tag:blogger.com,1999:blog-55286194849721651392024-03-07T23:47:32.085-08:00蔡明霖醫師 白內障、虹彩炎、視網膜疾病資訊站記錄眼科常識與美國耶魯大學的點點滴滴臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comBlogger102125tag:blogger.com,1999:blog-5528619484972165139.post-60132355672378617562022-03-18T00:52:00.000-07:002022-03-18T06:34:21.798-07:00難忘的聖誕節<p></p><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/_sEP5_7DMu0" width="320" youtube-src-id="_sEP5_7DMu0"></iframe></div><br /><p></p><p>感恩節後,聖誕的氣氛越來越濃! 記的得我曾有一次在靠近聖誕節的這個時間,由康州的耶魯約晚間11點開車帶家人到加拿大法語區大城魁北克。入加國國境時已是淩晨3:00,雖然與我家人以每小時100 mile的速度(美國DMV rule:your vehicle speed limit just follow traffic going. 因此未超速) 輪流駕駛,但路況不熟,再加上那時大雪紛飛,當下實在疲累不堪, 那時無意發現收音機廣播由英語變成法語廣播,隨後也飄來Celine Dion 主唱的 "Oh Holy night",疲累的心頓時散去, 也突然意識到聖誕節已經快要來臨!同一個場景,心境完全不同,看著白雪,聽著法語聖誕歌聲,心中充滿平安幸福的感覺! 也祝在大家在這寒冷的聖誕季節,享受Celine 的歌聲與聖誕節溫暖的氣氛!</p><div id="gtx-trans" style="left: 354px; position: absolute; top: 346.333px;"><div class="gtx-trans-icon"></div></div>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-12353032512490680752022-03-13T18:31:00.002-07:002022-03-13T18:35:22.659-07:00<p> </p><p class="MsoNormal"><span face=""新細明體",serif" style="font-size: 16pt; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">最新白內障晶體吸出術注意事項</span><span lang="EN-US" style="font-size: 16pt;"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US"><o:p> </o:p></span></p>
<p class="MsoNormal"><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">恭喜你接受蔡明霖博士最新研發的微創白內障手術</span> </p>
<p class="MsoNormal"><span lang="EN-US">1. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">因您接受的手術為最新白內障晶體吸出術,您可能甚至不須注射麻藥,因此心臟病,高血壓或其他等慢性病患者不須憂慮影響身體狀況。</span></p>
<p class="MsoNormal"><span lang="EN-US">2. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">報到後,護士小姐會為您換上無菌衣、點散瞳劑。散瞳時間約半小時至一小時,散瞳完全後,方可進行最新白內障晶體吸出手術。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US"><o:p> </o:p></span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">手術後</span><span lang="EN-US">:</span> </p>
<p class="MsoNormal"><span lang="EN-US">1. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">因您接受手術為最新白內障晶體微創吸出術,術中可能沒有出血,但為確保手術成功,術後仍須確實點藥。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">點藥時</span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>: </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">請先將雙手洗淨</span><span lang="EN-US">, </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">將下眼皮</span><span lang="EN-US">(</span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">瞼</span><span lang="EN-US">)</span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">撥下點藥。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">清醒時</span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>: </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼藥水有兩種</span><span lang="EN-US">Cravit</span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">及</span><span lang="EN-US">Tobradex</span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">每兩小時一次。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">睡前時</span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>: </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">除</span><span lang="EN-US">Cravit</span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">及</span><span lang="EN-US">Tobradex</span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">兩種眼藥水外,需加點眼藥膏</span><span lang="EN-US">Gentamycin!<o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">因藥膏於睡覺的時候,會緩慢釋出藥效,因此病患不需半夜起床點藥。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US">2. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">手術後次日須至台北慈濟醫院二樓眼科三診診間換藥。換藥後,原則上就不需要戴鐵眼罩,但兩種藥水仍須清醒時每兩小時點藥水,睡前加點藥膏連續</span><span lang="EN-US">3</span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">天。大多數病患可於術後第四天換成一天各點四次。</span></p><p class="MsoNormal"><span lang="EN-US">3. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">於第一天術後返家眼部可能會有輕微的異物感,及術後模糊現象,此時不需擔心,通常症狀會減輕,視力會逐漸恢復。</span></p>
<p class="MsoNormal"><span lang="EN-US">4. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">術後日常活動不受影響,但仍須避免激烈運動,以免遭受意外撞擊。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US">5. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">術後須注意眼部清潔,按時點藥,避免眼球感染。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US">6. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">日常生活例如用餐、閱讀書報均不受影響,飲食並無特殊限制。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US">7. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">請按指示時間回眼科複診,外縣市病友可於蔡醫師看診時段返院回診。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US">8. </span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">蔡明霖博士看診時間</span><span lang="EN-US">:</span> </p>
<p class="MsoNormal"><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">台北慈濟醫院</span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">週二週四</span><span lang="EN-US"> 8:30 ~ 12:00</span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">週三</span><span lang="EN-US">14:00 ~ 17:30<o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">台北三總汀州院區</span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">週五</span><span lang="EN-US">08: 30 ~ 12:00 <o:p></o:p></span></p>
<p class="MsoNormal"><!--[if gte vml 1]><v:shapetype id="_x0000_t75" coordsize="21600,21600"
o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe" filled="f"
stroked="f">
<v:stroke joinstyle="miter"/>
<v:formulas>
<v:f eqn="if lineDrawn pixelLineWidth 0"/>
<v:f eqn="sum @0 1 0"/>
<v:f eqn="sum 0 0 @1"/>
<v:f eqn="prod @2 1 2"/>
<v:f eqn="prod @3 21600 pixelWidth"/>
<v:f eqn="prod @3 21600 pixelHeight"/>
<v:f eqn="sum @0 0 1"/>
<v:f eqn="prod @6 1 2"/>
<v:f eqn="prod @7 21600 pixelWidth"/>
<v:f eqn="sum @8 21600 0"/>
<v:f eqn="prod @7 21600 pixelHeight"/>
<v:f eqn="sum @10 21600 0"/>
</v:formulas>
<v:path o:extrusionok="f" gradientshapeok="t" o:connecttype="rect"/>
<o:lock v:ext="edit" aspectratio="t"/>
</v:shapetype><v:shape id="圖片_x0020_1" o:spid="_x0000_s1026" type="#_x0000_t75"
style='position:absolute;margin-left:294.85pt;margin-top:12.55pt;width:102pt;
height:102pt;z-index:251658240;visibility:visible;mso-wrap-style:square;
mso-wrap-distance-left:9pt;mso-wrap-distance-top:0;mso-wrap-distance-right:9pt;
mso-wrap-distance-bottom:0;mso-position-horizontal:absolute;
mso-position-horizontal-relative:text;mso-position-vertical:absolute;
mso-position-vertical-relative:text'>
<v:imagedata src="file:///C:/Users/doc30/AppData/Local/Temp/msohtmlclip1/01/clip_image001.png"
o:title=""/>
<w:wrap type="square"/>
</v:shape><![endif]--><!--[if !vml]--><img align="left" height="136" hspace="12" src="file:///C:/Users/doc30/AppData/Local/Temp/msohtmlclip1/01/clip_image001.png" v:shapes="圖片_x0020_1" width="136" /><!--[endif]--><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">術後務請詳閱此說明事項</span><span lang="EN-US">,</span><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">若有疑問,請至蔡博士門診洽詢</span>
<span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歡迎參觀我們的網站</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US">http://minglingtsai.blogspot.com/<o:p></o:p></span></p>
<p class="MsoNormal"><span face=""新細明體",serif" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">提供眼科相關資訊及美國耶魯大學的點點滴滴</span>
