Metode korekcije kratkovidnosti

master's thesis

• Title (english): Methods of myopia correction
• Author: Robert Tomljenović
• Mentor: Smiljka Popović-Suić (mentor)
• Committee member: Tomislav Kuzman (predsjednik povjerenstva)
• Committee member: Miro Kalauz (član povjerenstva)
• Committee member: Smiljka Popović-Suić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Ophthalmology and Optometry); Zagreb
• Defense date and country: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Ophthalmology

Abstract

Refrakcijske greške ili optičke anomalije oka najčešća su stanja koja se susreću u oftalmološkoj praksi. Incidencija kratkovidnosti progresivno se povećava od predškolske dobi i doseže svoj vrhunac oko 9.-12. godine života. Prevalencija kratkovidnosti stabilizira se u ranoj odrasloj dobi, a tijekom srednje dobi postupno pada. Ovo stanje zahvaća do 70 % adolescenata u svijetu i prema nekim procjenama visoka kratkovidnost zauzima 4.-7.mjesto kao uzrok sljepoće u razvijenom svijetu. Metode korekcije refrakcijskih grešaka obuhvaćaju nekoliko različitih procedura koje se razlikuju po uspješnosti liječenja, cijeni i kompliciranosti izvođenja a dijelimo ih na konzervativne i kirurške. Konzervativne metode su najjednostavnije i odnose se na naočale, kontaktne leće te danas sve manje korištenu ortokeratologiju. U kirurške metode ubrajamo keratorefrakcijskukirurgiju i danas sve češće korištenu metodu ugradnje fakičnih intraokularnih leća u prednju, odnosno stražnju očnu sobicu. Minimalna dob za kirurške metode je 18 godina. Keratorefrakcijska kirurgija idealna je za mlađe pacijente čija rožnica zadovoljava određene kriterije kao što su minimalna debljina od 400 mikrona, prozirnost i odsutnost aktivnih očnih bolesti. Fakične intraokularne leće idealne su kod pacijenata sa visokom ametropijom u usporedbi s laserskom korekcijom vida zato jer imaju: visoku prediktivnost i kod visoke ametropije, daju stabilnu refrakciju te je nakon njihove ugradnje kod mladih ljudi sačuvana akomodacija te su vezane uz poboljšanje najbolje korigirane vidne oštrine na daljinu.

Abstract (english)

Refractive errors or optical eye anomalies are the most commonly occurring condition in ophthalmic practice. The incidence of myopia progressively increases from pre-school age and reaches its peak around the 9-12th year life. The prevalence of myopia is stabilized at early adulthood and gradually decreases over middle age. This condition affects 70% of the adolescents in the world and according to some estimates, high myopia occupies the 4th to 7th places as the cause of blindness in the developed world. The methods of correcting refractive errors include several different procedures that differ in performance, cost and complexity of performance, and are divided into conservative and surgical. Conservative methods are the simplest and relate to glasses, contact lenses and today not that common orthokeratology. Surgical methods include keratorefractive surgery, and today more often used method of implanting phakic intraocular lenses in the anteror or posterior eye chamber. The minimum age for surgical methods is 18 years. Keratorefractive surgery is ideal for young patients who meet certain criteria such as a minimum corneal thickness of 400 microns, transparency and absence of active ocular diseases. For patients with high ametropia phakic intraocular lenses are ideal compared to laser eye correction because they have high predictivity at high ametropia, provide stable refraction and after their implantation in young people they are associated with the improvement of the best corrected visual acuity at distance.

• Keywords: kratkovidnost; konzervativne metode; keratorefrakcijska kirurgija; ICL leće
• Keywords (english): nearsightedness; conservative methods; keratorefractive surgery; ICL lenses
• Language: croatian
• URN:NBN: urn:nbn:hr:105:797781
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-01-08 09:23:04