Menyesha Lens Yiziritse cyangwa Yiziritse munsi yijisho: Impamvu idashobora gutakara inyuma yijisho ryawe¶

Kuzunguza ijisho, kubyuka uryamye mu gitereko cyawe, cyangwa kugerageza gukuramo lens nijoro gusa ukamenya ko icyerekezo cyawe kijimye kandi lens yazimye munsi yijisho ryawe ryo hejuru bigutera ubwoba bwihuse. Buri kwezi abambara imyenda basura inzego zishinzwe ubutabazi buri kwezi bemeza ko lens yoroheje yimuwe cyangwa igice cya hydrogel yatanyaguwe cyanyerera "inyuma yijisho ryabo" yerekeza mubwonko bwabo, kandi bituma ibintu byihutirwa byamavuriro byiyongera cyane mugukubita inshuro nyinshi no gukomeretsa byumye, byambaye ubusa ** cornea ** hamwe nintoki zabo bibwira ko ingirangingo zisobanutse neza.

** Fata umwuka uhagije kandi ukure intoki zawe kure yijisho ryawe nonaha: ntibishoboka muburyo budasanzwe ko lens ya contact cyangwa agace kashwanyaguritse kutazigera kagenda inyuma yijisho ryawe. milimetero (0.3 kugeza 0.4 santimetero) hejuru yumupaka wo hejuru wa iris yawe. Niba ufite ububabare bukabije, butera amaso, kubura amaso, gutungurwa gutunguranye, gusohora umuhondo-icyatsi, cyangwa imiti, shakisha ubuvuzi bwihutirwa cyangwa uhamagare nimero yawe yihutirwa (911 muri Amerika na Kanada, 112 hirya no hino mubumwe bw’ibihugu by’Uburayi, 999 mu Bwongereza; reba byose nimero yihutirwa). Kubijyanye nijisho ryihutirwa mumaso, reba super glue kumaso, iminwa, cyangwa uruhu, kumira amenyo, guhumeka ikamba, n'amadarubindi yamenetse, na yabuze imiti yandikiwe imiti yihutirwa.

Kora ubu¶

1. ** Hagarika guhina hagati yijisho ryawe ako kanya kugeza igihe wemeje ko lens yicaye kuri cornea. ubuso bwa corneal hamwe nintoki zabo.
2. ** Karaba intoki zawe neza ukoresheje isabune isanzwe, idafite impumuro nziza namazi mumasegonda 20 hanyuma wumishe hamwe nigitambaro kitarimo lint.
3. ** Wuzuze ijisho ryawe cyane hamwe na lens sterile ya lens rewetting ibitonyanga, amarira yubukorikori atabigenewe, cyangwa igisubizo cyumunyu wa 0,9% (ntukigere ukanda amazi cyangwa hydrogène peroxide). Kuzuza hejuru ya ocular hamwe nigitonyanga 5 kugeza 10 cyumunyu wa sterile cyangwa igisubizo cyongeye kugaruka no gufunga ijisho muminota 2 yuzuye bituma materique yumye yumye kugirango yongere amazi, yongere asubire kumurongo usanzwe, kandi ireremba wenyine.
4. ** Ntuzigere ushyira umutuku-capa 3% hydrogène peroxide yogusukura (nka Clear Care cyangwa PeroxiClear) mumaso yawe. Reba ikirango cy'icupa kabiri: koresha gusa ** sterile saline **, ** ibintu byinshi bihuza lens byogeza igisubizo **, cyangwa ** amavuta yo kwisiga ijisho ** mumaso.
5. ** Reba mu cyerekezo gitandukanye cyaho wumva lens hanyuma ukore massage witonze hejuru yijisho ryawe rifunze hejuru yizuru ryawe. Ibi bihanagura lens ikubye munsi yimbere yimbere aho ushobora kuyizamura byoroshye.
6. ** Niba lisansi ikaze (RGP / ikomeye) lens yinjijwe kumweru wijisho ryawe, ntuzigere unyerera cyangwa ngo uyisibe hejuru ya cornea. Ahubwo, kanda ku mboni y'ijisho ryawe ryo hepfo ushikamye mu mweru w'ijisho (** sclera **) iburyo hafi y'uruhande rw'inyuma rw'inzitizi zikomeye kugira ngo uhindurize lens hejuru, umenagure kashe ya vacuum hamwe n'umwuka mwinshi, hanyuma ubirekure ku buntu.

