Pono anei mākou e aʻo e pili ana i ka hoʻololi ʻana o nā lens refractive?

Ua luhi ʻoe i ke kau ʻana i nā aniani a me ka hoʻohana ʻana i nā aniani hoʻopili? Ua ʻike maopopo paha ʻoe i ka pilikia o ka hoʻololi ʻana ma waena o kekahi no ka ʻike kokoke a me kekahi no ka ʻike mamao? Malia paha ua noʻonoʻo ʻoe e pili ana i ke ʻoki "laser", a i ʻole kekahi mea e like me LASIK, akā ua haʻi aku kāu kauka iā ʻoe ua kiʻekiʻe loa kou mana maka a i ʻole no kekahi kumu ʻē aʻe. No laila, inā ʻoe e noʻonoʻo nei i ka mea e hana ai i kēia manawa, mai hopohopo. Aia kekahi ala kūpono e hoʻopau loa ai i nā aniani. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.

He aha ka Refractive Lens Exchange (RLE)?

I ka ʻōlelo maʻalahi, ʻo Refractive Lens Exchange kahi hana ʻoki kino kahi e wehe ʻia ai ka lens maoli i loko o kou maka a hoʻololi ʻia me kahi lens hana i hoʻolālā ʻia e kūlike me kāu ʻike ponoʻī. Kāhea mākou i kēia lens hana he Intraocular Lens (IOL) . E noʻonoʻo e like me ka loaʻa ʻana o kahi lens liʻiliʻi me ka mana like me kāu mau aniani a i ʻole nā ​​​​lense pili i hoʻokomo mau ʻia i loko o kou maka.

Ke hoʻokomo ʻia ka IOL i loko o kou maka, hana ia e like me kou aniani kūlohelohe. Hoʻopili ia i ka mālamalama e komo ana i kou maka a hoʻopili pololei iā ia ma ka retina. Hiki iā ʻoe ke ʻike maopopo. ʻAʻole pono ka nui o ka poʻe e komo 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.

He koho maikaʻi kēia no ke ʻoki laser e like me LASIK. Hoʻololi ke ʻoki LASIK i ke ʻano o ka cornea. Eia nō naʻe, ʻaʻole kūpono ʻo LASIK no ka poʻe me ka nalowale nui o ka ʻike a i ʻole nā ​​​​maʻi maka ʻē aʻe. Inā ua haʻi ʻia iā ʻoe ʻaʻole hiki iā ʻoe ke loaʻa iā LASIK, hiki i kāu kauka ke paipai i ke ʻoki Refractive Lens Exchange.

No wai kēia ʻoki kino kūpono loa?

E hoʻoholo ke kauka maka inā kūpono kēia ʻoki kino iā ʻoe ma hope o ka nānā pono ʻana i kou mau maka. ʻOi aku ka maikaʻi o kēia ʻoki kino no ka poʻe ma luna o 40 mau makahiki. ʻO kēia no ka mea i kēlā makahiki, hoʻomaka ka poʻe e ʻike i ka presbyopia, ʻo ia ka ʻike kokoke maʻamau e hele mai me ka ʻelemakule.

E ʻike kākou mai ka papa ma lalo nei ʻo wai ka mea kūpono i kēia a ʻo wai ka mea kūpono ʻole.

He aha ka ʻokoʻa ma waena o ke ʻoki cataract a me kēia?

He nui ka poʻe e huikau nei i kēia ʻoki kino me ke ʻoki kino cataract. Pili nā mea ʻelua i ka wehe ʻana i ka lens maoli o ka maka a me ke pani ʻana me kahi lens artificial (IOL). Eia nō naʻe, ʻo ka ʻokoʻa nui ma ke kumu o ke ʻoki kino.

E wehewehe hou aku kākou i kēia ʻokoʻa.

Pehea e hana ʻia ai ke ʻoki kino?

ʻO ka maʻamau, ma kahi o 15-30 mau minuke ka lōʻihi o kēia hana ʻoki kino. ʻAʻole ʻoe e hoʻopau piha ʻia. E ala ʻoe, akā, ʻaʻole ʻoe e ʻeha.

