Nā mea a pau e pono ai ʻoe e ʻike e pili ana i ka LASIK Eye Surgery

Anter

• He aha ke ʻoki ʻana o ka maka LASIK?
• He aha ka mōʻaukala o ke kahakaha ʻana o ka maka LASIK?
• Pehea ʻoe e hoʻomākaukau ai no ka LASIK?
• ʻO wai ka mea kūpono no LASIK (a ʻo wai ʻaʻole)?
• He aha ke ola ma hope o ke kahakaha ʻana o ka maka LASIK?
• Nānā no

Ma kahi o ʻelua mau makahiki i hala aku nei mai ka wā o ka Food and Drug Administration (FDA) i ʻae ai i ka ʻoki ʻana o ka maka LASIK. Mai ia manawa, ʻaneʻane 10 miliona mau kānaka i hoʻohana i ka ʻoki o ka hihiʻo. Eia nō naʻe, makaʻu ka hapa nui ʻē aʻe i ka hele ma lalo o ka pahi-a me nā hopena ʻē aʻe o ke kaʻina hana maʻi.

"He kīkaha pololei ʻo LASIK. Ua hana wau iaʻu iho ma kahi o 20 mau makahiki i hala aku nei, a ua hana wau i nā lālā o ka ʻohana he nui, e like me koʻu kaikunāne," wahi a Karl Stonecipher, MD, he hoa hana no ka ophthalmology ma ke Kulanui o North Carolina a me ka lāʻau lapaʻau. luna no ka TLC Laser Eye Centers ma Greensboro, NC.

Me he mea lā he makana akua, akā ma mua o kou hoʻokomo ʻana i kāu mau peepers ma ke kaʻina hana, e aʻo i kēia alakaʻi wehe ʻana i ka LASIK.

He aha ke ʻoki ʻana o ka maka LASIK?

Luhi i ka hilinaʻi ʻana i nā aniani a i ʻole nā ​​mea pili e ʻike pono? (A i ʻole makemake e hopohopo e pili ana i ka hoʻopili ʻana i kou maka no 28 mau makahiki?)

"ʻO LASIK, a i ʻole 'laser-assist in situ keratomileusis," ʻo ia ka hana ʻana o ka maka kukuna i hana pinepine ʻia e mālama ai i ka ʻike maka, ka ʻike maka, a me ka astigmatism, "wahi a Samuel D. Pierce, ʻOD, ka pelekikena o ka American Optometric Association (AOA) a me he kauka hoʻomaʻamaʻa o ka optometry ma Trussville, AL. Ma hope o ka ʻoki ʻana, ʻo ka hapa nui o ka poʻe i loaʻa i ka ʻoki ʻana i ka maka LASIK e noho i ka ʻike 20/40 (ka pae i koi ʻia e nā mokuʻāina he nui no ka hoʻokele me ka ʻole o nā lens hoʻoponopono) a ʻoi aku paha, wahi āna.

ʻO ke kaʻina maka LASIK he hana ʻelua ʻāpana, wehewehe ʻo Dr. Stonecipher.

1. Mālama ke kauka i kahi pale liʻiliʻi mai ka papa luna o ke kola (ka uhi maopopo ma mua o ka maka e lena i ke kukui ke komo i loko o ka maka).

2. Hoʻololi hou ke kaukipō i ke kornea me kahi laser (i kau pono ka malamalama i ka maka i ka retina no ka ʻike kikoʻī.

   
   

ʻOiai paha ʻoe ma ka hale hana no hoʻokahi hola a i ʻole, aia ʻoe ma ka papa hana no 15 mau minuke, wahi a Kauka Pierce. "Ua hana ʻia ʻo LASIK me kahi anesthetic topical a he nui nā kauka lapaʻau e hāʻawi i kahi luna waha e hoʻomaha ai i ka mea maʻi." (ʻO ke ʻano, ʻae, ua ala ʻoe, akā ʻaʻole ʻoe e manaʻo i kekahi o kēia ʻoki a me ka lasering.)

