{"id":1198,"date":"2018-03-15T09:56:54","date_gmt":"2018-03-15T09:56:54","guid":{"rendered":"https:\/\/augljos.is\/lasik-adgerd\/"},"modified":"2020-10-20T13:06:12","modified_gmt":"2020-10-20T13:06:12","slug":"lasik-adgerd","status":"publish","type":"page","link":"https:\/\/augljos.is\/da\/lasik-adgerd\/","title":{"rendered":"Hvat er LASIK?"},"content":{"rendered":"
[vc_row fullwidth=”true” fullwidth_content=”false” css=”.vc_custom_1521115951932{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”][vc_column][vc_empty_space height=”22px”][vc_wp_custommenu nav_menu=”22″ el_class=”menu-klasi”][\/vc_column][\/vc_row][vc_row fullwidth=”true” fullwidth_content=”false” css=”.vc_custom_1521116635958{margin-top: -15px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”][vc_column css=”.vc_custom_1521116232944{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”][mk_divider style=”thin_solid” thin_single_color=”#e5e5e5″ thickness=”2″ margin_top=”0″][\/vc_column][\/vc_row][vc_row fullwidth=”true” fullwidth_content=”false” css=”.vc_custom_1521116635958{margin-top: -15px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”][vc_column css=”.vc_custom_1521116232944{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1601902778598{margin-bottom: 0px !important;}”]M\u00f8guliga kennir t\u00fa onkran, sum hevur fingi\u00f0 LASIK. Milli\u00f3nir eru sloppin undan at n\u00fdta brillur ella kontaktlinsur ella eru vor\u00f0in minni bundin av teimum. LASIK er tann vanligasta lasara lj\u00f3sbr\u00f3tandi (laser refractive procedure) vi\u00f0ger\u00f0arh\u00e1tturin. LASIK skur\u00f0vi\u00f0ger\u00f0in bo\u00f0a\u00f0i fr\u00e1 t\u00fasund\u00e1raskiftinum \u2013millennium- \u00ed \u00cdslandi, t\u00e1 tann fyrsta vi\u00f0gerin var\u00f0 framd \u00ed landinum, summari\u00f0 \u00ed 2000. Hetta var 10 \u00e1r eftir at griksku og italsku eygnal\u00e6knarnir Pallikaris og Buratto framdu s\u00ednar fyrstu skur\u00f0vi\u00f0ger\u00f0ir.<\/p>\n

LASIK er vor\u00f0in tann vanligasti skur\u00f0vi\u00f0ger\u00f0arh\u00e1tturin \u00ed heiminum. \u00cdsland er ikki naka\u00f0 untantak \u00ed hesum f\u00f8ri. LASIK hevur ment s\u00edtt umd\u00f8mi sum ein \u00e1l\u00fdtandi og tryggur h\u00e1ttur at sleppa av vi\u00f0 brillur og kontaktlinsur.<\/p>\n

Stovnanin av\u00a0 n\u00fdggju eygnaklinikkini, Auglj\u00f3s Eye Center, er \u00ed s\u00f8guligum h\u00f8pi ein n\u00fdggj byrjan innan lj\u00f3sbroytandi skur\u00f0vi\u00f0ger\u00f0 \u00ed \u00cdslandi.<\/p>\n

Auglj\u00f3s Eye Center leggur dent \u00e1 eina samanrenning av \u201ccutting edge\u201d t\u00f8kni, royndum og vitan. Dr. J\u00f3hannes K. Kristinsson MD PhD framdi s\u00edna fyrstu lj\u00f3sbroytandi vi\u00f0ger\u00f0 \u00e1r 2000 og hevur s\u00ed\u00f0ani framt fleiri enn 10.000 sl\u00edkar vi\u00f0ger\u00f0ir. Hann fullf\u00f8rdi hornhinnu og lj\u00f3sbroytandi skur\u00f0vi\u00f0ger\u00f0ar \u201cfellowship\u201d fr\u00e1 v\u00e6l kenda Duke Eye Center \u00ed NC, USA.<\/p>\n

\u00datger\u00f0in, i\u00f0 ver\u00f0ur n\u00fdtt til lasara lj\u00f3sbroytandi skur\u00f0vi\u00f0ger\u00f0 er sj\u00e1lvandi sera t\u00fddningarmikil. Okkara lasarat\u00f8kni er fr\u00e1 Schwind Tecnologies \u00ed T\u00fdsklandi. Okkara lasari vi\u00f0ger n\u00e6rs\u00fdni, bygningsfeil (astigmatismu) og langs\u00fdni (hypermetropi) vi\u00f0 n\u00e6rmast \u00f3tr\u00faligum neyvleika vi\u00f0 1 kHz sporingsevni, i\u00f0 letur lasarastr\u00e1luna fylgja eyganum \u00ed \u00f8llum r\u00e6tningum. Hetta ver\u00f0ur kalla\u00f0 5D sporing. Hetta \u00f8kir um trygdina og neyvleikan \u00ed vi\u00f0ger\u00f0ini. Umframt hetta ver\u00f0ur vi\u00f0ger\u00f0art\u00ed\u00f0in stytri enn nakrant\u00ed\u00f0 \u00e1\u00f0ur, vanliga bert f\u00e1 sekund.<\/p>\n