Igiti cyemezo: Gukuraho protocole neza ukoresheje lens ya contact na position¶

flowchart TD
    Start["Menyesha Lens Yiziritse, Yiziritse munsi yijisho, cyangwa yashwanyaguritse"] --> VerifyCheck{"Intambwe ya 1: Ese rwose lens iracyari mumaso yawe?"}
    VerifyCheck -->|"Ntabwo uzi neza: Kubona neza + ijisho rirababaza"| VisionTest["Gupfuka irindi jisho hanyuma urebe intera Yombi KANDI hafi yo gusoma - Tegereza amasegonda 60 mbere yo gukoraho ijisho hanyuma urebe sink / hasi / ishati hamwe n'amatara."]
    VerifyCheck -->|"Byemejwe mu jisho"| TypeCheck{"Ni ubuhe bwoko bwo guhuza amakuru, kandi bwicaye he?"}

    TypeCheck -->|"1. Lens Yoroheje Yibanze kuri Cornea (Yumye / Yanyoye Nyuma yo Gusinzira)"| Dehydrated["NTIMUKORE INKINGI ZUMUKE: 1. Ijisho ryumwuzure hamwe nigitonyanga 8 kugeza 10 cyumunyu wa sterile cyangwa ibitonyanga byongeye kugaruka 2. Funga ijisho na massage umupfundikizo witonze muminota 2 yuzuye 3. Iyo lens imaze kunyerera mubusa mm 2, kunyerera kuri sclera yera hanyuma ugacumita."]

    TypeCheck -->|"2. Lens Yoroheje Yiziritse cyangwa Yimutse Hejuru Munsi Yijisho Ryimbere"| UpperCul["1."]

    TypeCheck -->|"3. Yashwanyaguritse / Yatanyaguwe Lens Yoroheje Igice gisigaye mu jisho"| FragmentSearch["."]

    TypeCheck -->|"4. Gazi ya Rigid-Yemerewe (RGP / Ikomeye) cyangwa Lens ya Scleral Yanyoye"| HardLens["NTIMUKURIKIZE ACROSS CORNEA: 1. Ijisho ryumwuzure hamwe nigitonyanga cyongeye kugaruka 2. Kanda impande zijisho ryijisho witonze muri sclera yera hanze yumwanya wa lens 3. Gabanya kashe ya vacuum kugirango umuyaga mwinshi winjire munsi yinzira, hanyuma uzamure"]

Icyiciro cya 1: Ibimenyetso byerekana impamvu lens ya contact idashobora na rimwe kujya inyuma yijisho ryawe¶

Gusobanukirwa neza na anatomiya yimbere yijisho ryumuntu bihita bikuraho iterabwoba ryimitekerereze ya "yatakaye" kandi bigufasha kwiyumvisha umufuka muto, utagaragara aho lens yihishe.

1. Guhuza Cul-de-Sac (Umufuka ufunze U-Turn)¶

Iyo ukuyemo ijisho ryawe hepfo hanyuma ukareba mu ndorerwamo, urabona ibara ryijimye, rifite ibara ryijimye imbere yijisho ryacyo ryegamye neza hejuru hejuru yera hejuru yijisho ryijisho. Uru rupapuro rukomeza, rutavunitse rwa tissue ni ** conjunctiva **: - ** Palpebral Conjunctiva: ** Itondekanya inyuma (imbere imbere) y'amaso yawe yo hejuru no hepfo. - ** Fornix ya Conjunctival (Cul-de-Sac): ** Ku bujyakuzimu bwa milimetero 8 kugeza kuri 10 (santimetero 0.3 kugeza 0.4) ** hejuru yuruhande rwo hejuru rwa iris yawe (munsi yumupfundikizo wo hejuru) na milimetero 5 kugeza kuri 6 (santimetero 0.2) ** munsi yumusozo wa iris yawe (munsi yumupfundikizo wo hepfo), conjunctiva ikora kashe rwose ** 180-dogere U-180. - ** Bulbar Conjunctiva: ** Yerekana inyuma uhereye kuri U-guhindukira kugirango utwikire sclera yera yijisho ryamaso kugeza kumpera ya cornea isobanutse.

   [ SIDE CROSS-SECTION OF THE UPPER EYELID & EYEBALL ]
   ====================================================
            Upper Fornix (Cul-de-Sac) <-- SEALED DEAD-END POCKET (Max 10 mm deep)
                 /===\                    A folded lens stops right here.
                | (C) | <-- Folded Contact Lens
   Upper Eyelid |     |
                |     |=====[ Eyeball / Sclera ]
                |     |     /
                 \___/     |  <-- Clear Cornea

Kuberako ** conjunctival fornix ** ari ikidodo rwose, kirangirira impumyi U-kuzenguruka impande zose zuzengurutse dogere 360 ​​zuzengurutse ijisho ryawe, hariho ** zero zifungura umubiri, icyuho, cyangwa umuyoboro ** uyobora inyuma yijisho. Lens yo guhuza irashobora kugabanyamo kabiri nkigikonoshwa cya taco hanyuma ugashyiramo bucece mumufuka mugari wa fornix yo hejuru hejuru yijisho ryawe, aho ushobora kubyumva, ** ariko ntishobora gusubira inyuma **.

