Bata malenzi nyanzvi Stephen Cohen, OD naDenise Whittam, OD vanopindura mimwe yemibvunzo inonyanya kudzvanya pamusoro pemaitiro ekuti vanhu vane presbyopia vasiye malenzi ekuonana uye vape zano remabatiro angaita nyanzvi dzekuchengetedza maziso muhuwandu hwevarwere.
Cohen: Inenge hafu yevose vanopfeka lens vanodonha nezera remakore 50. Vanhu vazhinji vakapfeka macontact lens kwemakore, asi apo presbyopia inotanga kuoneka uye varwere vanoona kuchinja mukuverenga kwavo, pane kupfeka kukuru. Dambudziko repamusoro rinogonawo kuita kuti vasiire chikoro panzira.Varwere vakawanda vezera rino vanonyunyuta kuti maziso avo anonzwa akashata, saka havakwanisi kupfeka malenzi zuva rose.Nekuda kwemwero wazvino uno wokurega chikoro, musika wekuona lens wakatsetseka: sezvo varwere vazhinji vanosiya chikoro. sezvo kune vatsva vanopfeka.
WHITTAM: Zvinoshungurudza vana chiremba kunzwa varwere — vanga vakapfeka macontact lenses sevanhu vakuru — vachiti vamira.Pane nzira dzakawanda dzatingabatsire vanhu vane presbyopia kupfeka macontact lenses.Tinoziva kuti kana varwere vasingachaoni Vanotarisira, yave nguva yekuvadzidzisa nezvesarudzo dzichangoburwa dzemultifocals.
WHITTAM: Zviri kuna chiremba kubvunza mibvunzo yakakodzera uye kukurukura presbyopia.Ndinoudza varwere kuti kuchinja kwekuona chinhu chakajairika chehupenyu, asi kwete kupera kwekupfeka lens.Havafanire kupfeka magirazi ekuverenga pane chiratidzo chimwe chete. lenzi kana kushandura kune lenzi dzinofambira mberi;iyo itsva contact lenses inopa kururamiswa kwese kwavanoda.Ndinovayeuchidza nezvezvikomborero zvakawanda zvekupfeka ma-lenses, kubva pakuonekwa kwekusununguka uye kwechidiki kusvika kune yakanakisa peripheral yekuona kwese-kutenderera uye kufamba.
Yave kufarirwa zvakanyanya iye zvino kudzivirira fogging yemagirazi nekuda kwekupfeka mask.Varwere vazhinji vanotanga kudonha havanzwisisi mamultifocal lenses.Vamwe vakamboedza kare kana kunzwa nyaya dzisina kunaka kubva kushamwari.Pamwe chiremba akangoedza kuongororwa. pane rimwe ziso, izvo zvinobira murwere maonero akadzama uye kuona kwakawanda kureba.Kana kuti pamwe vakaedza monovision uye vakanzwa kurwara kana kusajairira.Tinoda kudzidzisa varwere uye kuvavimbisa kuti tekinoroji nyowani yekuonana yakagadziriswa. matambudziko ekare.
COHEN: Varwere vazhinji vanofunga kuti havagoni kupfeka multifocal contact lenses nekuda kwekuti havana kupiwa mazano nachiremba wavo.Nhanho yekutanga ndeyokuvazivisa kuti tine multifocal contact lenses uye ivo vakanaka.Ndinoda varwere. kuedza multifocal uye kuona musiyano muchiratidzo chavo.
COHEN: Ndinofunga kuti zvakakosha kutevera zvitsva zvitsva uye chido chekuedza zvitsva zvitsva.Kune presbyopia, tine zvingasarudzwa zvikuru zvakadai se Air Optix pamwe neHydraGlyde uye Aqua (Alcon);Bausch + Lomb Ultra uye BioTrue RIMWE zuva;uye akati wandei Johnson & Johnson Vision Acuvue lenses, kusanganisira Moist Multifocal uye Acuvue Oasys Multifocal ine pupil-optimized dhizaini.Ndinonyanya kufadzwa neiyi lenzi uye ndinotarisira kuwanikwa kwayo pazuva 1 Oasys platform.Ndinotanga nelenzi yesarudzo. iyo inosangana nezvinodiwa nevarwere vakawanda.Kana murwere asingakodzeri iyo amburera yakakura, saka ndingasarudza imwe nzira.Kugadzirisa kuchinja kwekuona uye ziso rakaoma, lens inofanira kugadzirwa kuchengetedza kubvarura film homeostasis nekukanganisa kuduku kune ocular surface.
