{"id":2277,"date":"2013-10-16T16:48:06","date_gmt":"2013-10-16T14:48:06","guid":{"rendered":"http:\/\/slovaklinesmagazin.sk\/cms\/?p=2277"},"modified":"2013-10-16T16:48:06","modified_gmt":"2013-10-16T14:48:06","slug":"oci-na-cestach","status":"publish","type":"post","link":"https:\/\/www.slovaklinesmagazin.sk\/cms\/2013\/10\/oci-na-cestach\/","title":{"rendered":"O\u010di na cest\u00e1ch"},"content":{"rendered":"

Na Slovensko prin\u00e1\u0161a nov\u00e9 svetov\u00e9 opera\u010dn\u00e9 postupy. Ako prv\u00fd slovensk\u00fd o\u010dn\u00fd chirurg vykon\u00e1va laserov\u00e9 oper\u00e1cie a oper\u00e1cie siv\u00e9ho z\u00e1kalu \u0161etrn\u00fdm femtosekundov\u00fdm laserom. \u201eNov\u00e9\u201c o\u010di maj\u00fa pod\u013ea neho z\u00e1zra\u010dn\u00fa moc. Zo \u0161edej my\u0161ky vyk\u00fazlia kr\u00e1snu hrd\u00fa \u017eenu, ktor\u00fa \u00faplne inak vn\u00edma aj jej okolie. Zbo\u017e\u0148uje vzdialen\u00e9 nedotknut\u00e9 k\u00faty plan\u00e9ty. Aby sa na v\u00fdprav\u00e1ch c\u00edtil slobodne, s\u00e1m podst\u00fapil laserov\u00fd z\u00e1krok, ktor\u00fd pon\u00faka svojim pacientom. Prim\u00e1r bratislavskej O\u010dnej kliniky NeoV\u00edzia, MUDr. Radovan Piovar\u010di.<\/span><\/p>\n

 <\/p>\n

V\u0161\u00edmate si na \u013eu\u010foch ako prv\u00e9 o\u010di?<\/strong><\/p>\n

\u00c1no, trp\u00edm profesion\u00e1lnou \u201edeform\u00e1ciou\u201c. V\u0161\u00edmam si ka\u017ed\u00fa jazvi\u010dku, nerovnos\u0165, hustotu a kvalitu rias. V priebehu p\u00e1r sek\u00fand zhodnot\u00edm stav a uzavriem ho do diagn\u00f3zy. Napr\u00edklad, vypadan\u00e9 mihalnice m\u00f4\u017eu znamena\u0165 chronick\u00fd z\u00e1pal okraja vie\u010dok alebo alergie. Opuch vie\u010dok b\u00fdva n\u00e1sledok probl\u00e9mov s obli\u010dkami \u010di chronickej \u00fanavy. Za\u010dervenan\u00e9 o\u010di alebo opakuj\u00faci sa ja\u010dme\u0148 m\u00f4\u017eu sp\u00f4sobova\u0165 nevhodne vykorigovan\u00e9 dioptrick\u00e9 okuliare. \u017dltkast\u00e9 drobn\u00e9 mapy a flia\u010dky na vie\u010dkach nazna\u010duj\u00fa vysok\u00fd cholesterol a poruchu metabolizmu tukov.<\/em><\/p>\n

 <\/p>\n

D\u00e1 nov\u00fd zrak \u010dloveku aj nov\u00e9 sebavedomie?<\/strong><\/p>\n

Jednozna\u010dne. Dev\u00e4\u0165desiat percent na\u0161ich pacientov pova\u017euje okuliare za svoj najv\u00e4\u010d\u0161\u00ed hendikep. Niekedy sp\u00f4sobuj\u00fa a\u017e pocit menejcennosti. Obmedzuj\u00fa ich aj vo veciach, ktor\u00e9 s okuliarmi v\u00f4bec nes\u00favisia. Predstavte si \u017eenu s plus desa\u0165 dioptriami. Hrub\u00e9 skl\u00e1 jej o\u010di extr\u00e9mne zv\u00e4\u010d\u0161uj\u00fa. Kr\u00e1sna tv\u00e1r je ukryt\u00e1 pred svetom pod okuliarmi, z ktor\u00fdch tr\u010d\u00ed len p\u00e1r ve\u013ek\u00fdch o\u010d\u00ed. M\u00e1 probl\u00e9m nal\u00ed\u010di\u0165 sa, nevid\u00ed na presn\u00e9 kont\u00fary. \u017denu s m\u00ednusov\u00fdmi dioptriami tr\u00e1pi druh\u00fd extr\u00e9m \u2013 mali\u010dk\u00e9 o\u010di straten\u00e9 v h\u013abke za okuliarmi. Mesiac po oper\u00e1cii vid\u00edm na kontrole n\u00e1dhern\u00fa, v\u00fdrazn\u00fa, upraven\u00fa,hrd\u00fa \u017eenu. Je to neop\u00edsate\u013en\u00fd pocit. Po odstr\u00e1nen\u00ed dioptri\u00ed sa za\u010dne vn\u00edma\u0165 v kraj\u0161om svetle a \u00faplne inak sa na \u0148u pozer\u00e1 aj jej okolie. Samozrejme, ve\u013ek\u00fa slu\u017ebu urobia aj kontaktn\u00e9 \u0161o\u0161ovky, ale s\u00fa zbyto\u010dne drah\u00e9 a ich nosenie so sebou v\u017edy prin\u00e1\u0161a riziko.<\/em><\/p>\n

