Well, I call it the reverse panda type,
but look at this, does
n't it look like the panda from Neihai Tame?
I see.
[Music] Hey, let's
all go 100 years channel
Hello, I'm Kajiwara. I would like to
reduce the number of people who lose their sight due to glaucoma by just one person.I have
always felt this feeling from the doctors.I
just want to reduce the number of people who lose their sight due to glaucoma.What
should I do? I used to
think the same way as I do, but I still think it's just a matter of
early detection of cyclone syndrome, which can
easily lead to blindness, and proper treatment, which is the only way to treat it.
Normally, the most textbook way a disease progresses is that it starts from the edge of the field of vision,
gradually narrowing down and progressing toward the center.However, the
center
also gets worse.
There are some people whose central glaucoma gets worse first.That's right.I
call it the reverse panda type. When I
do a visual field test, it
becomes dark and the pattern of worsening from the center is the
opposite of normal, so I call it reverse panning,
but today I'm
going to explain it a little bit, so I'm going to explain it to you.
Also, you
say you've never had anything wrong with a dog. That
alone doesn't give you peace of mind in the territory, so
I'd like to see a more thorough inspection.
Yes, today,
I'm going to take the lead. I'm going to
talk about the Green Book, which has characteristics that make it easy to explain the call types.
Yes, the type that gets worse from the center.
If the speed is fast, it becomes difficult to see the center from a young age.
However, this is it. It's hard to notice, if you're
coming from outside. If you're lucky, some
people will notice that your field of vision is narrowing.
Even so, you hardly notice it. What I
mean by that is that I'm
just biting because I'm
not looking at my eyes, so I'm biting in the middle, but it does
n't necessarily turn black in the middle.That means I have
presbyopia, albinism, or glasses. People
start talking about whether it's true or not, but normally, I do
n't think it's glaucoma at all, but I think it's too easy to think about it.However,
you can't tell if you have glaucoma unless you actually get it checked out. It's a disease that doesn't exist.It's
true that you should never rely on your own symptoms.So, please
see an ophthalmologist as soon as possible.What I'm saying is, it's a
common problem. There is a rumor that people over the age of 40
should get tested for glaucoma since 1 in 20 people develop glaucoma.However, I have been told that
people with glaucoma of the type that does not raise intraocular pressure, although it is not severe, should come to my office. I
mean, there are people in their 30s, let alone in their 20s, who are seriously
ill.Yes, there are people in their 20s, too.I
mean, it really
makes me sad, because I see patients like that.
I feel like I have to do something about it, but it's really
difficult.It's rare for people like that to come to me
because they don't have any symptoms.They've
discovered that they have glaucoma somewhere,
and they tell me there's something wrong with it. There are
quite a lot of people who only come to the hospital after their sleep gets really bad.
First of all, I'd like to explain how a typical case of nephropathy gets worse.
This is what normal people do. It
's an image called OCT, and it's
this OCT test that shows which
cells in the retina are decreasing and where.
So, if there is a place where cells are reduced due to chlorosis,
it will be
displayed in red. It looks like this.
Wow, the bottom part is red, right?
This is still the case. The central part is not affected by the disease.There
are a huge number of light-sensing cells on the surface of the retina, and
each cell sends and receives electrical signals.
So, the cables are stretching, and
in the end, they become the four divine powers, but when it comes to internal diseases,
there is quite a difference between the top and the bottom, and things like things get worse from the bottom first, and
things like it gets worse from the top.
What does it mean when it gets worse? The cells that
send out the last fibers that transmit information to the brain, the
number of those cells decreases, and
that's what glaucoma is. It seems
like they take a detour to go to the four nerves,
and these fibers have decreased considerably, and
there is a place in the upper
part where they have started to decrease a little. This means that the moving image
becomes difficult to see.The
light that enters the eye is
flipped upside down, left and right, so the light that hits the lower retina
is the light that comes from above.
This means that when you do a visual field test, your
visual field starts from above, and when you
look at that field of vision, it's pitch
black.The upper side is pitch black, which means you
can't see the upper side. Well, if you can't see this much, you
'd think that the person would know that the field of view is blurred, right?
But, I don't know about this.Yes, that's
right.I can't see this area at all,
but I saw it once. The brain is
already recording things that are not visible.It
assumes that it is visible and recognizes it even if it is
not visible. It's
no good if you don't know, so what to do is to
move something from what you can see to a point where you can't see it anymore.That's why you
can understand it for the first time in that way.
