Inani lonyango luyafumaneka xa izigulane, ingakumbi abanxibe iilensi zoqhagamshelwano, zivavanywa ekuqaleni kwesi sifo.
Isifo samehlo esomileyo (DED) sichaphazela abantu abamalunga ne-1.5 yebhiliyoni kwihlabathi jikelele kwaye sesona sifo sixhaphakileyo kumphezulu wamehlo.1 Kodwa ayisonzi buthathaka, ngakumbi kwizigulane ezinxibe i-lens.
Nangona uninzi lwezigulana zinxibe iilensi zokunxibelelana, imeko ihlala ingajongwanga kwaye uluhlu lweempawu alunasiphelo, njengoko izigulana zibona iimpawu ezihlangabezana nazo njengesiqhelo kwaye ke azixeli zimpawu emehlweni azo.Ingxelo kaGqirha wezeMpilo.2
Ubomvu, ukutshisa, kunye ne-gritty sensations zixhaphake kubantu abane-DED, kunye novakalelo ekukhanyeni, umbono ophazamisayo, kunye namanzi kunye / okanye i-mucus kwiso.
Iilensi zoQhagamshelwano lwamehlo
Ezi mpawu zihlala zinzima kakhulu kubantu abanxiba iilensi zoqhagamshelwano kwaye kunokukhokelela ekucaphukeni okuzingileyo, iintlungu kunye nokunciphisa umgangatho wobomi.
Ebonakaliswe ngokulahleka kwe-homeostasis kwifilimu yeenyembezi zeso, apho abanye abaphandi bachaza "njengomjikelezo okhohlakeleyo womonakalo we-corneal epithelial kunye nokuvuvukala"3, i-DED igxininisekile ngexesha abaninzi abantu abadala abachitha kwizikrini.Ngokutsho kwengxelo ye-2018 Nielsen , ixesha lesikrini somntu omdala waseMelika liye landa ngaphezu kweeyure ze-11 ngosuku.4
Ukongeza, ubhubhani we-COVID-19 oqhubekayo ushiye uphawu lwawo kwi-DED ngokwenza nzima isigulo kwizigulana ezihlala zinxiba iimaski.
Lo bhubhani ukhokelele ekubeni uninzi lwezigulana zikhethe ukunxiba iilensi zoqhagamshelwano ngenxa yokuba ziba nenkungu xa zinxiba imaski, ezinokongeza kuqikelelo lwangoku lweCDC lokuba abantu abazizigidi ezingama-45 e-US banxiba iilensi zonxibelelwano rhoqo.
Related: I-Q&A: Impembelelo yePandemic kwinani leZigulana zeliso elomileyo Ngenxa yoko, ezi zi gulane ziyakwazi ukunyamezela iilensi - enye impembelelo eyingozi ye-DED.
Ngaphandle kwezi meko zikhathazayo, oogqirha banamhlanje baneenketho zokunyanga i-DED yobunzima obahlukeneyo xa izigulana zivavanywa ngokufanelekileyo ekuqaleni kwesi sifo.
Oyena nobangela weliso elomileyo kwizigulana yiMeibomian Gland Dysfunction (MGD), edla ngokunyangwa ngokucoceka komda wenkophe, ukususwa kokuvaleka kwamadlala eMeibomian, nokunciphisa okanye ukuphelisa ukudumba.
Kwiindlela ezinzima kakhulu, izigulane zifumana ukungahambi kakuhle, ukukhubaza ukungahambi kakuhle kunye neempawu ezihamba nazo ezifana ne-conjunctival staining, i-punctate erosions, i-filamentous keratitis, izilonda ze-cornea, i-trichiasis, i-keratosis kunye ne-symblepharon.
I-DED ikwangoyena nobangela uphambili wokunganyamezeli iilensi kubantu abanxibe iilensi zokunxibelelana, ezineempawu ezihlala zibandakanya ukubona luzizi, ukungakhathali kwamehlo nokucaphuka, ukudinwa kwamehlo, kunye nokuziva komzimba wasemzini emehlweni.
