Ua luhi anei ʻoe i ka ʻimi ʻana i kāu mau aniani maka a i ʻole nā aniani hoʻopili i kēlā me kēia kakahiaka ma hope o ke ala ʻana? Ua luhi anei ʻoe i ka hoʻomaʻū ʻana i kāu mau aniani maka i ka wā ua, ka noe ʻana, a me ka hoʻomaʻemaʻe mau ʻana iā lākou? Malia paha he kanaka haʻuki ʻoe, a laila he pilikia nui kēia mau aniani maka . Manaʻo ka poʻe he nui ʻaʻohe hopena no kēia, pono ʻoe e noho e like me kēia no ke koena o kou ola. Akā ʻo ka ʻoiaʻiʻo, aia nā ʻano lapaʻau hou e hiki ke haʻi aku i ka aloha i kēia mau aniani a hoʻomaʻemaʻe i kou ʻike . I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi ʻano hana kūikawā.
He aha maoli ka Refractive Lens Exchange (RLE)?
I ka ʻōlelo maʻalahi, he ʻoki maka nō hoʻi kēia. Eia nō naʻe, pili kēia i ka wehe loa ʻana i ka lens maoli i loko o kou maka a me ke hoʻokomo mau ʻana i kahi lens hana (Intraocular Lens - IOL ) i hoʻolālā ʻia e kūpono i kou kīnā ʻike ponoʻī.
E noʻonoʻo e like me ka loaʻa ʻana o kahi aniani liʻiliʻi me ka mana like me kāu mau aniani maka a i ʻole nā aniani pili i hoʻokomo ʻia i loko o kou maka. Ke hoʻokomo ʻia ka aniani hana, hana ia e like me kāu aniani maoli. Hoʻopili ia i ka mālamalama e komo ana i kou maka a hoʻopili pololei iā ia ma ka retina . ʻAe kēia iā ʻoe e ʻike maopopo me ka ʻole o ka blurring. ʻAʻole pono ka nui o ka poʻe e komo hou i nā aniani ma hope o kēia ʻoki kino. Pono paha kekahi poʻe i nā aniani no nā hana kokoke, e like me ka heluhelu ʻana i kahi puke a nūpepa paha.
Ua lohe paha ʻoe i nā ʻoki laser, e like me `(LASIK)` a me `(PRK)`. Hoʻololi kēia mau ʻoki i ke ʻano o ka cornea o ka maka e hoʻomaikaʻi i ka ʻike. Akā, ʻaʻole hiki i kekahi poʻe, ʻoiai ka poʻe me nā pilikia ʻike koʻikoʻi (nearsightedness a farsightedness paha), ke hana i kēia mau ʻoki laser. ʻO ia ka manawa e manaʻo ai nā kauka i ka ʻoki `(Refractive Lens Exchange)`.
No wai kēia ʻoki kino maikaʻi loa? (A no wai ʻaʻole?)
ʻAʻole no nā kānaka āpau kēia ʻoki kino. E nānā kāu kauka maka i kou mau maka a hoʻoholo inā kūpono kēia iā ʻoe. E hāʻawi ka papa ma lalo nei iā ʻoe i kahi manaʻo maikaʻi no kēia.
| ʻO wai ka mea kūpono no kēia ʻoki kino? | ʻO nā kānaka i kūpono ʻole no kēia ʻoki kino |
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| ʻO nā kānaka me ka myopia koʻikoʻi a i ʻole hyperopia e hiki ʻole ai ke ʻoki ʻana i ka laser. | ʻO nā kānaka me nā kūlana e hoʻopilikia ai i ka cornea o ka maka. |
| ʻO ka poʻe e makemake ana e hōʻemi i ko lākou hilinaʻi ʻana i nā aniani ma muli o ka presbyopia, kahi kūlana e kū mai ana me ka ʻelemakule. | ʻO nā kānaka me ka macular degeneration e pili ana i ka makahiki . |
| ʻO nā kānaka me ka astigmatism. | ʻO nā kānaka me ka retinopathy e pili ana i ka maʻi diabetes . |
| ʻO ka poʻe makemake e pale i ka pilikia o ka cataracts i ka wā e hiki mai ana. | ʻO nā kānaka me nā kumu pilikia no ka retinal detachment. |
| ʻO nā kānaka e ʻeha nei i ka uveitis, kahi maʻi mumū e kū ana i loko o ka maka. |
He mea nui anei ka makahiki?
