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Operations 手術

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Cataract Surgery白內障手術
Cataract surgery is a common surgical procedure that is performed to remove a cloudy lens (cataract) from the eye and replace it with an artificial lens implant. The surgery is typically performed on an outpatient basis and takes about 15 to 30 minutes to complete. During the surgery, the patient is given local anesthesia to numb the eye. A small incision is then made in the cornea, the clear front part of the eye, and a tiny instrument is used to break up the cloudy lens into small pieces. These pieces are then removed from the eye using suction.
白內障手術是一種常見的眼科手術,醫生會從眼睛中取出混濁的晶狀體(白內障),並植入人工晶體代替原本的晶狀體。手術通常在門診進行,大約需要 15 到 30 分鐘就能完成,以局部麻醉方式進行。醫生會在角膜上做一個小切口,即眼睛前部的透明部分,然後使用微型儀器將混濁的晶狀體分解成小塊,利用吸力將這些碎片從眼睛中移除。

Once the cataract has been removed, an artificial lens implant is inserted into the eye to replace the natural lens. The artificial lens is typically inserted through the same small incision that was used to remove the cataract. The incision is then closed with tiny stitches or a self-sealing technique.
當白內障被移除,人工晶狀體就會被植入眼睛以取代天然晶狀體。人工晶體通常通過用於去除白內障的相同小切口植入,然後用細縫線或自密封技術閉合切口。

Monofocal Intraocular Lens (IOL)單焦人工晶體

Monofocal IOLs have a single focus point, which means that they can correct vision for either distance or near vision, but not both.

單焦人工晶體只有一個焦點,這意味著它們可以矯正遠視或近視,但不能同時矯正兩者。

With a monofocal IOL, the eye is typically set to focus either at a distance or up close, depending on the patient's needs and preferences. This means that patients with a monofocal IOL may still require reading glasses or other corrective lenses to see clearly at different distances.

我們通常會透過使用單焦人工晶體將眼睛設定為聚焦遠處或近處,具體取決於患者的需要和偏好。這意味著使用單焦人工晶體的患者,手術後可能仍需要老花鏡或其他矯正鏡片才能在不同距離處看清楚。

 

Monofocal IOLs are the most commonly used type of IOL, and are generally considered a safe and effective option for cataract surgery. They are also typically less expensive than other types of IOLs, such as multifocal or accommodating IOLs. However, they do have some limitations in terms of vision correction, and may not be suitable for patients who have significant astigmatism or who desire greater freedom from glasses after surgery.

單焦人工晶體是最常用的人工晶體類型,通常被認為是白內障手術安全有效的選擇。它們通常也比其他類型的人工晶狀體便宜,例如多焦點或適應性人工晶體。然而,它們在視力矯正方面確實有一些局限性,可能不適合散光嚴重或手術後減少依賴眼鏡的患者。

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Multifocal Intraocular Lens (IOL) 多焦人工晶體
Multifocal IOLs are designed to provide clear vision at multiple distances, including near, intermediate, and distance vision, without the need for glasses or contact lenses.
多焦人工晶體旨在提供多個距離的清晰視力,包括近距離、中距離和遠距離,而無需佩戴眼鏡或隱形眼鏡。

 

Multifocal IOLs achieve this by using a series of concentric rings with different focusing powers, which allow the eye to simultaneously perceive multiple distances. This can provide greater freedom from glasses or contact lenses, particularly for patients who have previously needed glasses for both distance and near vision.

多焦人工晶體是透過具有不同聚焦能力的同心環來實現達成多焦的效果,使眼睛能夠同時聚焦多個距離。這可以大幅減少患者對眼鏡或隱形眼鏡的依賴,特別是對於以前需要戴眼鏡看遠和近的患者。

 

However, multifocal IOLs are not suitable for everyone. They can cause visual side effects, such as halos, glare, and reduced contrast sensitivity, which can be particularly noticeable in low light conditions. Patients with significant astigmatism or other eye conditions may also not be good candidates for multifocal IOLs.

然而,多焦人工晶體並不適合所有人。它們會導致視覺副作用,例如光暈、眩光和對比敏感度降低,在光線較暗的情況下尤為明顯。有明顯散光或其他眼部疾病的患者也可能不適合多焦人工晶體。

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Extended Depth of Focus Intraocular Lens (EDOF IOL) 擴展景深人工晶體

EDOF IOLs are designed to provide a range of vision correction, from distance to intermediate distances (such as computer work), and sometimes even near vision, without the need for glasses or contact lenses.