LASIK \u2013 Ein gj\u00f8gnumgongd<\/p>\n

Men, hvat sn\u00fdr henda vi\u00f0ger\u00f0in seg um? Hvussu fer hon fram, og hvat fremur sj\u00f3nliga skarpleikan \u00ed eygunum, solei\u00f0is, at t\u00e6r ikki n\u00fdtist at br\u00faka brillur ella kontaktlinsur longur?<\/p>\n

\u00a0\u201cTa\u00f0 kann vera sera torf\u00f8rt at skilja teir mest umr\u00e1\u00f0ani li\u00f0irnar \u00ed hesi vi\u00f0ger\u00f0ini,\u201d grei\u00f0ir Dr. Kristinsson fr\u00e1. \u201cMest umr\u00e1\u00f0andi er at seta s\u00e6r spurningin og \u00edmynda s\u00e6r, hvussu eyga\u00f0 er bygt ella skapa\u00f0. Undir skur\u00f0vi\u00f0ger\u00f0ini gera vit eina \u201cSuperThin\u201d snei\u00f0 av ytsta hv\u00e1lvskapa\u00f0a (k\u00fapuskapa\u00f0a) vevna\u00f0inum \u00ed eyganum, nevnd hornhinnan.\u201d<\/em><\/p>\n

\u201cUm eyga\u00f0 er vindeyga\u00f0 hj\u00e1 s\u00e1lini, so er hornhinnan vindeyga\u00f0 hj\u00e1 eyganum. Vi\u00f0 at broyta skapi\u00f0 \u00e1 hornhinnuni kunnu vit broyta lj\u00f3sbroti\u00f0 \u00ed eyganum, og hetta ger, at ein sleppur av vi\u00f0 brillur,\u201d sigur Dr. Kristinsson. Hann grei\u00f0ir framhaldandi fr\u00e1: \u201cVit gera ein klaff vi\u00f0 einum t\u00f3li, nevndur ein \u201cMicrokeratomur\u201d. Klaffurin ver\u00f0ur alt\u00ed\u00f0 klistra\u00f0ur \u00ed restina av hornhinnuni \u00ed einum \u201chongsli\u201d (s\u00ed mynd 4).<\/p>\n

Endam\u00e1li\u00f0 vi\u00f0 klaffinum er at verja ta\u00f0 vi\u00f0gj\u00f8rda \u00f8ki\u00f0, har inntrivi\u00f0 vi\u00f0 lasara er\u00a0 framt. Samb\u00e6rt LASIK framfer\u00f0arh\u00e1ttinum leggja vit klaffin aftur \u00e1 undirliggjandi yvirflatuna, og ta\u00f0 heilt sermerkta er, at ikki n\u00fdtist at seyma eyga\u00f0. Ta\u00f0 stingur bert eitt sindur \u00ed nakrar f\u00e1ar minuttir eftir vi\u00f0ger\u00f0ina. Hetta er ein sera st\u00f3rur fyrimunur og hj\u00e1lpir f\u00f3lki at koma seg serdeilis skj\u00f3tt. Microkeratomurin, i\u00f0 vit n\u00fdta er ein Ziemer Amadeus II, ein n\u00fdggj \u00fatg\u00e1va vi\u00f0 eini fram\u00farskarandi hj\u00e1\u00e1rinsvangamynd (profili). Amadeus II er umframt hetta betra\u00f0ur solei\u00f0is, at LASIK er enn tryggari.[\/vc_column_text][vc_column_text css=”.vc_custom_1601902810829{margin-bottom: 0px !important;}”]\n

SCHWIND AMARIS<\/h2>\n

Dr. Kristinsson vitja\u00f0i Schwind verksmi\u00f0juna, n\u00e6rindis Aschaffenburg \u00ed T\u00fdsklandi:<\/p>\n

