Pono ʻoe e hana i kahi hoʻoili lens no ka cataracts? E aʻo kākou i nā mea āpau e pili ana i kēia mau lens (Intraocular Lenses - IOLs) ma ke ala maʻalahi!

He kupuna wahine a kupuna kāne paha kou ma ka home e hoʻopiʻi nei ua pohihihi ko lākou mau maka a ua pohihihi nā mea āpau? A i ʻole he paʻakikī iā ʻoe ke heluhelu i ka nūpepa a nānā paha i kāu kelepona i kou wā ʻelemakule? ʻO ke kumu nui o kēia, ʻo ia ka "cataracts". No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi mea liʻiliʻi akā koʻikoʻi loa i hoʻokomo ʻia i loko o ko mākou mau maka i ka wā o ke ʻoki kino. ʻO ia ka lens intraocular, a i ʻole e like me kā mākou e kapa nei ma ke ʻano lapaʻau, Intraocular Lenses, a i ʻole IOL no ka pōkole.

He aha kēia mau IOL? I ka pōkole...

E noʻonoʻo i kou maka e like me kahi kāmela maikaʻi. He aniani kūlohelohe ko kēia kāmela. ʻO ka hana o kēia aniani, ʻo ia ke kālele ʻana i ka mālamalama e puka mai ana mai nā mea a mākou e ʻike ai a hāʻawi i kahi kiʻi maopopo ma ka retina i loko o ka maka. I ka hala ʻana o ka manawa, ʻoiai i ko kākou ʻelemakule ʻana, hoʻomaka mālie kēia aniani kūlohelohe e pouli a lilo i waiū. ʻO ia ka mea a mākou e kapa nei he "cataract."

E noʻonoʻo i ka mea e hana ʻia inā lepo, lepo, ʻōpala, a palalulu ka lens o ke kāmela? ʻAʻole maopopo nā kiʻi āu e lawe ai, ʻeā? ʻO ia ka mea e hana ʻia ke loaʻa iā ʻoe kahi cataract. No laila, ʻo ka mea āu e hana ai me kahi ʻoki ʻana, ʻo ia ke wehe i ka lens kūlohelohe noe a hoʻololi iā ia me kahi lens maopopo a hana ʻia e hiki ke waiho ʻia i loko o ka maka no ka wā pau ʻole . ʻO kēlā lens hana ʻia ka mea a mākou e kapa nei he IOL .

ʻAʻole hiki i kēia mau aniani IOL ke hoʻoponopono wale i nā cataracts, akā, i nā pilikia ʻike ʻē aʻe he nui hiki iā ʻoe ke hoʻoponopono me nā aniani a i ʻole nā ​​​​aniani hoʻopili.

• Myopia: ʻIke maopopo i nā mea ma kahi kokoke, akā ʻike i nā mea mamao me he mea lā pōwehiwehi.
• ʻIke kokoke (Hyperopia): ʻIke maopopo i kahi mamao, akā paʻakikī ke heluhelu i nā mea kokoke, ʻoiai nā puke.
• Presbyopia: He kūlana e hoʻopilikia ai i nā poʻe he nui ma luna o 40 mau makahiki, e pono ai nā aniani no ka ʻike kokoke.
• ʻO ka Astigmatism: ʻO ke ʻano kahi i hoʻokū ʻole ai ka mālamalama i kahi hoʻokahi, e hopena ana i ka ʻike ʻana i hoʻopilikia ʻia, ma muli o kahi loli iki i ke ʻano o ka maka.

Ke loaʻa iā ʻoe kēia mau aniani IOL i loko o kou maka, e mau ana lākou no ke ola holoʻokoʻa. No laila hiki iā ʻoe ke hōʻemi nui i kou hilinaʻi ʻana i nā aniani.

ʻO wai ka mea e pono ai kēia mau aniani IOL?

ʻElua mau hui nui o ka poʻe e pōmaikaʻi nui mai kēia mau aniani IOL.

