Yu taya fɔ luk fɔ yu glas ɔ kɔntakt lens ɛvri mɔnin afta yu wek? Yu taya fɔ wet yu glas we ren de kam, fɔg, ɛn fɔ klin am ɔltɛm? Sɔntɛm yu na spɔt pɔsin, ɛn afta dat, dɛn glas ya na big prɔblɛm. So bɔku pipul dɛn kin tink se no sɔlv nɔ de fɔ dis, yu fɔ liv lɛk dis fɔ di res ɔf yu layf. Bɔt fɔ tru, sɔm we dɛn de fɔ mɛn pipul dɛn tide we kin se gudbai to dɛn glas ya ɛn mek yu si klia wan . Tide wi de tɔk bɔt wan pan dɛn kayn spɛshal ɔpreshɔn dɛn de.
Wetin rili na Rifraktiv Lɛns Ɛkshɛnj (RLE)?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn bak we dɛn kin du na di yay. Bɔt dis min se yu fɔ pul di natura l lens insay yu yay kpatakpata ɛn put atifishal lens (Intraocular Lens - IOL ) we dɛn mek fɔ fit yu yon vishɔn dɛfɛkt fɔ ɔltɛm.
Tink bɔt am lɛk we yu put smɔl lens we gɛt di sem pawa lɛk yu ayglas ɔ kɔntakt lens insay yu yay. We dɛn dɔn put di atifishal lens insay, i de wok jɔs lɛk yu natura lens. I de mek layt we de go insay yu yay ɛn fos am dairekt na di retina . Dis kin mek yu ebul fɔ si klia wan we yu nɔ go blɔk. Bɔku pipul dɛn nɔ kin ɛva nid fɔ wɛr glas igen afta dɛn dɔn du dis ɔpreshɔn. Sɔm pipul dɛn kin jɔs nid glas fɔ du tin dɛn we dɛn kin du klos klos, lɛk fɔ rid buk ɔ nyuspepa.
Yu kin dɔn yɛri bɔt laser ɔpreshɔn, lɛk `(LASIK)` ɛn `(PRK)`. Dɛn ɔpreshɔn ya kin chenj di shep we di kɔnia na di yay gɛt fɔ mek i ebul fɔ si fayn fayn wan. Bɔt sɔm pipul dɛn, mɔ di wan dɛn we gɛt siriɔs prɔblɛm wit dɛn yay (we dɛn kin si nia ɔ we dɛn kin si fa), nɔ kin ebul fɔ du dɛn ɔpreshɔn ya wit lɛsa. Na da tɛm de dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn pan `(Refractive Lens Exchange)`.
Udat dis ɔpreshɔn bɛtɛ fɔ? (Ɛn udat i nɔ de fɔ?)
Dis ɔpreshɔn nɔto fɔ ɔlman. Di dɔktɔ we de mɛn yu yay go chɛk yu yay ɛn disayd if dis fayn fɔ yu. Di tebul we de dɔŋ ya go gi yu gud aidia bɔt dis.
| Udat fit fɔ dis ɔpreshɔn? | Pipul dɛm wae nɔr kin fayn fɔ dis ɔpreshɔn |
|---|---|
| Pipul wae gɛt siriɔs myopia ɔ hyperopia wae de mek laser ɔpreshɔn nɔr pɔsibul. | Pipul dεm wae gεt kכndyushכn wae de afekt di kכnia na di yay. |
| Pipul dɛm wae want fɔ ridyus dɛn dipɛnshɔn pan glas bikɔs ɔf presbyopia, wan sik wae kin apun wit ol pipul dɛm. | Pipul dɛn we gɛt sik we dɛn kɔl macular degeneration we gɛt fɔ du wit dɛn ej . |
| Pipul dɛn we gɛt astigmatism. | Pipul dɛn we gɛt dayabitis-rilayt retinopathy . |
| Di wan dɛn we want fɔ avɔyd di risk fɔ gɛt katarakt tumara bambay. | Pipul dεm wae gεt risk fכ rεtina dεtachmεnt. |
| Pipul wae de sɔfa wit uveitis, na wan inflammatory condition wae kin apun insay di yay. |
Yu tink se di ej impɔtant?
