tag:blogger.com,1999:blog-2702635103730651302024-03-13T18:52:48.060+08:00麗明眼科醫療網 Beauty-Bright Eye Clinics醫學中心級專科醫師群。優質眼科醫療服務。守護您的視力健康。口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comBlogger196125tag:blogger.com,1999:blog-270263510373065130.post-43007858561701094222019-09-29T12:56:00.000+08:002019-09-30T13:03:23.721+08:002019-09-30 颱風公告<div style="background-color: white; margin-bottom: 6px;">
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<span style="color: #1d2129; font-family: "helvetica" , "arial" , sans-serif;"><span style="font-size: large;">2019-09-30(週一)</span></span></div>
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<span style="font-size: large;"><span style="color: #1d2129;">依據新竹縣政府公告</span><span style="color: #660000;"><b>停班</b></span></span><br />
<span style="font-size: large;"><span style="color: blue;"><b>竹北麗明眼科高鐵總院</b></span><span style="color: #1d2129;">,週一</span><span style="color: #660000;"><b>全日休診</b></span></span><br />
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<span style="font-size: large;">原訂開刀排程亦取消順延</span></div>
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<span style="font-family: helvetica, arial, sans-serif; font-size: large;"><span style="color: #1d2129;"><br />依新竹市政府公告</span><span style="color: #274e13;"><b>正常</b></span></span><b style="color: #274e13; font-family: helvetica, arial, sans-serif; font-size: x-large;">上班</b><br />
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<b><span style="color: #38761d;">新竹市麗明眼科經國分院,</span>週一<span style="color: #38761d;">上下午正常看診</span><br /><span style="color: #990000;">(</span></b></span><span style="color: #990000;"><span style="font-family: helvetica, arial, sans-serif; font-size: large;"><b>2019-09-30</b></span><b style="font-family: helvetica, arial, sans-serif; font-size: x-large;">夜診因颱風停診)</b></span></div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-71376981976756706972018-07-26T19:06:00.000+08:002020-03-05T12:29:41.656+08:00麗明眼科預約掛號注意事項<span style="font-weight: bold;"><span style="color: blue;">即日起竹北高鐵總院網路預約掛號服務</span><span style="color: red;">停止服務</span></span><br />
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<span style="color: #274e13;"><b>電話掛號</b></span>:<br />
<strong><span style="color: #cc0000;"><br />一般初診恕不接受電話掛號!請由臨櫃現場掛號、竹北總院初診可使用網路掛號。</span></strong><br />
★ 當天門診不接受電話預約(開診前兩天及前一天仍可接受電話預約)<br />
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★ 為維護醫療品質,每診次預掛以20人為限,請儘早預約,額滿為止。</div>
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★ 開學季夜診及假日診人潮擁擠,建議多加利用<strong><span style="color: #990000;">平日上、下午</span></strong>時段安排診查。<br />
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自2018/9/10日起,電話預掛只接受當月、及次兩個月份內的門診時段作業。<br />
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<strong><span style="color: #cc0000;">角膜塑型片</span></strong><strong><span style="color: #cc0000;">試戴諮詢</span></strong><strong><span style="color: #cc0000;">請告知服務人員協助轉介角膜塑型特別門診。</span></strong></div>
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竹北高鐵總院 請於上班時間致電: 03-6675018</div>
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新竹經國分院 請於上班時間致電: 03-5255185</div>
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電話中告知掛號所需基本資料完成掛號。</div>
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註:櫃台人員忙錄時須稍事等候</div>
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註:當天門診不開放預約掛號!麻煩到現場掛號!</div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-83679115776000995352018-05-23T18:20:00.001+08:002018-05-23T23:42:45.528+08:00兒童視力Live Talk – 邱靖雅議員專訪陳祐瑲院長實況錄影新竹縣邱靖雅議員百忙之中不忘關切孩子視力<br />
特別跟我約在診所暢談兒童視力保健相關議題<br />
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議員問政犀利,果然每個發問都能切中要害重點<br />
感謝議員的助理小姐的攝影、神剪輯、字幕,讓影片內容更加流暢易懂<br />
一系列影片(part 1~7)都貼在這篇文章中,請耐心收看。<br />
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<iframe allow="autoplay; encrypted-media" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/DUCulZ_qZBs" width="560"></iframe><br />
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<iframe allow="autoplay; encrypted-media" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/1dEsoeqoRcM" width="560"></iframe><br />
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<iframe allow="autoplay; encrypted-media" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/Wam8kAl3umM" width="560"></iframe><br />
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原貼請參考:邱靖雅議員臉書發文 <a href="https://goo.gl/7ePaoK"> https://goo.gl/7ePaoK</a><br />
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-15033412042355228532017-12-13T01:48:00.003+08:002017-12-13T01:49:04.022+08:00兒童近視常見的迷思<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">作者:麗明眼科 陳祐瑲總院長</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">每到開學季節,家長最常提問的正是「學童視力問題」,網路上眾說紛紜,理論方法五花八門似是而非,甚至不同醫師之間的說法亦天差地別莫衷一是。身為大量收治學童近視的眼科醫師,以下歸納有關近視最常見的疑問與迷思一一解答。</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><b style="-webkit-text-stroke-width: 0px; background-color: white; box-sizing: border-box; color: #444444; font-family: 文泉驛正黑, "WenQuanYi Zen Hei", "儷黑 Pro", "LiHei Pro", 微軟正黑體, "Microsoft JhengHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 700; letter-spacing: normal; orphans: 2; text-align: left; text-decoration-color: initial; text-decoration-style: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;"><span style="box-sizing: border-box; color: purple; font-size: medium;">「我兒子從來不看電視,為什麼會近視?」