I mit hmuhna chu a tlahniam zauh zauh em? Hei hi Corneal Ectasia a ni thei!

A chang chuan i mit a tlahniam zauh zauh ang maiin i inhria em? A hma ang khan chiang takin i hmu thei lo maithei a, êng i en chuan i mit a sen vek mai thei? Hei hi a chhan pakhat chu mit natna bik a ni thei. Vawiin hian chutiang dinhmun pakhat, ngaihven tlem ngai, corneal ectasia tih chu kan sawi dawn a ni. Hlau suh, a pawimawh ber chu hei hi fimkhur hi a ni.

Corneal Ectasia tih hi eng nge ni?

A awlsam zawngin sawi ila, corneal ectasia hi mit hmalam (mit hmalam hmun thianghlim, zungbun, camera lens ang chi) tichhe thei natna chi khat a ni. Hemi a thil thleng chu i mitmeng (cornea) pianzia chu a inthlak zauh zauh thin. Cornea chu a thim a, hmalam pan a bulge bawk. Balloon te tak te inflating ang maiin han ngaihtuah teh. Hei hian mit chhunga êng luh dan a tidanglam a, hun kal zelah astigmatism (refractive error) a thlen thei a ni. Chumi avang chuan hun kal zelah i mit a fiah lo ta hle a ni. A tam zawkah chuan he natna hian mit pahnih a nghawng a, mahse a chang chuan mit pakhat chauh a nghawng thei bawk. Mi thenkhatah chuan he corneal ectasia hi a na lo thei hle a, clinical test pawhin a hriat theih loh. Mahse hei hi a kal zel chuan i mit a chhe lutuk a, glasses emaw contact lens emaw hmang pawhin i hmu tha thei lo. Mahse, mitdel ang chi harsatna lian tak tak hi a tlem hle a, chuvang chuan ngaihtuahawm tur a awm lo. Amaherawhchu, mit hmuhna \ha lo chuan ni tin hnathawhna, hnathawhna hmuna kal emaw, chhungte enkawl emaw ang chite chu a tibuai thei a ni. Chuvangin he natna hi hriat hmasak a, a tul anga enkawlna zawn a pawimawh hle.

Corneal ectasia chi hrang hrangte chu engte nge ni?

Corneal ectasia hi chi hrang hrang a awm a . A awlsam zawngin eng nge an nih hi han thlir ila:

Keratoconus tih hi a ni

Hei hi mitdel chi khat zingah chuan a tam ber a ni . Hetiang dinhmunah hian mit (cornea) chu a hring a, zawi zawiin hmalam pan chuan cone ang maiin a bulge ta a ni. Cornea, a tlangpuiin a zungpui chu cone ang maiin a lo awm ta a ni. Ice cream cone chunglam ang maiin han ngaihtuah teh.

Keratoglobus tih chu a ni

Chutah chuan mitmeng zawng zawng chu a pangngai lo takin a hring a, a awm theih nan hmalam a bulge a ni. Cornea pumpui chu a bulh angin a lang thei a, ball lian tak ang mai a ni.

Pellucid marginal degeneration a awm thin

Hetah hian mitmeng hnuai lam chanveah chuan thlasik lai (crescent moon) ang maia thinning i hmu thei a ni. Chu thinning chuan cornea chu chunglam atang chuan hmalam a rawn chhuah tir thin.

Keratorefractive surgery hnua ectasia a awm thin

Hei hi a danglam deuh hlek a ni. Surgery hnuah mit lama harsatna, myopia ( nearsightedness) ang chi siamthat nan a thleng thin.Corneal ectasia a awm thin . Entirna pakhat chu post-LASIK ectasia hi a ni. LASIK mit surgery nei mi 166 zinga 1 velin he natna hi an vei dawn nia chhut a ni. Corneal surgery dang, PRK tih ang chi hnuah pawh a awm thei bawk.