<span lang="EN-US"><o:p></o:p></span></p>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-65573185495810915692021-11-28T01:35:00.005-08:002021-11-30T03:56:47.116-08:00醫學生葡萄膜鞏膜疾病上課內容<p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-3WOMfd-XBmM/YaNMbIDWCyI/AAAAAAAA1uo/XY6ney-G3sMvNOkfrbvc4wYTlzzn4FSMQCLcBGAsYHQ/s960/Uvea%2BSclera%2B%25E5%259C%258B%25E9%2598%25B2110video.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="960" height="303" src="https://1.bp.blogspot.com/-3WOMfd-XBmM/YaNMbIDWCyI/AAAAAAAA1uo/XY6ney-G3sMvNOkfrbvc4wYTlzzn4FSMQCLcBGAsYHQ/w404-h303/Uvea%2BSclera%2B%25E5%259C%258B%25E9%2598%25B2110video.jpg" width="404" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://drive.google.com/file/d/1XnWrHk60BOYi6uI5N25REOGegJ-9mXeL/view?usp=sharing">點此紅色處<span style="color: #cc0000;">開始上課</span></a><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><br /><p></p>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-917094459673310552021-04-03T05:33:00.008-07:002021-04-03T07:55:11.588-07:00 抗凝血劑<p> <span style="font-family: 新細明體, serif;">抗凝血劑可以預防中風,是國人常用的家居用藥之一,病患如果服用抗凝血劑進行眼科手術可能會引起術中出血,影響到手術的進行,因此抗凝血劑可以預防中風,是國人常用的家居用藥之一,擬進行手術的病患需要對抗凝血劑有進一步的認識。</span></p>
<p class="MsoNormal"><span style="font-family: 新細明體, serif;">目前臨床上比較常使用的抗凝血劑有阿司匹林(</span><span lang="EN-US">aspirin</span><span style="font-family: 新細明體, serif;">),保栓通</span><span lang="EN-US">( Clopidogrel ; Plavix)</span><span style="font-family: 新細明體, serif;">,及香豆素(</span><span lang="EN-US">warfarin, coumadin</span><span style="font-family: 新細明體, serif;">)等。</span></p>
<p class="MsoNormal"><span lang="EN-US"><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>1. </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">阿司匹林(</span><span lang="EN-US">aspirin</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)</span> </p>
<p class="MsoNormal"><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">臨床上一般以低劑量約</span><span lang="EN-US">100mg</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">阿司匹林(</span><span lang="EN-US">aspirin</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)即可抑制</span><span lang="EN-US">TXA2 (thromboxane A2)</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,進而達到血小板抑制凝集的效果。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="EN-US">TXA2 (thromboxane A2)</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">是前列腺素衍生物,可以促使血小板凝集而產生血栓。而阿司匹林(</span><span lang="EN-US">aspirin</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)可抑制</span><span lang="EN-US">COX (cyclooxygenase, </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">環氧合酶</span><span lang="EN-US">) 1</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">和</span><span lang="EN-US">2</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,降低</span><span lang="EN-US"> prostaglandin (</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">前列腺素</span><span lang="EN-US">)</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">形成,進而抑制前列腺素衍生物</span><span lang="EN-US"> TXA2 </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">的形成,因此可達到抑制血小板凝集作用。臨床上低劑量約</span><span lang="EN-US">100mg</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">阿司匹林(</span><span lang="EN-US">aspirin</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)可用於預防及治療急性冠心症</span><span lang="EN-US"> (acute coronary syndrome), </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">包刮心絞痛、心肌梗塞、缺血性中風。與保栓通</span><span lang="EN-US">( Clopidogrel ; Plavix)</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,及香豆素(</span><span lang="EN-US">warfarin, coumadin</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)相比,阿司匹林(</span><span lang="EN-US">aspirin</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)血小板抑制效果弱。且低劑量阿司匹林(</span><span lang="EN-US">aspirin</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)亦可能引起消化性潰瘍,因此對於阿斯匹靈造成腸胃道潰瘍甚至於出血的病人,臨床醫師常會選擇給予氫離子幫浦抑制劑</span><span lang="EN-US">(PPIs)</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">治療,並將阿斯匹靈改成保栓通</span><span lang="EN-US">( Clopidogrel ; Plavix)</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,以期保有抗血栓但又可減少胃腸出血的危險。</span> </p>
<p class="MsoNormal"><span lang="EN-US">2. </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">保栓通</span><span lang="EN-US">( Clopidogrel ; Plavix)</span> </p>
<p class="MsoNormal"><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">保栓通</span><span lang="EN-US">Clopidogrel </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">的建議劑量為每天</span><span lang="EN-US"> 75mg</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,一天一次,可和食物</span>
<span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">同時服用或分開服用,保栓通藉由與血小板表面的</span><span lang="EN-US"> ADP P2Y12 receptor </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">結合後,抑制血小板活化來降低血小板的凝集。</span> </p>
<p class="MsoNormal"><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">保栓通</span><span lang="EN-US"> Clopidogrel</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">是一種前驅藥,沒有活性,需透過</span><span lang="EN-US"> CYP2C19</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">氧化成活性代謝物</span>
<span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,其活性代謝物不可逆的結合在</span><span lang="EN-US"> ADP
(adenosine diphosphate, </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">二磷酸腺苷</span><span lang="EN-US">) receptor, P2Y12</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">受體上,達到抑制抗血小板活化的作用。然保栓通藥效起始需時較長(如</span><span lang="EN-US">clopidogrel</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)、不同人對同劑量藥物產生的抗血小板作用差異頗大。</span> </p>
<p class="MsoNormal"><span lang="EN-US">3. </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">香豆素(</span><span lang="EN-US">warfarin, coumadin</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)</span> </p>
<p class="MsoNormal"><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">深部靜脈栓塞,心律不整,肺栓塞,和換機械心瓣膜的病人都可能需要服用『香豆素』(</span><span lang="EN-US">warfarin, coumadin </span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)減少栓塞的機會。香豆素(</span><span lang="EN-US">warfarin, coumadin</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">)主要是透過減弱維他命</span><span lang="EN-US">K</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">的作用而達到抗凝血效果。所以『香豆素』的藥效和維他命</span><span lang="EN-US"> K</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">攝取總量有反向關係。所以服用香豆素期間,請病患儘量保持您固定食習慣,避免因您的飲食型態改變太大而影響藥物的作用。</span><span lang="EN-US"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">由於維他命</span><span lang="EN-US">K</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">會拮抗香豆素</span><span lang="EN-US">(Coumadine)</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">的功能,所以富含維他命</span><span lang="EN-US">K</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">之綠色蔬菜如:菠菜、甘藍菜及綠色花椰菜應避免大量攝取,以避免降低香豆素藥效的效果。而木耳及菇類食物之作用剛好相反,會增香豆素</span><span lang="EN-US">(Coumadine)</span><span style="font-family: "新細明體",serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">之作用最好不要食用,以避免不正常出血。如有下列出血狀況,例如:血便黑便、皮膚容易瘀青、血尿、齒齦易出血、咳血、流鼻血、或意識突然改變等現象,請立即自行停止服用抗凝血劑,並儘快就診,若出血嚴重,則應到急診室求診。</span><span lang="EN-US"><o:p></o:p></span></p>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-56757572069815916302020-08-05T09:27:00.007-07:002020-08-12T03:23:49.479-07:001. 黃斑部病變為何會影響視力<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l1 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7pt "times new roman";">