Dis ɔpreshɔn kin bɛtɛ fɔ pipul dɛn we dɔn pas 40. Bɔku rizin dɛn de fɔ dis. Wan pan dɛn na dat, pipul dɛn we dɔn ol nɔ kin gɛt prɔblɛm dɛn afta dɛn dɔn du di ɔpreshɔn. Wan ɔda wan na dat, bɔrku pipul dɛm wae dɔn pas 40 ia dɔn ɔlrɛdi gɛt sɔm kayn wae fɔ si tin wae de kam nia (presbyopia). So dis ɔpreshɔn kin sɔlv da prɔblɛm de wan tɛm.
Wetin na di difrɛns bitwin ɔpreshɔn pan katarakt ɛn dis?
Dis na sɔntin we bɔku pipul dɛn kin kɔnfyus bɔt. Dɛn tu ɔpreshɔn ya na fɔ pul di natura l lens na di yay ɛn put atifishal lens (IOL) insay am. Bɔt di rizin we mek dɛn du di ɔpreshɔn difrɛn atɔl.
- Katarakt ɔpreshɔn: Dɛn kin du dis bikɔs di natura lens na yu yay dɔn tɔn klawd (lɛk glas we gɛt fɔg). Dis klawd de ambɔg yu vishɔn. So dɛn kin pul di klawd lens ɛn put wan klia atifishal lens fɔ mek pɔsin ebul fɔ si klia wan bak. Dis na tin we pɔsin nid fɔ du fɔ mɛn pipul dɛn .
- Refractive Lens Exchange (RLE) ɔpreshɔn: Dɛn kin du dis fɔ kɔrɛkt di prɔblɛm dɛn we yu kin si (lɛk fɔ si nia ɔ fɔ si fa) we kin apin we yu natura lens klia , bɔt i nɔ kin ebul fɔ fos layt fayn fayn wan. Di prɔblɛm we de ya nɔto we di lens de klawd, bɔt na prɔblɛm we de mek pɔsin de pe atɛnshɔn . Dɛn kin du dis fɔ mek yu nɔ dipen pan glas ɔ kɔntakt lens ɛn fɔ mek i izi fɔ yu ɛvride. So, dis na ɔpreshɔn we pɔsin kin pik fɔ du pas fɔ mek pɔsin du am.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Di dɔktɔ we de mɛn yu yay go chɛk yu yay gud gud wan bifo dɛn du yu ɔpreshɔn ɛn i go tɔk to yu bɔt di kayn intraokular lens (IOL) dɛn we dɛn kin put insay yu yay. I impɔtant fɔ aks ɛni kwɛstyɔn we yu gɛt dis tɛm.
Yu fɔ no gud gud wan bɔt aw fɔ pik di rayt intraokular lens (IOL) fɔ yu. Aks yu dɔktɔ bɔt di bɛnifit ɛn bad tin dɛn we ɛni kayn lens gɛt ɛn aw i go afɛkt yu ɛvride layf.
Bɔku men kayn IOL dɛn de:
- Monofocal IOLs: Dɛn lens ya kin mek yu si klia wan we yu de fa ɔ we yu de fa . Dɛn nɔ go ebul fɔ gi dɛn ɔl tu. Fɔ ɛgzampul, if yu wɛr dɛn lens ya fɔ si distans, yu go mɔs nid glas fɔ du wok dɛn we yu kin du klos-ap lɛk fɔ rid buk ɔ fɔ chɛk yu fon.
- Multifocal IOL (lens dɛm we de gi ɔl tu distans ɛn nia vishɔn): Dɛn lens ya de mek yu si ɔl tu distans ɛn nia tin dɛm we nɔ gɛt glas. Bɔt, dɛn gɛt sɔm bad tin dɛn. Sɔm pipul dɛn kin gɛt glare ɛn halos we dɛn de drayv na nɛt. Bɔku tɛm, dɛn tin ya kin dɔnawe as tɛm de go.
- Monovision method: Dis na wan we we rili intrestin. wetin yu de du ya na fכ put ``monofocal`` lens fכ distans vishכn na wan yay εn ``monofocal`` lens fכ nia vishכn na di כda yay. Pan ɔl we i kin fil smɔl strenj fɔs, afta sɔm tɛm yu bren kin yus to dis ɛn yu kin bigin fɔ si ɔl tu distans ɛn nia we yu nɔ no.
