Chilichonse Chimene Muyenera Kudziwa Zokhudza Opaleshoni Yamaso ya LASIK

Zamkati

• Kodi opaleshoni ya maso ya LASIK ndi chiyani?
• Kodi mbiri ya opaleshoni yamaso ya LASIK ndi yotani?
• Kodi mumakonzekera bwanji LASIK?
• Ndani akuyenerera LASIK (ndipo ndani satero)?
• Kodi kuchira kumakhala bwanji pambuyo pochitidwa opaleshoni ya diso la LASIK?
• Onaninso za

Patha zaka pafupifupi makumi awiri kuchokera pamene Food and Drug Administration (FDA) idavomereza opaleshoni ya maso ya LASIK. Kuyambira pamenepo, pafupifupi anthu 10 miliyoni agwiritsa ntchito mwayi wokulitsa masomphenya. Komabe, ena ambiri amawopa kupita pansi pa mpeni-komanso zoyipa zomwe zingachitike chifukwa cha odwala.

"LASIK ndi opareshoni yosavuta. Ndinazichita pafupifupi zaka 20 zapitazo, ndipo ndachita opareshoni mamembala ambiri am'banja, kuphatikiza mchimwene wanga," akutero Karl Stonecipher, MD, wothandizirana ndi zamankhwala ku University of North Carolina ndi zamankhwala Woyang'anira TLC Laser Eye Centers ku Greensboro, NC.

Zitha kuwoneka ngati godend, koma musanadutse anzanu panthawiyi, werengani bukuli lotsegulira maso ku LASIK.

Kodi opaleshoni ya maso ya LASIK ndi chiyani?

Wotopa kudalira magalasi kapena kukhudzana kuti muwone kwambiri? (Kapena simukufuna kuda nkhawa kuti mudzakumana ndi vuto m'diso lanu kwa zaka 28?)

"LASIK, kapena 'laser-assisted in situ keratomileusis,' ndi opaleshoni yodziwika kwambiri yochitidwa ndi laser kuti ichiritse kuyandikira, kuwonera patali, komanso astigmatism," atero a Samuel D. Pierce, OD, Purezidenti wapano wa American Optometric Association (AOA) ndi Dokotala wa Optometry ku Trussville, AL. Pambuyo pa opaleshoni, anthu ambiri omwe adalandira opaleshoni ya maso a LASIK amakhala mu masomphenya a 20/40 (mulingo womwe mayiko ambiri amafunikira kuyendetsa popanda magalasi owongolera) kapena bwino, akutero.

Opaleshoni ya maso ya LASIK ndi njira ziwiri, Dr. Stonecipher akufotokoza.

1. Dokotalayo amadula chidutswa chaching'ono pamwamba pake (chophimba chotseka chakumaso kwa diso chomwe chimapindika polowa m'diso).

2. Dokotala wa opaleshoni amakonzanso cornea ndi laser (kotero kuti kuwala kolowa m'diso kumalunjika bwino pa retina kuti muwone bwino).

   
   

Ngakhale mutha kukhala pamalo ogwiritsira ntchito ola limodzi kapena kupitilira apo, mudzangokhala patebulopo kwa mphindi 15, atero Dr. Pierce. "LASIK imachitidwa ndi mankhwala oletsa ululu ndipo madokotala ambiri opaleshoni amapereka m'kamwa kuti apumule wodwalayo." (Kutanthauza, inde, muli ogalamuka, koma simumva chilichonse chakuchepa uku ndikulakwitsa.)

Ma lasers omwe amagwiritsidwa ntchito ku LASIK ndiotsogola kwambiri, ndipo amagwiritsa ntchito ukadaulo womwewo womwe NASA imagwiritsa ntchito ponyamula ma shuttle ku International Space Station, atero a Eric Donnenfeld, MD, pulofesa wazachipatala ku New York University komanso mnzake woyambitsa Ophthalmic Consultants aku Long Island ku Garden City, NY.

"Ukadaulo wapamwamba umateteza odwala kuvulazidwa ndikuwonetsetsa kuti njirayo ikuyendera malinga ndi dongosolo," akutero Dr. Donnenfeld. Palibe opaleshoni yomwe imagwira 100 peresenti, koma kuyerekezera kukuwonetsa kuti 95% mpaka 98.8% ya odwala amasangalala ndi zotsatirazi.

"Odwala 6 mpaka 10 peresenti angafunike njira zina, zomwe nthawi zambiri zimatchedwa kupititsa patsogolo. Odwala omwe akuyembekezera kuwona bwino popanda magalasi kapena olumikizana nawo akhoza kukhumudwa," akutero Dr. Pierce. (P.S. Kodi mumadziwa kuti mutha kudyanso kuti mukhale ndi thanzi labwino lamaso?)