ʻOi aku ka maikaʻi o kēia ʻoki kino no ka poʻe ma luna o 40 mau makahiki. Aia kekahi mau kumu no kēia. ʻO kekahi, ʻaʻole nui ka pilikia o ka poʻe ʻelemakule ma hope o ke ʻoki kino. ʻO kekahi, he nui ka poʻe ma luna o 40 mau makahiki i loaʻa i kekahi kekelē o ka ʻike kokoke (presbyopia). No laila hiki i kēia ʻoki kino ke hoʻoponopono i kēlā pilikia i ka manawa hoʻokahi.
He aha ka ʻokoʻa ma waena o ke ʻoki cataract a me kēia?
He mea kēia e huikau ai ka poʻe he nui. ʻO kēia mau ʻoki kino ʻelua e pili ana i ka wehe ʻana i ka lens maoli o ka maka a me ka hoʻololi ʻana me kahi lens hana (IOL). Eia nō naʻe, ʻokoʻa loa ke kumu o ke ʻoki kino.
- ʻO ke ʻoki ʻana i ka cataract : Hana ʻia kēia no ka mea ua lilo ka lens maoli i loko o kou maka i ao (e like me ke aniani noe). Ke hoʻopilikia nei kēia ao i kou ʻike. No laila, ua wehe ʻia ka lens ao a ua hoʻokomo ʻia kahi lens hana maopopo e hoʻihoʻi i ka ʻike maopopo. He mea pono kēia no ke olakino.
- ʻO ke ʻoki kino Refractive Lens Exchange (RLE): Hana ʻia kēia e hoʻoponopono i nā pilikia ʻike (e like me ka ʻike kokoke a i ʻole ka ʻike mamao) e kū mai ana i ka wā e maopopo ai kāu lens maoli, akā ʻaʻole hiki ke hoʻokū pono i ka mālamalama. ʻO ka pilikia ma ʻaneʻi ʻaʻole ia he ao o ka lens, akā he pilikia hoʻokū . Hana ʻia kēia e hōʻemi i kou hilinaʻi ʻana i nā aniani a i ʻole nā lens hoʻopili a maʻalahi i ke ola o kēlā me kēia lā. No laila, he ʻoki kino koho kēia ma mua o kahi pono lapaʻau.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
E nānā pono kāu kauka maka i kou mau maka ma mua o ke ʻoki ʻana a e kūkākūkā pū me ʻoe i nā ʻano aniani intraocular (IOL) i hiki ke hoʻokomo ʻia. He mea nui e nīnau i nā nīnau āu e loaʻa ai i kēia manawa.
E ʻike pono e pili ana i ke koho ʻana i ka lens intraocular kūpono (IOL) nāu. E nīnau i kāu kauka e pili ana i nā pono a me nā hemahema o kēlā me kēia ʻano lens a pehea e pili ai i kou ola o kēlā me kēia lā.
Aia kekahi mau ʻano nui o nā IOL:
- Nā IOL Monofocal: Hiki i kēia mau aniani ke hāʻawi i ka ʻike maopopo ma kahi mamao a i ʻole ma kahi mamao . ʻAʻole hiki iā lākou ke hāʻawi i nā mea ʻelua. No ka laʻana, inā ʻoe e hoʻokomo i kēia mau aniani no ka ʻike mamao, pono ʻoe i nā aniani no nā hana kokoke e like me ka heluhelu ʻana i kahi puke a i ʻole ke nānā ʻana i kāu kelepona.
- Nā IOL Multifocal (nā aniani e hāʻawi ana i ka ʻike mamao a kokoke): ʻAe kēia mau aniani iā ʻoe e ʻike i nā mea mamao a kokoke me ka ʻole o nā aniani. Eia nō naʻe, he mau hemahema ko lākou. Hiki i kekahi poʻe ke ʻike i ka glare a me nā halo i ka wā e hoʻokele ana i ka pō. Nalo pinepine kēia mau mea i ka hala ʻana o ka manawa.
- ʻAno Monovision: He ʻano hoihoi loa kēia. ʻO kāu hana ma ʻaneʻi, ʻo ke kau ʻana i kahi aniani "monofocal" no ka ʻike mamao ma kekahi maka a me kahi aniani "monofocal" no ka ʻike kokoke ma kekahi maka. ʻOiai he mea ʻē iki ia i ka wā mua, ma hope o kekahi manawa e maʻa kou lolo i kēia a hoʻomaka ʻoe e ʻike i ka mamao a me ke kokoke me ka ʻike ʻole.
