Bie\u017ei vien pas\u016btot progres\u012bv\u0101s brilles pacients uzdod jaut\u0101jumu, vai vi\u0146\u0161 sp\u0113s pierast pie t\u0101d\u0101m sare\u017e\u0123\u012bt\u0101m l\u0113c\u0101m. Piera\u0161ana pie progres\u012bv\u0101m oftalmisk\u0101m l\u0113c\u0101m ir individu\u0101ls process, bet ir da\u017ei faktori, kas ietekm\u0113 piera\u0161anu.<\/p>\n
<\/p>\n
Presbiopija ir ar vecumu saist\u012bts redzes trauc\u0113jums. T\u0101 rodas sakar\u0101 ar vecuma izrais\u012btu akomod\u0101cijas sp\u0113ju pak\u0101penisku samazin\u0101\u0161anos (Wilson<\/em>, 1996). Presbiopiju var kori\u0123\u0113t ar bri\u013c\u013cu l\u0113c\u0101m \u2013 monofok\u0101laj\u0101m, bifok\u0101laj\u0101m, trifok\u0101laj\u0101m un progres\u012bvaj\u0101m, k\u0101 ar\u012b ar kontaktl\u0113c\u0101m – cietaj\u0101m un m\u012bkstaj\u0101m. Pieejam\u0101s bri\u013c\u013cu l\u0113cas ir da\u017e\u0101da dizaina un pareizi piel\u0101gotas t\u0101s liel\u0101koties nerada b\u016btiskas probl\u0113mas to valk\u0101t\u0101jam. Tom\u0113r nereti cilv\u0113ki nevar pierast pie progres\u012bvaj\u0101m bri\u013c\u013cu l\u0113c\u0101m vai piera\u0161ana ir \u013coti gr\u016bta un ilga. Piera\u0161anu var ietekm\u0113t ne tikai izv\u0113l\u0113tais l\u0113cas dizains, bet ar\u012b addit\u012bva stiprums, astigm\u0101tisma kl\u0101tb\u016btne, pazemin\u0101ts ver\u0123ences vieglums, k\u0101 ar\u012b progres\u012bvo bri\u013c\u013cu lietot\u0101ja vecums un bri\u013c\u013cu korekcijas mai\u0146as bie\u017eums.<\/p>\n Pareizi piel\u0101gotas progres\u012bv\u0101s brilles parasti nerada probl\u0113mas valk\u0101t\u0101jam. Katra cilv\u0113ka piera\u0161anas laiks var b\u016bt individu\u0101ls. Tom\u0113r da\u013ca jauno progres\u012bvo bri\u013c\u013cu lietot\u0101ju pie brill\u0113m pierod \u013coti l\u0113nu vai pat nepierod nemaz. Parasti vi\u0146i s\u016bdzas par miglo\u0161anos s\u0101nu da\u013c\u0101, galvas reibo\u0146iem, s\u0101p\u0113m sprandas rajon\u0101 vai ar\u012b gr\u016bt\u012bb\u0101m piel\u0101got progres\u012bv\u0101s l\u0113cas dizainu sav\u0101m vajadz\u012bb\u0101m, t.i., nesp\u0113j atrast labu zonu datora lieto\u0161anai, las\u012b\u0161anai, un tml.<\/p>\n Neskatoties uz progres\u0113jo\u0161\u0101 stipruma virsmas \u012bpatn\u012bbu, smadzenes \u0101tri piel\u0101gojas virsmas astigm\u0101tisma un att\u0113la deform\u0101cijas ietekmei. Redzes sist\u0113mai nepiecie\u0161am\u0101 adapt\u0101cija, iesp\u0113jams, ir \u0101tr\u0101ka, ja pacienti n\u0113s\u0101 pirmo progres\u012bvo l\u0113cu p\u0101ri, nek\u0101 t\u0101 b\u016btu nepiecie\u0161ama, ja vi\u0146iem pirms tam ir biju\u0161as bifok\u0101l\u0101s brilles. Ja progres\u012bv\u0101s l\u0113cas tiek s\u0101ktas valk\u0101t presbiopijas s\u0101kum\u0101, kad las\u012b\u0161anai ir nepiecie\u0161ams nelielu dioptriju stiprums, adapt\u0101cijas periods, iesp\u0113jams, ir \u0101tr\u0101ks. Pacienti, kuriem parasti ir gr\u016bti piel\u0101goties progres\u012bvaj\u0101m l\u0113c\u0101m, ir pacienti ar liela stipruma addit\u012bvu, kuri agr\u0101k ir veiksm\u012bgi n\u0113s\u0101ju\u0161i bifok\u0101l\u0101s bri\u013c\u013cu l\u0113cas un ir pieradu\u0161i pie pla\u0161a las\u012b\u0161anas redzes lauka caur lielu segmentu. Probl\u0113mas ar piel\u0101go\u0161anos progres\u012bvaj\u0101m l\u0113c\u0101m gandr\u012bz vienm\u0113r rodas vai nu nepareiza priek\u0161stata par att\u0101lumu d\u0113\u013c, p\u0101r\u0101k augstu vai zemu tuvuma zona vai slikti iecentr\u0113tas l\u0113cas d\u0113\u013c (Mo Jalie<\/em>, 2005, 37.lpp).<\/p>\n Alvarez ar kol\u0113\u0123iem 2017.gad\u0101 nov\u0113roja, ka cilv\u0113kiem, kuri nesp\u0113ja pierast pie progres\u012bvaj\u0101m l\u0113c\u0101m, ir l\u0113n\u0101ks maksim\u0101lais konver\u0123ences atbildes \u0101trums uz disparit\u0101tes ver\u0123ences stimuliem, v\u0101j\u0101ka sp\u0113ja modific\u0113t konver\u0123ences reakciju, samazin\u0101ts forijas adapt\u0101cijas \u0101trums un lielums, k\u0101 ar\u012b samazin\u0101ta ver\u0123ences sp\u0113ja sal\u012bdzin\u0101jum\u0101 ar tiem, kuri sp\u0113ja piel\u0101goties progres\u012bvaj\u0101m bri\u013c\u013cu l\u0113c\u0101m<\/i>. Visliel\u0101k\u0101 jut\u012bba un specifiskums, sal\u012bdzinot ar citiem parametriem, bija tie\u0161i sp\u0113jai main\u012bt konver\u0123ences maksim\u0101lo atbildes \u0101trumu. T\u0101pat Alvarez <\/i>un kol\u0113\u0123i <\/i>nor\u0101d\u012bja, ka tie dal\u012bbnieki, kuri apgalvoja, ka nesp\u0113j pierast pie progres\u012bvaj\u0101m brill\u0113m<\/i>, parasti izmantoja vair\u0101kas brilles, t.i., lietoja ne tikai izrakst\u012bt\u0101s progres\u012bv\u0101s brilles, bet ar\u012b monofok\u0101l\u0101s brilles atsevi\u0161\u0137iem darbiem noteiktos att\u0101lumos<\/i>. Un ar\u012b tas var\u0113ja ietekm\u0113t piera\u0161anas \u0101trumu.<\/p>\n