Ukuhlukaniswa Kwamehlo (Retinal Detachment): Izimpawu, Izimbangela, Nokwelapha

Ukuhlukaniswa kwamehlo kwenzeka lapho isigaba esincinyane sesicubu esisemuva kwamehlo sakho siqala ukuhlukana nendawo yaso evamile. Cabanga ngokubhoboka kwephepha lodonga olukhulu—lapho i-retina yakho ihlukana nesicubu esisezansi, ayikwazi ukusebenza kahle futhi kungadala ukulahleka kobono uma ingaphathwa ngokushesha.

Lokhu kubhekwa njengesiqalekiso sezempilo ngoba i-retina ehlukene ilahlekelwa yisisekelo sayo segazi futhi iyeke ukusebenza. Izindaba ezinhle ukuthi ngokwelashwa okusheshayo, abantu abaningi bangabuye bathole ingxenye enkulu noma yonke imbono yabo.

Ziyini izimpawu zokuhlukaniswa kwamehlo?

Ukuhlukaniswa kwamehlo kuvame ukuqala ngezimpawu ezincane zokuqala eziqala ukubonakala. Ungase uqale ubona ukushintsha okuncane embonweni wakho okubonakala kungabi nakubi kodwa empeleni kuyindlela yamehlo akho yokukhombisa inkinga.

Nazi izimpawu ezivamile okufanele uzibheke:

• Ukubonakala ngokuzumayo kwezinto ezinobukhulu obukhulu—amachaphaza amancane, izinhlanzi, noma imibhalo efana ne-cobweb ehamba phambili embonweni wakho
• Ukukhanya okukhanya kwelinye noma womabili amehlo, ikakhulukazi embonweni wakho wangaphandle
• Isifuba esimnyama noma isithunzi esihamba phambili embonweni wakho
• Ukudideka noma ukuphambuka kobono okungathuthuki ngokukhanya
• Ukulahleka ngokuzumayo kobono lwaseceleni ohlangothini olulodwa
• Indawo emhlophe noma emnyama embonweni wakho ophakathi

Abanye abantu nabo baye baba nezimpawu ezingavamile njengokubona imvula yamachaphaza amnyama noma ukuba nezinselele ekuhlukaniseni imibala. Izimpawu ngokuvamile zithinta iliso elilodwa ekuqaleni, nakuba womabili amehlo angaba nembangela kule mehluko ezimweni ezingavamile.

Okwenza le mehluko ibe nzima ukuthi ngokuvamile ayibuhlungu. Awusoze uzizwe ubuhlungu, okungase kukwenze ucabange ukuthi izimpawu azikabi zinkulu. Kodwa-ke, ukungabikho kobuhlungu akusho ukuthi isimo asiphuthumayo.

Ziyini izinhlobo zokuhlukaniswa kwamehlo?

Kunezinhlobo ezintathu eziyinhloko zokuhlukaniswa kwamehlo, ngayinye inezimbangela ezahlukene. Ukuqonda ukuthi yiluphi uhlobo olukhona kuzokusiza udokotela wakho ukukhetha indlela yokwelapha ephumelelayo.

Ukuhlukaniswa kwe-Rhegmatogenous yilohlobo oluvamile kakhulu, olumelela cishe ama-90% ezimo. Lokhu kwenzeka lapho kukhona ukukhishwa okuncane noma umgodi ovela e-retina yakho, uvumela ukuba amanzi angene ngaphansi futhi ahlukane nodonga lweliso lakho.

Ukuhlukaniswa kwe-Tractional kwenzeka lapho isiginci sesicubu esisesihlahleni se-retina siqala ukucindezela futhi sikhulise i-retina eceleni komuva kweliso. Lolu hlobo ngokuvamile lubonakala kubantu abane-retinopathy ephambili ye-diabetic noma ezinye izimo ezibangela isiginci.

Ukuhlukaniswa kwe-Exudative kwenzeka lapho amanzi eqala ukwakheka ngaphansi kwe-retina ngaphandle kokukhishwa noma imigodi. Lokhu kungenzeka ngenxa yokuvuvukala, ukulimala, noma izinkinga zezithelo zegazi ezibangela ukuba amanzi asele endaweni ngemuva kwe-retina.

Ezimeni ezingavamile, ungase ube nokuhlanganiswa kwalolu hlobo, okungenza ukwelashwa kube nzima kakhulu kodwa akuyona into engenakwenzeka ukuyilawula ngempumelelo.