</span></b><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">「近視的成因在於看太近、太久、欠休息」</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">談到近視,家長最常指出的兇手就是「看電視」,但近年醫學研究已明確證實:近距離用眼活動(如看書、寫字、畫圖、使用手機平板等)才是造成近視的主要電因;至於「看電視」屬於中遠距離的用眼活動,不但不會直接造成近視、甚至刻意少看電視還會增加近視的惡化(因為跑去看更近的東西)。更有研究證實:只要待在居家室內,就容易產生近視,如果能增加戶外活動時間,自然可以降低近視發生機率,許多公衛教育專家已經推動強制達成一定的室外活動時間的政策,確實收到了不錯的防治近視效果。</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">「中斷休息、保持距離」正是對抗近視最重要的指導心法。</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><b style="-webkit-text-stroke-width: 0px; background-color: white; box-sizing: border-box; color: #444444; font-family: 文泉驛正黑, "WenQuanYi Zen Hei", "儷黑 Pro", "LiHei Pro", 微軟正黑體, "Microsoft JhengHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 700; letter-spacing: normal; orphans: 2; text-align: left; text-decoration-color: initial; text-decoration-style: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;"><span style="box-sizing: border-box; color: purple; font-size: medium;">「我女兒近視了,該不該點藥?能不能不戴眼鏡?」</span></b><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">「有效的近視治療:阿托品、光學矯正」</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">當前唯一通常醫學長期研究證實可有效治療近視的藥物即是阿托品(Atropine,屬於長效睫狀肌麻痺劑,為長效散瞳劑),過去慣用的高濃度阿托品藥水產生畏光模糊等副作用,故患者接受度不高;近年發展趨勢走向低濃度阿托品治療,已獲得歐美亞洲各國普遍重視採用,其副作用較少且可相容於足度光學矯正,可組合出更安全有效舒適的近視療法。至於光學矯正屬於近視治療的基本條件,近來實證醫學已支持角膜塑型可有效壓抑近視眼球成長速度;其它如隱形眼鏡、鏡框眼鏡等矯正方式雖然尚未證實顯著療效,卻仍可改善視覺表現、幫助穩定近視不易加速惡化。</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">學童近視應以藥物、光學矯正、用眼習慣控管三種方法組合出雞尾酒療法,可以得到最強大的治療解決方案。</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><b style="-webkit-text-stroke-width: 0px; background-color: white; box-sizing: border-box; color: #444444; font-family: 文泉驛正黑, "WenQuanYi Zen Hei", "儷黑 Pro", "LiHei Pro", 微軟正黑體, "Microsoft JhengHei", Arial, sans-serif; font-size: 16px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 700; letter-spacing: normal; orphans: 2; text-align: left; text-decoration-color: initial; text-decoration-style: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;"><span style="box-sizing: border-box; color: purple; font-size: medium;">「我兒子近視150度,是不是假性近視不必治療?」</span></b><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">「要到眼科點睫狀肌麻痺劑後驗度確認!」</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">假性近視指的是睫狀肌調節作用影響,若想知道消除調節力之後的「真性度數」,就要到眼科接受睫狀肌麻痺(即散瞳後驗光)才能正確驗出真實度數。如果驗出來的真實度數還有相當的遠視且視力正常,那就是真正的「假性近視」通常不需要治療,但若驗出來已有近視,哪怕只有50至100度,都屬於真性近視,建議最好要開始接受阿托品甚至光學矯正等積極治療並且定期追蹤度數變化以免近視進一步惡化。</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: purple; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><b style="box-sizing: border-box; font-weight: 700;">「近視沒關係,長大再做雷射矯正就好?」</b></span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">「近視雷射只能治療度數,卻無法根治近視的眼球病變!」</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">很多人以為近視只要戴眼鏡矯正看得到、等長大再做雷射手術就沒關係。事實上近視度數並非唯一重點,關鍵更在於發育期的眼球異常快速增長會大幅增加未來視網膜脈絡膜視神經的病變機率,甚至也會增加白內障、青光眼等各種眼科疾患,高度近視的確可稱為眼科的萬病之母啊!近視雷射的原理在於切削改變角膜表面弧度以「修改」眼球的整體屈光度數表現,卻無法修正眼球內的結構異常,所以對抗近視最好的方法,仍然是從小就積極治療防範,千萬不要把希望寄托在未來的手術上面。</span><br />
<span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"><br style="box-sizing: border-box;" /></span><span style="background-color: white; color: #444444; display: inline; float: none; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: 16px; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;"></span><span style="background-color: white; box-sizing: border-box; color: #444444; font-family: , "wenquanyi zen hei" , "儷黑 pro" , "lihei pro" , , "microsoft jhenghei" , "arial" , sans-serif; font-size: medium; font-style: normal; font-weight: 400; letter-spacing: normal; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px;">近視醫學近年來不斷的發展進步,歡迎各位能與眼科醫師持續探索深入研究,找到對孩子視力最好的處置方法。</span>口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-71019319865123689212017-09-01T05:00:00.006+08:002023-03-22T14:14:27.360+08:00麗明眼科門診時間表<div style="text-align: center;">
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公告: 兩院門診時間表如下表。<br />
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<span style="color: blue; text-align: center;">麗明眼科112年1月份起新門診時間表</span><br />
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<div class="separator" style="clear: both; text-align: center;"><br /></div></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-rcGG5uma3TnYpQlmXwUyoSPcP1dJKKLqdw0ITW7NNyE82L5AvqQ5w4OSZhcwfO5JH5m5kdIb_D2vgfSX4nOntmieLH3pfvcwTPrQQEculgeARg93RebzU4D3gB-xAAsJjxg-JzOFnNNOSJcTCxU2Z2T2r5im5rVaSZobhGYK4odabSDdyv9cpcF_/s525/opd.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="297" data-original-width="525" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-rcGG5uma3TnYpQlmXwUyoSPcP1dJKKLqdw0ITW7NNyE82L5AvqQ5w4OSZhcwfO5JH5m5kdIb_D2vgfSX4nOntmieLH3pfvcwTPrQQEculgeARg93RebzU4D3gB-xAAsJjxg-JzOFnNNOSJcTCxU2Z2T2r5im5rVaSZobhGYK4odabSDdyv9cpcF_/s16000/opd.png" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div></div>
<span style="color: #660000;">(因臨床業務繁忙,偶有排班臨時異動,恕無法事前告知,將由現場看診醫師為您服務)</span><br />
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高鐵總院.地址:竹北市文興路一段116號 .電話(預約專線):03-6675018<br />
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上午門診時段:09:00~12:00 (08:30~11:30接受現場掛號、額滿則提前止掛)</div>
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下午門診時段:14:30~17:30 (14:00~17:00接受現場掛號、額滿則提前止掛)</div>