擴展景深人工晶體旨在提供一系列視力矯正,令患者在無需眼鏡或隱形眼鏡的情況下,都能應付遠距離到中距離(例如電腦),有時甚至是近距離的活動。

EDOF IOLs achieve this by using a specialized optical design that creates a gradual transition between different areas of focus. This allows the eye to perceive a greater range of distances clearly, while minimizing the visual side effects that can occur with other types of multifocal or accommodating IOLs, such as halos or glare.

擴展景深人工晶體通過使用特別的光學設計實現這一點,該設計在不同的焦點區域之間創建逐漸過渡。這使眼睛能夠清楚地感知更大範圍的距離,同時減少其他類型的人工晶體引起的副作用,例如光暈或眩光。

 

EDOF IOLs are a relatively new option for cataract surgery patients, and are becoming increasingly popular due to their ability to provide a range of vision correction while minimizing visual side effects. However, like any type of IOL, EDOF IOLs do have some limitations, and may not be suitable for all patients.

對白內障手術患者來說,擴展景深人工晶體是一個相對較新的選擇,並且變得越來越受歡迎。然而,與任何類型的 IOL 一樣,擴展景深人工晶體也有一些局限性,可能並不適合所有患者。

Pars Plana Vitrectomy (PPV) 玻璃體切除術

PPV is a surgical procedure used to treat a variety of eye conditions that affect the vitreous humor, the clear gel that fills the space between the lens and the retina in the eye. During a PPV procedure, a small incision is made in the sclera, the white part of the eye, and a specialized instrument is used to remove the vitreous humor from the eye. The vitreous humor is then replaced with a saline solution, gas, or oil, depending on the specific needs of the patient.
玻璃體切除術是一種外科手術,用於治療影響玻璃體的各種眼部疾病。玻璃體是填充眼睛晶狀體和視網膜之間空間的透明凝膠。在手術過程中,醫生會在鞏膜(眼睛的白色部分)做一個小切口,然後使用儀器從眼睛中取出玻璃體,然後根據患者的具體需要,使用鹽溶液、氣體或油替代玻璃體。

PPV is commonly used to treat conditions such as retinal detachment, macular holes, epiretinal membrane, and vitreous hemorrhage. The procedure is typically performed under local or general anesthesia, and may require an overnight hospital stay.
玻璃體切除術通常用於治療視網膜脫落、黃斑裂孔、黃斑前膜和玻璃體出血等病症。該手術通常在局部或全身麻醉下進行,可能需要住院過夜。
 

Trabeculectomy小梁切除術

Trabeculectomy is a surgical procedure used to treat glaucoma, a condition in which increased pressure inside the eye can cause damage to the optic nerve and lead to vision loss. During a trabeculectomy, a small flap is created in the sclera, and a small portion of the trabecular meshwork is removed to create a new opening for the aqueous humor to drain out of the eye. Mitomycin C, which is a type of antifibrotic agent that inhibits the growth of cells, is then applied to the area around the new opening to help prevent scarring and improve the long-term success of the surgery.

小梁切除術是一種用於治療青光眼的外科手術,患者會因眼內壓力增加會導致視神經受損並導致視力喪失。在手術期​​間,醫生會在鞏膜中創建一個小瓣,並移除一小部分小梁網以創建一個新的開口,以便房水從眼睛中排出。絲裂黴素 C 是一種抑制細胞生長的抗纖維化劑,將其應用於新開口周圍的區域,以幫助防止疤痕形成並提高手術的成功率。

 

After the trabeculectomy, a small bleb or blister may form on the surface of the eye, which provides a reservoir for the aqueous humor to drain and helps to regulate intraocular pressure. The bleb may be visible on the surface of the eye, and may require monitoring and management to prevent infections or other complications.

手術後,眼睛表面可能會形成一個小水泡,它為房水的排出提供了一個儲庫,並有助於調節眼內壓。水泡可能在眼睛表面可見,需要監測和管理以防止感染或其他併發症。

Minimally Invasive Glaucoma Surgery (MIGS) 微創青光眼手術

MIGS involves implanting a small device into the eye that bypasses the trabecular meshwork, which is the part of the eye that drains aqueous humor. By improving the outflow of aqueous humor, this procedure can help to reduce intraocular pressure and slow the progression of glaucoma. It is designed to be less invasive than traditional glaucoma surgeries, with the goal of reducing the risk of complications and improving recovery times.

微創青光眼手術會將一個小型裝置植入眼睛,繞過小梁網,即眼睛中排出房水的部分。通過改善房水的流出,該手術可以幫助降低眼內壓並減緩青光眼的進展。它比傳統的青光眼手術侵入性更小,目的是降低併發症的風險並縮短康復的時間。

©2022 by HKU Eye Centre

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