Treatment of myopia:
At present, wearing glasses is the most commonly used and best method to treat true myopia, including lens correction and contact lens. Myopia correction surgery includes corneal refractive surgery, intraocular refractive surgery, scleral refractive surgery and excimer laser surgery. , can be used when the age is above 18. People with high myopia can try tissue therapy, such as intramuscular injection of placental tissue fluid and bright eye injection.
Sequela of myopia surgery:
Generally, myopia surgery is relatively safe, but if patients do not pay attention after surgery or choose a medical institution that is not professional enough, it will easily lead to sequelae. The common postoperative sequelae are dry eye, keratitis, visual decline, corneal flap splitting caused by accidental collision after operation, keratoconus and so on. The way to avoid complications is to carry out strict preoperative examination, screen out the contraindications of operation and follow the doctor's advice after operation.
Detailed treatment of myopia:
1. Systemic therapy
People with high myopia can try tissue therapy, such as intramuscular injection of placental tissue fluid and bright eye injection.
operation
Corneal refractive surgery (1), such as excimer laser keratectomy, excimer laser in situ keratomileusis, corneal stromal ring implantation, etc.
(2) Intraocular refractive surgery, such as lens extraction and intraocular lens implantation, intraocular lens implantation in phakic eyes, etc.
(3) Scleral refractive surgery: Posterior scleral reinforcement is suitable for the early onset of high myopia and is expected to prevent the development of myopia.
(4) Excimer laser surgery:
1) indications: 18 years old or older. The diopter has been stable for nearly 2 years, and the development speed does not exceed 0.50 D per year. Correction diopter range: myopia ≤- 15.00D, astigmatism ≤ 6.00d ... anisometropia with different diopters. Contact lens wearers: Soft lenses should be stopped for more than 1 week, and hard lenses should be stopped for more than 3 weeks. Corneal thickness is more than 450 μ m, and there is no active eye disease in eye examination. The patient himself needs to take off the lens.
2) Contraindications: those with active inflammatory lesions in the eyes; Suffering from keratoconus, glaucoma, rabbit eye, dry eye, corneal endothelial degeneration and other ophthalmic diseases; Having experienced bleeding at the bottom of clothes and retinal detachment; Correct severe amblyopia with poor eyesight; Those with high myopia and large pupils; Drivers who often drive at night; Patients with scar constitution, diabetes, connective tissue disease and other diseases that affect corneal wound healing; Psychopaths and drug users.
Wear glasses to correct vision
At present, there are two most commonly used and best methods to treat true myopia: lens correction and contact lenses.
(1) Wearing frame glasses: It is the most traditional and safest way to correct myopia, that is, placing a moderate concave lens in front of the eyes, so that the parallel light will be dispersed before entering the eyes, and the experienced refractive system will just focus on the retina.
Before fitting glasses, a detailed refractive examination should be carried out. For adolescent myopia, refractive examination should be performed under the condition of ciliary muscle paralysis. /kloc-for those under 0/2 years old, it is best to use 1% atropine, and for those over 0/2 years old, use 2% atropine or rapid mydriatic agent to mydriatic optometry to eliminate the interference of pseudomyopia. The optician's principle is to choose the lens with the lowest degree that can correct the best vision, and at the same time pay attention to the accurate pupillary distance.
(2) Wear contact lenses: The advantages of contact lenses are small influence on imaging magnification, large field of vision and no influence on aesthetics. Rigid contact lenses with good air permeability can prevent the development of myopia in adolescents. In front of the cornea, the diopter used is lower than that of frame glasses. However, some individuals are uncomfortable to wear, such as corneal and conjunctival irritation, allergic conjunctivitis, dry eye and so on. Pay attention to cleanliness and hygiene when wearing; Avoid scratching the cornea and causing infection.
(3) Orthokeratology treatment lens: oxygen-permeable contact lens specially designed by aspheric surface inversion technology can reduce the ratio of the central area of cornea by compressing it, thus reducing the refractive power of cornea and correcting myopia. This function can be maintained for a period of time after taking off the lens, but it has no effect on preventing the development of myopia. Once you stop wearing it, go back immediately. If used improperly, serious complications may occur. Therefore, the indications and rules of use should be strictly controlled when using.
At present, the recommended screening principles are: ① myopia diopter ≤-3.00 d; ② Myopic astigmatism ≤ 1.50 D is regressive astigmatism; ③ The refractive power of cornea is 43.0-45.0 d; ③ Corrected vision > 0.8; ⑤ Partners over 7 years old; 6. Those who have worn contact lenses need to stop using them for more than 2 months; ⑦ No eye diseases, normal cornea.
4. Acupuncture treatment
(1) body acupuncture: selecting points to receive weeping and latent light; Four whites, shoulders in the middle; Head dimension, behind the ball; With bright eyes, the upper four groups of acupoints, one group of daily acupoints, are used in rotation.
(2) Ear acupuncture: Jin Fang (located at the junction of endocrine and subcortical), liver and kidney are the main acupoints; Eye, eye 1, eye 2 and pillow are matching points, and 3 ~ 4 points are selected at a time. Acupoints are pressed with Vaccaria seed, fixed with adhesive tape, and kept for 10d, and pressed several times a day. After resting for 2 days, a group of acupoints will be replaced.