1. No ka poʻe me ke cataracts: Inā ua ulu ke cataract a hiki i kahi e hoʻopilikia ai i kou ʻike, pono e wehe ʻia ma ke ʻoki kino. Ma hope o ka wehe ʻana, pono e hoʻokomo ʻia kahi lens IOL i loko o ka maka. A i ʻole, ʻaʻole hiki ke hoʻihoʻi ʻia ka ʻike. ʻO ia ke kumu e hana ʻia ai ka hapa nui o nā implants IOL ma Sri Lanka.

2. No ka poʻe i loaʻa nā pilikia o ka ʻike akā ʻaʻole kūpono no ke ʻoki kino e like me LASIK:Loaʻa i kekahi poʻe nā pilikia ʻike maka e pono ai nā aniani, akā ʻaʻole paha e hiki iā lākou ke hana i ke ʻoki maka laser (LASIK). I ia mau hihia, hiki ke hana ʻoki hoʻololi lens refractive, ʻo ia hoʻi ka wehe ʻana i ka lens maoli a me ke kau ʻana i kahi IOL.

He aha nā ʻano aniani IOL? ʻO wai ka mea kūpono iā ʻoe?

ʻO kēia ka pilikia i loaʻa i nā poʻe he nui. Nui nā ʻano IOL. Loaʻa i kēlā me kēia kona mau pono a me nā hemahema. Me kekahi mau aniani, pono paha ʻoe i nā aniani no nā mea e like me ka heluhelu ʻana i kahi puke a nūpepa paha. Hiki i kekahi mau aniani "premium" ke hōʻemi nui i kou hilinaʻi ʻana i nā aniani, akā hiki iā lākou ke hana i nā hopena ʻaoʻao e like me ka glare a me nā halo a puni nā kukui uila i ka wā e hoʻokele ana i ka pō.

No laila, he mea nui loa e kamaʻilio me kāu kauka maka a koho i ka lens e kūpono i kou nohona, nā pono, a me nā makemake.

I mea e maʻalahi ai ka hoʻomaopopo ʻana, e nānā kākou i nā ʻano nui o nā aniani ma kahi papa.

Nā ʻano lens kūikawā ʻē aʻe

• Nā aniani hoʻololi kukui (LAL): He ʻokoʻa iki kēia. Ma hope o ke ʻoki ʻana, hiki i kāu kauka ke hoʻohana i kahi ʻano o nā lāʻau lapaʻau kukui ultraviolet (UV) kūikawā e hoʻololi mālie i ka mana o kēia mau aniani e hāʻawi iā ʻoe i ka ʻike āu e makemake ai. He monofocal nō hoʻi kēia, no laila e pono ʻoe i nā aniani no ka ʻike kokoke.
• Nā Aniani Phakic: Hoʻohana pinepine ʻia kēia mau mea i nā poʻe ʻōpio. ʻAʻole wehe ʻia ka aniani maoli. Akā, ua hoʻokomo ʻia kēia aniani i mua o ka aniani maoli. Hoʻohana ʻia lākou e hoʻoponopono i ka ʻike kokoke i ka poʻe i kūpono ʻole no ka mālama ʻana me ka laser.

E noʻonoʻo ma mua o kou kamaʻilio ʻana me kāu kauka.

Ma mua o kou hele ʻana e ʻike i kāu kauka maka, e nīnau iā ʻoe iho i kēia mau nīnau. A laila e loaʻa iā ʻoe kahi manaʻo maopopo o ka mea āu e makemake ai.

