Yu dɔn du ɔpreshɔn pan yu katarakt i nɔ tu te yet? Yu go mɔs dɔn gladi fɔ yu vishɔn afta di ɔpreshɔn, nɔto so? Bɔt sɔntɛnde, afta sɔm tɛm, yu yay kin bigin fɔ blɔk smɔl bak, lɛk fɔg. dis na wetin wi de tכk bכt tide, we dεn kכl ‘Posterior Capsular Opacification’. Nɔr wɔri, dis na kɔmɔn tin ɛn i kin izi fɔ trit.
Fɔ tɔk am simpul wan, wetin na dis ‘posterior capsular opacification’?
Imajin, yu dɔn gɛt katarakt bak? Nɔ, dat nɔ pɔsibul. Yu no wetin? Dat blכr we dכkta dεn kכl ‘katarakt’ de כnli apin na di nεchכral lens insay wi yay. Dat min se, insay di lens we wi kin gɛt we dɛn bɔn wi. di atifishal lens (Intraocular Lens - IOL) we dεn put afta dεn כpεrayshכn nכ de mek di katarakt de divεlכp bak.
So wetin na ‘posterior lenticular opacification’ (PCO)? wetin de apin insay dis na di tכn mεmbran we dεn kכl di ‘lεns kכpsul' we de ol di atifishal lεns (IOL) in ples de bi klawd. Fɔ tɔk di kɔrɛkt tin, di lens na yu yay de insay dis kapsul. We dɛn de du ɔpreshɔn, dɛn kin pul di ol, klawd natura lens ɛn put nyu, klia atifishal lens (IOL) insay da kapsul de. So di lens kapsul stil de insay di yay.
Tink bɔt yu lens kapsul lɛk smɔl rum. We dɛn pul yu ol, natura lens, dɛn put nyu atifishal lens (IOL) insay Bɔt di wɔl dɛn na di rum (di lens kapsul) kin stil de di sem. Dis lens kapsul na nεchכral mεtirial lεk sεl dεm mek am. Nɔmal wan i kin rili klia. Bɔt jɔs lɛk aw wi natura lens kin bi klawd, as tɛm de go dis lens kapsul kin bi klawd ɔ klawd. Dis na wetin wi kin kɔl ‘sɛkɔndari katarakt’.
dis klawd na di lens kapsul de apin as pat pan di yay in hiling prכsεs afta di כpεrayshכn. If dis apin to yu, no nid fɔ panik. Dɔktɔ kin pul dis ‘sɛkɔndari katarakt’ wit wan rili kwik, ɔtpeshɛnt lɛsa tritmɛnt.
Aw lɔng afta dɛn dɔn du ɔpreshɔn pan di katarakt, dis sik kin apin? Ɛn aw i kɔmɔn?
infakt, i posibul fכ dis ‘posterior lenticular opacification’ (PCO) fכ apin fכ mכnt כ ivin ia afta yu katarakt כpεrayshכn.
Dis na di prɔblɛm we kin apin mɔ afta dɛn dɔn du ɔpreshɔn pan di katarakt.
Sɔm stɔdi dɔn sho se te to 50% pan di pipul dɛm wae gɛt katarakt ɔpreshɔn kin gɛt dis sik insay fayv ia afta dɛn du di ɔpreshɔn. So as yu si, dis nɔto so ɔda tin.
Wetin na di sayn dɛm fɔ dis?
Di simptom dɛm fɔ Posterior Capsular Opacification rili rili fiba di simptom dɛm fɔ katarakt we yu bin gɛt bifo yu ɔpreshɔn. Si if yu gɛt ɛni wan pan dɛn tin ya:
- Di vishɔn we nɔ klia, we nɔ klia, ɔ we gɛt fɔg. I kin tan lɛk se yu de luk tru glas we gɛt frɔst.
- Glare ɔ halos rawnd layt dɛn we yu de luk layt.
- Fɔ sɛnsitiv to layt.
- I nɔ izi fɔ rid buk dɛn.
If yu gɛt dɛn sik ya, di tin we impɔtant pas ɔl na fɔ nɔ panik ɛn go to dɔktɔ.
