Oogqirha bamehlo (Optometrists) (ODs) abatyala imali ekuboneleleni ngeelensi zoqhagamshelwano ezikhethekileyo banokuvuzwa ngeendlela ezininzi.
Okokuqala, ukhathalelo olujoliswe kuyo olufumana izigulane ludla ngokubenza abathengi baphinde baphinde ixesha elide.Oku kungenxa yokuba, kwiimeko ezininzi, imibono eyayicingelwa ukuba ayinakwenzeka ifikeleleke.
Okwesibini, izigulane ze-lens zoqhagamshelwano zinokuthi ziphuhlise ubudlelwane bexesha elide kunye neeofisi ezichaza iilensi zabo ezizodwa ngenxa yokunyuka kokutyelelwa kweemviwo kunye nokunyamekela okulandelwayo.Oku kuguqulela ukuphumelela kweengcali kwiingcali kunye neeofisi.
Kutheni iiLens zeProfessional zihluke Yintoni eyenza ukuba iilensi zoqhagamshelwano zengcali zihluke kakhulu kuluntu lwe-niche abaludalayo.Elungiselelwe ngokukhethekileyo izigulane ezineengxaki zamehlo, ezifana neemeko ze-cornea, iilensi zoqhagamshelwano zengcali zinokuxhasa ngokupheleleyo iziphumo zonyango ezifunwayo apho iilensi zoqhagamshelwano eziqhelekileyo zingonelanga.
Iilensi zoqhagamshelwano zobuchwephesha ziyindlela ekhethekileyo xa ukhangela izibuko zamehlo ezilungiselelwe izigulane ezinee-corneas eziqhelekileyo kunye nezingaqhelekanga.Zinokuphucula induduzo ebonakalayo kunye nokusebenza okubonakalayo kwizigulane ezinobunzima bokufumana i-lens yoqhagamshelwano olufanelekileyo.
Kukho iilensi ezininzi ezikhethekileyo ezinokuthi zincede ukunyanga iimeko ezahlukeneyo ze-cornea. Ezi ziquka i-myopia eqhubekayo, i-hyperopia, i-astigmatism enkulu, i-keratoconus, i-hyaline marginal degeneration, utyando lwe-post corneal olufana nokutshintshwa kwe-corneal, i-laser-assisted in situ keratomileusis (LASIK) dilation , i-corneal scarring, iso elomileyo, kunye nokungakhululeki ngokubanzi kunye ne-lens yokunxiba abantu.
Kwakhona, kukho iintlobo ngeentlobo zeelensi zobungcali onokukhetha kuzo.Ezi ziquka iilensi ezithambileyo neziqinileyo (RGP) zonxibelelwano (kubandakanywa ne-orthokeratology), iilensi zepiggyback, iilensi ze-scleral, iilensi ze-corneal-scleral, iilensi ezincinci ze-scleral, i-hybrid. i-contact lens kunye ne-prosthetic contact lens.
Iilensi ze-Scleral, iilensi ze-RGP, iilensi ezixubileyo, iilensi ezithambileyo zeprosthetic, kunye ne-corneal molds ziintlobo ezi-5 ezisetyenziswa ngokuqhelekileyo.
Ububanzi be-lens yoqhagamshelwano lwe-scleral bukhulu kunelo lens zoqhagamshelwano zendabuko, zisebenzisa ngokupheleleyo izinto zayo eziphezulu zokungena kwe-oksijini kunye nokwandisa induduzo.
Ngaphezu koko, endaweni yokubekwa ngokuthe ngqo kumphezulu wamehlo, iilensi zoqhagamshelwano ze-scleral zibekwe kwi-sclera kwaye zivame ukugquma phezu kwe-cornea;oku kushiya indawo yokukrazula phakathi kwelensi kunye nekhonea.
Ukuphakama kwe-sagittal, okanye indawo ephakathi, yenziwe ngumaleko we-tear fluid ebanjwe phantsi kwe-lens kwaye inceda ukunciphisa i-corneal aberrations, ukubonelela izigulane ngeziphumo zombono ezingcono.
Iilensi ze-Scleral kufuneka zizaliswe ngesisombululo se-saline esingagcinwanga ukuphepha nawaphi na amaqamza omoya avela kwisitya se-lens. Emva koko kufuneka afakwe kwindawo yangaphambili yeso.
