7/23/2019 Scope, het vakblad voor oogartsen
1/13
m l l r a lj a ?0 ) k ll r p ? 2< ? K L A L ] D JG S H H _ @ G H H A NG G I E W J@ G
DJPG_SDGQ GGJ DJEDMEMG DJ @G JDGWQG HHAPH_GJ SLJ KLLVP_DFNP
LFPWGGI @G SG_]GICVPLJ@DADJA SLJ @G H_PNHRPDVP
LFNPG_A_HJ@ @G A_HPG SHH_@GIGJ SLJ SDVDPLPDG @HH_ SLEAGJHPGJ
NH_L GVP OGVFNG_KP HSG_AGQDFNP PGAGJ AILWFHHK8
php 2*?* Agiweeda shh `g
`lag slj ngp hha) ggj ag}hj`g klj
slj 61 mll) eqlk `g sdvwv wdpgdj`gidme
wdp hr 2*4* @g chphv }dmj agkllep `hh
HCJ+id` Mghgj Adkogagj slj ngp
Vp* Ljphjdwv }dgegjnwdv dj Jdgwqgagdj*
VkHeG VplFe
VFHRG ?2
7/23/2019 Scope, het vakblad voor oogartsen
3/13
?03
7/23/2019 Scope, het vakblad voor oogartsen
4/13
::
Qdg `g Rigdjphgj .sgjhgk` jll L`dgj
Rigdj) ggj slj `g ahj`igaagv slj `g
ag}hj`ngd`v}ha dj Kllvpdfnp$ ogpgg`p)
shgip kgpggj ggj qgi`l`dag wvp hsg }dfn
nggjehkgj* @g hrsliigj`g eigwgj dj ngp
}gsgj sg`dgrdjagj pgiigj`g agohwq agsgj
ggj agshgi slj wvp gj sgdidangd`* Cg`
Ngj`devg) qlljgkgj` nhhc` slj `g
Hr
7/23/2019 Scope, het vakblad voor oogartsen
5/13
khagidmeng`gj slj ggj gdagj hhaagohwq
pgagj ngp idfnp pg nhw`gj* Lc`gidjavnhhc`
Flhii Qgogv ejdep djvpgkkgj`* De gje
`lp g _ll` slj Ogvpww li vjgi php ngp dj}dfnp
eqlk lp Hhanggiewj`g ggj lc`gidja dv dg
nggi ahg` vplj`+lihjg elj cwjfpdhjggj)
hk`lp qdm qgdjda lljvrlle klegj hr g
hsgdag clfdidpgdpgj slj ngp }dgegjnwdv* @llodm
ehj`gj qg lljphjgj lp qg dj ngp sgig`gj
li dj vpllp qlgj liv hj`gjgkdja }gicvplj`da
pg cwjfpdhjggj* Gj ml) lj dv j riwv j li
alwq pqgg* Gj wv vphj` ngp dgpli pg
vrdjagj hr plcgi phgj ngp ahg`g jdgwqv ngj
oggdepg8 G qlv qgi ggj mwogivpgkkdja)
kg`g hh`lp qdm g og`dmcvshgdja agnggi
}gicvplj`da ehj`gj hgj* Qdm sliigj qgi hj`g
ngp }dgegjnwdv) kll jdgp dj `g haljdvlpdg+
vpwfpww* Jw ewjjgj qg liig clfdidpgdpgj) dg
hr liig sileegj lovhiwwp hjshi`hgj`g qlgj
dj g hw`g vdpwlpdg) }gic gagigj* Ngj`devg
aggcp llj lp ngp wjdge dv shh ggj lkopgidmeg
haljdvlpdg lp g ggj lc`gidja }h }gicvplj`da
hrgggp* Ngp }dgegjnwdv }dgp hjv hhe liv
qgaoggd`g slj nhg dj g sdvdg slj g _ll`
slj Ogvpww kllpvfnlrrgidme hj`gjgkg+
vfnlr }hw khgpgj allj odjjgj ggj lfl`gkd+
vfng djvpgiidja slj g hsgngd`* @llhk qdi`g
`g _ll` slj Ogvpww hjv g wdkpg agsgj)
}g }dgp hjv liv rgvpdaghomgfp*
Jgwqg gjgagW nggcp ngp ahg` agig}gj5 Cg` Ngj`devg
dv aggj lc`gidjavnhhc` kgg* @g rgjvdhgj+
aggfnpda`g iggcpdm` eqlk dj }dfnp gj llhk
alc ndm ogadj dp m ll ngp vphemg hh llj
Flhii Qgogv* Nhg ogslip g jdgwqg
cwjfpdg8 Qgogv= Ngp dv jha rgklpww* De
`gje qgi lp g kgp kdmj ehkvp qgg jdgwqg