A hnu lama keratoplasty ectasia a awm

Chutiang a nih chuan, ectasia hi mit (cornea transplant) avanga harsatna awm angin a lo awm a ni . A tam ber chu keratoconus natna enkawlna atana mit (corneal transplant) nei tawhte a ni. Operation atanga kum 10 chhungin mi 10 zinga 1 vel ah a awm thei.

He dinhmun hian tute nge a nghawng ber?

Corneal ectasia hian kum leh chi hrang hrang pawh a nghawng thei tak zet a ni. Hmeichhia leh mipa a thliar hrang lo. A châng chuan naupan lai aṭangin a inṭan thei a, kum chanve emaw, a hnu lamah emaw pawh a chhunzawm thei bawk. Symptoms lo lang tan (onset) kum hi a chi hrang hrang a zirin a inang lo:

• Keratoglobus : Naupan lai emaw tleirawl lai (kum 10s) ah a awm tlangpui.
• Keratoconus : Naupan lai (kum 10 hnuai lam atanga kum 20 hma lam).
• Pellucid marginal degeneration : Kum 20, 30, 40 vel a ni.
• Post- surgical ectasia : Operation hnu thla engemaw zat atanga kum tam tak chhung engtik lai pawhin .

Corneal Ectasia natna lan chhuah dan chu engte nge ni?

Corneal ectasia hi a tir lamah chuan symptomatic a ni thei. Mahse, a natna a zual zel chuan a lan chhuah dan te chu:

• Hun kal zelah mit hmuhna a chhe zauh zauh thin .
• Light en hian glare rawh . Mi thenkhat chuan an mit a kang ang maiin a lang niin an sawi.
• Halos : Zan lama lirthei khalh laiin light vel ring hmuh.
• Diplopia (double vision) chu thlalak pakhat aiah pahnih hmuh hi a ni.

Heng symptoms zinga langsar ber chu kum tam tak chhunga mit hmuhna a tlahniam zauh zauh hi a ni. A tirah chuan hei hi a fiah lo hle mai thei a, awlsam takin glasses hmangin i mit i siam tha thei bawk. Mahse hun kal zelah i mit a chhe lutuk thei a, glass emaw contact lens emaw pawhin a pui thei tawh lo. Hei hi a chhan chuCorneal ectasia hi i mitmeng pianzia a inthlak a, astigmatism a ti na zual thin. A chi thenkhatah chuan keratoconus -ah chuan mitmeng (cornea)-ah hliam a awm thei a, chu chuan i mit a ti tlem thei bawk.

Corneal ectasia vang hian harsatna hlauhawm tak tak a awm em?

A tlem hle a, corneal ectasia hian harsatna lian tak a thlen thei. Chumi zinga pakhat chu corneal hydrops a ni . Hei hi mit (cornea) a lo hring chhuak nghal a, tui a lo awm thin. Hei hi medical emergency a ni a . Keratoconus vei zinga 3% vel a ni. Corneal hydrops natna lan chhuah dan chu:

• Sudden blurred vision a awm ta
• Eng laka sensitivity lutuk (mit blue) .
• Ka mitmenga natna chu tuar theih loh a ni.

Heng symptoms te hi i neih chuan i damdawi in hnai ber emergency department-ah i kal nghal tur a ni. Hei hi tihkhawtlai loh tur thil a ni.

Hei hi engte nge ni? Risk factors te chu engte nge ni?

Corneal ectasia awm chhan dik tak hriat a harsa fo thin . Keratoconus leh keratoglobus ang chi natna hi chhungkuaah a kal niin a lang (chhungkaw zinga mi pakhatin a nei tawh mai thei tihna a ni). Operation hnua ectasia hi pre-operative testing-a hmuhchhuah loh cornea chak lohna vang a ni thei. A hnuaia thilte avang hian corneal ectasia vei theihna i nei sang thei a ni:

• Connective tissue natna i neih chuan , Ehlers-Danlos syndrome ang chi hi a ni.
• Damdawi lam harsatna i neih chuan i mit i hrual fo thin. Entirnan , hay fever , leivut allergy, emaw eczema . I mit hrual tam lutuk hian hei hi a thlen thei bawk a, chuvangin chu pawh chu i fimkhur a ngai a ni.
• Contact lens, a bik takin hard lens i bun rei chuan.
• Vision correction surgery i neih tawh chuan.

