pearls for implantable phakic contact lens (care group india) by dr suresh k pandey dr vidushi...

7/22/2019 Pearls for Implantable Phakic Contact Lens (Care Group India) by Dr Suresh k Pandey Dr Vidushi Sharma, SuVi Eye Institute Kota India

1/66

Dr Yldusbl XbmremED (MLLEX), IVHX (QK)

Dr Xurasb K ^m`dayEX (^GLEAV), MXI (QXM)

XQYL A\A L@XTLTQTA

KJTM, VMO, L@DLM^bj`a +


2/66

Xpahtrue ji Vairmhtlva XurgarlasVAIVMHTLYA XQVGAVLAX

HJV@AM FMXAD CA@TLHQCMV FMXAD HJEFL@AD(FLJ^TLHX)

-V.K.-^VK-CMXLK-A^LCMXLK

-CMXAK-Hj`duhtlvaKarmtjpcmsty-Hjr`amc

L`cmys m`drl`gs

-Hcamr Ca`saxtrmhtlj` ijreyjplm

-^bmklh LJC(L^HC)- ^racax HcamrCa`s Axtrmhtlj`wltb usa ji

Euctlijhmc LJCs

Hjefl`mtlj`ji tba twj


3/66

BLXTJV\ JI ^BMKLH LJCs ^lj`aars ji ^bmklh LJC Hbjyha, Xtrmepaccl,

Fmrrmquar hj`duhtad ilrst avar trlmcs usl`g MHrairmhtlva ca`sas tj hjrraht blgb eyjplm l` =s.

Fut dua tj u`mhhaptmfca hjepclhmtlj`s suhb ms cjss jihjr`amc a`djtbaclmc haccs, lrls mtrjpby, ^MX , tbasa

aspahlmccy tba m`gca suppjrtad ca`sas wara pbmsad jutji tba emrkat.

Dr Yldusbl & Dr Xurasb ^m`dayXuYl Aya L`stltuta, Kjtm ,L`dlm


4/66

BLXTJV\ JI ^BMKLH LJC Ilrst ejdac emda fy Iyjdjrjv l` =s

l` Vusslm ji m hjccmr futtj` hj`ilgurmtlj`.

Ilrst lepcm`t l` Aurjpa l` =


5/66

Typas ji ^bmklh LJCs M` l`trm-jhucmr ca`s ls pcmhad l`slda tba aya l`

irj`t ji tba pmtla`ts `mturmc ca`s. Tbasa mra mvmlcmfca l` tbraa typas

=. M`tarljr hbmefar m`gca ilxmtad LJC @uvltm (Fmushb& Cjef), Kacem` duat, L hmra (hjr`amc), Ylvmrta (Hlfm

vlslj`)6. Lrls suppjrtad pbmklh LJC Yarlsysa/ Mrtlsm`

(MEJ/Jpbtah)

8. ^cmta ca`s tbmt ilts fatwaa` tba lrls & tba hrystmccl`aca`s Xtmrr lepcm`tmfca hj`tmht ca`s (LHC), ^VC(Hlfm), m`d raha`tcy cmu`hbad L^HC (Hmra GrjupL`dlm)



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Mdvm`tmga ji ^jstarljr Hbmefar

^bmklh LJC (L^HC) Fabl`d tba lrls

Imr irje tba a`djtbaclue (AHD)

Axhacca`t hjseasls (l`vlslfca tj tba aya)

Hcjsa tj tba @jdmc pjl`ts ji tba aya Gml` l` ratl`mc slza lemga

Gramtar aiiahtlva Jptlhmc _jà (mt tba hjràmc pcmà)

Xuchus cjhmtad

Xtmfca cjhmtlj` (mccjws ijr Tjrlh daslg` wltb smea pcmtijre)

Amsy raejvmfca /axhbm`gmfca @j ilxmtlj`s l`tj tlssuas (lrls)

Djas `jt mctar sbmpa/raejva tlssua (hjràmc fmsad prjhaduras)