• Makemake au i kekahi manawa e komo i nā aniani? Inā pēlā, no ke aha? (e.g., heluhelu wale i nā puke? A i ʻole i nā manawa a pau?)
• He aha ke ʻano o ka ʻike maka e pono ai iaʻu no kaʻu hana? Ke nānā nei au i kahi kamepiula i ka lā a pau? No laila, ua maikaʻi anei iaʻu ke komo i nā aniani no kēlā hana?
• Ke kalaiwa pinepine nei au i ka pō?No laila, hiki iaʻu ke maʻa i ka ʻike ʻana i nā apo ʻālohilohi a puni nā kukui?
• He aha kaʻu mau hana leʻaleʻa? He kanaka hana au i nā hana akahele, e like me ka humuhumu a i ʻole ke kaha kiʻi? A i ʻole he kanaka pāʻani haʻuki a hauʻoli paha i ka noho ʻana ma waho? I ka nui hea e hoʻopilikia ai nā aniani i kēia mau hana?
• ʻEhia kaʻu kālā no ke ʻoki kino? Ma kahi haukapila aupuni, hāʻawi manuahi ʻia nā aniani monofocal. Eia nō naʻe, pono paha ʻoe e uku hou aku no nā aniani kūikawā e like me nā multifocals. Ma kahi haukapila pilikino, ʻokoʻa loa nā kumukūʻai ma muli o ke ʻano o ka aniani. E makaʻala i kēlā ma mua.

He aha nā pilikia e pili ana i ka hoʻokomo ʻana o IOL?

He hana ʻoki kino holomua pinepine ka hoʻokomo ʻana o ka IOL. Eia nō naʻe, e like me nā ʻoki kino āpau, aia kekahi mau pilikia kakaikahi e hiki ke loaʻa. ʻAʻohe mea e makaʻu ai i kēia mau mea, akā he mea maikaʻi ke makaʻala iā lākou.

• ʻO ka Opacification Capsular Posterior: Ua kapa ʻia kēia ʻo "secondary cataract." He mau mahina a he mau makahiki paha ma hope o ke ʻoki ʻana, e hana ʻia kahi papa lahilahi o ka opacity ma hope o kou IOL. He mea maʻamau loa kēia. Hiki i kēia ke hoʻolilo i kou ʻike i mea pōuliuli iki hou. He mea maʻalahi loa kēia e mālama. ʻO ka maʻamau, hiki ke wehe ʻia ka papa ma ke keʻena lapaʻau i loko o kekahi mau minuke me ka hoʻohana ʻana i kahi kukuna laser, e hoʻomaʻemaʻe ana i kou ʻike.
• Ka neʻe ʻana o ka IOL: Neʻe ka lens i hoʻokomo ʻia ma waho o kona wahi. He mea kakaikahi loa kēia. ʻOi aku ka kiʻekiʻe o ka pilikia i ka poʻe me kekahi mau maʻi maka a i ʻole ka poʻe i loaʻa i kahi hahau nui i ka maka.
• ʻO ka maʻi UGH (Uveitis-glaucoma-hyphema syndrome): He ʻano maʻi kakaikahi loa i hoʻokumu ʻia e ka lens IOL e paʻi ana i nā ʻāpana o ka maka, e like me ka iris.
• IOL opacification: Ka pouli ʻana o ka lens hana ponoʻī. He mea kākaʻikahi loa kēia me nā lens o kēia au.
• Ka Hoʻohoka ʻIke: Ma hope o ke ʻoki ʻana, ʻaʻole paha e maopopo loa kou ʻike e like me kāu i manaʻolana ai a me kāu kauka. I kēia hihia, e wehewehe kāu kauka i kāu mau koho, e like me ka ʻae ʻana i ka ʻike e like me ia, a i ʻole ka hoʻohana ʻana i nā aniani, ka loaʻa ʻana o ka lāʻau laser, a i ʻole ke pani ʻia ʻana o kahi IOL.

Inā he mau hopohopo kāu e pili ana i kekahi o kēia mau mea, e kamaʻilio me kāu kauka ma mua o ke ʻoki kino. E wehewehe ʻo ia i nā pilikia iā ʻoe ma muli o kou mōʻaukala olakino a me ke olakino o ka maka.