gjgadg dj ngp rhfgv ehkp* De al kg shhli
dj}gppgj shh ngp djgagigj slj rhfgvvgj)
`lp dv ngp liigogiljadmevpg qlp dp mll khgp
agogwgj* Lj`gv oidmc mg ngp agshgi nhw`gj
`lp mg klpgdlli gj rgvhjggi vwohrpdklli
dj}gp* @lj edma mg qlfnppdm`gj) hjpgsg`gj+
ngd` odm g eiljpgj) hjpgsg`gjngd` odm ngp
rgvhjggi*** @dg olvdv khgp ahg` }dmj) lj`gv
ewj mg jdgp sg`g*
Qlp g phgehkvp ogpgcp) gjep Qgogv lp
ngp agohwq) jgp liv edj`geiggj) hr `g ahgd
dv agehfnp* Shh kdm}gic dv np vrggrwjp `lp
vplegnhi`gv) }hliv }dgegjnwd}gj gj }h a+
sg}gegllv vplev }gaagj= mg khgp ggjv
odm Hhanggiewj`g Kllvpdfnp edmegj) `ll
ngoogj }g ngp ahg` shh giell liv mg ngp
ngop hsg `g rhfgvvgj) djjhslpdg gj jdgwqg
fhjfgrpgj* Gj }hsg dv ngp jha jdgp8
Lvpd` Nlfedja= Ggj ahg` hjpqgr slj
`g rhfgvvgj dv j `dja) kll `lj shiap `g
cdjgpwjdja dj `g rlepdme* @ll }dppgj qg jw
kd``gjdj*
HvgNlfedja aggcp llj `lp ngp pglk hr ngp
rwjp slj rhfgvhjpqgr dgpv pg lkodpdgwv
dv agqggvp* Qg qdi`gj ngp liigklli hr `la
j ngigklli rgcgfp ngoogj* Gj `lp qgep
dj `g rlepdme jdgp lipdm`* Qgogv= Vhkv khgp
mg ggj rhfgv ilpgj ihrgj hk pg qgpgj qll
mg ngp khgp sglj`ggj* Qg }dmj jw ggj eigdj
mll ognhhidme hr `ggc) kll `g cdjgpwjdja
dv gfnp ngp ilvpdavpg* @g illpvpg pqgg) dg
mll dv g ggj gjhkg phgjlkg llj hj`g+
vpgwjgj`g kgpdjagj `dg llj hagj sgdfnp
qh`gj* Liig lrrllpww ngoogj qg php hj}g
ogvfndeedja) liiggj ngoogj qg hj`gvfnlp
qlp ngp ihadvpdge ogpgegjp liv mg sdmc shh+
hj`g}hgegj khgp `hgj) `g rlpdjp hhe
jha `hh ggj lpv ag}dgj khgp qh`gj gj
`lp liigklli odjjgj ggj ww*
Nlfedja swip llj= Qg }dmj jw og}da `g olvdv
pg hrpdklidvggj gj qdm qgpgj wdp gsldja
`lp qdm `g djsgjpdsdpgdp) qggollngd` gj
fglpdsdpgdp ngoogj hk dg`gg og`gdadja slj
`g owdpgjqggi` slj hjv lc pg nh w`gj* Qlp g
hhe allp agogwgj dj Jg`gilj` hr ngp
agodg` slj klepqgedja gj hr ngp agodg`
slj }hasg}gegdjagj= qdm khgpgj hr dg`gg
og`gdadja ggj ljpqhh` ngoogj* Ngp idgcvp
li shh ?2
7/23/2019 Scope, het vakblad voor oogartsen
6/13
}dgpg
Liigv
h`g `gihgr
Sgqja h@g `dlajhvpdge dvkhgdidme) hk`lp `g ahgd gj kgplvplvg slj
ddvkgiljhkgj plla sgihrgj* @lljllvp
}dmj `g kggvpg kgjvgj qgi ogegj` kgp
nwd`kgiljhkgj) kll }g qgpgj jdgp `lp
`gagidmeg wdp}llddjagj hhe hr `g ddv shh
ewjjgj ehkgj* Ngp ehkp hhe qgdjda shh5
sggi sleg }dgj qg eqll`ll`dag kgiljhkgj
`dg hrehkgj wdp ngp sllpsidgv hj`g `g
gpdjl* @lljllvp qh`gj hjvfnwi`dag
rillpvgidmeg sgeigwdjagj qgi ggjv lljag}dgj
shh ddvkgiljhhk) pgqdmi ngp ggj hrnhrdja
dv slj rdakgjp* @llhk dv ngp ogiljadme hk
ngp hj`gvfngd` chwpihhv pg ewjjgj klegj*
@dp shhehkp hjjh`da kg`dvfn nlj`gigj)