Yini ebangela ukuhlukaniswa kwamehlo?

Ukuhlukaniswa kwamehlo kungase kuqale ngezindlela eziningi ezahlukene, nakuba ukuguga okuhlobene nokushintsha kwamehlo akho kuyisizathu esivamile kakhulu. Njengoba ukhula, i-gel ye-vitreous ngaphakathi kweliso lakho iyancipha futhi ingakhwela e-retina.

Izimbangela ezivame kakhulu zihlanganisa:

• Ukuguga okuhlobene nokushintsha kwe-gel ye-vitreous okubangela ukuba iyancipha futhi ikhwela e-retina
• Ukubona okubi kakhulu, okwenza i-retina ibe ncane futhi ibe lula ukuba ibe nemihulo
• Ukuhlinzwa kwamehlo kwangaphambili, ikakhulukazi ukususa i-cataract
• Ukulimala kwamehlo okuvela emidlalweni, ezingozi, noma ekulimala
• I-retinopathy ephambili ye-diabetic eyenziwa isiginci sesicubu
• Izifo ezivuvukalayo ezithinta amehlo

Izimbangela ezingavamile zihlanganisa izimo zezakhiwo njenge-Stickler syndrome, ukutheleleka okukhulu ngaphakathi kweliso, noma iziphumu ecindezela i-retina. Ngezinye izikhathi, ukuhlukaniswa kwamehlo kungenzeka ngaphandle kwesizathu esicacile, ikakhulukazi kubantu abane-retinas ezincinyi.

Ukuba nokunye kwalawa mahluko okungabeka engcupheni akusho ukuthi uzokuthola ukuhlukaniswa kwamehlo. Abantu abaningi abanezi zimo abazange babe nezinselele, kodwa ukwazi kuzokusiza ukubona izimpawu ngokushesha uma zivela.

Nini okufanele ubona udokotela ngokuhlukaniswa kwamehlo?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uqala ukubona ukushintsha embonweni wakho, ikakhulukazi izimpawu zokuqala ezishiwo ngaphambili. Ukuhlukaniswa kwamehlo kuhlale kubhekwa njengesiqalekiso sezempilo ngoba ukwelashwa okulile kungabangela ukulahleka kobono okungapheli.

Shaya udokotela wakho wamehlo ngokushesha noma uhambe e-emergency room uma ubona ukwanda ngokuzumayo kwezinto ezinobukhulu obukhulu, ukukhanya okusha, noma isithunzi noma isifuba esihamba embonweni wakho. Ngisho noma izimpawu zibonakala zincane, kungcono ukuba oqaphile njengoba ukuhlukaniswa kwamehlo kungathuthuka ngokushesha.

Ungalindi ukubona uma izimpawu ziphulukana zodwa. Ukwelashwa okuqala, amathuba akho okuvikela imbono yakho aphezulu. Odokotela abaningi bamehlo banezinombolo zokuxhumana eziphuthumayo ezimweni ezifana nale.

Uma ungakwazi ukufinyelela ochwepheshe wamehlo ngokushesha, vakashela i-emergency room eseduze nawe. Nakuba odokotela be-emergency room bangase bangakwazi ukwelapha ukuhlukaniswa ngokuqondile, bangahlola iliso lakho futhi baqondise ukubhekwa ngokushesha kochwepheshe we-retina.

Ziyini izinto ezingaba yingozi zokuhlukaniswa kwamehlo?

Izinto ezithile zingandisa amathuba akho okuhlukaniswa kwamehlo, nakuba ukuba nalawa mahluko okungabeka engcupheni akusho ukuthi uzoba nale mehluko. Ukuqonda amazinga akho siqu engcupheni kungakusiza ukuba uqaphele izimpawu zokuqala.

