Iki kibazo ni icya 200 cya Uday Devgan, inkingi ya MD "Subira ku Byibanze" ya MD yo Kubaga Amaso.Iyi nkingi yagiye yigisha abashya kandi babaga babaga babimenyereye kimwe mubice byose byo kubaga cataracte kandi bitanga ubufasha bwingirakamaro mubikorwa byo kubaga.Ndashaka gushimira no gushimira Uday uruhare yagize mugusohora no gutanga umusanzu mugutezimbere ubuhanzi bwo kubaga cataracte.
Mu mpeshyi ya 2005, natangiye iyi nkingi "nsubira mubyingenzi" mfatanije nabanditsi ba Healio / Ocular Surgery News, nsuzuma ishingiro ryokubaga cataracte no kubaga.
Noneho, nyuma yimyaka 17, no kuri nimero 200 mukinyamakuru cyacu cya buri kwezi, kubaga amaso byahindutse cyane, cyane cyane kubaga cataracte kubagwa. Guhora gusa bisa nkibidahoraho mububiko bwamaso ni impinduka, kuko tekiniki nubuhanga bwacu bikomeje kugenda bitera imbere. buri mwaka.
Imashini za Phaco zateye intambwe nini mu gutanga ingufu za jet na ultrasonic. Ubuhanga bwambere bwari ibice 3 mm z'ubugari cyangwa bunini, hakoreshejwe imbaraga za gravit infusion hamwe na ultrasound power modulasiyo. ibyumba by'imbere. Imyaka icumi irashize, twinjiye muri phaco y'intoki ebyiri kugirango dutandukane kwinjiza urushinge rwa phaco, rwakoreshwaga rudafite urumogi rwa silicone. Mugihe ibi byemereraga gukoresha ibice bibiri, buri munsi ya 2mm z'ubugari, ntabwo byari byinshi byemewe muri Reta zunzubumwe za Amerika. Ubu dusubiye kuri ultrasonography ya coaxial, nubwo ifite incike ntoya, hagati ya 2mm hagati. Sisitemu zacu za ultrasound ubu zitanga umutekano utigeze ubaho kandi neza kubagwa cataracte.
Hariho IOLs nyinshi mumezi 200 ashize, ariko ibishushanyo byabo byarushijeho kuba byiza kurenza ibyo dufite uyumunsi.Ibishushanyo mbonera bya trifocal na bifocal diffractive IOL bitanga icyerekezo kinini cyerekezo cyiza kitagira ibirahure.Mu bihe byashize, IOL ya toric yari yarateguwe cyane cyane na silicone yamashanyarazi. . d ahubwo mugire IOL nini isaba gukata 2,5mm kuruta moderi ntoya ikeneye kunyura kuri 1.5mm. Intambwe ndende yagutse yibanze ikomeza guhinduka, kandi ibishushanyo bishya byakira IOL biri mumuyoboro (Ishusho 1) .Mu ahazaza, guhuza intangangore zo mu nda bizashobora kugarura abarwayi bacu mubyerekezo byubusore.
Imikoreshereze yacu yinzira yo mu nda yateje imbere cyane ubunyangamugayo, bwazanye kubaga cataracte yo kubaga ku mwanya wa mbere.Byiza biometrike, haba mubipimo by'uburebure bwa axial ndetse no gupima imitsi ya corneal, byateje imbere cyane ibyangiritse kandi biratera imbere hamwe nibisobanuro byiza.Turi ubu mugihe igitekerezo cya formula imwe ihagaze neza kizasimburwa vuba nuburyo bwo kubara bwamafuti afite imbaraga kandi bugenda bwiyongera hifashishijwe imbaga yubwenge hamwe nubwenge bwa artile. Hamwe nigihe kizaza cyo kwisuzumisha ijisho biometer, abarwayi barashobora gupima ibipimo kumashini imwe mbere na nyuma. kubaga cataracte yo gukusanya amakuru kugirango akomeze atezimbere ibisubizo bivunika.
Ubuhanga bwacu bwo kubaga bugeze kure mumezi 200 ashize.Mu gihe ibyibanze byo kubaga imitsi ikiriho, twarabyubakiyeho kugirango tugere ku musaruro mwiza ku barwayi bacu.Abaganga bose babaga bagomba kureba ikoranabuhanga ryabo kandi bakemera ko inzira zabo kora uyumunsi nibyiza kurenza uko byari bimeze mumyaka 10 ishize. Lazeri ya femtosekond, aberrometero intraoperative, sisitemu yo kubaga sisitemu yo kubaga, hamwe na 3D-yerekana imitwe ya 3D iraboneka mubyumba byacu bikoreramo. Imikoreshereze yicyumba cyimbere IOL iragabanuka nuburyo butandukanye bwo kubona umutekano IOL kuri sclera.Mu buryo bwihariye, hashyizweho ibyiciro bishya byo kubaga, nko kubaga glaucoma byibasiye cyane na lamellar keratoplasty. Ndetse no gukuramo lens intraocular lens, akenshi bikoreshwa muri cataracte yuzuye, byahindutse biva mubikururwa bisanzwe bidasanzwe (bisaba ubudodo bwinshi kugeza kuri funga incike ikozwe na kasi) kumaboko mato mato yo kubaga cataracte yo kubaga, Ibiranga shelving gukata kugirango ushireho ikimenyetso mugihe gito, na suture, niba bihari.
Ndacyakunda kwakira verisiyo yamakuru ya Healio / Ocular Surgery News kumeza yanjye kabiri mukwezi, ariko kandi nsanga nsoma imeri ya Healio hafi buri munsi kandi nkunze kureba kuri interineti kumurongo wibitabo nkunda.Iterambere rikomeye mubyigisho byo kubaga bigomba kuba ikoreshwa rya videwo cyane, ubu dushobora kuyishimira kuri terefone na tableti yacu murwego rwo hejuru.Mu bijyanye, hashize imyaka 4 nshizeho urubuga rwigisha kubuntu rwitwa CataractCoach.com rutangaza amashusho mashya, yatunganijwe, avugwa buri munsi. .
Igihe cyoherejwe: Nyakanga-22-2022