Txhua Yam Koj Yuav Tsum Paub Txog LASIK Kev phais qhov muag

Zoo Siab

• LASIK qhov muag phais yog dab tsi?
• Dab tsi yog keeb kwm ntawm LASIK qhov muag phais?
• Koj npaj rau LASIK li cas?
• Leej twg tsim nyog rau LASIK (thiab leej twg tsis ua)?
• Yuav rov qab zoo li cas tom qab LASIK qhov muag phais?
• Tshuaj xyuas rau

Nws tau ze li ob xyoo lawm txij li Food and Drug Administration (FDA) pom zoo LASIK qhov muag phais. Txij thaum ntawd los, yuav luag 10 lab tus tib neeg tau ua kom zoo dua ntawm kev phais qhov muag kom pom tseeb. Tseem, ntau lwm tus neeg ntshai mus raws li rab riam-thiab muaj peev xwm tshwm sim ntawm cov txheej txheem kho mob sab nrauv.

Karl Stonecipher, MD, kws kho mob ntawm ophthalmology ntawm University of North Carolina hais tias "LASIK yog ib qho kev phais ncaj nraim. Kuv tau ua tiav kuv tus kheej yuav luag 20 xyoo dhau los, thiab kuv tau ua haujlwm rau ntau tus neeg hauv tsev neeg, suav nrog kuv tus kwv," said Karl Stonecipher, MD, kws kho mob kws kho mob ntawm University of North Carolina thiab kev kho mob. tus thawj coj rau TLC Laser Eye Centers hauv Greensboro, NC.

Nws yuav zoo li zoo li godsend, tab sis ua ntej koj tso koj lub peepers los ntawm cov txheej txheem, kawm qhov kev qhia qhib qhov muag no rau LASIK.

LASIK qhov muag phais yog dab tsi?

Nkees ntawm tso siab rau tsom iav lossis tiv tauj kom pom sai? (Los yog tsis xav txhawj xeeb txog kev sib cuag hauv koj lub qhov muag tau 28 xyoo?)

"LASIK, lossis 'laser-pab nyob rau hauv situ keratomileusis,' yog qhov feem ntau ua laser qhov muag phais los kho qhov ze ze, farsightedness, thiab astigmatism," said Samuel D. Pierce, OD, tam sim no tus thawj tswj hwm ntawm American Optometric Association (AOA) thiab ib tug kws kho mob ntawm optometry hauv Trussville, AL. Tom qab phais, feem coob ntawm cov neeg uas tau txais LASIK phais qhov muag txiav rau hauv 20/40 lub zeem muag (qib ntau lub xeev xav tau kev tsav tsheb yam tsis kho qhov muag lo ntsiab muag) lossis zoo dua, nws hais.

LASIK qhov muag phais yog txheej txheem ob feem, Dr. Stonecipher piav qhia.

1. Tus kws phais neeg hlais me me nrov plig plawg tawm sab txheej ntawm lub qhov muag (qhov tseeb npog ntawm lub qhov muag pem hauv ntej uas khoov lub teeb thaum nws nkag mus rau hauv lub qhov muag).

2. Tus kws phais kho lub cornea nrog lub laser (yog li lub teeb nkag mus rau lub qhov muag tau tsom mus rau qhov muag kom pom tseeb dua).

   
   

Thaum koj yuav nyob ntawm chaw ua haujlwm ib teev lossis ntau dua, koj tsuas yog nyob ntawm lub rooj ua haujlwm li 15 feeb, hais tias Dr. Pierce. "LASIK ua tiav nrog tshuaj pleev tshuaj pleev thiab ntau tus kws phais neeg yuav muab tus neeg sawv cev qhov ncauj los so tus neeg mob ib yam." (Lub ntsiab lus, yog, koj tsaug zog, tab sis koj yuav tsis hnov ​​​​ib qho ntawm no slicing thiab lasering.)

