青光眼治療要點(作者:iDrShen 沈筠惇醫師)

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  • Опубликовано: 31 дек 2024
  • 青光眼的治療是一個一生的課題啊!一開始就要有正確的觀念,養成正確的點藥和就醫習慣,一些簡單但是需要一生都遵循的原則一定要好好來看看!

Комментарии • 52

  • @94BOHAN
    @94BOHAN 5 лет назад +23

    萬分感謝 醫生 分享了那麼重要的知識。真的比我們美國許多醫生都要專業。很多細節,他們都沒說,比如點藥時間就算一小時 都很重要,還有點完藥要閉眼捏住鼻子 才會有效 才會沒有副作用。
    感謝有您這樣的愛心醫生。希望可以保持聯繫!

    • @davidlo168888
      @davidlo168888 2 года назад

      ruclips.net/video/iswRngmN-cY/видео.html

  • @馨雨-v4t
    @馨雨-v4t Год назад +2

    謝謝醫師詳細說明,
    這2個月我先生被診斷出有青光眼,此影片讓我有個概念而知道怎樣在旁留意他的情形,謝謝,收穫很多

  • @tracylin5321
    @tracylin5321 3 года назад +9

    關於用藥,第一次知道有這種用藥方法和細節,很高興,謝謝醫生。

    • @davidlo168888
      @davidlo168888 2 года назад

      ruclips.net/video/iswRngmN-cY/видео.html

  • @詹敏-k1x
    @詹敏-k1x 4 месяца назад

    非常感恩沈醫師詳細的解說教導,謝謝您。

  • @蔡幸君-q1q
    @蔡幸君-q1q 9 дней назад

    謝謝沈醫師這麼詳細的說明

  • @秀秀-p9d
    @秀秀-p9d 4 года назад +6

    感恩您詳細的解說等青光眼點眼藥水的方法

    • @davidlo168888
      @davidlo168888 2 года назад

      ruclips.net/video/iswRngmN-cY/видео.html

  • @yenlily12
    @yenlily12 Год назад

    感恩
    小細節的衛教

  • @陳幼蕙
    @陳幼蕙 2 года назад +1

    謝謝沈醫師

  • @黃柯麗花-m6s
    @黃柯麗花-m6s 8 месяцев назад

    謝謝你分享

  • @maimak3141
    @maimak3141 2 года назад +2

    我今年32歲,🥺昨天才知道自己有青光眼,本來以為只是視力模糊…謝謝醫生的影片!不知道醫生有沒有門診可以看,非常感謝🙏🏻

  • @DIY-bp9vu
    @DIY-bp9vu 4 года назад +4

    非常感谢医生,昨天去医院看眼科,杯盘比0.6.眼压24,初步被诊断青光眼,后续还需要做24小时眼压跟视野,现在心里负担很重。

    • @davidlo168888
      @davidlo168888 2 года назад +1

      如果你是 open-angle glaucoma (abnormal IOP), 可以與我聯絡, 西醫無法有效治療
      open-angle glaucoma.

    • @davidlo168888
      @davidlo168888 2 года назад

      ruclips.net/video/iswRngmN-cY/видео.html

  • @风度-p9y
    @风度-p9y Год назад +2

    上海现在用眼内减压阀治疗青光眼,几乎能用到终身,比小梁网切除手术要好些。

    • @sakagu1000
      @sakagu1000 Год назад +1

      请问上海哪家医院可以做这种手术 ? 谢谢

  • @佳輝黃
    @佳輝黃 Год назад

    很有助益

  • @alayshasacko
    @alayshasacko 2 года назад +1

    医生您好,我 19 岁的女儿在 12 岁时患上了白内障和开角型青光眼,今天进行了这项手术,她的视力好很多,达到了十分之八,出色的近视力使青光眼给他的视力留下了严重的后遗症。设备和她的夜视力受到影响 她不能开车或骑自行车 我目前住在欧洲,特别是在法国 法国医生告诉我,我的女儿再也无法恢复视力了,我的问题是有没有希望给我的女儿。中国提高生活质量

  • @nfrida2139
    @nfrida2139 2 года назад +1

    请问医师眼压仪英文叫什么,我想买一个🙏

  • @陳奕惠-b9x
    @陳奕惠-b9x 3 года назад +5

    謝謝醫生解說,近日剛被診斷輕微青光眼,內心超徬徨一直擔心眼瞎!請教沈醫師,點藥三天了,感覺右眼乾怪怪的,我需要立即就醫嗎?還是可以等三個月回診?

    • @davidlo168888
      @davidlo168888 2 года назад +1

      如果你是 open-angle glaucoma (abnormal IOP), 可以與我聯絡, 西醫無法有效治療
      open-angle glaucoma.

