Odwala akamabweretsa mutu wa magalasi amtundu wamitundu, chinthu choyamba chomwe chimabwera m'maganizo ndikusintha mtundu wamaso.Kuphatikiza pazifukwa zodzikongoletsera, magalasi olumikizana kapena owoneka bwino amatha kuthandiza odwala m'njira zingapo, monga kuchepetsa kuwala kapena kusintha mtundu. kuzindikira mwa anthu omwe ali ndi khungu la khungu.
Kaya ndi zodzoladzola kapena zochizira, magalasi olumikizana ndi tinted nthawi zambiri sizomwe OD imatchula odwala.
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Malangizo akhoza kupangidwa kuchokera kumbali zosiyanasiyana.Mosasamala kanthu za momwe amaperekera, ndikofunika kuzindikira kuti ngakhale magalasi opangidwa ndi tinted angapindule odwala, amakhala ndi zoopsa zomwe ambiri sadziwa.Tiyeni tione momwe magalasi achikuda angathandizire odwala.
Magalasi amtundu wopangidwa ndi misala opangidwa ndi mitundu yambiri amatha kupezeka muzitsulo zoyesera ndipo amaperekedwa mosavuta muofesi yaofesi.Nthawi zambiri, kuwombera kumeneku kumapangidwa ndi makompyuta. kapena kutengera mtundu.
Ma lens amitundu opangidwa ndi misa amatha kukulitsa mtundu wachilengedwe wa diso la wodwala kapena kusintha kwathunthu. Amafanana ndi ma lens ofewa ambiri omwe amagwiritsidwa ntchito kukonza zolakwika zowunikira. magalasi.
Magalasi amitundu yambiri opangidwa ndi misa ali ndi mphamvu zozungulira zomwe zimasinthidwa tsiku ndi tsiku kapena mwezi uliwonse.Magalasi ndi otsika mtengo chifukwa cha kupanga misala, kotero amatha kudziwitsa odwala ngati njira yanthawi zonse kapena yanthawi yochepa.
Magalasi amitundu yopangidwa mochuluka nthawi zambiri amakhala otchuka pamisonkhano yamagulu.1 Chifukwa cha chithandizo chawo chowonekera komanso mitundu yamitundu yozungulira iris, amalola mitundu yosiyanasiyana yomwe ingapangitse mawonekedwe achilengedwe kapena olimba mtima.
Mwachitsanzo, wodwala maso a bulauni amatha kusankha bulauni kapena hazel kuti asinthe pang'ono mtundu wa iris, kapena buluu kapena wobiriwira kuti asinthe maonekedwe kwambiri.Ngakhale kuti ali omasuka komanso ophunzitsa odwala za zosankha zawo, magalasiwa ali ndipamwamba kwambiri. kuchuluka kwa zovuta pakati pa ovala ma lens.2
Zovuta Ngakhale kuti kuopsa kwa magalasi odzikongoletsera kumawonekera kwa ODs omwe awona zotsatira za ocular, anthu ambiri nthawi zambiri sadziwa kuopsa kwa maso awo.When Berenson et al.anafufuza chidziwitso cha odwala ndi kugwiritsa ntchito magalasi odzikongoletsera, zotsatira zake zimasonyeza kuti odwala ambiri samamvetsetsa zoopsa ndi malangizo ogwiritsira ntchito moyenera.3,4 Malinga ndi kafukufukuyu, mmodzi mwa odwala anayi adanena kuti adagwiritsa ntchito magalasi odzikongoletsera kale, ndipo ambiri adapeza magalasi. kuchokera ku magwero osaloleka.
Atafunsidwa za chidziwitso cha lens, zotsatira zake zinasonyeza kuti odwala ambiri samadziwa kuvala koyenera kwa protocol.3 Odwala ambiri sadziwa kuti n'koletsedwa kugulitsa ma lens pakompyuta popanda mankhwala m'dziko lonse. osati panacea, kuti tizilombo toyambitsa matenda tingagwirizane ndi magalasi, ndipo magalasi a "anime" sali ovomerezeka ndi FDA.3
ZOKHUDZANI: Zotsatira za Poll: Kodi Kusakhutira Kwanu Kwakukulu Kwambiri ndi Chiyani ndi Contact Lens Wear? Mwa odwala omwe adafunsidwa, 62.3% adanena kuti sanaphunzitsidwepo kuyeretsa ma lens.3
Ngakhale titha kudziwa zina mwazofukufukuzi, ndikofunikira kuyang'ana momwe magalasi odzikongoletsera amawonjezera mwayi wa zochitika zoyipa (AEs) poyerekeza ndi magalasi owoneka bwino.
AEs Colour contact lens ali ndi chiopsezo chachikulu cha matenda opatsirana komanso otupa chifukwa cha mapangidwe awo.Kafukufuku waposachedwapa anafufuza magalasi osiyanasiyana odzikongoletsera kuti adziwe malo a pigment m'magulu a lens.5 Anapeza kuti magalasi ambiri omwe amafufuzidwa anali ndi zambiri zomwe zimapangidwira. Pigment mkati mwa 0.4 mm kuchokera pamwamba. Maiko ambiri samayang'anira kukula kwa zotchinga utoto, koma malo angakhudze chitetezo ndi chitonthozo.5
Kafukufuku wina adapeza kuti ma lens ambiri adalephera kuyesa, zomwe zidapangitsa kuti inki yamitundu isungunuke.6 Pukutsani mayeso Gwiritsani ntchito thonje kuti mupukute pang'onopang'ono kutsogolo ndi kumbuyo kwa mandala kwa masekondi 20, kenako yesani kuchuluka kwake. gulu la pigment.
zokhudzana: Magalasi okhala ndi scleral-lens space yotsimikiziridwa pogwiritsa ntchito OCT yomwe inalephera kuswabbing inasonyeza kumatira kwapamwamba kwa Pseudomonas aeruginosa, zomwe zinapangitsa kuti ma AE achuluke komanso ma AEs oopsa kwambiri.
