Coloboma o ka iris

ʻO Coloboma o ka iris kahi puka a i ʻole kīnā o ka iris o ka maka. Aia ka hapa nui o nā colobomas mai ka wā hānau (hānau).

Hiki i ke koloboma o ka iris ke nānā aku e like me ka haumāna ʻelua a i ʻole kahi notch ʻeleʻele ma ka lihi o ka haumāna. Hāʻawi kēia i ka haumāna i kahi ʻano kaulike ʻole. Hiki ke ʻike ʻia ma ke ʻano he hoʻokaʻawale i ka iris mai ka haumāna a ka lihi o ka iris.

Hiki i kahi coloboma liʻiliʻi (keu ʻole inā pili ʻole i ka haumāna) e ʻae i kahi kiʻi ʻelua e nānā i ka hope o ka maka. ʻO kēia ke kumu:

• ʻIke makapō
• Hoemi i ka ʻike maka
• Hōʻike pālua
• Kiʻi ʻUhane

Inā he congenital ia, hiki i ka hemahema ke hoʻopili i ka retina, choroid, a i ʻole ke aʻa optic.

Hoʻomaopopo ʻia ka hapa nui o nā colobomas ma ka hānau ʻana a ma hope koke iho paha.

ʻO ka hapa nui o nā hihia o coloboma ʻaʻohe kumu i ʻike ʻia a pili ʻole i nā mea ʻē aʻe. Pili kekahi i kahi kīnā kūpilikiʻi kikoʻī. Loaʻa i kahi helu liʻiliʻi o ka poʻe me coloboma i nā pilikia ulu ulu.

Kāhea aku i kāu kahu mālama ola inā:

• Hoʻomaopopo ʻoe i kāu keiki i kahi puka o ka iris a i ʻole he haumāna ʻano ʻokoʻa.
• Ua hele a pohihihi paha ka ʻike a kāu keiki.

Ma waho aʻe o kāu keiki, pono paha ʻoe e ʻike i ka loea maka (ophthalmologist).

E lawe kāu mea hāʻawi i kahi mōʻaukala olakino a hana i kahi hōʻike.

ʻOiai ʻike pinepine ʻia ka pilikia i nā pēpē, ʻike nui e pili ana i ka mōʻaukala ʻohana he mea nui loa.

E hana ana ka mea hāʻawi i kahi hoʻokolohua maka kikoʻī e pili ana i ka nānā ʻana i ka hope o ka maka ʻoiai e ākea ka maka. Hiki ke hana ʻia kahi MRI o ka lolo, nā maka, a me nā ʻalolo hoʻohui inā kuhi ʻia nā pilikia ʻē aʻe.

Haumana Keyhole; Hewa Iris

• Maka
• Maka popoki
• Coloboma o ka iris

ʻO Brodsky MC. ʻO nā anomalies optic optic congenital. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 9.5.

Freund KB, Sarraf D, Mieler WF, Yannuzzi LA. ʻO nā anomalies hānau a me nā hoʻomohala ʻana o ke aʻalolo optic. I: Freund KB, Sarraf D, Mieler WF, Yannuzzi LA, eds. ʻO Retina Atlas. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 15.

Pūnaewele ʻo National Eye Institute. Nā mea e pili ana i uveal coloboma. www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/coloboma. Hoʻohou i ʻAukake 14, 2019. Loaʻa iā Kēkēmapa 3, 2019.

Olitsky SE, Marsh JD. Nā mea kūpono ʻole o ka haumāna. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 640.

ʻO Porter D. ʻAmelika Hui Pū ʻIa o ka ʻOphthalmology pūnaewele. He aha ka coloboma? www.aao.org/eye-health/diseases/what-is-coloboma. Hoʻohou i Malaki 18, 2020. Loaʻa iā Mei 14, 2020.