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Wbmt Ls L^HC:L^HC ls sl`gca plaha pjstarljr hbmefar pbmklhLJC, wblhb hm` fa l`sartad l`tj tba aya tbrjugbsuf 6.2ee l`hlslj`.Tba ca`s ls hustjelzad mhhjrdl`g tj sbmpa m`d slza ji

amhb ayaWldast pjwar hjrrahtlj` rm`ga irje +=>D tj -61Dwltb hycl`dar up tj 2DEmda irje m Byfrld Mhryclh emtarlmc tj a`sura cj`g

tare parijrem`ha.=>>% vagatmrlm` Ca`s `j pjrhl`a hjccmear l`slda



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L^HC


9/66

L`dlhmtlj`s ijr L^HC Mga mfjva =2 yamrs

Xtmfca rairmhtlj` ijr j`a yamr

^mtla`ts `jt sultmfca ijr CMXLK/CMXAK dua tj blgbpjwars jr tbl` hjr`ams

MH daptb 6.2> ee

A`djtbaclmc hju`t 06>>>haccs/huee @j jtbar jhucmr pmtbjcjgy



10/66

L^HC? M` Jptlj` wbara CMXLK ls `jt

Iamslfca CMXLK LX @JT L@DLHMTAD

WBA@

HHT suhb tbmt el`leue smia

fad tblhkàss ls `jt cait(61>-67>).^jst jp Hjràmctblhkàss sbjucd `jt fa34=>.

^jstjp Hjràm `jt tjj icmt jrstaap.389D jr04


11/66

Hj`trml`dlhmtlj`s ji L^HC

Eyjplm jtbar tbm` mxlmc eyjplm Hjràmc dystrjpby/ A`djtbaclmc hacc hju`t

36>>>haccs/hu ee M`tarljr hbmefar daptb cass tbm` 6.2 ee

Blstjry ji uvaltls ^rasa`ha ji m`tarljr/pjstarljr syàhblma Gcmuhjem jr LJ^ blgbar tbm` 6> eeBg Avlda`ha ji ùhcamr shcarjsls jr davacjpl`g

hmtmrmht ârsj`mc jr imelcy blstjry ji ratl`mc datmhbea`t Dlmfatas eaccltus



12/66

^ra-jp mssassea`t ijr L^HC Vairmhtlj` Jfoahtlva & sufoahtlva mhhaptm`ha mt=6ee vartax dlstm`ha

M`tarljr hbmefar daptb (MHD) irje hjr`amc

a`djtbaclue M`tarljr & pjstarljr sagea`t axmel`mtlj`s

K-ramdl`g & Tjpjgrmpby

L`trm-jhucmr prassura

Wblta tj wblta eamsuraea`t Xpahucmr elhrjshjpy (li pjsslfca)



13/66

L@DLHMTLJ@X IJV L^HC L`dlhmtlj` l`

Eyjplm

Eyjplm ji -8 tj -61 Dljptras Mstlgetlse up tj 9 Dljptras

Tbl` Hjr`ams

Byparjplm

^rasfyjplm (Euctlijhmc L^HC)


14/66

Eamsuraea`t ji wblta tj wblta dlmeatar

(Hcamr Hjr`am tj Hcamr Hjr`am)

Qsl`g Jrfshm`, QFE jr dlgltmc hmclpars

Mdd >.1 ee tj bjrlzj`tmc WW eamsuraea`t ijr L^HC

jvarmcc ca`gtb L^HC tjj sbjrt ca`s vmuct cass, axpjsas tj rlsk ji

M`tarljr hmpsucmr hmtmrmht

L^HC tjj cj`g ca`s vmuct axhaads m`gca hrjwdl`g

hcjsad m`gca gcmuhjem



15/66

Wblta-Tj-Wblta Eamsuraea`t Qsl`g

Hmclpars



16/66

Eamsuraea`ts ji tba Wblta-tj-wblta dlstm`ha usl`g mhmclpar bms faa` prjva` tj fa m slepca fut raclmfcaeatbjd.

^camsa wmthb tba ijccjwl`g pjl`ts?

Emka sura tbmt tba hmclpar ls wacc hmclfrmtad.

^ra-tramt tba aya wltb m`mastbatlh drjps

Tmka tba eamsuraea`t u`dar tba elhrjshjpawltb tba pmtla`t l` tba supl`a pjsltlj`

Vamd tba hmclpar eamsura j` m rucar

Wblta-Tj-Wblta wltb hmclpars



17/66

Qsa Jrfshm` tj vmcldmta hmclpar eamsuraea`t?

Mutjemtad & Emùmc? Aya Eatrlhs Tjjc Li yju usa tba LJC-Emstar jr slelcmr emka sura yju vmcldmta

tba jutputs?

sjea rapjrts ji LJC-Emstars jvarastlemtlj` ji tba

wtw Fa hmraiuc wltb ptaryglue, plgea`tad mram mrju`d tba

hjràm ath.