  • @anneshiao988
    @anneshiao988 2 года назад +1

    沒有字幕很可惜,耳朵聽力不好,希望你有字幕。

  • @lxchen7427
    @lxchen7427 3 года назад +3

    国外的眼科医生现在都是要求青光眼两种眼药水之间间隔五分钟,想问一问医生间隔五分钟和一小时的区别在哪里?为什么国外的医生现在普遍要求间隔五分钟呢?感谢🙏

    • @davidlo168888
      @davidlo168888 2 года назад

      ruclips.net/video/iswRngmN-cY/видео.html

  • @user49255
    @user49255 2 года назад +6

    查到5篇有關「冥想能降低眼壓(IOP),增加眼底血流量(ocular blood flow)」的paper,都有非常正向的結果。
    「每天冥想1小時,持續3週」,統計結果顯示大約2/3的人能「降低大約4-5mmHg的眼壓,增加2-3%視網膜神經纖維層血管密度(RNFL vessel density),增加3-4%的視網膜神經纖維層血管灌流(RNFL vessel perfusion)」,效果算是非常顯著!
    另外,也有查到「自律神經失調(autonomic dysfunction)是正常眼壓型青光眼(normal-tension glaucoma, NTG)的主要原因」,因為「交感神經過於活躍(Low HRV (heart rate variability))」,造成視神經周圍的血管收縮(vasoconstriction),因此視網膜神經纖維層血管灌流(RNFL vessel perfusion)變差,造成視神經萎縮。
    有興趣想「從根本改善青光眼的人」,可以看看下面的paper,至少看看「實驗結果」,真的會增加很多信心!
    目的:
    (1) 讓我們「對於冥想的效果有信心」。
    (2) 了解到「恢復自律神經穩定的重要性」。
    ===== 冥想對於改善青光眼的正面影響 =====
    - Mindfulness Meditation Can Benefit Glaucoma Patients:
    www.ncbi.nlm.nih.gov/pmc/articles/PMC6710928/
    Conclusion:
    Meditation can positively modulate cellular pathways (Flowchart 1) involved in glaucoma pathogenesis leading to a "significant reduction in IOP" and improve the quality of life of glaucoma patients.
    - Beneficial effect of mindfulness based stress reduction on optic disc perfusion in primary open angle glaucoma: A randomized controlled trial:
    www.sciencedirect.com/science/article/pii/S222541102100081X
    Results:
    In the intervention group, 23 (38%) eyes had less than 10% reduction in IOP, 33 (55%) eyes had a 10-15% reduction in IOP, and 4 (7%) eyes had more than 15% reduction in IOP; while the control group had only 4% reduction in IOP.
    In our study, the mean percentage reduction in IOP after 6 weeks of MBSR was "10-25% in about two-thirds of the participants."
    - Mindfulness Meditation Reduces Intraocular Pressure, Lowers Stress Biomarkers and Modulates Gene Expression in Glaucoma: A Randomized Controlled Trial:
    journals.lww.com/glaucomajournal/Abstract/2018/12000/Mindfulness_Meditation_Reduces_Intraocular.5.aspx
    Results:
    Between-group comparisons revealed significantly lowered IOP in meditators (OD: 18.8 to "12.7", OS 19.0 to "13.1" mm Hg).
    - Effect of Mindfulness Meditation on Intraocular Pressure and Trabecular Meshwork Gene Expression: A Randomized Controlled Trial:
    www.ajo.com/article/S0002-9394(20)30580-8/fulltext
    Results:
    At 3 weeks, a significant decrease in IOP was seen in Group 1 (20.16 ± 3.3 to "15.05 ± 2.4mm Hg"; P = .001), compared to Group 2 (21.2 ± 5.6 to 20.0 ± 5.8mm Hg; P = .38).
    - Mindfulness Meditation May Help Fight Glaucoma:
    www.aao.org/eye-health/news/mindfulness-meditation-may-help-fight-glaucoma
    Result:
    The study found 75 percent of the patients who practiced meditation had a "more-than 25 percent (about 4-5mmHg) drop in eye pressure."
    ===== 自律神經失調與青光眼的關係 =====
    - The Effect of Autonomic Nervous System Dysfunction on the Progression of Primary Open-Angle Glaucoma:
    www.ncbi.nlm.nih.gov/pmc/articles/PMC9075998/
    Conclusion:
    POAG patients with lower HRV, which reflects ANS dysfunction with sympathetic predominance, presented faster glaucoma progression than patients with higher HRV. The more rapid progression of POAG with lower HRV may be explained by IOP and vascular risk factors.
    - Autonomic Dysfunction and Blood Pressure in Glaucoma Patients: The Lifelines Cohort Study:
    iovs.arvojournals.org/article.aspx?articleid=2770802
    Conclusion:
    Low HRV, high SBP, high PP, and hypertension were associated with glaucoma.
    - Heart rate variability in normal tension glaucoma:
    journals.lww.com/md-journal/Fulltext/2018/02020/Heart_rate_variability_in_normal_tension_glaucoma_.19.aspx
    Discussion:
    According to the results of the present study, the significant reduction in ocular blood flow in the major vessels supplying the optic nerve has been revealed in the NTG patients, and this reduction has correlated to HRV.

