{"id":1248,"date":"2021-01-02T11:02:34","date_gmt":"2021-01-02T11:02:34","guid":{"rendered":"https:\/\/mathanoi.techdigi.dev\/2021\/01\/02\/cac-loai-kinh-trong-phau-thuat-phaco-dieu-tri-duc-thuy-tinh-the\/"},"modified":"2021-08-25T07:46:19","modified_gmt":"2021-08-25T07:46:19","slug":"cac-loai-kinh-trong-phau-thuat-phaco-dieu-tri-duc-thuy-tinh-the","status":"publish","type":"post","link":"https:\/\/hdzsoft.com\/cac-loai-kinh-trong-phau-thuat-phaco-dieu-tri-duc-thuy-tinh-the\/","title":{"rendered":"C\u00c1C LO\u1ea0I K\u00cdNH TRONG PH\u1eaaU THU\u1eacT PHACO \u0110I\u1ec0U TR\u1eca \u0110\u1ee4C TH\u1ee6Y TINH TH\u1ec2"},"content":{"rendered":"
C\u00e1c lo\u1ea1i k\u00ednh trong ph\u1eabu thu\u1eadt Phaco – \u0110\u1ee5c th\u1ee7y tinh th\u1ec3 bao g\u1ed3m: K\u00ednh \u0111\u01a1n ti\u00eau, k\u00ednh \u0111a ti\u00eau, k\u00ednh Toric.<\/span><\/p>\n Ph\u1eabu thu\u1eadt Phaco tr\u1edf th\u00e0nh l\u1ef1a ch\u1ecdn c\u1ee7a nh\u1eefng ng\u01b0\u1eddi m\u1eafc ch\u1ee9ng \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 v\u1edbi mong mu\u1ed1n c\u1ea3i thi\u1ec7n th\u1ecb l\u1ef1c. T\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3 c\u1ee7a m\u1eaft, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t c\u00e1c lo\u1ea1i k\u00ednh trong ph\u1eabu thu\u1eadt Phaco – \u0110\u1ee5c th\u1ee7y tinh th\u1ec3 kh\u00e1c nhau. C\u00f9ng B\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i t\u00ecm hi\u1ec3u xem c\u00f3 bao nhi\u00eau lo\u1ea1i th\u1ea5u k\u00ednh n\u1ed9i nh\u00e3n v\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng s\u1eed d\u1ee5ng c\u1ee7a t\u1eebng lo\u1ea1i nh\u01b0 th\u1ebf n\u00e0o nh\u00e9.<\/span><\/p>\n 1. Ph\u1eabu thu\u1eadt Phaco – \u0110\u1ee5c th\u1ee7y tinh th\u1ec3\u00a0<\/b><\/span><\/p>\n Phaco l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 an to\u00e0n, hi\u1ec7u qu\u1ea3 nh\u1ea5t hi\u1ec7n nay.<\/span><\/p>\n B\u00e1c s\u0129 s\u1ebd \u0111\u01b0a \u0111\u1ea7u si\u00eau \u00e2m v\u00e0o t\u00e1n nhuy\u1ec5n th\u1ee7y tinh th\u1ec3 \u0111\u1ee5c v\u00e0 h\u00fat ra ngo\u00e0i, sau \u0111\u00f3 \u0111\u1eb7t v\u00e0o m\u1ed9t th\u1ea5u k\u00ednh n\u1ed9i nh\u00e3n v\u1edbi c\u00f4ng su\u1ea5t \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n tr\u01b0\u1edbc thay th\u1ebf th\u1ee7y tinh th\u1ec3 \u0111\u00e3 h\u00fat ra. V\u1edbi k\u1ef9 thu\u1eadt hi\u1ec7n \u0111\u1ea1i, ph\u1eabu thu\u1eadt Phaco \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n r\u1ea5t nhanh, ch\u1ec9 kho\u1ea3ng 15 – 20 ph\u00fat v\u00e0 b\u1ec7nh nh\u00e2n ho\u00e0n to\u00e0n kh\u00f4ng c\u1ea3m th\u1ea5y \u0111au trong su\u1ed1t qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt.<\/span>Ngay sau ng\u00e0y m\u1ed5 \u0111\u1ea7u, th\u1ecb l\u1ef1c c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c h\u1ed3i ph\u1ee5c.