</span></span></span><!--[endif]--><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">黃斑部病變為何會影響視力</span><span lang="">?<o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">黃斑部是視網膜的正中間,黃斑部病變就代表視網膜的正中間發生病變。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">病人的中心視力就會扭曲變形受到影響</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">就好像戴眼鏡的人,眼鏡的周邊起霧,視力不太受影響;但眼鏡的中間起霧,眼睛視力馬上就看不清楚。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">2.<span style="mso-tab-count: 1;"> </span></span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">如何發現自己有黃斑部病變</span><span lang="">?<o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">黃斑部位於網膜正中心是視覺最敏銳的地方</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">若黃斑部病變產生可能會影響的你正常的視力,測試的方法可使用</span><span lang="">Amsler </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">方格</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">測試的方法非常簡單</span><span lang="">!</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">步驟</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">(1). </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">遮住右眼,用左眼注視表格中心的黑點,表格內的線若有彎曲變形則表示你有黃斑部病變了</span><span lang="">(</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">如果您有老花眼</span><span lang="">,</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">請戴上閱讀用眼鏡</span><span lang="">)<o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">(2). </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">遮住左眼,用右眼注視表格中心的黑點,看表格內的線是否有彎曲變形。</span><span lang=""><o:p></o:p></span></p><p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><br /></span></p><p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><img border="0" data-original-height="284" data-original-width="512" src="https://1.bp.blogspot.com/-82K0OsJCROE/XyrkQpQyHrI/AAAAAAAAvuc/uh0y_P0pPxsEio-NHgrmk9kxMPmo0ciCACLcBGAsYHQ/s0/amsler.jpg" /></span></p><p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><br /></span></p><p class="MsoNormal"><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; text-indent: -18pt;"><span style="mso-list: Ignore;">3.<span face="" style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;">
</span></span></span><!--[endif]--><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; text-indent: -18pt;">黃斑部水腫如何治療</span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">目前可用抗新生血管製劑來控制。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">由於抗新生血管製劑價格昂貴,一針大概三萬多,不僅花費高,而且還要用針直接打到眼睛裡面去,具有相當的危險性。一般兩年大概要打到</span><span lang="">15</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">針,對病患是相當高的花費。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span lang="">4, </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">黃斑部病變如何預防</span><span lang="">?<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">壓力大,用眼過度、過度曝曬光線、高度近視甚至抽菸習慣都是潛在引起黃斑部病變的危險因子。外出應做好眼睛防曬,避免強光照射外;飲食中也可多攝取葉黃素、維生素</span><span lang="">C</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">等,以預防視力惡化。</span><span lang=""><o:p></o:p></span></p><br /><div id="gtx-trans" style="left: 515px; position: absolute; top: 899.333px;"><div class="gtx-trans-icon"></div></div>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-68019115689952619092020-08-05T09:02:00.002-07:002020-08-12T03:46:24.937-07:00糖尿病為何會影響視力?<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7pt "times new roman";">
</span></span></span><!--[endif]--><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖尿病為何會影響視力</span><span lang="">?</span> </p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖尿病是一種全身性的疾病,持續的血糖升高,就好像全身血管都泡在糖水裡面,血管會產生變性阻塞,</span><span style="font-family: 新細明體, serif;">進</span><span style="font-family: 新細明體, serif;">而產生脆弱的新生血管。</span></p><p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼內視網膜的血管也不例外,糖尿病控制不好,</span><span style="font-family: 新細明體, serif;">視網膜血管</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">就好像</span><span style="font-family: 新細明體, serif;">長期泡在糖水裡面</span><span style="font-family: 新細明體, serif;">的</span><span style="font-family: 新細明體, serif;">也會</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">變性阻塞,</span><span style="font-family: 新細明體, serif;">進</span><span style="font-family: 新細明體, serif;">而產生脆弱的新生血管,</span><span style="font-family: 新細明體, serif;">而導致糖尿病視網膜</span><span style="font-family: 新細明體, serif;">。這些</span><span style="font-family: 新細明體, serif;">脆弱的</span><span style="font-family: 新細明體, serif;">新生血管</span><span style="font-family: 新細明體, serif;">,如果碰到病人有突發性的血壓升高,例如生氣,咳嗽等。便會導致</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">視網膜內的</span><span style="font-family: 新細明體, serif;">新生血管</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">破裂,引起</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">網膜出血甚至玻璃體出血,造成嚴重的視力障礙而致盲。</span></p><p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">根據統計,血糖如果控制不良</span><span lang="">(</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖化血色素</span><span lang="">7.0</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">以上</span><span lang="">)</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,超過</span><span lang="">10</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">年,</span> <span lang="">90%</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">的病患便會引起糖尿病網膜病變,進而嚴重影響視力;也有可能會導致新生血管性青光眼,病患不只喪失視力而且疼痛難耐。</span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7pt "times new roman";">
</span></span></span><!--[endif]--><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖尿病造成</span><span style="font-family: 新細明體, serif;">視力模糊</span><span style="font-family: 新細明體, serif; text-indent: -18pt;">,</span><span style="font-family: 新細明體, serif;">視力</span><span style="font-family: 新細明體, serif; text-indent: -18pt;">喪失的原因</span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖尿病造成<span style="text-indent: -24px;">視力模糊</span><span style="text-indent: -18pt;">,</span><span style="text-indent: -24px;">視力</span><span style="text-indent: -18pt;">喪失</span>比較常見的原因有以下四種</span><span lang="">:<o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">黃斑部水腫,視網膜出血,視網膜剝離,新生血管性青光眼。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7pt "times new roman";">
