Hōʻike kukui kukui

ʻO ka nānā ʻana o ke kukui slit ke nānā aku i nā hale i mua o ka maka.

ʻO ke kukui slit kahi microscope mana haʻahaʻa i hui pū ʻia me kahi kumu kukui kiʻekiʻe i hiki ke kia ʻia ma ke ʻano he kukuna lahilahi.

E noho ʻoe i kahi noho me ka mea kani i hoʻonoho ʻia i mua ou. E noi ʻia ʻoe e hoʻomaha i kou auwae a me kou lae ma kahi kākoʻo e kū mau ai kou poʻo.

E nānā ka mea mālama ola i kou mau maka, ʻoi aku ka maka maka, kornea, conjunctiva, sclera, a me iris. Hoʻohana pinepine ʻia ka pena melemele (fluorescein) e kōkua ai i ka nānā ʻana i ka ʻāpala a me ka waimaka. Hoʻohui ʻia ka kala me he eyedrop lā. A i ʻole, e hoʻopā paha ka mea hāʻawi i kahi pepa maikaʻi i kīnā ʻia me ke kala i ke keʻokeʻo o kou maka. Holoi ke kala mai ka maka me ka waimaka ke ʻaka ʻoe.

A laila, kau ʻia nā kulu i kou mau maka e hoʻonui ai (dilate) i kāu poʻe haumāna. Ma kahi o 15 a 20 mau minuke ka hana o nā kulu. Hoʻomaopopo hou ʻia ka hoʻokolokolo kukui slit me ka hoʻohana ʻana i kekahi aniani ʻuʻuku e paʻa kokoke ana i ka maka, no laila hiki ke nānā ʻia ka hope o ka maka.

ʻAʻole pono kahi hoʻomākaukau kūikawā no kēia hōʻike.

E makaʻala kou mau maka i ke kukui no kekahi mau hola ma hope o ka hoʻokolohua inā hoʻohana ʻia nā dilating kulu.

Hoʻohana ʻia kēia hōʻike e nānā i ka:

• Conjunctiva (ka membrane lahilahi e uhi ana i ka ʻili o loko o ka eyelid a me ka ʻāpana keʻokeʻo o ka eyeball)
• ʻO Cornea (ke aniani o waho o ka maka i mua o ka maka)
• Makamaka
• Iris (ʻāpana ʻāpana o ka maka ma waena o ke kornea a me nā aniani)
• Lens
• Sclera (ke keʻokeʻo o waho o ka maka)

ʻIke ʻia nā hanana i ka maka he mea maʻamau.

ʻIke paha ka hōʻike kukui slit i nā maʻi he nui o ka maka, me:

• Ke aniani o nā aniani o ka maka (cataract)
• ʻO ka hōʻeha i ke kole
• Syndrome maka maloʻo
• Loaʻa ka ʻike maka ma muli o ka hoʻohaʻahaʻa macular
• Hoʻokaʻawale ʻia o ka retina mai kāna papa kākoʻo (retina detachment)
• Blockage i loko o ka liʻiliʻi artery a vein i lawe i ke koko a i ʻole mai ka retina (retinal vessel occlud)
• Hoʻoilina hoʻoilina o ka retina (retinitis pigmentosa)
• ʻO ka pehu a me ka huhū o ka uvea (uveitis), ka papa waena o ka maka

ʻAʻole pili kēia papa inoa i nā maʻi āpau o ka maka.

Inā loaʻa iā ʻoe nā kulu e hoʻolahalaha i kou mau maka no ka ophthalmoscopy, e pōpō ka ʻike.

• E komo i nā aniani aniani e pale ai i kou mau maka mai ka lā o ka lā, kahi e hōʻino ai i kou mau maka.
• E hoʻokele kekahi iā ʻoe i kou home.
• Pau nā kulu i mau hola.

I nā hihia maʻamau, hoʻokumu nā maka maka melemele i:

• He hoʻouka kaua o ka glaucoma huina ʻiki
• Puʻupuʻu
• Maloʻo o ka waha
• Flushing
• ʻO Nusea a me ka luaʻi

Biomicroscopy

• Maka
• Hōʻike kukui kukui
• Anatomy maka aniani

Atebara NH, Miller D, Thall EH. Mea kani ophthalmic. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 2.5.

Feder RS, Olsen TW, Prum BE Jr, et al; American Academy o Ophthalmology. ʻO nā loiloi loiloi mākua mākua laulā makemake i nā ʻōkuhi kumu hana. Ophthalmology. 2016; 123 (1): 209-236. PMID: 26581558 www.ncbi.nlm.nih.gov/pubmed/26581558.

Prokopich CL, Hrynchak P, Elliott DB, Flanagan JG. Loiloi olakino Ocular. I: Elliott DB, hoʻoponopono. Nā Kaʻina Hana Lapaʻau i ka Mālama Maka Makaʻala. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 7.