Wetin mek dis de rili apin?
Afta yu yay dɔktɔ pul di natura lens na yu yay we dɛn de du ɔpreshɔn pan di katarakt, sɔm pan di lens ɛpitɛlial sɛl dɛn kin lɛf. afta dat dεn sεl dεm ya de muf go na di sεf fכ di lεns kכpsul usay dεn de put di atifishal lεns. dכkta dεn kכl dis ‘sεl maygrεshכn’. Na tru tru pat pan di bɔdi in nɔmal wɛlbɔdi prɔses.
As di sɛl dɛn de gɛda, yu lens kapsul we kin klia, kin bigin fɔ klawd smɔl smɔl ɛn gɛt skata.
As wi bin dɔn tɔk, if yu lens kapsul na rum, i tan lɛk se dɔst de gɛda na di winda na da rum de. So dis blכr de ridyus yu abiliti fכ si di wכl na do na di winda (i.e. yu yay) klia wan. Na da tɛm de di sem sayn dɛm we bin mek yu du yu katarakt ɔpreshɔn fɔs bigin fɔ apia bak.
Udat de pan ay risk fɔ gɛt ‘sɛkɔndari katarakt’?
Ɛnibɔdi we gɛt katarakt ɔpreshɔn de pan risk fɔ gɛt dis ‘sɛkɔndari katarakt’. Bɔt if yu gɛt ɛni wan pan dɛn tin ya, yu kin gɛt prɔblɛm smɔl:
- Di tin dɛn we kin apin to pɔsin in yay we pɔsin kin gɛt dayabitis (Diabetes-related retinopathy) .
- Glɔkoma we dɛn kɔl Glaukoma
- Rɛtinitis we gɛt pigmɛnt
- Ay digri fɔ mayopia
- Inflameshɔn na di uveal mɛmbran na di yay (Uveitis) .
Dɔn bak, if yu bin gɛt ɛni prɔblɛm (lɛk we yu yay swel) di tɛm ɔ jɔs afta yu du yu katarakt ɔpreshɔn, dat kin mek dis risk bak.
Aw dɔktɔ dɛn kin no dis?
Di dɔktɔ dɛn we de mɛn yu yay kin no dis sik, we dɛn kɔl Posterior Capsular Opacification , bay we dɛn tek tɛm luk yu yay. Dɛn kin du dis bay we dɛn de yuz wan tɛst we nɔ gɛt pen we dɛn kɔl slit lamp ɛgzam. Dis kin mek di dɔktɔ ebul fɔ luk di insay pat pan yu yay gud gud wan. Di dɔktɔ go aks yu bak bɔt yu mɛdikal istri ɛn ɛni ɔpreshɔn we yu dɔn du fɔ yu yay.
So wetin na di tritmɛnt fɔ dis?
Dɔktɔ dɛn kin trit dis ‘sɛkɔndari katarakt’ wit ‘YAG laser capsulotomy’.sכmtεm dεn kin kכl dis ‘posterior capsulotomy’. Dɛn kin du dis na di dɔktɔ in ɔfis ɛn i kin tek lɛk fayv minit so. ‘YAG’ na di nem fɔ di spɛshal kayn lɛsa we dɛn kin yuz fɔ dis.
Dis na wetin kin apun pan dis tritmɛnt:
1. Fɔs, yu yay go numb wit spɛshal ay drɔp , so yu nɔ go fil ɛni pen.
2. Dɔn, di dɔktɔ de yuz lɛsa bim fɔ mek wan rili smɔl ol na di klawd lens kapsul.
3. Dis ol de mek layt pas tru yu intraokular lens (IOL) we nכ de ambɔg yu, we de gi yu klia vishכn bak.
Simpul, nɔto so?
Aw kwik a go fil fayn afta dɛn dɔn trit mi?
Bɔku tɛm, yu vishɔn go bigin fɔ klia insay wan de ɔ so afta yu dɔn du YAG lɛsa kapsulotomi. Bɔt yu kin fil se yu yay de flɔt fɔ lɛk tu wiks so. Dis na smɔl smɔl dɔti we dɛn kin pul we dɛn de trit di lɛsa. Dɛn go sɔlv fɔ dɛnsɛf as tɛm de go.