</span></span></span><!--[endif]--><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖尿病黃斑部水腫如何治療</span><span lang=""><o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">目前可用抗新生血管製劑來控制。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">由於抗新生血管製劑價格昂貴,一針大概三萬多,不僅花費高,而且還要用針直接打到眼睛裡面去,具有相當的危險性。一般兩年大概要打到</span><span lang="">15</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">針,對病患是相當高的發花費,如果糖尿病沒控制好,便需要終身施打。因此好好控制糖尿病,至</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖化血色素</span><span lang="">7.0</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">以下,</span><span style="font-family: 新細明體, serif;">才是王道。</span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span lang="">4, </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖尿病網膜出血如何治療</span><span lang="">?<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖尿病沒控制好就好像全身血管都泡在糖水裡面,把視網膜血管泡爛了。因此病人如果稍微有咳嗽,生氣,等突然的血壓升高。就會讓泡爛的視網膜血管破裂引發出血。網膜的出血一旦進入玻璃體後,就好像一滴墨水滴到一杯水中。病患會覺得眼前有一片烏雲慢慢飄過來,再過來眼前整個就被烏雲蓋住看不見了,此時可用藥觀察三個月,看看血會不會散。觀察期間如果有網膜剝離或超過三個月血還沒有吸收,大多需要手術。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span lang="">5, </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖尿病網膜剝離如何治療</span><span lang="">?<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">此時需要手術治療,但即使手術,治療效果差,視力也經常無法恢復。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span lang="">6. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖尿病新生血管性青光眼如何治療</span><span lang="">?<o:p></o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 0cm; mso-para-margin-left: 0gd;"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">此時病人已經喪失視力,但因為</span><span style="font-family: 新細明體, serif;">糖尿病新生血管性青光眼</span><span style="font-family: 新細明體, serif;">病人,眼壓往往很高(</span><span style="font-family: 新細明體, serif;">眼壓正常值為20 mmHg以下)</span><span style="font-family: 新細明體, serif;">,病人往往會疼痛難耐,因此要求醫師摘除眼球,減輕痛苦。</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">因此好好控制糖尿病,至</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">糖化血色素</span><span lang="">7.0</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">以下,方可</span><span style="font-family: 新細明體, serif;">避免糖尿病諸多併發症產生。</span></p><br />臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-76735064926484625422020-08-05T08:04:00.007-07:002020-08-12T06:25:36.291-07:00眼睛乾澀最常見的原因: 眼瞼炎與乾眼症 <p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼睛乾澀最常見的原因</span><span lang="">:<span style="mso-spacerun: yes;"> </span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼瞼炎與乾眼症</span><span lang=""><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">蔡明霖</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">1 </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼睛乾澀最常見的原因</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">在台灣眼睛乾澀最常見的原因為眼瞼炎,乾眼症。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼瞼炎會導致淚水的脂肪層分泌異常進而導致淚水蒸發引發乾眼症,造成眼睛乾澀。台灣地區這種病患很多,但所幸的是眼瞼炎,乾眼症不會引起病患視力喪失。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">2. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">為何眼瞼炎會引起眼睛乾澀</span><span lang="">? <o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">睫毛及眼瞼邊緣會分泌油脂,這些油脂如果沒有清潔乾淨,便會引發感染引起發炎,其中最常導致眼瞼發炎的病菌是金黃色葡萄球菌,這些發炎油狀的皮脂分泌物,好像肥皂水會刺激眼睛,引起眼瞼發炎。而淚水層上的脂肪層源於發炎的皮脂,無法防止淚水層蒸發,因此造成乾眼症,引起眼睛乾澀。</span><span lang=""><o:p></o:p></span></p><p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><img alt="Blepharitis Eye Condition | Types of Blepharitis" height="186" src="https://www.westchester-eye-surgeons.com/wp-content/uploads/2016/09/blepharitis.png" width="400" /></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">3. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼瞼炎症狀為何</span><span lang="">?<o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼瞼炎通常發生在睫毛及眼瞼邊緣處,並常合併結膜炎。</span><span style="font-family: 新細明體, serif;">患者的症狀包括灼熱感、眼睛癢、異物感、以及眼瞼緣有分泌物結成硬痂。</span></p><p class="MsoNormal"><span style="font-family: 新細明體, serif;">眼瞼炎</span><span style="font-family: 新細明體, serif;">症狀通常在患者醒來時最為嚴重。因為</span><span style="font-family: 新細明體, serif;">由於患者在睡覺的時候閉眼睛,眼臉</span><span style="font-family: 新細明體, serif;">閉合時,</span><span style="font-family: 新細明體, serif;">閉合的發炎眼瞼邊緣剛好在角膜的中間,導致</span><span style="font-family: 新細明體, serif;">患者醒來時症狀最為嚴重</span><span style="font-family: 新細明體, serif;">。臨床檢查可見睫毛周圍有纖維皮屑,及糾結的硬痂。將硬痂去除時,可見眼瞼緣有微小的潰瘍。眼瞼的邊緣也可見充血及微細血管擴張,並有睫毛的異常,如睫毛變白、掉睫毛、倒睫毛…等。</span></p>
<p class="MsoNormal"><span style="font-family: 新細明體, serif;">眼瞼炎也經常合併淚液分泌異常,因為眼瞼炎發生細菌感染時,淚液中油脂成份會被細菌分解而變質,而變質的脂肪層無法在淚水層形成光滑完整的</span><span style="font-family: 新細明體, serif;">脂肪層</span><span style="font-family: 新細明體, serif;">防止淚液中的水層蒸發,水層表蒸發後,就失去</span><span style="font-family: 新細明體, serif;">眼角膜</span><span style="font-family: 新細明體, serif;">保濕的效果,形成乾眼的症狀。</span></p>
<p class="MsoNormal"><span lang=""><o:p>沒有淚水保護的角膜,就會形</o:p></span><span style="font-family: 新細明體, serif;">成許多不同形態的角膜炎,並常導致點狀糜爛,嚴重者有角結膜潰瘍致盲的可能性。</span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">4. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼瞼炎如何治療</span><span lang="">?<o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">治療眼瞼炎最重要的步驟就是眼瞼的清潔,建議用溫水或稀釋的嬰兒洗髮精來擦洗。清洗技巧如下:</span></p><p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">(1) 溫水可以將硬化的脂肪溶解變成液態,易於清除,減少細菌的滋生及油脂分泌物的堆積。</span></p><p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">(2) 嬰兒洗髮精可用來清潔眼瞼,清洗時應閉上眼睛,以避免</span><span style="font-family: 新細明體, serif;">嬰兒洗髮精</span><span style="font-family: 新細明體, serif;">對眼球的刺激,而嬰兒洗髮精如果進入眼睛,也比較不會刺激角膜。</span></p><p class="MsoNormal"><span style="font-family: 新細明體, serif;">(3)眼瞼的皮屑及結痂可用沾濕的棉花棒來去除。</span></p><p class="MsoNormal"><span style="font-family: 新細明體, serif;">(4)清潔完後,多花五分鐘做眼瞼的熱敷,再用棉花棒將抗生素藥膏塗抹在眼瞼邊緣處。</span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼瞼炎常合併有乾眼症狀,適當的使用人工淚液會有助益。眼瞼炎若合併角膜炎,需要點抗生素眼藥水。嚴重的眼瞼炎,有時需服用四環素之類的抗生素一個月,才能有效控制脂肪酸的代謝異常。葡萄球菌引起的小水泡性角結膜炎,因為是過敏反應,可用類固醇治療;而角膜潰瘍須使用強效抗生素藥水。</span><span lang=""><o:p></o:p></span></p><br />臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-3082436279817241132020-08-05T06:50:00.005-07:002020-08-12T06:23:16.600-07:00最新白內障晶體吸出術注意事項<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">最新白內障晶體吸出術注意事項</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">恭喜你接受蔡明霖博士最新研發的微創白內障手術</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">1. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">因您接受的手術為<a name="_Hlk47555346">最新白內障晶體吸出術</a>,您可能甚至不須注射麻藥,因此心臟病,高血壓或其他等慢性病患者不須憂慮影響身體狀況。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">2. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">報到後,護士小姐會為您換上無菌衣、點散瞳劑。散瞳時間約半小時至一小時,散瞳完全後,方可進行最新白內障晶體吸出手術。</span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">手術後</span><span lang="">:<o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">1. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">因<a name="_Hlk47555302">您接受手術</a>為最新白內障晶體微創吸出術,術中可能沒有出血,但為確保手術成功,術後仍須確實點藥。</span></p>
<p class="MsoNormal"><span lang=""><span style="mso-spacerun: yes;"> </span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">點藥時 </span>: <span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">請先將雙手洗淨</span><span lang="">, </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">將下眼皮</span><span lang="">(</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">瞼</span><span lang="">)</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">撥下點藥。</span></p>
<p class="MsoNormal"><span lang=""><span style="mso-spacerun: yes;"> </span></span><a name="_Hlk47556131"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">清醒時 </span></a><span lang="">: </span><a name="_Hlk47555657"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼藥水有兩種</span><span lang="">Cravit</span></a><span style="mso-bookmark: _Hlk47555657;"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">及</span><span lang="">Tobradex</span></span><span style="mso-bookmark: _Hlk47555657;"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">每兩小時一次</span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><span style="mso-spacerun: yes;"> </span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">睡前時 </span><span lang="">: </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">除</span><span lang="">Cravit</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">及</span><span lang="">Tobradex</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">兩種眼藥水外,需加點眼藥膏</span><span lang="">Tetracycline!</span></p><p class="MsoNormal" style="text-indent: 0px;"><span style="text-indent: 12pt;"> </span><span style="font-family: 新細明體, serif; text-indent: 12pt;">因藥膏於睡覺的時候,會緩慢釋出藥效,因此病患不需半夜起床點藥。</span></p>