Engtin nge hei hi i hmuh? (Diagnosis) tih a ni.

Mit enkawltu specialist-te chuan corneal ectasia hi hetiang hian an hmuchhuak thin:

• ZoMit enfiahna kimchang tak neih a ni.
• An sawipui ang che a , i medical history leh i chhungte zingah hetiang dinhmun hi an nei tawh em tih an zawt ang che .
• Test bik an nei a, chu chu slit lamp exam ( special slit lamp hmanga mit enfiahna ) leh corneal topography ( mitmeng chunglam map lak a, a pianzia inthlak danglamna zawng thin test) te hi a ni.

" Hetiang dinhmun hi a hmaa hriatchhuah hian i doctor chuan i tana enkawlna tur ruahmanna tha ber a siam thei a ni. Chuvangin kum tin mit enfiah a pawimawh a, a bik takin i chhungte zinga mi pakhatin keratoconus emaw mit natna dang emaw a neih chuan. "Tin, he diagnosis hi LASIK ang chi vision correction surgery neih hmain a pawimawh hle. Corneal ectasia, a awm tawh chu a na lo hle a, symptoms i neih loh pawhin a na zual thei bawk. Chuvangin, i doctor chuan operation hmain test a nei ang a, i risk a hniam em tih a chiang ang.

Corneal ectasia hi enkawlna a awm em?

Ni e, a dik tak zet! Corneal Ectasia hi enkawlna hrang hrang a awm a . Heng enkawlna te hi glasses atanga surgery thlengin a awm thei. Mit lam doctor-te chuan i mimal mamawh ang zela enkawlna tur an thlang ang. I mamawh enkawlna chi chu i dinhmun nasat dan leh i hmuh theih danah a innghat ang. Enkawlna kawng hrang hrangte chu:

Darthlalangte hi engtin nge an awm?

Glasses can help you see better , mahse natna a zual zel tur a veng lo. Glasses hi corneal ectasia hmasa berah chuan a \angkai fo \hin .

Contact lens chungchang min hrilh teh.

Glasses ang bawkin contact lens hian mit a ti tha thei a , mahse natna kal zel tur chu a titawp lo va, a tikhawtlai lo bawk. A tir leh a hun laiah an pui thei a ni. Contact lens chi hrang hrang a awm a, soft leh hard lens te pawh a awm a, chubakah scleral lens te pawh he natna atana siam bik a ni. I doctor chuan i tana tha ber tur a thlang ang.

Engtikah nge operation tih a ngai?

Corneal ectasia natna vei nasat lutuk tan chuan operation hi a tha ber thin . I mit doctor chuan nitin hnathawhna atana i mit hmuhna chu a tha tawk turin a tum hmasa ang a, chu chu tehfung awlsam tak tak, glasses leh contact lens te hmangin a ni ang. Mahse, glasses leh contact lens te hian i mit a tidik tha tawk lo a nih chuan, emaw, test-naah i natna a zual zel tih a hriat chuan operation i mamawh mai thei.Surgery hi glasses leh contact lens nen a danglam a. A chhan chu operation hian natna zual zel chu a tikhawtlai thei a, a titawp thei tak zet a ni. I doctor-in operation a rawt chuan eng ang surgery nge i mamawh a, eng nge thleng leh ang tih i ngaihtuah mai thei. I surgical options hriat nan hun i hman a pawimawh. Surgery tin hian hlawkna leh hlauhawmna a nei vek a. He surgery chungchang leh i tana tha tur chu i doctor nen sawiho rawh. Surgery tih theih turte chu:

