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(青年時報)放下手機吧別 以為這些眼病遠在天邊
作者:佚名    文章來源:本站原創    點擊數:    更新時間:2019/6/4

19歲少女在火車上用手機連看兩天劇 眼前突然出現黑影

  黃斑病變不可逆 健康用眼才能防患未然

  □時報記者 潘潔 通訊員 湯婕

  在火車上連續玩了兩天手機,小夢發現自己眼前出現了一塊黑影,到醫院一檢查,結果被告知得了黃斑病變。盡管就診及時,病情可以得到一定的改善,但眼前的黑影卻將伴隨小夢終身。目前小夢仍在接受治療中。

  眼前中間出現了黑影

  小夢今年19歲,廣西人。上周,她乘坐火車,來到杭州旅游。在平時,小夢癡迷于手機里的世界,不管是走路還是吃飯,都捧著手機玩。這次一路過來,小夢更是全程靠手機打發時間,無時不刻不抱手機在看劇。躺著看、靠著看、趴著看,結果短短兩天后,她突然發現自己眼前正中的地方出現了一塊黑影。

  到了杭州,小夢趕緊到了浙江省中山醫院眼科檢查。眼科主任醫師張亞琴通過給小夢做OCT檢查、眼底照相發現,她的左眼黃斑區感光帶細胞缺損,中心視力下降。

  “‘黃斑’并不是‘斑’,它是眼底視網膜上一個正常的生理區域,集中了大量的視功能細胞。黃斑位于視網膜的中心,是眼后部的感光組織。”張亞琴說。她提到,黃斑是決定視功能的重要部位,負責識別形狀、大小、顏色、縱深、距離等大多數光學信號。若其出現異常,就會出現視力下降、眼前黑影或視物變形等病狀;黃斑的任何病變,如水腫、出血,都會影響成像。

  要避免不良的用眼習慣

  “黃斑區感光細胞的損傷基本是不可逆的,像小夢,盡管來得及時,病情可以稍微得到一定的改善,比如黑影顏色稍微淡一點,但黑影無法完全祛除,將伴隨終身。”張亞琴惋惜地說。

  張亞琴提到,我們的眼睛就像一部相機,相片要想照得好,鏡頭和底片的質量很關鍵。只有光線通過鏡頭清晰地成像在底片上,才能完美地呈現事物。眼睛的角膜和晶狀體就相當于鏡頭,視網膜就相當于底片。

  “導致小夢出現黃斑病變的原因主要是因為長時間使用電子產品,但實際上,手機等電子產品并不是導致黃斑病變的原因,不良的用眼習慣才是。”因此,張亞琴提醒市民,要避免不良的用眼習慣,尤其是發育中的青少年:不要在黑暗中長時間看手機、平板電腦等液晶屏設備;不要在光線太強或太暗的地方,以及車、船、飛機上看書、看屏幕、寫字;注意用眼衛生,每間隔半小時,應適當休息放松眼睛;高度近視患者應每年定期檢查眼底。

  張亞琴也強調,市民如果出現視力下降、視物變形、眼前固定黑影遮擋等不適,應盡早就診,避免疾病進一步發展。

  要積極預防老年黃斑變性

  除了用眼不當導致黃斑病變,隨著年齡增長,我們的視網膜組織會慢慢退化、變薄,引起黃斑功能下降,從而引發年齡相關性黃斑變性,又稱老年性黃斑變性。由其引起的中心視力的急劇下降會嚴重我們的日常生活,最終可導致失明。

  據統計,我國50歲以上的人群中,有16%患有老年性黃斑,且隨著年齡的增加,患病率會越來越高。

  黃斑退化主要是黃斑區域視網膜結構的衰退性改變,與炎癥反應、過度的日光照射、遺傳和環境因素等都有關系。年齡增長被認為是導致老年性黃斑變性最重要的危險因素,而另外,吸煙、高血壓和高膽固醇等也是不可忽視的重要危險因素。

  醫囑:張亞琴提醒市民,日常要積極預防:戒煙或避免吸入二手煙;穩定控制血壓在正常水平;減少高膽固醇食物的攝取;防止暴曬;服用抗氧化劑、維生素和礦物質補充劑;定期到正規的眼科醫院進行眼底檢查。

  視力突然下降,小伙參軍夢碎 一查發現是圓錐角膜病

  當心這種沉默的視力“殺手”