<p class="MsoNormal"><span lang="">2. 手術後</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">次日須至台北慈濟醫院二樓眼科三診診間換藥。換藥後,原則上就不需要戴鐵眼罩,但兩種藥水仍須清醒時每兩小時點藥水,睡前加點藥膏連續</span><span lang="">3</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">天。大多數病患可於術後第四天換成一天各點四次。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">3. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">於第一天術後返家眼部可能會有輕微的異物感,及術後模糊現象,此時不需擔心,通常症狀會減輕,視力會逐漸恢復。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">4. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">術後日常活動不受影響,但仍須避免激烈運動,以免遭受意外撞擊。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">5. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">術後須注意眼部清潔,按時點藥,避免眼球感染。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">6. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">日常生活例如用餐、閱讀書報均不受影響,飲食並無特殊限制。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">7. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">請按指示時間回眼科複診,外縣市病友可於蔡醫師看診時段返院回診。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">8. </span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">蔡明霖博士看診時間</span><span lang="">:<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-char-indent-count: 1.0; text-indent: 12pt;"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">台北慈濟醫院</span><span lang=""><span style="mso-spacerun: yes;"> </span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">週二週四</span>
<span lang="">8:30 ~ 12:00</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">週三</span><span lang="">14:00 ~ 17:30<o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">台北三總汀州院區</span><span lang=""><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">週五</span><span lang="">08: 30 ~ 12:00<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">術後務請詳閱此說明事項</span><span lang="">,</span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">若有疑問,請至蔡博士門診洽詢</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang=""><span style="mso-spacerun: yes;"> </span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歡迎參觀我們的網站</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><span style="mso-spacerun: yes;">
</span>http://minglingtsai.blogspot.com/<o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><span style="mso-spacerun: yes;"> </span></span><span face="" style="font-family: 新細明體, serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">提供眼科相關資訊及美國耶魯大學的點點滴滴</span><span lang=""><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></p><br />臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-23202025514646932542020-08-05T05:59:00.011-07:002021-12-08T23:53:20.894-08:00白內障應具備的常識 <p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障的病患須知 蔡明霖</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></p>
<p class="MsoNormal"><span lang="">1. </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">何謂白內障?</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">答</span><span lang="">: </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障是熟齡族群最常見的眼疾,白內障就是眼球中的水晶體已由透明漸變為混濁,腫漲。水晶體眼前房與玻璃體之間,主要是負責影像的折射。人跟魚都有水晶體,魚的水晶體就是大家在吃煮熟的魚眼,有一顆大家都會吐出來的堅硬白色圓球。水晶體混濁會造成視覺模糊;水晶體腫漲會造成青光眼。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">2. </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障症狀?</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">答</span><span lang="">: </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障就是眼球中的水晶體已由透明逐漸變為混濁。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">年輕人的水晶體是一個具有彈性的透明組織。隨著年齡的增加,水晶體變為硬化,混濁,腫漲。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">水晶體硬化:患者會有老花眼產生。遠的清楚,近的就不清楚;</span>近的清楚,遠的就不清楚。</p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">水晶體混濁:患者會視覺模糊,戴眼鏡也看不清楚。</span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">水晶體腫漲:患者會導致閉鎖性青光眼產生。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障症狀因人而異。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">一般而言,然大多數人在</span><span lang="">40</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲時就會有水晶體硬化產生,患者開始產生老花症狀,此時多數人已有</span><span lang="">100</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">度老花眼產生,之後老花眼的度數每年增加</span><span lang="">10</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">度,會一直增加到</span><span lang="">60</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲,但</span><span lang="">60</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲前的大多數的病人戴眼鏡都可以維持良好的視力,應付日常生活。而多數病人在</span><span lang="">60</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲之後,隨著水晶體混濁越來越明顯,戴上眼鏡時候也會無法維持清晰的視力。</span><span lang="">70</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲後水晶體腫漲,便會造成眼房角狹窄,青光眼機會大增。</span><span lang="">75</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲後水晶體水晶體懸韌帶鬆弛,此時手術的危險性升高。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">3. </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障可否用點藥治療?</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">答</span><span lang="">: </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障就好像長白頭髮一樣,會越來越白。目前白內障藥水,主要在延緩白內障的進行,但白內障仍然像長白頭髮一樣,會越來越白。</span><span lang=""><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">4. </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障何時需要施行手術?</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">答</span><span lang="">: </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障病人如果戴上眼鏡矯正後可以達到</span><span lang="">0.6</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">以上,尚不須開刀;</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">但若白內障病人如果戴上眼鏡矯正後可以達到</span><span lang="">0.6</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">以下,影響日常生活,便合乎健保白內障手術的標準,可考慮手術。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">此外,白內障如果腫脹,引起眼壓過高也可以考慮手術</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障也會伴隨青光眼,葡萄膜炎等,加重開刀難度。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">6. </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">白內障一定要裝水晶體嗎</span><span lang="">?<o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">答:白內障病患如果不裝水晶體病人,病人就會成為有眼無珠的狀態。因為缺乏水晶體的折射,病患可需要戴上一隻</span><span lang="">1000</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">多度的凸透鏡,才可以看到眼前的東西;而且容易導致視網膜剝離,造成永久性的失明</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">由於科技的進步,新型屈光人工水晶體的研發,白內障屈光手術除了清除混濁的水晶體外、更可應用適當的人工水晶體同時矯正病人的近視、遠視、散光、甚至老花。人工水晶體日新月異,現就目前較常見之人工水晶體簡介如下:</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">(1)<span style="font: 7pt "times new roman";">