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晚間門診時段:18:00~21:00 (17:30~20:30接受現場掛號<span style="font-family: "times new roman";">、額滿則提前止掛</span>)</div>
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安排於二診為特別門診時段,請於事先預約,恕不接受現場掛號指定醫師。<br />
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經國院區.地址:新竹市經國路二段539號.電話:03-5255185<br />
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上午門診時段:09:00~12:00 (08:30~11:30接受現場掛號、額滿則提前止掛)</div>
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下午門診時段:14:30~17:30 (14:00~17:00接受現場掛號、額滿則提前止掛)</div>
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晚間門診時段:18:00~21:00 (17:30~20:30接受現場掛號、額滿則提前止掛)</div>
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註:特約門診恕不接受現場掛號,只接受本院醫師約診。</div>
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註:其它時段由本院醫師自行約診或視現場情形不定時加開臨時門診,不另行公告。</div>
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註:遇國定假日原則上開設上午特約門診,下午及晚間休診。</div>
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註:週日不定期開設特約門診(非常態開設),請先電話詢問開診情況。<br />
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-55921447738014817742016-12-31T00:50:00.000+08:002017-02-25T19:19:07.480+08:00[公告] 106年近期連續假期門診異動、休診公告<br />
<span style="background-color: orange;">2017年2月連假休診公告</span><br />
<span style="background-color: orange;"><br /></span><span style="background-color: cyan;">竹北高鐵總院</span><span style="background-color: white;">、</span><span style="background-color: lime;">新竹經國分院</span><span style="background-color: white;"> 228假期開休診如下:</span><br />
<span style="background-color: white;"><span style="background-color: transparent; color: red;"><br /></span></span><span style="background-color: white;"><span style="background-color: transparent; color: red;"><span style="color: black;"><span style="background-color: transparent; color: red;">106/2/26(日)~ </span></span></span></span><span style="background-color: white; color: red;">106/2/27(一)~</span><span style="background-color: white;"><span style="background-color: transparent; color: red;"> 106/2/28(二)</span></span><span style="background-color: white;"><span style="background-color: transparent; color: red;"><span style="color: black;"><span style="background-color: transparent; color: red;"> 連續三日。</span></span></span></span><span style="background-color: #ffe599; color: red;">兩院全日休診。</span><br />
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[以下為歷史資訊]<br />
<span style="background-color: orange;">2017年1月連假休診公告</span><br />
<span style="background-color: orange;"><br /></span><span style="background-color: cyan;">竹北高鐵總院</span><span style="background-color: white;">、</span><span style="background-color: lime;">新竹經國分院</span><span style="background-color: white;"> 元旦假期開休診如下:</span><br />
<span style="background-color: white;"><span style="background-color: transparent; color: red;"><br /></span></span><span style="background-color: white;"><span style="background-color: transparent; color: red;">106/1/1(日)~ 106/1/2(一)</span></span><span style="background-color: white;"><span style="background-color: transparent; color: red;"><span style="color: black;"><span style="background-color: transparent; color: red;"> 元旦及補假。</span></span></span></span><span style="background-color: #ffe599; color: red;">兩院全日休診。<br /></span><br />
<span style="background-color: orange;">2017年1~2月春節休診公告</span><br />
<span style="background-color: cyan;">竹北高鐵總院</span><span style="background-color: white;">、</span><span style="background-color: lime;">新竹經國分院</span><span style="background-color: white;"> 春節假期開休診如下:</span><br />
<span style="background-color: orange;"></span><br />
<span style="background-color: white;"><span style="background-color: transparent; color: red;"><br /></span></span><span style="background-color: white;"><span style="background-color: transparent; color: red;">106/1/26(四)兩院皆只看上午門診</span></span><span style="background-color: white;"><span style="background-color: transparent; color: red;"><span style="color: black;"><span style="background-color: transparent; color: red;"><span style="background-color: transparent; color: black;">。</span><span style="background-color: #f4cccc;">當日下午起同步</span></span></span></span></span><span style="background-color: #f4cccc; color: red;">休診。</span><br />
<span style="background-color: white; color: red;">106/1/27(五)~ 106/2/1(三) </span><span style="background-color: #f4cccc;"><span style="color: red;">兩院全面全日休診。</span></span><br />
<span style="background-color: #ffe599; color: red;"></span><br />
<span style="background-color: white; color: #274e13;">106/2/2(四)起兩院皆</span><span style="background-color: #d9ead3; color: #274e13;">正常看診</span><span style="background-color: white; color: #274e13;">。</span><br />
<span style="background-color: orange;"><br /></span>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-76152633593681724832016-09-27T23:22:00.003+08:002016-09-27T23:22:46.751+08:002016/9/28 依新竹縣、新竹市政府公告,明日停班停課<br />
麗明眼科兩院同步全日停診,造成不便敬請見諒。<br />
<br />
因應梅姬颱風 麗明眼科(竹北總院、新竹市分院)門診<br />
2016-09-28(週三) 兩院全日休診!<br />
2016-09-27(週二) 兩院全日休診!<br />