Avmcumta dlshrapm`hlas fatwaa` eamsurl`g davlhas m`dfatwaa` ayas?

fjtb ayas sbjucd bmva mfjut tba smea wtw

âmrcs? Wblta-Tj-Wblta



18/66

L^HC m`d Xlzl`gLdamc slzad L^HC wlcc prjvlda m vmuct (ha`trmc dlstm`hafatwaa` m`tarljr surimha ji tba hrystmccl`a ca`s m`dpjstarljr surimha ji tba L^HC) wltbl` m rm`ga ji >.61> tj>.71> ee ( HT tj = & HT) .

M` u`darslzad L^HC (cass tbm` >.=61 ee vmuct) emyl`hramsa tba rlsk ji m`tarljr sufhmpsucmr jpmhlilhmtlj`.

M` jvarslzad L^HC (ejra tbm` = ee vmuct) emy pusb tbalrls ijrwmrd m`d hcjsa tba m`gcas wblhb hjucd camd tj LJ^rlsa m`d Lrls emciu`htlj`.



19/66

Li tba L^HC ls prjparcy slzad (WtW & MHD mra hrltlhmc)

m sapmrmtlj` wlcc axlst fatwaa` tba pjst surimha ji tb

L^HC m`d tba m`t suimha ji tba buem` ca`s.

Wa usa tba tare - Ymuct tj raiar tj tbls spmha

L^HC m`d Xlzl`g? Ymuct



20/66

L^HC l`slda tba Aya



21/66

L^HC Ymuct



22/66

L^HC Ymuct



23/66

L^HC LE^CM@TMTLJ@

^VA-J^AVTLYA ^VA^MVTLJ@



24/66

^arlpbarmc Lrldjtjelas (\MG ^Ls) J`a tj twj waaks pra-jp parijre ^Ls

^rjvldas m` jutcat ijr mquajus icjw

mrju`d tba ca`s

==?>> =?8>



25/66

^arlpbarmc Lrldjtjelas

(^Ls)Tba ^Ls eust fa cmrga & pmta`t? mt camst >.2tj = ee l` dlmeatar

Cjhmtlj`? =>.8> jhcjhk m`d =.8> jhcjhk, jr( ) mpmrt l` tba suparljr lrls

L`mdaqumta ^Ls hm` hmusa amrcy pjst-jphjepclhmtlj`s (LJ^ rlsa, pup fcjhk)



26/66

Dlcmtmtlj`- Leeadlmta ^ra-JpEl`leue 2 ee dlcmtlj`. Mvjld Hyhcjpa`tjcmta.

^ra-tramt? Trjplhmelda, ^ba`cyapbrl`a m`d @XMLD

Fjrdarcl`a slzaWacc dlcmtad puplc



27/66

Tjplhmc Màstbaslm- Leeadlmta ^ra-

Jparmtlva Tjplhmc Màstbatlh

par rjutlà

LY/^J Xadmtlj`

ms àhassmry



28/66

Leeadlmta ^ra-Jparmtlva Hmtmrmht prap m`d drmpa

@jremc starlca tahb`lqua



29/66

Tba L^HC ls lòahtad tbrjugb tbalòahtjrs

Tba L^HC hmrtrldga raqulras m6.2ee l`hlslj`

Tba L^HC Lòahtlj` Xystae (Hmra

Grjup L`dlm)



30/66

Tba L^HC ls emrkad tj

a`sura prjpar Jrla`tmtlj`

l` tba aya ms lt u`ijcds

Cjmdl`g tba L^HCBjca j` Cait Xlda (Camdl`g Bmptlh)



31/66

Jfsarva tba L^HC ijr

prjpar jrla`tmtlj` l`

tba hmrtrldga

Cjmdl`g tba L^HC



32/66

Xurglhmc Tahb`lqua



33/66

L^HC ^VA^MVMTLJ@ Xtap =. Jpa` tba Hmrtrldga m`d Lòahtjrilcc tba Hmrtrlga

wltb BÊH

Xtap LL. Jpa` tba L^HC Hj`tmlàr

Xtap LL. Ga`tcy Bjcd tba L^HC wltb Eh^barsj` Ijrhapsàmr bmptlhs

Xtap LLL? Hbahk tba Jrla`tmtlj` ji L^HC (Bjca mt Cait

Xlda, 6 bjcas suparljrcy) Xtap LY? ^cmha tba L^HC l` tba Hmrtrldga

Xtap Y? ût tba Hmrtrldga l` lòahtjr



34/66

Xurglhmc Tahb`lqua ji L^HC

- Twj ^mrmha`tasls

- Ylshjacmstlh lòahtlj`

- Taepjrmc, hcamr hjràmc l`hlslj`

- Lòahtlj` ji L^HC- Lòahtlj` ji vlshjacmstlh j` tjp ji L^HC

- ^jsltlj`l`g ji L^HC fabl`d lrls

- Lrrlgmtlj` (m`d msplrmtlj`) ji vlshjacmstlh

- (Hj`strlhtlj` ji puplc)