Eni komplikashon de wit dis laser tritment?
YAG laser capsulotomy na wan prosidur we gɛt rili lɔw risk fɔ siriɔs kɔmplikeshɔn dɛn . Bɔt sɔm prɔblɛm dɛn de we nɔ kin apin so ɔltɛm we kin apin:
- Di retina we de kɔmɔt na di bɔdi. Dis risk kin go ɔp smɔl if yu gɛt ay digri fɔ si nia.
- Prɛshɔn we de go ɔp na yu yay. Dis risk kin pasmak pan pipul dɛm wae gɛt glaukoma.
- IOL dislɔkeshɔn.
Pan ɔl we dɛn tin ya nɔ kin bɔku, i fayn fɔ tɔk to yu dɔktɔ bɔt dis.
Sɔm ɔda impɔtant kwɛstyɔn dɛn...
dis ‘opacity of di posita lens membrane' go impruv otomatik?
Nɔ, yu rili nid tritmɛnt fɔ mek yu ebul fɔ si klia wan bak. If yu gɛt sɔm sayn dɛm, nɔr delay fɔ go to dɔktɔ.
I gɛt we fɔ mek ‘sɛkɔndari katarakt’ nɔ kam?
Fɔ tru, natin nɔ de we yu go du fɔ mek dis nɔ apin. Bɔt di wan dɛn we de stɔdi bɔt dis de tray ɔltɛm fɔ mek nyu we dɛn fɔ du ɔpreshɔn ɛn tin dɛn we go mek dɛn nɔ gɛt dis prɔblɛm. Yu kin tɔk to yu dɔktɔ bɔt dɛn nyu tin ya fɔ no mɔ.
Yu tink se dis sik go wɛl ɔl if dɛn trit am?
Yɛs, fɔ tru! Wit tritmɛnt, ‘sɛkɔndari katarakt’ kin wɛl kwik kwik wan. Yu fɔ fil fayn ɛn yu fɔ si klia wan insay 24 awa afta dɛn dɔn ɔpreshɔn yu wit lɛsa.
Dis ‘posterior lens opacity’ kin wɔs as tɛm de go?
Yɛs, as yu lens kapsul de klawd smɔl smɔl, yu sik kin wɔs. Na dat mek i impɔtant fɔ go to dɔktɔ jɔs afta yu notis ɛni nyu sayn, gɛt di rayt diagnosis, ɛn gɛt tritmɛnt.
Wetin go apin tumara bambay afta dɛn dɔn trit dis sik?
Bɔrku pipul kin gɛt bɔrku gud rizɔlt afta tritmɛnt fɔ ‘sɛkɔndari katarakt’. Na smɔl tɛm nɔmɔ, yu lens kapsul kin bi klawd bak. If dis apin, yu dɔktɔ kin trit am wit laser tritmɛnt, jɔs lɛk aw dɛn bin de du bifo.
Ustɛm a fɔ go to dɔktɔ? Wetin fɔ du if na imejensi?
If yu gɛt sayn fɔ ‘sɛkɔndari katarakt’, go to dɔktɔ wantɛm wantɛm. I nɔ fayn fɔ delay di tritmɛnt. dis na biכs dεn simptom dεm ya (fכ egzampl, chenj dεm na di vishכn) kin bi simptom fכ bכku כda ay kכndyushכn dεm, nכto jכs ‘sεkכnd katarakt’. Yu dɔktɔ go chɛk yu, no wetin rili de apin, ɛn gi yu di rayt tritmɛnt.
Kes dɛm we nid fɔ gɛt tritmɛnt kwik kwik wan
If yu gɛt dɛn sayn ya we de sho se yu retina nɔ de wok fayn , go na ɔspitul imejensi dipatmɛnt wantɛm wantɛm:
- Wantɛm wantɛm, nyu flota dɛn kin apia bifo di yay.
- Layt de flash, ilɛksɛf na wit di yay dɛn we opin ɔ we dɛn lɔk.
