Nekukwira kwe myopia pasi rose mumakore achangopfuura, hapana kushomeka kwevarwere vanoda kurapwa.fungidziro yehuwandu hweMyopia vachishandisa 2020 US Census inoratidza kuti nyika inoda bvunzo dzemaziso 39,025,416 pamwana wese ane myopia gore rega rega, nebvunzo mbiri pagore.Poshi
Pakati pevarapi vemaziso nevanoongorora maziso vangangosvika zviuru makumi manomwe munyika yose, nyanzvi yekuchengeta maziso (ECP) inofanirwa kubatsira vana mazana maviri nemakumi manomwe nesere mwedzi mitanhatu yega yega kuti izadzise zvinodiwa zvekuchengeta maziso pavana vane myopia muUnited States.1 Ndiyo avhareji yeanopfuura 1 mwana myopia akaonekwa uye anogadziriswa pazuva.Maitiro ako akasiyana sei?
SeECP, chinangwa chedu ndechekuderedza mutoro wemyopia inofambira mberi uye kubatsira kudzivirira kukanganisa kwekuona kwenguva refu kune varwere vose vane myopia.Asi varwere vedu vanofungei nezvekugadzirisa kwavo pachavo nemigumisiro?
Kana zvasvika kune orthokeratology (Ortho-k), mhinduro yemurwere pamhando yavo yehupenyu ine hukama inonzwika.
Chidzidzo chakaitwa naLipson et al., vachishandisa National Institute of Eye Diseases neRefractive Error Quality of Life Questionnaire, vachienzanisa vanhu vakuru vakapfeka chiratidzo chimwe chete chakapfava malenzi ane vanhu vakuru vakapfeka orthokeratology lenses.Vakagumisa kuti kugutsikana kwese uye kuona zvaive zvakaenzana, zvisinei, vangangoita 68% yevatori vechikamu vakasarudza Ortho-k uye vakasarudza kuramba vachiishandisa pakupera kwechidzidzo.2 Zvidzidzo zvakashuma kufarira kwekuona kwemasikati kusina kururamiswa.
Kunyange zvazvo vanhu vakuru vangada Ortho-k, zvakadini nekuona pedyo muvana?Zhao et al.akaongorora vana vasati uye mushure memwedzi mitatu yekupfeka orthodontic.
Vana vanoshandisa Ortho-k vakaratidza hupenyu hwepamusoro uye zvikomborero mumabasa avo ezuva nezuva, vaiwanzoedza zvinhu zvitsva, vainyanya kuzvivimba, vanoshingaira, uye vane mukana wekutamba mitambo, izvo zvakazoita kuti pave nenguva yakawanda inopedzerwa. kurapwa.mumugwagwa.3
Zvinogoneka kuti nzira yakazara yekurapa myopia inogona kubatsira kuramba ichibata varwere uye kubatsira zvakakwana kubata kwenguva yakareba kutevedzera chirongwa chekurapa chinodiwa pakurapa myopia.
Ortho-k yakaita kufambira mberi kwakakosha mune lens uye dhizaini kubva pakatanga kubvumidzwa neFDA kwe ortho-k contact lens muna 2002. Misoro miviri inomira pachena mukuita kwekiriniki nhasi: Ortho-k lenzi ane meridional kudzika musiyano uye kugona kugadzirisa dhayamita yenzvimbo yekuona kumashure.
Nepo meridian orthokeratology lenses anowanzo kunyorerwa varwere vane myopia uye astigmatism, sarudzo dzekuvakodzera dzinopfuura izvo zvekugadzirisa myopia uye astigmatism.
Semuenzaniso, maererano nekurudziro yemugadziri, empirically kune varwere vane corneal toricity ye0.50 diopters (D), imwe yekudzoka nzvimbo yekudzika musiyano inogona kupihwa empirically.
Nekudaro, diki diki re toric lens pane cornea, yakasanganiswa neOrtho-k lens iyo inofunga nezve meridional kudzika musiyano, inova nechokwadi chekuyerera kwemisodzi uye kwakaringana kudzika pasi pe lens.Nokudaro, vamwe varwere vanogona kubatsirwa kubva pakugadzikana uye kukodzera kwakanakisisa kunopiwa nekugadzirwa uku.
Muchiyedzo chekiriniki chichangobva kuitika, orthokeratology 5 mm rear vision zone diameter (BOZD) lenzi yakaunza mabhenefiti akawanda kuvarwere vane myopia.Zvigumisiro zvakaratidza kuti 5 mm VOZD yakawedzera kururamisa myopia ne 0.43 diopters panguva yekushanyira 1-zuva yakaenzaniswa ne6 mm VOZD design (control lens), ichipa kururamisa nokukurumidza uye kuvandudzwa kwekuona acuity (Mifananidzo 1 uye 2).4, 5
Jung et al.zvakare yakawana kuti kushandiswa kwe5 mm BOZD Ortho-k lens kwakaguma nekuderera kukuru kwehupamhi hwenzvimbo yekurapa topographic.Saka, kune maECP ane chinangwa chekuwana mavhoriyamu madiki ekurapwa kuvarwere vavo, iyo 5 mm BOZD yakaratidza kubatsira.
Nepo maECP mazhinji achijairana nekukodzera malenzi ekuonana nevarwere, kungave kwekuongorora kana empirically, ikozvino kune nzira itsva dzekuwedzera kuwanikwa uye kurerutsa nzira yekiriniki yekukodzera.
Yakatangwa muna Gumiguru 2021, iyo Paragon CRT Calculator nharembozha (Mufananidzo 3) inobvumira varapi vekukurumidzira kutsanangura maparamendi evarwere vane Paragon CRT uye CRT Biaxial (CooperVision Professional Eye Care) orthokeratology masisitimu uye odhawunirodha nekungodzvanya kushoma.Order.Kurumidza kuwana madhairekitori ekugadzirisa matambudziko anopa anobatsira ekiriniki maturusi chero nguva, chero kupi.
Muna 2022, kuwanda kwe myopia pasina mubvunzo kuchawedzera.Nekudaro, iyo ophthalmic profession ine epamberi kurapwa sarudzo uye maturusi uye zviwanikwa zvekubatsira kuita mutsauko muhupenyu hwevarwere vevana vane myopia.