Ngo-2030, umntu omnye kwabahlanu baseMelika uya kuba neminyaka engama-65 ubudala.1 Njengoko abantu base-US beqhubeka beguga, kunjalo ke nesidingo sokhetho lonyango lwe-presbyopia.Izigulana ezininzi zijonga ezinye iindlela ngaphandle kweeglasi ukulungisa umbono wabo ophakathi kunye nokufutshane.Badinga ukhetho olungenamthungo kubomi babo bemihla ngemihla kwaye alugxininisi into yokuba amehlo abo ayaluphala.
Iilensi zoqhagamshelwano ezininzi zisisisombululo esikhulu kwi-presbyopia, kwaye ngokuqinisekileyo ayintsha.Nangona kunjalo, ezinye iingcali zamehlo zisazama ukusebenzisa iilensi zoqhagamshelwano ezininzi ekusebenzeni kwazo.EZIPHATHELELEYO: Unyango lwelensi yoqhagamshelwano lubalulekile ekususeni umkhondo we-coronavirus Ukuziqhelanisa nolu nyango akuqinisekisi nje ukuba abaguli bayafikelela kubuchwepheshe bokhathalelo lwamehlo, kodwa kwandisa impumelelo yolu qeqesho ngokwembono yeshishini.
1: Tyala imbewu ye-multifocal.I-Presbyopia yimarike ekhulayo.Bangaphezu kwe-120 lezigidi zabantu baseMelika abane-presbyopia, kwaye uninzi lwabo aluqondi ukuba banokunxiba iilensi zoqhagamshelwano ezininzi.2
Ezinye izigulana zifumanisa ukuba iilensi eziqhubekayo, ii-bifocals, okanye iiglasi zokufunda ezingaphaya kwekhawuntara zezona zikhetho zazo zodwa zokulungisa ukonakala okukufutshane okubangelwa yi-presbyopia.
Ezinye izigulana ziye zaxelelwa kwixesha elidlulileyo ukuba iilensi zoqhagamshelwano ezininzi azibafanelanga ngenxa yamaxabiso achazwe ngugqirha okanye ubukho be-astigmatism.Kodwa ihlabathi lelensi zoqhagamshelwano ezininzi liye lavela kwaye kukho iindlela ezininzi zokukhetha izigulana zayo yonke imigqaliselo.Uphononongo lwakutsha nje lufumanise ukuba abantu abazizigidi ezingama-31 bathenga iiglasi zokufunda ze-OTC rhoqo ngonyaka, ngokwesiqhelo kwivenkile enkulu okanye kwikhemesti.3
Njengababoneleli bamehlo asisiseko, oogqirha bamehlo (OD) banamandla okwazisa izigulane ngazo zonke iindlela ezikhoyo ukuze zibone ngcono kwaye ziphucule umgangatho wobomi bazo.
Qala ngokuxelela izigulane ukuba iilensi zoqhagamshelwano ezininzi zinokuba yindlela ephambili yokulungiswa kombono okanye ukhetho lwexeshana, ukuzonwabisa, okanye ukunxiba impelaveki.Cacisa indlela abafowunelwa abasebenza ngayo, basebenza njani, kwaye bangena njani kubomi bemihla ngemihla.Nokuba izigulana zilahla iilensi zoqhagamshelwano ezininzi kulo nyaka, zinokufuna ukucinga ngokutsha ukhetho lwazo kwixesha elizayo.Related: Abaphandi bavavanya iilensi zoqhagamshelwano eziprintiweyo ze-3D ezizifumisayo
Iingcali ze-Ophthalmologists zihlala zisebenzisana nezigulane ngaphandle kwegumbi loviwo, elinokuthi libanike ithuba lokufundisa izigulane malunga ne-multifocal contact lens.
2: Landela imiyalelo yokuhlohla.Kubalulekile ukulandela imiyalelo efanelekileyo ehamba nelensi nganye yoqhagamshelwano.Oku kuyinyani ngakumbi kwiilensi zoqhagamshelwano ezininzi, njengoko iimpawu ezahlukeneyo zinemimandla eyahlukeneyo yokubona kunye neendlela zokunxiba.Iinkampani zihlala zijonga kwakhona iingcebiso zabo zokunxibelelana nelensi njengoko idatha yelensi yoqhagamshelwano ifumaneka ngokusetyenziswa kwesigulana.Oogqirha abaninzi benza iindlela zabo zokwenza ngokwezifiso.Oku kunokusebenza ixesha elifutshane kodwa ngokuqhelekileyo kubangela ukunyuka kwexesha lesitulo kunye nezinga eliphantsi lempumelelo kwizigulane ezine-multifocal contact lens.Kucetyiswa ukuba uphonononge amaxesha ngamaxesha iincwadana zeelensi zoqhagamshelwano ozinxiba rhoqo.