<\/span><\/span><\/p>\n <\/p>\n 2. C\u00e1c lo\u1ea1i k\u00ednh trong ph\u1eabu thu\u1eadt Phaco – \u0110\u1ee5c th\u1ee7y tinh th\u1ec3\u00a0<\/b><\/span><\/p>\n K\u00ednh \u0111\u01a1n ti\u00eau l\u00e0 lo\u1ea1i truy\u1ec1n th\u1ed1ng, ch\u1ec9 c\u00f3 m\u1ed9t ti\u00eau c\u1ef1, khi \u0111\u1eb7t lo\u1ea1i n\u00e0y b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 th\u1ecb l\u1ef1c nh\u00ecn xa t\u01b0\u01a1ng \u0111\u1ed1i t\u1ed1t v\u00e0 c\u1ea7n \u0111eo k\u00ednh \u0111\u1ecdc s\u00e1ch khi nh\u00ecn g\u1ea7n. Ho\u1eb7c ng\u01b0\u1ee3c l\u1ea1i b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9nh th\u00e0nh h\u01a1i c\u1eadn th\u1ecb \u0111\u1ec3 c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n \u0111eo k\u00ednh khi nh\u00ecn g\u1ea7n, nh\u01b0ng ph\u1ea3i \u0111eo k\u00ednh \u0111\u1ec3 nh\u00ecn xa.<\/span><\/p>\n K\u00ednh \u0111\u01a1n ti\u00eau c\u00f3 th\u1ec3 l\u00e0 k\u00ednh c\u1ee9ng ho\u1eb7c m\u1ec1m v\u1edbi chi ph\u00ed ph\u1eabu thu\u1eadt v\u1eeba ph\u1ea3i. Tuy nhi\u00ean, \u0111i\u1ec3m h\u1ea1n ch\u1ebf c\u1ee7a lo\u1ea1i k\u00ednh n\u00e0y l\u00e0 b\u1ec7nh nh\u00e2n v\u1eabn ph\u1ea3i ph\u1ee5 thu\u1ed9c k\u00ednh sau m\u1ed5.<\/span><\/p>\n L\u00e0 k\u00ednh t\u00edch h\u1ee3p nhi\u1ec1u ti\u00eau c\u1ef1 v\u1edbi nh\u1eefng \u0111\u1eb7c t\u00ednh chuy\u00ean bi\u1ec7t gi\u00fap b\u1ea1n nh\u00ecn t\u1ed1t c\u1ea3 xa, trung gian l\u1eabn g\u1ea7n. V\u00ec v\u1eady, b\u1ea1n kh\u00f4ng ph\u1ea3i \u0111eo k\u00ednh g\u1ecdng, ti\u1ec7n l\u1ee3i cho c\u00e1c sinh ho\u1ea1t ng\u00e0y th\u01b0\u1eddng.<\/span><\/p>\n IOL \u0111a ti\u00eau gi\u1ed1ng nh\u01b0 t\u1ea5m bia c\u00f3 nhi\u1ec1u v\u00f2ng tr\u00f2n, v\u1edbi nh\u1eefng v\u00f2ng tr\u00f2n \u0111\u1ed3ng t\u00e2m t\u01b0\u01a1ng \u1ee9ng v\u1edbi th\u1ecb l\u1ef1c g\u1ea7n, trung gian v\u00e0 th\u1ecb l\u1ef1c xa. N\u00e3o c\u1ee7a b\u1ea1n s\u1ebd t\u1ef1 \u0111\u1ed9ng \u0111i\u1ec1u ch\u1ec9nh d\u1ef1a v\u00e0o nh\u1eefng v\u00f2ng tr\u00f2n \u0111\u00f3 theo s\u1ef1 thay \u0111\u1ed5i c\u1ee7a th\u1ecb l\u1ef1c b\u1ea1n mong mu\u1ed1n, v\u00ec v\u1eady b\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y r\u00f5 v\u1eadt \u1edf m\u1ecdi kho\u1ea3ng c\u00e1ch.<\/span><\/p>\n IOL \u0111a ti\u00eau l\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1i \u01b0u n\u1ebfu b\u1ea1n:\u00a0<\/b><\/span><\/p>\n – Mong mu\u1ed1n gi\u1ea3m t\u1ed1i \u0111a s\u1ef1 ph\u1ee5 thu\u1ed9c v\u00e0o k\u00ednh g\u1ecdng ho\u1eb7c k\u00ednh s\u00e1t tr\u00f2ng.<\/span><\/p>\n – Kh\u00f4ng b\u1ecb lo\u1ea1n th\u1ecb ho\u1eb7c h\u00e0i l\u00f2ng v\u1edbi vi\u1ec7c \u0111i\u1ec1u ch\u1ec9nh lo\u1ea1n th\u1ecb b\u1eb1ng k\u00ednh s\u00e1t tr\u00f2ng, ph\u1eabu thu\u1eadt LASIK hay ph\u1eabu thu\u1eadt r\u1ea1ch v\u00f9ng r\u00eca gi\u00e1c m\u1ea1c.<\/span><\/p>\n – C\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu khi ph\u1ea3i thay \u0111\u1ed5i ho\u1eb7c l\u00e0m quen v\u1edbi c\u00e1c \u0111i\u1ec1u ch\u1ec9nh th\u1ecb l\u1ef1c m\u1edbi.<\/span><\/p>\n – Ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c m\u1ed9t v\u00e0i tri\u1ec7u ch\u1ee9ng thay \u0111\u1ed5i nh\u1ecf v\u1ec1 th\u1ecb gi\u00e1c v\u00e0o ban \u0111\u00eam.