The number of visits to the refractive department of the first hospital in the city has increased by nearly 50%! After the college entrance examination, there is a fever for removing glasses again, and the doctor gives a reminder
2024-06-24
"After the college entrance examination, there were significantly more candidates seeking consultation on refractive surgery, with a nearly 50% increase in medical visits." Zhang Zhihua, the deputy chief physician of the refractive department at the First People's Hospital of Shanghai, took advantage of his busy schedule to talk to reporters. In no time, a queue formed at the door and she resumed her busy work. Every year after the college entrance examination, the ophthalmology department of hospitals will experience a wave of "lens removal fever". Many myopic candidates seek medical advice for myopia surgery at hospitals due to various needs such as military medical examination, professional selection, and image change. So, can everyone perform this surgery? Can the model of striving for results first and then undergoing surgery truly achieve the best of both worlds? Recently, the reporter walked into the refractive department of a hospital in the city to explore the truth. The refractive clinic was almost crowded with college entrance exam students. "I used to have over 500 degrees of myopia and astigmatism, but now after surgery, I don't need to wear glasses anymore, which feels much more convenient." Xiaosun came to the hospital for a follow-up examination. Before the college entrance exam, her parents arranged for Zhang Zhihua's expert clinic, and now she has completed the surgery for a week. It is not uncommon for candidates like Xiaosun to undergo myopia surgery on time. After the college entrance examination, myopia surgery has become a hot topic of concern for many candidates. Some people have bluntly stated, "The top priority after the college entrance examination is to have surgery to remove glasses!" "Myopia surgery is generally suitable for people aged 18 and above, and those with stable myopia within two years. After the college entrance examination, most children have reached the age standard for surgery." Recently, Zhang Zhihua's refractive clinic has been almost crowded with college entrance examination students. Xiaolu had always been longing to join the military, but his astigmatism and nearsightedness almost made him miss his dream. Now he has completed the examination and is ready for surgery. According to Zhang Zhihua, myopia surgery is generally divided into two categories: corneal laser ablation and artificial lens implantation. Among them, laser surgery is an outpatient surgery and does not require hospitalization. In general, patients should come to the hospital for examination on the first day. If the surgical conditions are met, the earliest possible arrangement for surgery on the second day can be made. Generally speaking, normal life can be resumed on the second day after surgery, vision can pass a physical examination, and normal life and learning can be fully restored within one to two weeks. Considering that summer is the peak period for myopia surgery, the refractive department of a hospital in the city has specially opened a "green channel for removing glasses" for candidates. Candidates can make priority arrangements based on their admission ticket, leaving enough time for their eyes to recover and ensuring stable vision recovery. Not everyone can undergo myopia surgery. According to data released by the National Health Commission in 2023, the overall myopia rate among children and adolescents in China is 52.7%, with 80.5% among high school students. This means that many candidates may be restricted in applying due to myopia. "In order not to delay their children's future, many parents consider myopia surgery as a 'coming of age gift' for their children." For many years in the industry, Zhang Zhihua has a clear feeling that parents are increasingly accepting myopia surgery. But the reality is that not everyone can undergo myopia surgery. At the outpatient clinic, Xiao Zhou felt a bit disheartened, and his "mirror removal dream" was temporarily shattered. During the doctor's examination, it was found that there was a large circular lesion with infiltration in the central area of his right eye. "Your cornea is full of circles, and it is not suitable for myopia surgery at present." It turned out that Xiao Zhou had a serious keratitis three years ago, but he did not expect it to be completely cured at that time. The inflammation is still constantly damaging the cornea. "Take medication first, observe for a period of time before examination." Upon hearing the doctor's words, Xiao Zhou walked out of the consultation room feeling somewhat disappointed. There are many patients who have been persuaded to quit by Zhang Zhihua. She told reporters that detailed preoperative examinations are a prerequisite for ensuring visual quality. More than 20 eye examinations are required before myopia surgery to determine whether the patient is suitable for surgery, which type of surgery is suitable, and to exclude potential individuals who are not suitable for myopia surgery, such as keratoconus, severe dry eye, and corneal thinning. Scientific eye use and protecting vision are the key. Currently, myopia has become a common eye health problem among teenagers. Ophthalmologists analyze that many teenagers, due to heavy academic workload, prolonged use of electronic products, and a significant reduction in outdoor activity time, experience significantly earlier onset of myopia. At present, the suitable degree range for corneal laser surgery is within 1000 degrees, while for intraocular lens implantation, it is within 1800 degrees. Many parents assume that one surgery can solve their children's vision problems, so they plan to have their children focus on their grades before undergoing myopia surgery In Zhang Zhihua's view, removing glasses through myopia surgery is a bad strategy. Although surgery can safely, conveniently, and quickly correct vision, it is still a corrective surgery rather than a therapeutic surgery. "Children do not wear glasses no longer, but rather have glasses placed on their eyes through surgery." To put it more bluntly, myopia surgery is a surgery that treats symptoms rather than the root cause. The biological basis of corneal thinning and axial elongation caused by myopia still exists, which may lead to very serious or even blinding retinal lesions such as retinal detachment, macular degeneration, macular hemorrhage, etc. In addition, myopia surgery is not a one-time solution, and postoperative myopia does not mean that there will be no more myopia. It is still necessary to pay attention to scientific eye use to maintain good visual acuity. The doctor also issued a reminder that summer is approaching, and parents can increase their children's outdoor activities in the sun appropriately, reduce the continuous close range eye use time, and remember the 3010 rule (using close range eyes continuously for 30 minutes to gaze at objects 5 meters away for 10 minutes). "The younger the child is, the shorter the duration of continuous eye use. When reading and writing, it is important to ensure appropriate lighting and achieve 'one fist, one foot, one inch' to reduce the occurrence of myopia."
Edit：Xiong Dafei Responsible editor：Li Xiang
Source：WHB
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