- 6-4 bjurs pjst-jp hbahk



35/66

L^HC Xurglhmc Tahb`lqua

Vaeaefar tbmt yju bmva mcwmys raejvad tba

hrystmccl`a ca`s @jw yju mra prasarvl`g tbahrystmccl`a ca`s...

@jtbl`g ejra tbm` m sarlas ji staps yju mramcramdy hjeijrtmfca wltb

Axahutlj` ji amhb stap ls ejra hrltlhmc



36/66

^mrmha`tasls ijr L^HC

Hmraiuccy emka twj pmrmha`tasls dagraas mwmy irje tba eml` l`hlslj`

Vaeaefar tbmt ls dliilhuct tj emka mpmrmha`tasls mitar tba eml` l`hlslj`



37/66

Lòaht 6% BÊH typa vlshjacmstlh

Eml`tml` vlslfca hbml`s

Dj `jt jvarilcc

Lòaht Ylshjacmstlh (6% BÊH)



38/66

Hcamr Hjr`amc L`hlslj`

Xcjw, hj`trjccad a`try

Qsa k`lia tbmt yju mra

hjeijrtmfca wltb


L^HC L o l


39/66

^cmha hmrtrldga oust l`sldal`hlslj`

L`oaht scjwcy u`tlc tba camdl`g

cait cm`demrk ls vlslfca

L^HCL`oahtlj`

Camdl`g Cait Cm`demrk (CCC)



40/66

Dj `jt iuccy l`oaht tba L^HC u`tlc yjuvlsumclza tba cm`demrks

\ju stlcc bmva hj`trjc ms cj`g ms tba L^HCraeml`s l` tba hmrtrldga

L^HC L`oahtlj`



41/66

Wbmt li tbls L^HC u`ijcdad wltb tba cm`demrk

j` tba Vlgbt:

Qpslda djw` L^HC

WMLT, WMLT, WMLT

L^HC L`oahtlj` (Bjw tj Lda`tliy

Qpslda Djw` pjsltlj`:



42/66

- ^ut vlshjacmstlh j` tjp ji tba ca`s tj glva yjursaci ejra rjje - Em`lpucmta l` tba parlpbary vlm tba pmrmha`tasls

- Dj tba dlstmc bmptlhs ilrst wblca tba puplc ls emxleue dlcmtad

- Mvjld gjl`g mhrjss tba ha`trmc ca`s

- Em`lpucmta j` tba fjdy ji tba L^HC, mvjld tba jptlh

Em`lpucmtl`g tba Bmptlhs



43/66


44/66

Hj`strlht ^uplc wltb ^lcjhmrpl`a

Emka sura

ijjtpcmtas mrafabl`d Lrls



45/66

Li yju praiar, yju hm` camva tbapuplc dlcmtad tj mccjw mquajus m`dpjsslfcy raeml`l`g vlshjacmstlh tj

pmss l` irj`t ji tba L^HC.



46/66

6 bjur pjst-jp axme LJ^ hbahk usa hmutlj` li LJ^ 0 64 eeBg jr => eeBg blgbar tbm` pra-jp

LJ^ Acavmtlj` - Vatml`ad Ylshjacmstlh furp m`d rahbahk

- @j`-pmta`t Lrldjtjelas fmhk tj tba \mg cmsar

Hbahk ^Ls MHD sbjucd cjjk daap

Hbahk L^HC vmuct

cjw vmuct ls hjeej` mt 6 m`d 64 bjur hbahk



47/66

^jst-jp Eadlhmtlj`

Ijccjw yjur `jremc hmtmrmht rjutl`a

M`tlfljtlh 8-4x / dmy ijr j`a waak

Xtarjlds jr @XMLD 8-4x / dmy ijr 6 waaks (tmpar listarjlds)