Amahluko okungabeka engcupheni amakhulu kakhulu ahlanganisa:

• Iminyaka engaphezu kuka-50, lapho ukuguga okuhlobene nokushintsha kwe-gel ye-vitreous kuqala ukuba khona
• Ukubona okubi kakhulu (high myopia), ikakhulukazi izincwadi ezinamandla kakhulu kunama- -6.00 diopters
• Umlando womndeni wokuhlukaniswa kwamehlo noma izifo ezifuywe zamehlo
• Ukuhlukaniswa kwamehlo kwangaphambili kwelinye iliso lakho
• Ukuhlinzwa kwamehlo kwangaphambili, kuhlanganise ukususa i-cataract noma izinqubo ze-glaucoma
• Ukulimala kwamehlo okukhulu noma ukulimala, ngisho nakweminye iminyaka edlule

Amahluko engeziwe okungabeka engcupheni ahlanganisa ukuba nesifo sikashukela ngezinkinga ze-retina, izimo ezithile zezakhiwo njenge-Marfan syndrome, noma izifo zamehlo ezivuvukalayo. Abantu abahlanganyela emidlalweni enkulu noma abasebenza emisebenzini engozi yamehlo bangase babe namazinga aphezulu kancane.

Ngokuthakazelisayo, ezinye izimo zezakhiwo ezingavamile zingenza ukuhlukaniswa kwamehlo kube lula ngisho nasebasencani. Lokhu kuhlanganisa i-Stickler syndrome, ethinta isiginci sesicubu, nezinye izifo ezifuywe ze-retina.

Ziyini izinkinga ezingase zenzeke ngokuhlukaniswa kwamehlo?

Inkinga ebi kakhulu yokuhlukaniswa kwamehlo okungaphathwanga yilokhu ukulahleka kobono okungapheli kweliso elithintekayo. Lapho i-retina ihlala ihlukene isikhathi eside, ingozi yokulimaza okungapheli kwamangqamuzana azinzileyo yamehlo iyanda.

Lapho ukuhlukaniswa kwamehlo kuthinta i-macula—ingxenye ephakathi kwe-retina yakho ehambisana nokubona okuqondile, okuqondile—ungase ube nezinselele ezihlala njalo ngokufunda, ukuqhuba, noma ukuqonda ubuso ngisho nangemuva kokwelashwa okuphumelelayo. Kungakho ukungenelela okusheshayo kubalulekile kangaka.

Ngisho nokwelashwa okusheshayo, abanye abantu bangase babe nezinselele eziqhubekayo njenge:

• Ukunciphisa ukubona ebusuku noma ukuba nezinselele ekuqondeni ekukhanyeni okuncane
• Ukudideka kobono lapho imigqa eqondile ibonakala iphezulu noma igobe
• Ukunciphisa ukubona kwaseceleni
• Izinkinga ngokubona okujulile
• Ukukhuluphala ekukhanyeni
• Ukuthuthukiswa kwe-cataracts ezivela ezinye izinqubo zokwelapha

Ezimeni ezingavamile, izinkinga ezivela ekuhlinzweni ngokwalo zingase zenzeke, njengokutheleleka, ukugeleza kwegazi ngaphakathi kweliso, noma ukwanda kokucindezela kweliso. Kodwa-ke, lezi zingozi zokwelapha ngokuvamile zincane kakhulu kunengozi yokuhlukaniswa kobono okungapheli okuvela ekuhlukaniseni okungaphathwanga.

Abanye abantu bangase bathuthukise ukuhlukaniswa okuphindaphindayo, ikakhulukazi uma benamahluko amaningi okungabeka engcupheni noma izinhlobo ezithile zokukhishwa kwe-retina. Kungakho ukunakekelwa okuqhubekayo okuqhubekayo ngemuva kokwelashwa kubalulekile kangaka.

Ukuhlukaniswa kwamehlo kunqunywa kanjani?

Ukuqonda ukuhlukaniswa kwamehlo kuhilela ukuhlolwa okuphelele kwamehlo okuvame ukwenziwa udokotela wakho phakathi nemizuzu engama-30. Inqubo ilula futhi ngokuvamile ayibuhlungu, nakuba ungase ube nokuzwela ekukhanyeni okwesikhashana ngemuva kwalokho.

Udokotela wakho wamehlo uzoqala ngokwandisa abafundi bakho ngamaconsi akhethekile, okuvumela ukuba abone i-retina yonke ngokucacile. Le nqubo yokwandisa ithatha cishe imizuzu engama-15-20 futhi izokwenza imbono yakho idideke futhi ibe nokuzwela ekukhanyeni amahora ambalwa.