Cov lasers siv hauv LASIK yog qhov zoo tshaj plaws, thiab siv tib lub tshuab taug qab NASA siv los thauj cov tsheb thauj mus los ntawm Chaw Chaw Chaw Thoob Ntiaj Teb, hais tias Eric Donnenfeld, MD, kws kho mob ntawm ophthalmology ntawm New York University thiab nrhiav tus khub ntawm Ophthalmic Consultants ntawm Long Island hauv Garden City, NY.

Dr. Donnenfeld hais tias "Cov thev naus laus zis thev naus laus zis tiv thaiv cov neeg mob los ntawm kev raug mob thiab ua kom cov txheej txheem ua tiav raws li phiaj xwm," Dr. Tsis muaj kev phais yog 100 feem pua ​​​​zoo, tab sis kev kwv yees qhia tau tias 95 feem pua ​​​​rau 98.8 feem pua ​​​​ntawm cov neeg mob txaus siab rau cov txiaj ntsig.

"6 mus rau 10 feem pua ​​​​ntawm cov neeg mob yuav xav tau ib qho txheej txheem ntxiv, feem ntau hu ua kev txhim kho. Cov neeg mob uas xav pom qhov pom kev zoo yam tsis muaj tsom iav lossis kev sib cuag yuav poob siab," Dr. Pierce hais. (P.S. Koj puas paub tias koj tuaj yeem noj zaub mov kom zoo dua qhov muag?)

Dab tsi yog keeb kwm ntawm LASIK qhov muag phais?

"Radial keratotomy, tus txheej txheem uas cuam tshuam nrog kev txiav me me hauv lub qhov muag, tau nrov nyob rau xyoo 1980 raws li txoj hauv kev los kho qhov muag tsis pom kev," hais tias Inna Ozerov, MD, tus kws kho qhov muag ntawm Miami Eye Institute hauv Hollywood, FL.

Thaum Kremer Excimer Laser tau tshaj tawm hauv xyoo 1988 ua ib qho cuab yeej rau kev siv tshuaj lom neeg (tsis yog khoos phis tawj xwb), qhov muag phais qhov muag tau nce sai. Thawj LASIK patent tau tso cai rau xyoo 1989. Thiab los ntawm 1994, ntau tus kws phais neeg tau ua LASIK raws li "cov txheej txheem tawm ntawm daim ntawv lo," raws li Dr. Stonecipher, lossis ua cov txheej txheem ua ntej kev pom zoo.

"Hauv xyoo 2001, 'bladeless' LASIK lossis IntraLase tau pom zoo. Nyob rau hauv cov txheej txheem no, lub teeb-ceev laser yog siv nyob rau hauv qhov chaw ntawm microblade los tsim ib lub flap," hais tias Dr. Ozerov. Thaum ib txwm LASIK yog me ntsis sai dua, bladeless LASIK feem ntau tsim cov pob txha zoo sib xws. Muaj qhov zoo thiab qhov tsis zoo rau ob qho tib si, thiab kws kho mob xaiv qhov kev xaiv zoo tshaj plaws ntawm tus neeg mob-rau-tus neeg mob.

Koj npaj rau LASIK li cas?

Ua ntej, npaj koj lub hnab npaj: Tus nqi nruab nrab rau LASIK hauv Asmeskas xyoo 2017 yog $ 2,088 rau qhov muag, raws li tsab ntawv ceeb toom los ntawm All About Vision. Tom qab ntawd, tau txais kev sib raug zoo thiab raug tshuaj xyuas.

"Tham nrog koj tus kws kho mob qhov muag thiab tham nrog koj cov phooj ywg. Ntau lab tus tib neeg tau muaj LASIK, yog li koj tuaj yeem hnov ​​lawv cov kev paub dhau los," hais tias Louis Probst, MD, tus thawj coj kho mob hauv tebchaws thiab kws phais mob rau TLC Laser Qhov Chaw Nyob Hauv Nroog Midwest. "Tsis txhob cia li mus rau qhov chaw pheej yig tshaj laser. Koj tsuas muaj ib lub qhov muag, yog li ua koj cov kev tshawb fawb txog cov chaw zoo tshaj plaws nrog kws kho mob zoo tshaj plaws."