</span></span></span><!--[endif]--><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">健保給付人工水晶體:</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">健保給付的人工水晶體目的有硬片、軟片。硬片光學效果穩定、惟傷口幾乎是軟片的兩倍約</span><span lang="">6.0mm</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">。軟片傷口小但無法放至睫狀體溝。</span></p><p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">健保給付的人工水晶體不須自付差額。目前健保給付的水晶體皆為球面水晶體。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">(2)<span style="font: 7pt "times new roman";">
</span></span></span><!--[endif]--><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">非球面水晶體</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">非球面水晶體可以避免</span>球面水晶體引起的影像變形,光學效果好,影像比較不會變形</p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">(3)<span style="font: 7pt "times new roman";">
</span></span></span><!--[endif]--><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">抗藍光人工水晶體</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">抗藍光人工水晶體可過濾紫外線與有害藍光,保護黃斑部,避免黃斑部變性。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">(4)<span style="font: 7pt "times new roman";">
</span></span></span><!--[endif]--><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">葡萄膜炎非球面人工水晶體</span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">可降低葡萄膜炎病患,水晶體與囊袋,虹彩沾黏的危險性,亦可降低人工水晶體在囊袋內移動、旋轉,並能預防囊袋過度收縮引起的光學區移位。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><span lang="" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">(5)<span style="font: 7pt "times new roman";">
</span></span></span><!--[endif]--><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">散光人工水晶體</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">可矯正病患散光引起的屈光不正。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">(6) </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">雙焦人工水晶體</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">可矯正病人老花眼。病人遠的看得清楚,近的看得清楚,但中間就看不清楚。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">植入雙焦人工水晶體的病人其電視,報紙看得到;</span></p><p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">但是</span>電視與報紙之間的影像看不清楚,例如電腦。</p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">(7) </span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">三焦人工水晶體</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">可矯正病人老花眼。病人遠的看得清楚,</span>中間也清楚,近的看得清楚。</p><p class="MsoNormal">但遠中,與中近之間不清楚。</p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">植入三焦人工水晶體的病人,電視,電腦,報紙看得清楚。但是電視與電腦之間的影像看不清楚;電腦與報紙之間</span>的影像也看不清楚。</p>
<p class="MsoNormal"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal"><span lang="">(8) </span><a name="_Hlk47553179"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">漸進多焦人工水晶體</span></a><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">最合乎視覺生理,病患從遠到近都看得到。但是因科技的極限,目前漸進多焦人工水晶體僅可調節約200的老花,<a name="_Hlk47553338">使病患</a>回復</span><span lang="">40</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲的調節能力,但無法使病患恢復成</span><span lang="">20</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲<a name="_Hlk47553326">調節能力</a>。</span><span lang=""><o:p></o:p></span></p><p class="MsoNormal"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><a name="_Hlk47553179"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">植入漸進多焦</span></a>人工水晶體的病人,</span>病人可選擇遠至中看清楚,或中至近看清楚。</p><p class="MsoNormal">(i) 遠至中看清楚 : 病患電視,電腦,手機之間都看得清楚;但報紙會看不清楚。</p><p class="MsoNormal">(ii) 中至近看清楚 : 病患電腦,手機,報紙之間都看得清楚;但電視會看不清楚。</p><br />臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-18443581054765885172020-08-04T21:00:00.003-07:002020-08-12T08:04:20.164-07:00飛蚊症與閃光般的視覺是否為嚴重疾病 蔡明霖<p class="MsoNormal" style="mso-pagination: widow-orphan;"><a name="_Hlk47519012"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">飛蚊症與視網膜剝離</span></a><span lang=""><span style="mso-spacerun: yes;"> </span></span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">蔡明霖</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; mso-para-margin-left: 0gd; text-indent: -18pt;"><a name="_Hlk47518909"><!--[if !supportLists]--><b><span lang="" style="color: #0070c0; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7pt "times new roman";"> </span></span></span></b><!--[endif]--><b><span face="" style="color: #0070c0; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">飛蚊症是否為嚴重疾病</span></b></a><b><span face="" style="color: #0070c0; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">?</span><span lang="" style="color: #0070c0;"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span lang=""><o:p> </o:p></span><span face="">所謂的飛蚊症就是玻璃體混濁。</span></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">根據統計,三十歲以上高度近視患者,十個之中,可能六個都有飛蚊症。因為近視也會使眼球中的玻璃體液化,所以容易有飛蚊症。六十歲以上的人,因為玻璃體萎縮,約有三分之二會有飛蚊症,七十歲以上的更達</span><span lang="">80%</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">。</span> <span lang=""><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">眼前出現飛蚊症,眼球一轉動,蚊子馬上就飛起來,有時候是黑點或圓圈,令人困擾,有時會影響日常生活。病人往往因為突然發覺這些症狀而特別擔心,其實這大多數只是一種老化退化性過程,無須過慮。</span><span lang=""><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><b><span lang="" style="color: #0070c0; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7pt "times new roman";">
</span></span></span></b><!--[endif]--><b><span face="" style="color: #0070c0; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">閃光般的視覺是否為嚴重疾病?</span></b> </p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">年輕正常的玻璃體是與與視網膜相黏,好像兩張紙黏在一起!</span></p><p class="MsoNormal" style="mso-pagination: widow-orphan;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">但隨著年齡的增加,玻璃體會產生液化與萎縮,因此萎縮的玻璃體</span><span face="">就會</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">對視網膜造成局部牽引的情況,當</span><span face="">視網膜感光細胞受</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">玻璃體</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">牽引時,就會</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">產生閃光視覺。</span></p><p class="MsoNormal" style="mso-pagination: widow-orphan;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">玻璃體對視網膜的牽引,就可能會產生視網膜破洞,甚至視網膜剝離,此種情況常出現</span><span lang="">40</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲以上族群。</span></p><p class="MsoNormal" style="mso-pagination: widow-orphan;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">而高度近視的族群往往視網膜都比正常人薄,在玻璃體牽引中比較薄的視網膜就容易會產生視網膜破洞,甚至視網膜剝離,此種情況常出現</span><span lang="">20</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">歲左右的年輕族群。</span></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span lang=""><o:p> </o:p></span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">在視網膜與玻璃體分開的過程中,就好像把兩張紙黏在一起,現在要把它分開,在分開的過程之中,這兩張紙可能因為互黏,而在撕開的過程之中產生破洞,此時就會產生視網膜破洞,如果玻璃體的水,又經由視網膜破洞灌到視網膜下,便會產生視網膜剝離;</span></p><p class="MsoNormal" style="mso-pagination: widow-orphan;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><a name="_Hlk47518780">一般而言,視網膜破洞</a>於眼科門診接受雷射治療即可,而視網膜剝離則須接受緊急手術。所幸正常人視網膜與玻璃體分開的過程,大多可完美的分開,不會產生破洞。但根據文獻的報告,視網膜破洞發生率仍有</span><span lang="">0.5%-5%</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">;而裂孔性視網膜剝離,在一般人口<a name="_Hlk47518796">發生率仍有干分之一左右</a>,但若是高度近視</span><span lang="">(</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">大於六百度</span><span lang="">)</span><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,發生率就躍昇十倍,變成百分之一。</span></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-TQrnf-xEZMQ/XyouHuWJ-MI/AAAAAAAAvuM/v-idGY9vEd0e1CEc5l6VrDTwHpp0A26FQCLcBGAsYHQ/s960/traction.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="960" height="300" src="https://1.bp.blogspot.com/-TQrnf-xEZMQ/XyouHuWJ-MI/AAAAAAAAvuM/v-idGY9vEd0e1CEc5l6VrDTwHpp0A26FQCLcBGAsYHQ/w400-h300/traction.jpg" width="400" /></a></div>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-pagination: widow-orphan; mso-para-margin-left: 0gd; text-indent: -18pt;"><!--[if !supportLists]--><b><span lang="" style="color: #0070c0; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7pt "times new roman";">