Icyiciro cya 2: Nigute ushobora kwemeza lens iracyari mumaso yawe (Irinde igikomere cya "Phantom Lens")¶

Mbere yo kumara iminota 20 usukuye cyangwa uhanagura amaso yawe, banza urebe ko lens itari yasohotse kuri konte yawe, igitambaro, ishati, cyangwa umusego.

1. Kuki ijisho ryawe rigikomeza kumva ko lens yinjiye imbere na nyuma yo kugwa¶

Niba lens yumye yumye ijisho ryanyu cyangwa igasohoka hafi mugihe cyo gusinzira cyangwa gukubita ijisho, isiga inyuma ya microscopique cyangwa igishishwa cyumye hejuru ya corneal (** isuri itagaragara ya epiteliyale isuri ). Kuberako cornea yumuntu ifite ubwinshi bwimyanya ndangagitsina ( trigeminal nerv C-fibre **) yingirangingo iyo ari yo yose yo mu mubiri, ndetse na microscopique ya milimetero 1 itera intangarugero ya ** Umubiri w’amahanga Sensation **, aho ubwonko bwawe bwemeza 100 ku ijana byemeza ko igice cya plastiki cyicaye munsi yijisho ryawe hejuru mugihe ijisho ryuzuye ubusa.

2. Ikizamini cya 60-Isegonda ya kabiri¶

1. ** Gupfukirana Ijisho Ryawe (ritagize ingaruka) ukoresheje ikiganza cyawe: ** Reba hamwe na ** gusa ** ijisho ryanduye ku isaha ya rukuta ya kure cyangwa hejuru yicyumba, hanyuma urebe icapiro ryiza kumacupa ya santimetero 30 (santimetero 12).
2. Niba ureba kure (** myopic **, urugero, -3.00 D yandikirwa) kandi inyandiko yintera irasobanutse rwose mugihe hafi yo gusoma hafi ya santimetero 15 kugeza kuri 25 (santimetero 6 kugeza kuri 10) irakomeye cyane, lens yawe yawe ntabwo ari ** yibanze kuri cornea yawe.
3. Ariko, niba lens yometse kuri ** hagati ya cornea yawe ** (bibaho kenshi mugihe umuntu yibagiwe ko yamaze gushyiramo lens cyangwa akibagirwa kuyikuramo), iyerekwa ryawe ukoresheje iryo jisho rizahuza ibyo wanditse byakosowe (keretse niba utabishaka washyizeho lens ebyiri hejuru yizindi, bikubye kabiri imbaraga zawe zo kwandikirwa).
4. ** Kumurika Itara cyangwa Amatara ya Smartphone Kumurongo wa degere 45 Impande zose zijisho ryawe mumirorerwamo: **
5. Ntukamurikire urumuri umunyeshuri wawe. Fata itara hafi yugutwi kwawe hanyuma urabagirane urumuri ** kuruhande rwumubumbe wijisho ryawe ** mugihe ureba mu ndorerwamo nini.
6. Reba sclera yera ** milimetero 1 kugeza kuri 2 hanze yimpeta yamabara ya iris **: niba lens yoroshye yo guhuza yicaye hagati ya cornea yawe, urumuri rumuri rwuruhande ruzatera umurongo wigicucu cyizengurutse kizengurutse impande zinyuma za lens kuri sclera yera.
7. Niba ukora ** ntabwo ** reba iyo mpeta yo hanze yoroheje kuri sclera yera, ** ntukomange hagati yijisho ryawe **, kuko icyo ureba ni cornea yawe yambaye ubusa, ibonerana.

Icyiciro cya 3: Uburyo bwo gukuraho intambwe ku ntambwe kuri buri "lens lens"¶

Hitamo tekinike nyayo yubuvuzi hepfo ihuye nuburyo lens yawe iherereye nubwoko ki lens wambara.