• Corneal ring implantation : He surgery hian i mitmeng (cornea) pianzia siamthat nan plastic ring (segment) te te chu i mit (cornea)-ah dah a ni. Hei hian mitmeng (cornea) curvature a tihziaawm bakah i mit chhunga light lut chu a focus thei a, hei hian i mit hmuhna a tichak thei a ni. Heng mitmeng ring te hi Intrastromal Corneal Ring Segments (ICRS) an ti bawk.
• Corneal Cross-Linking (CXL) : Hei hi surgery pawimawh tak a ni. Riboflavin (vitamin B2) leh UV light hmangin i mitmenga collagen fibers (cornea chakna leh pianzia pe thei protein) inzawmna a tichak a ni. Building lungphum tihchak ang mai a ni. CXL hian corneal ectasia kal zel chu a ti slow thei a , a titawp thei bawk . A bik takin natna a zual hmaa tih a nih chuan a \angkai hle.
• Cornea transplant : He surgery hian cornea thar (mihring donor atanga lak) a pe che a ni. Surgeon te chuan i mit (corneal tissue) a chhiat dan azirin duhthlan tur hrang hrang an hmang thin. Entirnan, Deep Lamellar Keratoplasty (DALK) -ah chuan surgeon chuan mit (cornea) chunglam leh a lai layer chauh a la chhuak a, a hnuaia layer hrisel ( the endothelium ) chu a awm reng a ni. Hei hi penetrating keratoplasty (cornea layer zawng zawng thlaktu) aiin rejection risk hniam zawk nei procedure a ni.

Chuti a nih chuan he dinhmun hnu hian eng nge thleng? (Hmuh dan tur) .

I doctor hi i hriselna chungchang leh hmalam hun tur zawt tur chuan mi tha ber a ni. I mit dinhmun leh i medical history a hre chiang hle. I history leh test result a zirin i beisei tur a hrilh thei che a ni. Zawhna leh ngaihtuahna i neih chuan chhanna dil hreh suh.

He hlauhawmna tihziaawmna tur kawngte chu engte nge ni?

Vanduaithlak takin corneal ectasia chi tam zawk hi chu ven theih a ni lo. Mahse, a hmaa hriat chian chuan a hun taka enkawlna i dawng thei a, i natna tizual thei thilte chu i pumpelh thei bawk.I hriat hmasak theihna chance tihpun nan a hnuaia mi hi i ti thei ang:

• Kum tin mit enfiah thin ang che.
• Vision correction surgery i neih hmain i doctor hnenah corneal ectasia awm theihna tur zawt hmasa phawt ang che .
• I biological family-a mi tu emaw chuan corneal ectasia an vei em tih zawng rawh (he thu hi i doctor hnenah pawh share ve bawk ang che).

Engtin nge ka in enkawl ang?

Nunphung inthlak danglamna tam zawk hian corneal ectasia ah nghawng lian tham a nei lo . Mahse, mit hrual hian corneal ectasia chi thenkhat chu a ti na zual thei. Hei hi a pawimawh hle. I mit chu a theih ang anga hnawih loh tum ang che. Hetiang tih harsatna i neih chuan, allergy avanga lo awm a nih chuan mit lam doctor emaw primary care doctor emaw nen inbia ang che. Thurawn an pe thei che a, a tul chuan damdawi pawh an pe thei bawk. Entirnan, allergy damdawi thenkhat (antihistamines) hian i mit hrual duhna a tiziaawm thei a ni.

Engtikah nge Doctor ka hmuh ang?

I doctor chuan follow-up neihna tur i lo kal fo tur chu a hrilh ang che. Hei hi corneal ectasia i neih chi hrang hrang, a nasat dan leh i enkawl danah a innghat ang. Thla thum atanga thla ruk danah follow-up nei turin i lo kal a ngai mai thei a, chu chu i dinhmun a na zual em tih en a ngai mai thei. Heng follow-up te hian i doctor chu enkawlna tan hun tha ber tur a rel thei ang. I appointment zawng zawng hi zawm vek a pawimawh. I doctor chuan i dinhmun chu uluk takin a enfiah ang a, i enkawlna tur ruahmanna siamna atana test mamawh te a ti ang. Corneal ectasia atana i mit hmuhna chu a theih ang anga humhim tur chuan i enkawl dan leh i enkawl danah i taima hle a ngai a ni. Corneal ectasia symptoms i neih chuan i mit a chhe zauh zauh tihna a ni a, i doctor ko nghal la, appointment siam rawh, kum tin i mit enfiah hun a la nih pawhin.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