Kodi mbiri ya opaleshoni yamaso ya LASIK ndi yotani?

Inna Ozerov, M.D., dokotala wa maso pa Miami Eye Institute ku Hollywood, FL, anati: "Radial keratotomy, njira yomwe imaphatikizapo kupanga madontho ang'onoang'ono a cornea, inayamba kutchuka m'zaka za m'ma 1980 monga njira yothetsera kusawona bwino.

Kremer Excimer Laser itayambitsidwa mu 1988 ngati chida chachilengedwe (osati makompyuta okha), opaleshoni yamaso idakula mwachangu. Chilolezo choyamba cha LASIK chidaperekedwa mu 1989. Ndipo pofika 1994, madokotala ambiri opaleshoni anali kuchita LASIK ngati "njira yolembera," malinga ndi Dr. Stonecipher, kapena kuchita izi asanavomerezedwe ndi boma.

"Mu 2001, 'yopanda banga' LASIK kapena IntraLase idavomerezedwa. Mwa njirayi, laser yofulumira mphezi imagwiritsidwa ntchito m'malo mwa microblade kuti ipangidwe," akutero Dr. Ozerov. Ngakhale kuti LASIK yachikhalidwe imakhala yachangu pang'ono, LASIK yopanda blade nthawi zambiri imapanga zotchingira zofananira. Pali zabwino ndi zoyipa kwa onse, ndipo madotolo amasankha njira yabwino kwambiri podalira wodwala.

Kodi mumakonzekera bwanji LASIK?

Choyamba, konzekerani chikwama chanu: Mtengo wapakati wa LASIK ku US mu 2017 unali $ 2,088 pa diso, malinga ndi lipoti la All About Vision. Kenako, khalani pagulu ndikuwonetsedwa.

"Lankhulani ndi dotolo wanu wamaso ndikulankhula ndi anzanu. Anthu mamiliyoni akhala ndi LASIK, chifukwa chake mutha kumva zokumana nazo zawo," akutero a Louis Probst, M.D., wamkulu wazachipatala komanso dotolo wa TLC Laser Eye Center ku Midwest. "Osangopita kumalo otsika mtengo kwambiri a laser. Muli ndi maso amodzi, choncho fufuzani za malo abwino omwe ali ndi madotolo abwino."

Dr. Pierce akunenanso kuti: "Odwala ayenera kusamala ndi omwe amalonjeza kapena kutsimikizira zotsatira zabwino kapena omwe amapereka mitengo yotsika mtengo popanda kukambirana pang'ono zakusamaliranso kapena zotsatira zake."

Ngati mungafike kwa dokotala ndikusankha kupita patsogolo, kuwunika ndikofunikira kuti muwone ngati muli ndi chifukwa chilichonse chodumpha LASIK, atero Dr. Stonecipher.

"Tsopano tikugwiritsa ntchito ukadaulo wophunzirira mozama komanso luntha lochita kupanga kuti tiwonetse bwino zovuta zamaso zomwe zitha kubweretsa zotsatirapo zabwino kwambiri pokonzanso masomphenya a laser - ndipo tawona zotsatira zabwino," akupitiliza.

Madzulo asanachitike opareshoni, khalani ndi cholinga chogona tulo tofa nato ndikupewa mowa kapena mankhwala aliwonse omwe angaume. Dokotala wanu ayenera kufotokoza ngati mungafunikire kugwiritsira ntchito mankhwala aliwonse ndi magalasi olumikizirana ndi LASIK. (Zokhudzana: Zomwe Muyenera Kudziwa Zokhudza Digital Diso Strain)

Ndani akuyenerera LASIK (ndipo ndani satero)?

"Opikisana nawo ku LASIK ayenera kukhala ndi diso labwino komanso makulidwe abwinobwino am'miyendo ndikuwunika," atero Dr. Probst. Opaleshoniyo ndi njira yabwino kwambiri kwa ambiri omwe ali ndi myopia [kusaona chapafupi], astigmatism [kupindika kwachilendo kwa diso], ndi hyperopia [kuwonera patali], akutero. "Pafupifupi 80 peresenti ya anthu ndi ofuna kuchita bwino."

Ngati mumayenera kupeza macheza amphamvu kapena magalasi chaka chilichonse, mungafunike kudikirira: Dongosolo lanu liyenera kukhala lokhazikika kwa zaka ziwiri LASIK isanachitike, akuwonjezera Dr. Donnenfeld.

