Pakazosvika 2030, mumwe muvashanu vekuAmerica achange ava nemakore makumi matanhatu nemashanu.1 Sezvo huwandu hweUS hunoramba huchichembera, ndizvo zvinoitawo kudiwa kwesarudzo dzekurapa dzepresbyopia.Varwere vazhinji vanotarisa dzimwe sarudzo kunze kwemagirazi ekugadzirisa maonero avo epakati uye ari pedyo.Vanoda sarudzo inokodzera zvisina musono muhupenyu hwavo hwezuva nezuva uye isingaratidzi chokwadi chekuti maziso avo ari kuchembera.
Multifocal contact lenses mhinduro huru kune presbyopia, uye zvechokwadi haisi itsva.Nekudaro, mamwe maophthalmologists achiri kuyedza kushandisa multifocal contact lens mukuita kwavo.RELATED: Kubata lens kurapa kwakakosha pakubvisa zvisaririra zvekoronavirus Kujairana nekurapa uku hakungoite kuti varwere vagone kuwana tekinoroji yekuchengeta maziso, asi zvakare inowedzera kubudirira kwechiito kubva pamaonero ebhizinesi.
1: Dyara mbeu dzakawanda.Presbyopia musika uri kukura.Vanopfuura mamirioni zana nemakumi maviri vekuAmerica vane presbyopia, uye vazhinji vavo havazive kuti vanogona kupfeka multifocal contact lens.2
Vamwe varwere vanoona kuti magirazi anofambira mberi, bifocals, kana magirazi ekuverenga epamusoro-soro ndiyo nzira yavo chete yekugadzirisa pedyo nekukanganiswa kwekuona kunokonzerwa nepresbyopia.
Vamwe varwere vakamboudzwa kare kuti multifocal contact lenses haana kuvakodzera nekuda kwemaitiro emishonga kana kuvapo kweastigmatism.Asi iyo nyika yemultifocal contact lens yakashanduka uye kune zvakawanda zvingasarudzwa zvevarwere zveese zvinorairwa.Ongororo yakaitwa nguva pfupi yadarika yakaratidza kuti vanhu vanosvika miriyoni makumi matatu nerimwe vanotenga magirazi ekuverenga eOTC gore rega rega, kazhinji kubva kuzvitoro zvikuru kana muchitoro chemishonga.3
Sevanopa rubatsiro rwekutanga maziso, veOptometrists (OD) vane kugona kuzivisa varwere nezvese sarudzo dziripo kuti vaone zvirinani nekuvandudza hupenyu hwavo.
Tanga nekuudza varwere kuti multifocal contact lenses inogona kuva nzira yekutanga yekugadzirisa maonero kana sarudzo yenguva-yenguva, yekuzvivaraidza, kana kupera kwevhiki.Tsanangura kuti vanobatika vanoshanda sei, vanoshanda sei, uye kuti vanokwana sei muhupenyu hwezuva nezuva.Kunyangwe kana varwere vakarasa multifocal contact lens gore rino, vangangoda kufunga zvakare nezve yavo sarudzo mune ramangwana.Related: Vatsvagiri vari kuyedza-inonyorovesa 3D-yakadhindwa yekuonana lenzi
Ophthalmologists vanowanzo sangana nevarwere vari kunze kwekamuri yekuongororwa, izvo zvinogona kuvapa mukana wekudzidzisa varwere nezve multifocal contact lens.
2: Tevera mirairo yekuisa.Izvo zvakakosha kuti uteedzere mirairo yakakodzera iyo inouya neimwe yekuona lens.Izvi ndezvechokwadi kunyanya kune multifocal contact lenses, sezvo mhando dzakasiyana dzine akasiyana optical zones uye kupfeka nzira.Makambani anogara achidzokorora kurudziro yavo yekusangana nelens sezvo yakawanda yekuona lens data inowanikwa kuburikidza nekushandiswa kwevarwere.Vazhinji varapi vanogadzira nzira dzavo dzekugadzirisa.Izvi zvinogona kushanda kwenguva pfupi asi zvinowanzoguma nekuwedzera nguva yechigaro uye yakaderera kubudirira kwevarwere vane multifocal contact lenses.Zvinokurudzirwa kuti iwe nguva nenguva uongorore zvinyorwa zvema lens aunopfeka nguva dzose.
Ndakadzidza chidzidzo ichi makore mazhinji apfuura pandakatanga kupfeka Alcon Dailies Total 1 multifocal lenses.Ndakashandisa nzira yakafanira yakafanana nedzimwe multifocal contact lenses pamusika inobatanidza yakaderera / yepakati / yakakwirira focal urefu multifocal lenses kukwanisa kumurwere kuwedzera (ADD).Zano rangu rekukodzera harina kusangana nemazano akakodzera, zvichikonzera kuti chigaro chiwedzere nguva, kushanya kwakawanda kwema lens, uye varwere vane mediocre yekuona lens.
Pandakadzokera kugwaro rekuseta ndokuitevera, zvese zvakachinja.Kune iyi chaiyo yekuona lens, wedzera +0.25 kune yakatenderedzwa gadziriso uye shandisa yakaderera inogoneka ADD kukosha kuti uwane yakanyanya kukwana.Idzi shanduko dzakareruka dzakaguma nemhedzisiro iri nani mushure mekutanga kuonana lens kuyedzwa uye zvakakonzera kuderedzwa kwechigaro nguva uye nekuvandudza kugutsikana kwevarwere.
