Secondary cataract maka aniani hope ma hope o lapaau a me ka hōʻike manaʻo

Hoʻomaopop 'ana i elasticity o ka maka aniani mea hōʻikeʻikeʻuʻuku. Ma cataractʻoki kino intraocular maka aniani ua waiho i loko o ka maka, e puku i keia. Ma keia posterior mea hōʻikeʻikeʻuʻuku kākoʻo i ka hou intraocular maka aniani. Ua ka hana i ka mea hōʻikeʻikeʻuʻuku hoʻomaka e huli kia ao, i kumu no ka kŰia o ka haumāna cataract ma hope maka aniani hope. Lapaʻau, a hōʻike manaʻo ka loa 'oluʻolu, ua mālama' ia e like me ka 'inikua hoike. Pili i ka polokalamu 'ana i kūpono a me ka kiʻekiʻe-e like ai lako a pan.

Nā kumu o ka kŰia

Where he mea haumāna cataract ma hope o hope o ka maka aniani? Reviews o nā kauka e pili ana i keia complication paipai i ka kiko'ī kumu no kona hanana ka mea, e hōʻike.

Ka hooulu ana o nā haumāna complications mea ku pono i ka ulu ana o ka epithelium, IIeEeAIEUIeXAIIUE ma luna o ka ili o ka posterior mea hōʻikeʻikeʻuʻuku. He He 'aʻe' ana o kona mäliko, ma o na la ua hoʻemi hihio. Oia kekahi kaʻina hana hiki ole e wahi ana i ka hewa o ka surgeon i ka hana. Secondary cataract ma hope o hope o ka maka aniani, na kumu o ka i moe i loko o nā reactions o ka meaola i ka ke kelepona hele kiʻekiʻe mea he 'ano pinepine hanana. Maka aniani epithelial keena hoohuliia i loko o olona, i mea functionally hemahema, i ole ma ka shape a ua opaque. Ka wā e neʻe ana i ka hapa Central o ka optic ciia ieiuaau aicieeaao clouding. Blurred hihio hiki e kena ae la ma fibrosis o ka mea hōʻikeʻikeʻuʻuku.

kamepiula kumumea

Ophthalmologists hoʻokumu i ka helu o nā kumumea no ke aha la he mea haumāna cataract ma hope o ke kūapoʻana i ka maka aniani e wehewehe. Ka mea hiki ke hoalii mai ia ia penei:

• Ke hoʻomanawanui i ka makahiki. I ka noho 'ana kamaliʻi cataract ma hope oʻoki kino ia lŘlŘ pinepine ia. O ke kumu ho i ka mea i'aʻaʻa ma'ōpio meaola i kiʻekiʻe hana e regenerate mea e hookomo ana i ka poʻe Polenekia o epithelial keena a me kā lākou mau papa i loko o ka posterior mea hōʻikeʻikeʻuʻuku.
• Ke kinona o ka iol. Iol huinahalike kinona e leie aku ka hoʻomanawanui, e me ka nui loa emi i ka pilikia o ka hewa.
• Material iol. Ke kauka i loaʻa ia ma hope o ka hoʻokomo 'ia' ana o acrylic IOLs ka nānā 'ana ma luna o haumāna cataract ia lŘlŘ emi pinepine ia. Mea pīlali? Ieoaeunoai hoonaukiuki i ka ulu ana o complications i oi pinepine.
• Ke alo aku o ka mimikō mellitus, e like me kekahi mau a me ka ophthalmic maʻi.

kāohi ana

No ka mea Kāohiʻana o nā haumāna cataracts, kauka hoʻohana kūikawā 'ana i kūpono.

• Anaiia maka aniani mea hōʻikeʻikeʻuʻuku, e hoʻonui loa i ka wehe 'ana i keena.
• Pakaʻano o ka pela 'ia nā hale.
• Hoʻohana 'ia lapaʻauʻia ma luna o cataracts. Ka mea kanu e like me na hoakaka ana ma ka maka.