</span></span></span></b><!--[endif]--><b><span face="" style="color: #0070c0; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">飛蚊症與閃光般的視覺是否須要手術?</span><span lang="" style="color: #0070c0;"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span lang=""><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-pagination: widow-orphan;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">出現飛蚊症或閃光視覺感,通常是正常的玻璃體退化,無須多慮。</span></p><p class="MsoNormal" style="mso-pagination: widow-orphan;"><span face="" style="mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">但如果漂浮物大量發生或閃光視覺出現頻繁,則最好盡早門診與接受詳細<a name="_Hlk47519379">眼底</a>檢查。特別是高度近視或視網膜比較薄的族群最好定期接受眼底檢查,因為網膜破洞產生的機會高。網膜破洞尚未產生視網膜剝離的病人,門診雷射治療即可。若有網膜剝離則需要緊急手術,手術效果則視病人網膜剝離情況而異。因此定期檢查,早期治療,方為上策。</span><span lang=""><o:p></o:p></span></p><br />臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-56332989210515010962020-06-14T04:23:00.004-07:002020-06-14T04:25:12.808-07:00賀蔡明霖教授再次榮任美國醫學會JAMA期刊審查委員<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-7Fb-LbUy17o/XuYImKtOTLI/AAAAAAAAvRw/OX8Wjutpj0ozcuLnt7pbLbOOjT1ekJg7wCLcBGAsYHQ/s1600/jama.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="960" height="300" src="https://1.bp.blogspot.com/-7Fb-LbUy17o/XuYImKtOTLI/AAAAAAAAvRw/OX8Wjutpj0ozcuLnt7pbLbOOjT1ekJg7wCLcBGAsYHQ/s400/jama.jpg" width="400" /></a></div>
<br />臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-88532447894671358572017-06-18T01:35:00.001-07:002017-06-18T01:35:44.843-07:00賀蔡明霖副教授再次榮任美國眼科學醫學最高榮譽JAMA期刊審查委員<div class="separator" style="clear: both; text-align: center;">
<a href="https://2.bp.blogspot.com/-1DmG8DBGdKQ/WUY7M-0dj9I/AAAAAAAAXY0/AiAmTykA2Lsw_t7Cf2w-36XY-xa_MDIfQCLcBGAs/s1600/0001.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1237" data-original-width="1600" height="247" src="https://2.bp.blogspot.com/-1DmG8DBGdKQ/WUY7M-0dj9I/AAAAAAAAXY0/AiAmTykA2Lsw_t7Cf2w-36XY-xa_MDIfQCLcBGAs/s320/0001.jpg" width="320" /></a></div>
<h3 class="post-title entry-title" style="background-color: #fce5cd; color: #333333; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; font-size: 18px; font-stretch: normal; font-weight: normal; line-height: normal; margin: 0px; position: relative;">
</h3>
臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-32828102871010137912016-12-19T14:14:00.001-08:002020-10-04T19:22:39.518-07:00耶魯聖誕前夕<iframe allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/BMCoIozgZ04" width="560"></iframe>
<div><br /></div><div>聖誕的氣氛越來越濃!
記的得我曾有一次在靠近聖誕節的這個時間,由耶魯約晚間11點開車帶家人到加拿大法語區大城魁北克。入加國國境時已是淩晨3:00,雖然與我家人以每小時100 mile的速度(美國DMV rule:your vehicle speed limit just follow traffic going. 因此未超速) 輪流駕駛,但路況不熟,再加上那時大雪紛飛,當下實在疲累不堪, 那時無意發現收音機廣播由英語變成法語廣播,隨後也飄來Celine Dion 主唱的 "Oh Holy night",疲累的心頓時散去, 也突然意識到聖誕節已經快要來臨!同一個場景,心境完全不同,看著白雪,聽著法語聖誕歌聲,心中充滿平安幸福的感覺!
也祝在大家在這寒冷的聖誕季節,享受Celine 的歌聲與聖誕節溫暖的氣氛!
</div>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-12645672044822134182016-12-05T07:44:00.001-08:002016-12-22T22:30:52.474-08:00<h2>
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">葡萄膜炎病人青光眼藥如何使用 ?</span></h2>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">葡萄膜炎經常併發青光眼引起視力惡化,</span><span style="font-family: , serif;">門診病人最常為的兩個問題就是</span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">第一: 我有青光眼嗎</span><span lang="EN-US">?<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">第二:</span><span style="font-family: , serif;">青光眼的藥要怎麼用</span><span lang="EN-US">?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">針對第一個問題</span><span lang="EN-US">:</span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">青光眼的判定主要是看患眼視神經萎縮有無增加,其它檢查例如眼壓,視野都只是輔助。一般而言,眼壓越高</span><span lang="EN-US">(</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">正常值</span><span lang="EN-US">21mmHg</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">以下</span><span lang="EN-US">)</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,視神經萎縮就會越快,視野缺損就會越大,病人致盲的機會越高。但這只是通則。例如一個人眼壓高於正常值,但視神經沒有萎縮增加的現象,這就是所謂的高眼壓症,追蹤即可,不一定要用藥。例如病人眼壓低於正常值,但視神經萎縮一直增加,這就是所謂的低眼壓青光眼,病人此時就必須積極用藥治療來控制視神經萎縮增加的情況,避免致盲。因此青光眼患者須定時返院複診,檢查視神經萎縮有無增加情況,作為治療依據。</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">第二個問題是有青光眼的藥要怎麼用主要是看病人本身的體質,因為青光眼的藥幾乎都會有副作用。一般青光眼的眼藥種類有下列</span><span lang="EN-US">5</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">種</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">1 </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">乙型阻斷劑</span><span lang="EN-US">(Beta-blocker)<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">降壓效果最佳約15-30%(以20mmHg病人降20% ,約可降至16mmHg),為台灣的第一線用藥,機制為減少房水產生,通常早晚各點一次,但也有長效型的,一天一次即可。副作用為會降低心跳,造成氣管收縮,一般年紀高心臟不好及氣喘的人禁用。過去曾有病人致死案例,台灣乙型阻斷劑常見藥物如下</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">青眼露</span><span lang="EN-US">(Timoptol):</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">非選擇性乙型阻斷劑,對心跳影響較大,可降約</span><span lang="EN-US">4</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">-</span><span lang="EN-US">6mmHg<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">貝他眼</span><span lang="EN-US">(Bunolgan):</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">非選擇性乙型阻斷劑,降壓效果最好可至</span><span lang="EN-US">5</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">-</span><span lang="EN-US">8mmHg</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,孕婦不宜使用</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">凱特羅</span><span lang="EN-US">(Caeteolol):</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">非選擇性乙型阻斷劑,有刺激心跳的效果。但降壓效果較青眼露略差。</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">貝特舒</span><span lang="EN-US"> (Betoptic S) :</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">選擇性乙型</span><span lang="EN-US">(beta1) </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">阻斷劑,但對心跳影響最少,但降壓效果較青眼露小約</span><span lang="EN-US">1</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">-</span><span lang="EN-US">2mmHg<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">2. </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">α</span><span lang="EN-US">2</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">促進劑</span><span lang="EN-US">(Alpha-2 adrenergic agonist)<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">降壓效果</span><span lang="EN-US">10%-20%</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,機轉為減少房水分泌及增進房水流出,通常</span><span lang="EN-US">1</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">日</span><span lang="EN-US">3</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">次,最常見副作用為紅眼睛,但一般年紀高心臟不好及氣喘的人可使用</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">常見藥為艾弗目</span><span lang="EN-US"> (Alphagan P; </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">學名</span><span lang="EN-US">Brimonidine) </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">心臟不好及氣喘的人可使用,副作用為紅眼睛</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">3. </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">碳酸酐酶抑制劑</span><span lang="EN-US">(Carbonic