WHITTAM: Ini ndinopa 2 akasiyana multifocal lenses - lenzi yezuva nezuva uye 2-vhiki lenzi - asi mazuva ano ini ndinowanzo kuenda nemudzidzi-akagadziridzwa Acuvue Oasys multifocal lenses. Zvakatora varwere vangu isingasviki maminetsi gumi kuti vajaire malenzi. , ndokubva ndaseka nekuti vakaona uye kunzwa sezvavakaita pavakatanga kuisa macontact lenses.Zviratidzo zvinotaridzika zvakanaka nekuti zvakagadziridza malenzi ezvikanganiso zve refractive uye size yemwana.Malenzi anofananidzwa nemudzidzi uye anopa iwo murwere ane kudzika kwakanakisa kwekutarisa pamadaro ese.
WHITTAM: Ndinofunga kuti vanachiremba vanozeza kuisa varwere vavo pamalensi akawanda nekuda kwekukanganisa kwehunyanzvi hwekare.Kunyangwe tikatevedzera mirairo yakakodzera, dhizaini yelens inoda kuti murwere ape chinhambwe kana kuona pedyo, anogadzira halos, uye kazhinji haipe kujeka kunotarisirwa nemurwere.Zvino hatidi kukanganisa nekuti lenzi itsva yaita kuti ive yakakwana.
Ini ndinoisa multifocal lenses panguva imwe chete yandinoita spherical lenses, kunyangwe nemapupil-optimized lenses.Ndakawana refraction yakanaka mukuvhenekesa kweambient uye nekunzwa kukuru kwekuona maziso, ndakabva ndaisa nhamba muFitting Calculator app pafoni yangu uye yakandiudza. ini iyo lenzi chaiyo. Hazvina kuoma kuisa pane mamwe maconta lenzi.
COHEN: Ndinotanga neiyo diopter yemazuva ano nokuti kunyange kuchinja kuduku kunogona kukanganisa chiyero chekubudirira kwekubatanidza lenses.Kune multifocals, ndinongoomerera kune mazano akakodzera, ayo ari chibereko chekutsvakurudza kwakasimba.Kuedza kwakawanda uye kukanganisa kwakatipa chii. isu taifanira kuwana yakakodzera uye kubata dambudziko nekukurumidza.
WHITTAM: Kunyange paine vakawanda vanopfeka lens vane makore anopfuura makumi mana, vashoma kwazvo vanopfeka multifocal contact lenses.Kana tikasagadzirisa dambudziko rekudonha rine chekuita nepresbyopia, tinorasikirwa nevarwere vazhinji.
Pamusoro pekuchengetedza vanopfeka lens, isu tinogona zvakare kugadzira yedu yekuonana lens kudzidzira nekukodzera maopticians asina kumbobvira apfeka magirazi kana contact lenses.Havana kujaira matambudziko ekuona uye vanovenga kupfeka magirazi ekuverenga.Ndinovakurudzira kuti vaedze lenzi gadzirisa chiono chavo nenzira isingaonekwi.
Cohen: Ndinofunga kuti kushandura vanogona kusiya chikoro kuva vanopfeka lens vanogona kufambisa maitiro pamatanho akawanda - kwete chete mari inobva mubhokisi remalensi.Bata vanopfeka lens vanodzoka paavhareji mwedzi gumi nemishanu yega yega, zvichienzaniswa nemwedzi makumi matatu kune vanopfeka magirazi.
Murwere wese anosiya macontact lens anodarikawo hafu yekushanya kuhofisi kwake. Kana isu tichigadzirisa nyaya dzavo, vanoudza shamwari nezvevanhu vatsva vavanonzwa vachifara nezvavo muswere wese. Tiri kugadzira chido, kuvimbika uye uchapupu hwekuita kwedu.
Nguva yekutumira: Chivabvu-09-2022
