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I wanted to do myopia surgery, but found a "hole" in the fundus! Do you need treatment?

Posting time:2023-01-28 04:00:14

I wanted to do myopia surgery, but found a "hole" in the fundus! Do you need treatment?

I wanted to do myopia surgery, but after a strict preoperative examination, the myopia surgery had not been done, but a "hole" was found in the retina during the fundus examination! Doctors recommend treating the fundus first before considering myopia surgery. I usually don't feel uncomfortable when I see things with my eyes. Do I need treatment? Why do I need a fundus examination for myopia surgery? According to experts from Nanshi Eye Hospital: Fundus examination is actually a very important preoperative examination for myopia, and cases that are not suitable for surgery need to be excluded. Because most myopia belongs to axial myopia, the longer the eye axis, the higher the degree of myopia, the thinning of the eyeball wall, and many fundus problems. For example, it is like blowing up a balloon. If the balloon is blown too large, the walls of the balloon will be thin and there is a danger of explosion. Figure 1: Retinal thinning in lattice-like degeneration (A, B). A: Color photo of lattice degeneration. B: SD-OCT image on the longitudinal line in A shows retinal thinning in lattice-like degeneration (arrow). Retinal traction and retinoschisis around the lattice degeneration area (C, D). C: Color image of lattice degeneration. D: SD-OCT image on the longitudinal line in A shows vitreous traction (arrow) and retinoschisis without subretinal fluid (triangular arrow) at the edge of the lattice degeneration area. Some fundus diseases are still in the early stage, and the detection is relatively timely (such as peripheral degeneration, holes, etc.), and has not directly affected vision. Therefore, many friends who are preparing for myopia may feel that they have no obvious symptoms when they find out that there is a problem with the fundus before surgery. What should I do if a retinal tear is found? If the retina is compared to a wall, a hole in the wallpaper is a retinal tear; if the wallpaper peels off, it is retinal detachment. For minor retinal tears, laser therapy can be used to close the tear. Like a hole in the wall of our room, the wallpaper was fixed and reset with laser thermosetting. If severe retinal detachment has occurred, the doctor needs to enter the room, make three small holes in the eyeball, remove all the vitreous (extract the special water in the eye), reposition the retina with heavy water, perform laser photocoagulation, and finally inject gas or Silicone oils, use their surface tension to support the retina, giving it time to repair and bond. How to detect retinal lesions early? Just like the back of the magical moon, there is also a mysterious and significant position on the human eyeball—the fundus of the eye. It is called "mysterious" because the fundus is the back of the eye that cannot be seen with the naked eye. There are many kinds of fundus diseases, and most of them have great damage to visual function, and the retina is the only human tissue whose blood vessels can be directly observed. Therefore, fundus screening is very important for eye health and even systemic health. The Ophthalmology Department of Nanshi Hospital has introduced the world's most advanced Oubao ultra-wide-angle fundus camera. It only takes 0.4 seconds to complete the picture capture, and can realize non-mydriatic, non-invasive, ultra-wide-angle 200° fundus photography, and the image can be obtained quickly and clearly. It is very convenient for patients, and it is also more convenient for doctors to differentially diagnose the patient's condition and treat symptomatically. Experts of Nanshi Eye Hospital suggest: a photo of the fundus, all eye diseases are known. Fundus examination before myopia surgery is very important. If any fundus problems are found in the preoperative examination, you should follow the doctor's advice for timely treatment or long-term follow-up to avoid further deterioration of the fundus and affect vision. Patients with myopia surgery, especially those with high myopia, must pay more attention to protecting their eyes and avoid strenuous exercise (extreme exercise). In addition, patients with high myopia should pay attention to regular eye examinations. It is generally recommended to have an examination every six months to monitor the development of myopia and check the fundus. Laser myopia surgery carried out in our hospital 1. Zeiss full femtosecond surgery l Full femtosecond laser myopia surgery does not require the production of corneal flaps, which can greatly maintain the complete physical shape of the cornea. Probability is the current mainstream myopia surgery method. l Suitable for the crowd: 18 to 50 years old, myopia degree ≤1000 degrees, astigmatism ≤500 degrees, myopia degree is stable for more than one year, without any ophthalmic diseases, can pass the preoperative examination of full femtosecond myopia surgery. Recommended surgical procedures for enlisting in the military. 