 <\/p>\n

Ak\u00e9 rizik\u00e1 so sebou prin\u00e1\u0161a nosenie kontaktn\u00fdch \u0161o\u0161oviek?<\/strong><\/p>\n

Nebezpe\u010denstvo zanesenia infekcie, naj\u010dastej\u0161ie vo vode. V lete s\u00fa kritick\u00e9 jazer\u00e1, k\u00fapalisk\u00e1, more, v zime wellness, v\u00edrivky, term\u00e1lne baz\u00e9ny. Vo vode pre\u017e\u00edvaj\u00fa bakt\u00e9rie, v\u00edrusy, chlam\u00fddie, plesne, akantam\u00e9by. Mikroorganizmus je v\u010faka kontaktnej \u0161o\u0161ovke v dlhodobom kontakte s povrchom oka. Chlam\u00fddiov\u00e9 o\u010dn\u00e9 z\u00e1paly m\u00f4\u017eu vznikn\u00fa\u0165 aj t\u00fd\u017edne \u010di mesiace po pobyte vo vode. Akantam\u00e9by sp\u00f4sobuj\u00fa z\u00e1va\u017en\u00fd z\u00e1pal rohovky spojen\u00fd s krut\u00fdmi boles\u0165ami, svetloplachos\u0165ou, za\u010dervenan\u00edm a slzen\u00edm. V hrani\u010dn\u00fdch pr\u00edpadoch m\u00f4\u017eu sp\u00f4sobi\u0165 a\u017e slepotu. Zdrojom akantam\u00e9b s\u00fa aj n\u00e1doby s roztokmi a puzdr\u00e1 na kontaktn\u00e9 \u0161o\u0161ovky.<\/em><\/p>\n

 <\/p>\n

Ako prv\u00fd slovensk\u00fd o\u010dn\u00fd chirurg ste zaviedli do ka\u017edodennej praxe vykon\u00e1va\u0165 laserov\u00e9 oper\u00e1cie s pou\u017eit\u00edm femtosekudov\u00e9ho laseru. Ak\u00e9 v\u00fdhody prin\u00e1\u0161aj\u00fa pacientom?<\/strong><\/p>\n

Za \u0161tvr\u0165storo\u010die praxe pre\u0161la laserov\u00e1 o\u010dn\u00e1 chirurgia obrovsk\u00fdm v\u00fdvojom. Zdokonalili sa lasery, met\u00f3dy, postupy. Vznikli nov\u00e9, v prec\u00edznosti, presnosti, \u0161etrnosti a bezbolestnosti na neporovnanie od minul\u00fdch. Dnes vieme, \u017ee met\u00f3dy PRK, LASEK \u010di epi-LASEK s\u00fa vhodn\u00e9 len pri ni\u017e\u0161\u00edch chyb\u00e1ch. Laserov\u00e1 met\u00f3da 21. storo\u010dia je z\u00e1krok NeoLASIK HD s pou\u017eit\u00edm femtolaseru. Svetov\u00ed o\u010dn\u00ed chirurgovia ho dnes volia v dev\u00e4\u0165 z desa\u0165 v\u0161etk\u00fdch pr\u00edpadov. Povrch rohovky ost\u00e1va pri \u0148om neporu\u0161en\u00fd, v\u010faka \u010domu je z\u00e1krok a poopera\u010dn\u00fd priebeh bezbolestn\u00fd. U\u017e p\u00e1r hod\u00edn po oper\u00e1cii lamela pevne pri\u013ene k telu rohovky. Met\u00f3da s pou\u017eit\u00edm femtolaseru je k o\u010diam \u0161etrn\u00e1, prec\u00edzna a bezpe\u010dn\u00e1. U\u017e ve\u010der v de\u0148 z\u00e1kroku m\u00f4\u017eete \u010d\u00edta\u0165 aj pozera\u0165 telev\u00edziu. Na druh\u00fd de\u0148 po oper\u00e1cii pohodlne pracujete.<\/em><\/p>\n