Mungafunike kupewa opaleshoni ya maso ya LASIK ngati muli ndi mbiri yazochitika zonsezi, malinga ndi Dr. Ozerov ndi Donnenfeld:

• Matenda a Corneal
• Zipsera za Corneal
• Maso owuma pang'ono kapena owuma kwambiri
• Keratoconus (matenda obadwa nawo omwe amayambitsa kuwonda pang'ono kwa cornea)
• Matenda ena amthupi okha (monga lupus kapena nyamakazi)

"AOA ikulimbikitsa kuti ofuna kulowa LASIK azikhala azaka 18 kapena kupitilira apo, athanzi labwino, osawoneka bwino, komanso osakhala ndi vuto la diso kapena diso lakunja," akutero Dr. Pierce. "Odwala omwe ali ndi chidwi ndi kusintha kulikonse kwam'maso amayenera kuyezetsa kwathunthu ndi dokotala wa zamagetsi kuti awone momwe alili ndi thanzi lawo ndikuwona zosowa zawo." (Yo, kodi mumadziwa kuti inunso muyenera kugwiritsa ntchito maso anu?)

Kodi kuchira kumakhala bwanji pambuyo pochitidwa opaleshoni ya diso la LASIK?

"LASIK akuchira modabwitsa," akutero Dr. Probst. "Mukukhazikika ndipo mukuwona bwino patangotha ​​maola anayi mutachita izi. Muyenera kusamala ndi maso anu kwa sabata imodzi kuti azichira bwino."

Ngakhale zovuta zina zimakhala zachilendo m'maola 24 oyambilira (makamaka mkati mwa LASIK isanu yoyambirira), imatha kuthana ndi zothetsa ululu, atero Dr. Donnenfeld. Komanso, mafuta odzola m'maso amathandizira kuti maso anu azikhala omasuka, kupewa matenda, komanso kulimbikitsa machiritso. Konzani zoti mudzanyamuke tsiku la opareshoni yanu ndi tsiku lotsatira kuti mupumule.

Opaleshoniyo nthawi zambiri imafuna kutsatiridwa ndi dokotala pafupifupi maola 24 mutatha opaleshoniyo. Kenako, mudzapeza kuwala kobiriwira kuti mubwerere kuzinthu zatsiku ndi tsiku. Atha kukonzekera maulendo obwereza sabata imodzi, mwezi umodzi, miyezi itatu, miyezi isanu ndi umodzi, ndi chaka chimodzi atachitidwa opaleshoni.

"Pambuyo pa tsiku loyamba kapena apo, odwala akhoza kukhala ndi zotsatira za kanthawi kochepa monga gawo la machiritso, kuphatikizapo halos kuzungulira maso anu usiku, kung'amba maso, zikope zotupa, komanso kumva kuwala. Zonsezi ziyenera kuchepa mkati mwa sabata, koma nthawi ya machiritso imatha miyezi itatu kapena isanu ndi umodzi, pamene odwala amakhala ndi maulendo angapo otsatila kuti adokotala awone momwe akuyendera, "akutero Dr. Donnenfeld.

Mwinanso mudamvapo za zoyipa zosawopsa komanso zoyipa za opaleshoni yamaso ya LASIK, monga pomwe wazaka 35 wazaka zakuthambo ku Detroit a Jessica Starr amwalira podzipha pomwe akuchira. Adali ndi LASIK miyezi ingapo m'mbuyomu ndipo adavomereza kuti "akulimbana pang'ono" pambuyo pake. Kudzipha kwa Starr sikokhako komwe kumafunsidwa ngati kutheka kwa LASIK; komabe, sizikudziwika bwinobwino chifukwa chake kapena ngati LASIK adatenga nawo gawo paimfayi. Kulimbana ndi zopweteka kapena masomphenya pambuyo pa njirayi (kapena njira iliyonse yowonongeka) ingakhale yopanda mantha. Madokotala ambiri amalozera ku kuchuluka kwa njira zopambana ngati chifukwa chosadandaulira za milandu yomwe yadzipatula komanso yodabwitsayi.

Dr. Ozerov anati: "Kudzipha ndi vuto lalikulu la thanzi la m'maganizo, ndipo kuti atolankhani alumikizane mwachindunji ndi LASIK ndi kudzipha ndi kusazindikira, komanso koopsa," akutero Dr. Ozerov. "Odwala ayenera kukhala omasuka kubwerera kuchipatala chawo ngati akuvutika ndi kuchira kwawo. Chosangalatsa ndichakuti odwala ambiri adzachira ndipo adzakhala ndi zotsatira zabwino."

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