gj vpgip g lpv d j vpllp hk ll`qgegidmeg
kgiljhkgj vjgi gj gccgfpdgc pg ognlj`gigj*
Hjg}hg g agw@dp dv ngpliigggvpg lrrhp lp liig lvrgfpgj slj
`g ognlj`gidja hj`g `g ihgr jggkp* Slj
`dlajhvg php g jgsgjgccgfpgj slj ril|wg+
ogvplidja) }hliv `hag hagj gj sglj`gdj+
agj dj `g gj`hpnggifgi`dfnpngd` slj ngp
nhhjsidgv* Qg ngoogj agsliigj ogvpw`gg`
`dg pwvvgj
7/23/2019 Scope, het vakblad voor oogartsen
7/13
dJpGArlFilVVdF
Ngp phrkh`gi kgp woogig
Vfnjggogag+ilagdjashh
j) pqgghc`dg
djvpwkgjpgj) shiig`dag
gigephkhphdvfngllj`dmsdja
gjnhhapgsgvpgiidja*
dJpGArlGWrHidJG
@gvplj`ll`wjdp
kgp agfhkodjgg g
Vfnjggogag(DJL+ilagdja
shh pqgghc`dg
djvpwkgjpgj) shiig`dag
gigephkhphdvfngllj`dmsdja
gjgigephkhphdvfng
nhhapgsgvpgiidja*
dJpGArldJidJG
Fhkrlfpg) djnhhapg
sgvpgiolgwjdp kgp
vfnwdcoil` shh j
djvpwkgjp*
dJpGArlkdJd
Fhkrlfpg) djnhhapg
sgvpgiolg}qgje+wjdp shh
jhc pqggdjvpwkgjpgj*
Kg`dfli Qhvnhr rillpvpg `g ggvpg gclfpdg+
h`g}hgvwdp l Dpgal) wdpgll kgp vfnwdc+
qdvvgioil`) d
7/23/2019 Scope, het vakblad voor oogartsen
8/13
]hj`g sgqdm}dja ggj lcvrlle klegj odm ggj hpnhrpdvp)
`lp elj vdj`v < lwawvpwv ?2
7/23/2019 Scope, het vakblad voor oogartsen
9/13
ngp Jg`gilj`v Hhanggiewj`da Ag}givfnlr) `g sggjdadja
slj hhalpvgj gj kgp `g HSJ) `g sggjdadja slj hrphkg+
pdvpgj* Phfn }dgj qg lp lpvgj alla ggj fh jphigcwjfpdg
wdphgcgjgj* @lp ogadmr de qgi) hk`lp hjv sle `dfnp pgagj
`lp slj ngj llj idap) kll qlp hjv ogpgcp dv `lp jdgp jh`da*
Ggj hpnhrpdvp qg` ilja php ggj mll hc sggpda agig`gj
ag}dgj liv nwirmg slj `g hhalpv* @ll ngoogj qg `gje de
jha vpgg`v ggj oggpmg ilvp slj) pgqdmi hjv sle dv `hhhjpqde+
egi` gj `g hrigd`dja vpge sgogpg` dv* @g nwd`dag hpnhrpdvp
dv ggj }gicvplj`dag rhcgvvdhjli agqh`gj) }h vpllp `lp hhe
dj `g qgp ODA* Hpnhrpdvpgj nhgsgj jdgp jhh`}legidme dj ngp
}dgegjnwdv pg }dppgj) hk`lp `g fhjphigcwjfpdg slj `g hhalpv
jdgp jh`da dv* Llj hhalpvgj qdi de `lj hhe alla }gaagj=
Ngo sgphwqgj dj `g hpnhrpdvp) `dg qggp mg pg sdj`gj liv
dgpv jdgp+riwdv dv* ]g ngoogj ggj ahg`g hrigd`dja agnl` hk
`lp pg ewjjgj vdajliggj*
Hjgja sghwqgjShh hpnhrpdvpgj nggcp Kgfegi hhe ggj ohh`vfnlr= Qggv
mg ogqwvp slj qlp mg ewjp gj illp mg eqlidpgdpgj }dgj hr `g
qgesihg* @g shh}dppg kggjp lp ogd`g rlpdmg j khgpgj
hrgjvpllj shh ggj agvrge hk hj`gidja qgelcvrlegj pg
klegj* @lp elj `g hhalpv ngirgj kgp ngp sgkdj`ggj slj
`g qge`we) }h`lp `dg }dfn elj og}danhw`gj kgp gfnpg
rlpnhihadg slj ngp hha) gj ngp `llap odm llj ngp hj`gidjag
sgphwqgj* Djnhw`gidme nhgcp g hhe ngigklli aggj rhoiggk
pg }dmj* Shh}dfnpda aggcp Kgfegi llj `lp }g vhkv ngp agshgi