Kugereranya ibintu 4 byo guhuza lens uburyo bwo kurekura hamwe nuburyo bwo kurekura umutekano¶

Porotokole irambuye 1: Kuvugurura no kureremba lens yoroshye yometse hagati yijisho ryawe¶

Iyo ubyutse nyuma yo kuryama mumurongo woroshye wo guhuza (cyangwa nyuma yo gukora amasaha menshi mumyuka yumuyaga wumuyaga cyangwa indege ya cabine yindege), lens ya hydrogel itakaza kugeza 15% byamazi yayo kandi ihuza cyane na cornea. 1. ** Shyiramo ubwogero bwa saline ikomeza: ** Shyira umutwe wawe inyuma ugana ku gisenge. Kuramo ijisho ryawe ryo hepfo kugirango ukore akantu gato hanyuma ukande ** 6 kugeza 10 kumatonyanga ya sterile contact lens rewetting ibitonyanga, amarira yubukorikori adafite imiti igabanya ubukana, cyangwa saline sterile ** kuri lens. 2. ** Funga kandi Uhume Buhoro Buhoro Amasegonda 90 kugeza 120: ** Ntugahite winjira n'intoki zawe. Plastike ya Hydrogel isaba ** iminota 1 kugeza kuri 3 yuzuye ** yo koga kugirango yinjize amazi muri matrike ya polymer ihujwe no kuruhuka. Mugihe ijisho ryawe rifunze, shyira urutoki ruringaniye rwurutoki rumwe rusukuye hejuru yijisho ryawe ryo hejuru hanyuma ukore ibintu bito, byoroheje bizenguruka cyane (nta gahato kamanuka kumaso). 3. ** Kora "Gusunika-Ikizamini" Mbere yo Gukubita: ** Fungura ijisho imbere yindorerwamo. Shira urutoki rumwe kuruhu rwa ** rwijisho rwawe rwo hepfo kuruhande rwa lash kumurongo ** hanyuma usunike urupfundikizo rwuruhande rwo hepfo witonze hejuru ugana kuruhande rwo hasi rwihuriro. - ** Niba lens itagenda na gato: ** Hagarara ako kanya kuko iracyafite umwuma. Ongeramo ibindi bitonyanga 6 bya saline sterile, funga ijisho, hanyuma utegereze indi minota 2. - ** Niba lens yijimye gato hanyuma ikanyerera kuri milimetero 2 kugeza kuri 3 hejuru: ** Ikirango cyo guswera cyacitse. 4. ** Shyira kuri Sclera yera kugirango ukureho: ** Reba hejuru hejuru ugana hejuru ya gisenge (cyangwa werekeza ku zuru ryawe), koresha urutoki rwawe rwumye rwerekana urutoki kugirango ** ushire intoki zitose ziva kuri cornea yunvikana kuri cyera yijisho (sclera) ** (aho umurongo wijisho ryijisho rireshya kandi lens ihita ifata gato), hanyuma ukayitonda witonze hagati yintoki zawe nintoki.

Porotokole irambuye 2: Gushakisha no gukuraho lens yoroheje yiziritse yafatiwe hejuru munsi yijisho ryo hejuru¶

Ibice birenga 80 kw'ijana bya "kubura" byandikirwa byikubye kabiri nkigice cyigice cyakwezi cya taco shell hanyuma bigashyirwa hejuru imbere muri ** isumba iyindi ya conjunctival fornix ** (munsi yijisho ryo hejuru, hejuru yikariso ikomeye isa na plaque ya tarsal **).

Intambwe A.¶

1. Subiza umutwe inyuma hanyuma ushyire ** 8 kugeza 10 kumunyu wa saline sterile cyangwa ibintu byinshi bihuza lens ibisubizo ** mumaso. Kubera iki? Iyo lens yoroshye igabanijemo kabiri munsi yumupfundikizo wawe, ibice bibiri bya polymer byumye bifatanye hamwe nkibipfunyika bya plastiki. Kuzuza umufuka hamwe na saline bituma lens zifunitse zisubira inyuma, zikubye kabiri ubuso bwacyo kuburyo ijisho ryarisunitse.
2. ** Shyira hejuru ya Eyelashes yo hejuru hanyuma ukuremo Umupfundikizo wo hejuru Hanze ya Eyeball: ** Mugihe ureba mu ndorerwamo, fata ingohe yumupfundikizo wawe wo hejuru hejuru y'urutoki n'urutoki, fata ijisho ryo hejuru ** imbere (kure yijisho ryawe) na milimetero 3 **, kandi mugihe ufashe umupfundikizo wawe **
3. ** Impamvu Ibi Bikora Muburyo bwa tekinike: ** Iyo ijisho ryawe ryizengurutse hepfo, sclera yo hejuru iramanuka ikava mumufuka wo hejuru wa fornix mugihe ijisho ryazamuye ryarekuye uburemere hamwe na saline byoza lens idafunguye kugeza kumweru yera yijisho ryawe.
4. ** Gufunga-Ijisho Hanze-Kuri-Imbere yohanagura: ** Niba lens ikomeje gufatirwa hejuru, komeza urebe hasi, funga amaso yawe witonze, shyira urutoki rwawe rwerekana kurugero rwa ** hanze (uruhande rwurusengero) ** rwijisho ryawe ryo hejuru rifunze munsi yamagufwa yikigina, hanyuma ukande imbere ugana kuri ** imbere yimbere yizuru (canthus yo hagati) . Subiramo inshuro 4 kugeza kuri 5; lens izajya igaragara nka silinderi ntoya yazungurutse neza imbere yimbere yijimye yijisho ryawe ( lacrimal caruncle **).