2016-09-26(週一) 本日門診照常口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-65829092765743472752016-09-04T23:23:00.006+08:002016-09-08T00:44:49.998+08:00[視保演講-01] 為什麼要使用低濃度長效散瞳劑? by 陳祐瑲院長<iframe allowfullscreen="true" allowtransparency="true" frameborder="0" height="380" scrolling="no" src="https://www.facebook.com/plugins/video.php?href=https%3A%2F%2Fwww.facebook.com%2Fgoodvisionhealth%2Fvideos%2F1235701786450165%2F&show_text=0&width=400" style="border: none; overflow: hidden;" width="600"></iframe>口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-3423500349207076092016-09-01T12:08:00.000+08:002016-09-01T12:08:02.238+08:002016年 9~10月國定假日休診公告<div style="background-color: white; color: #1d2129; font-family: helvetica, arial, sans-serif; font-size: 15px; line-height: 20.7px; margin-bottom: 6px;">
麗明眼科竹北高鐵總院、新竹經國分院 同步實施</div>
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[2016 中秋連假]<br />9/15(週四)只看上午;原訂午晚門診休診<span class="text_exposed_show" style="display: inline; font-family: inherit;"><br />9/16(週五)只看上午;原訂午晚門診休診<br />9/17(週六)全天休診</span></div>
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[2016 國慶連假]<br />10/8(週六)只看上午診;原訂下午門診休診<br />10/10(週一)全天休診</div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-39855672924284917282015-09-28T23:32:00.003+08:002015-09-28T23:32:38.604+08:00104.9.29 颱風停診公告!<span style="background-color: white; color: #141823; font-family: helvetica, arial, sans-serif; font-size: 15px; line-height: 16.56px;">[快訊] 配合新竹縣市政府公告<br /></span><span style="background-color: white; color: #141823; font-family: helvetica, arial, sans-serif; font-size: 15px; line-height: 16.56px;">104/9/29 週二</span><span style="background-color: white; color: #141823; font-family: helvetica, arial, sans-serif; font-size: 15px; line-height: 16.56px;">麗明眼科竹北總院及新竹市分院於因颱風全日休假(早、午、晚門診皆取消)<br /><br />另外竹北總院原排定手術亦順延另約。造成不造敬請見諒!</span>口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-82311979915212220282015-08-04T15:45:00.002+08:002015-08-04T15:47:15.746+08:00孩子弱視,需要每週回來做弱視訓練嗎?<ol class="_2t4u clearfix" data-pnref="story" data-referrer="pagelet_timeline_recent_ocm" id="u_jsonp_9_f_story"><div class="_5pcb _4b0l">
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(以下由陳祐瑲醫師門診真實案例改寫)<br />
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有一位媽媽帶著6歲的女兒來看診,小妹妹因為雙眼高度遠視加散光,過去兩年來每週不間斷大老遠從苗栗跑到北部某醫學中心做弱視訓練,媽媽說為此花了許多時間與金錢,全家苦不堪言。<br />
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我看小妹妹的矯正視力達到1.0:「妳的辛苦有了代價!照顧得很好!」<span class="text_exposed_hide"><br /></span><span class="text_exposed_show"><br />媽媽問:「以後能不能每週都來你們診所做弱視訓練?」</span><br />
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我說:「目前她的視力已經達到正常水準,弱視已經好了,自然不必弱視訓練,只要繼續戴眼鏡定期回來追蹤就好。」<br />
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媽媽再問:「我還有一個鄰居的孩子也是弱視,現在每週都去大醫院做弱視訓練,他們覺得太辛苦想放棄,請問是不是能就近來你們診所做弱訓就好?」<br />
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我說:「我手上多數的弱視孩子,一旦正確診斷治療後,很少會密集定期回來做弱視訓練,並不是說密集弱訓不需要,而是,現在家家戶戶都有電腦、平板、手機,只要教導正確的訓練方式,其實在家裡就可以自行做好弱視訓練。」<br />
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媽媽大驚:「什麼? 難道我們以前每週北上去訓練是不必要的?」<br />
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我再次解釋道:「不能這樣說,而是,弱訓有一定的規範與方法,如果醫師沒有把握患者可以在家裡做好弱視訓練,傳統的方法就是定期回診做弱訓順便檢測視力進步,這是負責任而嚴謹的做法。但對於路途遙遠的患者,考量交通與時間成本,若可以在詳練解說訓練後,讓弱訓在家天天做、一定時間再回來檢查進度,這樣的方式應該會更經濟容易接受。」<br />
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媽媽感動的說:「陳醫師,你真的好體貼!我會請我的鄰居快點來找你幫忙。」</div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-55121879175586263282015-04-30T01:27:00.002+08:002015-04-30T01:31:39.149+08:00任意調降眼鏡度數、停點散瞳,導致近視失控實例<div class="text_exposed_root text_exposed" id="id_554110a606b250267914011">
(本文由麗明眼科陳祐瑲醫師臨床案例改寫)<br />
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8歲的K小妹妹,去年來到我的門診才念小學一年級,近視竟已高達四五百度。我馬上幫她把眼鏡配足再開立低濃度散瞳劑,半年後果然度數完全沒有增加。<br />
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沒想到她就此消失了半年,近期再回診時,赫然發現度數暴增一百多度!<br />
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<a href="http://2.bp.blogspot.com/-sLFRgqoBycs/VUEUI_aj9iI/AAAAAAAAU4s/5iM-6Ombgck/s1600/G25044.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-sLFRgqoBycs/VUEUI_aj9iI/AAAAAAAAU4s/5iM-6Ombgck/s1600/G25044.png" height="468" width="640" /></a></div>
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媽媽說:「爸爸帶去給朋友開的眼鏡行看,朋友叫我們不要點散瞳劑,而且說眼鏡度數要改配輕一點比較舒服,沒想到度數會增加那麼多…」<br />
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我只搖頭嘆氣,難過的說不出話。<br />
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媽媽低聲說:「好啦,我們知道錯了,以後都會乖乖定期回診!」<br />
<br />陳醫師說法:<br /><br /><span data-ft="{"tn":"K"}" data-reactid=".4.1:3:1:$comment1072922409388557_1072925266054938:0.0.$right.0.$left.0.0.1.$comment-body"><span class="UFICommentBody" data-reactid=".4.1:3:1:$comment1072922409388557_1072925266054938:0.0.$right.0.$left.0.0.1.$comment-body.0"><span data-reactid=".4.1:3:1:$comment1072922409388557_1072925266054938:0.0.$right.0.$left.0.0.1.$comment-body.0.$end:0:$0:0">半年增加100度,就是一年增加200度,四年後她上國中時,又增加了800度來到1400度 …更難想像未來的中學六年的近視還要增加到什麼程度了!<br /><br />兒童近視控制是一門非常專業的醫學,千萬要配合有經驗的眼科醫師指導,切勿自作主張任意停藥或調降度數以免造成度數失控狂飆!</span></span></span></div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-23463420894625751882015-03-27T18:36:00.002+08:002016-01-30T01:45:43.315+08:00你的孩子在點什麼散瞳劑?每當我問:「你孩子之前點什麼藥?」<br />
家長總迷惑答道:「啥? 散瞳劑還有分喔?!?<br />
<br />
沒錯!散瞳劑名堂可多著哩!可以分為:長效、短效、高濃度、低濃度等四大類。以下分別說明:<br />
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<b>一、中高濃度長效散瞳劑:</b><br />
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<a href="http://2.bp.blogspot.com/-72UV4WBE5fo/VRUye-YQ1kI/AAAAAAAATeg/vgAyn2d9NI8/s1600/tropine.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://2.bp.blogspot.com/-72UV4WBE5fo/VRUye-YQ1kI/AAAAAAAATeg/vgAyn2d9NI8/s1600/tropine.jpg" width="320" /></a></div>