 <\/p>\n

Kto je ide\u00e1lnym kandid\u00e1tom na femtolaser?<\/strong><\/p>\n

Pacienti s dioptriami od + 3 a\u017e -13 dioptri\u00ed, so stabilnou, ale aj s nestabilnou dioptrickou chybou a s astigmatizmom \u2013 nepravideln\u00fdm zakriven\u00edm rohovky. Pacienti sa ma \u010dasto p\u00fdtaj\u00fa, \u010di sa im v bud\u00facnosti dioptrie \u201enevr\u00e1tia\u201c. Ako sa bude va\u0161a o\u010dn\u00e1 chyba v nasleduj\u00facich rokoch vyv\u00edja\u0165, nie je schopn\u00fd predv\u00edda\u0165 nikto na svete. Po laserovej oper\u00e1cii sa m\u00f4\u017ee u\u017e natrvalo zastavi\u0165, alebo m\u00f4\u017ee na\u010falej r\u00e1s\u0165. \u0160etrnos\u0165 femtolaseru v\u0161ak umo\u017e\u0148uje n\u00e1sledn\u00e9 dolaserovanie. Pacientom poskytujeme na NeoLASIK do\u017eivotn\u00fa z\u00e1ruku. Znamen\u00e1 to, \u017ee ak sa i v bud\u00facnosti ni\u017e\u0161ia dioptrick\u00e1 chyba op\u00e4\u0165 objav\u00ed, dolaserovanie \u0161etrnou met\u00f3dou maj\u00fa u\u017e bezplatne.<\/em><\/p>\n

 <\/p>\n

Aj vy s\u00e1m ste podst\u00fapili laserov\u00fa oper\u00e1ciu s pou\u017eit\u00edm femtolasera. Bolo jedn\u00fdm z d\u00f4vodom aj pohodlnej\u0161ie cestovanie?<\/strong><\/p>\n

Na cest\u00e1ch mus\u00edte v\u017edy myslie\u0165 na to, aby ste si do kufra pribalili n\u00e1hradn\u00e9 okuliare pre pr\u00edpad, \u017ee jedny strat\u00edte alebo v\u00e1s okradn\u00fa. Pod\u013ea v\u00fd\u0161ky dioptri\u00ed v\u00e1m hroz\u00ed \u010diasto\u010dn\u00e1 a\u017e \u00fapln\u00e1 strata videnia. So \u0161o\u0161ovkami je to rovnak\u00e9. Mus\u00edte ma\u0165 so sebou n\u00e1hradn\u00fd p\u00e1r a puzdro navy\u0161e. V oblastiach s n\u00edzkym hygienick\u00fdm \u0161tandardom hroz\u00ed pri ich aplik\u00e1cii riziko zanesenie infekcie s v\u00e1\u017enymi n\u00e1sledkami a\u017e mo\u017enou stratou videnia. Laserov\u00e9 oper\u00e1cie s pou\u017eit\u00edm prec\u00edzneho, bezpe\u010dn\u00e9ho a \u0161etrn\u00e9ho femtolaseru s\u00fa pre cestovate\u013eov a \u0161portovcov ide\u00e1lnym rie\u0161en\u00edm. S\u00e1m a\u017e po laserovom z\u00e1kroku zis\u0165ujem, \u010do je to skuto\u010dn\u00e1 cestovate\u013esk\u00e1 sloboda. Navy\u0161e, je pre m\u0148a obrovskou pom\u00f4ckou. Pacienti sa ma p\u00fdtaj\u00fa na detaily, na ktor\u00e9 by som im len ako chirurg nedok\u00e1zal odpoveda\u0165. V\u010faka tomu, \u017ee som oper\u00e1ciu podst\u00fapil, im viem aj z poh\u013eadu pacienta presne op\u00edsa\u0165, \u010do bud\u00fa po\u010das z\u00e1kroku c\u00edti\u0165 a upokoji\u0165 ich, ak maj\u00fa strach.<\/em><\/p>\n

 <\/p>\n

\u010co v\u00e1s na spozn\u00e1van\u00ed vzdialen\u00fdch k\u00fatov sveta najviac fascinuje?<\/strong><\/p>\n

