Yu dɔn gɛt katarakt ɔpreshɔn ɛn yu yay dɔn blɔk bak, lɛk se yu de na fɔg? Bɔku pipul dɛn kin wɔri na dis tɛm ɛn dɛn kin tink se, "Oh my, mi katarakt de kam bak?" Bɔt dis nɔto rili katarakt we kin kam bak. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis kɔndishɔn ‘Posterior Capsule Opacification’ ɔ PCO. Natin nɔr de fɔ wɔri bɔt, bikɔs di simpul, nɔr pen ɛn kwik sɔlv na YAG laser tritmɛnt.
Wetin na YAG Laser Kapsulotomi?
Fɔ tɔk am simpul wan, dis na rili kwik ɛn simpul laser tritmɛnt fɔ blurred vishɔn we kin apin afta dɛn dɔn ɔpreshɔn di katarakt.
Imajin, we yu de du katarakt ɔpreshɔn, wi de pul di natura l lens insay yu yay, we dɔn bi klawd wit di ej, ɛn put atifishal lens (Intraocular Lens - IOL) insay am. Dis nyu atifishal lens nɔ kin jɔs flɔt insay yu yay. i de ol in ples bay wan rili tin, lεk mεmbran ‘kכva’ (lεns kapsul) we bin de fכ yu ol nεchכral lεns.
Afta sɔm mɔnt ɔ ia afta dɛn dɔn du di ɔpreshɔn, pan sɔm pipul dɛn , sɔm pan di sɛl dɛn we lɛf na di bak pat pan dis kapsul kin gro ɛn i kin bigin fɔ klawd, lɛk glas we gɛt dɔti. Na dat wi kin kɔl PCO (Posterior Capsule Opacification).
YAG laser tritmεnt de yuz spεshal laser bim fכ mek wan sכmכl ol rayt na di midul pan di klawd, tin layεr fכ tisu, we nכ de damej di yay. Dis kin mek layt pas na di yay we nɔ gɛt ɛnitin fɔ ambɔg yu, ɛn yu kin si bak. Di laser we dɛn yuz fɔ dis dɛn kɔl am `YAG` (yttrium aluminium garnet) bikɔs ɔf di spɛshal kayn gem we dɛn mek am wit.
Aw a fɔ rɛdi fɔ dis tritmɛnt?
Dis nɔ nid fɔ pripia ɛni spɛshal tin. Dis nɔto inpatient prosidur, bɔt na ɔutpatient prosidur we yu kin du na yu ay dɔktɔ in ɔfis.
We yu go na di klinik di de we yu dɔn sɛtul, sɔm minit bifo di tritmɛnt, wan nɔs go kam ɛn put tu kayn ay drɔp na yu yay.
1. Mεdikeshכn we de mek yu yay sכmtεm: Dis min se yu nɔ go fil ɛni pen we yu de du di tritmεnt.
2. Dilating drops: Dis kin mek am izi fɔ di dɔktɔ fɔ si di lens insay di yay klia wan.
We dɛn drɔp ya dɔn bigin fɔ wok, yu dɔn rɛdi fɔ tritmɛnt.
Wetin kin apin we dɛn de trit am?
Yu sidɔm na chia, lɛk mashin we de tɛst yu yay, ɛn yu fɔ rɛst yu chin ɛn fɔrɛst pan am ɛn luk stret bifo.
- Yuz wan lens (i kin bi se):Sɔntɛnde, di dɔktɔ kin put spɛshal lens na yu yay ɛn ol am na in ples. Dɛn kɔt am wit jel, so yu nɔ go fil ɛni prɔblɛm. Yu yay go numb, so no pen nɔ de atɔl. Yu kin jɔs fil se dɛn de mɔna yu smɔl.
- Laser activation: Dɔn di dɔktɔ go aktiv di laser. Yu nɔ go si di laser bim ɔ fil ɛni pen. Bɔt yu kin yɛri smɔl sawnd lɛk di lɛsa we de go ‘tik, tik, tik’ . Sɔm pipul dɛn kin fil bak se difrɛn kɔlɔ dɛn de flash wantɛm wantɛm we di lɛsa nak dɛn. Dis na nɔmal tin ɛn i go dɔn insay sɔm minit.
di ol prכsεs de tek less dan 5-10 minit, εn yu kin go na os as soon as i dכn.
Wetin na di bɛnifit dɛn we dis tritmɛnt de gi?