Dr. Pierce echoes cov kev xav no: "Cov neeg mob yuav tsum tau ceev faj ntawm cov neeg uas cog lus lossis lav tau qhov txiaj ntsig zoo tshaj plaws lossis tus uas muab tus nqi pheej yig nrog me lossis tsis muaj kev sib tham txog kev saib xyuas tom qab lossis muaj peev xwm tshwm sim."

Yog tias koj tsaws rau tus kws kho mob thiab txiav txim siab mus tom ntej, kev tshuaj ntsuam xyuas yog qhov tseem ceeb kom pom tias koj puas muaj laj thawj kev kho mob hla LASIK, hais tias Dr. Stonecipher.

"Tam sim no peb tab tom siv thev naus laus zis kev kawm tob thiab kev txawj ntse hauv ophthalmology los tshuaj xyuas qhov teeb meem ntawm lub qhov muag zoo dua uas tuaj yeem tsim cov txiaj ntsig tsis zoo nrog kev kho qhov muag laser-thiab tau pom cov txiaj ntsig zoo kawg," nws hais ntxiv.

Yav tsaus ntuj ua ntej phais, tsom kom tau txais kev pw tsaug zog zoo thiab tsis txhob haus cawv lossis tshuaj noj uas yuav ua rau koj lub qhov muag qhuav. Koj tus kws kho mob yuav tsum piav qhia yog thiab yuav ua li cas koj yuav tsum tau kho qee yam tshuaj thiab kev siv lub lens siv coj mus rau LASIK. (Related: Yam Koj Yuav Tsum Paub Txog Digital Eye Strain)

Leej twg tsim nyog rau LASIK (thiab leej twg tsis ua)?

"LASIK cov neeg sib tw yuav tsum muaj lub qhov muag muaj kev noj qab haus huv thiab ib txwm muaj qhov tuab tuab thiab kuaj pom," hais tias Dr. Probst. Kev phais yog qhov kev xaiv zoo rau ntau tus nrog myopia [nearsightedness], astigmatism [qhov nkhaus txawv txav hauv qhov muag], thiab hyperopia [farsightedness], nws hais. "Txog 80 feem pua ​​​​ntawm cov neeg yog cov neeg sib tw zoo."

Yog tias koj yuav tsum tau txais kev sib cuag zoo los yog tsom iav txhua xyoo, koj yuav tsum tau tos: Koj daim ntawv yuav tsum tau nyob ruaj khov yam tsawg ob xyoos ua ntej LASIK, ntxiv Dr. Donnenfeld.

Tej zaum koj yuav xav zam LASIK qhov muag phais yog tias koj muaj keeb kwm ntawm ib qho ntawm cov mob no, raws li Drs. Ozerov thiab Donnenfeld:

• Cov kab mob pob txha
• Corneal nti
• Nruab nrab rau qhov muag qhuav heev
• Keratoconus (kab mob congenital uas ua rau muaj kev txhim kho ntawm lub qhov muag)
• Qee yam kab mob autoimmune (xws li lupus lossis rheumatoid mob caj dab)

"AOA pom zoo tias cov neeg sib tw rau LASIK muaj hnub nyoog 18 xyoo lossis laus dua, nyob hauv kev noj qab haus huv zoo, nrog lub zeem muag ruaj khov, thiab tsis muaj qhov txawv txav ntawm lub qhov muag lossis lub qhov muag sab nraud," hais tias Dr. Pierce. "Cov neeg mob uas txaus siab rau ib qho kev hloov kho lub qhov muag yuav tsum xub muaj kev tshuaj xyuas qhov muag dav dav los ntawm kws kho mob ntawm kev kho qhov muag kom ntsuas lawv lub qhov muag kev noj qab haus huv thiab txiav txim siab lawv qhov muag xav tau." (Yo, koj puas paub koj yuav tsum tau siv koj lub qhov muag ib yam?)

Yuav rov qab zoo li cas tom qab LASIK qhov muag phais?