Symptoms o ka haumāna cataract

Ma nā kahua o ka hoʻonaʻauao kakahiaka nui o ka haumāna cataract ma hope o hope o ka maka aniani nui hiki ole hoike ia. Ka lōʻihi like 'ole o ka loiloi mua ke kahua o ka ulu i ka maʻi make i mai 2 a hiki i 10 makahiki. A laila, hoʻomaka e hōʻike ahuwale symptoms, e like me ka poho o ka mea hihio. Ke kaumaha ma muli mea kahua maka aniani deformation i ana, ka lapaʻau kiʻi o ka maʻi ke oko a me ka nui loa.

Inā 'aʻole ka haumāna complication hoike ia ia iho ma luna o ka periphery o ka maka aniani,ʻaʻole ia e i ka mea hōʻemi o ka hihio. E like me ka rula, ua loaʻa i ka pathology ma luna o ka lokoʻino a ninaninau ma ka ophthalmologist.

Pehea keia hoike mai ai ia ia iho, pathological kaʻina like me ka haumāna cataract ma hope o hope o ka maka aniani? Lapaau (symptoms a me nā examinations e hoopaa i kaʻike,) ua hōʻike no ka paakiki kulu i loko o pilikia makapō acuity, e holoholo ana ka mea, ua akoakoa pu hoihoi hou ia i loko o ka papa o keʻoki kino. Other hoike ana nā i ka alo o ka lāʻau malumalu, ho'āʻia mai me ka lń a me kaʻimi hoʻopunipuni malamalama kumu i ka helehelena o.

Ma waho aʻeo ia ka luna symptoms, ka mea i e monocular mahae mau. Ua kokoke i ka waenakonu o ka maka aniani ua blurred, me ka hewa i ka mea ikea o ka hoʻomanawanui. Secondary cataract hiki hoʻomōhala like i loko o kekahi mau maka, a ma luna o nā o ia. Ua ikeia ka nānaina kala like 'ole pokole, hoʻomōhala myopia. Mawaho hoailona i ole ana i ka malamaia.

lapaʻau

Secondary cataract ma hope o ke kūapoʻana i ka maka aniani, i lapaʻau ua lawe mai ana i ke kālā no nā keʻena lāʻau lapaʻau ophthalmic wehe ma capsulotomy. Kēia manipulation kōkua ai i nā ke kala ana o ka kikowaena ciia o ka optics Ohana e leie aku kukuna o ka malamalama, e haule i loko o ka maka, me ka nui loa hoonui ae i ka mea e like ai o ka hihio.

Capsulotomy ua hana e like me ke ÿano (hoʻohana mea), a me ke kukuna hana. Ka hope iaoiaeii he nui pono, no ka mea, aole ia i kauoha i ka hoike o keʻoki lāʻau lapaʻau mea hana i loko o ka maka lua.

ʻoki lāʻau lapaʻau 'uao

E like me ka haumāna cataract maka aniani ua wehe '? Iapaau ana kŰiaʻoki kino. Kēiaʻoki kino komo ai i ka incision paha excision o ka opaque Auana ma ka mea o keʻoki lāʻau lapaʻau pahi. Manipulation ua hoike mai ia ma ka hihia ma ka haumāna cataract ka wā o ka maka aniani naeaeaa ua kena ae la nui complications, a me ia mea paha i ka hoʻomanawanui, e hele makapo.

Iloko o ka hana i hana cruciform incision. Mua e ma ka wānana o ka pilikia makapō iho (axis). Nō kāu, o ka puka i ke anawaena o ka 3 mm o. Ua hiki i ke oi aku ana ina e pono ai e kaha i ka lalo o kou mau maka, a koi photocoagulation.

ʻoki kino Con

ʻoki lāʻau lapaʻau iaoia Ua hoʻohana 'ia me ka kŘpa a nā mākua a me nā keiki a pau. Eia naʻe, he 'ano mea hana i ka helu o ka nui keakea i loaʻa:

• anal i loko o ka maka nā mea palahēhē;
• ka eha;
• corneal edema;
• herniation like me kaʻilihune o kaʻili lahilahi ano hoopono kāna hana.

Hiʻona o ka kukuna lapaau

He aha kū hoʻokahi, ke ano i hoʻohana 'e hoʻopau i kēia pilikia like haumāna cataract maka aniani? Lapaʻau ua lawe mai ka hoʻohana 'ana kukuna kedera. Kēia papa hana i ke kiʻekiʻe loa o ka pono. Ua presupposes ke ola ana o kūlike loa pulakaumaka a me na koina i ka uuku nui o ka ikaika. Nō kāu, ke kukuna kaola no ka ikehu mea 1 mJ / pana, akā, i ke hoomahuahua ia ka waiwai ina kupono.