  • @vivi-cm8kc
    @vivi-cm8kc 4 года назад +1

    请问滴药后压泪囊多久

  • @saramuhumphries5197
    @saramuhumphries5197 3 года назад

    👍

  • @cherkiongliow799
    @cherkiongliow799 5 лет назад +4

    请问医生,视神经受损是否有什么方法可以修复?

    • @ChenBillChenBill
      @ChenBillChenBill 4 года назад +1

      中醫眼科可以嘗試

    • @davidlo168888
      @davidlo168888 2 года назад +1

      @@ChenBillChenBill 你在鬼扯? 要真正幹細胞療法, 舉世我突破.

    • @davidlo168888
      @davidlo168888 2 года назад +2

      與我聯絡, 全世界只有我突破. 真正幹細胞療法.
      Muller glia 可以視為視網膜的幹細胞.

    • @nancykoo4156
      @nancykoo4156 2 года назад

      @@davidlo168888 can you convince anyone to trust you??? I doubt

    • @davidlo168888
      @davidlo168888 2 года назад +1

      @@nancykoo4156
      你去問問翁啟惠, 為何如此怕我? Feb. 2007 想與我合作, Mar. 6, 2007,
      邀我參觀中央研究院. 台巴子就是不知天高與地厚.
      美國青光眼病患, 視覺神經靠 上帝恩典, 再生 . 我懶得將一堆感謝函
      公開. 太多了.
      台灣眼科醫學教授, 我根本不想多看一眼. 去問問北榮總眼科部主任
      劉瑞玲教授, 或是三總呂大文教授, 我名氣夠不夠大?

  • @theresaliang5289
    @theresaliang5289 2 года назад +2

    請教您低壓性青光眼(眼壓在12-15之間),視神經有受損,點降壓眼藥再降壓?該如治癒才是正確?