ʻO nā lasers i hoʻohana ʻia ma LASIK he mea maʻalahi loa, a hoʻohana i ka ʻenehana huli like a NASA e hoʻohana ai no ka hoʻopaʻa ʻana i nā shuttles ma ka International Space Station, wahi a Eric Donnenfeld, MD, ke kauka lapaʻau o ka ophthalmology ma New York University a me ka hoa hoʻokumu o Ophthalmic Consultants o Long Island ma Garden City, NY.

"Pale ka ʻenehana holomua i nā mea maʻi mai ka ʻeha a hōʻoia i ke kaʻina hana e like me ka hoʻolālā," wahi a Dr. Donnenfeld. ʻAʻole ʻoi aku ka maikaʻi o ka 100% o ke kaʻina hana, akā ua hōʻike ʻia nā kuhi he 95% a 98.8% o nā maʻi e hauʻoli i nā hopena.

"ʻEono a 10 ka nui o nā maʻi e koi i kahi kaʻina hana hou, i kapa pinepine ʻia he hoʻonui. ʻO ka poʻe maʻi e manaʻo ana i ka ʻike maikaʻi me ka ʻole o nā aniani a i ʻole nā ​​​​pilikia e hōʻino paha," wahi a Kauka Pierce. (P.S. Ua ʻike anei ʻoe hiki iā ʻoe ke ʻai no ke olakino maka maikaʻi?)

He aha ka mōʻaukala o ke kahakaha ʻana o ka maka LASIK?

"ʻO Radat keratotomy, kahi hana e pili ana i ka hana ʻana i nā ʻoki radial liʻiliʻi i ke kolamu, ua lilo ia i mea kaulana i nā makahiki 1980 ma ke ʻano he ala e hoʻoponopono ai i ka ʻike mamao," wahi a Inna Ozerov, MD, he ophthalmologist ma Miami Eye Institute ma Hollywood, FL.

I ka manawa i hoʻolauna ʻia ai ka Kremer Excimer Laser ma 1988 ma ke ʻano he pono hana no nā meaola (ʻaʻole wale i nā kamepiula), ua piʻi koke ka holomua o ka ʻoki ʻana o ka maka. Ua hāʻawi ʻia ka palapala Sila Nui LASIK i ka makahiki 1989. A i ka makahiki 1994, ua hana nā kauka he nui iā LASIK ma ke ʻano he "hana ma waho o ka lepili," e like me kā Dr. Stonecipher, a i ʻole e hana ana i nā kaʻina hana ma mua o ka ʻae ʻia ʻana e ka luna.

"Ma 2001, 'bladeless' LASIK a i ʻole IntraLase i ʻae ʻia. Ma kēia kaʻina hana, hoʻohana ʻia kahi laser uila wikiwiki ma kahi o ka microblade e hana i kahi flap, "wahi a Dr. Ozerov. ʻOiai ʻoi aku ka wikiwiki o ka LASIK maʻamau, ʻoi aku ka maʻamau o ka LASIK bladeless i nā ʻōpala corneal like ʻole. Loaʻa nā pōmaikaʻi a me nā mea ʻelua, a koho nā kauka i ke koho maikaʻi loa ma ke kumu hoʻomanawanui.

Pehea ʻoe e hoʻomākaukau ai no ka LASIK?

ʻO ka mea mua, e hoʻomākaukau i kāu pēke: ʻO ke kumukūʻai maʻamau no LASIK ma ka US ma 2017 he $ 2,088 no ka maka, e like me ka hōʻike a All About Vision. A laila, e kiʻi i ka pilikanaka a e nānā.

"E kamaʻilio me kāu kauka maka a kamaʻilio me kāu mau hoaaloha. Ua loaʻa i nā miliona o nā kānaka i ka LASIK, no laila hiki iā ʻoe ke lohe i kā lākou ʻike pilikino, "wahi a Louis Probst, M.D., ka luna lapaʻau aupuni a me ke kauka lapaʻau no TLC Laser Eye Centers ma waena o Midwest. "Mai hele wale i ke kikowaena kukuna makepono loa. Hoʻokahi wale nō o kou mau maka, a pēlā pū me kāu noiʻi e pili ana i nā kikowaena maikaʻi me nā kauka maikaʻi loa."