Isisombululo se-saline (kunye nokongezwa kwethontsi ye-antiseptic artificial tears okanye i-autologous serum drops) isebenza njengovimba oqhubekayo wefilimu yokukrazula, ukugcina umphezulu weliso umanzi kwaye wondlekile ixesha elide, ukuphucula iimpawu zamehlo omileyo kunye nokubeka indawo ye-corneas engaqhelekanga. ngomphezulu ogudileyo .Oku kudla ngokulungisa iingxaki zokubona ezibangelwa kukungalungelelani kwecorneal.
Iilensi zeScleral zilungiselelwe isigulana ngasinye.Ngenxa yoko, ukuzinxiba kufuna ubuchwephesha obuninzi, ixesha lesitulo elingaphezulu, kunye notyelelo lweofisi rhoqo kunelensi zeRGP ezithambileyo okanye ezincinci.
Izixhobo zokulinganisa kunye nezixhobo zokulinganisa ngokuzenzekelayo zisetyenziswa kunye ne-scleral lens ngexesha lokufaneleka kokuqala kunye nokutyelela okulandelwayo okulandelwayo ukuze kuqinisekiswe ukufaneleka okufanelekileyo.Ezi zixhobo zihlala zingafuneki xa zinxibe iilensi ezithambileyo.
Ubungakanani be-lens ye-scleral buxhomekeke kubunzima bemeko ye-cornea. Ngokuqhelekileyo kunye ne-keratoconus, i-lens ivame ukuguquguquka ngokuphindaphindiweyo ngenxa yokunciphisa i-tip, kwaye ihamba ngokugqithiseleyo ngokuqhwanyaza, ibangela ukungahambi kakuhle kwamehlo.
Iimeko eziphambili kunye nezinzima, ezifana ne-keratoconus ephakathi ukuya kwi-ocular kunye nesifo se-ocular surface, kunokufuna iilensi ze-scleral ezinobukhulu obungaphezu kobuphakathi ukuqinisekisa ukugubungela okupheleleyo kunye nokugudisa yonke indawo ebonakalayo echatshazelwa yi-cornea engaqhelekanga.Related: I-Scleral Lens Wear kunye neZifo zeOcular Surface
I-Keratoconus ithambekele ekuqhubeleni phambili ngokukhawuleza ukuya kwizigaba ezinzima kwaye isoloko ingaphenduli kwezinye iindlela zonyango.Kwizigulane ezineemeko, ukugcina impilo yamehlo kunye nombono obalaseleyo kunye nokuthuthuzela yinto ephambili.
iilensi zokudibanisa ezinemibala ye-astigmatism
Inzuzo yeelensi ze-scleral kukuba aziweli kunye nokunyakaza kwamehlo ngokukhawuleza, kwaye nje ukuba isigulane senza ucoceko olufanelekileyo lwe-eyelid kunye nokugcinwa kwe-lens, amasuntswana afana nothuli kunye ne-debris ayifuni ukungena phantsi kwe-lens.
Iilensi ze-RGP ziye zahlala ixesha elide kwaye zisetyenziselwa ukhetho oluphambili ngaphambi kokuba i-hybridi kunye ne-scleral.RGP iilensi zibonelela ngombono obukhali kune-soft and silicone hydrogel lens ngenxa yokusebenza okuphezulu kwe-optical, ukugoba kwe-lens encinci kunye nokunciphisa idiphozithi yokubambelela.
Iilensi ze-GP zilungele ukuxhasa izigulane ezine-corneas ezibuhlungu okanye iiglasi ezikhanyayo, kunye nezo zingaboni kakuhle ngeelensi ezithambileyo.
Ukongeza ekulungisweni kombono, iilensi ze-RGP zibonelela ngolungiso lwe-orthokeratology, olulungisa kwakhona umphezulu we-cornea ukucothisa ukuqhubela phambili kwe-myopia.
Bangakwazi ukulungisa ukubona okwexeshana ngaphandle kwemfuneko yeelensi zoqhagamshelwano zasemini okanye iiglasi, nto leyo ezenza zilungele abantwana nabantu abadlala imidlalo okanye umsebenzi owenza kube nzima ukunxiba iilensi zokulungisa emini. ekuqaleni kuka-2022
Iilensi zoqhagamshelo ezithambileyo zibonelela ngezithambiso, zonyango, kunye neenzuzo zengqondo kwizigulana, ngakumbi ezo zinee-corneas ezineziva, ii-irises ezingaqhelekanga, kunye namehlo angaboni kakuhle.