3: Ita zvaunotarisira.Tora nguva yekuisa tarisiro dzechokwadi uye dzakanaka.Panzvimbo yekuvavarira kuona zvakakwana 20/20 pedyo uye kure kuona, kushanda pedyo nekure kuona kungave kwakakodzera magumo.Murwere wega wega ane zvakasiyana-siyana zvekuona zvinodiwa, uye kuona kwemurwere wega wega kunoshanda kuchasiyana zvakanyanya.Zvakakosha kuzivisa varwere kuti budiriro iri mukugona kwavo kushandisa malenses mazhinji ezviitwa zvemazuva ese.Related: Kudzidza Kunoratidza Vatengi Haanyatso Kunzwisisa Contact Lenses Ndinopawo zano varwere kuti vasafananidza kuona kwavo nemultifocal contact lens kune yavo yekuona nemagirazi nekuti maapuro-to-maranjisi kuenzanisa.Kuisa izvi zvinotarisirwa zvakajeka zvinobvumira murwere kuti anzwisise kuti hazvina kunaka kusava akakwana 20/20.Nekudaro, varwere vazhinji vanowana 20/20 vese vari kure uye padyo neazvino multifocal contact lens.
Muna 2021, McDonald et al.yakaronga kupatsanurwa kwepresbyopia, kupatsanura mamiriro acho kuva akapfava, ari pakati nepakati, uye akakomba zvikamu.4 Maitiro avo anotarisa zvakanyanya pakuisa presbyopia kuburikidza nekugadzirisa kwekuona pane pedo nezera.Muhurongwa hwavo, kunyatsogadziriswa kwekuona acuity kwakatangira pa20/25 kusvika 20/40 kune mild presbyopia, kubva 20/50 kusvika 20/80 yepakati presbyopia, uye pamusoro pe20/80 kune yakanyanya presbyopia.
Iyi kupatsanurwa kwe presbyopia kunonyanya kukodzera uye inotsanangura kuti nei dzimwe nguva presbyopia mumurwere ane makore 53 okuberekwa inogona kurondedzerwa seyakapfava, uye presbyopia mumurwere ane makore 38 okuberekwa anganzi ane mwero.Iyi presbyopia classification nzira inondibatsira kusarudza akanakisa multifocal kuonana lens vamiriri uye kuseta zvinogoneka zvinotarisirwa kuvarwere vangu.
4: Tora nzira nyowani dzekurapa adjuvant.Kunyangwe kana tarisiro dzakakodzera dzakaiswa uye kurudziro yakakodzera ichiteverwa, multifocal contact lens haizove iyo yakanakira fomula kune wese murwere.Imwe nzira yekugadzirisa matambudziko yandakawana yakabudirira kushandisa Vuity (Allergan, 1.25% pilocarpine) uye multifocal contact lens kune varwere vasingakwanise kuwana tsanangudzo inodiwa pakati kana pedyo nepakati.Vuity ndiyo yekutanga-mu-kirasi FDA-inotenderwa mushonga wekurapa presbyopia muvakuru.Related: Kunyorera Presbyopia Bata Kurasika kweLens Kuenzaniswa nepilocarpine, pilocarpine's optimized concentration ye1.25% yakasanganiswa ne patented pHast tekinoroji inoita kuti Vuity isiyane uye ishande zvakanyanya mukurapa kwekiriniki yepresbyopia.
Vuiti ndeye cholinergic muscarinic agonist ine maitiro maviri ekuita.Iyo inomutsa iris sphincter uye ciliary yakatsetseka tsandanyama, nekudaro ichiwedzera kudzika kwemunda uye kuwedzera huwandu hwekugara.Nekudzikisa mudzidzi, sepapinhole optics, kuona pedyo kunovandudzwa.
Vuity yakapedza 2 parallel Phase 3 kliniki miedzo (Gemini 1 [NCT03804268] uye Gemini 2 [NCT03857542]) mune vatori vechikamu vane makore makumi mana kusvika kumakore makumi mashanu neyakagadziriswa kureba kwekuona pakati pe20/40 uye 20/100.Miedzo yemakiriniki yakaratidza kuti mu myopia (yakaderera mwenje) pakanga paine kuvandudzwa kweinenge mitsara ye3, nepo kuona kure hakuna kukanganisa kupfuura mutsara 1 (mavara mashanu).
Mumamiriro epikicha, vanhu 9 kubva pagumi vatori vechidzidzo vakavandudza padyo nekuona zvirinani pane 20/40 munzvimbo yepikicha.Muchiedza chakajeka, chetatu chevatori vechikamu vakakwanisa kuwana 20/20.Miedzo yemakiriniki yakaratidzawo kuvandudzwa mukuona kwepakati.Migumisiro yakajairika neVuiti yaiva conjunctival hyperemia (5%) uye musoro (15%).Mune ruzivo rwangu, varwere vanorwara nemusoro vanotaura kuti misoro yakapfava, isingaperi, uye inongoitika pazuva rekutanga rekushandisa Vuity.
Vuiti inotorwa kamwe chete pazuva uye inotanga kuita mukati memaminitsi gumi nemashanu mushure mekuiswa.Vazhinji varwere vanotaura kuti izvi zvinotora maawa matanhatu kusvika gumi.Paunenge uchishandisa Vuity ine contact lenses, madonhwe anofanirwa kuiswa mumaziso pasina kuonana lenzi.Mushure memaminitsi gumi, lens yekuona inogona kuiswa muziso remurwere.Vuiti madonhwe emeso aunogona kutenga pane chero pharmacy.Kunyangwe Vuity isati yadzidzwa pamwe chete nemultifocal contact lenses, ndakaona kuti mune dzimwe nguva iyi yakasanganiswa nzira inopindirana inobvumira varwere vane multifocal contact lens kuti vawane kuvandudzwa kunodiwa mukuona pedyo.
Nguva yekutumira: Sep-11-2022
