maka.

ʻAʻole paha he pilikia nui ka ʻokoʻa iki o ka ʻike ma waena o nā maka ʻelua. Eia nō naʻe, inā ʻaʻole mālama ʻia no ka manawa lōʻihi, e ʻike ʻia kekahi mau hōʻailona. Eia kēia mau mea:

• ʻIke pālua (Diplopia)
• ʻIke pōwehiwehi
• ʻEha poʻo
• ʻIke hohonu maikaʻi ʻole - No ka laʻana, i ke iho ʻana i lalo i kahi alapiʻi, ʻaʻole paha ʻoe e ʻike pono i kahi āu e hehi ai.
• Pōʻino
• ʻEha maka a ʻoluʻolu ʻole paha

He aha nā kumu o ka Anisometropia?

ʻAʻole i loaʻa i nā kānaka noiʻi kahi kumu kikoʻī no kēia mau hewa refractive a me ke kūlana o ka anisometropia. Ua manaʻoʻiʻo ʻia e hiki i nā kumu genetic a me ke kaiapuni ke hoʻopilikia i kēia mau hemahema o ka ʻike.

I kekahi manawa, hiki ke hana ʻia kēia ʻano ma hope o ke ʻoki ʻana i ka cataract ma kekahi maka.

Pehea e ʻike ʻia ai kēia ʻano anisometropia?

No ka ʻike ʻana i kēia, pono ʻoe a i ʻole kāu keiki e ʻike i kahi loea mālama maka no ka hoʻokolokolo maka piha. E hana lākou i nā hoʻokolohua like ʻole e ʻike ai pehea kou ʻike a me ke ʻano o ka nāwaliwali.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no kēia ʻano, ʻo Anisometropia! ʻO ka mea nui, ʻo ia ka hoʻoponopono ʻana i ka ʻike ma nā maka ʻelua. Hana ʻia kēia me ka hoʻohana ʻana i kēia mau ʻano:

• Nā Aniani: ʻO ke kau ʻana i nā aniani me ka mana kūpono e hiki ke kōkua i ke kaulike ʻana i ka ʻike o nā maka ʻelua.
• Nā aniani hoʻopili: Manaʻo paha kekahi poʻe he ʻoi aku ka ʻoluʻolu o nā aniani hoʻopili ma mua o nā aniani.
• ʻO ke ʻoki kino: I kekahi mau hihia, ʻoi aku hoʻi i nā pākeke, hiki ke hoʻoponopono ʻia ka ʻike me nā mea e like me ke ʻoki kino laser.

I kēia manawa, e noʻonoʻo ʻoe a i ʻole kāu keiki he amblyopia, a i ʻole "maka palaualelo," ma muli o kēia anisometropia. ʻO ke ʻano kēia ua nāwaliwali ka ʻike ma kekahi maka, a hoʻomaka ka lolo e hoʻowahāwahā i nā hōʻailona e hele mai ana mai kēlā maka. A laila, pono ka lolo e koi i ka lolo e hoʻohana i ka maka nāwaliwali. Penei ke ʻano o ka mālama ʻana:

• Ke Kāpili ʻana: Ua pani ʻia ka maka maikaʻi no kekahi mau hola o ka lā, no laila pono ka maka nāwaliwali e hana.
• Ke kau ʻana i nā kulu maka e hoʻopōwehiwehi i ka ʻike o ka maka ikaika: Hoʻemi kēia i ka ʻike o ka maka maikaʻi a koi i ka lolo e hoʻohana i ka maka nāwaliwali.
• Ke komo ʻana i nā aniani kānana kūikawā: Ke ālai nei kēia mau aniani i ka ʻike ikaika.

Aia kekahi ala e pale aku ai i kēia?

ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i kēia mau hewa refractive i kēia manawa.

He aha ka mea e hiki mai ana i kahi kanaka me ka anisometropia i ka wā e hiki mai ana?

Inā ʻoe e mālama i kēia kūlana i ka wā ʻōpiopio loa , hiki ke maikaʻi loa nā hopena. Hiki ke paʻa kou ʻike a ʻaʻole paha ʻoe e pono i nā aniani hoʻoponopono ma hope.

Eia nō naʻe, pono paha nā keiki makua a me nā pākeke e hoʻomau i ke komo ʻana i nā aniani hoʻoponopono a i ʻole nā ​​​​​​aniani hoʻopili.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike ʻoe i kāu keiki e ʻūmiʻi ana , a inā paha ʻoe e manaʻo nei ʻaʻole ʻike pono kāu keiki,E ʻike koke i ke kauka. ʻO ka wikiwiki o ka ʻike ʻia ʻana o nā pilikia o ka ʻike maka, ʻo ka wikiwiki hoʻi ka hoʻomaka ʻana o ka lāʻau lapaʻau. ʻOi aku ka maikaʻi o nā hopena.

He aha ka ʻokoʻa ma waena o ka Anisometropia a me ka Astigmatism?

Mai huikau i nā mea ʻelua.

• ʻO ka anisometropia ka wā e ʻokoʻa loa ai ka ʻike ma kekahi maka mai kekahi. ʻO ia hoʻi, aia kahi ʻokoʻa nui ma waena o ka mana refractive o nā maka ʻelua.
• ʻO ka Astigmatism kahi kīnā ʻike e kū mai ana ke ʻole ka maka e poepoe pono, akā e hoʻolōʻihi iki ʻia (e like me ka pōpeku). I kēia hihia, ʻaʻole e kālele ka mālamalama ma kahi kiko hoʻokahi i loko o ka maka.

He aha ka ʻokoʻa ma waena o Aniseikonia a me Anisometropia?

ʻElua mau huaʻōlelo hou kēia e huikau ai.

• ʻO Aniseikonia ka wā e ʻokoʻa ai ka nui o ke kiʻi i ʻike ʻia e kekahi maka mai ka nui o ke kiʻi i ʻike ʻia e kekahi maka. Me he mea lā ua ʻike ʻia ka mea like me ka mea nui aʻe ma kekahi maka a liʻiliʻi ma kekahi maka. Hiki ke hana ʻia kēia e ka anisometropia a i ʻole ka hōʻino ʻia ʻana o ka retina.
• ʻO ka anisometropia, e like me kā mākou i kūkākūkā ai ma mua, he ʻokoʻa ia o ka mana refractive o nā maka ʻelua.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He mea nui loa ka ʻike maka i ko kākou ola. E like me nā maʻi āpau, ʻoi aku ka maikaʻi o ka ʻike ʻana a me ka mālama ʻana i nā pilikia maka i ka wā mua. He mea nui loa ka nānā pinepine ʻana i kou mau maka, ʻoiai no nā keiki ʻōpio a me ka poʻe ʻelemakule.

ʻAʻohe mea e makaʻu ai i ka Anisometropia. Hiki ke hoʻoponopono ʻia kēia mau hewa refractive me nā aniani a me nā aniani hoʻopili, a hiki ke hoʻokō ʻia ka ʻike maopopo. ʻO ka mea nui, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka manawa kūpono.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka ʻohana a i ʻole he kauka maka.

ʻAnisometropia , ʻAnisometropia, ʻike maka, hewa refractive, maka palaualelo, amblyopia, nā maʻi maka pediatric