Fascinuj\u00fa ma krajiny \u010ealek\u00e9ho V\u00fdchodu. S\u00fa ak\u00e9si in\u00e9, exotick\u00e9 po\u010dn\u00fac pr\u00edrodou, architekt\u00farou, \u013eudskou du\u0161ou, a\u017e po filozofiu vn\u00edmania \u017eivota, choroby, biedy, bolesti \u010di sm\u00fatku. Miestni maj\u00fa \u00faplne in\u00fd pr\u00edstup k \u017eivotu. Vyzn\u00e1vaj\u00fa in\u00e9 \u013eudsk\u00e9 hodnoty. Tunaj\u0161\u00ed \u013eudia \u017eij\u00fa v biede, nemaj\u00fa v\u00f4bec ni\u010d. Dok\u00e1\u017eu v\u0161ak by\u0165 \u0161\u0165astn\u00ed a te\u0161i\u0165 sa aj z t\u00fdch najnen\u00e1padnej\u0161\u00edch mali\u010dkost\u00ed. Na rozdiel od n\u00e1s, Eur\u00f3panov, ktor\u00ed m\u00e1me v \u017eivote v\u0161etko, \u010do si dok\u00e1\u017eeme predstavi\u0165, no napriek tomu sme vystresovan\u00ed a frustrovan\u00ed.<\/em><\/p>\n

 <\/p>\n

\u010co na svojej pr\u00e1ci milujete?<\/strong><\/p>\n

Moment, ke\u010f prvotn\u00fd pocit zodpovednosti a nap\u00e4tia spojen\u00fd so zav\u00e1dzan\u00edm nov\u00fdch postupov vystrieda rados\u0165, hrdos\u0165 a \u00fa\u013eava, \u017ee sme priniesli novinku, zvl\u00e1dli ju na tis\u00edc percent a v\u010faka tomu m\u00f4\u017eeme pom\u00e1ha\u0165 pacientom, ktor\u00ed u\u017e nemali ve\u013ea n\u00e1deje. V\u00e1\u017eim si, \u017ee vo svojej pr\u00e1ci nemus\u00edm kr\u00e1\u010da\u0165 po vyjazden\u00fdch chodn\u00ed\u010dkoch a pou\u017e\u00edva\u0165 len tis\u00edckr\u00e1t overen\u00e9 postupy. Naplnenie v pr\u00e1ci chirurga za\u017e\u00edvam v\u017edy, ke\u010f m\u00f4\u017eem prin\u00e1\u0161a\u0165 nov\u00e9 met\u00f3dy, zdokona\u013eova\u0165 star\u00e9 a v dial\u00f3gu so \u0161pi\u010dkov\u00fdmi odborn\u00edkmi h\u013eada\u0165 st\u00e1le nov\u00e9 a lep\u0161ie rie\u0161enia. Neop\u00edsate\u013en\u00fd moment nast\u00e1va, ke\u010f dok\u00e1\u017eeme pom\u00f4c\u0165 pacientovi, ktor\u00fd doteraz nevidel.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Na Slovensko prin\u00e1\u0161a nov\u00e9 svetov\u00e9 opera\u010dn\u00e9 postupy. Ako prv\u00fd slovensk\u00fd o\u010dn\u00fd chirurg vykon\u00e1va laserov\u00e9 oper\u00e1cie a oper\u00e1cie siv\u00e9ho z\u00e1kalu \u0161etrn\u00fdm femtosekundov\u00fdm laserom. \u201eNov\u00e9\u201c o\u010di maj\u00fa pod\u013ea neho z\u00e1zra\u010dn\u00fa moc. Zo \u0161edej my\u0161ky vyk\u00fazlia kr\u00e1snu hrd\u00fa \u017eenu, ktor\u00fa \u00faplne inak vn\u00edma aj jej okolie. Zbo\u017e\u0148uje vzdialen\u00e9 nedotknut\u00e9 k\u00faty plan\u00e9ty. Aby sa na v\u00fdprav\u00e1ch c\u00edtil slobodne, s\u00e1m […]<\/p>\n","protected":false},"author":7,"featured_media":2278,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-2277","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nas-tip","eq-blocks"],"_links":{"self":[{"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/posts\/2277","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/comments?post=2277"}],"version-history":[{"count":1,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/posts\/2277\/revisions"}],"predecessor-version":[{"id":2279,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/posts\/2277\/revisions\/2279"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/media\/2278"}],"wp:attachment":[{"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/media?parent=2277"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/categories?post=2277"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/tags?post=2277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}