Holding up your mobile phone to chase the drama and eat melon
It's a "bedtime ritual" for a lot of people.
But if you don't slip your hand, tragedy can unfold
hurt
Raw pain
Fried chicken hurts
It hurts across the screen...
It doesn't hurt
If you accidentally hit your eyes, you could go blind!
Xiao Wang, a 28-year-old "social animal", is usually very busy at work, and after returning home after a tiring day, "retaliatory" playing with mobile phones has become a way to relieve fatigue.
One day, Xiao Wang, as usual, was holding up his mobile phone to immerse himself in the "Wild Push Tower", and one accidentally lost his hand, "Snap-ah! The phone hit his right eye with precision, and the pain was so painful that he burst into tears, and a harrier rolled over and sat up.
After rubbing for half a day, I couldn't stop the tears that rushed out. When I opened my eyes again, it seemed that something was wrong, and there seemed to be a veil in front of my eyes, and I saw things very vaguely, and there was always a lightning bolt passing by.
Worthy of being a pure-bred straight man, Xiao Wang's heart is so big that he forgot about this matter, fell asleep on his head, and went to work the next day as usual.
But a few days later, a new problem came: the corner of his right eye always seemed to have a fixed shadow, and how to rub his eyes and blink could not drive it away, like his eyes were covered with a black cloth.
"What the hell am I?" But I haven't walked at night lately..."
Not daring to delay any longer, Xiao Wang hurriedly asked for leave to go to Beijing Tongren Hospital to see a doctor. After the examination, Dr. Li Jipeng of the Department of Ophthalmology told him: "You have a retinal detachment (also called "retinal detachment") and you need surgery as soon as possible." If you delay too long, you are at risk of blindness."
Under normal circumstances, light passes through the cornea, crystals, vitreous bodies and other structures of the eyeball, and finally focuses on the retina, forms an image, and then transmits signals to the brain through the optic nerve, which allows us to see things.
Where is the retina?
The retina is the thinnest membrane at the back of the eyeball, the thinnest of which is only 0.1 mm, equivalent to the thickness of an A4 sheet of paper. However, this film can be divided into 10 layers, 9 of which are transparent, called the "neuroepithelial layer"; the outermost layer has a color, called the "pigment epithelium layer" [1].
(Tencent Medical Code)
Retinal detachment means that the transparent layer and the colored layer are separated, the retina leaves the "workstation", and the work of the entire eye cannot be continued.
The worker vitreous next door to the retina is a good friend of the retina. After the mobile phone hits the eye, the eyeball vibrates, and the vitreous body rushes to drag the retina together, causing a crack in the retina and disengagement.
The vitreous body, like people, will slowly "age". It looks like a jelly, and as it ages, the jelly gradually turns into water and leaves the retina, pulling in the process, creating retinal rifts.
"Jelly water" entering the subretinal cavity through a slit can also cause detachment, which is called "pore-derived retinal detachment".
Since a part of the retina is not on the "station", the light can only transmit a part, and there is a shadow when looking at things. If the entire retina leaves the "workstation", the light will not be transmitted at all, and the light will be lost.
Trauma is not the only cause of retinal detachment.
If diabetic patients do not control blood sugar well, the course of the disease is more than 15 years, and repeated bleeding under the fundus can lead to another type of retinal detachment, called "traction retinal detachment".
Certain eye diseases (eg, uveitis) or systemic diseases (such as hypertension, kidney disease, etc.) affect normal blood circulation in the retina, and subretinal leakage may occur. This is like a wooden floor that bulges after soaking in water, which is called "exudative retinal detachment".
In addition to Xiao Wang, who was almost blinded by his mobile phone, who else is prone to retinal detachment?
Quite simply, the following 8 minor questions can be easily detected.
Hurry to the hospital, through surgery, laser light condensation, condensation, so that the detached retina as soon as possible back to their "workstation".
The specific treatment method used is related to the individual's condition, and it is necessary to communicate with the attending doctor more.
(Hyper-Outline Warning!) If you don't want to know the surgical method, please go directly to the small blackboard at the end of the article)
Commonly used surgical methods are extrascleratomy and scleral cerclage, which simply means that the vitreous retinal stretch is relieved by applying pressure to the eye wall.
At the same time, the cracks caused by vitreous traction must also be plugged, so the doctor will find all the cracks before and during the operation, and temporarily "seal" the retinal tissue through condensation, and then close the cracks.
However, some vitreous bodies are more "shaft", and it may be necessary to remove the vitreous body and completely remove the traction of the retina. Doctors often close the holes with laser light condensation, and then fill the eyes with gas or silicone oil (a transparent viscous substance similar to a vitreous body).
Everyone is most concerned about whether retinal detachment can be cured.
Usually, early detection and surgery result in a cure success rate of more than 90 percent [3].
In the case of a small disengagement range, simple laser treatment may also prevent the expansion of the disengagement range.
If retinal detachment is not severe and lasts less than 1 week [3], it is possible to preserve existing vision and prevent further loss of vision, but it is almost impossible to restore pre-illness vision.
Therefore, it is best not to let yourself get this disease!
Knock on the blackboard!
Audit expert: Li Jipeng | Deputy Chief Physician of the Department of Ophthalmology, Beijing Tongren Hospital, Capital Medical University
bibliography
ZHANG Chengfen. Fundus (2nd edition)[M]. Beijing:People's Medical Publishing House,2010:480-488.]
Ge Jian,Liu Yizhi. Ophthalmic Surgery (3rd Edition)[M]. Beijing:People's Medical Publishing House,2015:388-457,401,419-421.]
Yang Peizeng. Ophthalmology (9th Edition)[M]. Beijing:People's Medical Publishing House,2018:201.]
*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.
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