7/23/2019 Oftlmicos

1/13

7/23/2019 Oftlmicos

2/13

WLCPGKLF@W LA^CHKGDW

]r`}drdgklf`w `w~rkc`w# ckbr`w n` }dr~gpcdw`x~rddw# tp` glf~k`f`f pfl l hw arhdglwnkwp`c~lw j`f`rdch`f~` `f djpd { gp{d

akfdckndn `w cd d}ckgdgkf ~}kgd `f clw lilw#n`b` w`r `w~dbc` tphkgd { bklcjkgdh`f~` {n`b` krrk~dr cd grf`d&

7/23/2019 Oftlmicos

3/13

Cdw wlcpgklf`w la~chkgdw n`b`f w`r9

Kwl~fkgdw Qkwglwdw

@w~rkc`w

^`f`r pf }O

g`rgdfl dcn`c ctpknlcdjrkhdc /:&=

d :&>+

7/23/2019 Oftlmicos

4/13

KWL^LFKGKNDN

W` cljrd dnkgklfdfnl gclrprl n` wlnkl p l~rd wdc `fgdwl n` `xkw~kr glh}d~kbkckndn&

Clw hrj`f`w glfwkn`rdnlw glhl fl krrk~df~`w `f `clil qdf n` =&2 d =&1% n` gclrprl n` wlnkl&

@c ctpknl cdjrkhdc ~k`f` pfd kwl~lfkgkndn n` =&;%tp` `w `c tp` n`b`r }r`w`f~dr pfd wlcpgkfla~chkgd&

Dcjpfdw wlcpgklf`w la~chkgdw wlf ok}`r~fkgdw}drd adqlr`g`r cd dbwlrgkf { }drd pfd dggkf

~`rd}p~kgd `a`g~kqd

7/23/2019 Oftlmicos

5/13

QKWGLWKNDN

Dph`f~dr cd qkwglwkndn r`npg` tp` `carhdgl w`d `ckhkfdnl }lr `c cdjrkh`l#dph`f~dfnl `c ~k`h}l n` glf~dg~l n`carhdgl glf cd grf`d { `c `a`g~l&

Clw dj`f~`w qkwglwdf~`w hw pwdnlwwlf clw n`rkqdnlw n` g`cpclwd#

h`~kcg`cpclwd# oknrlxk}rl}kcg`cpclwd `fglfg`f~rdgklf`w n` =&20 dc 4&=%

7/23/2019 Oftlmicos

6/13

@W^@RKCKNDN

@w }rkhlrnkdc }drd fl djr`jdr dc lil `fa`rhl pfdfp`qd c`wkf&

Clw glfw`rqdnlr`w fl n`b`f w`r krrk~df~`w fk~xkglw dc ~`iknl lgpcdr# n`b`f w`r glh}d~kbc`w

glf clw n`hw glh}lf`f~`w n` cd arhpcd { ~`f`rpfd dc~d dg~kqkndn bdg~`rkgknd n` dh}ckl `w}`g~rl

@i`h}clw9 Gclrlbp~dflc /=&0(=&?%+# Gclrlb`fylc/=&=4(=&=2%+# ^kh`rlwdc /=&==4(=&4%+

7/23/2019 Oftlmicos

7/13

7/23/2019 Oftlmicos

8/13

7/23/2019 Oftlmicos

9/13

WPW]@FWKLF@W LA^CHKGDW

Wlf wkhkcdr`w d cdw wlcpgklf`w la~chkgdw# wdcqltp` `c }rkfgk}kl dg~kql `w kfwlcpbc`&

N`b`f ~`f`r pf ~dhdl n` }dr~gpcd n`c ;=%h`flr n` 4= h l ;;% h`flr d 2= h {fkfjpfd }dr~gpcd n`b` wp}`rdr clw 0= h&

@c pwl n` }lckwlrbd~lw adqlr`g`f cdwpw}`fnkbkckndn n` }rkfgk}klw dg~kqlw&

7/23/2019 Oftlmicos

10/13

PFJ@F^LW LA^CHKGLW @f `cclw w` n`b` glfwkn`rdr cd `w~`rkckndn { `c

~dhdl n` }dr~gpcd&

Fl n`b`f w`r krrk~df~`w dc lil&

Cd kwl~lfkgkndn { `c }O fl w` ~lhdf `c gp`f~d{d tp` fl }r`w`f~df }r`wkf lwh~kgd&

@c }O `w }rg~kgdh`f~` kh}lwkbc` r`jpcdrcl `f}rlnpg~lw kfwlcpbc`w&

7/23/2019 Oftlmicos

11/13

Cd bdw` tp` w` w`c`ggklf` fl n`b` w`r krrk~df~`&

N`b` }`rhk~kr cd nkapwkf n`c arhdgl d~rdqw n`cctpknl cdjrkhdc { hdf~`f`r wp dg~kqkndn&

Cdw bdw`w hw pwdndw wlf9 qdw`ckfd wcknd# cdflckfddfoknrd { wpw n`rkqdnlw odclj`fdnlw { lxk`~kc`fdnlw&

Glf~k`f`f glfw`rqdnlr`w&

7/23/2019 Oftlmicos

12/13

Cd wpdqkndn n`c pfj`f~l `w~dr nkr`g~dh`f~`ckjdnl dc jrdnl n` hkgrlfkydgkf n` wpwglh}lf`f~`w&

Clw r`gk}k`f~`w }drd clw pfj`f~lw la~chkglw fln`b`f kf~`rdggklfdr awkgd l tphkgdh`f~` glf cd}r`}drdgkf fk dc~`rdr cd }pr`yd `f `c hdf`il#dchdg`fdhk`f~l# q`f~d { pwl&

N`b`f gph}ckr glf clw r`tpkwk~lw }drd }dr~gpcdw

h`~ckgdw n` HJD =1>4 ]dr~gpcdw `x~rddw `fpfj`f~lw la~chkglw { cd }rp`bd n` apjdw&

7/23/2019 Oftlmicos

13/13

BKBCKLJRDAD

Glhkwkf ]`rhdf`f~` n` cd Adrhdgl}`dn` clw @w~dnlw Pfknlw H`xkgdflw&Adrhdgl}`d n` clw @w~dnlw Pfknlw

H`xkgdflw& 4= `nkgkf& Hxkgl9W`gr`~drd n` Wdcpn ]bckgd# Glhkwkf]`rhdf`f~` n` cd Adrhdgl}`d n` clw

@w~dnlw Pfknlw H`xkgdflw& } 4>=1(4>=:&