Hoʻohālikelike ʻo Kauka Pierce i kēlā mau manaʻo: "E makaʻala ka poʻe maʻi i ka poʻe i hoʻohiki a hōʻoia i kahi hopena kūpono a i ʻole hāʻawi i nā kumukūʻai kumukūʻai me ke kūkākūkā iki ʻana no ka mālama ʻana a i ʻole nā ​​hopena ʻē aʻe."

Inā pae ʻoe i kahi kauka a hoʻoholo e neʻe i mua, koʻikoʻi ka loiloi e ʻike inā he kumu olakino kāu e haʻalele ai iā LASIK, wahi a Dr. Stonecipher.

"Ke hoʻohana nei mākou i kēia manawa i ka ʻenehana aʻo hohonu a me ka ʻike naʻaupō i ka ophthalmology e nānā pono ai no nā pilikia ocular i hiki ke hoʻohua i nā hopena maikaʻi maikaʻi ʻole me ka hoʻoponopono ʻana i ka ʻike laser-a ua ʻike i nā hopena kupaianaha," hoʻomau ʻo ia.

I ke ahiahi ma mua o ka ʻoki ʻana, e ʻimi e hiamoe maikaʻi a pale i ka waiʻona a i ʻole nā ​​lāʻau lapaʻau e maloʻo ai kou mau maka. Pono kāu kauka e wehewehe inā a pehea ʻoe e pono ai e hoʻololi i nā lāʻau lapaʻau a me ka hoʻohana ʻana i nā leki pili e alakaʻi ana i ka LASIK. (E pili ana: He aha kāu e ʻike ai e pili ana i ka Digital Eye Strain)

ʻO wai ka mea kūpono no LASIK (a ʻo wai ʻaʻole)?

"Pono i nā moho LASIK e loaʻa ka maka olakino a me ka mānoanoa o ka ʻino o nā kole a me nā scans," wahi a Dr. Probst. ʻO ke kīʻaha kahi koho maikaʻi loa ia no nā mea he nui me ka myopia [nearsightedness], astigmatism [kahi piko ʻole ma ka maka], a me hyperopia [farsightedness], i ʻōlelo ʻo ia. "Ma kahi o 80 pakeneka o nā kānaka he mau moho maikaʻi."

Inā pono ʻoe e loaʻa i nā pilina ikaika a i ʻole nā ​​aniani i kēlā me kēia makahiki, pono paha ʻoe e kali: Pono e hoʻomau i kāu kau ʻana no ka liʻiliʻi ʻelua makahiki ma mua o ka LASIK, wahi a Dr. Donnenfeld.

Hiki paha iāʻoe ke pale i ka LASIK o ka maka maka inā loaʻa iāʻoe kahi moʻolelo o kekahi o kēia mau kūlana, e like me kā Dr. ʻO Ozerov lāua ʻo Donnenfeld:

• Nā maʻi Corneal
• Nā mānoanoa Corneal
• Nā maka me nā maka maloʻo loa
• ʻO Keratoconus (he maʻi hānau e hoʻomāhuahua ana i ka ʻili o ke kino)
• ʻO kekahi mau maʻi autoimmune (e like me ka lupus a i ʻole ka rheumatoid arthritis)

"Ke paipai nei ka AOA i nā moho no ka LASIK he 18 makahiki a oi aku paha, ma ke ola kino maikai, me ka ike pa'a, a me na ano ino ole o ke kino a me ka maka mawaho," wahi a Kauka Pierce. "ʻO ka poʻe maʻi makemake i nā hoʻololi ʻana o ka corneal pono e loaʻa mua i kahi hoʻokolokolo maka piha e ke kauka o ka optometry e loiloi i ko lākou olakino maka a hoʻoholo i ko lākou pono ʻike." (Yo, ua ʻike anei ʻoe pono ʻoe e hoʻoikaika i kou maka?)