  □時報首席記者 紀含羽 通訊員 宋黎勝

  “圓錐角膜?根本沒聽說過這種眼病,聽醫生說嚴重的情況甚至得角膜移植啊!”昨天,小張的父親從浙江省人民醫院眼科診室出來,聽聞兒子得的是“圓錐角膜”,嚇得不輕。

  想當兵的小伙被潑了冷水

  家住杭州臨安區的小張今年18歲,從小就向往軍營生活。眼看已到入伍的年齡,最近家人卻發現他眼睛近視了。“一定是手機玩的太多了。”父親帶小張來到浙江省人民醫院眼科,準備做近視激光手術。

  “200多度的近視,做近視激光一般應該沒啥問題。”可就在術前的詳細檢查中,浙江省人民醫院眼科近視激光中心的趙海嵐副主任醫師發現了異常:在小張角膜的“地形圖”上出現了一團紅色。趙海嵐告訴小張,這提示他的眼球“鼓包”了。

  “角膜有一個地方局部變薄,因此有了輕微的向外隆起。因為你還是早期,所以自己還感覺不到。若沒有及時發現,就會近視散光加深,戴了眼鏡還是矯正不了,會視物模糊、流淚,發展到晚期會因為局部變薄的角膜穿孔致盲。”趙海嵐說。最終,小張被診斷患有圓錐角膜病。

  “每年在做近視激光手術術前檢查時,被查出圓錐角膜的病人總能碰上好幾例。而患有這個病,則是近視激光手術的禁忌癥。”趙海嵐補充道。

  柳絮滿天飛的時候就有信號

  追問病史,小張還是位過敏性結膜炎患者,每年柳絮飄飛的季節,就是他眼紅眼癢痛苦不堪的日子,前陣子柳絮滿天飛的時候,小張就受了不少罪。趙海嵐介紹,圓錐角膜疾病發病原因目前尚未明確,可能與遺傳等因素有關。專家們發現,圓錐角膜病往往在近視并伴過敏性結膜炎的患者中發病率較高,因此在春夏交替、柳絮飄揚的日子里,這些病人會明顯不適。

  聽了醫生告知,小張和父親嚇得不輕。“兵哥哥”夢肯定實現不了,但這病該怎么治呢?趙海嵐安慰父子倆,因發現及時,病情處在早期,現在還可以用佩戴RGP硬性角膜接觸鏡的方法來穩定病情,但需定期復查,也可以考慮做角膜交聯手術。

  視力下降明顯當心患上圓錐角膜

  浙江省人民醫院眼科主任吳苗琴教授說,圓錐角膜是以角膜擴張、中央變薄向前突出,呈圓錐形為特征的一種眼病,被稱為青少年視力的“隱形殺手”。相比致盲“大戶”白內障,圓錐角膜屬小眾,但也是個“狠角色”。對于普通人來說,由于其鮮為人知,悄無聲息地就偷走視力。同時一旦失明,需要做角膜移植,而角膜供體獲得則十分困難。

  圓錐角膜主要表現為視力進行性下降,早期癥狀不明顯,所以該病早期非常容易被忽略而導致漏診,發現時往往已經處于中晚期,導致視力不可逆性損害,最終角膜穿孔,甚至失明。因此,近視度數進展加快、散光度數較大的青少年最好能篩查一下有無圓錐角膜。

  醫囑:6月6日是全國愛眼日。目前我國青少年屈光不正問題日蓋突出,視力不良率居高不下,近視高發低齡化趨勢明顯。在近視防控方面,吳苗琴教授建議,讓孩子們有足夠的陽光下的戶外運動,有良好的用眼習慣,科學矯治屈光不正。同時也呼吁家長重視近視帶來的危害,定期帶孩子上正規醫院檢查,關注和近視相關的疾病,比如圓錐角膜、近視眼底病變等,早發現早治療。

文章錄入:外聯    責任編輯:外聯 

浙江中醫藥大學附屬第三醫院 地 址:杭州市莫干山路219號(莫干山院區)/杭州市慶春路23號(慶春院區) 管理登錄 醫院辦公網(院外)
電話:0571-88393542(莫干山路院區)/87238121(慶春路院區) 浙江名中醫館0571-87238010 浙ICP備14003135號-2

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