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Sunčana Kovačić
 MEKE
 POLUTVRDE / RGP – tvrde plinopropusne
 TVRDE
 HYBRID
 Materijali: hydrogel, silicon hydrogel (propušta 6x
više kisika)
 Vrste: za dnevno nošenje, produženo nošenje,
jednokratne, torične, terapeutske / kozmetske
 Prednosti: ugodna za nošenje, veća ponuda, veća
propusnost kisika
 Nedostaci: cijena, adekvatna njega, izbjegavanje
doticaja sa vodom, visok rizik od nastajanja
infekcija i uoala
 PMMA (polymethyl methacrylate)
 Prednosti: cijena, dugotrajno nošenje,
otpornost, jako nizak rizik od infekcija, mogu
biti lagano obojane za lakše raspoznavanje leća
 Nedostatak: drastično smanjuju dotok kisika do
rožnice
 Kombinacija plastičnih i plinopropusnih
materijala (veći protok kisika do rožnice)
 Prednosti: dugotrajno nošenje, malog su
dijametra, pozitivno djeluju na oštrinu vida,
cijena
 Nedostaci: sadrži vrlo malo ili ne sadržava vodu,
duži period navikavanja, neugodna za nošenje
 RGP materijali čine centralni dio
koji je okružen materijalima mekih
kontaktnih leća
TERAPEUTSKE KONTAKTNE LEĆE
Kontaktne leće za produženo nošenje (do 30
dana) iz terapeutski razloga (postOP, erozije
rožnice..)
 Stavljanje KL
 Skidanje KL
 Higijena KL
 Spremanje i čuvanje KL
 Korištenje
 Uputiti o mogućim komplikacijama nošenja KL te
potencijalnim infekcijama
 Higijena ruku (pranje sa sapunom, pravilno
brisanje ruku da budu u potpunosti suhe)
 Svakodnevno skidanje i čišćenje površine KL sa
adekvatnim otopinama za KL
 Odabir adekvatne tekućine i otopina za KL
 pp koristiti tbl za deproteinizaciju
 Period nošenja (dnevne, mjesečne,
tromjesečne, godišnje)
 Adekvatne aktivnosti i prilagodba materijala
leća za određene aktivnosti i sportove
 Obavezno skidanje KL preko noći
 Vaskularizacija rožnice
 Površinske mikroerozije odnosno abrazije
rožnice
 Suhoća oka
 Potencijalne upale i infekcije (pseudomonas,
Acanthamoeba)
 Ulcus rožnice
 Posudica za KL (kada se u njoj ne nalazi leća)
mora stalno biti otvorena i ne smije se ispirati
pod vodovodnom vodom
 Nakon stavljanja leća u oči, otopinu iz posudice
obavezno baciti te staviti novu prije ponovnog
stavljanja leća

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KL

  • 2.  MEKE  POLUTVRDE / RGP – tvrde plinopropusne  TVRDE  HYBRID
  • 3.  Materijali: hydrogel, silicon hydrogel (propušta 6x više kisika)  Vrste: za dnevno nošenje, produženo nošenje, jednokratne, torične, terapeutske / kozmetske  Prednosti: ugodna za nošenje, veća ponuda, veća propusnost kisika  Nedostaci: cijena, adekvatna njega, izbjegavanje doticaja sa vodom, visok rizik od nastajanja infekcija i uoala
  • 4.  PMMA (polymethyl methacrylate)  Prednosti: cijena, dugotrajno nošenje, otpornost, jako nizak rizik od infekcija, mogu biti lagano obojane za lakše raspoznavanje leća  Nedostatak: drastično smanjuju dotok kisika do rožnice
  • 5.  Kombinacija plastičnih i plinopropusnih materijala (veći protok kisika do rožnice)  Prednosti: dugotrajno nošenje, malog su dijametra, pozitivno djeluju na oštrinu vida, cijena  Nedostaci: sadrži vrlo malo ili ne sadržava vodu, duži period navikavanja, neugodna za nošenje
  • 6.  RGP materijali čine centralni dio koji je okružen materijalima mekih kontaktnih leća TERAPEUTSKE KONTAKTNE LEĆE Kontaktne leće za produženo nošenje (do 30 dana) iz terapeutski razloga (postOP, erozije rožnice..)
  • 7.  Stavljanje KL  Skidanje KL  Higijena KL  Spremanje i čuvanje KL  Korištenje  Uputiti o mogućim komplikacijama nošenja KL te potencijalnim infekcijama
  • 8.  Higijena ruku (pranje sa sapunom, pravilno brisanje ruku da budu u potpunosti suhe)  Svakodnevno skidanje i čišćenje površine KL sa adekvatnim otopinama za KL  Odabir adekvatne tekućine i otopina za KL  pp koristiti tbl za deproteinizaciju
  • 9.  Period nošenja (dnevne, mjesečne, tromjesečne, godišnje)  Adekvatne aktivnosti i prilagodba materijala leća za određene aktivnosti i sportove  Obavezno skidanje KL preko noći
  • 10.  Vaskularizacija rožnice  Površinske mikroerozije odnosno abrazije rožnice  Suhoća oka  Potencijalne upale i infekcije (pseudomonas, Acanthamoeba)  Ulcus rožnice
  • 11.  Posudica za KL (kada se u njoj ne nalazi leća) mora stalno biti otvorena i ne smije se ispirati pod vodovodnom vodom  Nakon stavljanja leća u oči, otopinu iz posudice obavezno baciti te staviti novu prije ponovnog stavljanja leća