WHAT VISION PROBLEMS THAT DEVELOP AFTER THE AGE OF 40!

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BEWARE OF VISION PROBLEMS THAT DEVELOP AFTER THE AGE OF 40

Many people, both men and women, experience some changes in eye health when they reach their 40s. Myopia, that is, the problem of farsightedness, is often encountered in the early stages, while at the age of 45 and later, the problem of nearsightedness usually occurs. Experts also noted that patients who have passed the age of 45 may have eye problems such as myopia or astigmatism.

Turkey Medicals member and Eye hospital in Antalya, Turkey, our Professor Doctor tells us what we need to know about multifocal lens therapy, popularly known as smart lens, which can be planned jointly for the treatment of presbyopia and other eye diseases.

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SMART LENS TREATMENT FOR CATARACTS AND NEAR VISION PROBLEMS

“Presbyopia”, which is a problem of near vision, can be defined as a kind of hyperopia. This condition, which is usually seen at the age of 45 and later, can also occur earlier in patients who use glasses with the number “+” who have previously had hyperopia. One of the common eye diseases in the older age group is cataract. Cataract occurs at the age of 50 and after, first of all, it restricts a person from seeing far away, and then from seeing close up over time. In this case, “smart lenses” that eliminate the use of glasses both far and near are recommended for patients with cataract-related vision problems and over the age of 45 who do not want to wear glasses both far and near. Patients with astigmatism problems can also benefit from multifocal lens surgery, which is performed without needles and without seams.

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YOU CAN GET RID OF YOUR GLASSES

In order to resolve the refractive error and get rid of the glasses, two main areas of the eye are treated. The first is the operation on the outer part of the eye, which is like a clock glass, that is, on the cornea. The second is done to the environment inside the eye called the lens. in the period under the age of 40, that is, when people do not have problems with close vision, procedures aimed at stopping the use of glasses are more often applied to the corneal layer. Laser procedures are often performed on patients who have long-term vision problems in their 20s. Especially in the period after the age of 45, multifocal lens surgery is resorted to in order to solve both the far and the near, as the near vision problem also comes into play. This is due to the fact that laser surgeries applied to the cornea are quite successful in eliminating the problem of both distant and near vision.

Multifocal lens surgery, modern advances in technology and the introduction of 3-focus (trifocal) lenses can achieve very good results in near, medium distance and far vision. For this reason, multifocal lenses are a very current and effective method in the group of patients over the age of 45 who will have cataract surgery and want to use glasses.

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PROPER PATIENT SELECTION IS IMPORTANT

In all refractive interventions, a detailed evaluation of the patient before surgery is important for determining satisfaction in the post-surgical period. For example, a 47-year-old patient who has worn short-sighted glasses for a very long time and still sees far and near with short-sighted glasses may not be very satisfied with multifocal lens surgery. In particular, patients over the age of 40 who previously had hyperopia and now have problems both soon and far constitute the group of patients with the highest satisfaction rate for multifocal lens surgery. However, anyone who is hyperopia, has any degree of astigmatism, and is addicted to double glasses can actually have this surgery.

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THE RULES OF SURGERY ARE CHANGING IF YOU HAVE DIABETES

Multifocal lens surgery is not recommended for people with retinal problems, damage due to diabetes or due to yellow spot disease behind the eyes. The surgery of patients with controlled diabetes can be planned by taking a joint opinion with endocrine specialists. Because retinal problems that may develop in the long term can disrupt the comfort provided by these lenses. Again, multifocal lens surgery is also not recommended for watch repairmen, jewelers, and long-distance drivers who work very closely due to the optical structures of multifocal lenses.

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IF THERE IS ASTIGMATISM

Addition to the problem of far and near vision, multifocal lens surgery can also be performed on patients with astigmatism. Astigmatism is an axial refractive error. In its simplest form, it can be explained as follows; when looking at the plus shape, patients with astigmatism see one more blurred vertical or horizontal axis standing lines. Each person has as many as 0.50 physiological astigmatism, but this degree creates problems when it rises above No. 1. For this reason, especially in patients with astigmatism above number 1, astigmatic toric multifocal should be preferred when multifocal lens surgery is on the agenda. If astigmatism correction cannot be performed in the patient, patient satisfaction may be negatively affected after surgery, as the quality of vision will decrease both far and near.

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CORNEAL TOPOGRAPHY TEST PLAYS A DECISIVE ROLE IN THE DECISION OF SURGERY

Multifocal lens surgery is performed using the fako method, without needles and without seams. Along with a very detailed eye examination before surgery, tests are performed that measure the patient’s corneal topography and the number of multifocal lenses that need to be worn. The purpose of doing all these tests is to evaluate whether the patient needs surgery and whether he will benefit from surgery. With these examinations and tests, cataracts, the presence of eye pressure, the condition of the retina, abnormalities on the outer surface of the cornea and curvature-related disorders are evaluated. If the patient’s corneal surface is not smooth and there are any retinal diseases, it is not recommended to have surgery because they may have difficulty adjusting to the lens.

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WATER CONTACT AND EYE RUBBING SHOULD BE AVOIDED AFTER SURGERY

Patients who have undergone surgery do not need to stay in the hospital after surgery. They can be discharged about 2 hours after the procedure. It is necessary to avoid water contact with the eye for the first 5 days after surgery. The eyes should not be rubbed hard. While frequencies are reached at the end of the first week at fairly good far and near vision levels, multifocal lenses mainly improve their performance at 1, where eye-brain harmony begins to develop and wound healing is fully established. they begin to show from the month. As a result, multifocal lens surgeries provide laughable results when the patient’s expectations are clearly understood and the appropriate patients are selected.
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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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