Tuarua whakakapinga pokonga arotahi i muri i maimoatanga me arotake

elasticity tūturu o te capsule arotahi. I roto i arotahi pokanga whakanohoia arotahi intraocular te i roto i te kanohi ki te whakakapi i tenei. I roto i tenei capsule posterior tautoko te hou arotahi intraocular. tupu te reira i e haamata te capsule ki te tahuri kapua, e ai te āhuatanga o te pokonga tuarua i muri i te arotahi whakakapinga. Treatment, e arotake te tino pai, whakahaere i roto i runga i te taunakitanga hauora. Hoatu nga tikanga hou me ngā taputapu-kounga tiketike.

Ko te take o te tītohunga

Hea reira he pokonga tuarua i muri i whakakapinga o te arotahi? Reviews o tākuta e pā ana ki tenei pōauautanga whakaaro e kore e nga take tangohia mo tona takanga whäkina.

Ko te whanaketanga o te pōauautanga tuarua he tika ki te tupu o te epithelium, paetata i runga i te mata o te capsule posterior. Ko reira he takahi o tona mārama, meinga kite heke. e kore e taea te pēnei he tukanga taua ki te hapa o te tākuta i roto i te mahi. pokonga Tuarua i muri i whakakapinga o te arotahi, te take o e takoto i roto i te tauhohe o te tinana i te taumata pūtau ko te takanga tika auau. Arotahi pūtau epithelial tahuri ki muka e te hunga functionally hapa, he kōhikohiko i roto i te āhua me te he puatakore. A, no te neke ratou ki te wahi pokapū o te rohe whatu whakatika ke puputu'u '. kia meinga e kakakīrehe o te capsule kite te peroo.

āhuatanga mōrearea

whakapumautia ophthalmologists he maha o ngā āhuatanga e whakamārama he aha i reira he pokonga tuarua i muri i whakakapi i te arotahi. Ka taea te runga ratou e whai ake:

• tau o te manawanui. I roto i te pokonga tamarikitanga i muri i puta atu pinepine pokanga. Ko e tika ana ki te meka e kikokiko i roto i te rauropi taitamariki whai kaha tiketike ki te whakaora e ai te heke o ngā pūtau epithelial me ratou wehenga ki te capsule posterior tenei.
• Ko te āhua o te IOL. IOL āhua tapawha taea te manawanui ki tino whakaiti i te mōrea o te whara.
• Material IOL. kitea nga mau taote e muri i puta te kupu whakataki o IOLs kiriaku i runga i pokonga tuarua iti pinepine. Silicone hanga whakapataritari te whanaketanga o pōauautanga he ake auau.
• Ko te aroaro o te mate huka mellitus, me te tahi mau mate whānui me te ophthalmic.

āraihia

Hoki te ārai o awhiowhio wai tuarua, te whakamahi i tākuta tikanga motuhake:

• capsule arotahi oro i roto i te tikanga ki te whakanui i te tango o ngā pūtau.
• Whakaputa i ngā momo o hanganga i āta hangaia.
• rongoā whakamahia ki awhiowhio wai. tanumia ratou rite rite whakaritea i roto i te kanohi.

Tohu o te pokonga tuarua

I roto i te tīmatanga o te pokonga tuarua i muri whakakapinga o te tirohanga tikanga e kore e taea e whakaatu iho. Ko te roanga o te wāhanga tuatahi o te whakawhanake i te mate e taea ngā i te 2 ki te 10 tau. Na ka timata ki te whakaatu tohu mārama, me te i roto i te mate o te kite ahanoa. I runga anō i te mea kua puta mara arotahi deformation, te pikitia haumanu o te mate e taea rerekē tino.

Ki te whakakitea te pōauautanga tuarua iho i runga i te taha o te arotahi, e kore e meinga te reira i te ino o te whakakitenga. Ka rite ki te tikanga, kitea te māuiuitanga i runga i te whakamātautau i āta whakamaheretia e te ophthalmologist.

Kia pehea te faaite ake tenei tukanga pathological rite te pokonga tuarua i muri whakakapinga o te arotahi? tohua Treatment (kia whakaū tohumate me whakamātautau hāngai ana te tātaritanga) te mo te maturuturunga iho tamau i roto i te acuity ataata, ara mana'o e ua ara roa mai te reira i roto i te akoranga o te pokanga. Ētahi atu faaiteraa ngā te aroaro o te hipoki, te ahua o tahuna ki te rā puna marama tāwhaiwhai ranei ake.