Amathuluzi ayinhloko okuhlola ahlanganisa:

• Ophthalmoscopy—ukusebenzisa ukukhanya okukhulu kanye nensimbi yokukhulisa ukuhlola umuva kweliso lakho
• Ukuthwebula kwe-ultrasound uma umbono wakho we-retina uvinjelwe ukopha noma ukumnyama
• I-Optical coherence tomography (OCT) ukwenza izithombe eziqondile eziqondile
• Ukuhlolwa kwesigaba sokubona ukuqopha noma yiziphi izindawo zokuhlukaniswa kobono

Ezimweni ezithile, udokotela wakho angase asebenzise ilensi ekhethekile yokuxhumana enegilasi ukuze athole umbono omuhle kakhulu we-retina yakho yangaphandle. Le ndlela, ebizwa nge-indirect ophthalmoscopy, ikusiza ukubona imigodi noma ukuhlukaniswa ezindaweni ezinzima ukubona.

Ukuhlolwa konke kuzokusiza ukunquma hhayi nje uma unekuhlukaniswa, kodwa futhi uhlobo lwakho, ubukhulu balo, kanye nendlela yokwelapha ezosebenza kangcono esimweni sakho esithile.

Yini ukwelashwa kokuhlukaniswa kwamehlo?

Ukwelashwa kokuhlukaniswa kwamehlo cishe kuhlale kudinga ukuhlinzwa, kodwa izindaba ezinhle ukuthi izindlela zanamuhla zokwelapha ziphumelela kakhulu uma zenziwa ngokushesha. Inqubo ethile udokotela wakho ayincoma ixhomeke kuhlobo, ubukhulu, nendawo yokuhlukaniswa kwakho.

Ngemigodi emincane ngaphandle kokuhlukaniswa okukhulu, udokotela wakho angase asebenzise ukwelashwa kwe-laser noma ukwelashwa okuqandayo (cryotherapy) ukuvala umgodi nokuvimbela ukuhlukana okuqhubekayo. Lezi zinqubo ngokuvamile zingase zenziwe ehhovisi futhi zisize ukugwema ukuhlinzwa okukhulu.

Izindlela eziyinhloko zokwelapha zihlanganisa:

• Pneumatic retinopexy—ukufaka ibhabhu legazi eliswini ukuze likhulise i-retina endaweni
• Scleral buckle—ukubeka ibhendi elinamandla eceleni kweliso ukuze likhulise udonga oluya e-retina ehlukene
• Vitrectomy—ukususa i-gel ye-vitreous nokuyibeka ngegesi noma amafutha ukuze ugcine i-retina endaweni
• Izinqubo ezihlanganisiwe ezisebenzisa izindlela eziningi ezimweni eziyinkimbinkimbi

Iningi lezinqubo zokwelapha zokuhlukaniswa kwamehlo zenziwa njengezinqubo zabantu abangaphandle, okusho ukuthi ungabuya ekhaya ngosuku olufanayo. Ukuphulukana ngokuvamile kuthatha amasonto ambalwa, lapho uzodinga khona ukulandela imiyalelo ethile yokubeka nokuvinjelwa kwemisebenzi.

Amathuba okuphumelela ekuhlinzweni kokuhlukaniswa kwamehlo akhuthaza kakhulu, ngama-85-90% ezimo ezihlanganisiwe ngempumelelo ngenqubo eyodwa. Ngisho noma kudingeka ukuhlinzwa okwengeziwe, amathuba okuphumelela aphelele ayanda abe ngaphezu kwama-95%.

Indlela yokuphatha ukuphulukana ekhaya ngemuva kokuhlinzwa kokuhlukaniswa kwamehlo

Ukuphulukana ngemuva kokuhlinzwa kokuhlukaniswa kwamehlo kudinga ukuzeka kade umsindo nokunakekela ngokucophelela imiyalelo yodokotela wakho. Inqubo yokwelapha ngokuvamile ithatha amasonto angu-2-6, futhi ukulandela imiyalelo yangemuva kokwelapha ngokucophelela kungathuthukisa kakhulu imiphumela yakho.

Uma uchwepheshe wakho wasebenzisa ibhabhu legazi ngesikhathi senqubo, ungase udinga ukugcina izikhundla zekhanda ezithile izinsuku noma amasonto ambalwa. Lokhu kubeka kuzokusiza ukugcina ibhabhu legazi lixhumene nendawo ehlukene ngenkathi liphulukana.