    • @user49255
      @user49255 2 года назад +2

      那你很有可能是自律神經失調,性格比較容易焦慮、緊張、急躁,A型人格、完美主義,造成「交感神經過於活躍(即Low HRV)」,尤其「頸部交感神經系統(cervical sympathetic system)」是控制眼底血管收縮(vasoconstriction )。長期交感神經活躍,造成眼底血管收縮起來,視網膜神經纖維血管灌流(RNFL vessel perfusion)狀況不好,就造成視神經萎縮了。
      所以你一定要放鬆壓力,讓自律神經恢復平衡,多做冥想或是學佛,擁有身心健康,大概狀況就會差很多,甚至停止惡化了,這才是治本的解決方法啊!
      ------------------
      查到5篇有關「冥想能降低眼壓(IOP),增加眼底血流量(ocular blood flow)」的paper,都有非常正向的結果。
      「每天冥想1小時,持續3週」,統計結果顯示大約2/3的人能「降低大約4-5mmHg的眼壓,增加2-3%視網膜神經纖維層血管密度(RNFL vessel density),增加3-4%的視網膜神經纖維層血管灌流(RNFL vessel perfusion)」,效果算是非常顯著!
      另外,也有查到「自律神經失調(autonomic dysfunction)是正常眼壓型青光眼(normal-tension glaucoma, NTG)的主要原因」,因為「交感神經過於活躍(Low HRV (heart rate variability))」,造成視神經周圍的血管收縮(vasoconstriction),因此視網膜神經纖維層血管灌流(RNFL vessel perfusion)變差,造成視神經萎縮。
      有興趣想「從根本改善青光眼的人」,可以看看下面的paper,至少看看「實驗結果」,真的會增加很多信心!
      目的:
      (1) 讓我們「對於冥想的效果有信心」。
      (2) 了解到「恢復自律神經穩定的重要性」。
      ===== 冥想對於改善青光眼的正面影響 =====
      - Mindfulness Meditation Can Benefit Glaucoma Patients:
      www.ncbi.nlm.nih.gov/pmc/articles/PMC6710928/
      Conclusion:
      Meditation can positively modulate cellular pathways (Flowchart 1) involved in glaucoma pathogenesis leading to a "significant reduction in IOP" and improve the quality of life of glaucoma patients.
      - Beneficial effect of mindfulness based stress reduction on optic disc perfusion in primary open angle glaucoma: A randomized controlled trial:
      www.sciencedirect.com/science/article/pii/S222541102100081X
      Results:
      In the intervention group, 23 (38%) eyes had less than 10% reduction in IOP, 33 (55%) eyes had a 10-15% reduction in IOP, and 4 (7%) eyes had more than 15% reduction in IOP; while the control group had only 4% reduction in IOP.
      In our study, the mean percentage reduction in IOP after 6 weeks of MBSR was "10-25% in about two-thirds of the participants."
      - Mindfulness Meditation Reduces Intraocular Pressure, Lowers Stress Biomarkers and Modulates Gene Expression in Glaucoma: A Randomized Controlled Trial:
      journals.lww.com/glaucomajournal/Abstract/2018/12000/Mindfulness_Meditation_Reduces_Intraocular.5.aspx
      Results:
      Between-group comparisons revealed significantly lowered IOP in meditators (OD: 18.8 to "12.7", OS 19.0 to "13.1" mm Hg).
      - Effect of Mindfulness Meditation on Intraocular Pressure and Trabecular Meshwork Gene Expression: A Randomized Controlled Trial:
      www.ajo.com/article/S0002-9394(20)30580-8/fulltext
      Results:
      At 3 weeks, a significant decrease in IOP was seen in Group 1 (20.16 ± 3.3 to "15.05 ± 2.4mm Hg"; P = .001), compared to Group 2 (21.2 ± 5.6 to 20.0 ± 5.8mm Hg; P = .38).
      - Mindfulness Meditation May Help Fight Glaucoma:
      www.aao.org/eye-health/news/mindfulness-meditation-may-help-fight-glaucoma
      Result:
      The study found 75 percent of the patients who practiced meditation had a "more-than 25 percent (about 4-5mmHg) drop in eye pressure."
      ===== 自律神經失調與青光眼的關係 =====
      - The Effect of Autonomic Nervous System Dysfunction on the Progression of Primary Open-Angle Glaucoma:
      www.ncbi.nlm.nih.gov/pmc/articles/PMC9075998/
      Conclusion:
      POAG patients with lower HRV, which reflects ANS dysfunction with sympathetic predominance, presented faster glaucoma progression than patients with higher HRV. The more rapid progression of POAG with lower HRV may be explained by IOP and vascular risk factors.
      - Autonomic Dysfunction and Blood Pressure in Glaucoma Patients: The Lifelines Cohort Study:
      iovs.arvojournals.org/article.aspx?articleid=2770802
      Conclusion:
      Low HRV, high SBP, high PP, and hypertension were associated with glaucoma.
      - Heart rate variability in normal tension glaucoma:
      journals.lww.com/md-journal/Fulltext/2018/02020/Heart_rate_variability_in_normal_tension_glaucoma_.19.aspx
      Discussion:
      According to the results of the present study, the significant reduction in ocular blood flow in the major vessels supplying the optic nerve has been revealed in the NTG patients, and this reduction has correlated to HRV.

  • @艾倫-o5t
    @艾倫-o5t 5 лет назад +3

    第一眼以為是賴清德,抱歉…我該去看眼科了

    • @朝霞靖
      @朝霞靖 5 лет назад +1

      曾小易 我也是,我剛針灸眼睛回來⋯

    • @朝霞靖
      @朝霞靖 4 года назад +1

      我也是,我才40多白內障老花嚴重⋯

    • @朝霞靖
      @朝霞靖 4 года назад +1

      咦,我發現一年前的留言也是我,我還在想誰跟我一樣去針灸⋯看起來沒效。

    • @lingzhao9643
      @lingzhao9643 2 года назад +1

      😂😂😂

    • @艾倫-o5t
      @艾倫-o5t 2 года назад +2

      三年過後,現在看起來像王必勝…看來眼睛還是沒有痊癒

  • @lovealiv7049
    @lovealiv7049 5 лет назад +2

    醫生你好
    我想問你一件事情
    其實我有一個女朋友他從小就有青光眼之後有一次他去高雄做檢查
    有一位醫生判定他沒救了以後的眼睛會瞎掉
    請問真有這種事情嗎

    • @davidlo168888
      @davidlo168888 2 года назад

      可以與我聯絡, 大家來探討. 不要如此悲觀因為西醫根本對眾多眼睛疾病,
      已經束手無策

    • @davidlo168888
      @davidlo168888 2 года назад

      ruclips.net/video/iswRngmN-cY/видео.html