<\/span><\/p>\n IOL Toric l\u00e0 th\u1ea5u k\u00ednh \u0111\u01a1n ti\u00eau chuy\u00ean bi\u1ec7t v\u00e0 th\u01b0\u1eddng l\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1t cho ng\u01b0\u1eddi b\u1ecb lo\u1ea1n th\u1ecb. Lo\u1ea1n th\u1ecb g\u00e2y ra b\u1edfi h\u00ecnh d\u1ea1ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a gi\u00e1c m\u1ea1c l\u00e0m b\u1ea1n nh\u00ecn m\u1edd \u1edf m\u1ecdi kho\u1ea3ng c\u00e1ch. Th\u1ea5u k\u00ednh n\u00e0y cho ph\u00e9p th\u1ecb l\u1ef1c t\u1eadp trung \u1edf m\u1ed9t kho\u1ea3ng c\u00e1ch v\u00e0 \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ed9 lo\u1ea1n th\u1ecb, v\u00ec v\u1eady b\u1ea1n kh\u00f4ng c\u1ea7n \u0111eo k\u00ednh nh\u00ecn xa sau ph\u1eabu thu\u1eadt. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 IOL \u0111\u01a1n ti\u00eau ti\u00eau chu\u1ea9n, tuy nhi\u00ean, b\u1ea1n v\u1eabn c\u1ea7n \u0111eo k\u00ednh \u0111\u1ec3 \u0111\u1ecdc s\u00e1ch.<\/span><\/p>\n N\u1ebfu b\u1ea1n b\u1ecb lo\u1ea1n th\u1ecb \u0111\u1ed9 cao, ho\u1eb7c k\u00ednh Toric kh\u00f4ng \u0111i\u1ec1u ch\u1ec9nh h\u1ebft \u0111\u01b0\u1ee3c, b\u00e1c s\u0129 s\u1ebd t\u01b0 v\u1ea5n cho b\u1ea1n \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ed9 lo\u1ea1n th\u1ecb c\u00f2n l\u1ea1i b\u1eb1ng ph\u1eabu thu\u1eadt LASIK ho\u1eb7c r\u1ea1ch gi\u00e1c m\u1ea1c r\u00eca k\u1ebft h\u1ee3p \u0111\u1eb7t IOL Toric \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ed9 lo\u1ea1n th\u1ecb m\u1ed9t c\u00e1ch t\u1ed1i \u01b0u.<\/span><\/p>\n IOL Toric l\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1i \u01b0u n\u1ebfu b\u1ea1n:\u00a0<\/b><\/i><\/span><\/p>\n – B\u1ecb lo\u1ea1n th\u1ecb k\u00e8m \u0111\u1ee5c thu\u1ef7 tinh th\u1ec3.<\/span><\/p>\n – Kh\u00f4ng qu\u00e1 quan tr\u1ecdng vi\u1ec7c ph\u1ea3i \u0111eo k\u00ednh g\u1ecdng hay k\u00ednh ti\u1ebfp x\u00fac \u0111\u1ec3 nh\u00ecn \u1edf m\u1ed9t v\u00e0i kho\u1ea3ng c\u00e1ch kh\u00e1c nhau.<\/span><\/p>\n – Mong mu\u1ed1n tr\u00e1nh c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ecb gi\u00e1c ban \u0111\u00eam.<\/span><\/p>\n K\u00ednh n\u1ed9i nh\u00e3n \u0111a ti\u00eau Toric l\u00e0 lo\u1ea1i k\u00ednh \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf d\u00e0nh cho nh\u1eefng b\u1ec7nh nh\u00e2n m\u1ed5 \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 c\u00f3 \u0111\u1ed9 lo\u1ea1n th\u1ecb v\u00e0 l\u00e3o th\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt. Lo\u1ea1i k\u00ednh n\u00e0y s\u1ebd gi\u00fap ng\u01b0\u1eddi b\u1ec7nh nh\u00ecn t\u1ed1t c\u00e1c v\u1eadt \u1edf g\u1ea7n, trung gian v\u00e0 t\u1ea7m xa. Ngo\u00e0i ra, n\u00f3 c\u00f2n gi\u00fap \u0111i\u1ec1u ch\u1ec9nh c\u1ea3 \u0111\u1ed9 lo\u1ea1n. Do \u0111\u00f3, b\u1ec7nh nh\u00e2n sau m\u1ed5 s\u1ebd \u00edt ph\u1ea3i l\u1ec7 thu\u1ed9c v\u00e0o k\u00ednh h\u01a1n.