Optometrists (ODs) omwe amaika ndalama popereka magalasi apadera amatha kulipidwa m'njira zingapo.
Choyamba, chisamaliro chomwe odwala amalandira chimawapangitsa kukhala makasitomala obwereza nthawi yayitali.Izi ndichifukwa chakuti, nthawi zambiri, masomphenya omwe ankawoneka kuti sangatheke amakhala otheka.
Chachiwiri, odwala lens amatha kukhala ndi maubwenzi a nthawi yayitali ndi maofesi omwe amalemba magalasi awo apadera chifukwa cha maulendo owonjezereka a mayeso ndi chisamaliro chotsatira.Izi zimamasulira kupindula kwa akatswiri kwa akatswiri ndi maofesi.
Chifukwa Chake Ma Lens A Professional Amakhala Osiyana Chimene chimapangitsa kuti magalasi a akatswiri azitha kukhala apadera kwambiri ndi gulu la niche lomwe amapanga.Zopangidwira odwala omwe ali ndi vuto la maso, monga ma cornea, magalasi a akatswiri amatha kuthandizira bwino zotsatira za chithandizo chomwe magalasi ochiritsira ochiritsira sakwanira.
Magalasi ogwiritsira ntchito akatswiri ndi njira yabwino kwambiri pamene mukuyang'ana magalasi opangidwa ndi odwala omwe ali ndi corneas nthawi zonse komanso osasinthasintha.Akhoza kupititsa patsogolo chitonthozo chowoneka ndi mawonekedwe kwa odwala omwe amavutika kupeza lens yoyenera.
Pali magalasi angapo apadera omwe angathandize kuchiza matenda osiyanasiyana. Izi zikuphatikizapo myopia, hyperopia, astigmatism yaikulu, keratoconus, hyaline marginal degeneration, post corneal operation monga corneal transplantation, laser-assisted in situ keratomileusis (LASIK) dilation. , zipsera pamakona, diso louma, komanso kusasangalala ndi ma lens olumikizana amavala anthu.Zogwirizana: Yesani Ma Lens a Toric Orthokeratology
Apanso, pali mitundu yosiyanasiyana ya ma lens odziwa ntchito omwe mungasankhe. Izi zimaphatikizapo magalasi ofewa komanso osasunthika (RGP) olumikizirana (kuphatikiza orthokeratology), ma piggyback contact lens, scleral contact lens, corneal-scleral lens, mini-scleral lens, hybrid. ma contact lens ndi ma prosthetic contact lens.
Ma lens a scleral, ma lens a RGP, ma lens osakanizidwa, ma lens ofewa a prosthetic, ndi nkhungu za cornea ndizo mitundu 5 yomwe imagwiritsidwa ntchito kwambiri. Mbiri yawo yopambana imathandizira kuphatikiza kwakukulu kwa magalasi onse aukadaulo.
Kuzama kwa ma lens olumikizana ndi ma scleral ndikokulirapo kuposa magalasi achikhalidwe, kugwiritsa ntchito mokwanira zinthu zake zowoneka bwino za okosijeni ndikuwonjezera chitonthozo.
Kuphatikiza apo, m'malo moyikidwa mwachindunji pamwamba pa diso, ma lens olumikizana ndi scleral amayikidwa pa sclera ndipo amatha kugwa pa cornea;izi zimasiya misozi pakati pa lens ndi cornea.
Kutalika kwa sagittal, kapena malo apakati, amapangidwa ndi misozi yamadzimadzi yomwe imagwidwa pansi pa lens ndipo imathandizira kuchepetsa kusokonezeka kwa cornea, kupereka odwala zotsatira zabwino za masomphenya.
Magalasi a scleral ayenera kudzazidwa ndi mankhwala a saline osasungidwa kuti asatengeke ndi mpweya uliwonse mu mbale ya lens. Kenako alowetsedwe kutsogolo kwa diso.