nggcp `lp g ggj cdjljfdig g`gj lfnpg }dp `lp hhalpvgj
alla ggj fhjphigcwjfpdg wdphgcgjgj) hk`lp }dm odm vlkgj+
qgedja ggj @OF ewjjgj hrgjgj gj `g sgahg`dja slj `g
ehvpgj `lj jll ngj phgallp* Kllep dgklj` `dgfp ggj
lcvrlle odm ggj hpnhrpdvp) `lj ogpllip ngp }dgegjnwdv `g
ehvpgj wdp ngp ggvpgidmjv}haow`agp* @hg mg `g hpnhrpdg+
ognlj`gidja vlkgj kgp `g hhalpv) `lj slip ngp hj`g ggj
agfhkodjgg` @OF* @ll ngoogj qg liig ogadr shh liv g
hhanggiewj`dag rhoigkgj hjpvpllj* Odm lljagohgj vpll
odmshhoggi`) `lj dv ggj hrglpdg jh`da* Qdm ehkgj g ilpg
llj pg rlv liv gjl ggj iwd hha hjpvpllp* Kll odm lkoithrdg)
qlp sdmc rhfgjp slj `g ogshiedja nggcp) dv ngp ilja jdgp lipdm`
jh`da `lp ggj hhalpv kggedmep*
Hha h g hghvGiit Kgfegi edmep alla shhwdp* ]h elj }g jdgp qlfnpgj php
?2
7/23/2019 Scope, het vakblad voor oogartsen
10/13
rllJA oHGr dQGkl
Nlli`g d
7/23/2019 Scope, het vakblad voor oogartsen
11/13
VFHRG ?2
7/23/2019 Scope, het vakblad voor oogartsen
12/13
Vfhrg dv gg loil` hh
hhalpvg* shhpv hh ig}gv
wdp llgqlpg dvfdridgv)
`dg wdp nhhc`g l nw
oghgr .d$`dgfp ogphg
}dm odm `g hhanggiw g d
`g dpl+ g g~plkwlig
ag}h`ngd v}ha*
Vfhrg dv gg wdpalg l
kgf Qhvnh oS
@g Kgg
pgi= .262$ 333 77 ??
cl~= .262$ 333 67 63
Ahdag)
pgi= .272$ 7?1 34 44
cl~= .272$ 7?1 34 7>
G+kldi=
vgdfgBkg`dfliqhvnhr*i
dJpGrJGp=
qqq*kg`dfliqhvnhr*i
Vfhrg qh`p l vfndcpgidmg
lllla alpdv phgag}h`g
ll `g ig`g l `g `hh `g
wdpagg agchkwigg`g
`hgiahgr*
GdJ`rG`lFpdG
Kg`dfli Qhvnhr
idpNHArlcdG
Cdp} _grh) Likgg
`rWe
@wgdm Pg Od) Kgrrgi
FHJFGRp # rGlidVlpdG
L~dhkl Fwvphk Kg`dl) Oll
.267$ 70> >< 02)
qqq*l~dhkl*i) Pqdppg=
Bl~dhklXfk
_g`lfpdg= Kggi Ogllp)
Kgh `g Ohg) Mhn
G`ql`v g Kgifndh Kgdmg
shkagda= Plkl g ei dm
VHjHKG@= OGP_HWQOLL_)@WW_]LLK Gj FHjFW__G_Gj@
shh`lp `g wiplagiwd L+vfl qg glag `hh `g hrpdvfng odhkgpg) kllpg kgg
`l 17' l g jg`gil`vg }dggnwd}g agowd l gg Vhhkg` L+vfl l `g
?222) ?722 hc 7722+vgdg* sggi l g}g }dm ha vpgg`v d agowd liv olf+wr hh
`g hrpdvfng odhkgpgv* jllvp L+vflv ogvpllp ngp iggdavrlgp hh wdp rlfnt+
kgpgv) O+vflv g gg Wiplvhw Odh Kdfhvfhhr .WOK$* Vrgfdlli hh `g G]+O+7722
g LO+7722 odg`p Vhhkg` w gl`g+vhcpqlg ll hk `g hrlkgv gghw`da d gg
rf d pg ig}g g hr pg vill*
SHHr dG`GrGGJ GGJAGVFNdepG VRGFprlidV HFp
@g Ngd`gioga Vrgfplidv+clkdidg ogvpllp dkd``giv wdp }gv
kh`giig g pqgg hrpdhgig wdpogd`davkh`wigv* sgagidm g
gvfndiig`g gvdgv d ohgvpll`g plogi*
?? VFHRG ?2
7/23/2019 Scope, het vakblad voor oogartsen
13/13
phfhj hgvShhgclfpdg dv ggjshw`dag `lj hhdp,
Jgwq= `g Phrfhj E_+
Top Related