Ukongeza ekuphuculeni imbonakalo yezimonyo, iilensi zinokunceda ukuthintela ukukhanya kunye nokunciphisa ukuphazamiseka okubonakalayo okunokubangela intlungu, i-photophobia, i-diplopia, kunye nokungahambi kakuhle.
Iilensi zifumaneka kwiindlela ezahlukeneyo zokukhetha ezifana nokuthamba okucacileyo, uyilo olukhanyayo oluqhelekileyo, kunye noyilo lwesiqhelo olupeyintwe ngesandla, ngokuxhomekeke kunyango kunye neemfuno zokuthambisa.EZINXULEKILE: Uzinxiba njani iiLensi zeScleral ngokuzithemba nangoBuchule.
Iilensi zoqhagamshelwano ezithambileyo ezithambileyo zinokunceda ukuthomalalisa ukwenzakala ngokweemvakalelo ngelixa ubonelela ngokhathalelo lonyango kwizigulana ezineengxaki ezininzi zamehlo.
Ngokufakela i-lens yesiqhelo ethambileyo ye-prosthetic kwisigulane, i-OD inokubonelela ngesisombululo sokuthuthuzela isigulane.
Iilensi ze-Hybrid zoqhagamshelwano zinika ixesha elide, ukuqina, kunye nombono ocacileyo weelensi ze-RGP kunye ne-design ekhululekile, enxibekayo yeelensi ezithambileyo.
iilensi zokudibanisa ezinemibala ye-astigmatism
Isakhelo sesiketi esithambileyo esijikeleze i-lens ye-hybrid lens sidibanisa unxibelelwano phakathi kwezinto ezithambileyo kunye nezinto ze-GP, ezivumela indlela esebenza ngakumbi yempompo yokukrazula kunye nokuhanjiswa kweoksijini imini yonke.
Iiprofayili ezifanelekileyo zesigulana zibandakanya ezo zine-astigmatism ye-corneal rhoqo kunye neenkxalabo malunga nokuguquguquka kombono ekujikelezweni kweelensi okanye iilensi ezithambileyo kunye neekhontolo ze-corneal ezingaqhelekanga.
Kwezo zenzo zitsala nzima ekufumaneni iigrooves kwezinye iindlela zelens, iHybrid yeyona ndlela ilungileyo kunye nexabiso.ENXANYE NE: IPodcast: Qhagamshelana neLens Wear Lukhetho Olusempilweni Lwabantwana
Xa kuziwa kumehlo anama-nuances amaninzi, iilensi zokudibanisa ezingafanelekanga zinokunyusa umngcipheko weengxaki ezifana ne-corneal scarring.Ukuba ukuxilongwa kunye nokufakwa kwe-empirical kungaphumeleli kwiimeko ezinzima, i-ophthalmic prostheses inokudala i-custom-fit scleral lens.Bakwenza oku ngokuthi ukuqokelela imbonakalo ye-cornea, inkqubo ethatha imizuzu engaphezu kwe-2, kwaye isebenzise oku ukuyila iilensi ezikhethekileyo ezihambelana ne-contours echanekileyo yeso ngalinye.
Ummandla omkhulu kunye nokuqina kwe-corneal mold kuphucula induduzo kunye nombono, kwaye uzinzile ngaphezu kwendabuko, i-GP encinci okanye i-hybrid lens.
Ezi lens zikhethekileyo ze-scleral zingayilwa ukuba zivumelane nokunyuka kwe-corneal kunye nezitenxo ezifumaneka kwiimeko ze-ectatic.
Ukuqukumbela I-Specialty contact lens ibe nempembelelo enkulu kwi-optometry.Ukwazi kunye nokwabelana ngezibonelelo zabo luhambo apho ezininzi ii-ODs azizange zihlolisise ngokupheleleyo.
Nangona kunjalo, xa ixesha lichithwe kwiingxaki zombono ofanelekileyo, ukulungeleka kunye nomgangatho wokunyamekela, ukwaneliseka kwesigulane skyrockets.Enyanisweni, abaninzi abanxibe iilensi zoqhagamshelwano zobuchwephesha banelisekile ngeelensi zabo zesiko kangangokuba banqabile ukubuyela kwezinye iindlela.
Ngenxa yoko, ii-OD ezibancedayo zonwabela izigulana ezithembekileyo ezingafane zithenge kwenye indawo.
Ixesha lokuposa: Feb-28-2022