Even in such a state, I can't understand that much.For
people who are lighter than this, I
can't understand it.Well, if I
can't understand it even though it's pitch black like this, then I definitely wo
n't be able to understand it anywhere else.I can't understand it.Well,
this is a typical power. It's a disease that doesn't exist.
Well, the important thing is that in the OCT, the
middle part was completely green.
So, in other words, the visual field in the center and
around it is all
sent properly to the brain. That's why I
have good vision in the center,
so I don't really understand people like this, but
what we call reverse pant
is the opposite of this pattern.It's
normal. Nanoha's surroundings are red in the middle.
Yeah, this is it. Wow.
It's bright red in the middle. Look at this. Doesn't it
look like a panda?
In the green inscription test, it's red around the edges. The
green in the middle is a normal green house,
so this is the opposite pattern.Yes, that's why I
call it reverse bread,
but it's
the type where the center gets worse first. It is called a proactive type,
but in this case,
what it looks like is that the amount of
information that the central part receives is reduced.
Well, it looks rough.That's why it looks rough.Anyway, it
looks rough.Anyway, it's going to look
blurry.Yes,
the patient will also see it.If the hardening is especially
bad, what is the difference between the eye with the bad eye and the eye with the bad eye?
No, I
know it's hard to see, but you
can't explain why it's hard to see. Is that so
? No one
would think that you have chlorosis. You're not focusing on your field of vision, you're
presbyopic, or something like that. I wonder if the disease appeared early.
Yeah, that's what I think. Everyone is
sick, and that's the worst part.
Even if they get tested, there are some people who don't get it. It
's obvious. Even if OCT reveals that it's a reverse panda,
unless there's a significant decrease in sensitivity in the center, the
test may not show up. It
's a person's right eye, but it's a
reverse panda, and the center is bright red, isn't
it? But if you look at it, there's nothing really
wrong with it. It's clear that it's organized and popular,
but the center part is a little gray.
Well, yeah, yeah, yeah, look at this. It's
hard to believe that people with glaucoma have a higher chance of becoming blind in the future than other people with glaucoma. That's right. This is the left
eye. As expected, I can't see a little in the center. As you can
see, this patient was 45 years old at the time,
but she is young. Her
visual acuity is still very red in the center,
but her forced visual acuity is 1.0 on both sides.
However, my left
eye is a little blurry compared to my right eye.
Actually, I was
diagnosed as a green person five years ago,
but I only needed one type of eye drops. The pressure isn't high either, and I've
been receiving treatment for it for a long time.Yes, I've
been gradually noticing that I'm having trouble seeing in my left eye.As I've been
talking to my ophthalmologist, it's important to
have a visual field test done once a year. I was told that it was OK,
but I thought, ``Yes, this is bad.'' So I
came here,
but in the end,
there are a lot of things that are difficult to understand with cat tests.
There's a test for central severity, so if you do that, you'll be able to
clearly see it.Hmm, this is your
right eye, and some parts of it are a little
less sensitive.You
can't tell much about it yourself.
However, the center of the eye is
completely empty, and you can see almost the same as a person without the disease.Yes,
this is the left eye, which is the one in question.Yes,
this is it. Isn't it pitch black?
Look at the center. There's clearly a part that you can't see,
so you're looking at it right here. It's in
the middle, and it's painful. That's
why it's harder to see than normal.
Yeah, I inspected a wide range of things, and I
guess there are a few things that are concentrated in the middle that I can't see, but overall, it's just a little bit.So, yeah, there's a possibility that this will be treated as inheritance.
When we do an examination of the central part, we
can clearly see that the center cannot be seen to this extent.So,
when we look at OCT, we have to
make some predictions and conduct an examination of the central part as soon
as possible.
Yes, yes, yes, yes, but if you don't do it that way, your
vision in the center will gradually
become blurry, so even if you say you're going to go,
somehow this person
can still see properly.
Since the number of cells in the center has already started to decrease, the number of
pixels is decreasing even more, so the
degree of modification is getting worse.If that happens, you will end up in a state where you
can't really read the letters with that eye.Yes, you can't
read the letters.
This state of kyphosis
is a very advanced form of aphrodisiac syndrome.This means that an explanation
will come sooner than other people.Therefore, we
have to do something about these people. Please be careful.