He aha ke ola ma hope o ke kahakaha ʻana o ka maka LASIK?

"He wikiwiki loa ka ho'ōla hou o LASIK," wahi a Dr. Probst. "Ua ʻoluʻolu a ʻike maikaʻi ʻoe i ʻehā hola wale nō ma hope o ke kaʻina hana. Pono ʻoe e makaʻala i kou mau maka no hoʻokahi pule i ola maikaʻi lākou."

ʻOiai he mea maʻamau kekahi pilikia i nā hola 24 mua (ʻoi loa i ka wā o ka lima ma hope o LASIK), hiki ke mālama pinepine ʻia me nā mea hōʻeha ʻeha, wahi a Dr. Donnenfeld. Hoʻohui, hiki i nā kulu maka lubricating i kauoha ʻia ke kōkua i ka maka o kou maka, pale i ka maʻi, a hāpai i ka hoʻōla. E hoʻolālā e haʻalele no ka lā o kou ʻoki kino a me ka lā ma hope e hoʻomaha.

Pono ke ʻoki i kahi ukali me kāu kauka e pili ana i 24 mau hola ma hope o ke kaʻina hana. A laila, e kiʻi paha ʻoe i ke kukui ʻōmaʻomaʻo e hoʻi i nā hana maʻamau o kēlā me kēia lā. E hoʻonohonoho paha ʻo ia i nā kipa ma hope o hoʻokahi pule, hoʻokahi mahina, ʻekolu mahina, ʻeono mahina, a me hoʻokahi makahiki ma hope o ke kaʻina.

"Ma hope o ka lā mua a i ʻole, hiki i nā maʻi ke loaʻa i kekahi mau hopena ʻaoʻao pōkole ma ke ʻano he ʻāpana o ke kaʻina hana ho'ōla, e like me nā halo a puni kou mau maka i ka pō, nā maka uhae, nā lihilihi puʻupuʻu, a me ka noʻonoʻo ʻana i ka mālamalama. hiki i ka manawa ho'ōla ke hala ʻekolu a ʻeono mahina, kahi i loaʻa ai i nā poʻe maʻi kekahi mau manawa ukali i hiki i kā lākou kauka ke nānā i ko lākou holomua," wahi a Dr. Donnenfeld.

Ua lohe paha ʻoe e pili ana i kahi ʻaoʻao ʻokoʻa a weliweli loa o ka ʻoki ʻana i ka maka o LASIK, e like me ka make ʻana o 35 makahiki ʻo Detroit meteorologist ʻo Jessica Starr ma ke pepehi ʻana i ke ola ʻana mai ke kaʻina hana. Ua loaʻa iā LASIK i kekahi mau mahina ma mua a ua ʻae ʻo ia "e hakakā iki" ana ma hope. ʻAʻole wale ʻo Starr's pepehi kanaka i nīnau ʻia e like me ka hopena o LASIK; akā naʻe, ʻaʻole maopopo loa ke kumu a i ʻole he kuleana ko LASIK i kekahi o kēia mau make. ʻO ka hakakā ʻana me nā pilikia ʻeha a i ʻole nā ​​hiʻohiʻona ma hope o ke kaʻina hana (a i ʻole kekahi kaʻina hana invasive, no ia mea) he mea weliweli paha ia. Hōʻike ka hapa nui o nā kauka i ka nui o nā kaʻina hana kūleʻa i kumu e hopohopo ʻole ai i kekahi o kēia mau hihia kaʻawale a pohihihi.

"He pilikia olakino noʻonoʻo ke ola kino, a no ka nūhou e hoʻopili pono iā LASIK i ke ola he kuleana ʻole ia, a me ka makaʻu maoli," wahi a Kauka Ozerov. "Pono ka poʻe maʻi e ʻoluʻolu i ka hoʻi ʻana i kā lākou kauka lāʻau inā loaʻa iā lākou ka paʻakikī me ko lākou hoʻōla. ʻO ka nūhou maikaʻi e hoʻi hou ka hapa nui o nā mea maʻi a loaʻa kahi hopena maikaʻi."

Nānā no