\u201dTa\u00f0 var undrunarvert at vera til sta\u00f0ar og s\u00edggja, hvussu tey byggja upp ein lasara fr\u00e1 grundini til at enda sum eitt t\u00f8kniligt undur. Umsorganin, vitanin og t\u00f8kniligi f\u00f8rleikin eru fram\u00far. Neyvleikin og umsorganin \u00ed \u00f8llum vi\u00f0ger\u00f0arstigum v\u00f3ru\u00a0 serstakliga g\u00f3\u00f0. F\u00f3lkini hj\u00e1 Schwind eru mi\u00f0v\u00eds \u00ed teirra menning\u00a0 av heimsins bestu leysara\u00fatger\u00f0 av hesum slagi.\u201d<\/p>\n

\u201dUmsorgan og neyvleiki hevur st\u00f3rsta t\u00fddning hj\u00e1 eygnal\u00e6knum, i\u00f0 skipa og fremja\u00a0 hesa serst\u00f8ku vi\u00f0ger\u00f0 vi\u00f0 lasaranum\u201d sigur\u00a0 Dr. Kristinsson, \u201d\u00a0\u00a0\u00a0 og n\u00f3gvir lasarar v\u00f3ru g\u00f3\u00f0ir. Men vit mettu, at Schwind Amaris var tann besti, t\u00e1 hugsa\u00f0 ver\u00f0ur um\u00a0 sj\u00f3nina, l\u00e6ttleikan og annars alt, i\u00f0 hevur vi\u00f0 eyguni at gera. Vit merktu og f\u00f8ldu eisini at Presbymax vi\u00f0ger\u00f0in var tann besta vi\u00f0ger\u00f0in, i\u00f0 fanst \u00e1 markna\u00f0inum\u201d.[\/vc_column_text][vc_column_text css=”.vc_custom_1601902863885{margin-bottom: 0px !important;}”]\n

PRESBYMAX<\/h2>\n

Sum ein eldist har\u00f0nar eygnalinsan. Hetta for\u00f0ar linsuni at broyta skap.<\/p>\n

\"\"

Figure 6. The lens is the gray drop shaped structure on the left side, situated just behind the iris, the brown, green or blue part of our eyes. It is one of two main lens systems of the eye, the first being the cornea, the outermost clear dome-shaped structure on the left. During LASIK, we perform an operation on the cornea, ie the first lens system. During a lens operation, such as cataract operation, the second lens system is treated, thereby bypassing the second lens system.<\/p><\/div>\n

Linsan liggur t\u00e6tt aftan fyri lita\u00f0a partin av eygum okkara, iris. Her\u00f0ingin av linsuni, ta\u00f0, at linsan har\u00f0nar, kemur vi\u00f0 aldrinum. \u00c1 ungum \u00e1rum er linsan li\u00f0ilig og smidlig og kann ver\u00f0a til eina \u201cpluss linsu\u201d ella eina konveks, i\u00f0 stillar inn\/fokuserar \u00e1 ting t\u00e6tt hj\u00e1. Linsan ver\u00f0ur tj\u00fakri vi\u00f0 aldrinum og\u00a0 tess evni at fokusera \u00e1 ting t\u00e6tt hj\u00e1 vikna.<\/p>\n

Linsan har\u00f0nar vi\u00f0 aldrinum og tess evni at stilla inn \u00e1 ein sm\u00e1lut viknar, og okkum n\u00fdtist pluss brillur, oftast \u00ed aldrinum 40-45<\/p>\n

\u201cEin patientur seg\u00f0i eina fer\u00f0 vi\u00f0 meg: antin lesibrillur ella doyggjandi ungur. Eg velji lesibrillur,\u201d sigur Dr. Kristinsson. \u201c Hetta nevnist gamalsj\u00f3n (presbyoti) og kann neyvan kallast ein sj\u00faka, men eitt brek, i\u00f0 kemur vi\u00f0 \u00e1runum og sum virkar \u00f8rkymlandi ella irriterandi \u00ed t\u00ed dagliga. Seinnu \u00e1rini eru mentir fleiri ymsir h\u00e6ttir at loysa henda trupulleikan.\u201d\u00a0 Hann sigur, at fleiri av hesum h\u00e6ttum hava vi\u00f0 s\u00e6r at nat\u00farliga linsan ver\u00f0ur skift um vi\u00f0 eina eftirgj\u00f8rda (kunstiga) linsu, og nevnist hetta \u201ckl\u00e1rlinsu \u00fardr\u00e1ttur\u201d(clear lens extraction) \u00cd hesi vi\u00f0ger\u00f0ini ver\u00f0ur ein sergj\u00f8rd linsa sett inn \u00ed sta\u00f0in fyri ta h\u00f8r\u00f0u linsuna hj\u00e1 patientinum, og ger ta\u00f0 m\u00f8guligt at fokusera b\u00e6\u00f0i n\u00e6r og fjar.<\/p>\n