Intambwe B: Nigute ushobora guhanagura ijisho ryo hejuru hejuru ya pamba (Hejuru ya Eyelid Eversion)¶

Niba intoki zifunitse cyangwa igice cyatanyaguwe zifatiye kumurongo wijimye wijisho ryawe ryo hejuru (** tarsal conjunctiva ), uhanagura ijisho ryo hejuru imbere-hanze ( guhora umupfundikizo **) ryerekana umufuka wihishe mumasegonda 5 nububabare bwa zeru. Optometriste akora iyi manoveri kuri buri kizamini gisanzwe cyamaso.

   [ HOW TO FLIP (EVERT) THE UPPER EYELID WITH A COTTON SWAB ]
   ===========================================================
   1. Look straight DOWN at the floor (keep looking down the whole time)
   2. Place a cotton swab horizontally across the upper eyelid crease (1 cm above lashes)
   3. Grasp upper eyelashes with the other hand, pull OUT and fold UP over the swab

1. Hagarara imbere yindorerwamo yaka neza kandi ufate ipamba isukuye ** (Q-tip) ** (cyangwa ingunguru isukuye, yoroshye yikaramu) mukiganza cyawe cyiganje.
2. ** Reba neza HANUKA werekeza hasi n'amaso yombi ** kandi ubishaka urwanye ubushake bwo kureba hejuru cyangwa gukanda ijisho ryawe, kuko kureba hasi biruhura imitsi ya * levator palpebrae * imitsi kugirango ijisho ritembera bitagoranye.
3. Ukoresheje igikumwe cyawe kitiganje hamwe nurutoki rwerekana, kanda witonze ** hagati yo hejuru yo hejuru ** hanyuma ukuremo ijisho ryo hejuru gato ** hepfo no hanze ** kure yijisho.
4. Shira isonga rya pamba swab ** utambitse hejuru yuruhu rwo hanze rwijisho ryawe ryo hejuru hejuru yumutwe usanzwe wamaso ** (hafi santimetero 1 / santimetero 0.4 hejuru yumurongo wikubitiro, arirwo rugabano rwo hejuru rwisahani ikomeye).
5. Kanda ipamba ipamba yoroheje cyane hepfo kuri iyo crease nka ** hinge fulcrum ** mugihe uzamuye ingohe ** hejuru hanyuma ukazinga umupfundikizo hejuru yipamba ** yerekeza kumaso yawe.
6. Kuraho ipamba mugihe ufashe ijisho ryerekeje buhoro buhoro hejuru yumutwe wawe wo hejuru ukoresheje urutoki rumwe (kandi ukomeza kureba hasi). Imbere yijimye imbere yijisho ryawe ryo hejuru ubu ryerekanwe rwose mu ndorerwamo, kandi lens ya enterineti yawe cyangwa ibice byacitse bizaba byicaye neza neza.
7. Ihanagura impera isukuye ya pamba hamwe na saline sterile hanyuma ** uyikoreshe byoroheje kuri lens ya fonction **, izahita ifatana kumpamba itose hanyuma uhite uzamura ako kanya.
8. Kugirango usubize amaso yawe asubire mubisanzwe, reka kurekura ijisho, ** reba neza hejuru ugana ku gisenge, hanyuma uhume rimwe **; igitsike cy'amaso gisubira mumwanya wacyo gisanzwe.