I tua atu ki te tohu i runga ake, kia waiho ai tūemi ritua karutahi. Ko te ofi ki te pokapū o te arotahi te peroo, te kino te kite o te manawanui. kia whakawhanake awhiowhio wai Tuarua rite kotahi kanohi i roto i, me te ki runga ki e rua o ratou. puta te reira i perception tae fakakehei, whakawhanake myopia. E kore te nuinga o kitea tohu waho.

maimoatanga

pokonga Tuarua i muri i whakakapi i te arotahi, kawea nei maimoatanga i roto pai i roto i haumanu ophthalmic hou nekehia atu e capsulotomy. Tenei whawhe whakahaere te tuku o te rohe pokapū o te kōkōuri tuku kōrero e āhei hihi o te marama ki te taka ki roto ki te kanohi, tino whakapiki i te kounga o te kite.

whakamana Capsulotomy te rite te aunoa (mea whakamahia), me te tikanga taiaho. He te tikanga whakamutunga painga nui no te mea e kore e rapua e te reira i te whakataki o te mea hāparapara ki te kōhao kanohi.

wawaotanga hāparapara

Ka rite ki te tirohanga pokonga tuarua whakakorea? Treatment tā pokanga. Tenei pokanga tā te kokoti excision o te kiriata puatakore ranei i te tikanga o te hāparapara maripi. whakaaturia whawhe kei roto i te take i reira te pokonga tuarua ina kua meinga te neke arotahi pōauautanga nui, a reira ko te tūponotanga ka e ka haere i te manawanui matapo.

I roto i te mahi i mahi kokoti cruciform. Tuatahi hanga i roto i te ngä o te tuaka ataata. Tikanga, te poka kua he diameter 3 mm o. kia whai te reira i te auau nui ki te tika tirohia te raro o koutou kanohi ranei rapu photocoagulation.

Raruraru pokanga

whakamahia tikanga hāparapara te rite te āhua pakeke me ngā tamariki he rite. Heoi, he mahi tika ohie he maha o huakore nui e ngā kua:

• kătahi ki te mate kanohi;
• whara whaiaro;
• edema Corneal;
• herniation rite ki te putanga o disorders membrane tapatahi.

Āhuatanga o te maimoatanga taiaho

He aha ngā tikanga auaha e whakamahia ana ki te whakakore i tenei raruraru rite arotahi pokonga tuarua? kawea maimoatanga i roto i te whakamahi i kurupae taiaho. Tenei tikanga he nui rawa o te tika. presupposes te reira i te oraraa o te arotahi pū, me te utu i te nui iti o te pūngao. Tikanga, te kurupae pūngao taiaho he 1 MJ / pini, engari kia nui haere ai te uara, ki te tika.

i huaina Taiaho wawaotanga i distsiziya. He he taumata tiketike o te pai. I roto i taua maimoatanga mahi te taiepa muri o te capsule e tahu i te poka. I muri te mea nekehia capsule ataruatia. Tenei tikanga he hāngai YAG-taiaho. I roto i te rongoā hou, meinga tenei tikanga te.

whakaatu Mua e taua wawaotanga e kore e rapu i te noho i roto i te hōhipera, he rawa nohopuku te mahi, me te kore e meinga mamae hūhi ranei. E whakamana whawhe whakamahi rehunga rohe.

Ka rite ki te pokonga tuarua whakakorea i muri whakakapinga o te arotahi? fifi o te maimoatanga taiaho tā te whai i ēnei:

• Mydriasis e medicaments. E tono ki te taupoki io o pata kanohi, whakatairanga tamariki whakarei. Hei tauira, tropicamide e hāngai ana 1.0%, 2.5% phenylephrine, cyclopentolate, ranei 1-2%.
• I roto i te tikanga ki te ārai i hua koi o te pēhanga i roto i te kanohi i muri i tono te mahi te apraclonidine 0.5%.
• Whakatinanatanga o ngā matā taiaho maha mā te whakamahi i te pūrere motuhake i runga i te rama wāwāhi, ai te capsule i roto i te matapihi mārama mangu.

Kia pehea te he tangata mana'o i muri i te whakahekenga atu i te taiaho taua mea rite te pokonga tuarua i muri whakakapinga o te arotahi? whakaatu Mua e muri pokanga i tonoa e ratou te kāinga i muri i te tahi haora. Sutures me takai ka kore te hiahiatia taua wawaotanga. Tūroro i whakaritea eyedrops hormonal. Ratou whakamahi i roto i te wā i muri i te mahi ka waiho i te taahiraa whakamutunga ki te faaho'iraa mai o te titiro.

He wiki i muri Nōna ka tafa ki kia whakaritea te matawai he ophthalmologist ki te kia e haere tika nga mea katoa.

E whakaatu ana tētahi atu rangahau te marama. E kore te mea i whakaaro ki te kia whakaritea, engari he minaminatia tona wahi. Na ko reira taea ki te tāutu i pōauautanga taea, me te i roto i te wā ki te whakakore ratou. Me kï reira e te nuinga o pōauautanga nui puta i roto i te wiki. I muri mai, he tino onge ratou.

nekehia atu hoki te wahi tino te pokonga tuarua e te mahi kotahi i te taiaho. kawea wawaotanga Tuarua i roto i uaua. He iti rawa te tūponotanga o pōauautanga i tenei momo o te maimoatanga me te moni ki pā ana ki 2%.