Ndifunde esi sifundo kwiminyaka emininzi eyadlulayo xa ndandiqala ukunxiba iAlcon Dailies Total 1 iilensi ezininzi.Ndisebenzise indlela efanelekileyo efana nezinye iilensi zoqhagamshelwano ezininzi kwiimarike ezidibanisa ubude obuphantsi / obuphakathi / obuphezulu be-multifocal lens kwikhono lomguli ukongeza ( ADD).Isicwangciso sam esifanelekileyo asizange sihlangabezane neengcebiso ezifanelekileyo, okubangele ixesha elide lesitulo, ukutyelelwa kwee-lens ezininzi, kunye nezigulane ezinombono we-lens ophakathi.
Xa ndibuyela kwisikhokelo sokuseta kwaye ndiyilandele, yonke into yatshintsha.Kule lens yoqhagamshelwano, yongeza +0.25 kwisilungiso se-spherical kwaye usebenzise elona xabiso lisezantsi le-ADD ukuze ufumane okona kulungileyo.Olu tshintsho olulula lubangele iziphumo ezingcono emva kokuvavanywa kwe-lens yokuqala yoqhagamshelwano kwaye kubangele ukunciphisa ixesha lesitulo kunye nokuphucula ukwaneliseka kwesigulane.
3: Misela izinto ozilindeleyo.Ziphe ixesha lokubeka izinto ezilindelekileyo nezifanelekileyo.Endaweni yokujolisa umbono ogqibeleleyo we-20/20 kufutshane nakude, umbono osebenza kufutshane nakude uya kuba sisiphelo esifanelekileyo.Isigulana ngasinye sineemfuno ezahlukeneyo ezibonakalayo, kwaye umbono osebenzayo wesigulane ngasinye uya kuhluka kakhulu.Kubalulekile ukwazisa izigulane ukuba impumelelo isekukwazini kwazo ukusebenzisa iilensi zoqhagamshelwano kuninzi lwemisebenzi yazo yemihla ngemihla.Eyeleleneyo: Uphononongo lubonisa abathengi abangaziqondi ngokungqongqo iiLensi zoQhagamshelwano Ndikwacebisa izigulane ukuba zingathelekisi umbono wazo kunye neelensi zoqhagamshelwano ezininzi kumbono wazo ngeeglasi kuba luthelekiso lweeapile-to-orenji.Ukumisela oku kulindelekileyo okucacileyo kuvumela isigulane ukuba siqonde ukuba kulungile ukuba singabi yi-20/20 epheleleyo.Nangona kunjalo, izigulana ezininzi zifumana i-20/20 zombini kumgama kwaye kufutshane neelensi zoqhagamshelwano zanamhlanje ezininzi.
Ngo-2021, uMcDonald et al.wenze isindululo sohlelo lwe-presbyopia, ulwahlulo lwemeko ngokweendidi ezithambileyo, eziphakathi, neziqatha.4 Indlela yabo ijolise ikakhulu ekwahluleleni i-presbyopia ngokulungiswa kombono okufutshane kunobudala.Kwinkqubo yabo, i-acuity ebonakalayo echanekileyo isuka kwi-20/25 ukuya kwi-20/40 ye-presbyopia epholileyo, ukusuka kwi-20/50 ukuya kwi-20/80 ye-presbyopia ephakathi, kwaye ngaphezu kwe-20/80 ye-presbyopia enzima.
Olu luhlu lwe-presbyopia lufaneleke ngakumbi kwaye luchaza ukuba kutheni ngamanye amaxesha i-presbyopia kwisigulane esineminyaka engama-53 ubudala inokuchazwa njengobulali, kwaye i-presbyopia kwisigulane esineminyaka engama-38 ubudala inokuthi ihlelwe njengemodareyitha.Le ndlela yokuhlelwa kwe-presbyopia indinceda ukuba ndikhethe abona bagqatswa be-lens bonxibelelwano be-multifocal kwaye ndisete izinto ezilindelekileyo kwizigulane zam.