E kamaʻilio me kāu kauka e hoʻoholo i kahi o kēia mau koho e kūpono i kou nohona, hana, a me nā pono.
Pehea e hana ʻia ai ke ʻoki kino?
ʻAʻohe kumu e makaʻu ai i kēia ʻoki kino. ʻO ka maʻamau, he 15-30 mau minuke ka lōʻihi e hoʻopau ai. Eia nā ʻanuʻu e pili ana i ke ʻoki kino:
1. ʻO ka mea mua , e hoʻokomo ʻia nā kulu maka i loko o kou maka e hoʻomāʻū iā ia . No laila, ʻaʻole ʻoe e ʻeha. Inā pono, hiki ke hāʻawi ʻia iā ʻoe i kahi mea hoʻomaha e hoʻomālielie iā ʻoe. E ʻike ʻoe, akā e pōwehiwehi kou ʻike. ʻO ka mālamalama a me kekahi neʻe ʻana wale nō kāu e ʻike ai.
2. ʻO ka mea aʻe, hoʻohana ke kauka lapaʻau i kahi kukuna laser a i ʻole kahi pahi lahilahi loa e hana i kahi ʻoki liʻiliʻi loa kahi e hui ai ke keʻokeʻo o ka maka (sclera) a me ka cornea.
3. A laila, me ka hoʻohana ʻana i kahi mea hana peni (phacoemulsification), ua wāwahi ʻia kāu aniani kūlohelohe i mau ʻāpana liʻiliʻi a huki pono ʻia i waho.
4. I kēia manawa, ua hoʻokomo ʻia ka lens hana i koho mua ʻia (IOL) i loko o ka hakahaka i hana ʻia ma o kēlā ʻoki liʻiliʻi a kau pololei ʻia i loko o ka capsule lens palupalu e paʻa ana i ka lens.
5. He ʻoki liʻiliʻi loa kēia ʻoki ʻaʻole pono ia i nā humuhumu . E pani ʻia a hoʻōla ʻia ia iho.
6. ʻO ka mea hope loa, e hoʻoneʻe ʻia ʻoe i ka lumi maʻi me kahi pale maka liʻiliʻi i hoʻopili ʻia.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, e nānā ʻia ʻoe no kahi o 30 mau minuke a laila e ʻae ʻia e hoʻi i ka home. He mea nui e hele mai kekahi e lawe iā ʻoe i ka home. Eia kekahi, pono ʻoe e loaʻa kekahi e lawe iā ʻoe i kāu hālāwai mua ma ke keʻena lapaʻau ma hope o ke ʻoki kino. E haʻi aku ke kauka iā ʻoe i ka wā hiki iā ʻoe ke hoʻokele hou.
He mea maʻamau ke loaʻa i kekahi ʻoluʻolu ʻole i nā lā mua ma hope o ke ʻoki ʻana. He manawa pōkole wale nō kēia.
- Ka pōwehiwehi iki o ka ʻike
- ʻIke pālua
- Ka maneʻo o nā maka, me he mea lā he one i loko.
- ʻUlaʻula o nā maka
- Ke kahe nei nā waimaka mai nā maka mai
E nalo loa kēia mau mea i ka hala ʻana o ka manawa. Hiki i kekahi poʻe ke ʻike i nā hopena ʻike maka mai ka lens intraocular (IOL).