Bɔku rizin dɛn de we mek bɔku pipul dɛn kin pik YAG laser tritmɛnt.
| Bɛnifit | Wan simpul diskripshɔn |
|---|---|
| I rili sef | Di risk fɔ gɛt kɔmplikeshɔn dɛn rili smɔl. Ivin if dɛn kin apin, bɔku tɛm dɛn kin smɔl ɛn i kin izi fɔ mek dɛn trit dɛn. |
| I bin rili gɛt sakrifays | Risach dɔn sho se pas 95 pan ɔl 100 pipul dɛm wae de du dis tritmɛnt kin si klia wan. |
| Nɔ nid fɔ de na ɔspitul. | Dis na tritmɛnt fɔ ɔtpeshɛnt. Yu kin go na os afta di tritmɛnt. |
| Nɔ pen/diskɔmfɔt nɔ de | Bikɔs di yay dɔn swɛ, yu nɔ go fil ɛni pen ɔ nɔ fil fayn we yu de du di tritmɛnt. |
| I nɔ kin agresiv tumɔs | Dis na we we simpul pas di rial ɔpreshɔn bikɔs dɛn kin du am wit lɛsa bim nɔmɔ, ɛn dɛn nɔ kin kɔt di yay. |
Ɛni prɔblɛm dɛn de we kin apin?
Siriɔs kɔmplikeshɔn dɛn afta YAG laser tritmɛnt nɔ kin bɔku. If dɛn kin apin, bɔku tɛm dɛn kin smɔl ɛn dɛn kin trit dɛn.
- Flota: I kɔmɔn fɔ si smɔl blak dɔt ɔ trɛd dɛn we de muv bifo yu yay (myodesopsias) fɔ sɔm dez afta yu dɔn trit yu. Dis na smɔl smɔl pat dɛn na di lens shel we di lɛsa kin brok. Dɛn tin ya go go fɔ dɛnsɛf insay sɔm dez ɔ sɔm wiks.
Apat frɔm dis, sɔm ɔda prɔblɛm dɛn de we kin apin smɔl smɔl.
- Inflameshɔn insay di yay (`Uveitis`) .
- Swel na di retina (`Cystoid macular edema`) .
- Di retina we de kɔmɔt na di bɔdi
- Di retina we de te
Mɛmba se dɛn tin ya nɔ kin apin so ɔltɛm.
Us tɛm a fɔ go to dɔktɔ wantɛm wantɛm?
Usually, no speshal fכlכ-ap nכ nid afta YAG laser tritmεnt. Yu ay ɛgzam we yu kin gɛt ɛvri ia ɔltɛm, na in nɔmɔ go du fɔ yu. Bɔt if yu gɛt ɛni wan pan dɛn sayn ya, i kin bi wan sik we yu nid fɔ go to dɔktɔ kwik kwik wan.
I rili impɔtant: If yu gɛt ɛni wan pan dɛn sik ya, i kin bi imejensi. So go to ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɔ tɛl yu yay dɔktɔ kwik kwik wan.
- Layt de flash wantɛm wantɛm insay di yay (photopsias).
- Wantɛm wantɛm we yu si bɔku bɔku ‘flɔta’ (blak dɔt/trɛd). (I nɔmal fɔ si sɔm, bɔt wɔri if yu si bɔku tin wan tɛm.)
- I tan lɛk se blak kɔtin kɔba wan say na di vishɔn.
- I nɔ de si fayn wantɛm wantɛm.
Dɛn sayn ya kin kam bikɔs ɔf wan siriɔs sik we dɛn kɔl retina detachment. If dɛn nɔ trit am kwik, i go lɔs di vishɔn na da yay de sote go. So, e fayn fɔ no bɔt dɛn kayn sik ya.
Mɛsej we dɛn kin kɛr go na os
- Post-cataract opacification (PCO) na wan kכmכn kכndyushכn we kin apin ova tεm afta di katarakt כpεrayshכn. Dis nɔto katarakt we kin kam bak.
- YAG laser tritmɛnt na wan we we rili kwik, we nɔ de mek pɔsin fil pen, ɛn we sef fɔ pul dis blurred vishɔn.
- Dis ɔl tritmɛnt nɔr kin tek 10 minit, ɛn yu kin go na os di sem de.
- Siriɔs kɔmplikeshɔn nɔ kin bɔku, bɔt wach fɔ di imejensi simptom dɛm lɛk laytin we de flash ɛn blak ɔt.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ fɔ fred bɔt dis, duya tɔk to yu dɔktɔ we de mɛn yu yay ɛn nɔ shem.
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