Cataract surgery i nei tawh a, i mit a fiah leh tawh em, fog-a i awm ang maiin? Hetih lai hian mi tam tak chuan an lungngai a, "Oh my, ka mittui tlakna chu a lo let leh tawh em?" Mahse hei hi a takah chuan mitdelna (cataract recurrence) a ni lo. Damdawi lam hawi chuan he natna hi ‘Posterior Capsule Opacification’ emaw PCO emaw kan ti thin. Thil ngaihtuah tur a awm lo, a chhan chu a solution awlsam ber, hrehawm lo ber leh rang ber chu YAG laser treatment a ni.
YAG Laser Capsulotomy tih hi eng nge ni?
A awlsam zawngin sawi ila, hei hi mitdel surgery hnua mit hmuh lohna (blurred vision) tan laser hmanga enkawlna rang tak leh awlsam tak a ni.
Ngaihtuah teh, mitdel surgery kan tih lai hian i mit chhunga natural lens, kum upat deuha chhum lo tawh chu kan la chhuak a, artificial lens (Intraocular Lens - IOL) hmangin kan thlak leh a ni. He artificial lens thar hi i mit chhungah a float mai thei lo. A hmunah chuan i natural lens hlui dahna ‘cover’ (lens capsule) te tak te, membrane ang maia awmin a vawng tlat a ni.
Surgery an neih hnu thla engemaw zat emaw, kum engemaw zat emaw hnuah, mi thenkhatah chuan , he capsule hnung lama cell la awm thenkhat chu a lo thang lian a, a chhum tan a, leivut glass ang maiin. Chu chu PCO (Posterior Capsule Opacification) kan tih chu a ni.
YAG laser treatment hian laser beam bik hmangin tissue chhum leh te tak te lai takah chiah khur te tak te a siam a, mit tichhe lovin a siam a ni. Hei hian mit chhungah eng mah daltu awm lovin a kal thei a, i mit hmuh chu a lo tha leh ta a ni. Chumi atana hman laser chu a siamna lunghlu chi khat bik avang hian `YAG` (yttrium aluminum garnet) an ti a.
He enkawlna atan hian engtin nge ka inbuatsaih ang?
Hei hian inbuatsaihna bik a ngai lo. Hei hi inpatient procedure a ni lo va, outpatient procedure a ni a, mit doctor office-ah tih theih a ni.
I ni ruat sa, enkawl hma minute engemaw zat chhunga clinic i kal chuan nurse pakhat a lo kal ang a, i mitah mittui tlakna chi hnih a rawn dah ang.
1. Mit numbing damdawi: Hei hian enkawl chhungin natna engmah i nei lovang tihna a ni.
2. Dilating drops: Hei hian doctor tan mit chhunga lens awm chu chiang taka hmuh a ti awlsam hle.
Heng drops te hian effect a neih hnuah chuan enkawlna atan i inpeih tawh ang.
Enkawl lai hian eng nge thleng?
Chair-ah i thu a, mit enfiahna machine ang maiin i hmui leh i hmai i nghah a, hmalam i hawi nghal a ngai a ni.
- Lens hmanga (a awm thei):A châng chuan doctor chuan i mit chung lamah lens bik dahin a hmunah a vawng tlat thei bawk. Gel hmanga khuh a nih avangin engmah hrehawmna i nei lovang. I mit a hring dawn a, chuvang chuan natna a awm lo tak zet. Pressure tlemte chauh i nei mai thei.
- Laser activation: Chumi hnuah chuan doctor chuan laser chu a activate ang. Laser beam chu i hmu lo vang a, natna pawh i hre lo vang. Mahse, laser-a ‘tick, tick, tick’ tih ang chi thawm te tak te i hre mai thei. Mi thenkhat chuan laser-in a kah hian rawng hrang hrang a rawn eng nghal zung zung thei bawk. Hei hi thil pangngai a ni a, minute tlemte hnuah a bo mai ang.
A kalphung zawng zawng hi minute 5-10 aia rei lo a ni a, a tih zawh veleh in lamah i haw nghal thei bawk.