- Di filin fɔ sɔntin lɛk shado we de skata ɔlsay na yu vishɔn, ɔ lɛk kɔtin we de fɔdɔm.
If na so i bi, di mɔ yu go to dɔktɔ kwik kwik wan, na di mɔ yu go gɛt chans fɔ gɛt di tritmɛnt we go wok fayn. If yu delay di tritmɛnt, dat kin ivin mek yu nɔ ebul fɔ si sote go.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
If yu want fɔ du ɔpreshɔn pan yu katarakt, yu kin aks yu dɔktɔ bɔt dɛn tin ya:
- Wetin na mi risk fɔ gɛt ‘sɛkɔndari katarakt’?
- Wetin yu go du fɔ ridyus da prɔblɛm de?
- Ustɛm sɛkɔndari katarakt kin mɔs gɛt?
- Us sayn dɛn a fɔ luk fɔ?
If yu de tink bɔt laser tritmɛnt fɔ sɛkɔndari katarakt, aks yu dɔktɔ bɔt:
- Wetin a fɔ ɛkspɛkt we dɛn de du dis ɔpreshɔn?
- Aw na di tɛm fɔ wɛl?
- Ustɛm mi vishɔn go kam bak to nɔmal?
- Us risk dɛn a kin gɛt frɔm dis tritmɛnt?
- Wetin yu kin du fɔ ridyus mi risk fɔ gɛt prɔblɛm dɛn?
- Wetin na di chans fɔ gɛt sɛkɔndari katarakt bak tumara bambay?
Nɔbɔdi nɔ want fɔ gɛt prɔblɛm afta dɛn dɔn du am ɔpreshɔn. If dat apin, yu go fil bad ɛn yu at pwɛl. Bɔt mɛmba se dis ‘sɛkɔndari katarakt’ na wan sik we kin apin afta dɛn dɔn ɔpreshɔn di katarakt.I rili kɔmɔn. Dɔktɔ dɛn no aw fɔ trit am fayn. Ɛn dɛn biliv se i nɔ go te igen yu go ebul fɔ si klia wan ɛn yu go ebul fɔ liv nɔmal layf.
Bɔt ilɛk us ɔpreshɔn yu gɛt, ilɛksɛf na ɔpreshɔn fɔ katarakt ɔ laser ɔpreshɔn fɔ ‘sɛkɔndari katarakt,’ i impɔtant fɔ tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin. If yu no bɔt de risk dɛm, yu kin mek yu nɔr frayd bɔt wetin de kam, ɛn rɛdi fɔ dil wit ɛni prɔblɛm wae kin kam along di rod.
Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba
Okay, so a op se naw yu dɔn ɔndastand di ‘Posterior Capsular Opacification’ ɔ ‘Secondary Cataract’ we wi bin tɔk bɔt.
- Dis nɔto we yu ol katarakt de kam bak. dis na klawd na di lens kapsul we de ol di atifishal lens (IOL).
- Dis na kɔmɔn kɔmplikeshɔn we kin apin afta dɛn dɔn ɔpreshɔn di katarakt. So nɔ fred.
- Di sayn dɛm na di sem lɛk di wan dɛm wae bin dɔn gɛt katarakt bifo: yu nɔr de si fayn, yu nɔr de fil fayn to layt, ɛn ɔda tin dɛm.
- dis kin kכmplit kכl wit wan simpul, kwik lεzεr tritmεnt we dεn kכl ‘YAG laser capsulotomy’.
- Yu vishɔn go klia bak insay wan ɔ tu dez afta yu dɔn trit yu.
- If yu gɛt ɛni sayn, go to dɔktɔ ɛn nɔ de te. Ɛspɛshali if yu gɛt chenj na yu yay wantɛm wantɛm, yu gɛt nyu flota, ɔ yu ed nɔ de shayn, go to dɔktɔ wantɛm wantɛm.
If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu yay dɔktɔ. Ay we gɛt wɛlbɔdi na valyu tin!
` Posita Kapsul Opasifikeshɔn, PCO, Sɛkɔndari Katarakt, Katarakt Ɔpreshɔn, YAG Lɛza, Ay Wɛlbɔdi, Blɔr Vishɔn
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