Porotokole irambuye 3: Kuraho ibice byacitse cyangwa byacitse¶

Lens yoroshye ya hydrogel rimwe na rimwe irashwanyagurika kabiri mugihe uri mumaso. Kuberako inyabutatu itose ya milimetero 3 ya hydrogel ifite indangururamajwi isa nkamarira yawe, irashobora kutagaragara hafi yumweru wijisho ryawe mugihe utera ibyiyumvo bikomeye, bikarishye bikabije. 1. ** Ongera wubake "Jigsaw Puzzle" kuri Countertop yijimye: ** Ntuzigere uta igice cya lens ya contact umaze gukuramo. Shira igice cyakuwe imbere yigitonyanga cyumunyu hejuru yumwijima cyangwa urutoki rwawe kugirango rufungure neza. Reba urucacagu rwayo: irabura ukwezi gutambutse ukwezi kuruhande rumwe, cyangwa lens yagabanije 50/50 hepfo? Umaze gukuramo igice gisigaye mu jisho ryawe, shyira ibice byombi kuruhande kugirango ugaragaze ko 100 ku ijana by'ibice byabazwe (bityo ukamenya ko nta gice cya gatatu gisigaye). 2. ** Eyecup / Bowl Immersion Blink Flush: ** Niba udashobora kubona igice gisobanutse, uzuza ikirahuri gisukuye gisukuye, ijisho rya sterile, cyangwa igikono gito kugeza kumurongo hamwe na ** sterile 0.9% yumuti wa saline ** (cyangwa sterile Multippose contact lens yoza igisubizo, ntuzigere ukanda amazi). Shira mu maso hawe hasi, winjiza ijisho ryawe mu bwogero bwa saline sterile, hanyuma ** uhubuke inshuro 10 mugihe uhanze amaso ibumoso, iburyo, hejuru, no hepfo **. Igice kinini cya hydrogel kizacengera mu jisho munsi yikirahure cyangwa igikombe. 3. ** Ipamba itose-Swab cyangwa Tissue Capillary Gukoraho: ** Umaze kubona impande zisobanutse z'igice cyacitse gihagaze kuri sclera yera (cyangwa imbere mu gikoni cyo hepfo y'amaso), ** ntugerageze gutobora akantu gato kashwanyaguritse ukoresheje intoki ebyiri zuzuye **. Ahubwo, hindura inguni yumubiri wo mumaso usukuye, utarimo linti ahantu horoheje (cyangwa ukoreshe ipamba ya pamba ivanze nigitonyanga kimwe cya saline) hanyuma ** ukore kumutwe kumurongo ugana kumutwe wijisho ryijisho ** (ntukigere ukora kuri cornea yo hagati). Gukurura capillary bitera hydrogel shard yoroheje gukomera kumyenda cyangwa ipamba ako kanya.

Icyiciro cya 4: Inzira yubuvuzi nyuma yo gukuramo lens (Corneal abrasion vs ibisebe byanduye)¶

Nyuma yo gukuramo lens itoroshye, ijisho ryawe rizahora risa n'umuhondo woroshye (** conjunctival hyperemia **) kandi ukumva urakaye gato biturutse kuri manipuline na saline. Nigute ushobora gutandukanya uburakari busanzwe nyuma yo gukurwaho nubuvuzi bwihutirwa?

1. Amategeko yamasaha 2 na Manda ya "Kureka Guhuza"¶

• ** Hagarika Lens Yakuweho Ako kanya: ** Nubwo niyo lens yoroshye yasohotse mugice kimwe nyuma yo kuzingirwa munsi yijisho ryawe amasaha, hejuru ya polymer ubu ifite imikorosikopi, amarira yinkombe, hamwe na proteine. Fata kure hanyuma ufungure paki nshya nyuma yuko ijisho ryawe rimaze gukira.
• ** Tanga Cornea yawe Amasaha 24 ya Oxygene muri Eyeglasses: ** Ntugakore ** ntushyiremo lens nshya yo guhuza amakuru nyuma yo guhatanira gukuraho lens zometse cyangwa zacitse. Niba intoki zawe cyangwa lens yumye byateje corneal abrasion, ugakubita inshundura nshya hejuru ya bagiteri (* Pseudomonas aeruginosa * cyangwa * Staphylococcus *) ihuye na bariyeri yamenetse imbere ya incubator ishyushye, ifite ogisijeni nkeya. Kwambara amadarubindi yawe byibuze amasaha 24.

2. Ibimenyetso bitukura-ibendera risaba umunsi umwe optometriste, umuganga wamaso, cyangwa isuzuma ryihutirwa¶

Shakisha amaso yumwuga (ukoresheje ** itara-itara biomicroscope na fluorescein irangi ryirangi **) uyumunsi niba uhuye nikimwe muri ibi bikurikira: 1. ** Kudatezuka Kumva-Umubiri-Ububabare cyangwa ububabare bumara amasaha arenze 2 kugeza kuri 3 Nyuma yo gukurwaho: ** Niba utarashoboye kwemeza niba igice kigumye mumaso yawe, cyangwa niba ububabare bukabije bwogukomeza kumara amasaha arenga 2 nyuma yo gukuramo lens no kuruhuka ijisho ryawe, umuganga wa optometriste cyangwa umuganga wihutirwa arashobora gushiramo igitonyanga kimwe cyumuhondo utagira ububabare ** fluorescein irangi rya cob . Ikintu icyo ari cyo cyose cyihishe gihuye neza igice cya ** cyaka neon icyatsi kibisi ** ako kanya munsi yumucyo wa cobalt-ubururu, kandi gukuramo corneal kwerekanwa neza kuburyo ibitonyanga bya antibiotique bishobora gutegekwa. 2. ** Photophobia (Ububabare Iyo Urebye Urumuri rusanzwe rwimbere cyangwa urumuri rwizuba): ** Kwangirika kwumucyo wumucyo uherekejwe na spasms yo mumaso itabishaka ( blepharospasm ) hamwe no gutanyagura amazi byerekana igikomere gikomeye cya epiteliyale cyangwa iritis kare. 3. ** Ikibanza cyera cyangwa Icyatsi kibisi kuri Iris / Cornea cyangwa Isohora ry'umuhondo-Icyatsi: ** Reba neza mu ndorerwamo kuri dome isobanutse hejuru ya iris yawe y'amabara: niba ubonye akadomo kamwe ka ** cyera, imvi, cyangwa ibicu byerekana akadomo ** kuri cornea ( corneal infiltrate cyangwa ibisebe **), cyangwa gusohoka kwa mucopurulent byihuse, jya mubitaro byihutirwa byihutirwa. Guhuza-lens bijyanye na ** Pseudomonas corneal ibisebe ** birashobora gutera imbere byihuse mumasaha 24 kandi bigasaba imiti ya fluoroquinolone antibiyotike y'amaso.