Tɔk to yu dɔktɔ fɔ disayd uswan pan dɛn tin ya go fayn fɔ yu layf, wok, ɛn wetin yu nid.
Aw dɛn kin du di ɔpreshɔn?
No rizin nɔ de fɔ mek wi fred dis ɔpreshɔn. I kin tek lɛk 15-30 minit fɔ dɔn. Di step dɛn we dɛn kin du fɔ di ɔpreshɔn na dɛn wan ya:
1. Fɔs , dɛn kin put ay drɔp na yu yay fɔ mek i nɔ gɛt bɛtɛ trɛnk . So yu nɔ go fil ɛni pen. If nid de, dɛn kin gi yu wan mɛrɛsin we de mek yu fil fayn fɔ mek yu nɔ gɛt wanwɔd. Yu go de no, bɔt yu nɔ go de si fayn. Ɔl wetin yu kin si na layt ɛn sɔm muvmɛnt.
2. Neks, di sajin de yuz laser bim ɔ wan rili fayn bled fɔ mek wan rili smɔl say we di wayt na di yay (sclera) ɛn di kɔnia de mit.
3. Dɔn, we yu yuz inschrumɛnt we shep lɛk pen (phacoemulsification), dɛn kin brok yu natura lens to smɔl smɔl ɛn tek tɛm sok am kɔmɔt.
4. naw, dεn de put di atifishal lεns (IOL) we dεn bin dכn sεlekt insay di spεs we dεn mek tru da sכm sכm say we dεn kכl am εn dεn de put am kכrekt insay di dilikεt lεns kכpsul we de ol di lεns.
5. Dis kot so smɔl dat i nɔ ivin nid fɔ stich . I go lɔk ɛn wɛl fɔ insɛf.
6. Fɔ dɔn, dɛn go transfa yu to di wɔd wit smɔl ay shild we dɛn tay.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go wach yu fɔ lɛk 30 minit ɛn afta dat dɛn go alaw yu fɔ go na os. I rili impɔtant fɔ mek sɔmbɔdi kam kɛr yu go na os. Dɔn bak, yu fɔ gɛt pɔsin fɔ kɛr yu go na yu fɔs klinik apɔntinmɛnt afta di ɔpreshɔn. Di dɔktɔ go tɛl yu ustɛm yu go ebul fɔ drayv bak.
Na nɔmal tin fɔ mek yu nɔ fil fayn insay di fɔs dez afta dɛn dɔn du di ɔpreshɔn. Dɛn tin ya na fɔ shɔt tɛm nɔmɔ.
- Smɔl blurring fɔ di vishɔn
- Dabl vishɔn
- I de it na di yay, lɛk se san de insay dɛn.
- Di yay dɛn we de rɛd
- Kray wata we de kɔmɔt na di yay
Dɛn tin ya go dɔnawe wit dɛn kpatakpata as tɛm de go. Sɔm pipul dɛn kin gɛt sayd ɛfɛkt bak we dɛn kin si frɔm di intraokular lens (IOL).
- I tan lɛk shado we yu si am frɔm di sayd
- Fɔ si wan layn we de shayn we gɛt layt we yu si am frɔm di sayd
- Fɔ si halo ɔ glare rawnd layt, mɔ na nɛt
Dɛn tin ya kin apin mɔ pan pipul dɛm wae gɛt multifocal IOL, ɛn bɔrku tɛm dɛn kin dɔŋ as tɛm de go as di bren de ajɔst to dɛm.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn. If dɔktɔ we gɛt ɛkspiriɛns ɛn we sabi du ay ɔpreshɔn du dis ɔpreshɔn, dat kin ridyus di prɔblɛm dɛn bad bad wan.