He enkawlna hian eng hlawkna nge a neih?
Mi tam takin YAG laser treatment an thlan chhan hi a chhan hrang hrang a awm.
| Hamthatna | A sawifiahna awlsam tak |
|---|---|
| A him hle mai | Complication awm theihna chance a tlem hle. An lo awm a nih pawhin an tenau leh enkawl awlsam tak an ni fo. |
| Hlawhtling tak a ni | Zirchianna atanga a lan dan chuan he enkawlna dawngtu mi 100 zinga 95 chuangin mit a fiah hle. |
| Damdawi inah awm reng a ngai lo. | Hei hi outpatient treatment a ni. Enkawl zawhah in lamah i haw thei bawk. |
| Natna/harsatna a awm lo | Mit a hrual avangin enkawl chhung hian natna leh hrehawmna engmah i nei lovang. |
| Aggressive lo zawk | Hei hi surgery tak tak aiin a awlsam zawk hle a, a chhan chu laser beam hmanga tih chauh a nih avangin, mitah incision siam lovin. |
Harsatna awm thei a awm em?
YAG laser hmanga enkawl hnuah harsatna na tak tak a awm tlem hle. An lo awm tak tak a nih chuan a tlangpuiin an tenau leh enkawl theih an ni.
- Floaters: Enkawl hnuah ni engemaw zat i mit hmaah dot dum emaw thread te te (myodesopsias) che vel hmuh tur a awm fo . Hengte hi lens shell atanga laser hmanga tihchhiat te te an ni. Chungte chu ni engemaw zat emaw, kar tlemte emaw chhungin anmahni chauhin an bo vek ang.
Hei bakah hian harsatna dang engemaw zat a awm a, chu chu a awm tlem hle.
- Mit chhunga natna (`Uveitis`) .
- Retina a hring (`Cystoid macular edema`) a awm bawk.
- Retinal atanga chhuak (retinal detachment) a awm
- Retinal tearing a awm
Hengte hi thil awmdan tlemte chauh a ni tih hre reng ang che.
Engtik lai nge doctor ka hmuh nghal tur?
A tlangpuiin YAG laser hmanga enkawlna hnuah hian special follow-up a ngai lo. Kum tin i mit enfiah thin kha a tawk. Mahse, a hnuaia symptoms te hi i neih chuan damdawi lam pan vat ngai natna a ni thei.
Pawimawh tak: Heng symptoms te hi i neih chuan emergency a ni thei. Chuvangin damdawi in pakhat Emergency Department (ETU) ah kal nghal la , a nih loh leh a rang thei ang bera mit doctor hriattir rawh.
- Mit chhunga êng rawn eng nghal zung zung (photopsias).
- Vawikhatmah ‘floater’ (black dots/threads) tam tak hmuh a ni. (Tlemte hmuh chu thil pangngai a ni a, mahse vawi khatah tam tak i hmuh chuan ngaihtuahawm rawh.)
- Inlarna sir khat chu puan dum in a khuh ang maiin a lang.
- Mit hmuhna hloh nghal mai.
Heng symptoms te hi natna khirh tak, retinal detachment an tih vang a ni thei. Enkawl vat loh chuan chu mita mit hmuh chu a bo vek thei a ni. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.
Take-Home Thuchah a ni
- Post-op keratoplasty (PCO) hi mitdel surgery hnua hun kal zelah a lo awm thei a ni. Hei hi mitdelna (cataract recurrence) a ni lo.
- YAG laser hmanga enkawlna hi a rang hle a, a hrehawm lo hle a, a him bawk a, he mitdelna hi tihbo a ni.
- He enkawlna zawng zawng hi minute 10 aia rei lo a ni a, chu ni vek chuan in lamah i haw thei bawk.
- Harsatna lian tak tak a awm tlem hle a, mahse emergency symptoms mit a eng eng leh blackout te chu fimkhur rawh.
- Hemi chungchangah hian ngaihtuahna emaw hlauhna emaw i neih chuan i mit lam doctor hnenah hreh lovin biak la.
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