anhydrase inhibitor)<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">降壓效果</span><span lang="EN-US">15%-20%</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,機制為減少房水分泌。通常早晚各點一次,常見副作用點藥時暫時的刺激或灼熱刺痛感、視覺模糊、口腔有異味、結膜炎等。若擔心苦味可躺著點,並把鼻淚管壓住,避免藥水進入口中產生苦味</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">常見藥為舒露瞳</span><span lang="EN-US"> (Trusopt)</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,愛舒壓</span><span lang="EN-US"> (Azopt)</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">,一般每日三次</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">4. </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">前列腺素</span><span lang="EN-US">(Prostaglandin
analogue)<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">降壓效果與乙型阻斷劑差不多,但機制為增進房水流出量,通常晚上點一次即可,最大藥效約在點藥後</span><span lang="EN-US">8-12</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">小時,若睡前使用剛好可抑制早上起床眼壓最高造成視神經萎縮最厲害的時候。此類藥物藥效持續</span><span lang="EN-US">24</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">小時,因此一天一次,若一日超過一次,降壓效果反而降壓效果。此類藥物有誘發虹膜炎的副作用,因此虹膜炎病人不宜使用。此外會有黑眼圈,眼窩變深、睫毛變長產生,台灣常見前列腺素藥物如下</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">舒而坦</span><span lang="EN-US"> (Xalatan): </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">藥品較不穩定,開瓶後</span><span lang="EN-US">6</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">週後會變質,一般使用四周後丟棄,晚上用較佳。</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">露明目</span><span lang="EN-US"> (Lumigan) </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">藥品最穩定,但在此類</span><span lang="EN-US">3</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">種藥中最會引起過敏</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">舒壓坦</span><span lang="EN-US"> (Travatan) </span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">藥品穩定,且在此類</span><span lang="EN-US">3</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">種藥中最不會引起過敏。早上一次或晚上一次皆可。</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">因為許多患者必須點</span><span lang="EN-US">2</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">種以上的藥,才能達到降壓效果,為了讓患者更方便,所以廠商就直接把上述類別的藥組合成一瓶,通常是第</span><span lang="EN-US">1</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">種再加上第</span><span lang="EN-US">2</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">種,或第</span><span lang="EN-US">3</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">種或第</span><span lang="EN-US">4</span><span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">種,所以副作用視其成份而定。</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">台灣常見複方如下</span><span lang="EN-US"><o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Combigan: 1+2: Bunolgan
+ Alphagan <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Copsopt: 1+ 3 Timoptol + Trusopt<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Azagra:
1+3 Timolol
+ Brinzolamide<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-US">Xalacom: 1+4 Timoptol
+ Xalatan<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
<span style="font-family: "新細明體" , "serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">青光眼藥並無好壞,根據個人體質,找出自己適合的藥才是重點。更重要的是一旦用藥,就要持之以恆用藥降低眼壓,避免視神經進一步損傷才是王道。</span><span lang="EN-US"><o:p></o:p></span></div>
臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-23290647877445586142014-03-29T18:30:00.001-07:002017-06-18T01:46:22.701-07:00賀蔡明霖副教授榮任美國臨床醫學最高榮譽JAMA期刊審查委員<div class="separator" style="clear: both; text-align: center;">
<a href="https://1.bp.blogspot.com/-KtdPUJ6OaKY/WUY9wVDY6dI/AAAAAAAAXZU/K0vyI6RsRzUVYGYBY_CjjDsU_Kb0xYjjACLcBGAs/s1600/2014JAMA-page-001.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1237" data-original-width="1600" height="247" src="https://1.bp.blogspot.com/-KtdPUJ6OaKY/WUY9wVDY6dI/AAAAAAAAXZU/K0vyI6RsRzUVYGYBY_CjjDsU_Kb0xYjjACLcBGAs/s320/2014JAMA-page-001.jpg" width="320" /></a></div>
<br />臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-86150805258052988622014-02-21T19:23:00.003-08:002014-02-21T19:23:06.602-08:002014 台科大 眼 蔡明霖副教授<iframe src="https://onedrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%211692&authkey=AC9M6qmffpbqMOQ&em=2" width="402" height="327" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-37525000113425694452014-02-12T09:24:00.000-08:002014-02-12T09:26:16.760-08:00台科大102年第二學期醫工概論課程表最新版 蔡明霖副教授<iframe src="https://skydrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%211696&authkey=AF2IV_gIISNoTBY&em=2" width="476" height="288" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-47531840832118297402013-05-21T08:55:00.001-07:002013-05-21T08:55:13.707-07:00顏志峰 蘇明綢 教授 講授內容 醫療器材產業簡介<iframe src="https://skydrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%21509&authkey=AFz10bvLgDsFbik&em=2" width="476" height="288" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-8783740874800815892013-05-15T06:02:00.000-07:002013-05-15T06:02:30.409-07:00李承龍教授 台科大 鑑識科學 教材<iframe src="https://skydrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%21507&authkey=AAU-K3b3tR8n6QY&em=2" width="476" height="288" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-45312360995426960252013-05-02T07:31:00.001-07:002013-05-02T07:31:15.419-07:00醫學工程在放射科之應用與發展(台科大)<iframe src="https://skydrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%21505&authkey=AGGdNiPsFUXBPhk&em=2" width="402" height="327" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-76921871597434713562013-04-29T06:41:00.004-07:002013-04-29T06:41:14.617-07:00醫學工程在腎臟科之應用與發展(台科大)<iframe src="https://skydrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%21503&authkey=AEXyubbxUGRwwKs&em=2" width="402" height="327" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-83674070627161308802013-04-24T04:49:00.003-07:002013-04-24T04:49:17.141-07:00醫學工程應用於皮膚科之現況 (三總江建平)<iframe src="https://skydrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%21501&authkey=APlBJcckhZFAjdA&em=2" width="402" height="327" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-43987168632970665452013-03-28T05:41:00.002-07:002013-03-28T05:42:19.414-07:00柯授耀院長授課內容<iframe src="https://skydrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%21414&authkey=AClF9aDE8X37Wmg" width="98" height="120" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-80620292451698152082013-03-21T05:15:00.001-07:002013-03-21T05:19:21.380-07:00榮總心臟科李必昌副教授講演內容榮總心臟科李必昌副教授講演內容
<iframe src="https://skydrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%21345&authkey=AF_9RZWkr75kUBw" width="98" height="120" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.comtag:blogger.com,1999:blog-5528619484972165139.post-35630753313402457202013-03-14T05:08:00.000-07:002013-03-14T06:00:01.553-07:00王振華院長骨科授課內容
<iframe src="https://skydrive.live.com/embed?cid=66A487F391C7A543&resid=66A487F391C7A543%21344&authkey=AGGgUfXF4ue-bL8" width="98" height="120" frameborder="0" scrolling="no"></iframe>臺灣白內障虹彩炎資訊站http://www.blogger.com/profile/04953030496565656374noreply@blogger.com