From: Subject: =?Windows-1252?Q?Sundhedsguiden_-_N=E6rsynethed_=28Myopi=29?= Date: Thu, 20 Nov 2008 12:58:26 +0100 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0033_01C94B0F.AD7B4760" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5579 This is a multi-part message in MIME format. ------=_NextPart_000_0033_01C94B0F.AD7B4760 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.sundhedsguiden.dk/illness.aspx?categoryId=668&article=1233 =EF=BB=BF Sundhedsguiden - N=C3=A6rsynethed (Myopi)

20. November 2008 Om=20 sundhedsguiden |  Anno= ncering=20
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Artiklen er oprettet = p=C3=A5=20 Sundhedsguiden d. 30.08.06
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Definition og=20 =C3=A5rsager

N=C3=A5r lysets=20 str=C3=A5ler rammer =C3=B8jet, brydes de i =C3=B8jets = hornhinde og linse.=20 Str=C3=A5lerne samles alts=C3=A5 i et punkt bag ved = hornhinden, og her=20 skal nethinden ligge, for at billedet st=C3=A5r = skarpt, og man ser=20 ting klart og tydeligt. Ved n=C3=A6rsynethed er = =C3=B8jet for langt,=20 s=C3=A5ledes at lysets str=C3=A5ler samles i et punkt = foran nethinden i=20 stedet for p=C3=A5 nethinden (for n=C3=A6rmere = forklaring, se brydn= ingsfejl).=20 Efter at have samlet sig i et punkt, krydser = str=C3=A5lerne=20 hinanden og har derfor spredt sig lidt igen, n=C3=A5r = de s=C3=A5 rammer=20 det lange =C3=B8jes nethinde. Man ser derfor ting = utydeligt og=20 sl=C3=B8ret.

 

Lysstr=C3=A5ler fra=20 ting, der ligger t=C3=A6t p=C3=A5 =C3=B8jet, vil = derimod sprede sig mere end=20 ting, der ligger langt v=C3=A6k, og dette vil udligne = =C3=B8jets l=C3=A6ngde,=20 s=C3=A5ledes at genstande indenfor en bestemt = r=C3=A6kkevidde kan ses=20 skarpt.

 

N=C3=A6rsynethed er=20 en meget almindelig tilstand, der ses hos en ud af = seks=20 danskere. N=C3=A6rsynethed begynder som regel i = slutningen af=20 skolealderen og forv=C3=A6rres med tiden. Der er en = tendens til=20 arvelighed. I sj=C3=A6ldnere tilf=C3=A6lde kan diabetes ell= er=20 gr=C3=A5=20 st=C3=A6r give n=C3=A6rsynethed. =

 

Symptomer = p=C3=A5=20 n=C3=A6rsynethed

Hovedsymptomet=20 er naturligvis nedsat syn: Ting, der er l=C3=A6ngere = v=C3=A6k end et=20 vist punkt, vil fremst=C3=A5 utydelige og = sl=C3=B8rede. Hvis en=20 n=C3=A6rsynethed ikke er korrigeret med briller eller = lignende, vil=20 man ofte ogs=C3=A5 f=C3=A5 sp=C3=A6ndingshovedpine, = idet man kniber =C3=B8jnene=20 sammen for at se de vandrette linier = skarpere.

 

Forholdsregler = og=20 diagnose

Hvis man=20 oplever tegn p=C3=A5 n=C3=A6rsynethed, b=C3=B8r man = g=C3=A5 til en optiker. Her=20 bestemmes, hvor sk=C3=A6v brydningen af lyset er i = forhold til,=20 hvor nethinden er placeret. Denne forskel kan s=C3=A5 = udlignes med=20 en linse, der spreder lysets str=C3=A5ler foran = =C3=B8jet, s=C3=A5 de igen=20 rammer pr=C3=A6cis p=C3=A5 nethinden. Dette kaldes en = spredelinse. = Spredelinsen s=C3=B8rger alts=C3=A5 for, at ting = p=C3=A5 afstand ses ligesom=20 ting, der er t=C3=A6t p=C3=A5 og derfor st=C3=A5r = skarpt p=C3=A5 =C3=B8jets nethinde.=20 Styrken af spredelinsen beskrives med dioptrier, som = er et=20 udtryk for, hvor meget lyset brydes. Da en spredelinse = jo=20 spreder lyset i stedet for at samle det, taler man ved = n=C3=A6rsynethed om minus 1, = minus 2 osv.=20 i styrke.

 

Forl=C3=B8b og=20 komplikationer

Som = sagt=20 forv=C3=A6rres n=C3=A6rsynethed op gennem ungdommen, = men efter 25-30 =C3=A5rs=20 alderen kan man regne med, at tilstanden er stabil. = Man b=C3=B8r=20 dog alligevel f=C3=A5 kontrolleret sit syn hvert andet = =C3=A5r. Ud over=20 en ganske lille =C3=B8get risiko for = nethindel=C3=B8sning er der ingen=20 komplikationer til n=C3=A6rsynethed. Da de fleste = mennesker med=20 alderen bliver mere langsynede (gammelmandssyn<= /A> eller presbyopi) = tror mange,=20 at det udligner n=C3=A6rsynetheden. Selvom dette ikke = er tilf=C3=A6ldet,=20 vil man dog i mods=C3=A6tning til andre med = gammelmandssyn ikke=20 have brug for l=C3=A6sebriller.

 

Behandling af=20 n=C3=A6rsynethed

Der = er tre=20 former for behandling af n=C3=A6rsynethed: Briller, = kontaktlinser=20 og laserbehandling/kirurgi.

 

Briller og=20 kontaktlinser

Her = s=C3=A6ttes den=20 f=C3=B8r omtalte spredelinse foran =C3=B8jet og = b=C3=A6res hele tiden. Kontaktlinser<= /A>=20 har den fordel, at de kan opveje st=C3=B8rre forskelle = i synsstyrke=20 end briller, men de er til geng=C3=A6ld mere = besv=C3=A6rlige og kan=20 for=C3=A5rsage infektioner= .

 

Laserbehandling/kirurgi

I = stedet for at=20 sige, at =C3=B8jet er for langt, kan man sige, at = hornhinden bryder=20 "for meget". Hvis hornhinden ikke samlede lysets = str=C3=A5ler helt=20 s=C3=A5 meget, ville =C3=B8jets l=C3=A6ngde passe. = Dette udnytter man med en=20 teknik, hvor hornhindens brydning mindskes med=20 laserstr=C3=A5ler.

 

Der = findes to=20 teknikker til laserbehandling. Ved den nyeste laves en = lille=20 flap i hornhinden og herunder gives laserbehandlingen = (kaldet=20 LASI= K).=20 N=C3=A5r flappen s=C3=A5 l=C3=A6gges p=C3=A5 plads, = vil =C3=B8jet v=C3=A6re behandlet. Denne=20 teknik er gennem =C3=A5rene blevet raffineret med nye=20 skanningsmetoder, der forbedrer resultaterne (kaldet = Zyoptix).= =20 Ved den =C3=A6ldre metode (kaldet PRK)&= nbsp;laserbehandler=20 man hornhindens aller=C3=B8verste lag direkte. De to = teknikker=20 adskiller sig fra hinanden i forhold til forl=C3=B8b = og=20 komplikationer, og man b=C3=B8r konsultere en = =C3=B8jenl=C3=A6ge for=20 information om hvilken behandling, der passer bedst = til ens=20 problem. =



  





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