Ochwepheshe bamalensi okuxhumana uStephen Cohen, OD kanye noDenise Whittam, OD baphendula eminye yemibuzo ecindezela kakhulu mayelana nokuthambekela kokuthi abantu abane-presbyopia bayeke ukusebenzisa amalensi okuxhumana futhi banikeze izeluleko zabo zokuthi ochwepheshe bokunakekelwa kwamehlo bangasiphatha kanjani lesi sibalo sesiguli.
Cohen: Cishe uhhafu wabo bonke abagqoka amalensi okuxhumana bayayeka lapho beneminyaka engu-50. Iningi labantu seligqoke amalensi okuxhumana iminyaka, kodwa lapho i-presbyopia iqala ukubonakala futhi iziguli zibona izinguquko ekufundeni kwazo, kuba nokuguga okukhulu nokukhala. izinkinga zangaphandle zingaholela nasekuyekeni kwesikole.Iziguli eziningi kulesi sigaba sobudala zikhononda ngokuthi amehlo azo abuhlungu, ngakho azikwazi ukugqoka amalensi usuku lonke.Uma kubhekwa izinga lamanje lokuyeka isikolo, imakethe ye-contact lens iphansi: njengoba iziguli eziningi zishiya isikole. njengoba kukhona abasha abagqoka.
I-WHITTAM: Kuyabakhathaza odokotela ukuzwa iziguli - ebezigqoke ama-contact lens uma sezikhulile - zithi seziyekile. Ziningi izindlela esingasiza ngazo abantu abane-presbyopia ukuthi bafake ama-contact lens. Siyazi ukuthi uma iziguli zingasawutholi umbono. abalindele, sekuyisikhathi sokubafundisa mayelana nezinketho zakamuva zama-multifocal.
I-WHITTAM: Kukudokotela ukuthi abuze imibuzo efanele futhi axoxe nge-presbyopia.Ngitshela iziguli ukuthi ukushintsha kombono kuyingxenye evamile yokuphila, kodwa hhayi ukuphela kokugqoka lens yokuxhumana. Akudingekile ukuthi bagqoke izibuko zokufunda phezu kokubona okukodwa. amalensi noma ushintshele kumalensi aqhubekayo;ama-contact lens amasha ahlinzeka ngakho konke ukulungiswa abakudingayo.Ngibakhumbuza ngezinzuzo eziningi zokugqoka ama-lens oxhumana nabo, kusukela ekubukeni okukhululekile nokuncane kuya ekuboneni okuhle kakhulu kwe-peripheral for all-round and movement.
Sekudume kakhulu manje ukugwema ukugqwala izibuko ngenxa yokugqoka imaskhi.Iziguli eziningi eziqala ukuyeka aziwaqondi ama-multifocal lens.Abanye bake bawazama esikhathini esidlule noma bezwa izindaba ezingezinhle kubangani.Mhlawumbe udokotela uye wazama ukuhlolwa kuphela. kwelinye iso, okuphuca isiguli ukuqonda okujulile kanye nokubona kude kakhulu.Noma mhlawumbe bazame i-monovision futhi bazizwa begula noma bangakwazi ukukujwayela.Kudingeka sifundise iziguli futhi siziqinisekise ukuthi ubuchwepheshe obusha belensi yokuxhumana buxazululiwe. izinkinga zesikhathi esidlule.
COHEN: Iziguli eziningi zicabanga ukuthi azikwazi ukugqoka ama-contact lens amaningi ngenxa nje yokuthi azizange zelulekwe udokotela wazo. Isinyathelo sokuqala ukuzitshela ukuthi sinama-multifocal contact lens futhi zingamakhandidethi alungile. Ngifuna iziguli ukuzama i-multifocal futhi babone umehluko embonweni wabo.
COHEN: Ngicabanga ukuthi kubalulekile ukulandela intuthuko entsha futhi uzimisele ukuzama ukuthwebula okusha.Ku-presbyopia, sinezinketho ezinhle njenge-Air Optix kanye ne-HydraGlyde ne-Aqua (Alcon);I-Bausch + Lomb Ultra ne-BioTrue NGELINYE usuku;kanye namalensi amaningana we-Johnson & Johnson Vision Acuvue, okuhlanganisa i-Moist Multifocal kanye ne-Acuvue Oasys Multifocal enomklamo olungiselelwe umfundi. Ngihlabeke umxhwele kakhulu ngale lens futhi ngibheke ngabomvu ukutholakala kwayo endaweni yosuku olu-1 ye-Oasys. Ngiqala ngelensi engiyithandayo. ehlangabezana nezidingo zeziguli eziningi.Uma isiguli singalingani naleso sambulela esikhulu, ngingakhetha enye indlela.Ukubhekana nezinguquko zokubona kanye neso elomile, ilensi kufanele yakhelwe ukugcina i-homeostasis yefilimu yezinyembezi ngokuphazanyiswa okuncane indawo ye-ocular.