2. AMAZ full laser surgery l Smart full laser is the most advanced myopia correction surgery of German AMAZ excimer laser. It integrates TransPRK surgery and SPT intelligent pulse technology. Precise correction of light misalignment. l Suitable for people: people with low to moderate myopia below 800 degrees, people with thin cornea, people who expect a safe, gentle and stress-free treatment process; people who like easy surgery without knife and trace; policemen, soldiers and people who like sports sports fans. 3. EVO-ICL lens implantation l EVO-ICL lens implantation is a more suitable surgical method for people with high myopia. It does not require corneal thickness, and the range of degrees that can be corrected is wider than that of laser myopia surgery. The implanted ICL lens It can also be removed or replaced, and the visual effect is better than the correction effect of ordinary frame glasses. l Suitable for the crowd: people with high myopia above 600 degrees, those with thin corneas, and those who are not suitable for laser myopia surgery can be considered. Whether those who enlist in the military can do it requires further inspection. Expert Profile Jing Congrong, Member of the Communist Party of China, Chief Physician and Professor, Director of the Eye Center of Nanshi Hospital Affiliated to Henan University, Director of Nanshi Eye Hospital, Member of the Cataract Group, Henan Ophthalmology Branch of the Chinese Medical Association Deputy director of the Ophthalmology Professional Committee, the first full femtosecond SMILE surgery, ICL implantation surgery double international certified physicians, more than 3,000 cases of refractive surgery such as full femtosecond surgery, ICL lens implantation, and more than 3,000 cases of cataract and lens-related surgeries in Southwest Henan. Proficient in all kinds of refractive surgery: full femtosecond, ICL implantation surgery, full laser SMART, refractive lens replacement surgery, etc. Proficient in various refractive cataract and lens surgeries: conventional cataract microincision, phacoemulsification within minutes, astigmatism correction, multifocal and other functional intraocular lens implantation. Various difficult cataract surgery, combined glaucoma and cataract surgery, aphakic surgery, intraocular lens replacement surgery, etc. He has performed more than 40,000 major surgeries, and is an all-round young leader in ophthalmology in southwestern Henan. Professor Zhang Junran, Chief Physician, has been engaged in ophthalmology clinic and teaching for more than 30 years. He is an expert in the first excimer laser surgery in Nanyang City. He has a comprehensive professional technical theory system and rich clinical experience. He is good at the diagnosis and treatment of retinal diseases, especially in the diagnosis and treatment of fundus diseases, juvenile myopia and hyperopia refractive error correction and laser surgery. He has been engaged in excimer laser treatment of myopia since 1997. He is one of the earliest excimer laser refractive surgery physicians in our province, and has completed more than 10,000 cases of excimer laser surgery so far. Niu Dan Attending Physician Chief Refractive Surgery Group Undergraduate, graduated from Xinxiang Medical College, postgraduate student at Zhengzhou University, member of the Ophthalmology Branch of Nanyang Medical Association. He has been engaged in ophthalmology for nearly 10 years and has gone to well-known ophthalmology centers across the country for further study. Specialties: Good at prevention and control of myopia in children and adolescents, treatment of refractive error and amblyopia in children, vision and refractive development of children, diagnosis and treatment of keratoconus, and rich experience in surgical treatment of refractive errors in adults. Technical expertise: good at surgical plan design and surgical treatment of myopia, hyperopia, astigmatism (half-femtosecond laser surgery, smart full laser surgery, excimer laser surgery, etc.).

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