| Bɛnifit dɛn | Risk & Kɔmplikɛshɔn dɛn |
|---|---|
| Ɔl kayn we aw pɔsin kin si fayn (fa, nia, we pɔsin kin si nia) kin kɔrɛkt. | di rεtina dεtachmεnt: Dis na di mכst siriכs kכmplikεshכn we kin apin. De risk kin bɔrku smɔl pan pipul dɛm wae gɛt siriɔs say fɔ si tin ɛn wae nɔr rich 50 ia yet. |
| Yu kin fri ɔl ɔ ɔlmost kɔmplit wan frɔm glas (4 pan 5 pipul dɛm wae gɛt di ɔpreshɔn nɔr go nid glas). | Yu nɔ de si fayn: Sɔm we yu nɔ de si kin apin bikɔs ɔf tin dɛn we nɔ kin apin so ɔltɛm, lɛk we di retina dɔn pwɛl. |
| I nɔ nid fɔ wɔri bɔt di katarakt we de divɛlɔp insay di fyuchu (katarakt de fɔm nɔmɔ na di natura l lens). | di posita kapsul rupchכ: di dilik mεmbran we de ol di lens in ples kin te we dεn de כpεrayshכn. Bɔku tɛm, di dɔktɔ we de du di ɔpreshɔn kin ebul fɔ manej dis da tɛm de. |
| Posita kapsul opasifikeshכn: Dis nכto rili katarakt. Na klawd na di kapsul we de ol di atifishal lens mɔnt ɔ ia afta dɛn dɔn ɔpreshɔn am. Dis kin klin bak insay sɔm minit wit wan rili simpul lɛsa tritmɛnt. |
Ustɛm yu fɔ go to dɔktɔ?
I nɔmal fɔ mek di yay gɛt sɔm chenj dɛn di tɛm we i de wɛl afta dɛn dɔn du di ɔpreshɔn, bɔt sɔm sayn dɛn de we wi fɔ no mɔ bɔt.
| If dɛn sayn ya nɔr de bɛtɛ ɛn de wɔs de go de, go to yu dɔktɔ wantɛm wantɛm. | |
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| Dis na imejensi dɛn! Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. | |
dis kin bi sayn dεm fכ di rεtina dεtachmεnt. If yu trit yu kwik kwik wan, dat kin sev yu yay.
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Us ɔda tin dɛn de we yu kin du apat frɔm dis ɔpreshɔn?
Refractive Lens Exchange nɔto fɔ ɔlman. Sɔntɛm ɔda tin dɛn de we yu go ebul fɔ du we go fayn fɔ yu.
- Glas ɔ Kɔntakt Lɛns: Dis na di tin we simpul ɛn we nɔ de ambɔg pɔsin.
- Laser ɔpreshɔn (LASIK, PRK): Dɛn tin ya kin fayn fɔ pipul dɛn we gɛt smɔl to mɔdaret prɔblɛm wit dɛn yay.
- Phakic Intraocular Lens (PIOL) Implantation: Dis involv fכ implant nyu lens bifo yu nכmal lens we yu nכ pul am. I tan lɛk se yu put kɔntakt lens insay yu yay. Dis na gud opshɔn, mɔ fɔ pipul dɛm wae nɔr rich 40 ia wae gɛt siriɔs sik wae de kam nia bɔt nɔr dɔn bigin fɔ si tin wae de kam nia.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ we de mɛn yu yay bɔt ɛni wan pan dɛn tin ya, di gud ɛn bad tin dɛn we dɛn kin du, ɛn pik wetin bɛtɛ fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Refractive Lens Exchange (RLE) na pɔrmanent sɔlvishɔn fɔ fri frɔm glas ɔ kɔntakt lens.
- Dis difrɛn frɔm ɔpreshɔn we dɛn kin du wit katarakt. Dɛn kin du dis fɔ kɔrɛkt di mistek dɛn we dɛn kin mek we dɛn de pe atɛnshɔn pan di vishɔn.
- I rili impɔtant fɔ pik di rayt intraokular lens (IOL) we fit yu layf. Tɔk to yu dɔktɔ bɔt am.
- Di sakses rɛt fɔ dis ɔpreshɔn rili ay. Bɔt jɔs lɛk ɔl di ɔpreshɔn dɛn, smɔl prɔblɛm de. If yu pik dɔktɔ we gɛt ɛkspiriɛns fɔ du ɔpreshɔn, dat kin mek dis prɔblɛm nɔ bɔku.
- If yu gɛt ɛnitin we nɔ kɔmɔn afta yu du di ɔpreshɔn (especially blak spat wantɛm wantɛm, laytin flash), go to dɔktɔ wantɛm wantɛm.
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