Kukhalapo kwa mtundu uliwonse kungayambitse AEs.Lau et al anapeza kuti magalasi okhala ndi inki pamtunda wa lens (kutsogolo kapena kumbuyo) anali ndi mikangano yapamwamba kwambiri m'madera akuda kusiyana ndi malo omveka bwino.8 Kafukufuku wapeza kuti magalasi odzikongoletsera zokhala ndi ma pigment oonekera amakhala ndi malo osakhazikika, zomwe zimapangitsa kuti mafuta aziwoneka bwino komanso owuma kwambiri.Kupaka mafuta ndi kukhwinyata kumagwira ntchito yofunika kwambiri kuti filimu ya misozi ikhale yokhazikika.
Acanthamoeba keratitis ikhoza kuchitika ndi mitundu yonse ya ma lens, chiopsezo chomwe timakambirana ndi onse ovala atsopano.Kuphunzitsa odwala kuti asagwiritse ntchito madzi ndi ma lens ofewa ndi chinthu chofunika kwambiri cha kuyika kwa lens ndikuchotsa maphunziro.Multipurpose ndi hydrogen peroxide solutions angathandize kuchepetsa ma AE okhudzana ndi tizilombo tating'onoting'ono, koma kafukufuku waposachedwapa wapeza kuti mapangidwe a lens amakhudza mwayi wa Acanthamoeba kulumikiza ku lens.9
zokhudzana: Perekani Toric Orthokeratology Magalasi Kujambulira Electron Microscopy Imaging Pogwiritsa ntchito zithunzi za SEM, Lee et al.adapeza kuti mawonekedwe achromatic a ma lens odzikongoletsera anali osalala komanso osalala kuposa madera achikuda.
Anapezanso kuti chiwerengero chokwera cha ma Acanthamoeba trophozoites adalumikizidwa kumadera ovuta kwambiri a pigmented poyerekeza ndi malo opanda mtundu, osalala.
Pamene kufunikira kwa magalasi odzikongoletsera kumawonjezeka, ichi ndi chiopsezo chomwe chiyenera kukambidwa ndi odwala omwe amavala magalasi owoneka bwino.
Ndi zipangizo zamakono za lens, monga silicone hydrogels, ma lens opangidwa ndi misala ambiri amapereka mpweya wambiri kuposa momwe amafunikira.
Kafukufuku wa Galas ndi Copper adagwiritsa ntchito magalasi apadera (opangidwa ndi ma pigment okha kuti adutse pakati pa optical zone) kuti athe kuyeza kufalikira kwa okosijeni kudzera mu utoto. chepetsani kapena sinthani chitetezo cha magalasi.ZOYENERA: Katswiri Amapereka Zinsinsi Kuti Muzichita Bwino Magalasi
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ZOKHUDZA KWAMBIRI Ngakhale kuti pali zofooka za ma lens opangidwa ndi misala, ntchito yawo yakhala ikuwonjezeka kwambiri.Nkhaniyi ikufuna kuthandiza akatswiri kuti amvetse chifukwa chake maphunziro ndi ofunika kwambiri povala magalasi amitundu. thandizirani kuchepetsa zochitika zoyipa ndikuwongolera chitetezo cha magalasi owoneka bwino. Werengani zambiri za magalasi olumikizirana -
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2. Ji YW, Cho YJ, Lee CH, et al.Kuyerekeza kwa roughness pamwamba ndi bakiteriya adhesion pakati zodzikongoletsera contact lens ndi ochiritsira contact lens.Eye contact lens.2015;41(1):25-33.doi:10.1097/ICL.0000000000000054
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4. Berenson AB, Chang M, Hirth JM, Merkley KH.Kugwiritsa ntchito ndi nkhanza zodzikongoletsera magalasi pakati pa achinyamata a US kumwera chakum'mawa kwa Texas.Adolesc Health Med Ther.2019;10:1-6.doi: 10.2147/AHMT.S196573
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6. Chan KY, Cho P, Limbikitsani M. Microbial adhesion to cosmetic contact lens.Diso la kutsogolo kosalekeza.2014;37(4):267-272.doi:10.1016/j.clae.2013.12.002
7. Hotta F, Eguchi H, Imai S, Miyamoto T, Mitamura-Aizawa S, Mitamura Y. Scanning Electron Microscopy Discovery and Energy Dispersive X-ray Studies of Cosmetic Colored Contact Lenses.Maso olumikizana nawo.2015;41(5): 291-296.doi:10.1097/ICL.0000000000000122
8. Lau C, Tosatti S, Mundorf M, Ebare K, Osborn Lorenz K. Kuyerekeza kwa lubricity ndi pamwamba pa roughness ya 5 cosmetic contact lens.Eye contact lens.2018;44 Supplement 2 (2):S256-S265.doi:10.109:10.109 /ICL.0000000000000482
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Nthawi yotumiza: Jan-25-2022