Ukumisela ngempumelelo iilensi zoqhagamshelwano kwizigulane ezine-DED, oogqirha kufuneka bakwazi ukunyusa umgangatho we-ocular ukuze kuphuculwe ukunyamezela lens.Ii-lens zoqhagamshelwano njengoko imizimba yangaphandle inokunyusa iimpawu kunye neempawu ukuba i-ocular surface yonakaliswa okanye ifilimu yokukrazula ayanele.
Iinjongo kufuneka zibe kukunciphisa ukuvuvukala, ukubuyisela ukuzinza kwendawo ye-ocular kunye nokukrazula ifilimu ye-homeostasis, kunye nokunciphisa naluphi na umqobo ohambelana ne-MGD.
I-algorithms yonyango jikelele ifumaneka kwi-TFOS, i-7 Corneal Extracorporeal Disease kunye ne-Refractive Society, i-8 kunye ne-American Society ye-Cataract kunye ne-Refractive Surgery9.Ngokuxhomekeka kubunzima, iindlela ezilandelayo kunye neemveliso nazo zinconywa ngokunyamekelwa kwe-DED kwaye zingasetyenziswa ngokubambisana. , kuxhomekeke kwimpendulo yesigulane kunyango.Inxulumene: Q&A: Izinto ekufuneka ziqwalaselwe xa unyanga abantu abaneliso elomileyo.
Iilensi zeScleral zikwalunyango olusebenzayo, ngakumbi xa lusetyenziswa njengonyango oludityanisiweyo.Indawo yogcino bhanyabhanya yeenyembezi idla ngokuba yityuwa engenasithintelo phakathi kweliso nelensi, enokuthi iguqulwe ibeyi “cocktail” ye-DED xa ixutywe nolwelo. luncedo alufumanekanga nalo naluphi na olunye uhlobo lwelensi yoqhagamshelwano.
Kwiilensi zoqhagamshelwano rhoqo, iRegene-Eyes iyasebenza kakhulu xa isetyenziswa malunga nemizuzu eli-10 ngaphambi nangemizuzu eyi-10 emva kokuba ilensi isusiwe.
Xa i-steroids imiselwe ukukhululeka ngokukhawuleza, i-Regene-Eyes yinguqu esebenzayo ngenxa yokukwazi ukuthambisa iliso kunye nokunciphisa ukuvuvukala. .
Kubalulekile ukumisela iimeko ezisisiseko zokomiswa - ukunqongophala kwamanzi kunye nokuguquka kwamanzi, okanye mhlawumbi indibaniselwano.Eyeleleneyo: Umngcipheko ophezulu weliso elomileyo elinxulumene nezigulana zasemva kwe-COVID-19 Injongo yonyango lwe-DED engenamanzi kukuphucula iinyembezi. umthamo, ngelixa injongo ye-DED ephuphumayo kukuphucula umgangatho weenyembezi.
Iilensi zoQhagamshelwano lwamehlo
Bobabini umgangatho kunye nobungakanani bubalulekile ukuba ube nefilimu yokukrazula eyaneleyo.Kwi-DED ye-dehydrated, unyango oluninzi lujolise ekunyuseni umthamo, njengeeplagi ze-punctal kunye neenyembezi zokufakelwa, ngelixa ezinye zijolise ekunciphiseni ukuvuvukala.Kukho ezinye iindlela ezenzelwe ukunceda ukukhusela, ukubuyisela kunye nokubuyisela. philisa i-ocular surface, efana ne-scleral lens kunye ne-biological eye drops.
Kwi-DED e-evaporative, i-evaporation eqhelekileyo inokubuyiselwa ngempilo ye-eyelid kunye nokucoceka, njengokucinezela ukushisa kunye neenyembezi ezenziwe nge-lipid.
Ixesha lokuposa: Jun-28-2022
