Title KONTAKTNE LEĆE U OFTALMOLOGIJI
Title (english) CONTACT LENSES IN OPHTHALMOLOGY
Author Dora Brijačak
Mentor Goran Pelčić (mentor)
Committee member Tea Čaljkušić-Mance (predsjednik povjerenstva)
Committee member Gordana Pelčić (član povjerenstva)
Committee member Ivana Marić (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Ophthalmology) Rijeka
Defense date and country 2022-07-15, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Ophthalmology
Abstract Kontaktne leće su vrlo lagane i tanke, izrađene od plastike, postavljaju se na rožnicu ili rožnicu i bjeloočnicu. Kontaktnim lećama se postiže bolja vidna oštrina. Nema sferne ili kromatske aberacije kao s naočalama visokih dioptrija. Zbog toga što kontaktne leće prate oko, vid je podjednako oštar u svim smjerovima za razliku od korekcijskih naočala. Od dijagnostike primjenjujemo keratometriju, fitting i fluorescenski test. Tri su vrste kontaktnih leća s obzirom na dio oka koji pokrivaju, tvrde, plino propusne i meke leće. Tvrde kontaktne leće izrađene su od PMMA (polymethymethacrylat), nepropusne su za kisik i hidrofobne su. Primjenjuju se vrlo rijetko, ali apsolutna indikacija im je keratokonus. Krute plin propusne (RGP) leće tolerantnije su i udobnije od PMMA leća. Propusne su za kisik čime su ujedno puno pogodnije za pacijenta. Koriste se kod velikog astigmatizma. Meke leće su napravljene od raznih polimera, najčešće hydroksiethilmethacrylat. Propisuju se bolesnicima koji ne podnose tvrde leće, u nistagmusu, i kod bolesnika gdje je potrebna brza adaptacija. Kontraindikacije za nošenje kontaktnih leća su bakterijama ili virusnima očne infekcije. Glavni klinički oblici infekcija oka konjunktivitis je lokalizacija (66,7% svih bolesnika s upalnim bolestima oka) i blefaritis (23,3%), rijetko viđen keratitis. Komplikacije nošenja kontaktnih leća su blokada dovoda kisika u oči, suhe oči, iritacije, smanjen refleks rožnice, abrazija rožnice, konjuktivitis, ptoza i ulkus rožnice.
Abstract (english) Contact lenses are very light and thin, made of plastic, placed on the cornea or cornea and sclera. Contact lenses achieve better visual acuity. There is no spherical or chromatic aberration as with high diopter glasses. Because contact lenses follow the eye, vision is equally sharp in all directions as opposed to corrective glasses. From diagnostics we apply keratometry, fitting and fluorescence test. There are three types of contact lenses with respect to the part of the eye that covers, hard, gas permeable and soft lenses. Hard contact lenses are made of PMMA (polymethylmethacrylate), are oxygen impermeable and hydrophobic. They are used very rarely, but their absolute indication is keratoconus. Rigid gas permeable (RGP) lenses are more tolerant and comfortable than PMMA lenses. They are oxygen permeable, making them much more convenient for the patient. They are used for severe astigmatism. Soft lenses are made of various polymers, most commonly hydroxyethyl methacrylate. They are prescribed to patients who do not tolerate hard lenses, in nystagmus, and in patients where rapid adaptation is required. Contraindications to wearing contact lenses are bacteria or viral eye infections. The main clinical forms of eye infections conjunctivitis are localization (66.7% of all patients with inflammatory eye diseases) and blepharitis (23.3%), rarely seen keratitis. Complications of wearing contact lenses are blockage of oxygen supply to the eyes, dry eyes, irritation, decreased corneal reflex, corneal abrasion, conjunctivitis, ptosis, and corneal ulcer.
Keywords
kontaktne leće
keratometrija
fitting
Fluoresceinski test
Tvrde kontaktne leće
plin propusne (RGP) leće
Meke kontaktne leće
Keratokonus
Astigmatizam
Anizometropija
Afakija
Pseudofakija
Prezbiopija
Language croatian
URN:NBN urn:nbn:hr:184:777764
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
Terms of use
Created on 2022-06-29 13:58:32