<\/span><\/p>\n L\u00e3o th\u1ecb l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng l\u00e3o h\u00f3a t\u1ef1 nhi\u00ean c\u1ee7a m\u1eaft. Qu\u00e1 tr\u00ecnh n\u00e0y di\u1ec5n ra khi\u1ebfn m\u1eaft m\u1ea5t d\u1ea7n kh\u1ea3 n\u0103ng \u0111i\u1ec1u ti\u1ebft ch\u1ee7 \u0111\u1ed9ng \u0111\u1ec3 nh\u00ecn c\u00e1c v\u1eadt \u1edf g\u1ea7n nh\u01b0 m\u00e0n h\u00ecnh \u0111i\u1ec7n tho\u1ea1i, vi t\u00ednh, s\u00e1ch b\u00e1o, th\u1ef1c \u0111\u01a1n.v.v\u2026(Mayo Clinic.Presbyopia). \u0110a s\u1ed1 m\u1ecdi ng\u01b0\u1eddi s\u1ebd g\u1eb7p ph\u1ea3i t\u00ecnh tr\u1ea1ng n\u00e0y khi b\u01b0\u1edbc v\u00e0o \u0111\u1ed9 tu\u1ed5i 40. Hi\u1ec7n nay, c\u00f3 g\u1ea7n 1,7 t\u1ef7 ng\u01b0\u1eddi tr\u00ean th\u1ebf gi\u1edbi c\u00f3 l\u00e3o th\u1ecb v\u00e0 con s\u1ed1 n\u00e0y \u01b0\u1edbc t\u00ednh s\u1ebd t\u0103ng l\u00ean \u0111\u1ebfn h\u01a1n 2 t\u1ef7 ng\u01b0\u1eddi v\u00e0o n\u0103m 2020 (Market Scope. Global Presbyopia-Correcting Surgery Market Report, April 2012).<\/span><\/p>\n Lo\u1ea1n th\u1ecb l\u00e0 s\u1ef1 bi\u1ebfn \u0111\u1ed5i v\u1ec1 h\u00ecnh d\u1ea1ng ho\u1eb7c \u0111\u1ed9 cong c\u1ee7a b\u1ec1 m\u1eb7t gi\u00e1c m\u1ea1c (ph\u1ea7n trong su\u1ed1t n\u1eb1m tr\u01b0\u1edbc tr\u00f2ng \u0111en). Lo\u1ea1n th\u1ecb n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh th\u00ec n\u00f3 s\u1ebd l\u00e0m cho ta nh\u00ecn m\u1edd \u1edf m\u1ecdi c\u1ef1 ly. Theo th\u1ed1ng k\u00ea, c\u00f3 h\u01a1n 3 tri\u1ec7u ca ph\u1eabu thu\u1eadt \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 h\u00e0ng n\u0103m v\u00e0 h\u01a1n ph\u00e2n n\u1eeda s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u00f3 c\u00f3 \u0111\u1ed9 lo\u1ea1n \u2265 0.75 D. V\u1edbi m\u1ee9c lo\u1ea1n n\u00e0y, n\u00f3 s\u1ebd khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee9c th\u1ecb l\u1ef1c t\u1ed1i \u0111a c\u1ee7a h\u1ecd n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh (Riley 2001, Ferrer-Blasco 2009).<\/span><\/p>\n T\u00f9y v\u00e0o nhu c\u1ea7u v\u00e0 t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n m\u00e0 ch\u1ecdn m\u1ed9t s\u1ed1 c\u00e1c lo\u1ea1i k\u00ednh trong ph\u1eabu thu\u1eadt Phaco – \u0110\u1ee5c th\u1ee7y tinh th\u1ec3. B\u1ea1n c\u00f3 th\u1ec3 tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n ch\u00ednh x\u00e1c nh\u1ea5t.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":" C\u00e1c lo\u1ea1i k\u00ednh trong ph\u1eabu thu\u1eadt Phaco – \u0110\u1ee5c th\u1ee7y tinh th\u1ec3 bao g\u1ed3m: K\u00ednh \u0111\u01a1n ti\u00eau, k\u00ednh \u0111a ti\u00eau, k\u00ednh Toric. Ph\u1eabu thu\u1eadt Phaco tr\u1edf th\u00e0nh l\u1ef1a ch\u1ecdn c\u1ee7a nh\u1eefng ng\u01b0\u1eddi m\u1eafc ch\u1ee9ng \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 v\u1edbi mong mu\u1ed1n c\u1ea3i thi\u1ec7n th\u1ecb l\u1ef1c. T\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3 c\u1ee7a m\u1eaft, b\u1ec7nh nh\u00e2n […]<\/p>\n","protected":false},"author":1,"featured_media":1251,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[26,25,27,28],"tags":[30,29],"acf":[],"yoast_head":"\n\n
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