Inomero zihutirwa zo mukarere hamwe na protocole yikigo¶

Ibibazo bikunze kubazwa¶

Lens ya contact ntishobora rwose kunyerera inyuma yijisho ryanjye mumutwe wanjye?¶

Oya, ntibishoboka 100 ku ijana muburyo budashoboka. Ibara ryijimye ryijimye imbere yimbere yijisho ryawe (palpebral conjunctiva) irazenguruka ku bujyakuzimu bwa milimetero 8 kugeza kuri 10 (munsi ya kimwe cya kabiri cya santimetero) munsi yumupfundikizo wawe wo hejuru kandi igahora ifata hejuru yumweru yijisho ryawe (bulbar conjunctiva). Ibi bikora umufuka wizengurutswe rwose, impumyi-iherezo ryumuzingi witwa ** conjunctival fornix **. Nta kintu na kimwe kiri imbere yijisho ryawe, cyaba lens yoroshye yo guhuza, lens ya RGP ikomeye, ijisho, cyangwa icyuma cyacitse, ntigishobora na rimwe kunyura murukuta rwa tissue rufunze kugirango rugere inyuma yisi yisi.

Nabwirwa n'iki ko lens ya contact ikiri mu jisho ryanjye cyangwa niba yaguye mpita nkubita cornea yanjye?¶

Banza, upfuke irindi jisho hanyuma ugerageze iyerekwa ryawe kure kandi hafi kugirango urebe niba ubugororangingo bwawe bwanditse bwicaye hejuru yumunyeshuri wawe. Icya kabiri, shyira itara kumurongo wa dogere 45 kuruhande rwijisho ryawe mugihe ureba neza mumirorerwamo kuri sclera yera milimetero 1 kugeza kuri 2 hanze ya iris yawe yamabara: niba lens yoroshye iri kuri cornea yawe, uzabona uruziga rwinyuma ruzengurutse inyuma. Niba utabonye iyo mpande yinyuma yera yumaso, ** reka guhagarika hagati yijisho ryawe ako kanya **. Microscopique corneal scratch yumva isa na lens ya contact ("phantom lens sensation"), kandi gukubita cornea yawe yambaye ubusa bitera gukuramo cyane.

Byagenda bite se niba ntafite igisubizo cya lens igisubizo cyangwa rewetting ibitonyanga hamwe na lens yanjye irakomeye?¶

Niba uri kure y'urugo udafite igisubizo cya lens sterile, ibisubizo bitonyanga, cyangwa amarira yubukorikori atabigenewe, ** ntugashyire amazi ya robine, amazi yo mu icupa, cyangwa amacandwe mumaso yawe **. Ahubwo, funga amaso yombi ureke amarira yawe ya refleks yegerane muminota 3 kugeza kuri 5 (ureba hasi hanyuma ukanda buhoro buhoro ugufunga ijisho ryawe ryo hejuru uva mu mfuruka yinyuma ugana izuru kugirango utere amarira ya lacrimal), cyangwa winjire muri farumasi iyo ari yo yose yegeranye, mububiko bw'ibiribwa, cyangwa iduka ryoroshye kugirango ugure icupa rya saline sterile cyangwa amavuta yo kwisiga kumadorari make.