Imiyalelo ebalulekile yokwelapha ihlanganisa:

• Ukuthatha amaconsi amehlo abelethwe ngokuqondile njengoba kuqondiswe ukuvimbela ukutheleleka nokunciphisa ukuvuvukala
• Ukugwema ukuphakamisa okunzima, ukugoba, noma imisebenzi enzima amasonto ambalwa
• Ukugqoka isivikelo seliso ngenkathi ulele
• Ukugwema ukuhamba ngendiza uma unebhabhu legazi eliswini lakho
• Ukuya kuyo yonke imiqondiso yokulandelela, ngisho noma uzizwa kahle
• Ukubika noma yikuphi ukwanda ngokuzumayo kobuhlungu, ukushintsha kobono, noma izimpawu zokutheleleka

Ngesikhathi sokuphulukana, ungase ubona ukuguquguquka embonweni wakho, ubona ibhabhu legazi lihamba eliswini lakho, noma ube nokuzwela okuncane. Lokhu ngokuvamile kuyizinto ezivamile zenqubo yokwelapha, kodwa xhumana nodokotela wakho uma ukhathazekile.

Abantu abaningi bakhathazeka ngezinga labo lomsebenzi ngesikhathi sokuphulukana. Nakuba uzodinga ukugwema imisebenzi enzima ekuqaleni, ngokuvamile ungenza imisebenzi yansuku zonke elula njengokufunda, ukubuka ithelevishini, noma ukuhamba okuthambile njengoba ubekezelela.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola ukunakekelwa okuphelele kakhulu futhi ungakhohlwa imininingwane ebalulekile ngezimpawu zakho. Njengoba ukuhlukaniswa kwamehlo kuyiphuthumayo, ungase ungabi nesikhathi esiningi sokulungiselela, kodwa ukuqoqa imininingwane ebalulekile kuzokusiza udokotela wakho ukwenza izinqumo ezinhle kakhulu zokwelapha.

Ngaphambi kwe-aphoyintimenti yakho, bhala phansi lapho uqale khona ukubona izimpawu nokuthi zishintshile kanjani ngokuhamba kwesikhathi. Qaphela uma izimpawu zithinta iliso elilodwa noma womabili, futhi chaza ngokuqondile lokho okukubonayo—kungaba yizinto ezinobukhulu obukhulu, ukukhanya, izithunzi, noma izindawo eziqondile.

Letha imininingwane elandelayo nawe:

• Uhlu oluphelele lwemithi yakho yamanje, kuhlanganise imithi yokuthengwa ngaphandle komthetho kanye nezinhlanganisela
• Izibuko zakho noma ama-contact lenses
• Amakhadi yomshuwalense kanye nokuhlonza
• Uhlu lokuhlinzwa kwamehlo kwangaphambili, ukulimala, noma ukwelashwa
• Umlando womndeni wezinkinga zamehlo noma ukuhlukaniswa kwamehlo
• Imininingwane yokuxhumana yabanye odokotela abakwelapha

Njengoba abafundi bakho cishe bazokhula ngesikhathi sokuhlolwa, lungiselela othile ukuba akuqhube ekhaya noma uhlele ukusebenzisa ukuhamba komphakathi. Imiphumela yokukhula ingase ihlale amahora angu-4-6 futhi yenze ukuqhuba kungabi yilona elihle.

Ungangabazi ukubuza imibuzo ngesikhathi se-aphoyintimenti yakho. Ukuqonda isimo sakho kanye nezindlela zokwelapha kuzokusiza uzizwe uqinisekile ngokunakekelwa okutholakala kanye nalokho okufanele ukulindele ukuqhubeka.

Yini okufanele uyikhumbule ngokuhlukaniswa kwamehlo?

Into ebaluleke kakhulu okufanele uyikhumbule ngokuhlukaniswa kwamehlo ukuthi kuyisiqalekiso sezempilo esidinga ukunakekelwa okusheshayo, kodwa futhi kuphatheka kakhulu uma kubanjwe ngokushesha. Ukuqaphela izimpawu ngokushesha nokukhathalela kwezokwelapha okusheshayo kungasho umehluko phakathi kokuvikela imbono yakho nokulahlekelwa okungapheli.

Nakuba ukuhlukaniswa kwamehlo kungase kuzwakale kuyesabekayo, izindlela zanamuhla zokwelapha zinezinga elihle lokuphumelela. Abantu abaningi abamukela ukwelashwa ngesikhathi esifanele bangalindela ukubuyisela imbono ebalulekile, ikakhulukazi lapho ingxenye ephakathi kwe-retina ingathintekile kakhulu.