There are other types of green or blackheads that need to be properly treated, but most of them are of the
type that gradually get worse from those around them. This is because it gets worse over time. In the
type of situation where things start to get worse from the center, things
start to get worse from the most important point,
and then it gets worse along with the outside parts.That's
why
there is no room for things to gradually come from the surrounding areas.
All of a sudden, you're in the middle of nowhere,
right? If you're old enough, you'll end up with a short period of time until you're ready to wake up.
Even if it's just one person left in this world, it's a green letter. If we want to reduce the number of people who go blind, we have to
do a lot of things, but
first of all, if we don't find them early and start appropriate treatment early on, we have
to find people really quickly. I'm
worried about it, and I
can't help it.That's what I mean when I ask you to
go see an eye doctor, even if you don't say yes or no. Don't just
assume that you have presbyopia, cataracts, or dry eye.If you
feel like you have trouble seeing, it's
important to go to an ophthalmologist for a checkup.That's right,
right? I
had a type in which my condition worsened from the center, but in the type where my condition worsens both in the center and on the outside, it's
only the surrounding abnormalities that stand out first as abnormalities in visual field tests, so it's
easy to be misunderstood that it's inherited. If
something is wrong with your
vision,
then that means that the green ink in the center has progressed quite a bit.Yes, that's
why I
went to the ophthalmologist I went to earlier in another video. I once
asked my doctor to
ask if my central vision was fine, and he told me that he had never had a central
visual field test before. You
might be able to find something, so
watch the video and ask your husband's doctor.We have
quite a few patients who come back to our office after being surprised that the doctor was at fault for the first time.
Yes, yes, that's right. If you
are a doctor who is working hard, I
feel sorry that I am the one who is saying this, but if you put yourself in the patient's shoes, you
will be able to find such things and take good care of them. I feel very strongly that it will be bad if I don't treat it,
so I talked about a green person with a reverse pada type,
using the word central vision as a talisman. Well, it would be nice if you could look at your eyes
seriously and find the right doctor.Well, I guess
I wouldn't mind if people caused an uproar over this,
but in the unlikely event that I
get jealous and see something strange. If you
feel that way, your central vision
may also be bad, so I
think you should keep this in mind.Anyway, with
glaucoma, once something has gotten worse, you
can't get it back on track. It's a
disease, so of course it's important not to make it worse, and the
most
important thing to do that is to lower the intraocular pressure.I
haven't talked much about intraocular pressure today, but basically... It's
very important to lower this condition with eye drops and treat it while you're living there. Yes, I get
asked a lot of questions. Is there anything I
can do on my own? Is there anything I should be careful about?
Supplements,
food, etc. So, don't think too much about lowering intraocular pressure.I
think it's better to think that it has almost no meaning.Yes,
if food or supplements
have a role, they have the effect of protecting the nerves. I'd
like you to think about it in the sense of preventing the participation of Kaneko even if just a little bit.There are cases where you can't eat that much every day,
so the
idea of supplementing what you need with supplements is also a good idea.
Yes, there is an extract called Brainberry, which contains a lot of anthocyanin called chia two-galactocyt, which is said to have high oxidation and high inflammatory effects,
and also has a neuroprotective effect.
We made a supplement that was mixed with lutein and Zekisachi,
but I think it would be a good idea to consider one if you have a local disease, especially if your
central vision is at risk to some extent.
The supplement is
called Wn Vision Premium, and there is a
link in the summary section and the last screen of the video where you can read the detailed explanation. I've also
included a link to help you become a member. We also provide information on LINE,
so I'd be happy if you could become friends on the official LINE too. Don't
give up on your illness. Don't give up on your age. Let's
live a long and healthy life and reach 100 years. Casua
Care Clinic is looking for staff to become
ophthalmologists and leaders.There are
many things you can do even if you don't have any qualifications.Would you like to
shine in the world of medical care, the ultimate service industry?
Join us in saving ophthalmology refugees. Please
check the summary section for more details.Today, I would
like everyone to fully understand that this kind of glaucoma tends to get worse quickly, and to find out how to use it properly, so I would like to talk to the department. Please tell me
if it was helpful to you. If you found it helpful,
please subscribe and like the channel.
If you press the bell mark, you
will be notified when a video is uploaded.
If you subscribe to the channel, you will receive a bell mark. will appear.
That's it.
[Music]
Neo