4: Fumana ukhetho olutsha lonyango lwe-adjuvant.Nangona ulindelo oluchanekileyo lubekwe kwaye kulandelwa iingcebiso ezifanelekileyo, iilensi zoqhagamshelwano ezininzi aziyi kuba yifomula efanelekileyo kwisigulane ngasinye.Enye indlela yokusombulula ingxaki endiyifumene iphumelele kukusebenzisa iVuity (Allergan, 1.25% pilocarpine) kunye neelensi zoqhagamshelwano ezininzi kwizigulana ezingakwaziyo ukufikelela kwingcaciso efunekayo kwindawo ephakathi okanye kufutshane nayo.I-Vuity lichiza lokuqala elivunywe yi-FDA kunyango lwe-presbyopia kubantu abadala.Related: Ukujongana ne-Presbyopia Qhagamshelana neLahleko yeLens xa kuthelekiswa ne-pilocarpine, i-pilocarpine's optimized concentration ye-1.25% idityaniswe ne-patented pHast technology yenza i-Vuity yahluke kwaye isebenze ngakumbi kulawulo lwekliniki ye-presbyopia.
I-Vuiti yi-agonist ye-cholinergic ye-muscarinic eneendlela ezimbini zesenzo.Ivuselela i-iris sphincter kunye ne-ciliary smooth muscle, ngaloo ndlela yandisa ubunzulu bentsimi kunye nokwandisa uluhlu lweendawo zokuhlala.Ngokunciphisa umfundi, njengakwi-pinhole optics, umbono okufutshane uyaphuculwa.
I-Vuity igqibe i-2 parallel Phase 3 izilingo zeklinikhi (i-Gemini 1 [NCT03804268] kunye ne-Gemini 2 [NCT03857542]) kubathathi-nxaxheba abaneminyaka eyi-40 ukuya kwi-55 iminyaka kunye nomgama ochanekileyo ochanekileyo phakathi kwe-20/40 kunye ne-20/100.Izilingo zeklinikhi zibonise ukuba kwi-myopia (ukukhanya okuphantsi) kukho ukuphuculwa kwemigca emi-3 ubuncinane, ngelixa umbono womgama awuzange uchaphazele ngaphezu kwe-1 umgca (iincwadi ezi-5).
Kwimeko yefoto, i-9 kwi-10 yabathathi-nxaxheba bophononongo baphucule kufutshane nombono ngcono kune-20/40 kwimeko yefoto.Ngokukhanya okukhanyayo, isithathu sabathathi-nxaxheba bakwazi ukufezekisa i-20/20.Izilingo zeklinikhi nazo zibonise ukuphuculwa kombono ophakathi.Iziphumo ebezingalindelekanga ezixhaphakileyo kunye Vuiti kwaba hyperemia conjunctival (5%) kunye intloko ebuhlungu (15%).Kumava am, izigulana eziqaqanjelwa yintloko zixela ukuba iintloko zibuhlungu, zithatha ixeshana, kwaye zenzeka kuphela ngosuku lokuqala lokusebenzisa iVuity.
I-Vuiti ithathwa kanye ngosuku kwaye iqala ukusebenza kwimizuzu eyi-15 emva kokufakwa.Uninzi lwezigulane zibika ukuba oku kuthatha iiyure ezi-6 ukuya kwezi-10.Xa usebenzisa iVuity ngeelensi zoqhagamshelwano, amathontsi kufuneka afakwe emehlweni ngaphandle kweelensi zoqhagamshelwano.Emva kwemizuzu eyi-10, i-lens yoqhagamshelwano ingafakwa kwiliso lesigulane.I-Vuiti ngamathontsi eliso amiselweyo onokuwathenga nakweyiphi na ikhemesti.Nangona iVuity ayizange ifundwe ngokudityaniswa neelensi zoqhagamshelwano ezininzi, ndiye ndafumanisa ukuba kwezinye iimeko le ndlela yokuncedisana edityanisiweyo ivumela izigulane ezineelensi zoqhagamshelwano ezininzi ukuze kuphunyezwe uphuculo olufunekayo kumbono okufutshane.
Ixesha lokuposa: Sep-11-2022