Hlala uqaphele izimpawu zokuqala njengokubonakala ngokuzumayo kwezinto ezinobukhulu obukhulu, ukukhanya, noma izithunzi embonweni wakho, ikakhulukazi uma unezinto ezingaba yingozi njengokubona okubi kakhulu, ukuhlinzwa kwamehlo kwangaphambili, noma umlando womndeni wezinkinga ze-retina. Themba izinzwa zakho—uma kukhona okubonakala kuhlukile ngembona yakho, kuhlale kufanele ukuhlolwe.

Khumbula ukuthi ukuhlukaniswa kwamehlo akuhluphi, ngakho ungalindi ubuhlungu ukuze ucele usizo. Imbono yakho iyigugu, futhi ukuthatha izimpawu ngokungathi sína kukunika amathuba amahle kakhulu okuvikela imbono yakho iminyaka eminingi ezayo.

Imibuzo evame ukubuzwa ngokuhlukaniswa kwamehlo

Ingabe ukuhlukaniswa kwamehlo kungenzeka ngokuzumayo?

Yebo, ukuhlukaniswa kwamehlo kungenzeka ngokuzumayo, ngezinye izikhathi phakathi kwamahora noma izinsuku. Kodwa-ke, ngokuvamile kuqala ngezimpawu ezincane zokuqala njengezinto ezinobukhulu obukhulu noma ukukhanya okukhanya ngaphambi kokuthuthuka zibe izimpawu ezicacile njengezithunzi noma ukulahleka kobono. Okubalulekile ukuqaphela lezi zimpawu zokuqala nokufuna ukunakekelwa kwezokwelapha okusheshayo.

Ingabe ukuhlukaniswa kwamehlo kuhlupha?

Cha, ukuhlukaniswa kwamehlo ngokwalo ngokuvamile akuhluphi. Lokhu kungase kudonse njengoba ukungabikho kobuhlungu kungase kukwenze ucabange ukuthi isimo asibi. Ukungabikho kobuhlungu kwenzeka ngoba i-retina ayinawo ama-receptors obuhlungu, ngakho uzobona kuphela izimpawu zobono njengezinto ezinobukhulu obukhulu, ukukhanya, noma ukushintsha kobono.

Ingabe womabili amehlo angaba nokuhlukaniswa kwamehlo ngesikhathi esifanayo?

Nakuba kunokwenzeka, kuyinto engavamile ukuba womabili amehlo aqale ukuhlukaniswa kwamehlo ngesikhathi esifanayo. Iningi lezehlakalo lithinta iliso elilodwa ekuqaleni. Kodwa-ke, uma uke waba nokuhlukaniswa kwamehlo kwelinye iliso, unezingozi eziphezulu zokuthuthukisa kwelinye iliso kamuva, kungakho ukulandelela njalo womabili amehlo kubalulekile.

Ingabe imbono yami izobuyela evamile ngemuva kokuhlinzwa kokuhlukaniswa kwamehlo?

Ukuphulukana kobono kuyahlukahluka kuye ngokuthi ukwelashwa kutholakele ngokushesha kangakanani nokuthi i-macula (indawo ephakathi kobono) ithinteke yini. Abantu abaningi bayabuye bathole imbono ebalulekile, kodwa ingase ingabuyeli ngqo kulokho okwakukhona ngaphambili. Ukwelashwa okuqala, amathuba okuphulukana okuhle aphezulu. Abanye abantu bangase babe nezinguquko ezincane eziqhubekayo njengokuphambuka okuncane noma ukunciphisa ukubona ebusuku.

Ingabe ukuhlukaniswa kwamehlo kungavinjelwa?

Nakuba ungakwazi ukuvimbela zonke izimo zokuhlukaniswa kwamehlo, unganciphisa ingozi yakho ngokuvikela amehlo akho ekulimala, ulawule izimo njengesifo sikashukela ngokufanele, futhi ube nokuhlolwa okuphelele kwamehlo njalo, ikakhulukazi uma unezinto ezingaba yingozi. Abantu abane-myopia ephakeme noma umlando womndeni kufanele baqaphele ngokukhethekile ngokunakekelwa kwamehlo okuvamile nokubona izimpawu zokuqala.