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代表藥物就是Atropine(阿脫品),市售濃度從0.125%到1%都有,是目前公認對抗近視效果最好的單一藥物治療選項,但藥物濃度愈高副作用就愈大,最常見的副作用點了之後會嚴重畏光、近距視力模糊、其它少見的副作用包括 眼瞼或結膜過敏等。如果沒有事先解釋可能副作用,許多小朋友及家長初次點藥之後可能會被嚇到,拿了藥就不敢再點,也因此錯失藥物控制的機會。<br />
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<b>二、低濃度長效散瞳劑:</b><br />
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為了減少高濃度長效散瞳劑的副作用,近年來國內外都有醫學論文研究以更低濃度的Atropine達到理想的近視控制效果:常見濃度包括 0.05%, 0.025%, 0.01% 等Atropine藥水。隨著濃度降低,副作用大幅減少,也提高了小朋友點藥的舒適度及耐受性。然而,低濃度散瞳劑對於近視的純藥理控制效果卻可能比不上高濃度藥水,因此需要搭配更嚴格的視力保健習慣以及適當的光學矯正,才會有好的控制效果。<br />
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<b>三、低濃度短效散瞳劑:</b><br />
<b></b><br />
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成份為0.5% Tropicamide(常見有 Sintropic, Better, Picon等藥水),作用時間只有4~6小時,等於前一晚點了之後,隔天醒來幾乎就沒有副作用,小朋友接受度較高,但仍有一個缺點:就是點了容易感到刺痛,有些小朋友點了就哇哇大哭從此不敢再點,不過更大的缺點就是:這個成份在研究上並沒有顯著的長期控制近視效果,因此在臨床上並不算稱職的近視控制藥物。<br />
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<b>四、高濃度短效散瞳劑:</b><br />
<b></b><br />
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成份為1% Tropicamide(常見有 Alcon Mydriacyl),通常這隻藥只有在醫院才會被開立,因為醫院藥物品項有限,所以在沒有0.5% Tropicamide可開立之下,只好把平常拿來做檢查的1%藥物開給小朋友點。不過1%點起來的刺激感比0.5%還要強,另外仍然是缺乏長期控制效果的問題。<br />
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你知道孩子在點什麼散瞳劑嗎?<br />
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不如現在就去研究一下吧!<br />
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再次提醒:散瞳劑對於近視常是必要的治療,請勿因恐懼而自行停藥,若對散瞳劑有任何疑問,下次記得跟你的眼科醫師好好討論吧!口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-69498205496531465142015-02-09T00:44:00.004+08:002015-02-09T00:45:12.507+08:00容易造成孩子近視的兇手有哪些?<div class="text_exposed_root text_exposed" id="id_54d7920a3cdee0c43582117">
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<span style="color: red;">第一名:</span>長時間大量閱讀、隨時隨地不斷的閱讀、趴上去近距離閱讀<br />
<span style="color: red;">第二名:</span>寫很多作業、寫完作業又寫評量測驗、寫錯又反覆訂正作業<br />
<span style="color: red;">第三名:</span>玩手機、平板(拿得近又不限制時間)<span class="text_exposed_hide">⋯⋯</span><span class="text_exposed_show"><br /><span style="color: red;">第四名:</span>電腦(線上)遊戲、上網聊天玩小遊戲<br /> <span style="color: red;">第五名:</span>靜態才藝學習:珠心算、圍棋、畫圖、美勞<br /> <span style="color: red;">第六名:</span>彈琴演奏(快速視譜、反覆練習)<br /> <span style="color: red;">第七名:</span>近距離玩細小的玩具(樂高、模型、紙牌、拼圖)</span><br />
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結論:<br />
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只要<span style="color: blue;">長時間、近距離、不間斷</span>的過度用眼,就會造成近視!<br />
請注意,「看電視」並不是造成近視的主要原因。如果禁止孩子看電視,反而會增加其它近距用眼的時間(看書、畫畫、玩小玩具),往往會造成近視更加惡化。<br />
所以對抗近視的方法,絕對不是「把電視關起來」如此簡單!</div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-40542227552621270932014-11-10T18:36:00.003+08:002021-03-25T15:24:28.295+08:00雙眼屈光弱視,並不適合輪流遮眼!<div class="text_exposed_root text_exposed" id="id_546094dfb94468e87928303">
4歲半,雙眼屈光弱視(遠視400~500,散光250~300)<br />
在某院以雙眼輪流貼眼治療、未配鏡矯正<br />
一年多來視力沒有進步,視力維持在 0.2~0.4之間<br />
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我驚訝問道:「你確定醫師叫你輪流貼眼治療弱視嗎?」<br />
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家長肯定答道:「沒錯啊!說遮一眼可以訓練另外一眼,這樣輪流治療有錯嗎?」<br />
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我想了想,反問道:「如果你家裡有一對兄弟,兩個都餓著肚子,你會不會今天給哥哥吃飯,先讓弟弟餓肚子;明天再換弟弟吃飯,哥哥餓肚子?」<br />
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媽媽說:「怎麼可能? 兩個都餓肚子,一起吃飯不就得了? 幹嘛故意讓一個餓肚子?」<br />
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我說:「這就對啦,兩眼都屈光弱視,就戴上眼鏡,不必遮眼,兩眼一起使用訓練不就得了,只輪流貼眼而不戴眼鏡,當然沒有幫助!不如好好戴眼鏡,兩眼一起刺激進步!」<br />
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陳醫師說法:<br />
<br />
「輪流貼眼治療雙眼屈光性弱視」並沒有任何教科書或論文證明有效的科學依據,但卻普遍出現在臨床治療中,實際治療效果卻不理想,不屬於有效的常規處置。<br />
<br />
若雙眼弱視存在著相當視力差距,則可固定遮住較好的一眼來訓練另一弱視,待視力差距消除後,即可逐漸減少貼眼時間乃至停止遮眼。<br />
<br />
當雙眼同時出現屈光性弱視,只要適度進行光學矯正(配鏡),加上若干視覺刺激,就會有不錯的療效,並不需要輪流遮眼。<br />
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只要正確診斷、正確處置,弱視在臨床上治療成功的機率其實是非常高的。」</div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-11836416588660369332014-10-23T03:38:00.000+08:002014-10-23T03:50:57.491+08:00小孩的近視嚴重,該怎麼辦?<span style="color: blue;">Babyhome一位網友提到:「小孩的近視嚴重,無法控制到讓我憂鬱」</span><br />
<span style="color: blue;"></span><br />
<span style="color: blue;">陳祐瑲醫師的回答與建議如下:</span><br />
<br />
我現在手上有幾個還沒上小學就600度以上的案例,甚至有一個5歲男孩第一次來診已經發現一千度真性近視!這種學齡前的近視的確跟基因有關,但細問原因,還是會有個共通特色:就是習慣花很多時間看很近的東西,通常是很早就開始看書、寫字!<br />
<br />
面對這類幼兒型高度近視,家長承受很大的壓力,就算努力治療一段時間後,卻可能發現近視無法成功控制,此時就會慌了手腳、不知所措。<br />
<br />
依我的臨床經驗,會給這類的案例一些建議:<br />
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<span style="color: purple;"><strong>一、有沒有上安親班?</strong> </span><br />
安親班的作息,通常就是一直寫一直寫一直寫,寫完功課寫評量,寫完評量自己看書,這是最容易發生近視的地方。很多小朋友在家裡給父母盯得很好,但在安親班卻長時間近距離用眼(書寫、閱謮)完全不休息,這個死穴一定要抓起來!<br />
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<strong><span style="color: purple;">二、在家讀書寫字的時間有沒有控制?</span></strong><br />
很多家長只控制看電視的時間,卻不知道:看電視根本不太可能近視!因為看電視的距離至少一兩公尺,屬於遠距用眼。真正會近視的活動是書寫作業、溫習功課。只要看書寫功課超過30分鐘,就很可能開始近視了!如果作業很多,最好每20~30分鐘就要強制休息,絕對不能一口氣寫完讀完(避免連續用眼)。<br />
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<span style="color: purple;"><strong>三、看書寫作業有沒有載足度眼鏡?</strong></span><br />
如果你的孩子看書不戴眼鏡,這就可能是主要兇手!<br />
高度近視如果看近不戴鏡矯正,用眼距離勢必會非常近(600度近視,明視距離16公分)<br />
另外,如果你刻意配不足度(例如600度只配300度),也很容易加重近視惡化速度!<br />
我手上很多無法控制的高度近視,一旦讓我把眼鏡配足度,並強制全天候配戴後,通常就會穩定下來。<br />
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<strong><span style="color: purple;">四、有沒有點散瞳劑?</span></strong><br />