Henda vi\u00f0ger\u00f0in hevur t\u00f3 vi\u00f0 s\u00e6r, at farast m\u00e1 inn \u00ed sj\u00e1lvt eyga\u00f0, og hevur hetta tann vanda vi\u00f0 s\u00e6r, h\u00f3ast l\u00edtil, at smittandi organismur koma inn \u00ed eyga\u00f0 og fremja eina \u00e1lvarsliga smittu, i\u00f0 kallast endophthalmitis. Presbymax vi\u00f0ger\u00f0in er ment av Schwind \u00ed samstarvi vi\u00f0 Jorge Ali\u00f3 \u00far Spania og vi\u00f0 OCIVIS b\u00f3lkinum \u00e1 l\u00e6rda h\u00e1sk\u00falanum \u00ed Alicante. Presbymax er bygd \u00e1 grundregluna at skapa eitt<\/p>\n

\u201clesi segment\u201d \u00ed mi\u00f0juni \u00e1 hornhinnuni vi\u00f0 einum sirkli rundanum at st\u00fdra langsj\u00f3nini. Henda vi\u00f0ger\u00f0in ver\u00f0ur bert gj\u00f8rd \u00e1 hornhinnuna, ytru linsuskipanina, og nemur ikki nethinnuna \u00ed eyganum, innaru linsuskipanina.<\/p>\n

Vanliga hugsanin er, at Presbymax er betur egna\u00f0 til pers\u00f3nar \u00ed aldrinum 45-60 \u00e1r, men \u201ckl\u00e1rlinsu \u00fardr\u00e1ttur\u201d er betur egna\u00f0ur til pers\u00f3nar yvir 60 \u00e1ra aldur. T\u00ed skal ein gj\u00f8llig kanning til fyri at greina, hv\u00f8r framfer\u00f0arh\u00e1ttur er best egna\u00f0ur til hv\u00f8nn einstakan pers\u00f3nin. Presbymax vi\u00f0ger\u00f0in er mett at vera til gagns fyri f\u00f3lk, i\u00f0 longu hava fingi\u00f0 eina vanliga gr\u00e1starvi\u00f0ger\u00f0 (cataract treatment), framd vi\u00f0 eini \u201cmonofokalari linsu\u201d, men sum ynskja at gerast minni bundin av lesibrillum.<\/p>\n

Michael Strade er eygnal\u00e6kni \u00e1 Bad Laer klinikkini \u00ed Saxony \u00ed T\u00fdsklandi. Hann er 54 \u00e1ra gamal og hevur fyri stuttum fingi\u00f0 eina Presbymax vi\u00f0ger\u00f0 vi\u00f0 Schwindlasara \u00fatger\u00f0, sum hann vanliga n\u00fdtir sj\u00e1lvur. Hann er serstakliga v\u00e6l n\u00f8gdur vi\u00f0 \u00farsliti\u00f0 av vi\u00f0ger\u00f0ini. \u201cEinans tr\u00edggjar vikur eftir vi\u00f0ger\u00f0ina er hansara n\u00e6r- og fjarsj\u00f3n so g\u00f3\u00f0, at honum ikki n\u00fdtist brillur yvirh\u00f8vur\u201d, sigur Dr. Kristinsson \u201d Hann royndi vanligar(monofokalar linsur) kontaktlinsur \u00e1\u00f0renn og helt, at t\u00e6r v\u00f3ru torf\u00f8rar at n\u00fdta. Vi\u00f0 t\u00ed sera gj\u00f8lligu granskingini handan Presbymax vi\u00f0ger\u00f0ina \u00ed huga, t\u00f3k hann avger\u00f0 um at fara \u00ed holt vi\u00f0 s\u00edni egnu eygu. Samb\u00e6rt samr\u00f8\u00f0uni er Dr. Stade n\u00fa sannf\u00f8rdur um, at henda vi\u00f0ger\u00f0in er tann besta fyri gamalsj\u00f3n. Vit \u00e1 Auglj\u00f3s eru t\u00ed errin av at kunna bj\u00f3\u00f0a hesa vi\u00f0ger\u00f0. T\u00f3 eru ikki \u00f8ll egna\u00f0 til vi\u00f0ger\u00f0ina, og t\u00ed m\u00e1 hv\u00f8r einstakur kannast serstakliga v\u00e6l, \u00e1\u00f0renn avger\u00f0 ver\u00f0ur tikin, um vi\u00f0komandi skal hava hesa vi\u00f0ger\u00f0 ella ikki.[\/vc_column_text][\/vc_column][\/vc_row][vc_row id=”umsagnir”][vc_column][vc_empty_space height=”40″][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"

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