Implantace umělé čočky | OčníVady.cz

Implantace umělé čočky

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Implantovatelné čočky jsou jemné umělé čočky vyvinuté a uzpůsobené k trvalému umístění uvnitř oka. Čočky jsou vyrobeny tzv. biokompatibilního materiálu - což znamená, že jsou tělem dobře přijímány a nevyžadují žádnou péči či údržbu. Čočky jsou umístěny mezi rohovku a duhovku do přední komory oka na duhovku nebo mezi duhovku a vlastní čočku do zadní komory oka. Přirozená lidská oční čočka zůstává v operovaném oku plně zachována. Pro implantovatelné čočky se někdy používá také název fakické předněkomorové nitrooční čočky nebo nitrooční kontaktní čočky.




Možné komplikace

Riziko odchlípení sítnice (méně než 0,3%) U dalekozrakých pacientů je riziko odchlípení sítnice zanedbatelné. Krátkozrací lidé mají oči delší než je norma, což činí sítnici náchylnější k jejímu odchlípení. Přídavné riziko operace je extrémně malé. Nutností je pečlivé vyšetření sítnice před operací, které pomůže určit míru rizika u jednotlivých pacientů. V případě, že by k odchlípení sítnice skutečně došlo, je v naprosté většině případů při včasném zjištění diagnozy možná jeho účinná chirurgická náprava.

Endoftalmitida - infekční pooperační zánět (méně než 0,001%) Endoftalmitida je většinou prudký infekční nitrooční pooperační zánět. Mezi příznaky patří náhlé zhoršení vidění, stupňující se bolest oka, silné zčervenání oka, otok víček a spojivky. Později se může objevit i malátnost a horečka s třesavkou. Při podezření na endoftalmitidu je nutno ihned vyhledat očního lékaře. Endoftalmitida se léčí podáváním antibiotik a chirurgickým odstraněním zánětlivého výpotku oka.

Oválná zornice (0 až 5% dle typu čočky) U části pacientů může za několik měsíců až několik let po operaci dojít k určitému zneokrouhlení (oválnému tvaru) zorničky.

Ostatní komplikace (méně než 1 %) Vzácně může dojít v průběhu operace nebo v pooperačním období ke krvácení do nitra oka, zvýšení nitroočního tlaku, k otoku rohovky, k posunu implantované čočky. Komplikace jsou většinou dobře zvládnutelné podáváním léčiv či dalším zákrokem. Vzácně pacienti mohou udávat reflexy povrchu čočky.

VIDEO: Implementace umělé čočky

Zdroj obrázku: Freeimages.com

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