Saline solution (ndi kuonjezera apo ndi apo ndi dontho la misozi yokumba ya antiseptic kapena madontho a seramu a autologous) amakhala ngati nkhokwe yosalekeza ya filimu yong'ambika, kusunga kutsogolo kwa diso kukhala hydrated ndi kudyetsedwa kwa nthawi yayitali, kuwongolera zizindikiro zamaso owuma ndikuchotsa ma cornea osakhazikika. yokhala ndi malo osalala .Izi nthawi zambiri zimakonza zovuta zakuwona zomwe zimachitika chifukwa cha kusokonekera kwa cornea.
Ma lens a Scleral amapangidwira wodwala aliyense.Chotsatira chake, kuvala kumafuna ukadaulo wochulukirapo, nthawi yapampando wochulukirapo, komanso kuyendera maofesi pafupipafupi kuposa magalasi amtundu ofewa kapena ang'onoang'ono a RGP.
Zida zojambulira ndi zida zoyezera zokha zimagwiritsidwa ntchito ndi scleral lens panthawi yoyamba yoyenera ndi maulendo otsatizanatsatizana kuti zitsimikizidwe zoyenera.Zidazi nthawi zambiri sizifunikira povala magalasi ofewa.
Kukula kwa lens ya scleral kumadalira zovuta za chikhalidwe cha cornea.Kawirikawiri ndi keratoconus, lens imakonda kusuntha mobwerezabwereza chifukwa cha kufalikira kwa nsonga, ndipo imayenda mopitirira muyeso ndi kuphethira, kuchititsa diso kusasangalala.
Zinthu zotsogola komanso zovuta, monga keratoconus yokhazikika mpaka yowopsa komanso matenda amtundu wa ocular, angafunike magalasi a scleral okhala ndi mainchesi akulu kuposa apakati kuti atsimikizire kuphimba kwathunthu ndikuwongolera mawonekedwe onse owoneka omwe amakhudzidwa ndi cornea yosagwirizana.Zogwirizana: Scleral Lens Wear ndi Matenda a Ocular Surface
Keratoconus imakonda kupita patsogolo mofulumira mpaka kufika pazigawo zowopsya ndipo nthawi zambiri sagwirizana ndi mankhwala ena.Kwa odwala omwe ali ndi vutoli, kukhalabe ndi thanzi la maso komanso masomphenya abwino ndi chitonthozo ndizofunikira kwambiri.
magalasi amtundu wa astigmatism
Ubwino wa magalasi a scleral ndikuti samagwa ndikuyenda mwachangu kwamaso, ndipo malinga ngati wodwalayo amachita ukhondo woyenera wa zikope ndi kukonza magalasi, tinthu tating'onoting'ono monga fumbi ndi zinyalala sizimalowa pansi pa disololo.
Magalasi a RGP akhalapo kwa nthawi yayitali ndipo amagwiritsidwa ntchito kukhala chisankho chachikulu pamaso pa hybrid ndi scleral.RGP lens amapereka masomphenya owoneka bwino kuposa magalasi ofewa ndi a silicone hydrogel chifukwa chapamwamba kwambiri optical performance, kuchepa kwa lens kupinda ndi kuchepetsa kusungidwa kwa deposit.
Magalasi a GP ndi abwino kuthandizira odwala omwe ali ndi ma cornea opweteka kapena magalasi osawoneka bwino, komanso omwe samawona bwino okhala ndi magalasi ofewa.
Kuphatikiza pa kuwongolera masomphenya, ma lens a RGP amapereka kuwongolera kwa orthokeratology, komwe kumapangitsanso mawonekedwe a cornea kuti achepetse kukula kwa myopia.
Amatha kukonza maso kwakanthawi popanda kufunikira kwa ma lens olumikizana kapena magalasi, kuwapangitsa kukhala abwino kwa ana ndi anthu omwe amasewera masewera kapena ntchito zomwe zimapangitsa kuti zikhale zovuta kuvala ma lens owongolera masana.ZOYENERA KUYANKHULANA: Ma lens okwana 30 oti ayambitse koyambirira kwa 2022
Ma lens ofewa opangidwa ndi prosthetic amapereka zodzoladzola, zochizira, komanso zamaganizo kwa odwala, makamaka omwe ali ndi zipsera za corneas, irises osakhazikika, ndi maso osawoneka bwino. Izi zitha kuyambitsidwa ndi kuvulala, glaucoma, matenda, zovuta za opaleshoni, ndi zovuta zobadwa nazo.