Lens yanjye ikaze (RGP / ikomeye) lens yatembye hejuru yumweru wijisho ryanjye kandi iranyunywa cyane: nabikuramo nte?¶

Kuberako umweru wijisho (sclera) ufite ubugororangingo buringaniye kuruta cornea yo hagati, lens ikomeye ya RGP inyerera kuri sclera ikora nkigikombe gito cyo guswera. ** Ntuzigere ufata cyangwa gukurura lens ikomye neza neza mumaso yawe. ** Banza, wuzuze ijisho ibitonyanga bisiga amavuta. Ibikurikira, reba mu ndorerwamo kugirango umenye lens, shyira urutoki rwawe rusukuye kurutoki rwa ** hanze yuruhu rwijisho rwawe ** kuruhande rwinyuma yinyuma yinteguza, hanyuma ukande impande zijisho ryoroheje ** imbere muri sclera yera hanze yumupaka wa lens **. Kwerekana sclera kuruhande rwa lens yamennye ikidodo cya vacuum kuburyo icyuka cyumuyaga kinyerera munsi yinzira, bikemerera kureremba bidatinze.

Nshobora kujya kuryama niba ntagishoboye kubona lens ya enterineti iva munsi yijisho ryanjye ryo hejuru nijoro?¶

Niba intumbero yoroshye yo guhuza izengurutswe hejuru mumufuka wo hejuru wa conjunctival fornix (hanze ya cornea yo hagati), ijisho ryawe ni ** ntabwo ** rifite ububabare bukabije, kubura iyerekwa, cyangwa gusohora purulent, kandi ukaba wujujemo umunyu wa sterile utabigezeho nijoro, nibyiza cyane guhagarika guhumura ijisho, gushiramo ibitonyanga byamavuta mugitondo, ukajya kuryama, hanyuma ugasura ikintu cya mbere cya mugitondo. Mubihe byinshi, ijoro ryose ribyara amarira hamwe na REM igenda ijisho munsi yijisho ryifunze byoroshye mubisanzwe ikora lens ikinze kugeza kumpera yimbere yijisho ryawe mugitondo.

Bigenda bite iyo ngiye kwa optometriste cyangwa kwitabwaho byihutirwa kumurongo wafashwe cyangwa wacitse?¶

Kuraho lens ya konte yometse cyangwa yatanyaguwe mubiro bya optometriste cyangwa ivuriro ryamaso byihutirwa bifata iminota itarenze 2 kandi nta bubabare rwose. Umuganga atera igitonyanga kimwe cyumuhondo sterile ** fluorescein irangi ** (nigitonyanga cya anesthetic gitonyanga niba ijisho ryawe rirwaye), ahanagura ijisho ryawe ryo hejuru ukoresheje ipamba yifashishije ipamba munsi ya ** itara-itara ryitwa biomicroscope ** hamwe numucyo wa cobalt-ubururu, uterura ibice bya lensike bitoshye kugirango ugenzure neza. ibitonyanga.

Kuyobora¶

• Ibirungo byiza cyane ku mboni y'amaso, iminwa, cyangwa uruhu: Kurekura amavuta na Acetone
• Kumira amenyo, guhumeka ikamba, hamwe n'amadarubindi yamenetse cyangwa ibikoresho byo kumva
• Imiti yabuze imiti: Kuzuza byihutirwa no gukumira
• Imibare yihutirwa kwisi yose hamwe no kohereza ambilansi

Inkomoko nubuyobozi¶

• Ishuri Rikuru ry’amaso ry’Abanyamerika (AAO, Amerika): * Amabwiriza y’ubuvuzi ku bijyanye no kwinjiza Lens muri Superior Conjunctival Fornix, Eyelid Eversion Technique, no gukumira Iatrogenic Corneal Epithelial Abrasions *.
• Ibigo bishinzwe kurwanya no gukumira indwara (CDC, Reta zunzubumwe za Amerika): * Amabwiriza yerekeye ubuzima bwiza bwo Kwambara no Kwitaho: Kwirinda Acanthamoeba Keratitis, Kubuza Amazi Y’amazi Yanduye, na Microbial Keratitis Ibendera ritukura *.
• Ikigo gishinzwe ibiryo n'ibiyobyabwenge muri Amerika (FDA, Amerika): * Menyesha ibyago bya Lens, Gukuraho neza Hydrogel ya Dehydrated Hydrogel na Rigid Gas-Permeable (RGP), hamwe na Hydrogen Peroxide Solution Warning *.
• Ishuri Rikuru rya Optometriste na Serivisi ishinzwe ubuzima (NHS, Ubwongereza): * Amabwiriza yo gucunga amavuriro yo gukuramo ibice bya Corneal, Kugumana ibice byandikirwa Lens, hamwe na Fluorescein Slit-Lamp Ikizamini *.
• Ishyirahamwe Optometric ryabanyamerika (AOA, Reta zunzubumwe zamerika): * Kwita kumurwayi wa Contact Lens: Ubuyobozi bwa Adherent Soft Lens, Scleral Lens Suction Release, hamwe nisuzuma rya Corneal Post-Retrieval *.