I-WHITTAM: Nginikeza amalensi amaningi ahlukene angu-2 - ilensi yansuku zonke kanye nelensi yamaviki angu-2 - kodwa kulezi zinsuku ngivame ukuhamba namalensi e-Acuvue Oasys enziwe ngumfundi. Kuthathe iziguli zami ngaphansi kwemizuzu eyi-10 ukujwayela amalensi. , ngabe sengihleka ngoba babona futhi bazizwa ngendlela efanayo naleyo ababezizwa ngayo lapho beqala ukufaka ama-contact lens.Izithombe ezibukwayo zinhle kakhulu ngoba zithuthukise amalensi ukuze enze amaphutha e-refractive kanye nosayizi womfundi.Amalensi afaniswe nomfundi futhi ahlinzeka isiguli esinokugxila okuhle kakhulu kuwo wonke amabanga.
U-WHITTAM: Ngicabanga ukuthi odokotela bayanqikaza ukufaka iziguli zabo kumalensi amaningi ngenxa yamaphutha obuchwepheshe obudala.Ngisho noma silandela iziqondiso ezifanele, ukwakheka kwelensi kudinga ukuthi isiguli siyeke ibanga elithile noma ukubona eduze, sidale ama-halos, futhi ngokuvamile ayinikezi ukucaciseleka okulindelwe isiguli.Manje asikho isidingo sokuyekethisa ngoba ilensi entsha isiyifezile.
Ngifaka amalensi ezinto eziningi ngesikhathi esifanayo lapho ngenza amalensi ayindilinga, ngisho namalensi alungiselelwe umfundi. Ngithole ukugqama okuhle ekukhanyeni kwe-ambient kanye nokuhlolwa kwamehlo okuvelele, ngabe sengifaka izinombolo kuhlelo lokusebenza lwe-Fitting Calculator efonini yami futhi yangitshela. ngifake ilensi efanele.Akunzima ukuyifaka kunamanye amalensi okuxhumana.
I-COHEN: Ngiqala nge-diopter yamanje ngoba ngisho noshintsho oluncane lungathinta izinga lokuphumelela lamalensi okuxhumana.Kuma-multifocals, ngimane nginamathele eziqondisweni ezifanele, eziwumkhiqizo wocwaningo oluqinile.Isivivinyo esiningi nephutha sinikeze lokho besidinga ukuthola ukulingana kahle futhi sisingathe ukuxazulula izinkinga ngokushesha.
I-WHITTAM: Nakuba kunabaningi abagqoka amalensi okuxhumana abaneminyaka engaphezu kwengu-40, bambalwa kakhulu abagqoka amalensi okuxhumana amaningi.
Ngaphezu kokugcina abagqoki belensi yokuxhumana, singathuthukisa futhi umkhuba wethu wokuxhumana ngokufaka odokotela bamehlo abangakaze bagqoke izibuko noma amalensi okuxhumana. Abakujwayele ukubona izinkinga futhi bayakuzonda ukugqoka izibuko zokufunda. Ngiyabakhuthaza ukuthi bazame amalensi okuhlola lungisa umbono wabo ngendlela engabonakali.
Cohen: Ngicabanga ukuthi ukuguqula abangase bayeke ukuphuma babe abagqoki belensi yokuxhumana kungasiza umkhuba kumalensi amaningi - hhayi nje imali engenayo evela ebhokisini lamalensi othintana naye.
Sonke isiguli esilahla ama-contact lens siphinde seqa ingxenye yokuvakasha kwaso ehhovisi.Uma sikhuluma ngezinkinga zaso, sitshela abangani ngabantu abasha abathintwayo abajabule ngabo usuku lonke. Sakha uthando, ukwethembeka kanye nobufakazi bokusebenza kwethu.
Isikhathi sokuthumela: May-09-2022