I roto i ētahi wā, te faataahia distsiziya?

whakamahia Distsiziya pokonga tuarua i roto i te kaupapa e:

• Tūkinotia tāpae posterior capsule ai te topata koi o te tirohanga;
• kanohi rawakore ārai urutaunga pāpori o te manawanui;
• i reira e raruraru ki te whakakitenga o ngā i te rama nui ranei rawakore.

contraindications tino

He reira tonu taea ki te kawe i roto i te tango o taua pōauautanga rite pokonga tuarua i muri i whakakapinga o te arotahi? Contraindications, kahore feaa, e wātea ana. Ano, Ka taea e waiho ratou tino, hāunga te taea o tetahi whawhe. Ko ētahi o ēnei:

• aroaro o te edema nawe kiko ranei i te taupoki io, e ārai te ophthalmologist mārama te wehe i ngā hanganga intraocular i roto i te pokanga;
• te takanga o te mumura i roto i nga iris o te kanohi;
• aroaro o te edema macular tuaroa;
• puputu'u 'i roto i te taupoki io;
• matotoru kiriuhi te taikaha o 1.0 mm akonga.

contraindications whanaunga

I roto i te contraindications whanaunga ngā tikanga i roto i nei i te kaha ake te tūpono o pōauautanga tuarua:

• pokanga wā mō te pokonga mō pseudophakic he iti iho i te ono marama, a mo te aphakia iti iho i te 3 marama;
• whakapā tonu ki te posterior capsule IOL;
• korerotia tukanga neovascularization membrane ākonga;
• te aroaro o te papahewa uncompensated;
• te aroaro o te mumura i roto i te wāhanga mārōrō o te kanohi.

kawea te mahi i roto i ki te tiaki nui, ki te mea te manawanui kua mua kua kitea wehe tuaroa roimata ranei.

tikanga Taiaho maimoatanga he tona drawback. Ka taea e Taiaho radiation tūkino te wahi whatu o te arotahi horihori.

pōauautanga

He aha te mea te pānga o te taiaho technique i te maimoatanga o tenei mate rite pokonga tuarua i muri i whakakapinga o te arotahi? Ka taea e te mau hopearaa e houhou.

• I muri whakakapinga o te arotahi i roto i te pokonga tuarua kia ite i takanga o namu pango e meinga e kino ki te hanganga o te arotahi i roto i te pokanga. Vision Ko te pānga o te koha e kore e. meinga taua kino e arotahi rawakore o te kurupae taiaho.
• whakaaro pōauautanga Dangerous te racemosa edema tuaroa. I roto i te tikanga e kore e ki te whakapataritari tona ahua, kia kawea pokanga i ono anake nga marama i muri i te mahi o mua.
• Rhegmatogenous wehe tuaroa kanohi. Ko te tino onge tenei āhuatanga me te meinga e myopia.
• Nui haere te taumata IOP. Ko te tikanga kei te hohoro reira haere tītohunga me te he kahore riri ki to ratou huru hauora. Ki te haere tonu te reira mo te wa roa, tohu te reira i te aroaro o te manawanui papahewa.
• Subluxation raruraru o te IOL ranei e kitea i roto i ngā take onge. he tukanga taua meinga te nuinga o IOLs ki silicone turanga hydrogel ranei ki te haptic i roto i te puka o kōpae.
• Ko te puka ma'i o te endophthalmitis puta rite pinepine. Kei te meinga te reira e te tuku o te huakita taratahi i te rohe o te tinana tangiwai.
• Kei te uaua kitea Fibrosis (Āheiō subcapsular). I te tahi taime whakawhanake tenei tukanga i roto i te marama kotahi i muri i te wawaotanga. He puka wawe o pōauautanga taea meinga whakaiti o te mārōrō capsule me te hanganga kapsulofimoza. I runga i te whanaketanga o te tauira pānga me te rauemi i hanga i nei te IOL. E mea pinepine, meinga he ine taua e silicone tauira haptic ki te puku, me te iti iho IOL, e ngā o toru ngā wāhanga. He kiriaku te pūtake o ratou optics, me haptics i hanga o PMMA.

Kia kore ai pōauautanga i muri tākuta pokanga tohutohu wā whakamahi pata kanohi e ārai i te whanaketanga o awhiowhio wai.

mutunga

Mai i te katoa i runga i te reira e taea te faaoti e muri arotahi pokanga ko maha he pōauautanga pērā i te arotahi pokonga tuarua. Maimoatanga o te mate ki te whakamahi o ngā tikanga hou homai hua pai, engari ngā pānga taha taea.