Xystaelh Mhatmzjcmelda ijr 8 dmys


L^HC Cjmdl`g


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L^HC Cjmdl`g



49/66



50/66

YLDAJ JI L^HC bttp?//www.yjutufa.hje/wmthb:v5GeyEkyM


51/66

YLDAJ JI TJVLH L^HC bttp?//www.yjutufa.hje/wmthb:v5G^Cyiu^wifg



52/66

YLDAJ JI TJVLH L^HCbttp?//www.yjutufa.hje/wmthb:v5rctBvO8p`fs

http://www.youtube.com/watch?v=rltHvJ3pnbshttp://www.youtube.com/watch?v=rltHvJ3pnbs


53/66

Tjrlh L^HC Emrkl`g j` Xclt cmep



54/66

@jta tba Emrkl`g j` Hjr`am



55/66

Mxls Emrkl`g durl`g Xurgary (>-=2>

Dagraa)



56/66

Dr Yldusbl & Dr Xurasb ^m`dayXuYl Aya L`stltuta, Kjtm ,L`dlmDr Yldusbl & Dr Xurasb ^m`day


57/66



58/66



59/66

Il`mc Mclg`ea`t ji Tjrlh L^HC



60/66

VAHA@T MDYM@HAX L@ L^HC XL_L@GWltb tba mdvm`haea`ts l` m`tarljr sagea`t lemgl`g ,

uctrmsj`lh fljelhrjshjpy , Jptlhmc hjbara`hatjejgrmpby m`d Xhbalepicug legl`g ,vmcumfca

l`ijremtlj` ls `jw prjvldad mfjut m`tarljr sagea`tm`mtjey ijr pbmklh L`trmjhucmr ca`sas(L^HC) ijrhjrrahtlj` ji ejdarmta tj blgb rairmhtlva arrjrs.



61/66

Mdvm`tmgas ji L^HC Tba prjhadura ls ravarslfca u`clka CMXLK

Tba qumclty ji vlslj` ls usumccy fattar

Lt hramtas m semcc hjr`amc l`hlslj` sj mstlgemtlse lsel`leue

Hjr`amc tlssua ls `jt raejvad ,ba`ha mdaqumta tamrcmyar

Vaduhtlj` ji rlsk ji jptlhmc dlstjrtlj`s m` blgbar jrdarmfarrmtlj`s



62/66

Hjepclhmtlj`s ji L^HC L^HC daha`trmtlj`

^uplccmry fcjhk

^lgea`t dlsparslj`

Xufhmpsucmr hmtmrmht

^jta`tlmccy a`djpbtbmceltls

Dr Yldusbl & Dr Xurasb ^m`day


63/66

Mdvm`tmgas ji pbmklh LJCs jvar cmsar

hjrrahtlva prjhaduras M blgbar rm`ga ji rairmhtlva arrjrs hm` fa hjrrahtad Vavarslfca? ^bmklh LJC lepcm`tmtlj` ls m pjta`tlmccy

ravarslfca prjhadura Xmia? @j struhturmc hbm`gas mra l`duhad. Ba`ha lt ls smia l`

m`y aya wltb blgb arrjr & mcsj tbl` hjr`ams. Fattar qumclty ji vlslj`? ]umclty ji vlslj` (hj`trmst

sa`sltlvlty) ls fattar tbm` tba cmsar rairmhtlva prjhaduras l`ayas wltb blgbar rairmhtlva arrjrs m`d `j l`duhad blgbarjrdar mfarrmtlj`s. Tbara ls mcsj m hj`sldarmfca

leprjvaea`t l` FYHM wltb tbasa ca`sas fahmusa ji tbaemg`lilhmtlj` aiiaht.

Blgbcy sklccad prjhadura? ^rava`ts elsusa ji tbaprjhadura.



64/66

Fljptlhs Fljptlhs ls m hjefl`mtlj` ji pbmklh LJC m`d CMXLK.

Fljptlhs ls dj`a ijr tba hjrrahtlj` ji tba rasldumc

spbarjhycl`drlhmc pjwar wba` m spbarlhmc lepcm`t lsusad.



65/66

VK? Xtmrtad l` =


66/66

Dr Yldusbl XbmremED (MLLEX), IVHX (QK)

Dr Xurasb K ^m`dayEX (^GLEAV), MXI (QXM)

XQYL A\A L@XTLTQTA

KJTM, VMO, L@DLM^bj`a +

pearls for implantable phakic contact lens (care group india) by dr suresh k pandey dr vidushi...

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