Heng symptoms te hi i neih chuan damdawi in emergency room ah kal nghal rawh :

• Mit na nghal emaw, na tak emaw i neih chuan.
• I mit a lo fiah nghal emaw, thil chi hnih a lo lang emaw a nih chuan a pawi lo.
• Mit a lo hring (edema) , chu chu tuiin a khat ang maia a lian a nih chuan.

Hengte hi medical emergency, corneal hydrops ang chi, enkawl vat ngai chhinchhiahna a ni thei.

Corneal ectasia leh keratoconus hi eng nge an danglamna?

Heng thumal pahnih hi inthlunzawm a awl khawp mai, a ni lawm ni? Corneal Ectasia tih hi a niUmbrella lian ber ang maiin . Chu chu category lian tak, natna pawl a ni tihna a ni. Keratoconus hi corneal ectasia chi khat a ni a, a tam ber pawh a ni. Zirchianna chuan mi 400 zînga pakhat vêl, a nih loh leh mi 2,000 zînga pakhat vêl chuan keratoconus . Mahse, zirchianna thenkhat chuan he natna vei tak tak hi heng statistics aiin a tam zawk thei niin an sawi. Corneal ectasia hian hnathawh i neih lai te, chhungkaw i enkawl lai te, nitin nun i kalpui mai mai lai te hian lungkhamna, lungkhamna leh lungngaihna a thlen thei a ni. Mahse thu lawmawm tak chu enkawlna kawng hrang hrang chu nitin a tha chho zel a ni. Surgery thenkhatah chuan natna zual zel tur tihkhawtlai emaw, tihtawp emaw theihna hun remchang a awm thin. Mit lam doctor nen eng kawng nge i tan a tha ber tih sawipui rawh.

Chuti a nih chuan, heng zawng zawng atang hian eng thil nge kan hriat reng tur?

• Corneal ectasia hi mit mitmeng (cornea) a hring a, hmalam pan a rawn chhuak a, mit hmuhna a tichhe thei a ni. Keratoconus hi a tam ber a ni.
• I hmuh theih loh zauh zauh, êng laka hriatna, emaw, light chhehvela ring hmuh ang chi symptoms i neih chuan mit lam doctor i pan ngei tur a ni.
• A hmaa hriatchhuah leh enkawl dan dik a pawimawh hle. Hei hian mit hmuhna a tichhe lehzual loh nan a pui thei a ni.
• Enkawlna kawng hrang hrangah chuan glasses, contact lens, leh surgery hrang hrang (`Corneal Cross-Linking`, `Corneal Rings`, `Cornea Transplant` ang chi) te a awm a ni. I doctor chuan i tana tha ber tur chu a rel ang.
• I mit hrual loh tur. Hei hian a dinhmun a ti na zual thei a ni.
• Kum tin mit enfiahna hi skip suh, a bik takin i chhungkuaa mi pakhatin heng natna hi a neih chuan.
• Mit na tak, mit a fiah lo, emaw, i mit a hring chhuak nghal a nih chuan emergency a ni. Damdawi inah kal nghal rawh.

I mitmeng hi a hlu em em a ni. Chuvangin i mit hmuh danah inthlak danglamna tlemte pawh i hmu a nih chuan enkawl tha rawh. Doctor biak pawh hlau suh. Enkawl hmasak hian rah tha a chhuah theihna kawngah kawng thui tak a zawh thei a ni.

Corneal Ectasia, Keratoconus, Mit hmuh lohna, Mit natna, Mit Natna, Mit Hmuh lohna, Mit inthlak danglamna