雖然目前對散瞳有很多不同的說法,但散瞳劑確實對這些難以控制的高度近視患者有著不可替代的正面療效。我通常會以低濃度Atropine做為輔助治療,一方面減少視近困難的副作用,二方面也能達到控制視近距離的效果。<br />
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以上是我在治療這類高度近視幼童的心得摘要,如果所提的幾項要點通通都能改進,就有機會將這類難治的近視眼控制下來,供您參考。真的很希望你的孩子能早日達到理想控制。口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-18426925903424452942014-10-23T03:32:00.002+08:002014-10-23T03:32:45.601+08:00孩子高度近視了,應該放棄治療嗎?<div class="text_exposed_root text_exposed" id="id_544804e205bbf4b67978914">
一位國三男生,近視九百度,他滿不在乎的跟我說:「反正近視那麼高了,什麼方法都沒有用!近視破一千度也沒關係,等以後長大再做近視雷射就好啦!」<br />
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我轉頭問爸爸:「如果你時速100公里就快撞上前方的大卡車,發現煞車已經來不及了,請問你要怎麼辦?」<br />
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爸爸說:「就算來不及停下來,還是要煞車啊,撞上去力道小一點,可以減少傷害。」<br />
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我說:「你兒子可不這麼認為喔! 他以為:反正煞車也沒有用,乾脆就踩油門,要撞就撞慘一點,粉身碎骨也不足惜嘛。」<br />
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<a href="http://4.bp.blogspot.com/-R1CqGj6oqR8/VEgGR_fmt5I/AAAAAAAAOB8/xj8L7ypnn08/s1600/U5492P115T239D6639F9256DT20120321144846.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-R1CqGj6oqR8/VEgGR_fmt5I/AAAAAAAAOB8/xj8L7ypnn08/s1600/U5492P115T239D6639F9256DT20120321144846.jpg" height="274" width="320" /></a></div>
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父子倆都聽懂我的比喻,總算願意照我的話接受治療了。<br />
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陳醫師的叮嚀:<br />
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<span style="color: blue;">近視愈高,未來失明的機會就會隨之增加,就算你的孩子已經高度近視,仍要積極與眼科醫師配合控制,千萬別放棄治療,未來才能保留光明的希望!</span></div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-88507004170267381342014-10-10T01:38:00.000+08:002014-10-10T01:41:16.027+08:00散瞳才子系列 (02) 失控的近視<span style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;">10歲的小妹妹,今晚是奶奶陪著來的,拿出學校發的視力</span><wbr style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;"></wbr><span class="word_break" style="background-color: white; color: #141823; display: inline-block; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;"></span><span style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;">不良通知單,我看了她的檢查報告,發現眼鏡是最近又新配過的,但度數顯然又往上飆升了</span><br />
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<a href="http://4.bp.blogspot.com/-VgKr-QqKhJ0/VDbFnX5BI7I/AAAAAAAAN_c/fRRNoUu48dQ/s1600/2014-09-25_0030.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-VgKr-QqKhJ0/VDbFnX5BI7I/AAAAAAAAN_c/fRRNoUu48dQ/s1600/2014-09-25_0030.jpg" height="320" width="400" /></a><br />
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<span style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;">再對照之前的病歷紀錄,發現她兩年前就在我們診所固定追踪拿散瞳劑</span><wbr style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;"></wbr><span class="word_break" style="background-color: white; color: #141823; display: inline-block; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;"></span><span style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;">,從初診開始就度數穩定控制在三百度附近,後來卻突然失</span><wbr style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;"></wbr><span class="word_break" style="background-color: white; color: #141823; display: inline-block; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;"></span><span style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;">蹤,只有每半年不得已會來勾一次單子交差了事。 </span></div>
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<tr><td style="text-align: center;"><a href="http://4.bp.blogspot.com/-Dcgtd_zMeYg/VDbGPrNFvGI/AAAAAAAAN_k/ThK9ifR4USg/s1600/atropine.png" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="http://4.bp.blogspot.com/-Dcgtd_zMeYg/VDbGPrNFvGI/AAAAAAAAN_k/ThK9ifR4USg/s1600/atropine.png" height="360" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">自從2013年停點散瞳劑之後,度數明顯飆升</td></tr>
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</span> <span style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;">我問她為什麼期間不再回來看診拿藥?</span></div>
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<span style="background-color: white; color: #141823; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;">妹妹答道:「媽媽說散瞳劑是毒藥很不好,她禁止我點!」</span><span class="text_exposed_show" style="background-color: white; color: #141823; display: inline; font-family: Helvetica, Arial, 'lucida grande', tahoma, verdana, arial, sans-serif; line-height: 18px;"><br />
我再問:「妳點了會不舒服嗎??」 她搖頭!<br />
我再問奶奶:「妳看,明明控制得很好,為什麼要放棄治療<wbr></wbr><span class="word_break" style="display: inline-block;"></span>?」<br />
奶奶說:「我講不動她媽媽,你自己跟她媽說。」<br />
我內心感到難過悲涼:「這樣度數一直飆下去,最後高度近<wbr></wbr><span class="word_break" style="display: inline-block;"></span>視失明了,誰要負責?」</span></div>
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<span style="color: #141823; font-family: Helvetica, Arial, lucida grande, tahoma, verdana, arial, sans-serif;"><span style="background-color: white; line-height: 18px;">照這個速度(每年增加100~150度),妹妹在5年後就會突破1000度大關,屆時就會是容易失明的眼睛!我調出一位患者的度數給她看:「這個阿姨因為高度近視,才四十歲已經罹患黃斑部病變,差點失明,目前還在治療中,妳長大也想跟她一樣嗎?」</span></span></div>
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好不容易控制下來的近視兒童,因為這些不負責任的言論,正<wbr></wbr><span class="word_break" style="display: inline-block;"></span>往失明的路上邁進哩!</span></div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-80032504056941358482014-09-25T16:21:00.005+08:002014-09-25T17:19:32.953+08:00散瞳才子系列 (01) 網友提問大集合自從本人在臉書發表了散瞳劑相關文章之後,一日內獲得上千次網友轉載及媒體報導。我看到了許多迴響,其間有些提問無法一一回答。於是集結為網誌,希望我的專業能幫助大家把這件事弄得更清楚一些。<br />