• KaʻAnuʻu Hana 1: ʻO ka mea mua, e hāʻawi ʻia ʻoe i nā kulu maka kūikawā e hoʻomāʻū i kou maka. Hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau e hoʻomālielie iā ʻoe inā pono.
• KaʻAnuʻu Hana 2: A laila hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi loa kahi e hui ai ke keʻokeʻo o ka maka a me ka cornea, me ka laser a i ʻole kahi pahi liʻiliʻi loa.
• KaʻAnuʻu Hana 3: Hoʻokomo ʻia kahi mea hana peni (mea hana phacoemulsification) ma o kēia ʻoki ʻana, wāwahi i kāu aniani kūlohelohe i mau ʻāpana liʻiliʻi, hoʻoheheʻe iā lākou, a wehe iā lākou mai kou maka me ka hoʻohana ʻana i ka mīkini hoʻomaʻemaʻe.
• KaʻAnuʻu Hana 4: ʻO ka mea hope loa, ua hoʻokomo ʻia ka lens hana hou (IOL) ma o ka ʻoki like a kau ʻia i loko o ka capsule lens kūlohelohe.
• KaʻAnuʻu Hana 5: He liʻiliʻi loa kēia ʻoki ʻaʻole pono ia e humuhumu ʻia. E pani ʻia ia ma kāna iho. Ma hope o ke ʻoki ʻana, e kau ʻia kahi ʻaʻahu liʻiliʻi ma luna e pale i ka maka.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka lōʻihi e hoʻōla ai?

Ma hope o ke ʻoki kino, e nānā ʻia ʻoe no kahi o 30 mau minuke a laila e hoʻouna ʻia i ka home. He mea nui e loaʻa kekahi e lawe iā ʻoe i ka home. Pono nō hoʻi ʻoe e loaʻa kekahi e lawe iā ʻoe i ke keʻena lapaʻau i ka lā aʻe.

I nā lā mua, he mea maʻamau ka loaʻa ʻana o kekahi mau ʻike pohihihi, ka ʻike pālua, ka manaʻo o ke one i nā maka, ka ʻulaʻula o nā maka, a me nā maka waimaka. E emi ana kēia mau hōʻailona i loko o kekahi mau lā.

E ʻike paha kekahi poʻe i kekahi mau loli i ko lākou ʻike, e like me nā halo a i ʻole ka ʻālohilohi a puni nā kukui uila, ʻoiai i ka wā e hoʻokele ana i ka pō. E emi mau kēia mau mea i ka hala ʻana o ka manawa. E kamaʻilio me kāu kauka e pili ana i kēia ma mua.

Hiki ke hala a hiki i 8 mau pule no ka ho'ōla piha ʻana o kou maka. Eia nō naʻe, pono ʻoe e hiki ke hoʻi hou i nā hana maʻamau i loko o kekahi mau lā a i ʻole mau pule. E aʻo aku kāu kauka iā ʻoe i ka wā e hiki ai iā ʻoe ke hoʻokele kaʻa, hele i ka hana, ʻauʻau, a hoʻoikaika kino. He mea nui e hoʻohana i nā kulu maka e like me ke kauoha a kāu kauka.

Nā pono, nā pilikia a me ka wā e ʻimi koke ai i ke kōkua lapaʻau

ʻO nā pōmaikaʻi nui o kēia ʻoki kino:

• Ka hiki ke mālama i nā ʻano pilikia o ka ʻike, e like me ka ʻike kokoke, ka ʻike mamao, a me ka astigmatism.
• ʻO ka hiki ke kaʻawale mai nā aniani maka (4 o 5 mau kānaka i hana ʻia ke ʻoki ʻana ʻaʻole pono lākou i nā aniani maka).
• ʻAʻohe pono e hopohopo e pili ana i ka hoʻomohala ʻana o nā cataracts i ka wā e hiki mai ana, no ka mea, hoʻokumu wale ʻia nā cataracts i loko o nā aniani kūlohelohe.

E like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi. ʻO ka pilikia koʻikoʻi loa, akā kakaʻikahi loa, ʻo ia ka retinal detachment. Hiki ke hoʻēmi ʻia kēia mau pilikia ma ka hana ʻana i ke ʻoki kino e kahi kauka ʻoki kino akamai.

E ʻike koke i ke kauka!

Inā ʻike ʻoe i nā hōʻailona ma lalo nei, he mau hōʻailona paha ia o ka retinal detachment. No laila, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• ʻIke koke ʻia nā kiko ʻeleʻele a i ʻole nā ​​mea e like me ka ʻupena e lana ana i mua o nā maka (nā mea lana hou).
• Nā ʻālohilohi o ke kukui ke hāmama a pani ʻia paha nā maka.
• Me he mea lā e hāʻule ana kahi pale ʻeleʻele ma luna o ka hihiʻo.