Kukuna 'uao i kapaia distsiziya. Ua loaʻa he kiʻekiʻe kiʻekiʻe o ka hoʻokōʻana. Ma ia lapaau i ka hope paia o ka mea hōʻikeʻikeʻuʻuku ua hanaia ma ke ahi i ka puka. Ma hope o ka mea, ua wehe ao no ia i mea hōʻikeʻikeʻuʻuku. Kēia papa hana i pili YAG-kukuna. Ma kēia lapaau i makemake i keia hana.

E hoike hōʻike i ka 'uao' Aʻole e koi i ka noho ma ka haukapila, o ka hana ka loa hookeai, a aole i i ka eha a me ka discomfort. Manipulations ua mālamaʻia hoʻohana kūloko anesthesia.

E like me ka mea eliminated haumāna cataract ma hope o hope o ka maka aniani? complications o kukuna lapaau komo ai na kēia mau kapuwai.

• Mydriasis ma medicaments. E pili ana i ka cornea o ka maka kulu, ka paepaeʻana hoʻokāʻoi haumana. No ka laʻana, pono tropicamide 1.0%, 2,5% phenylephrine, cyclopentolate, a me 1-2%.
• I mea e pale aku i mau pahi oi mahuahua ana o ka puʻe i loko o ka maka ma hope o ka hana ua noi apraclonidine 0.5%.
• Manaʻo o mau kukuna pana pua aku makou hoʻohana 'ana i ka kūikawā manaʻo ma luna o ka slit ipukukui, ke kumu o ka mea hōʻikeʻikeʻuʻuku i loko o ka turbid aniani moakaka pukamakani.

Pehea kekahi kanaka Kahalaopuna ma hope o ka wehe 'ia ma ka kukuna ka mea like me ka haumāna cataract ma hope o hope o ka maka aniani? E hoike hōʻike ia ma hope oʻoki kino ka mea, ua hoouna aku la i ka hale ma hope o kekahi mau hola. Sutures a me bandages ka wāʻaʻole ia 'uao ua koi' ia. E hoomanawanui i hoakaka ia hormonal eyedrops. Kā lākou hana i loko o ka wā ma hope o ka hana, e ia i ka hopeʻanuʻu i ka hoihoi hou ana o ka maka.

A pule ma hope akaaka maluʻoki kino e e hoʻopaʻa 'scan i ophthalmologist e eʻoiaʻiʻo i nā mea a pau e hele pono.

Kekahi anamanaʻo hōʻike i ka mahina. Ua ua i manaoia e e? Oaony, akā, kona hooholo ia mea kupono. Pela ia mea hiki ke kuhikuhi i hiki complications, a me ka 'eleu kūpono e hoʻopau ia. It E e hoʻomaopopo i ka mea uie kekahi hapanui hewahewa o complications hana ana i loko o ka pule. Ma hope, ka mea i'āina pohihihi keia.

No ka mea hapanui loa haumāna cataract ua wehe 'ia ma ka hookahi ana ma ke kukuna. Secondary uao ua lawe mai kākaʻikahi. Ka pahiki o nā complications, mai kēia 'ano o ka lapaʻau mea uuku loa, a dala i ma kahi o 2%.

Ma kekahi mau hihia, o ka ia distsiziya?

Distsiziya haumāna cataract ua hoʻohana 'ia i loko o ka hanana i:

• Poino posterior mea hōʻikeʻikeʻuʻuku noae ke kumu o ka pahikaua kulu o Hawaii;
• ilihune eyesight ua ālai 'nohona ka hoʻololiʻana o ke ahonui;
• he mau pilikia a me ka hihio o ka mea ma ka excessive paha ilihune kau iho.

ke kanana 'contraindications

Ua mea mau mea hiki, e lawe mai i ka wehe 'ana o ia mau complications me haumāna cataract ma hope o hope o ka maka aniani? Contraindications, i lana ai, i loaʻa. No hoi, ka mea hiki e loa, Ma waho aʻeo ka i ka manawa kūpono o kekahi manipulation. Mau nā:

