[000:00:00;00] our guest dotsenko of the department of ophthalmology of the belarusian medical academy after graduation , candidate of medical sciences polina andreevna hello hello polina, we are talking about glasses today. let's take a look at what they are. it is clear that farsightedness is shortsightedness for correction, but there are a number of diseases, uh, in which it is also necessary to wear glasses. well, you probably heard such a word as otstigmatism and patients often ask our questions. what it is? explain what it is this is most often just a feature of the anatomical structure of the eye, when the optical system of the eye is not absolutely spherical and therefore the image on the retina is not collected in a single image focus. it can be a little blurry, as if uneven, and then cylindrical glass is added to the spherical glass to correct this state, but this is already

special. optics is still such a state. they also probably heard it without a biopsy, or they call it, uh, it’s also age-related farsightedness. this is not a pathology. we all somewhere around the age of 45, plus or minus, we put on reading glasses. this is fine. the fact is that with age, our eye loses its ability to immodate. that is, it is difficult for us to consider small objects at close range normal. yes, it's okay to refuse. how often do patients ask that maybe i will not wear them, and it would be better for me to refuse such glasses. it is not necessary that it be comfortable and convenient to work nearby. there are also glasses that are popularly called protective glasses in front of a computer when they sit here, how this thing works and whether it works there is such a moment that you and i live, probably in a world where we are always in front of some kind of monitor screen, then computers are a tablet phone, it doesn’t matter and

any screen has its harmfulness. this is electromagnetic radiation and screen flicker , and it is believed that the blue color range is especially harmful to the eye, and here are these computer glasses. there are special lenses that remove this eye strain that protect our eyes from these flickers, flickers and annoying effect of the blue aspect. great. let's then go directly to those glasses, without which, well, nothing can be seen. so let's say. yes, now in almost every optics. yes, there is an ophthalmologist, please , for an additional fee, a small one , they will check you right on the spot and so on. is it possible, or is it still better to go to the clinic the old fashioned way, if it is really an ophthalmologist or optometrist? there is such a separate specialty a person who is engaged in the selection of glasses, then absolutely

it is possible, but, probably, if these are your first glasses, you will never that is, it is better to come to an appointment with a specialist, be it a center polyclinic, some medical one, in order to check, in principle, all the parameters of vision and make sure that the glasses you need are the glasses, some are selected individually. if there is a specialist in optics , it is very good. and more importantly, they measure here from behind. yes between pupillary distance. what is it for? eh, one thing is actually very important too. everyone has their own most common, probably in the world 62-64 mm between the pupillary distance and here is the optical axis, which is set in lenses, it is in spectacle lenses that it should be exactly opposite the pupil, if this does not match with us, then we will very quickly get tired of bringing these glasses. and, of course, there will be increased eye strain, which can generally lead, then to the head fields, and to some kind of poor health.

yes, even that is, if, uh, on glasses and you feel dizzy, not comfortable, maybe, uh, the problem is not that your prescription for cash is written incorrectly, maybe the problem is that here in a specific frame are slightly not observed. here are some comical topographical features that are right for you , there may be some other reasons when there is still such a moment, especially if this is the first glasses, if these are astigmatic glasses, we usually give the person time to get used to them adaptation. yes , it should be, if it's new glasses, there should be a connection for some time. usually it's two or three weeks. this is especially true for astigmatic glasses, because that's where these cylindrical glasses are. and when we only we start wearing them, maybe a slight discomfort, maybe even dizziness, but unfortunately, it also happens that even with absolutely correctly selected glasses,

a person simply has the right one. i’m an individual intolerance, maybe a bit strong, and then it’s better to double-check and find what is comfortable, like this, it also happens , we are all different and everyone is very different from each other, preparing for an interview. uh, i read somewhere about the fact that people with myopia perhaps over time, but such a phenomenon as a retinal tear. tell uh, is it true and is it just myopic eye with myopia, it is arranged a little differently, it is slightly enlarged in the anterior posterior size, and accordingly, the greater the degree of myopia, the more the anterior posterior eye is enlarged, the more it will be stretched now and it is the so-called extreme the periphery of the retina, ruptures may occur due to its overstretching. it doesn't necessarily mean you will, but if you have nearsightedness, uh even if only to

small degrees. you need to find time and come to the ophthalmologist so that you can see your the fundus of the eye to determine if you have any prerequisites. do i need to monitor you periodically and in general be observed by an ophthalmologist, but i must say that this is not necessary, with myopia there may be retinal breaks, in principle, for example, adolescents who have grown up quickly are quickly pulled out of their eyes, respectively, they also do not have time to quickly stand out against this growth. collagen does not have time and there may be such prerequisites, that is, by and large. we can say that if some toads suddenly appeared, complaints can be about a suddenly appeared, floating flies before the eyes, or like a feeling of flashing lightning before the eyes. this does not mean that you must have a rupture, but this is a reason for going to the ophthalmologist. let's talk about contact lenses, because those

who have poor eyesight, which is a girl. i especially don't like how glasses fit on them, uh, they prefer contact lenses. here again. what about diopters? yes, if we are talking, for example, about myopia, and the diopter in contact lenses should be , uh, a little different than in glasses, of course, and contact lenses are the main mistake here. although usually the doctor always explains that if you have contact lenses, this does not mean that you do not wear glasses, but there are a lot of conditions when contact lenses need to be removed and their relationship is contraindicated, even starting colds of foam parties somewhere finding at work. there, in a smoky room , there is some kind of watering load, and then, of course, contact lenses are undesirable, since this is a method of correction that we put on, roughly speaking, directly on the eye. this is contact and

this can lead to. the occurrence of quite serious inflammatory diseases, which will then be very difficult to cope with. therefore, if we have contact lenses, then we do not forget that we must have boxes and i don’t have to ask you. is it possible, uh, if you take up the restoration of vision correction, for example, from childhood to avoid all the same? yes, wearing lens glasses, i know that once even certain physiotherapy procedures were prescribed for children, when problems appeared, the first one at school