"LASIK rov zoo yog qhov xav tsis thoob," hais tias Dr. Probst. "Koj xis nyob thiab pom zoo tsuas yog plaub teev tom qab tus txheej txheem. Koj yuav tsum tau ceev faj nrog koj ob lub qhov muag ib lub lim tiam kom lawv zoo."

Txawm hais tias qee qhov tsis xis nyob yog ib txwm nyob hauv thawj 24 teev (feem ntau yog thawj tsib lub lis piam tom qab LASIK), nws tuaj yeem tswj tau ntau nrog cov tshuaj kho mob, hais tias Dr. Donnenfeld. Ntxiv rau, cov tshuaj pleev lub qhov muag tuaj yeem pab ua kom koj lub qhov muag xis nyob, tiv thaiv kev kis kab mob, thiab txhawb kev kho kom zoo. Npaj yuav tawm mus rau hnub uas koj phais thiab hnub tom qab so.

Kev phais feem ntau yuav tsum tau taug qab nrog koj tus kws kho mob txog 24 teev tom qab tus txheej txheem. Tom qab ntawd, koj yuav zoo li tau txais lub teeb ntsuab kom rov zoo li qub txhua hnub. Nws lossis nws yuav muaj sijhawm teem sijhawm mus ntsib ib lub lim tiam, ib hlis, peb lub hlis, rau lub hlis, thiab ib xyoos tom qab phais.

"Tom qab thawj hnub lossis yog li ntawd, cov neeg mob yuav muaj qee qhov kev mob tshwm sim ib ntus uas yog ib feem ntawm txoj kev kho mob, suav nrog halos nyob ib puag ncig koj ob lub qhov muag thaum hmo ntuj, qhov muag kua muag, daim tawv muag puffy, thiab rhiab heev rau lub teeb. Cov no yuav tsum poob qis hauv ib lub lis piam, tab sis Lub sijhawm kho mob tuaj yeem kav peb mus rau rau lub hlis, lub sijhawm cov neeg mob muaj ob peb lub sijhawm teem sijhawm kom lawv tus kws kho mob tuaj yeem saib xyuas lawv qhov kev nce qib, "Dr. Donnenfeld hais.

Koj kuj tseem yuav tau hnov ​​txog qhov tshwm sim tsawg dua thiab txaus ntshai ntawm LASIK qhov muag phais, xws li thaum 35-xyoo-laus Detroit tus kws tshawb fawb huab cua Jessica Starr tuag los ntawm kev tua tus kheej thaum rov zoo los. Nws tau LASIK ob peb hlis dhau los thiab tau lees tias nws "tawm tsam me ntsis" tom qab ntawd. Starr kev tua tus kheej tsis yog tib qho uas raug nug raws li qhov tshwm sim ntawm LASIK; txawm li cas los xij, nws tsis meej meej vim li cas lossis yog LASIK ua lub luag haujlwm hauv ib qho ntawm cov neeg tuag no. Kev tawm tsam nrog mob lossis teeb meem tsis pom kev tom qab tus txheej txheem (lossis ib qho kev cuam tshuam, rau qhov teeb meem) yeej yuav tsis txaus siab. Cov kws kho mob feem ntau taw qhia rau cov txheej txheem ua tiav tau zoo raws li qhov laj thawj tsis txhob txhawj xeeb txog ib qho ntawm cov xwm txheej cais thiab tsis paub.

"Kev tua tus kheej yog ib qho teeb meem nyuaj rau kev puas hlwb, thiab rau cov xov xwm tshaj tawm ncaj qha mus txuas rau LASIK rau kev tua tus kheej yog tsis muaj lub luag haujlwm, thiab hais ncaj ncees," Dr. Ozerov hais. "Cov neeg mob yuav tsum zoo siab rov qab mus rau lawv tus kws phais mob yog tias lawv muaj kev nyuaj siab nrog lawv txoj kev rov zoo. Qhov xwm zoo yog tias cov neeg mob feem ntau yuav rov zoo thiab yuav tau txais txiaj ntsig zoo."

Tshuaj xyuas rau