• imua o ka edema a me ka makaʻu no'aʻaʻa i loko o ka cornea, a ua ālai 'ka ophthalmologist pono lea intraocular hale iʻoki kino;
• ka hanana o ka li nui i loko o nā iris o ka maka;
• imua o retinal macular edema;
• clouding ma ka cornea;
• oiʻili lahilahi mānoanoa o 1.0 mm o haumāna.

pili contraindications

Mawaena o ka pili contraindications e nā kumu i loko o i ka māhuahua pilikia o nā haumāna complications:

• manawaʻoki kino no ka cataract no ka pseudophakic mea emi mai o na malama eono, a no ka aphakia emi o 3 mahina;
• piha hui 'ana me ka iol posterior mea hōʻikeʻikeʻuʻuku;
• neovascularization kaʻina oleloʻili lahilahi haumāna;
• i ke alo o uncompensated glaucoma;
• i ke alo o ka li nui i loko o ka anterior Hoʻohana o ka maka.

Ke hana ua lawe mai ia me ka malama nui, ina o ka hoʻomanawanui i mua, ua malamaia retinal poe a me ka waimaka.

Kukuna lapaʻau hana i kona drawback. Kukuna pāhawewe ke hanaʻino i ka'ōnohi hapa o kaʻimi hoʻopunipuni maka aniani.

complications

He aha ka ke kanawai o ke kukunaʻano hana i loko o ka iapaau ana o keia maʻi like haumāna cataract ma hope o hope o ka maka aniani? Nā hopena hiki e undesirable.

• Ma hope o hope o ka maka aniani i loko o ka haumāna cataract ke 'ike hanana o kaʻeleʻele nahu i ke kumu ma ka poho i ka' ole o ka maka aniani iʻoki kino. Hihiʻo o ke kanawai o ke kina i ole. Oia poho ua kena ae la ia e ilihune pulakaumaka o ke kukuna mea ulana lole.
• Mea complication ua noʻonoʻo racemosa retinal edema. I mea ole, e hoʻonāukiuki kona helehelena, e halihaliia oia iwahoʻoki kino eono wale mahina ma hope o ka mua hana.
• Rhegmatogenous retinal poe maka. O kŰia loa pohihihi keia, a ua kauoha ae ka myopia.
• Hoomahuahua ae la lakou IOP ilikai. IeAUPIIe, IAa IO ka mea, ua koke hele kŰia a me ka mea i hoʻoweliweli 'ia kā lākou ola kulana. Inā ka mea mau no ka lōʻihi manawa, ia Hōʻike ke alo aku o ka glaucoma ahonui.
• Subluxation a me dislocation o iol malama i loko o pohihihi keia hihia. Oia ke kaʻina hana 'ana i IOLs me ka mea pīlali a hydrogel kumu me ka haptic-hoʻokino iwi kuamoʻo.
• Ka maʻi ano o ka endophthalmitis ia lŘlŘ like infrequently. Ua ua kena ae la ma ke kala o ka noho kaʻawale koʻohune i loko o ka wahi o ka vitreous kino.
• Fibrosis (subcapsular opacity) ua kākaʻikahi malama. I kekahi manawa, i kēia kaʻina e hoʻomōhala ana i loko o kekahi mahina ma hope o ka piʻiʻana. An kakahiaka ano o complications hiki i ka ho'ēmiʻana o ka anterior mea hōʻikeʻikeʻuʻuku a me ka ho okumu kapsulofimoza. Ma ka hooulu ana o ka hopena kükohu, a me ka mea mai i ka iol ua i. Pinepine, e like me ka haiahū kūmau ua kena ae la ma ka mea pīlali haptic lauana me ka holo a me ka emi iol, a iloko o ekolu wahi. Ke kumu o ko lākou mau optics mea acrylic, a me haptics i o PMMA.

E pale aku complications ma hope oʻoki kino kauka kūkā mau hoʻohana maka paka ua e pale aku i ka ulu ana o cataracts.

ka hopena

Mai ka a pau ma luna o ka mea hiki e manao ia ma hope o cataractʻoki kino He pinepine ka complication e like me haumāna cataract maka aniani. Iapaau ana o ka mai a me ka hoʻohana 'ana i kēia' ana i kūpono e hāʻawi mai ai maikai hualoaʻa, akā, e hikiʻaoʻao ole.