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<span style="color: blue; font-size: large;">Q1: 你說散瞳劑是安全的,但我的孩子點了就是極度畏光張不開眼睛、抱怨看書看不到,怎麼辦?</span><br />
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ANS: 散瞳劑(正確名稱是睫狀肌鬆弛劑,常用的長效散瞳劑為阿脫品 Atropine)的最大副作用之一,就是瞳孔放大、以及阻斷近距調節,這是藥理上必然的副作用。克服這些副作用的方法,一般就是出外要做好防曬(太陽眼鏡、帽子),面對視近不良的情形,就可能要用到閱讀用眼鏡或是雙焦(多焦)鏡片來克服。我個人的做法,是視小朋友對散瞳劑的反應來調整濃度,目前市售長效散瞳劑濃度有1%, 0.5%, 0.3%, 0.25%, 及0.125%的瓶裝藥水,這些藥都有通過台灣衛生單位的認證可用於近視治療控制,等於是官方背書其安全有效性。<br />
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但許多小朋友對於市售最低濃度0.125% Atropine仍會產生不適應的情形,這時可能就需要由醫師指示藥師為其調劑改變藥物濃度,國內外近年來已有論文證實: 0.01%, 0.025%, 及 0.05% 的低濃度散瞳劑一樣對近視有相當的控制效果,而且副作用更低,目前已經有台廠生產 0.01% Atropine 外銷到新加坡做為控制近視之外,國內應該不久也會推出上述低濃度散瞳劑的原裝藥瓶(目前尚需由醫師特別處方調劑)。然而,散瞳劑濃度愈低,治療效果可能就愈差,就需要更嚴格要求落實光學矯正及用眼習慣,才能得到良好控制。<br />
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<span style="color: purple; font-size: large;">結論:低濃度散瞳劑,將是未來控制近視的主流做法,若您的孩子對散瞳劑產生不適副作用,請與醫師討論是否進行調整使用濃度或頻率,或者切換其它方法治療,不應自行停藥放棄治療。</span><br />
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<span style="background-color: white; color: blue; font-size: large;">Q2: 角膜塑型片是不是治療近視更好的方法? 可以完全取代眼鏡及散瞳嗎?</span><br />
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ANS: 角膜塑型片又稱OK片(orthokeratology),是近年來非常流行的近視療法。其利用硬式隱型眼鏡的夜戴塑型原理改變角膜表面弧度,得以對抗原本的近視屈光問題,讓患者得到良好的日間裸視力,進而減緩近視惡化的速度。因為許多台灣家長排斥以眼鏡及散瞳劑來對治近視,角膜塑型術正好提供了另一個選擇。十多年前的角膜塑型片因為透氧度不足、加上鏡片設計技術不成熟,過去常造成角膜感染破皮等併發症,因此至今仍有許多醫師反對這項技術,但近年來已全面導入超高透氧材質乃新一代的鏡片幾何設計,已大幅降低併發症發生機率。國內外皆有實證顯示角膜塑型術可安全有效的延緩近視惡化。<br />
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BUT ! 並非每個人都適合配戴角膜塑型片,例如 – 超高度散光患者、超高近視患者、角膜先天異常(如圓椎角膜)、大角度斜視、眼球震顫患者,可能都無法透過角膜塑型得到良好矯正效果。 另外,年紀太小、或者患有特殊眼部及身體疾病的患者,都需要特別由醫師評估考量。至於角膜塑型術的缺點,主要是價格高、需要花時間保養、若使用不當仍有角膜損傷感染的風險,需要家長細心幫忙照顧才能確保療程順利。<br />
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<span style="color: purple; font-size: large;">結論: 角膜塑型術的確是另一個治療近視的選項,但不是每個人都適合,故無法完全取代散瞳及眼鏡的治療角色。</span><br />
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<span style="color: blue; font-size: large;">Q3: 我眼鏡也戴了、散瞳也點了、效果都不好,最後連角膜塑型片也試過了,結果度數還一直增加,怎麼辦?</span><br />
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ANS: 近視的治療,除了你說的這些方法,更重要的是:必需保持正確的用眼習慣!<br />
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許多近視不斷增加的小朋友,細問其用眼習慣,幾乎都是「愛書成痴」!隨時隨地都在看書、眼睛從來不休息,當然不可能成功對抗近視。<br />
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近視的形成有許多的因素,在治療的過程也有許多細節需要注意, 都需要眼科醫師的專業診察才能對症下藥!<br />
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<span style="color: purple; font-size: large;">結論: 對抗近視絕對沒你想像的那麼簡單! 請交給專業醫師來處理吧,千萬別自己當醫生喔!</span><br />
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<span style="color: black;">本文作者:麗明眼科診所 陳祐瑲 (台灣眼科專科醫師、前醫學中心主治醫師)</span>口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-54480136816507702272014-08-30T00:06:00.000+08:002014-08-30T00:07:04.322+08:00關於兒童近視,多數台灣家長會犯的七種錯誤<span class="userContent" data-ft="{">為什麼身邊的孩子近視一直增加,是否懷疑過:我們到底誤解了什麼?</span><br />
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關於兒童近視,多數台灣家長會犯的七種錯誤:</div>
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<span class="userContent" data-ft="{">一、以為看電視會近視,看書寫功課不會近視<br />
真相:剛好相反,看書寫功課容易近視,看電視卻不容易近視!</span><br />
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<span class="userContent" data-ft="{">二、以為戴上近視眼鏡會加重近視,儘量不要戴眼鏡才不容易近視</span><br />
<span class="userContent" data-ft="{">真相:剛好相反,真性近視儘早配鏡,度數才不容易增加 </span><br />
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<span class="userContent" data-ft="{">三、以為近視眼看近看得到不必戴眼鏡,看遠看不到才需要戴眼鏡。</span><br />
<span class="userContent" data-ft="{">真相:看近看得到也要戴眼鏡,不戴眼鏡看近反而容易惡化近視。</span><br />
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<span class="userContent" data-ft="{"><span class="text_exposed_show">四、以為近視度數配不足比較不容易近視,配太足容易加重近視。<br />
真相:度數要配得剛好。配太重容易疲勞,配不足反而容易加重近視。</span></span><br />
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<span class="userContent" data-ft="{">五、以為點散瞳劑就不會增加近視度數</span><br />
<span class="userContent" data-ft="{">真相:散瞳劑並非仙丹,雖能幫助控制度數,卻無法保證度數不增加。 </span><br />
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<span class="userContent" data-ft="{">六、以為眼球運動、針灸、鬥雞眼運動、吃葉黃素可以改善近視</span><br />
<span class="userContent" data-ft="{">真相:效果有限。只有多看遠、少看近,定時用眼休息才能對抗近視 </span><br />
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<span class="userContent" data-ft="{">七、以為早期輕度近視就是假性近視,不必治療</span><br />
<span class="userContent" data-ft="{">真相:一旦視力下降,幾乎都已經有某種程度的真性近視,多數需要積極治療 </span><br />
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<span class="userContent" data-ft="{">By 麗明眼科陳祐瑲醫師.診治追蹤上萬例近視兒的真實心得報告</span></div>
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口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-13717981684551798692014-08-13T21:02:00.002+08:002014-08-14T10:40:34.558+08:00黃斑部水腫實例 – 以眼球內注射藥物治療(本文由新竹麗明眼科陳祐瑲醫師收治真實案例改寫)<br />
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38歲C先生(化名),是一名職業駕駛,近來常感到視力模糊,感響行車安全。來院時經眼部斷層掃瞄發現罹患了「黃斑部水腫」,中心視網膜厚度高達475微米經過一個月的追蹤仍持續續惡化,討論後患者同意接受眼球內注射治療。<br />
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<tr><td class="tr-caption" style="text-align: center;">來院時發現黃斑部水腫,中心視網膜厚度異常</td></tr>
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注射一個月後,黃斑部水腫明顯減退,患者自覺症狀改善,但仍未痊癒。<br />
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經第二次注射後,黃斑部水腫逐漸消退<br />
半年後追蹤未再復發,患者視力完全恢復並回到工作崗位正常執勤。<br />
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陳祐瑲醫師的叮嚀:<br />
