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Racionalna terapija
2016, vol. 8, br. 1, str. 35-42
jezik rada: srpski
vrsta rada: pregledni članak
doi:10.5937/racter8-9605

Creative Commons License 4.0
Meka kontaktna sočiva - osnovne karakteristike, prednosti i komplikacije koje prate njihovu primenu
Univerzitet u Kragujevcu, Medicinski fakultet

e-adresa: milosavljevicmilos91@gmail.com

Sažetak

Meka kontaktna sočiva imaju značajno mesto u oftalmologiji kako u korekciji refrakcionih anomalija tako i u lečenju nekih očnih oboljenja. Od momenta kada su pronađeni dovoljno biokompatibilni materijali, za jako osetljivu sredinu kakvu predstavljaju ljudske oči, početkom 60-tih godina 20. veka, kreće nezadrživa ekspanzija mekih kontaktnih sočiva. Razlog ovolike ekspanzije mekih sočiva leži u prednostima koje ova optička pomagala nesumnjivo imaju i u odnosu na naočare, ali i u odnosu na tvrda i polutvrda kontaktna sočiva. Nažalost, paralelno sa povećanjem broja korisnika ovog tipa optičkih pomagala, povećava se i učestalost komplikacija koje mogu da se jave kod korisnika. Komplikacije po svojoj prirodi i težini mogu biti veoma raznovrsne, ali se mogu svrstati u tri velike grupe: simptomi suvoće oka, infekcije i alergijsko-toksične komplikacije. Simptomi suvog oka su veoma česti kod korisnika kontaktnih sočiva, a njihovu pojavu posebno provociraju određeni faktori, kao što su duvanski dim ili često gledanje u ekran računara ili TV-a. Ove komplikacije po pravilu nisu tako opasne i lako se rešavaju primenom veštačkih suza. Infekcije nisu tako česte i nastaju kao rezultat neadekvatnog održavanja kontaktnih sočiva. Ukoliko se simptomi prepoznaju na vreme, infekcije se uglavnom zaustavljaju na nivou konjuktivitisa i leče se dosta brzo i lako. U suprotnom, infekcije mogu progredirati do ulceroznih keratitisa koji predstavljaju najtežu komplikaciju neadekvatne primene mekih kontaktnih sočiva, a u pojedinim slučajevima mogu dovesti čak i do slepila. Alergijsko-toksične komplikacije se uglavnom javljaju kod predisponiranih osoba i njihova pojava u najvećem broju slučajeva predstavlja kontraindikaciju za dalje nošenje mekih kontaktnih sočiva.

Ključne reči

meka kontaktna sočiva; suvo oko; infekcija; ulceracije rožnjače

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