Kuwonjezera pa kuwongolera maonekedwe a zodzoladzola, ma lens angathandize kutseka kuwala ndi kuchepetsa kusokonezeka kwa maso komwe kungayambitse kupweteka, photophobia, diplopia, ndi kusamva bwino.
Magalasi amapezeka m'njira zosiyanasiyana monga tinting bwino, mapangidwe osawoneka bwino, ndi mapangidwe opangidwa ndi manja, malinga ndi chithandizo ndi zodzoladzola zofunika.ZOKHUDZANA: Momwe Mungavalire Magalasi a Scleral Molimba Mtima Ndiponso Mochenjera.
Magalasi olumikizirana ofewa atha kuthandiza kuchepetsa kupwetekedwa mtima pomwe akupereka chithandizo kwa odwala omwe ali ndi zovuta zingapo zamaso.
Poyika lens yofewa yolumikizira wodwala, OD imatha kupereka yankho la chitonthozo cha odwala.
Ma lens a Hybrid contact lens amapereka moyo wautali, kukhalitsa, ndi masomphenya omveka bwino a magalasi a RGP okhala ndi mawonekedwe omasuka, ovala a lens ofewa.
magalasi amtundu wa astigmatism
Chovala chofewa cha skirt chozungulira lens chosakanizidwa chimagwirizanitsa kugwirizana pakati pa zinthu zofewa ndi zinthu za GP, zomwe zimathandiza kuti pampu ya misozi ikhale yogwira ntchito komanso yoperekera mpweya tsiku lonse.
Mbiri yabwino ya odwala imaphatikizapo omwe ali ndi corneal astigmatism nthawi zonse komanso nkhawa zokhudzana ndi kusintha kwa masomphenya kwa kasinthasintha wa ma lens kapena ma lens ofewa ndi ma cornea contours osakhazikika.
Kwa machitidwe omwe akuvutika kupeza ma lens munjira zina, Hybrid ndi njira yabwino komanso yamtengo wapatali.ZOKHUDZANA: Podcast: Contact Lens Wear Is A Healthy Choice For Kids
Pankhani ya maso ndi ma nuances ochulukirapo, ma lens osakwanira bwino amatha kuonjezera chiopsezo cha zovuta monga corneal scarring.Ngati kufufuza ndi kuyesedwa kwamphamvu kumalephera muzochitika zovuta kwambiri, ma prostheses a ophthalmic amatha kupanga magalasi oyenerera a scleral. kusonkhanitsa mawonedwe a cornea, ndondomeko yomwe sichitha kupitirira maminiti a 2, ndikugwiritsira ntchito izi kupanga magalasi apadera omwe amafanana ndi mizere yolondola ya diso lililonse.
Kufalikira kwa dera lalikulu ndi kukhazikika kwa nkhungu ya cornea kumapangitsa chitonthozo ndi masomphenya, ndipo kumakhala kokhazikika kuposa magalasi achikhalidwe, ang'onoang'ono a GP kapena osakanizidwa.
Ma lens apaderawa amatha kupangidwa kuti agwirizane ndi kutsetsereka kwa cornea komanso zolakwika zomwe zimapezeka m'matenda a ectatic. ZOYENERA: Multifocal lens for presbyopia ndi opaleshoni yam'mbuyo
Mapeto Magalasi apadera olumikizana nawo akhudza kwambiri optometry.Kudziwa ndi kugawana nawo phindu lawo ndi ulendo womwe ma OD ambiri sanaufufuze mokwanira.
Komabe, nthawi ikagwiritsidwa ntchito kuthetsa mavuto a masomphenya abwino, oyenerera komanso chisamaliro chabwino, kukhutira kwa odwala kumakwera kwambiri.M'malo mwake, akatswiri ambiri ovala lens amakhutira kwambiri ndi magalasi awo omwe amawapangitsa kuti asafune kubwereranso ku njira zina.
Zotsatira zake, ma OD omwe amawatumikira amasangalala ndi odwala okhulupirika omwe sangagule kwina kulikonse.Onani Zambiri Zokhudza Lens Coverage
Nthawi yotumiza: Feb-28-2022