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<span style="color: blue;">一、黃斑部水腫是常見的眼科疾患,早期症狀不明顯,診斷上亦依賴先進光學雷射掃瞄儀器(OCT)及醫師的經驗,故常受到客觀條件限制而無法早期診斷而錯過治療時機,殊為可惜。</span><br />
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<span style="color: blue;">二、若能及早正確診斷,透過眼球內抗體注射療法(Anti-VEGF injection),則有相當好的治療效果。</span><br />
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<span style="color: blue;">三、先進的眼球內抗體注射療法已成為許多視網膜黃斑病變的優選療法(treatment of choice),某些過去無藥可治的黃斑病變如今已有方法對治。</span><br />
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<span style="color: blue;">四、若您的眼睛出現視覺變形扭曲、色彩變化、盲點視野缺損,都可能是黃斑病變的早期症狀,請儘快尋找專業眼科醫師診治。</span>口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-87574520232391430352014-08-02T11:08:00.002+08:002014-08-03T11:22:08.706+08:00古早的傳說:一直流淚最後會瞎掉?<div class="text_exposed_root text_exposed" id="id_53dc5602b2f533b39487894">
<span class="userContent" data-ft="{"tn":"K"}">本文作者:麗明眼科陳祐瑲醫師</span><br />
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<span class="userContent" data-ft="{"tn":"K"}">相</span><span class="userContent" data-ft="{"tn":"K"}">信大家都聽說過:「一直流淚,最後會瞎掉!」<br /> 在醫學上,流淚不止叫「溢淚症」,似乎跟失明沒有任何關聯性<br /> 但民間傳說仍難以動搖,到底「流淚」跟「失明」是怎麼扯上關係的<wbr></wbr><span class="word_break"></span>?<br /><br /> 在醫學仍不發達的年代,人們的確很難了解疾病的原因,只能就「症<wbr></wbr><span class="word_break"></span>狀」與「結果」做連結。長久以來觀察到:許多失明的患者,最早開<wbr></wbr><span class="word_break"></span>始的症狀就是:流淚不止!自然而然,就把「流淚」視為「失明」的<wbr></wbr><span class="word_break"></span>原因或前兆了。<br /><br /> 站在現代眼科學的觀點,我試圖做以下解釋:</span><br />
<span class="userContent" data-ft="{"tn":"K"}"><span class="text_exposed_show"><br />一、白內障與青光眼<br /> 古代缺乏白內障手術的技術,當白內障過度成熟,可能引發青光眼發<wbr></wbr><span class="word_break"></span>作,而「流淚不止」正是青光眼高壓症的症狀之一!不論是白內障或<wbr></wbr><span class="word_break"></span>是青光眼,若無法得到治療,最終的結果就是失明,剛好這些患者都<wbr></wbr><span class="word_break"></span>可能經歷過「流淚不止」的症狀,這就符合了傳說中的關聯性。<br /><br /> 二、溢淚症的不當用藥<br /> 到了近代,許多老人家習慣聽電台上藥房自己買藥治療。當他們發現<wbr></wbr><span class="word_break"></span>自己「流淚不止」,就想到自己很快就要失明了。上了藥房也許就亂<wbr></wbr><span class="word_break"></span>買藥水來點,若不幸點到含強效類固醇的藥水,長期施點的結果,就<wbr></wbr><span class="word_break"></span>可能引發青光眼而導致失明。<br /><br /> 三、先入為主刻板結論<br /> 許多老人家都有眼瞼發炎倒睫毛的問題,而這些人原本就很容易罹患<wbr></wbr><span class="word_break"></span>白內障黃斑病變等退化性眼疾,最終他們失明時,就會回頭說:「真<wbr></wbr><span class="word_break"></span>的是流淚久了就失明!」其實,溢淚、白內障、黃斑病變,原本就是<wbr></wbr><span class="word_break"></span>老人家容易得到的疾病,充其量是同時存在的病症,說不上什麼因果<wbr></wbr><span class="word_break"></span>關係。<br /><br /> 了解上述分析,當我們聽到老人家因為流淚不止而擔心自己即將失明<wbr></wbr><span class="word_break"></span>時,最好的方法,就是請他儘快找眼科醫師處理,千萬不要自行處理<wbr></wbr><span class="word_break"></span>或因無知恐懼而忌醫喔!其實,多數的溢淚症都可以透過治療而改善<wbr></wbr><span class="word_break"></span>;至於視力的問題,交給專業的眼科醫師就對啦!</span></span></div>
口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-5770052320068119712014-07-23T13:02:00.002+08:002014-07-23T21:10:52.526+08:00103.7.23 颱風停診公告配合新竹縣市政府公告<br />
103.7.23麗明眼科竹北總院、新竹分院全日停診。<br />
造成不便敬請見諒!<br />
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<a href="http://1.bp.blogspot.com/-pwnw_ZiLE1Q/U89B6eHLUXI/AAAAAAAAK8w/WNaCGnPTRsM/s1600/ty.jpg" imageanchor="1"><img border="0" src="http://1.bp.blogspot.com/-pwnw_ZiLE1Q/U89B6eHLUXI/AAAAAAAAK8w/WNaCGnPTRsM/s320/ty.jpg" /></a>口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-65306827362463260912014-06-11T22:35:00.000+08:002014-12-08T01:29:09.438+08:00麗明眼科專業服務陣容<strong><a href="http://eyebb.blogspot.tw/2011/04/blog-post.html">醫師</a></strong>:陳祐瑲(總院院長)、陳品芳(經國院長)、賴信興<br />
<strong>藥師</strong>:王若涵、張淑菁、劉淑鳴<br />
<strong>護理</strong>:黃雅萍、陳淑齡、吳珮瑜、吳文君<br />
<strong>視光</strong>:王瑞均、鍾嵐媛、廖淑榆、趙昱翔、蕭智仁(*)、蘇加正(*)、王舜渙(*)<br />
<strong>醫管</strong>:曾雅慧、林宛臻<br />
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(*)號:邑明光學眼鏡與本院特約服務驗光師<br />
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<em><span style="color: #1e671e;">麗明眼科全體同仁願貢獻專業與熱情為您的視力健康把關服務!</span></em>口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.comtag:blogger.com,1999:blog-270263510373065130.post-60844787532322392802014-05-18T21:31:00.000+08:002014-07-07T16:28:25.676+08:00麗明眼科主治醫師群巡迴服務地圖<div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-x4b8vHqhQxU/U3i1k7O_dPI/AAAAAAAAKrA/wRR8DF0IE50/s1600/service.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-x4b8vHqhQxU/U3i1k7O_dPI/AAAAAAAAKrA/wRR8DF0IE50/s1600/service.png" /></a></div><div class="separator" style="clear: both; text-align: left;"> </div><div class="separator" style="clear: both; text-align: left;">大台北地區:</div><div class="separator" style="clear: both; text-align: left;"> </div><div class="separator" style="clear: both; text-align: left;">台北市.市立聯合醫院忠孝院區:每週一下午 賴信興醫師門診</div><div class="separator" style="clear: both; text-align: left;">台北市.市立聯合醫院忠孝院區:每週一下午 賴信興醫師手術</div><div class="separator" style="clear: both; text-align: left;">新北市.板橋高端眼科診所:蔡佳翰醫師門診</div><div class="separator" style="clear: both; text-align: left;"> </div><div class="separator" style="clear: both; text-align: left;">大新竹地區:</div><div class="separator" style="clear: both; text-align: left;"> </div><div class="separator" style="clear: both; text-align: left;">台大醫院竹東分院:每週三下午 賴信興醫師門診</div><div class="separator" style="clear: both; text-align: left;">竹北麗明總院:請參門本院門診時間表</div><div class="separator" style="clear: both; text-align: left;">新竹麗明分院:請參門本院門診時間表</div>口木http://www.blogger.com/profile/13475302467090736199noreply@blogger.com