- Me he aka lā ke nānā ʻia mai ka ʻaoʻao
- Ke ʻike nei i kahi laina kukui ʻālohilohi ke nānā ʻia mai ka ʻaoʻao
- ʻIke i nā halos a i ʻole ke kukui a puni nā kukui, ʻoi aku hoʻi i ka pō
ʻOi aku ka maʻamau o kēia i nā poʻe me nā IOL multifocal, a emi pinepine lākou i ka hala ʻana o ka manawa i ka wā e hoʻomaʻamaʻa ai ka lolo iā lākou.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, loaʻa i kēia nā pono a me nā pilikia. ʻO ka hana ʻana i kēia ʻoki kino e kahi kauka maka akamai a akamai hoʻi hiki ke hōʻemi nui i nā pilikia.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pilikia |
|---|---|
| Hiki ke hoʻoponopono ʻia nā ʻano kīnā ʻike a pau (mamao, kokoke, ʻike kokoke). | Ka hemo ʻana o ka retina: ʻO kēia ka pilikia koʻikoʻi loa e hiki ke hana. ʻOi aku ka kiʻekiʻe o ka pilikia i ka poʻe me ka ʻike kokoke koʻikoʻi a me ka poʻe ma lalo o 50 mau makahiki. |
| Hiki iā ʻoe ke hoʻokaʻawale loa a kokoke paha i ke kaʻawale ʻana mai nā maka aniani (ʻaʻole pono nā maka aniani i 4 o 5 mau kānaka i hana ʻia ke ʻoki kino). | Ka nalowale o ka ʻike: Hiki ke nalowale kekahi ʻike ma muli o nā kumu kakaikahi loa, e like me ka hōʻino ʻana i ka retina. |
| ʻAʻohe pono e hopohopo e pili ana i ka ulu ʻana o nā cataracts i ka wā e hiki mai ana (hoʻokumu wale ʻia nā cataracts i loko o ka lens maoli). | Ka haki ʻana o ke poʻo hope: Hiki i ka membrane palupalu e paʻa ana i ka lens ma kahi e haehae ai i ka wā o ke ʻoki ʻana. Hiki i ke kauka lapaʻau ke hoʻoponopono pinepine i kēia i ka manawa. |
| ʻO ka opacification capsular hope: ʻAʻole kēia he cataract maoli. He pouli ia o ka capsule e paʻa ana i ka lens hana i nā mahina a i ʻole nā makahiki ma hope o ke ʻoki ʻana. Hiki ke hoʻomaʻemaʻe hou ʻia kēia i loko o kekahi mau minuke me kahi lāʻau laser maʻalahi loa. |
Āhea ʻoe e ʻike ai i ke kauka?
He mea maʻamau i ka maka ke ʻike i kekahi mau loli i ka wā ho'ōla ma hope o ke ʻoki ʻana, akā aia kekahi mau hōʻailona e pono ai mākou e makaʻala nui.
| Inā ʻaʻole hoʻomaikaʻi kēia mau hōʻailona a ʻoi aku ka ʻino i kēlā me kēia lā, e kelepona koke aku i kāu kauka. | |
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| He mau pilikia kēia! E hele koke i ka haukapila kokoke loa i ka ʻOihana Pilikia (ETU). | |
He mau hōʻailona paha kēia o ka hemo ʻana o ka retina. Hiki i ka mālama mua ke hoʻōla i kou ʻike.
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He aha nā koho ʻē aʻe ma waho aʻe o kēia ʻoki kino?
ʻAʻole no nā kānaka āpau ka Refractive Lens Exchange. Aia paha kekahi mau koho ʻē aʻe i kūpono iā ʻoe.
- Nā Aniani a i ʻole nā Lani Hoʻokaʻaʻike: ʻO kēia ke koho maʻalahi loa a ʻaʻole komo kino.
- ʻO ke ʻoki laser (LASIK, PRK): He kūpono paha kēia no ka poʻe me nā pilikia ʻike maka iki a kaulike.
- Hoʻokomo ʻana o Phakic Intraocular Lens (PIOL): Pili kēia i ke kau ʻana i kahi lens hou i mua o kāu lens kūlohelohe me ka wehe ʻole ʻana. Ua like ia me ke kau ʻana i kahi lens hoʻopili i loko o kou maka. He koho maikaʻi kēia, ʻoi aku hoʻi no ka poʻe ma lalo o 40 mau makahiki i loaʻa i ka ʻike kokoke akā ʻaʻole i hoʻomaka e ʻike i ka ʻike kokoke.
ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka maka e pili ana i kēlā me kēia koho, ko lākou mau pono a me nā pōʻino, a koho i ka mea kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻO ka Refractive Lens Exchange (RLE) kahi hopena mau loa e kaʻawale ai mai nā aniani a i ʻole nā aniani hoʻopili.
- He ʻokoʻa kēia mai ke ʻoki cataract. Hana ʻia kēia no ka hoʻoponopono ʻana i nā hewa o ka nānā ʻana.
- He mea nui loa ke koho ʻana i ka lens intraocular kūpono (IOL) e kūpono i kou nohona. E kamaʻilio me kāu kauka e pili ana i ia mea.
- He kiʻekiʻe loa ka holomua o kēia ʻoki kino. Eia nō naʻe, e like me nā ʻoki kino āpau, aia kahi pilikia liʻiliʻi. ʻO ke koho ʻana i kahi kauka ʻoki kino akamai hiki ke hōʻemi i kēia pilikia.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē ma hope o ke ʻoki ʻana (ʻoiai nā kiko ʻeleʻele koke, nā ʻālohilohi uila), e ʻimi koke i ke kōkua lapaʻau.
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