diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/4LlDolPJfSk_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/4LlDolPJfSk_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..3d9a4b1b42a415e1dcf8435b71a32282e144602c --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/4LlDolPJfSk_postprocess.srt @@ -0,0 +1,1652 @@ +1 +00:00:20,700 --> 00:00:23,400 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,400 --> 00:00:30,240 +وبركاته ومرحبا لكم جميعا سنبدأ ان شاء الله اليوم + +3 +00:00:30,240 --> 00:00:35,660 +في تكملة محاضرة المحاضرة السابقة اللي كانت بعنوان + +4 +00:00:35,660 --> 00:00:44,420 +frame types and parts اليوم في المحاضرات السابقة + +5 +00:00:44,420 --> 00:00:52,300 +أخدنا ال plastic materialالـ metal material و ايضا + +6 +00:00:52,300 --> 00:00:57,940 +اخدنا ال super mount تمام اليوم هنبدأ في ال + +7 +00:00:57,940 --> 00:01:04,100 +combination combination frames are commonly frames + +8 +00:01:04,100 --> 00:01:10,100 +having a metal chassis and plastic top rims and + +9 +00:01:10,100 --> 00:01:17,440 +temples اذا هي اطارات بتكون اللي هو اكتر شيوعا + +10 +00:01:18,500 --> 00:01:24,940 +بتمتلك الهيكل العام بتاعها بيكون معدني، تمام؟ يعني + +11 +00:01:24,940 --> 00:01:30,680 +بمعنى إن الإطار العام إلها معدني، بينما ال top + +12 +00:01:30,680 --> 00:01:36,260 +إلها أو ال top rim إيش بيكون؟ Plastic و ال temple + +13 +00:01:36,260 --> 00:01:43,580 +أو ما يسمى بال side، Plastic + +14 +00:01:46,230 --> 00:01:51,750 +The chassis includes the eye wire and center or + +15 +00:01:51,750 --> 00:01:57,630 +bridge section إذا عندنا الهيكل العام إيش بيشمل؟ + +16 +00:01:57,630 --> 00:02:01,930 +ال eye wire اللي هو عبارة عن ال rim صح ولا لأ؟ + +17 +00:02:01,930 --> 00:02:08,270 +الحواف بتاعة العدسة و مركز ال bridge برضه بيكون + +18 +00:02:08,270 --> 00:02:12,210 +بعض الأحيان اللي هو plastic أو قد يكون اللي هو + +19 +00:02:12,210 --> 00:02:19,700 +metalطيب اذا عشان نثبت المعلومة يما بيكون عندنا + +20 +00:02:19,700 --> 00:02:24,500 +combination of frame معنى الكلام ان في جزء منه + +21 +00:02:24,500 --> 00:02:29,400 +plastic و الجزء الآخر اللي هو metal ال plastic + +22 +00:02:29,400 --> 00:02:34,180 +ممكن يكون ال top rim بالاضافة لل temple بينما ال + +23 +00:02:34,180 --> 00:02:38,040 +rim ممكن يكون بعض الحواف او بعض ال eye wire بتاعة + +24 +00:02:38,040 --> 00:02:42,960 +اللي هو الإطار تمام؟تكنيكالي من ناحية اللي هو + +25 +00:02:42,960 --> 00:02:48,760 +تقنية اي frame with a combination of metal and + +26 +00:02:48,760 --> 00:02:54,500 +plastic could be included in this category اذا من + +27 +00:02:54,500 --> 00:03:01,660 +ناحية تقنية اي اطار تمام فيه هناك اللي هو + +28 +00:03:01,660 --> 00:03:08,060 +combination ما بين ال metal و ال plastic يعتبر من + +29 +00:03:08,060 --> 00:03:16,160 +ضمن هذا التصنيفOkay as in the case of a frame with + +30 +00:03:16,160 --> 00:03:21,100 +plastic eye wires and metal bridge and temples + +31 +00:03:21,100 --> 00:03:27,900 +اللي هيكون مثلا عندنا ال top rim بلاستيك وال side + +32 +00:03:27,900 --> 00:03:35,400 +هيكون بلاستيك وباقى الأجزاء هتكون metal okay إذا + +33 +00:03:35,400 --> 00:03:42,090 +التصنيف هذا بيمثل ال figure هذا okayزي عندنا اللي + +34 +00:03:42,090 --> 00:03:47,630 +هو مثلا نضارة هبة هاي عندنا مثلا ال top part أو + +35 +00:03:47,630 --> 00:03:52,230 +عفوا ال top اللي هو rim هذا plastic ال side ايش + +36 +00:03:52,230 --> 00:03:57,850 +بيمثل او ال temple اللي هو plastic تمام عندنا hand + +37 +00:03:57,850 --> 00:04:03,380 +يعتبر اللي هو ايه rimبقية الـ rim هذا يعتبر metal + +38 +00:04:03,380 --> 00:04:09,420 +صح عندنا ال .. ال .. ال nose pad بلاستيك لكن اللي + +39 +00:04:09,420 --> 00:04:13,200 +حامل ال nose pad يعتبر اللي هو metal تمام فهذا + +40 +00:04:13,200 --> 00:04:22,040 +بنسميه combination of rim طيب + +41 +00:04:22,040 --> 00:04:23,220 +عندنا ال half eye + +42 +00:04:27,250 --> 00:04:33,090 +Half eyes are frames made especially for those who + +43 +00:04:33,090 --> 00:04:37,170 +need a reading correction, but not correction for + +44 +00:04:37,170 --> 00:04:45,030 +distance هذا النوع من النضارات بيستخدم تحديدا مع + +45 +00:04:45,030 --> 00:04:49,050 +الأشخاص اللي بيكون عندهم breast biopia، تمام؟ يعني + +46 +00:04:49,050 --> 00:04:56,080 +بيستخدم مع الـnear correctionيعني بمعنى آخر إن + +47 +00:04:56,080 --> 00:05:01,980 +الشخص بيحاول إنه يضع العدسة أو يضع النضارة يريحها + +48 +00:05:01,980 --> 00:05:06,720 +على الأنف تمام؟ و اللي هو بتطلع على الـ near + +49 +00:05:06,720 --> 00:05:11,820 +vision يما بيجي بتطلع لل distance بتطلع من وين؟ من + +50 +00:05:11,820 --> 00:05:19,820 +فوق النضارة تمام؟ They are constructedانه آلية + +51 +00:05:19,820 --> 00:05:23,960 +اللى هو الانشاء تاعتها او طريقة البناء او طريقة + +52 +00:05:23,960 --> 00:05:29,740 +الصناعة تاعتها to sit lower on the nose than + +53 +00:05:29,740 --> 00:05:35,600 +normal يعني جلوسها دايما بيكون اكتر من مين من + +54 +00:05:35,600 --> 00:05:42,200 +العدسات العادية على منطقة ال noseand are only half + +55 +00:05:42,200 --> 00:05:47,980 +as high as normal glasses وهي تعتبر نصف اللي هو + +56 +00:05:47,980 --> 00:05:53,300 +ايش؟ نصف اللي هي العدسات العادية من ناحية الحجم + +57 +00:05:53,300 --> 00:05:57,040 +حتى انتوا بتلاحظوا ان بعضهم بيستخدموا لها bucket + +58 +00:05:57,040 --> 00:06:00,560 +خاص بيكون زي tube انبوب تمام؟ + +59 +00:06:02,560 --> 00:06:06,780 +allows the wearer to look over the top of the + +60 +00:06:06,780 --> 00:06:12,200 +glasses هذا بتسمح للمريض أنه ينظر من فوق النضارة + +61 +00:06:12,200 --> 00:06:18,540 +لكن هان وين for distance صحيح؟ + +62 +00:06:18,540 --> 00:06:25,640 +يعني هو ليش بتطلع من فوق النضارة للبعيد؟ they may + +63 +00:06:25,640 --> 00:06:30,760 +be of a plastic, metal or even nylon cord + +64 +00:06:30,760 --> 00:06:35,180 +constructionيعني ممكن هذه تكون metal وممكن تكون + +65 +00:06:35,180 --> 00:06:40,280 +plastic وممكن تكون اللي هي super mount تمام او + +66 +00:06:40,280 --> 00:06:43,780 +بنسميها nylon cord يعني كتصميم لها يعني ممكن كل + +67 +00:06:43,780 --> 00:06:47,380 +هيتها تكون plastic كلها تكون metal كلها تكون nylon + +68 +00:06:47,380 --> 00:06:54,820 +cord okay less common are half eyes for distant + +69 +00:06:54,820 --> 00:07:00,390 +vision which allow the wearer to lookunder the + +70 +00:07:00,390 --> 00:07:05,710 +lenses for reading في بعض من هذه العدسات ممكن + +71 +00:07:05,710 --> 00:07:09,930 +تستخدم لل distance تمام يا ما بدي أجي أطلع لل + +72 +00:07:09,930 --> 00:07:14,210 +distance بتطلع بالنضارة يا ما بدي أجي أطلع للنير + +73 +00:07:14,210 --> 00:07:21,270 +بتطلع من تحت النضارة okay طيب إيش المميزة اللي + +74 +00:07:21,270 --> 00:07:26,010 +موجودة في الشكل هذا عينكم أمامكم إيش المميزة في + +75 +00:07:26,010 --> 00:07:28,230 +النضارة مين تقدر تقوليها + +76 +00:07:31,290 --> 00:07:36,090 +في هناك مميزة خاصة في النضارة يعني ملحوظة بشكل + +77 +00:07:36,090 --> 00:07:45,790 +اللي هو significant واضح او clear اه لأ + +78 +00:07:45,790 --> 00:07:54,230 +انا مش شايفها عادية اه تمام + +79 +00:07:54,230 --> 00:07:58,530 +هذه حكينا ان هي كتصميم لكن في حاجة هنا clear واضحة + +80 +00:07:58,530 --> 00:07:58,810 +كتير + +81 +00:08:03,520 --> 00:08:09,900 +ممتازة ان موضوع ال bridge جاي موازي لمين لل top + +82 +00:08:09,900 --> 00:08:15,320 +rim صح ولا لأ؟ الان لو انت طلعت في معظم النضارات + +83 +00:08:15,320 --> 00:08:21,080 +بتلاحظ ان ال bridge جاي أسفل ال top rim او في + +84 +00:08:21,080 --> 00:08:26,760 +مسافة بينهم لكن هان ايش جاي ال bridge موازي او على + +85 +00:08:26,760 --> 00:08:32,180 +محاذاة مين ال top rim تمام؟ هي عينكم أمامكم + +86 +00:08:32,180 --> 00:08:37,540 +بالصورةإن كلهم على مستوى بعض اللي هو ال bridge و + +87 +00:08:37,540 --> 00:08:46,520 +ال top rim في ال right و ال top rim في ال left طيب + +88 +00:08:46,520 --> 00:08:50,980 +عندنا ال rimless أو ال semi rimless أو ال new + +89 +00:08:50,980 --> 00:08:51,480 +month + +90 +00:08:56,150 --> 00:08:59,070 +المصدرات المساعدة للمصدرات المساعدة للمصدرات + +91 +00:08:59,070 --> 00:09:00,510 +المساعدة للمصدرات المساعدة للمصدرات المساعدة + +92 +00:09:00,510 --> 00:09:05,150 +للمصدرات المساعدة للمصدرات المساعدة للمصدرات + +93 +00:09:05,150 --> 00:09:05,650 +المساعدة للمصدرات المساعدة للمصدرات المساعدة + +94 +00:09:05,650 --> 00:09:05,770 +للمصدرات المساعدة للمصدرات المساعدة للمصدرات + +95 +00:09:05,770 --> 00:09:05,850 +المساعدة للمصدرات المساعدة للمصدرات المساعدة + +96 +00:09:05,850 --> 00:09:06,310 +للمصدرات المساعدة للمصدرات المساعدة للمصدرات + +97 +00:09:06,310 --> 00:09:06,670 +المساعدة للمصدرات المساعدة للمصدرات المساعدة + +98 +00:09:06,670 --> 00:09:14,690 +للمصدرإذا هذا النوع من العدسات بتستطيع أنه تمسك + +99 +00:09:14,690 --> 00:09:19,130 +هذا النوع من النضارات بتستطيع أنه تمسك العدسات + +100 +00:09:19,130 --> 00:09:25,050 +أمام العين بعيدا عن مين؟ الرم مافيش فيها أي ترم أو + +101 +00:09:25,050 --> 00:09:29,250 +عن ال nylon cord أي بمعنى اللي هو ال string الخير + +102 +00:09:29,250 --> 00:09:33,910 +طيب كيف بتمسكها؟ من خلال اللي هو ال screw يعني + +103 +00:09:33,910 --> 00:09:39,700 +بمعنى اللي هو البراغي أو اللي هوبلاقت اللي هي + +104 +00:09:39,700 --> 00:09:46,060 +بتثبت مين العدسات في مكانها اذا often screws are + +105 +00:09:46,060 --> 00:09:50,960 +used غالبا بتم استخدام اللي هو براغي لعملية + +106 +00:09:50,960 --> 00:09:56,780 +التثبيت في منها أنواع مختلفةفي عملية التثبيت اما + +107 +00:09:56,780 --> 00:10:01,960 +بتكون cement وهي هذه نادرة الاستخدام يعني من خلال + +108 +00:10:01,960 --> 00:10:09,040 +اللي هو ملصق تمام او clamps ايش معنية clamps ملاقط + +109 +00:10:09,040 --> 00:10:14,500 +تمام يعني بتتم تثبيتها من خلال اللي هو ملاقط and + +110 +00:10:14,500 --> 00:10:19,720 +plastic اللي هو postعن طريق اللي هو قطع بلاستيكية + +111 +00:10:19,720 --> 00:10:25,160 +بنكبسها عشان نثبت اللي هو العدسة have been used + +112 +00:10:25,160 --> 00:10:31,820 +اذا اما من خلال ال cement او ال plastic post او ال + +113 +00:10:31,820 --> 00:10:40,440 +clamps most rimless mountings have two areas of + +114 +00:10:40,440 --> 00:10:45,480 +attachment peer lens one nasally and one + +115 +00:10:45,480 --> 00:10:52,590 +temporallyالان في هان يا جماعة ايه مساحة او area + +116 +00:10:52,590 --> 00:10:58,490 +ال area هذه من ال center او من ال nose وايضا من ال + +117 +00:10:58,490 --> 00:11:05,170 +temporal شو بتعمل بتثبت العدسة في مكانها يعني هان + +118 +00:11:05,170 --> 00:11:09,890 +انا بعمل اللي هو عملية ايش شد اللي هو ال screw او + +119 +00:11:09,890 --> 00:11:15,280 +اللي هو موضوع ال plastic post من هان بنشدهامن اللي + +120 +00:11:15,280 --> 00:11:21,240 +هو ال timbral و ال nasal rimless mountings are + +121 +00:11:21,240 --> 00:11:26,840 +sometimes referred to as three piece mountings + +122 +00:11:26,840 --> 00:11:32,620 +الان لو انا رفعت العدسات فكم جزء بتكون منه تلاتة + +123 +00:11:32,620 --> 00:11:39,980 +عندنا ال side الأول او ال timble الأول التاني و ال + +124 +00:11:39,980 --> 00:11:46,530 +bridge صح لانه انا رفعت العدساتفإيش بنسميها الـ + +125 +00:11:46,530 --> 00:11:52,630 +three piece mountings انه تلت قطع بتكون النضارة + +126 +00:11:52,630 --> 00:11:53,810 +واضحة الفكرة؟ + +127 +00:12:09,690 --> 00:12:14,870 +Semi-rimless mountings are similar to the rimless + +128 +00:12:14,870 --> 00:12:23,090 +except for a metal reinforcing arm السيم ريملس هي + +129 +00:12:23,090 --> 00:12:28,970 +شبيهة بمين بالريملس اللي هو mounting لكن فيها + +130 +00:12:28,970 --> 00:12:33,590 +إضافة واحدة بنسميها ال metal reinforcing هي + +131 +00:12:33,590 --> 00:12:39,630 +المنطقة هذه كلهاالـ metal reinforcing إيش الهدف + +132 +00:12:39,630 --> 00:12:46,770 +منها؟ إنه تعزيز وتقويت النضارة،يعني بتقوي و بتثبت + +133 +00:12:46,770 --> 00:12:53,150 +العدسات أكتر و بتعززهم في مكانهم، okay؟ which + +134 +00:12:53,150 --> 00:12:58,730 +follows هيتبعها the upper posterior surface of the + +135 +00:12:58,730 --> 00:13:06,440 +lensand joins the center piece of the frame to the + +136 +00:13:06,440 --> 00:13:10,480 +end piece هيتبعها ايضا مناطق اللي هي تثبيت من + +137 +00:13:10,480 --> 00:13:14,620 +العدسة في اللي هو ال end piece سواء في ال temporal + +138 +00:13:14,620 --> 00:13:21,900 +او ال nasal side لكن هنا الشغل اللي هي مخالفة لل + +139 +00:13:21,900 --> 00:13:27,820 +rimless mounting هي اضافة ال rene force تمام اللي + +140 +00:13:27,820 --> 00:13:33,260 +بتعمل عملية تثبيت وتعزيز العدسةOkay the + +141 +00:13:33,260 --> 00:13:37,080 +centerpiece of a mounting consists of ايش + +142 +00:13:37,080 --> 00:13:42,700 +مكوناتها؟ في عندنا ال bridge تمام ايضا في عندنا ال + +143 +00:13:42,700 --> 00:13:48,580 +bad arms اللي هي ال pad arms اللي بتمسك مين ال + +144 +00:13:48,580 --> 00:13:53,460 +nose pad و بالاضافة لا اللي هي ال nose pads يعني + +145 +00:13:53,460 --> 00:13:59,440 +عملية التساق ال nose pads ما بتكون بشكل مباشر مع + +146 +00:13:59,440 --> 00:14:04,790 +مين؟ مع ال bridgeفي هناك اللي هو عبارة عن bad arms + +147 +00:14:04,790 --> 00:14:11,390 +أو سمناها المحاضرة السابقة ايش bad + +148 +00:14:11,390 --> 00:14:21,310 +guard صح ولا لا تمام + +149 +00:14:21,310 --> 00:14:27,410 +يعني بتعمل عملية اللي هو تعزيز وتثبيت للعدسات + +150 +00:14:45,720 --> 00:14:52,800 +الان لو لاحظت يعني العدسة كيف مثبتة فقط من منطقة + +151 +00:14:52,800 --> 00:14:59,030 +ال nasal صح ولا لأ؟يعني هان الـ screw اللي امثبت + +152 +00:14:59,030 --> 00:15:05,510 +العدسة فقط من اللي هو الـ nose They are seldom + +153 +00:15:05,510 --> 00:15:10,110 +seen today، هي نادرة الاستخدام حاليا، يعني لا + +154 +00:15:10,110 --> 00:15:16,450 +تستخدم بشكل اللي هو شائع، ليش طيب؟ لأن مصادر القوة + +155 +00:15:16,450 --> 00:15:20,850 +لتثبيت العدسة ضعيفة، صح ولا لا؟ يعني العدسة ممكن + +156 +00:15:20,850 --> 00:15:22,270 +بسهولة انه تسقط + +157 +00:15:41,570 --> 00:15:50,290 +العدسات كلها مرتبطة في ال bridge area صح ولا لأ؟ + +158 +00:15:52,760 --> 00:15:56,860 +أو ال temple أو ال side بيكون اللي هو مرتبط في + +159 +00:15:56,860 --> 00:16:02,920 +منطقة ال metal arm يعني زي اللي هو دراع تمام ممسك + +160 +00:16:02,920 --> 00:16:08,320 +اللي هو العدسة هذا بيمتد لوين لآخر اللي هو ال ear + +161 +00:16:08,320 --> 00:16:14,860 +يعني لنهاية اللي هو إيش النضارة أو نهاية اللي هو + +162 +00:16:14,860 --> 00:16:19,080 +ال metal أو ال side بتاعة النضارة إذا مرة تانية + +163 +00:16:19,080 --> 00:16:26,000 +عندنا بداية انهالمنطقة الـ nasal بتكون مرتبطة بالـ + +164 +00:16:26,000 --> 00:16:32,180 +bridge و دي واضحة بينما عندنا ال temple او ال side + +165 +00:16:32,180 --> 00:16:38,440 +مرتبط بـ metal arm عشان انه تنتهي العدسة في نهاية + +166 +00:16:38,440 --> 00:16:42,800 +اللي هو من الوجه او في نهاية اللي هو الأذن + +167 +00:16:46,760 --> 00:16:51,520 +thus or so there is only one point of attachment + +168 +00:16:51,520 --> 00:16:55,200 +peer lens املاحظين ان احنا في عندنا نقطة واحدة + +169 +00:16:55,200 --> 00:16:59,660 +لعملية إيش شد العدسة اللي هي من وين؟ من الناذر + +170 +00:16:59,660 --> 00:17:05,820 +okay differentiate between the three يعني التلت + +171 +00:17:05,820 --> 00:17:09,720 +مسميات اللي ذكرناهم سواء ال rimless أو ال semi + +172 +00:17:09,720 --> 00:17:16,390 +rimless أو ال new mountingالان الموزعين او شركات + +173 +00:17:16,390 --> 00:17:20,070 +النضارات بيسموا التلاتة عبارة عن rimless mounting + +174 +00:17:20,070 --> 00:17:24,390 +يعني ما بيميزوا ما بين التلاتة واضح الفكرة يعني + +175 +00:17:24,390 --> 00:17:28,210 +الان لو انت في عندك نضارة semi rimless على طول + +176 +00:17:28,210 --> 00:17:32,110 +بيسموها rimless ال new mount ايضا بيسموها اللي هو + +177 +00:17:32,110 --> 00:17:41,510 +rimless طيب + +178 +00:17:43,700 --> 00:17:51,500 +ball grip ball + +179 +00:17:51,500 --> 00:17:56,800 +grip mountings secure the lens in place يعني بتضمن + +180 +00:17:56,800 --> 00:18:03,620 +العدسة أمام العين من خلال إيش إكليبس قولنا إيش + +181 +00:18:03,620 --> 00:18:09,820 +معناه إكليبس نعم بالضبط اللي هو زي اللي هو ملاقت + +182 +00:18:09,820 --> 00:18:17,730 +صح ولا لأ؟attached to a bar of tensile steel that + +183 +00:18:17,730 --> 00:18:23,310 +fits into a nasal and a temporal notch on each + +184 +00:18:23,310 --> 00:18:27,210 +side of the lens شايفين هذه المنطقة التمبرال صح؟ + +185 +00:18:27,210 --> 00:18:33,490 +اش فيها زي اللي هو لكمة للعدسة صح؟ هذه بنسميها ال + +186 +00:18:33,490 --> 00:18:33,830 +notch + +187 +00:18:38,610 --> 00:18:45,250 +تمام؟ ايش الهدف منها ان تعمل تعزيز وتقوية للعدسة؟ + +188 +00:18:45,250 --> 00:18:52,490 +وين طيب موجودة؟ في ال temporal side الان بالنسبة + +189 +00:18:52,490 --> 00:18:57,470 +لل nasal شايفين؟ + +190 +00:18:57,470 --> 00:19:04,740 +الان عندنا ال nasal مرتبط اللي هو معاه ايه؟اللي هو + +191 +00:19:04,740 --> 00:19:08,420 +الـ nose pad 100% بالاضافة له اللي هو ال bridge + +192 +00:19:08,420 --> 00:19:13,460 +center واضحة و ال notch مرتبط مع اللي هو ال + +193 +00:19:13,460 --> 00:19:20,240 +temporal sight إذا + +194 +00:19:20,240 --> 00:19:25,200 +عندنا ال ball a grip mounting secure انه بتضمن + +195 +00:19:25,200 --> 00:19:30,820 +العدسة في مكانها من خلال اللي هو ملاقطيتم اللي هو + +196 +00:19:30,820 --> 00:19:37,520 +ربطها مع اللي هو bar steel زي اللي هو فلاد يعني + +197 +00:19:37,520 --> 00:19:42,880 +steel من الفلاد that fits عشان يضمن اللي هو ان + +198 +00:19:42,880 --> 00:19:47,620 +فيها proper fit يعني fit ملائم او مناسب وين؟ في + +199 +00:19:47,620 --> 00:19:53,300 +منطقة النازل and a temporal notch وبيكون فيها زي + +200 +00:19:53,300 --> 00:19:59,130 +لكمة في منطقة اللي هو ال temporal تمام؟حتى انه + +201 +00:19:59,130 --> 00:20:03,050 +تمسك اللي هو العدسة او يتم اللي هو ربطها مع ال + +202 +00:20:03,050 --> 00:20:10,490 +timble ال lens can be easily removed by pulling + +203 +00:20:10,490 --> 00:20:15,790 +the clips back from the lens الان العدسة بسهولة + +204 +00:20:15,790 --> 00:20:20,550 +ممكن تسقط مجلبة ايش؟ انه تنفك هذه الملاكط او يصير + +205 +00:20:20,550 --> 00:20:25,030 +لها رجوع ل اللي هو الخلفانه ممكن يعني سهولة اللي + +206 +00:20:25,030 --> 00:20:29,530 +هو سقوط العدسة من خلال هذا النوع من العدسة من + +207 +00:20:29,530 --> 00:20:38,070 +النضارات for this reason لهذا السبب this type of + +208 +00:20:38,070 --> 00:20:43,270 +mounting can be used with more than one pair of + +209 +00:20:43,270 --> 00:20:47,610 +lenses for the same frame يعني لهذا السبب انه + +210 +00:20:47,610 --> 00:20:52,800 +سهولة اللي هو سقوط العدساتخلّوا اكتر من اللي هو + +211 +00:20:52,800 --> 00:20:57,720 +زوج من العدسات يتم اللي هو استخدامهم في داخل اللي + +212 +00:20:57,720 --> 00:21:02,640 +هو الإطار الواحد ممكن العدسات هذه تكون sun lenses + +213 +00:21:02,640 --> 00:21:06,820 +او ممكن تكون ملونة يعني photo brown او photo grey + +214 +00:21:06,820 --> 00:21:13,060 +تمام او ممكن هذه العدسات تكون مثلا MC يعني في زوج + +215 +00:21:13,060 --> 00:21:17,720 +اخر من العدسات تيجي مع هذه النضرات بسبب اللي هو + +216 +00:21:17,720 --> 00:21:23,370 +سقوطها بسرعةأو إنه بمعنى آخر إنه بتم اللي هو اتدمج + +217 +00:21:23,370 --> 00:21:28,670 +إلها بشكل سريع إذا + +218 +00:21:28,670 --> 00:21:36,030 +sun lenses special purpose lenses or tinted lenses + +219 +00:21:36,030 --> 00:21:41,590 +could then be usedinterchangeably with the + +220 +00:21:41,590 --> 00:21:45,390 +patients regular lenses يعني يمكن استخدامها + +221 +00:21:45,390 --> 00:21:49,270 +بالتبادل مع اللي هو النضارات أو العدسات اللي + +222 +00:21:49,270 --> 00:21:54,870 +موجودة اللي بتتم استخدامها بشكل اللي هو منتظم يعني + +223 +00:21:54,870 --> 00:22:03,370 +اللي بمعنى عدسات المريض اللي هي الأصلية تمام okay + +224 +00:22:22,370 --> 00:22:31,510 +الان مكتفه في ذلك قال لك انه ممكن نعمل ايش نوتش + +225 +00:22:31,510 --> 00:22:32,430 +تمام + +226 +00:22:40,830 --> 00:22:45,710 +و ممكن ايضا اللي هو نعمل زي اللي هو ايه ال screw + +227 +00:22:45,710 --> 00:22:52,130 +يعني النضارة نفسها اللي ال poly grip انه يكون فيها + +228 +00:22:52,130 --> 00:22:56,590 +notch و في نفس الوقت ايش كمان يثبتها اللي هو grip + +229 +00:22:56,590 --> 00:23:00,870 +يثبتها اللي هو ال screw يعني هنا هيكون ال screw + +230 +00:23:00,870 --> 00:23:11,560 +تمام زاد ال notchكنت مش احنا حكينا انه سهل اللي هو + +231 +00:23:11,560 --> 00:23:15,500 +السقوط من خلال اللي هو الـ notch فبكيف انا بدي + +232 +00:23:15,500 --> 00:23:20,760 +اثبتها اكتر بعملها ثقوب و من خلال هذه الثقوب بضع + +233 +00:23:20,760 --> 00:23:25,940 +اللي هو الـ screw يعني هسمح بالمحافظة على هذه + +234 +00:23:25,940 --> 00:23:32,760 +العدسات تمام؟ to length عشان يقرض لي ال stability + +235 +00:23:32,760 --> 00:23:37,620 +الثبات لهذه ال mounting او لهذا النوع من اللي هو + +236 +00:23:37,620 --> 00:23:54,950 +العدساتتمام اقرب + +237 +00:23:54,950 --> 00:23:57,610 +bridge area construction + +238 +00:24:04,500 --> 00:24:10,140 +can be constructed of either plastic or metal + +239 +00:24:10,140 --> 00:24:15,420 +construction يعني بمعنى اللي هو صناعة ال bridge + +240 +00:24:15,420 --> 00:24:21,760 +area صناعتها ممكن يكون من إيش؟ إما ال plastic أو + +241 +00:24:21,760 --> 00:24:29,320 +اللي هو يكون ال metal طيب فكركم مين الأكتر شيوع؟ + +242 +00:24:29,320 --> 00:24:34,170 +ال plastic ولا ال metal؟ ممتازينإذا الأكتر شيوعا + +243 +00:24:34,170 --> 00:24:48,070 +هي تعتبر الـ Plastic Bridge Because of + +244 +00:24:48,070 --> 00:24:53,770 +the variety of nose shapes أنه أشكال اللي هو الأنف + +245 +00:24:53,770 --> 00:24:57,170 +بتكون مختلفة صح ولا لأ؟ + +246 +00:24:59,880 --> 00:25:06,500 +there is also quite an assortment of a bridge + +247 +00:25:06,500 --> 00:25:11,800 +construction in both materials أيضا هناك في مجموعة + +248 +00:25:11,800 --> 00:25:17,040 +من الاختلافات في اللي هو الأشكال المتعلقة بشكل مين + +249 +00:25:17,040 --> 00:25:22,960 +ال bridge يعني نتيجة اختلاف ال nose لاللي هو البشر + +250 +00:25:22,960 --> 00:25:28,440 +في هناك مجموعة متنوعة أو مجموعة مختلفة من أشكال + +251 +00:25:28,440 --> 00:25:34,280 +مينالـ nose pad طبعاً لكل ال material سواء ال + +252 +00:25:34,280 --> 00:25:40,200 +plastic أو اللي هو ال metal ال plastic bridge أو + +253 +00:25:40,200 --> 00:25:47,700 +ال metal bridge نيجي ل ال plastic bridge ال bridge + +254 +00:25:47,700 --> 00:25:53,860 +area of a plastic frame is periformed إيش معناه + +255 +00:25:53,860 --> 00:25:55,120 +كلمة periformed؟ + +256 +00:25:57,480 --> 00:26:01,720 +بتم اللي هو عملها أو اللي هو تجهيزها أو إحضارها + +257 +00:26:01,720 --> 00:26:07,960 +and sits directly on the bridge of the nose بحيث + +258 +00:26:07,960 --> 00:26:12,260 +إنه تكون ملتسقة بشكل اللي هو مباشر على مين على ال + +259 +00:26:12,260 --> 00:26:20,500 +nose تمام؟ إذا مرة أخرى ال bridge area يتم اللي هو + +260 +00:26:20,500 --> 00:26:26,680 +صناعتها بحيث إنه تكون بشكل مباشر موجودة على الأنف + +261 +00:26:27,400 --> 00:26:31,220 +Okay it's + +262 +00:26:31,220 --> 00:26:36,800 +important than in picking out ايش معنى picking + +263 +00:26:36,800 --> 00:26:43,960 +out؟ بالضبط اللي هو التقاط a plastic frame that + +264 +00:26:43,960 --> 00:26:48,980 +the frame fit the nose well يعني من السهل اني + +265 +00:26:48,980 --> 00:26:55,640 +ألتقط ال bridge center المناسب لمين؟ للأنف بتاع + +266 +00:26:55,640 --> 00:27:01,440 +الشخصSince adjustments to this part of the frame + +267 +00:27:01,440 --> 00:27:05,880 +are extremely difficult لأن هنا في مشكلة ان لو انا + +268 +00:27:05,880 --> 00:27:11,900 +اخترت ال bridge لصين او لصاد بيصبح من الصعب ايش + +269 +00:27:11,900 --> 00:27:17,560 +تغيره زي الان لو مثلا اجالك عدسة على المركز كانت + +270 +00:27:17,560 --> 00:27:23,600 +مقصورة من المنتصف من الصعب ان اغير ايش ال bridgeصح + +271 +00:27:23,600 --> 00:27:26,940 +ولا لأ؟ إذاً هذا يعتبر extremely difficult يعني + +272 +00:27:26,940 --> 00:27:33,780 +نوعًا ما إنه صعب في عملية اللي هو الاستبدال Bridge + +273 +00:27:33,780 --> 00:27:40,060 +adjustments for certain plastics إيش المواد اللي + +274 +00:27:40,060 --> 00:27:45,440 +مصنوعة منها ال bridge ال plastic؟ في عندنا نيلون + +275 +00:27:45,440 --> 00:27:52,560 +في عندنا الكربون fiber andPolyamide are not + +276 +00:27:52,560 --> 00:27:58,460 +possible يعني هذه المواد اللي بتتم من خلالها تصنيع + +277 +00:27:58,460 --> 00:28:04,560 +اللي هو ال bridge center التلاتة الآن بيصبح من + +278 +00:28:04,560 --> 00:28:09,520 +اللي هو صعب عملية استبدالها بسهولة من خلال اللي هو + +279 +00:28:09,520 --> 00:28:15,720 +bridge آخر أو غير محتمل اللي هو عملية الاستبدال + +280 +00:28:15,720 --> 00:28:16,100 +لها + +281 +00:28:22,060 --> 00:28:28,100 +The saddle bridge يعني شكل ال bridge زي بيكون اللي + +282 +00:28:28,100 --> 00:28:33,860 +هو السرج بتاع الجمل تمام؟ والآن اللي معظم يما + +283 +00:28:33,860 --> 00:28:38,240 +بيكون عندهم اللي هو plastic bridge بيكون شكله زي + +284 +00:28:38,240 --> 00:28:44,830 +اللي هو سرج الجملis shaped like a saddle in a + +285 +00:28:44,830 --> 00:28:49,310 +smooth curve.الان اللابسين نضارات اعمل على اللي هو + +286 +00:28:49,310 --> 00:28:54,970 +ال bridge هتلاقي انه smooth من فوق، smooth اللي هو + +287 +00:28:54,970 --> 00:28:58,650 +curve، في منحنة ناعم صح ولا لأ زي اللي هو ال curve + +288 +00:29:01,700 --> 00:29:06,380 +and follows the bridge of the nose طيب هذا المنحنى + +289 +00:29:06,380 --> 00:29:14,120 +الناعم او اللي هو ال .. اه ال smooth ايش هيتبعه؟ + +290 +00:29:14,120 --> 00:29:17,740 +هيتبعه اللي هو منطقة ال bridge اللي بتكون directly + +291 +00:29:17,740 --> 00:29:22,760 +to the nose بشكل مباشر ملتصق مع مين؟ مع ال nose + +292 +00:29:24,900 --> 00:29:30,660 +بمعنى آخر أنه سيتكون من منطقة top part ومن منطقة + +293 +00:29:30,660 --> 00:29:38,580 +directly to the nose هذه منطقة كل هيتها وهي عبارة + +294 +00:29:38,580 --> 00:29:49,980 +عن السدل وهذه المنطقة اللي بتكون directly to + +295 +00:29:49,980 --> 00:29:50,480 +the nose + +296 +00:29:54,450 --> 00:30:14,830 +انت بتلاقي انه ملتسقة مع الـ nose okay الان + +297 +00:30:14,830 --> 00:30:19,610 +يا جماعة العضمة البارزة في الأنف هذه بيسموها crest + +298 +00:30:20,690 --> 00:30:25,870 +اللي هي قمة العضمة، اللي هي قمة الأنف، بنسميها + +299 +00:30:25,870 --> 00:30:32,290 +اللي هي crest الآن احنا ليش بنعمل الصدل اللي هو + +300 +00:30:32,290 --> 00:30:37,460 +بيمثل وين بيكون موجود على ال crest؟والجزء الآخر + +301 +00:30:37,460 --> 00:30:41,940 +بيكون موجود وين؟ على باقي الأنف طب احنا ليش بنعمل + +302 +00:30:41,940 --> 00:30:47,120 +هذه القضية؟ قال لي عشان نخفف من وزن العدسات او + +303 +00:30:47,120 --> 00:30:52,340 +نوزع اللي هو نعمل express اللي هو توزيع لمين؟ + +304 +00:30:52,340 --> 00:30:56,660 +للوزن بتاع العدسات بحيث انه مايكونش العدسة التقل + +305 +00:30:56,660 --> 00:31:01,690 +تاحة فقط على اللي هو مين منطقة واحدةفبنعمل اللي هو + +306 +00:31:01,690 --> 00:31:07,710 +كتوزيع لقوة أو توزيع لوزن العدسات في ال right و ال + +307 +00:31:07,710 --> 00:31:13,950 +left هاي الهدف من ذلك okay؟ + +308 +00:31:13,950 --> 00:31:19,490 +الآن هم ايش عملوا؟ عملوا قضية مهمة انه modified + +309 +00:31:19,490 --> 00:31:24,090 +ايش معنات modified؟ تعديل اللي هو modification مية + +310 +00:31:24,090 --> 00:31:30,600 +في المية يعني بمعنى اللي هو تطوير صح؟In the + +311 +00:31:30,600 --> 00:31:37,120 +modified saddle, the bridge area looks much the + +312 +00:31:37,120 --> 00:31:43,500 +same as the saddle bridge does when viewed from + +313 +00:31:43,500 --> 00:31:44,100 +the front + +314 +00:31:48,040 --> 00:31:53,160 +الان لو احنا اطلعنا .. لو انا لابس النضارة فاطلعنا + +315 +00:31:53,160 --> 00:31:58,620 +من منطقة ال front هتلاقي ان النضارة شكلها بالضبط + +316 +00:31:58,620 --> 00:32:04,040 +زي مين ال saddle bridge زي الشكل الاول لو اطلعت من + +317 +00:32:04,040 --> 00:32:09,140 +منطقة ال front ولكن لو اطلعت من منطقة اللي هو ال + +318 +00:32:09,140 --> 00:32:14,470 +backهتلاحظ انه فيه هناك ايش تقارب كبير ما بين ال + +319 +00:32:14,470 --> 00:32:18,910 +bridge و ما بين العدستين ايه؟ طيب الشكل عندكم؟ + +320 +00:32:18,910 --> 00:32:24,730 +تمام؟ اذا in the modified saddle في عملية اللي هو + +321 +00:32:24,730 --> 00:32:31,990 +تعديل السرج ال bridge area looks much the same as + +322 +00:32:31,990 --> 00:32:37,710 +the saddle bridge من المنطقة الأماميةDoes when + +323 +00:32:37,710 --> 00:32:41,210 +viewed from the front لكن اما انا بتطلع من ال back + +324 +00:32:41,210 --> 00:32:48,390 +هيكون مختلف The difference is that there are nose + +325 +00:32:48,390 --> 00:32:54,490 +pads that are part of the back of the bridge الان + +326 +00:32:54,490 --> 00:32:58,650 +ايش ملاحظين ال nose pad جزء من اللي هو ال bridge + +327 +00:32:58,650 --> 00:33:03,410 +من المنطقة الخلفية لمين للنضارة + +328 +00:33:04,410 --> 00:33:08,370 +يعني الآن مرة تانية، لو أنا لابس النضارة، هتلاحظ + +329 +00:33:08,370 --> 00:33:13,630 +من الـ front view أنه كأنه مشابه للـ saddle bridge + +330 +00:33:13,630 --> 00:33:17,890 +الآن لو احنا مسكنا النضارة و طلعنا من ال back، + +331 +00:33:17,890 --> 00:33:22,250 +هتلاحظ أن الـ nose pad مرتبط بشكل مباشر مع مين؟ مع + +332 +00:33:22,250 --> 00:33:27,670 +ال bridge، okay؟ وبرضه الهدف من ذلك عملية اللي هو + +333 +00:33:27,670 --> 00:33:34,160 +توزيعالـ weight اللي هو للعدسات على الإطار بشكل + +334 +00:33:34,160 --> 00:33:37,880 +كامل + +335 +00:33:37,880 --> 00:33:42,660 +These paths help to carry some of the weight of + +336 +00:33:42,660 --> 00:33:46,780 +the frame إيش مانعت carry؟ أنه بتحمل اللي هو الوزن + +337 +00:33:46,780 --> 00:33:51,660 +على اللي هو الإطار، بتعمل عملية حمل للوزن + +338 +00:33:57,650 --> 00:34:04,470 +الان الشكل هذا ايش بديكم احق الشكل + +339 +00:34:04,470 --> 00:34:09,710 +بتاع ال bridge هذا فاكرين المفتاح الجديم بتاع + +340 +00:34:09,710 --> 00:34:14,670 +الدور نفس المفتاح القديم صح ولا لأ ال key hole + +341 +00:34:14,670 --> 00:34:18,810 +بتاعه تمام ماذا ذاكرين المفتاح الجديم نفس الاشي + +342 +00:34:18,810 --> 00:34:24,690 +اذا the key hole a bridge is shaped like an old + +343 +00:34:24,690 --> 00:34:29,370 +fashioned key holeيعني شكل اللي هو ال bridge بيكون + +344 +00:34:29,370 --> 00:34:34,050 +مشابه او مطابق لشكل اللي هو المفتاح القديم او + +345 +00:34:34,050 --> 00:34:40,410 +مفتاح الطراز القديم at the top the bridge flares + +346 +00:34:40,410 --> 00:34:45,690 +out slightly الان في المنطقة اللي هي ال top هان + +347 +00:34:45,690 --> 00:34:52,950 +بتلاحظ انه مافيش احتكاك اللي هو مباشر مع مين؟ مع + +348 +00:34:52,950 --> 00:34:58,260 +ال crestيعني هتلاحظ إن لحد ما تنزل النضارة بيبدأ + +349 +00:34:58,260 --> 00:35:02,300 +هناك فيه إيش اللي هو احتكاك ما بين ال bridge و ما + +350 +00:35:02,300 --> 00:35:05,960 +بين مين ال keyhole أو ال bridge + +351 +00:35:09,590 --> 00:35:16,570 +البرج يبقى على صفحة النظارة ولكن ليس على اكريسك + +352 +00:35:16,570 --> 00:35:23,050 +الان عندما تنزل النضارة هتلاحظ ان التوزيع بتاع ال + +353 +00:35:23,050 --> 00:35:28,030 +frame كله مش هيكون فقط وين على ال اكريسك اللي هي + +354 +00:35:28,030 --> 00:35:33,490 +قمة العضمة تحت النظارة لكن موزع على ال two part of + +355 +00:35:33,490 --> 00:35:35,410 +the nose من ال right و من ال left + +356 +00:35:43,980 --> 00:35:51,400 +Okay metal bridge the bridge commonly used in + +357 +00:35:51,400 --> 00:35:58,440 +metal frames is the bad bridge يعني الأكتر اللي هو + +358 +00:35:58,440 --> 00:36:02,760 +شيوعا من ناحية الاستخدام في اللي هو ال metal + +359 +00:36:02,760 --> 00:36:11,580 +frames هو عبارة عن مين ال bad bridge تمام؟In the + +360 +00:36:11,580 --> 00:36:17,160 +pad bridge, nose pads are attached to the frame by + +361 +00:36:17,160 --> 00:36:22,980 +metal pad arms.الآن الـ attached اللي هو الربط + +362 +00:36:22,980 --> 00:36:26,880 +بتاعه، هيكون لازم مرتبط بيه اللي هو ال bad arm، + +363 +00:36:26,880 --> 00:36:30,520 +يعني مش هيكون اللي هو لحاله، يعني لازم يكون مرتبط + +364 +00:36:30,520 --> 00:36:35,440 +أول حاجة ال bridge بقطعة معدنية اللي بتمسك مين؟ ال + +365 +00:36:35,440 --> 00:36:36,120 +nose pad + +366 +00:36:38,790 --> 00:36:44,650 +مرة تانية الان لازم ان يكون ال bridge هذا المعدني + +367 +00:36:44,650 --> 00:36:50,830 +مرتبط في مين؟ ال bad arm ال bad arm هتكون ماسكة + +368 +00:36:50,830 --> 00:36:58,430 +مين؟ النصبات okay in this case the bath alone + +369 +00:36:58,430 --> 00:37:01,950 +support the weight of the glasses ايضا اللي هو + +370 +00:37:01,950 --> 00:37:08,290 +بيعمل توزيع للوزن وين؟ وزن اللي هو النضارةتمام + +371 +00:37:08,290 --> 00:37:13,310 +يعني ال weight هيكون غير متساوي بمعنى اخر انه + +372 +00:37:13,310 --> 00:37:20,310 +هيكون فيه توزيع على كل اللي هو مين النضارة when a + +373 +00:37:20,310 --> 00:37:25,030 +metal frame is equipped with a clear plastic + +374 +00:37:25,030 --> 00:37:29,910 +saddle type bridge the bridge type is referred to + +375 +00:37:29,910 --> 00:37:35,230 +as a comfort bridge يعني يما يكون اللي هو تجهيز + +376 +00:37:36,030 --> 00:37:43,030 +Metal Frame يعني كله معدن مع اللي هو Plastic + +377 +00:37:43,030 --> 00:37:48,770 +Bridge يعني الآن عندي إطار كله معدن فقط ال bridge + +378 +00:37:48,770 --> 00:37:53,430 +كان هو إيش؟ Plastic في هذه الحالة اسم ال bridge + +379 +00:37:53,430 --> 00:37:56,170 +إيش بنسميه؟ comfort bridge + +380 +00:37:59,290 --> 00:38:03,450 +الان مرة تانية عندنا إطار كله معدن فقط ال bridge + +381 +00:38:03,450 --> 00:38:08,230 +كان من مادة بلاستيكية سواء النيلون أو سواء اللي هو + +382 +00:38:08,230 --> 00:38:15,650 +بعض المواد اللي هو ال fiber تمام؟ الان فقط ال + +383 +00:38:15,650 --> 00:38:19,910 +bridge كان عبارة عن ال plastic هذا النوع من ال + +384 +00:38:19,910 --> 00:38:21,810 +bridge بنسميه bridge comfort + +385 +00:38:26,740 --> 00:38:33,500 +Metal and rimless frames were and sometimes still + +386 +00:38:33,500 --> 00:38:39,020 +are constructed with a metal saddle bridge and + +387 +00:38:39,020 --> 00:38:46,780 +enjoyed widespread use for a period of history إذن + +388 +00:38:46,780 --> 00:38:53,260 +عندنا الميتل والريملس كانوا + +389 +00:38:54,150 --> 00:38:58,030 +وما زالوا الان بعض الأحيان اللى هو كتركيب اللهم + +390 +00:38:58,030 --> 00:39:03,990 +باستخدموا مين ال metal اللى هو صدل تمام وكان اللى + +391 +00:39:03,990 --> 00:39:12,070 +هو عبر التاريخ منتشر اللى هو بشكل واسع هي + +392 +00:39:12,070 --> 00:39:19,530 +عندنا الإطار أنه هيكون rimless بالإضافة أنه metal + +393 +00:39:20,020 --> 00:39:25,700 +واللي هو شكلته زي اللي هو saddle تمام؟ هيكون بشكل + +394 +00:39:25,700 --> 00:39:30,780 +اللي هو كان يعني منتشر بشكل اللي هو موسع في عبر + +395 +00:39:30,780 --> 00:39:36,300 +اللي هو التاريخ it may yet appear exactly as + +396 +00:39:36,300 --> 00:39:42,460 +before or decoratively in conjunction with Noah's + +397 +00:39:42,460 --> 00:39:48,760 +bathيعني حاليا انه متوفر لكن لابد ان يكون مرتبط مع + +398 +00:39:48,760 --> 00:39:55,060 +مين؟ مع ال nose pads تمام؟ يعني مش لحاله يعني لازم + +399 +00:39:55,060 --> 00:39:59,320 +مايكونش اللي هو free لابد ان يكون هناك ارتباط ما + +400 +00:39:59,320 --> 00:40:05,220 +بين ال bridge و ما بين ال nose pad with rimless + +401 +00:40:05,220 --> 00:40:10,660 +mountains the crest of the bridge doesn't include + +402 +00:40:10,660 --> 00:40:11,540 +the bath + +403 +00:40:20,540 --> 00:40:26,660 +الان لو المريض حاول يرتدي النضارة هذه، تمام؟ الان + +404 +00:40:26,660 --> 00:40:31,500 +هتنزل لمين؟ لمنتصف اللي هو ال bridge يعني بمعنى + +405 +00:40:31,500 --> 00:40:34,920 +اخر انه مش هيكون الاحتكاك مباشر ما بين ال bridge و + +406 +00:40:34,920 --> 00:40:40,280 +مين و ال crestفهيصير الهوة توزية ل ال bridge + +407 +00:40:40,280 --> 00:40:45,860 +حوالين ال two sides بتاعت ال nose الخاصة بالهو ال + +408 +00:40:45,860 --> 00:40:53,680 +human طبعا الهدف من ذلك دايما هو عملية توزيع الثقل + +409 +00:40:53,680 --> 00:41:00,070 +أو عملية توزيع لوزن العدساتبحيث انه يكون الوزن + +410 +00:41:00,070 --> 00:41:05,850 +ملائم ما بين الـ two sides ومايحملش بشكل اللي هو + +411 +00:41:05,850 --> 00:41:13,610 +كبير عمين على ال crest طيب نقف ان شاء الله لمرحلة + +412 +00:41:13,610 --> 00:41:17,970 +هذه وان شاء الله في المحاضرة القادمة نكمل أي سؤال + +413 +00:41:17,970 --> 00:41:20,510 +فيه؟ يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/66h4nZmDbEA.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/66h4nZmDbEA.srt new file mode 100644 index 0000000000000000000000000000000000000000..fefbf0f320df002ac79ddcd4883446309438fd41 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/66h4nZmDbEA.srt @@ -0,0 +1,1509 @@ +1 +00:00:20,860 --> 00:00:23,680 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,680 --> 00:00:27,060 +وبركاته and a very good morning to all of you + +3 +00:00:27,060 --> 00:00:32,200 +سنبدأ اليوم إن شاء الله في موضوع الـ in-piece + +4 +00:00:32,200 --> 00:00:38,040 +construction. In-piece construction like the bridge + +5 +00:00:38,040 --> 00:00:44,600 +area construction. أي بمعنى أن صناعة الـ in-piece هي + +6 +00:00:44,600 --> 00:00:48,880 +مشابهة لصناعة الـ bridge الذي يكون ما بين الـ + +7 +00:00:48,880 --> 00:00:55,280 +two lenses. Okay, can be of either plastic or metal. + +8 +00:00:55,280 --> 00:01:00,860 +يمكن تقسيمه إلى إما أن يكون الـ plastic مصنوعًا من الـ + +9 +00:01:00,860 --> 00:01:06,860 +plastic أو أن يكون مصنوعًا من الـ metal. نشوف + +10 +00:01:06,860 --> 00:01:11,120 +عندنا الـ plastic in pieces، الذي هو يعتبر أكثر + +11 +00:01:11,120 --> 00:01:11,900 +شيوعًا. + +12 +00:01:14,420 --> 00:01:18,980 +There are three general types of in-piece + +13 +00:01:18,980 --> 00:01:24,440 +construction in plastic frames. إذا هناك ثلاثة + +14 +00:01:24,440 --> 00:01:30,640 +أنواع أساسية للـ in-piece construction مصنوعة من + +15 +00:01:30,640 --> 00:01:37,020 +إيه؟ من الـ plastic. النوع الأول، the most common in- + +16 +00:01:37,020 --> 00:01:42,080 +piece construction is the pot type. الـ pot type + +17 +00:01:42,630 --> 00:01:47,630 +كمفهوم له أو كتعريف، in which the front is straight. + +18 +00:01:47,630 --> 00:01:51,590 +شايفين هنا الـ front كله مستقيم، يعتبر straight، + +19 +00:01:51,590 --> 00:01:58,310 +مستقيم تمامًا، and the temple is flat، و الـ side أو الـ + +20 +00:01:58,310 --> 00:02:04,710 +temple يكون عبارة عن مسطح، يعمل ما بينهم زاوية. + +21 +00:02:04,710 --> 00:02:10,910 +قيمة الزاوية هذه تكون ٩٠ degree. إذا عندنا + +22 +00:02:10,910 --> 00:02:16,850 +مرة ثانية، الـ pot type، فيه عندنا أول حاجة بتكون من + +23 +00:02:16,850 --> 00:02:21,230 +الـ front يكون straight، وعندنا الـ temple يكون + +24 +00:02:21,230 --> 00:02:25,450 +flat، بشكل، اللي هو زاوية في نقطة اللي هو الالتقاء + +25 +00:02:25,450 --> 00:02:30,390 +ما بينهما. قيمة الزاوية هذه تكون ٩٠ degree. هذا + +26 +00:02:30,390 --> 00:02:32,050 +النوع الأول، أو الـ pot type. + +27 +00:02:37,160 --> 00:02:43,960 +النوع الثاني، the mitre in-piece causes the frame a + +28 +00:02:43,960 --> 00:02:49,360 +front contact area and the temple both to meet at + +29 +00:02:49,360 --> 00:02:55,400 +a 45 degree angle. الآن نقطة التقاء ما بين الـ + +30 +00:02:55,400 --> 00:02:59,040 +temple وما بين اللي هو الـ front، ولكن الزاوية + +31 +00:02:59,040 --> 00:03:03,940 +هنا، لن تكون ٤٥ degree، بل ستكون من ٤٥ إلى ٦٠ degree. + +32 +00:03:05,080 --> 00:03:10,380 +تمام؟ يعني بمعنى آخر، لو الآن هي عندنا الـ front + +33 +00:03:10,380 --> 00:03:15,140 +هيكون الـ temple بالشكل هذا، عامل زاوية كده؟ من ٤٥ + +34 +00:03:15,140 --> 00:03:18,280 +إلى ٦٠ degree، خذناها من ٤٥ + +35 +00:03:21,280 --> 00:03:24,600 +الستيلة، من الآن لما تجي مثلًا زاوية ٤٥ أو + +36 +00:03:24,600 --> 00:03:28,700 +٦٠، بتلاقي هاي المعيار، المعيار عاملة زاوية إيش + +37 +00:03:28,700 --> 00:03:33,600 +بالشكل هذا. الزاوية هذه قيمتها تقريبًا من ٤٥ + +38 +00:03:33,600 --> 00:03:37,240 +إلى ٦٠ degree، لكن على التسعين، التنتين هتكون + +39 +00:03:37,240 --> 00:03:40,580 +على زاوية واحدة. نفس الحاجة بالنسبة لمين؟ للـ in- + +40 +00:03:40,580 --> 00:03:47,020 +piece construction. النوع الثالث، in the turn back + +41 +00:03:47,020 --> 00:03:54,340 +type. The frame in front bends around and meets the + +42 +00:03:54,340 --> 00:04:00,560 +temple end to end. الآن إيش ملاحظين هنا؟ فيه ميلان، + +43 +00:04:00,560 --> 00:04:04,960 +صح ولا لأ؟ يعني فيه اللي هو انحناء، الانحناء هذا + +44 +00:04:04,960 --> 00:04:10,080 +بـ مين؟ في الـ front. إذا منطقة الـ front فيها + +45 +00:04:10,080 --> 00:04:14,980 +انحناء أو فيها ميلان، وهذه هتقابل مين؟ الـ temple، + +46 +00:04:14,980 --> 00:04:21,690 +هتظل لحد النهاية، اللي هو end to end. تمام؟ فهذا + +47 +00:04:21,690 --> 00:04:25,270 +إيش بنسميه؟ اللي هو turn back type. يعني فيه هناك + +48 +00:04:25,270 --> 00:04:29,870 +انحناء للـ front، تمام؟ هيقابل اللي هو الـ temple حتى + +49 +00:04:29,870 --> 00:04:34,570 +النهاية. هذا نوع من أنواع الـ in-piece construction. + +50 +00:04:34,570 --> 00:04:39,650 +هذا + +51 +00:04:39,650 --> 00:04:43,890 +كله اللي اتكلمنا عنه، الأنواع الثلاثة، هم عبارة عن الـ + +52 +00:04:43,890 --> 00:04:48,820 +plastic in-piece. في عندنا أيضًا الـ metal in-piece. + +53 +00:04:48,820 --> 00:04:55,460 +The traditional metal in-piece has a construction + +54 +00:04:55,460 --> 00:05:01,040 +similar to the turn back in-piece of the plastic + +55 +00:05:01,040 --> 00:05:06,580 +frame. يعني هو الـ in-piece اللي مصنوع من الـ metal + +56 +00:05:06,580 --> 00:05:12,000 +مشابه لمين؟ أو مماثل للي هو الـ plastic، لكن أي نوع؟ + +57 +00:05:12,000 --> 00:05:16,790 +الثالث، اللي هو عبارة عن الـ turn back، اللي بيكون فيه + +58 +00:05:16,790 --> 00:05:23,490 +انحناء، وبيقابل مع الـ temple حتى النهاية. okay? + +59 +00:05:23,490 --> 00:05:27,490 +هو بالشكل هذا، أنه فيه انحناء عندنا، زي انحناء + +60 +00:05:27,490 --> 00:05:31,150 +و بيقابل مع الـ temple حتى النهاية. شايفين كيف + +61 +00:05:31,150 --> 00:05:36,830 +الانحناء هذا؟ تمام؟ وفيه اللي هو meet ما بين الـ + +62 +00:05:36,830 --> 00:05:40,290 +front واللي هو الـ temple حتى النهاية. + +63 +00:05:43,320 --> 00:05:49,040 +There are now a wide variety of metal in-piece + +64 +00:05:49,040 --> 00:05:54,220 +designs. يعني هناك تصميمات وأنواع مختلفة، اللي هو + +65 +00:05:54,220 --> 00:05:58,720 +مختلفة من الـ in-piece الخاصة بمن؟ اللي مصنوعة من + +66 +00:05:58,720 --> 00:06:04,840 +الـ metal. In-pieces are also noticeable by their + +67 +00:06:04,840 --> 00:06:09,100 +absence. في بعض الأحيان إحنا بنلاحظ أن فيه هنا غياب + +68 +00:06:09,100 --> 00:06:13,080 +للـ in-piece، يعني بيكون غير موجود أو غير حاضر، تمام؟ + +69 +00:06:14,840 --> 00:06:18,720 +Instead of an in-piece, some frames, fronts and + +70 +00:06:18,720 --> 00:06:23,880 +temples are made as one continuous piece. يعني + +71 +00:06:23,880 --> 00:06:28,060 +الاثنين هيكونوا عبارة عن إيه؟ قطعة واحدة، زي الشكل + +72 +00:06:28,060 --> 00:06:33,680 +هذا. الآن هيعني منطقة الـ front مقابلة مع مين؟ مع + +73 +00:06:33,680 --> 00:06:37,580 +اللي هو الـ temple، بس مافيش هناك in-piece، يعني + +74 +00:06:37,580 --> 00:06:41,420 +التواصل ما بينهم إيش؟ مباشر. طلع عندكم في الصورة إن + +75 +00:06:41,420 --> 00:06:45,460 +فيه هناك تواصل ما بين الـ front والـ temple، دون أي + +76 +00:06:45,460 --> 00:06:56,420 +انحناء في منطقة الـ temple. وهذه + +77 +00:06:56,420 --> 00:07:06,000 +خاصة في العدسات الريملس، اللي ما بيكون لها ريم. + +78 +00:07:10,140 --> 00:07:15,000 +إذا إحنا أخذنا الـ in-piece construction، can be + +79 +00:07:15,000 --> 00:07:19,180 +classified into two types، إما بيكون plastic أو + +80 +00:07:19,180 --> 00:07:24,740 +بيكون metal. الـ plastic can be sub-categorized into + +81 +00:07:24,740 --> 00:07:32,240 +three types، إما بيكون عندنا pot type، أو الـ mitre + +82 +00:07:32,240 --> 00:07:36,920 +type، أو بيكون اللي هو turn back type. + +83 +00:07:36,920 --> 00:07:42,120 +بينما الـ metal بيكون مشابه لمين؟ للـ turn + +84 +00:07:42,120 --> 00:07:47,280 +back style بالنسبة + +85 +00:07:47,280 --> 00:07:54,180 +للـ temple construction. Temples also vary greatly in + +86 +00:07:54,180 --> 00:07:58,320 +their construction. يعني فيه هناك أنواع مختلفة + +87 +00:07:58,320 --> 00:08:05,640 +ومتنوعة من اللي هو الـ temple، لكن بالعموم فيه خمسة + +88 +00:08:05,640 --> 00:08:10,360 +أنواع أساسية. In general, there are five major + +89 +00:08:10,360 --> 00:08:16,240 +categories. إيش هم؟ أول نوع عندنا الـ skull temples. + +90 +00:08:16,240 --> 00:08:21,500 +إيش معنى الـ skull؟ جمجمة، صح ولا لأ؟ مش الـ skull + +91 +00:08:21,500 --> 00:08:26,320 +اللي أخذتوها في الـ anatomy، معناها جمجمة، تمام؟ إذا + +92 +00:08:26,320 --> 00:08:32,980 +عندنا skull temples bent down. إيش معنى bent؟ يعني + +93 +00:08:32,980 --> 00:08:40,380 +يميل أو ينحني down behind the ear، إذا خلف اللي هو + +94 +00:08:40,380 --> 00:08:46,540 +الأذن، and follow the contour of the skull، وهيتبع + +95 +00:08:46,540 --> 00:08:52,490 +اللي هو محيط الجمجمة. Okay, resting evenly + +96 +00:08:52,490 --> 00:08:58,570 +against it، ومن الملاحظ أنه بيريح بشكل + +97 +00:08:58,570 --> 00:09:04,770 +اللي هو مضاد. كيف يعني؟ الآن هي عندنا الـ temple، أو + +98 +00:09:04,770 --> 00:09:11,250 +الـ skull temple، بتلاحظوا أنه بياخذ محيط من الـ + +99 +00:09:11,250 --> 00:09:16,950 +skull، وبيكون اللي هو over the ear، فوق اللي هو + +100 +00:09:16,950 --> 00:09:21,270 +الأذن، بحيث أن الباحة بتكون كلها over + +101 +00:09:21,270 --> 00:09:24,990 +the ear. زي الإطارات معظمها اللي إحنا بنشوفها هي + +102 +00:09:24,990 --> 00:09:31,070 +عبارة عن إيه؟ اللي هو skull temple، تمام؟ + +103 +00:09:31,070 --> 00:09:37,630 +The bent down portion is narrower at the top. الآن + +104 +00:09:37,630 --> 00:09:44,220 +في المنطقة هذه إيش بتلاحظوا؟ أن هنا نحيفة، أو يعني + +105 +00:09:44,220 --> 00:09:47,600 +اللي هو فيه نحافة مقارنة بمن؟ في الـ bottom. + +106 +00:09:47,600 --> 00:09:54,000 +تمام؟ يعني عندنا مرة ثانية، في الـ skull temple، أن + +107 +00:09:54,000 --> 00:09:59,680 +في منطقة الـ top، هذه الـ top، وهذه عندنا المنطقة + +108 +00:09:59,680 --> 00:10:04,760 +هذه الـ bottom. إن + +109 +00:10:04,760 --> 00:10:08,920 +هنا بتكون نحيفة، مقارنة بمنطقة اللي هو إيه؟ الـ + +110 +00:10:08,920 --> 00:10:14,390 +bottom. إذا الـ bent down portion is narrower، إنه + +111 +00:10:14,390 --> 00:10:19,810 +ضيق at the top of the ear and widens، إنه بيعرض + +112 +00:10:19,810 --> 00:10:31,130 +باتجاه الـ end، أو باتجاه الـ bottom. + +113 +00:10:31,130 --> 00:10:39,600 +temples usually begin with an average width. يعني + +114 +00:10:39,600 --> 00:10:46,180 +غالبا بيكون فيه هناك إيش؟ متوسط للعرض، يعني + +115 +00:10:46,180 --> 00:10:51,820 +اللي هو العرض بتاعه بيكون اللي هو متوسط at the bot + +116 +00:10:51,820 --> 00:10:56,500 +and decrease. يعني هنا في الـ pot type، طلعوا معايا + +117 +00:10:56,500 --> 00:11:00,960 +في الصورة. هنا بتكون متوسط، اللي هو average، اللي هو + +118 +00:11:00,960 --> 00:11:06,400 +width. وهذا العرض بتاعه بيقل كل ما أنا وين رحت، and + +119 +00:11:06,400 --> 00:11:10,400 +decrease in width posteriorly. الآن أنتم إيش + +120 +00:11:10,400 --> 00:11:14,280 +بتلاحظوا؟ كل ما انتقلنا من منطقة الـ bot للنهاية، + +121 +00:11:14,280 --> 00:11:20,720 +بتلاحظوا أن العرض بتاعه بيقل، تمام؟ + +122 +00:11:20,720 --> 00:11:25,780 +they are practically straight. شو معنى practically؟ + +123 +00:11:25,780 --> 00:11:30,610 +يعني من ناحية عملية، تمام؟ straight بيكون اللي هو + +124 +00:11:30,610 --> 00:11:38,070 +مستقيم. And hold the glasses، اللي هو العدسات، on + +125 +00:11:38,070 --> 00:11:42,750 +primarily، يعني بالأساس هو بيمسك اللي هو العدسات + +126 +00:11:42,750 --> 00:11:48,230 +بحيث أنه بيخليهم أمام عين المريض. By pressure، + +127 +00:11:48,230 --> 00:11:52,890 +بواسطة الضغط، against the side of the head، يعني من + +128 +00:11:52,890 --> 00:11:58,210 +خلال اللي هو الضغط على نهاية اللي هو مين؟ الـ ear، أو + +129 +00:11:58,210 --> 00:12:04,470 +نهاية اللي هو الـ head الخاص بمن؟ بالمريض. أيضًا، + +130 +00:12:04,470 --> 00:12:10,290 +اللي اسمه الآخر، they are also known as straight back + +131 +00:12:10,290 --> 00:12:14,390 +temples. يعني هذا عبارة عن اسم آخر لمن؟ للـ + +132 +00:12:14,390 --> 00:12:20,520 +library temples. إذا ببساطة، الـ library temples، + +133 +00:12:20,520 --> 00:12:24,700 +إنه في منطقة الـ bot بيكون العرض بتاعه متوسط، + +134 +00:12:24,700 --> 00:12:28,680 +average، اللي هو width. كل ما روحنا للنهاية بتلاقي + +135 +00:12:28,680 --> 00:12:35,960 +أنه بيقل. طيب، هو كيف بالأساس بيحافظ على أن العدسات + +136 +00:12:35,960 --> 00:12:41,590 +تكون أمام العين؟ من خلال عملية الضغط على الـ head للـ + +137 +00:12:41,590 --> 00:12:46,610 +لي هو المريض. الاسم الآخر له، بيسمى straight + +138 +00:12:46,610 --> 00:12:53,890 +back temples. أيضًا، + +139 +00:12:53,890 --> 00:12:58,150 +عندنا convertible temples. إيش معنى convertible + +140 +00:12:58,150 --> 00:13:03,510 +temples؟ يعني + +141 +00:13:03,510 --> 00:13:08,210 +الـ temple اللي ممكن أنه يتحول أو يتبدل. يعني تحويل + +142 +00:13:08,210 --> 00:13:13,820 +أو تبديل اللي هو لمين؟ للـ temple. يعني قابل للتحويل + +143 +00:13:13,820 --> 00:13:21,580 +أو قابل للتبديل. Were + +144 +00:13:21,580 --> 00:13:27,480 +originally designed so they could be bent down to + +145 +00:13:27,480 --> 00:13:33,420 +take on the form of skull temples. يعني بداية كانت + +146 +00:13:33,420 --> 00:13:38,900 +نشأته، نشأة اللي هو إنه هذا بيسمى الإطار على أنه + +147 +00:13:38,900 --> 00:13:43,240 +convertible temple. فكانت النشأة الأولى هو عبارة عن + +148 +00:13:43,240 --> 00:13:48,120 +skull temple. فاكرينه، الـ skull اللي بيكون إيش؟ يعني + +149 +00:13:48,120 --> 00:13:52,820 +بيجي اللي هو على محيط اللي هو مين؟ الجمجمة، تمام؟ + +150 +00:13:54,160 --> 00:13:57,760 +Converted from the straight back to the skull + +151 +00:13:57,760 --> 00:14:03,820 +design. هو يمكن تحويله من library temple لـ skull + +152 +00:14:03,820 --> 00:14:09,460 +temple. يعني ممكن أنا أغير فيه أو أبدل اللي هو + +153 +00:14:09,460 --> 00:14:15,260 +بالشكل بتاعه. نشوف كيف. because this temple is + +154 +00:14:15,260 --> 00:14:20,000 +versatile. يعني + +155 +00:14:20,000 --> 00:14:25,030 +متعدد الجوانب والاستعمالات، تمام؟ هذا الـ temple + +156 +00:14:25,030 --> 00:14:28,770 +الميزة اللي فيه أنه بتكون متعددة الجوانب + +157 +00:14:28,770 --> 00:14:34,770 +والاستعمالات، and can be made to fit people with a + +158 +00:14:34,770 --> 00:14:39,490 +variety of temple length requirements. It’s + +159 +00:14:39,490 --> 00:14:44,510 +commonly used. يعني حسب الـ proper fit للمريض، أنا + +160 +00:14:44,510 --> 00:14:51,250 +بستخدمه. يعني دائمًا إن بيُعَمَل عملية التبديل بناء على + +161 +00:14:51,250 --> 00:14:58,500 +أنسب حاجة للمريض. Okay. However, it now comes already + +162 +00:14:58,500 --> 00:15:04,560 +bent down for a certain temple fit. لكن الآن كلهُ + +163 +00:15:04,560 --> 00:15:11,480 +بيجي temple اللي هو fit، يعني أقرب لمين؟ للـ + +164 +00:15:11,480 --> 00:15:16,410 +straight back، تمام؟ أو للـ library temple. + +165 +00:15:16,410 --> 00:15:21,250 +إحنا قلنا في الأول، كان منشأه عبارة عن skull temple، + +166 +00:15:21,250 --> 00:15:26,970 +بعدين ممكن أن نحوله من skull لمين؟ لـ library، أو + +167 +00:15:26,970 --> 00:15:31,610 +للي هو turn back. نفس الاسم، لكن الآن حاليًا كله + +168 +00:15:31,610 --> 00:15:38,570 +بيستخدم على أنه library temple. If the bend is in the + +169 +00:15:38,570 --> 00:15:43,580 +wrong location، لو كان موقعه غير صحيح أو خاطئ، يعني + +170 +00:15:43,580 --> 00:15:48,000 +الآن أنا أديت لمريض إطار، وكان موقع الـ temple هذا + +171 +00:15:48,000 --> 00:15:55,700 +غير صحيح، يعني + +172 +00:15:55,700 --> 00:16:01,670 +يمكن اللي هو استقامته، المنحنى هذا، ممكن أعدله. Okay, + +173 +00:16:01,670 --> 00:16:06,390 +straighten it out, and then repaint to fit the wearer. أنه بأعمله + +174 +00:16:06,390 --> 00:16:10,450 +أول حاجة مستقيم، اللي هو straighten، ومن ثم بأعمل + +175 +00:16:10,450 --> 00:16:15,610 +إعادة إيش؟ ميلان للي هو نهاية الـ temple، بحيث أنه + +176 +00:16:15,610 --> 00:16:23,310 +يكون مناسب لهذا المريض. okay. هاي شايفين الشكل الأول، + +177 +00:16:23,310 --> 00:16:27,830 +إيش هو؟ عبارة عن skull temple، صح ولا لأ؟ لكن قلنا + +178 +00:16:27,830 --> 00:16:34,730 +للنهاية هذه، ممكن أن يتم عملية إزالته، وانحناقه، + +179 +00:16:34,730 --> 00:16:41,110 +بتصير عبارة عن library temple، تمام؟ أيضًا إن لو هذه + +180 +00:16:41,110 --> 00:16:45,510 +الـ + +223 +00:20:55,330 --> 00:20:59,510 +تقريبا بيكون لون واحد، تمام؟ يعني الآن لو احنا + +224 +00:20:59,510 --> 00:21:05,250 +اتطلعنا على منطقة الـ front، على منطقة الـ top rim أو + +225 +00:21:05,250 --> 00:21:09,710 +منطقة الـ bottom rim أو منطقة الـ bridge أو منطقة الـ + +226 +00:21:09,710 --> 00:21:15,970 +temple، كلها تقريبا لون واحد، تمام؟ هذا بنسميه a + +227 +00:21:15,970 --> 00:21:20,530 +solid frame. It is all one color. عندنا + +228 +00:21:20,530 --> 00:21:25,930 +vertically gradient. إيش معنى كلمة gradient؟ بمعنى + +229 +00:21:25,930 --> 00:21:31,070 +اللي هو تدريج. 100% It's darker all the way + +230 +00:21:31,070 --> 00:21:35,930 +across the top، منطقة اللي هو الـ rim في الـ top. + +231 +00:21:35,930 --> 00:21:40,030 +بتلاقيها darker، مُظلمة أكثر، أو بمعنى لونها أكثر + +232 +00:21:40,030 --> 00:21:47,770 +غامق أكثر، تمام؟ في الـ top، الـ top rim، including the + +233 +00:21:47,770 --> 00:21:52,050 +bridge أيضا. الـ bridge بتلاقي اللي هو darker and + +234 +00:21:52,050 --> 00:21:57,170 +is lighter، أقل، اللي هو إضاءة، تمام؟ أو أخف، اللي هو + +235 +00:21:57,170 --> 00:22:01,050 +إضاءة. وين بتكون؟ across the bottom. يعني الآن لو أنا + +236 +00:22:01,050 --> 00:22:07,410 +سألتك وين اللي هو الـ darker color؟ في الـ top ولا الـ + +237 +00:22:07,410 --> 00:22:11,250 +bottom؟ أكيد في الـ top. وبالإضافة لمين؟ اللي هو + +238 +00:22:11,250 --> 00:22:15,410 +الـ bridge. بينما منطقة الـ bottom rim بتلاقيها + +239 +00:22:15,410 --> 00:22:22,730 +lighter than the top rim. هذه بالنسبة لـ a vertically gradient. + +240 +00:22:22,730 --> 00:22:27,910 +عندنا + +241 +00:22:27,910 --> 00:22:34,090 +a horizontally gradient frame is darker وين؟ at + +242 +00:22:34,090 --> 00:22:38,550 +the temples. شايفين اللون غامق كتير وين؟ في الأطراف + +243 +00:22:38,550 --> 00:22:43,940 +في الـ temporal portions، and lightens towards the + +244 +00:22:43,940 --> 00:22:48,380 +ear. كل ما إجينا باتجاه اللي هو... عفوا، باتجاه اللي + +245 +00:22:48,380 --> 00:22:51,400 +هو الـ center، كل ما إجينا باتجاه الـ center بتلاقي + +246 +00:22:51,400 --> 00:22:56,840 +أنه بتفتح أكثر. يعني هنا غامق كتير، أو واضح اللي هو + +247 +00:22:56,840 --> 00:23:00,780 +الـ darker كتير. هنا إيش بتلاقيه؟ أخف، اللي هو lighter + +248 +00:23:00,780 --> 00:23:06,340 +than في منطقة الـ center، أو في منطقة الـ bridge حتى. + +249 +00:23:06,340 --> 00:23:13,330 +بتلاحظي هنا أخف، سواد غامق وهنا إيش؟ اللون الأخف. هذه + +250 +00:23:13,330 --> 00:23:20,810 +a horizontally gradient، تدريج اللي هو أفقي. a + +251 +00:23:20,810 --> 00:23:25,730 +clear bridge frame somewhat resembles، يعني هي + +252 +00:23:25,730 --> 00:23:29,930 +بتكون مشابهة إلى حد ما للـ horizontal gradient، + +253 +00:23:29,930 --> 00:23:34,890 +ولكن but are dark at the top، أن الـ top يكون dark، + +254 +00:23:36,440 --> 00:23:41,420 +except باستثناء الـ bridge area. يعني منطقة الـ clear + +255 +00:23:41,420 --> 00:23:46,740 +bridge، أن عندنا الـ temples هتكون dark، تمام؟ و + +256 +00:23:46,740 --> 00:23:51,560 +أيضا إيش كمان عندنا؟ منطقة اللي هو الـ top rim، + +257 +00:23:51,560 --> 00:23:54,740 +باستثناء الـ bridge. هي اللي هيكون إيش؟ اللي هو + +258 +00:23:54,740 --> 00:24:00,120 +lighter، مقارنة في المناطق الثانية. okay. the + +259 +00:24:00,120 --> 00:24:05,800 +multitude of color combinations available now makes + +260 +00:24:05,800 --> 00:24:11,180 +categorization beyond this difficult. الآن أيضا في + +261 +00:24:11,180 --> 00:24:16,580 +هناك تصنيفات ثانية أنه يمكن العمل بها، ولكن يعني + +262 +00:24:16,580 --> 00:24:23,040 +في الـ... في مساقنا هذا أنه مش هنتطرق لها، عشان ما + +263 +00:24:23,040 --> 00:24:28,210 +نعملش اللي هو عملية إيش؟ خربطة، اللي هو في كيفية اللي + +264 +00:24:28,210 --> 00:24:32,570 +هو تصنيف الـ plastic، اللي هو الـ frame من خلال + +265 +00:24:32,570 --> 00:24:35,290 +اللون، اللي هو اللون، اللي هو اللون، اللي هو اللون + +266 +00:24:35,290 --> 00:24:35,350 +اللون، اللي هو اللون، اللي هو اللون، اللي هو اللون + +267 +00:24:35,350 --> 00:24:35,450 +اللي هو اللون، اللي هو اللون، اللي هو اللون، اللي هو + +268 +00:24:35,450 --> 00:24:35,610 +اللون، اللي هو اللون، اللي هو اللون، اللي هو اللون + +269 +00:24:35,610 --> 00:24:35,970 +اللي هو اللون، اللي هو اللون، اللي هو اللون، اللي هو + +270 +00:24:35,970 --> 00:24:36,790 +اللون، اللي هو اللون، اللي هو اللون، اللي هو اللون + +271 +00:24:36,790 --> 00:24:37,170 +اللي هو اللون، اللي هو اللون، اللي هو اللون، اللي هو + +272 +00:24:37,170 --> 00:24:37,670 +اللي هو اللون، اللي هو اللون، اللي هو اللون، اللي هو + +273 +00:24:37,670 --> 00:24:42,670 +اللون، اللي هو اللون، اللي هو اللون، اللي هو اللون + +274 +00:24:42,670 --> 00:24:46,350 +اللي هو اللون، اللي هو + +275 +00:24:56,410 --> 00:25:02,010 +إيش يعني allergic reactions؟ يعني ردود اللي هو + +276 +00:25:02,010 --> 00:25:09,250 +الفعلي، أو الحساسية اللي بتحدث مع ارتداء الـ frame. + +277 +00:25:09,250 --> 00:25:15,770 +Most frame manufacturers will use a coating on + +278 +00:25:15,770 --> 00:25:22,470 +their plastic frames to protect the frames and also + +279 +00:25:22,470 --> 00:25:26,630 +to reduce any possibility of allergic reactions. + +280 +00:25:26,630 --> 00:25:32,470 +معظم الأشخاص اللي بيصنعوا الإطارات الطبية + +281 +00:25:32,470 --> 00:25:39,150 +بيستخدموا اللي هي طبقة من الـ طلاء، أو طبقة اللي هو + +282 +00:25:39,150 --> 00:25:45,070 +من التلوين، تمام؟ الهدف من هذه الطبقة أنه تعمل حماية + +283 +00:25:45,070 --> 00:25:50,960 +لمين؟ للإطار. والشغل التاني، إذا في هناك أي تفاعل ما + +284 +00:25:50,960 --> 00:25:56,220 +بين الـ frame وجسم بتاع اللي هو المريض، أنه تخفف + +285 +00:25:56,220 --> 00:26:01,860 +هذا الألم، هذا اللي هو الأمر. يعني معظم الإطارات + +286 +00:26:01,860 --> 00:26:06,180 +اللي إحنا شايفينها ملبوسة لازم يكون عليها طبقة من + +287 +00:26:06,180 --> 00:26:08,880 +اللي هو الـ coating، طبقة طلاء. + +288 +00:26:11,400 --> 00:26:17,720 +However, sometimes this is not enough. مع ذلك، أن هذه + +289 +00:26:17,720 --> 00:26:22,480 +الطبقة الطلاء، في بعض الأحيان ما بتكون كافية + +290 +00:26:25,460 --> 00:26:29,940 +to reduce the possibility of a reaction for people + +291 +00:26:29,940 --> 00:26:34,480 +who have a history of skin reactions to wearing + +292 +00:26:34,480 --> 00:26:39,860 +frames. Use frame materials that are known to + +293 +00:26:39,860 --> 00:26:44,700 +be hypoallergenic. الآن لو احنا بنعرف شخص عنده + +294 +00:26:44,700 --> 00:26:49,760 +دايما حساسية في جلده، تمام؟ الآن لما أنا بدي أدي + +295 +00:26:49,760 --> 00:26:56,140 +إطار، بدي أحاول أدي إطار يكون المادة المصنوعة منه + +296 +00:26:56,140 --> 00:27:00,980 +أقل اللي هو إيش؟ تفاعلا، أو أقل حساسية، نسميها + +297 +00:27:00,980 --> 00:27:06,080 +hypoallergenic، تمام؟ يعني أقل اللي هو حساسية، يعني + +298 +00:27:06,080 --> 00:27:09,580 +ما تعملش اللي هو reaction ما بين جسمه وما بين + +299 +00:27:09,580 --> 00:27:10,100 +الإطار. + +300 +00:27:12,960 --> 00:27:16,760 +Here are some that are reported to be + +301 +00:27:16,760 --> 00:27:22,000 +hypoallergenic. من هذه المواد اللي بتقلل الحساسية + +302 +00:27:22,000 --> 00:27:27,520 +ما بين الإطار وما بين جسم اللي هو الشخص، في عندنا + +303 +00:27:27,520 --> 00:27:33,200 +Optyl material. هي عبارة عن Multi- + +304 +00:27:33,200 --> 00:27:37,820 +polymer. إيش يعني Multi-polymer؟ إنه Plastic + +305 +00:27:37,820 --> 00:27:42,860 +متعدد، يعني مصنوع من أكثر من مادة بلاستيكية. الاسم + +306 +00:27:42,860 --> 00:27:49,980 +التجاري بتاعه اسمه A Brand of Epoxy + +307 +00:27:49,980 --> 00:27:57,110 +Resin. هذا الاسم التجاري الخاص في الـ Optyl. عندنا a + +308 +00:27:57,110 --> 00:28:01,650 +brand of epoxy resin. Resin معناها plastic، صح ولا + +309 +00:28:01,650 --> 00:28:16,250 +لأ. يعني بمعنى multi-polymer أيضا. + +310 +00:28:16,250 --> 00:28:23,790 +عندنا polyamide أو Copolyamide، عندنا تيتانيوم و + +311 +00:28:23,790 --> 00:28:30,630 +stainless steel. في هناك ثلاث خواص لهذول الأربع مواد. + +312 +00:28:30,630 --> 00:28:36,410 +الخاصية الأولى، أنه تعتبر hypoallergenic، يعني أقل + +313 +00:28:36,410 --> 00:28:41,330 +حساسية مع جسم اللي هو الإنسان، أو أقل تفاعل مع اللي + +314 +00:28:41,330 --> 00:28:46,160 +هو مين؟ مع جسم الإنسان. الشغلة الثانية، أنه + +315 +00:28:46,160 --> 00:28:50,860 +comfortable، مريحة. والشغلة الثالثة، أنه lightweight، + +316 +00:28:50,860 --> 00:28:55,400 +خفيفة. الآن الـ stainless steel أو التيتانيوم، دايما + +317 +00:28:55,400 --> 00:28:59,760 +إيش بتلاحظه؟ أنه فيه خفة، صح ولا لأ؟ فهي المميزات + +318 +00:28:59,760 --> 00:29:09,400 +الخاصة بثلاث أو الأربع مواد هدول. if + +319 +00:29:09,400 --> 00:29:13,440 +a person is already having a reaction. + +320 +00:29:26,100 --> 00:29:34,680 +الآن المريض شعر أن فيه تفاعل ما بين الإطار وما + +321 +00:29:34,680 --> 00:29:40,150 +بين جلده، تمام؟ الآن إيش بدنا نبدأ نعمل؟ نقول له: هذا + +322 +00:29:40,150 --> 00:29:44,090 +الإطار غير مناسب لك، تمام؟ ولابد من اللي هو + +323 +00:29:44,090 --> 00:29:49,650 +استبداله، لأنه إذا دلّ الإطار هذا، لبسه الشخص، هيبدأ + +324 +00:29:49,650 --> 00:29:54,330 +اللي هو يزيد عملية الـ allergy، الحساسية. Have a + +325 +00:29:54,330 --> 00:29:58,290 +clear coat finish applied to a frame. طيب، هو غير + +326 +00:29:58,290 --> 00:30:04,590 +مُقتدر أنه يغيّر الإطار. بناخد الإطار، طبعا هذه الشركة + +327 +00:30:04,590 --> 00:30:10,410 +وبتعمل له اللي هو coating، طبقة طلاء. الهدف منها + +328 +00:30:10,410 --> 00:30:15,650 +أنه تقلل عملية إيش؟ التفاعل ما بين الجلد بتاع الـ + +329 +00:30:15,650 --> 00:30:21,970 +patient والـ إطار. أو يتم استخدام ultra-thin، إيش + +330 +00:30:21,970 --> 00:30:26,590 +معنى ultra-thin؟ يعني طبقة رقيقة. هي عبارة عن + +331 +00:30:26,590 --> 00:30:31,810 +tube، أنبوبة صغيرة، أو أنبوبة رقيقة. الهدف منها أنه + +332 +00:30:31,810 --> 00:30:37,130 +تعمل shrink للـ heat، يعني تعمل اللي هو انكماش + +333 +00:30:37,130 --> 00:30:41,390 +لدرجة الحرارة، أو للحرارة الخاصة في الإطار. يعني + +334 +00:30:41,390 --> 00:30:46,800 +تقلل اللي هو درجة الحرارة. إذا استخدمنا ultra-thin، + +335 +00:30:46,800 --> 00:30:51,900 +clear heat shrink tubing over the temples. طبعا هذه + +336 +00:30:51,900 --> 00:31:06,420 +كلها بتتم من خلال شركات صناعة الإطارات. If + +337 +00:31:06,420 --> 00:31:13,470 +a person has an allergic reaction to nose pads. الآن + +338 +00:31:13,470 --> 00:31:18,770 +لو الشخص عنده حساسية من المخدات الخاصة في النظارة، + +339 +00:31:18,770 --> 00:31:24,750 +تمام؟ there are replacement pads. إذا بدنا نعمل + +340 +00:31:24,750 --> 00:31:28,310 +عملية استبدال لهذه المخدات. replacement في معنى + +341 +00:31:28,310 --> 00:31:33,230 +استبدال. available that will eliminate the problem. + +342 +00:31:33,950 --> 00:31:41,590 +إذا بدنا نستبدل باللي هو مخدات أخرى، تمام؟ عشان أنه + +343 +00:31:41,590 --> 00:31:46,990 +نعمل إزالة لهذه المشكلة. طيب، المخدات الجديدة اللي + +344 +00:31:46,990 --> 00:31:51,930 +بدها تقلل الـ reaction allergy، تمام؟ من إيش مصنوعة؟ + +345 +00:31:51,930 --> 00:31:59,190 +أول حاجة، عندنا gold-plated metal nose pads. يعني + +346 +00:31:59,190 --> 00:32:06,490 +هذه المخدات بدها تكون مُغلفة شوية، أو بمعنى اللي هو + +347 +00:32:06,490 --> 00:32:12,330 +فيها مادة من اللي هو الذهب، تمام؟ يعني مُطلي لها + +348 +00:32:12,330 --> 00:32:19,540 +شيء من اللي هو الذهب. أو عندنا titanium nose pads، أو + +349 +00:32:19,540 --> 00:32:23,180 +الـ crystal nose pads. طبعا الـ crystal nose pads + +350 +00:32:23,180 --> 00:32:28,880 +اللي عبارة عن معدن، معدن اللي هو الـ crystal، يعني + +351 +00:32:28,880 --> 00:32:33,580 +معدن اللي هو ثمين. هذول الثلاث مواد بيعملوا على اللي + +352 +00:32:33,580 --> 00:32:39,740 +هو تقليل الـ reaction ما بين الـ frame، أو ما بين الـ + +353 +00:32:39,740 --> 00:32:45,480 +nose pads واللي هو الـ skin الخاص بالشخص. For + +354 +00:32:45,480 --> 00:32:52,900 +allergic reactions to metal cable temples. Use a + +355 +00:32:52,900 --> 00:32:57,180 +plastic cover to cover the temples. بعض الأحيان الـ + +356 +00:32:57,180 --> 00:33:02,020 +temples نهايتها بتكون عاملة أيضا إيش؟ حساسية لجلد + +357 +00:33:02,020 --> 00:33:06,140 +الشخص. طيب، إيش بنعمل؟ بنجيب الـ temples و بنجيب قطعة + +358 +00:33:06,140 --> 00:33:10,720 +بلاستيكية ثانية، يمكن شفتوها في بعض الإطارات، بتلاحظ + +359 +00:33:10,720 --> 00:33:15,460 +أن الـ temples بتاع الإطار كله معدن، بحط قطعة + +360 +00:33:15,460 --> 00:33:19,780 +بلاستيكية مضافة عشان يقلل من الـ reaction ما بين + +361 +00:33:19,780 --> 00:33:25,190 +اللي هو الـ temple of skin مع اللي هو من الـ frame، + +362 +00:33:25,190 --> 00:33:31,130 +تمام؟ يعني إضافة temple جديد في داخل الـ temple اللي هو + +363 +00:33:31,130 --> 00:33:40,010 +الرئيسي أو الأساسي. temple covers. هذا temple اللي تم + +364 +00:33:40,010 --> 00:33:45,810 +إضافته جديد، مصنوع اللي هو من إما plastic أو vinyl + +365 +00:33:45,810 --> 00:33:51,500 +and silicon materials. لأنه دايما أنه أقل اللي هو + +366 +00:33:51,500 --> 00:33:56,520 +خطورة، اللي هو الـ plastic من مين؟ من الـ metal، أو أقل + +367 +00:33:56,520 --> 00:34:02,700 +تفاعلا بينه وبين مين؟ اللي هو الـ what I call اللي + +368 +00:34:02,700 --> 00:34:09,160 +هو الـ metal. okay. there is also heat shrink tubing + +369 +00:34:09,160 --> 00:34:14,280 +sold for this purpose. يعني بتتم اللي هو زي ما قلنا + +370 +00:34:14,280 --> 00:34:20,340 +شراء الـ ultra-thin، اللي هي الـ... الـ ultra-thin، + +371 +00:34:20,340 --> 00:34:25,640 +قلنا إيش معناها؟ الطبقات اللي هو الرقيقة، بتتم اللي + +372 +00:34:25,640 --> 00:34:31,560 +هو شرائها لهذا الهدف. إذا sold for this purpose، + +373 +00:34:31,560 --> 00:34:37,500 +يعني لهذا الهدف، which reportedly takes care of + +374 +00:34:37,500 --> 00:34:41,100 +eliminating allergic reactions. واللي بتُعطى أو + +375 +00:34:41,100 --> 00:34:45,200 +بتُؤخذ اللي هو بعناية لعملية اللي هو إزالة إيش؟ + +376 +00:34:45,510 --> 00:34:51,770 +التفاعل ما بين الـ skin patient وما بين الـ frame. + +377 +00:34:51,770 --> 00:34:57,510 +An + +378 +00:34:57,510 --> 00:35:02,890 +additional note on allergies: there is a liquid + +379 +00:35:02,890 --> 00:35:07,990 +lens liner sometimes used in the groove of a + +380 +00:35:07,990 --> 00:35:13,650 +frame to make a loose lens more secure. في بعض + +381 +00:35:13,650 --> 00:35:19,300 +الأحيان، الآن لما بيجي أو بيأخذ اللي هو وصفة المريض، + +382 +00:35:21,070 --> 00:35:26,350 +أول حاجة بيشتري الـ uncut lens. بيجي الآن، بده يقصّ + +383 +00:35:26,350 --> 00:35:30,950 +الـ uncut lens. بيخلي أنه فيه هناك اللي هو العدسة + +384 +00:35:30,950 --> 00:35:35,450 +في اتساع، يعني بتكون العدسة إيش مالها؟ واسعة، يعني + +385 +00:35:35,450 --> 00:35:39,970 +مُزوّدة بعملية الـ gap. يعني الآن لو أنا أمسكت العدسات + +386 +00:35:39,970 --> 00:35:43,930 +في داخل الإطار، بتلاقي العدسة loose، يعني رقيقة، + +387 +00:35:43,930 --> 00:35:49,090 +بتتحرك معها. هذه إيش الهدف بيعملها؟ أنه عشان يكون + +388 +00:35:49,090 --> 00:35:53,090 +أكثر secure، يعني أكثر أمان. دايما بقول لك لما تكون + +389 +00:35:53,090 --> 00:35:58,090 +العدسة مضغوطة كتير، ممكن الشخص وهو يلبسها إيش؟ تنكسر + +390 +00:35:58,090 --> 00:36:04,050 +العدسة، نتيجة اللي هو الـ pressure القوي، تمام؟ إيش + +391 +00:36:04,050 --> 00:36:09,830 +الفايدة من ذلك؟ This material contains latex and + +392 +00:36:09,830 --> 00:36:15,390 +shouldn't be used on a frame whose wearers have + +393 +00:36:15,390 --> 00:36:22,150 +latex allergies. طيب، الآن صاحب المحل بدي يحافظ + +394 +00:36:22,150 --> 00:36:27,190 +على هذه العدسات، يعني بمعنى آخر أنه بدهوش يرمي + +395 +00:36:27,190 --> 00:36:30,990 +العدسات، أو بدهوش أنه يخسر هدول العدسات. إيش بيروح + +396 +00:36:30,990 --> 00:36:35,770 +بيجيب؟ بيجيب مادة الـ Latex، تمام؟ وبيلزّق + +397 +00:36:35,770 --> 00:36:40,370 +اللي هو العدسة. طيب، الآن أنت لما بتلزّق العدسة، هذه + +398 + +445 +00:41:30,950 --> 00:41:36,430 +هيكون بدمجها للجروف يعني المنطقة اللي هتحصر اللي هو + +446 +00:41:36,430 --> 00:41:42,130 +العدسة أو الليفل تمام؟ عشان يتم اللي هو تلائم ما + +447 +00:41:42,130 --> 00:41:44,050 +بين العدسة و بين الإطار + +448 +00:41:48,660 --> 00:41:53,960 +Okay, the point along the datum line halfway + +449 +00:41:53,960 --> 00:41:58,760 +between the edges of the lens is the datum center. + +450 +00:41:58,760 --> 00:42:03,660 +ال datum center هو منتصف ال datum line اللي + +451 +00:42:03,660 --> 00:42:08,380 +بيكون موازياً للـ horizontal line، هاي datum + +452 +00:42:08,380 --> 00:42:18,120 +center، وهنا datum center في المنتصف، Okay. + +453 +00:42:19,110 --> 00:42:22,870 +The depth of the lens أو الـ mid اللي هو datum + +454 +00:42:22,870 --> 00:42:29,630 +depth، أيضاً بيسمى، okay، measured as the vertical + +455 +00:42:29,630 --> 00:42:34,930 +depth through the datum center was the mid datum + +456 +00:42:34,930 --> 00:42:40,370 +depth، إذا أنا مادام بتكلم على كلمة اللي هو depth + +457 +00:42:40,370 --> 00:42:45,870 +إذا عندنا عبارة عن الـ vertical، okay، يعني بأخذ اللي + +458 +00:42:45,870 --> 00:42:52,380 +هو العدسة من الـ top part للـ bottom part، الملاحظين هنا + +459 +00:42:52,380 --> 00:42:56,360 +على حدود العدسة، مش على حدود الإطار. + +460 +00:42:56,360 --> 00:43:00,920 +يعني في هناك فرق تقريباً من اتنين لاتنين ونص ملي. + +461 +00:43:06,350 --> 00:43:12,430 +The datum system preceded the currently used + +462 +00:43:12,430 --> 00:43:16,750 +boxing system. يعني الآن تم الاستغناء عن + +463 +00:43:16,750 --> 00:43:20,750 +نظام اللي هو ال datum system، والنظام المعمول فيه + +464 +00:43:20,750 --> 00:43:25,150 +في الوقت الحاضر هو عبارة عن مين؟ ال boxing system. + +465 +00:43:25,150 --> 00:43:29,450 +اللي هنكمل إن شاء الله مجرياته في المحاضرة + +466 +00:43:29,450 --> 00:43:33,150 +القادمة. يعطيكم العافية، أي سؤال؟ أي استفسار؟ diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/66h4nZmDbEA_raw.json b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/66h4nZmDbEA_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..9a9e8148fed5436c7af4eb44b1d0e7de3872b8af --- /dev/null +++ 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{"start": 88.18, "end": 89.14, "word": " construction", "probability": 0.95849609375}, {"start": 89.14, "end": 90.44, "word": " مصنوعة", "probability": 0.962109375}, {"start": 90.44, "end": 90.64, "word": " من", "probability": 0.9873046875}, {"start": 90.64, "end": 91.08, "word": " إيه؟", "probability": 0.82135009765625}, {"start": 91.08, "end": 91.28, "word": " من", "probability": 0.98486328125}, {"start": 91.28, "end": 91.4, "word": " ال", "probability": 0.72607421875}, {"start": 91.4, "end": 91.82, "word": " plastic", "probability": 0.63818359375}, {"start": 91.82, "end": 93.28, "word": " النوع", "probability": 0.957763671875}, {"start": 93.28, "end": 93.8, "word": " الأول", "probability": 0.99072265625}, {"start": 93.8, "end": 94.72, "word": " the", "probability": 0.426513671875}, {"start": 94.72, "end": 95.18, "word": " most", "probability": 0.9091796875}, {"start": 95.18, "end": 95.9, "word": " common", "probability": 0.9453125}, {"start": 95.9, "end": 97.02, "word": " in", 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بيعمل ما بينهم زاوية قيمة الزاوية هذه بتكون قداش تسعين degree", "tokens": [4117, 2304, 5172, 3224, 20498, 46740, 1975, 2407, 9122, 2655, 3615, 16572, 5172, 294, 597, 264, 1868, 307, 2997, 13412, 995, 33911, 9957, 34105, 2423, 1868, 28242, 3224, 7251, 2655, 4587, 33599, 7251, 34268, 26890, 2997, 3714, 14851, 4587, 32640, 46811, 10943, 293, 264, 10184, 307, 4962, 4032, 2423, 1252, 1975, 2407, 2423, 10184, 4724, 1829, 30544, 6225, 3555, 9640, 3660, 18871, 47524, 9566, 5016, 4724, 1829, 25957, 1211, 19446, 49374, 16095, 30767, 995, 2407, 10632, 12174, 32640, 3660, 6024, 110, 995, 2407, 10632, 29538, 39894, 30544, 12174, 3215, 33599, 6055, 3794, 3615, 9957, 4314], "avg_logprob": -0.22591145476326346, "compression_ratio": 1.5972850678733033, "no_speech_prob": 0.0, "words": [{"start": 102.63, "end": 103.33, "word": "كمفهوم", "probability": 0.842333984375}, {"start": 103.33, "end": 103.63, "word": " له", "probability": 0.2205810546875}, {"start": 103.63, "end": 103.93, "word": " او", 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"probability": 0.76123046875}], "temperature": 1.0}, {"id": 16, "seek": 44950, "start": 430.14, "end": 449.5, "text": "إذا احنا أخدنا ال in piece construction can be classified into two types إما بيكون plastic أو بيكون metal ال plastic can be sub categorized into three types إما بيكون عندنا both type أو", "tokens": [28814, 15730, 1975, 5016, 8315, 5551, 9778, 3215, 8315, 2423, 294, 2522, 6435, 393, 312, 20627, 666, 732, 3467, 11933, 15042, 4724, 1829, 30544, 5900, 34051, 4724, 1829, 30544, 5760, 2423, 5900, 393, 312, 1422, 19250, 1602, 666, 1045, 3467, 11933, 15042, 4724, 1829, 30544, 43242, 8315, 1293, 2010, 34051], "avg_logprob": -0.22732843370998607, "compression_ratio": 1.519736842105263, "no_speech_prob": 0.0, "words": [{"start": 430.14, "end": 430.44, "word": "إذا", "probability": 0.54510498046875}, {"start": 430.44, "end": 430.84, "word": " احنا", "probability": 0.833984375}, {"start": 430.84, "end": 431.6, "word": " أخدنا", "probability": 0.8792724609375}, {"start": 431.6, 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plastic", "probability": 0.7412109375}, {"start": 438.66, "end": 439.18, "word": " أو", "probability": 0.900390625}, {"start": 439.18, "end": 439.64, "word": " بيكون", "probability": 0.9475911458333334}, {"start": 439.64, "end": 440.16, "word": " metal", "probability": 0.896484375}, {"start": 440.16, "end": 440.98, "word": " ال", "probability": 0.83447265625}, {"start": 440.98, "end": 441.46, "word": " plastic", "probability": 0.89599609375}, {"start": 441.46, "end": 441.94, "word": " can", "probability": 0.9599609375}, {"start": 441.94, "end": 442.44, "word": " be", "probability": 0.9580078125}, {"start": 442.44, "end": 442.96, "word": " sub", "probability": 0.9248046875}, {"start": 442.96, "end": 444.2, "word": " categorized", "probability": 0.731201171875}, {"start": 444.2, "end": 444.74, "word": " into", "probability": 0.81005859375}, {"start": 444.74, "end": 445.1, "word": " three", "probability": 0.9013671875}, {"start": 445.1, "end": 445.68, "word": " types", "probability": 0.8544921875}, {"start": 445.68, "end": 446.5, "word": " إما", "probability": 0.927978515625}, {"start": 446.5, "end": 446.88, "word": " بيكون", "probability": 0.9500325520833334}, {"start": 446.88, "end": 447.58, "word": " عندنا", "probability": 0.939697265625}, {"start": 447.58, "end": 447.84, "word": " both", "probability": 0.368408203125}, {"start": 447.84, "end": 448.32, "word": " type", "probability": 0.857421875}, {"start": 448.32, "end": 449.5, "word": " أو", "probability": 0.736328125}], "temperature": 1.0}, {"id": 17, "seek": 46916, "start": 451.02, "end": 469.16, "text": "الـ mitre اللي هو type أو بيكون اللي هو turn back straight بينما ال blast ال metal بيكون مشابه لمين لل turn back اللي هو ال style بالنسبة لل temple construction", "tokens": [6027, 39184, 2194, 265, 13672, 1829, 31439, 2010, 34051, 4724, 1829, 30544, 13672, 1829, 31439, 1261, 646, 2997, 49374, 15042, 2423, 12035, 2423, 5760, 4724, 1829, 30544, 37893, 16758, 3224, 32767, 9957, 24976, 1261, 646, 13672, 1829, 31439, 2423, 3758, 20666, 1863, 35457, 3660, 24976, 10184, 6435], "avg_logprob": -0.34179687437911827, "compression_ratio": 1.5664335664335665, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 451.02, "end": 451.52, "word": "الـ", "probability": 0.5869140625}, {"start": 451.52, "end": 452.24, "word": " mitre", "probability": 0.50653076171875}, {"start": 452.24, "end": 452.48, "word": " اللي", "probability": 0.74658203125}, {"start": 452.48, "end": 452.72, "word": " هو", "probability": 0.9833984375}, {"start": 452.72, "end": 453.16, "word": " type", "probability": 0.67626953125}, {"start": 453.16, "end": 453.84, "word": " أو", "probability": 0.61962890625}, {"start": 453.84, "end": 454.3, "word": " بيكون", "probability": 0.6848347981770834}, {"start": 454.3, "end": 454.54, "word": " اللي", "probability": 0.95361328125}, {"start": 454.54, "end": 454.76, "word": " هو", "probability": 0.98974609375}, {"start": 454.76, "end": 455.18, "word": " turn", "probability": 0.6220703125}, {"start": 455.18, "end": 455.86, "word": " back", "probability": 0.8828125}, {"start": 455.86, "end": 456.92, "word": " straight", "probability": 0.13427734375}, {"start": 456.92, "end": 458.22, "word": " بينما", "probability": 0.94384765625}, {"start": 458.22, "end": 458.48, "word": " ال", "probability": 0.76806640625}, {"start": 458.48, "end": 458.92, "word": " blast", "probability": 0.60107421875}, {"start": 458.92, "end": 459.34, "word": " ال", "probability": 0.794921875}, {"start": 459.34, "end": 459.82, "word": " metal", "probability": 0.5791015625}, {"start": 459.82, "end": 460.4, "word": " بيكون", "probability": 0.9176432291666666}, {"start": 460.4, "end": 460.96, "word": " مشابه", "probability": 0.96826171875}, {"start": 460.96, "end": 461.4, "word": " لمين", "probability": 0.870849609375}, {"start": 461.4, "end": 461.82, "word": " لل", "probability": 0.53125}, {"start": 461.82, "end": 462.12, "word": " turn", "probability": 0.7666015625}, {"start": 462.12, "end": 462.58, "word": " back", "probability": 0.888671875}, {"start": 462.58, "end": 462.82, "word": " اللي", "probability": 0.983154296875}, {"start": 462.82, "end": 463.02, "word": " هو", "probability": 0.99755859375}, {"start": 463.02, "end": 463.16, "word": " ال", "probability": 0.77783203125}, {"start": 463.16, "end": 463.5, "word": " style", "probability": 0.75732421875}, {"start": 463.5, "end": 467.28, "word": " بالنسبة", "probability": 0.8704833984375}, {"start": 467.28, "end": 467.56, "word": " لل", "probability": 0.295166015625}, {"start": 467.56, "end": 468.08, "word": " temple", "probability": 0.66162109375}, {"start": 468.08, "end": 469.16, "word": " construction", "probability": 0.9482421875}], "temperature": 1.0}, {"id": 18, "seek": 49762, "start": 470.42, "end": 497.62, "text": "Temples also vary greatly in their construction يعني في هناك أنواع مختلفة ومتنوعة من اللي هو ال temple لكن بالعموم في خمس أنواع أساسية in general there are five major categories ايش هما؟ اول نوع عندنا ال skull temples ايش معناته ال skull؟", "tokens": [51, 443, 2622, 611, 10559, 14147, 294, 641, 6435, 37495, 22653, 8978, 34105, 4117, 14739, 14407, 3615, 3714, 46456, 46538, 3660, 4032, 2304, 2655, 1863, 2407, 27884, 9154, 13672, 1829, 31439, 2423, 10184, 44381, 20666, 3615, 2304, 20498, 8978, 16490, 2304, 3794, 14739, 14407, 3615, 5551, 3794, 32277, 10632, 294, 2674, 456, 366, 1732, 2563, 10479, 1975, 1829, 8592, 8032, 15042, 22807, 1975, 12610, 8717, 45367, 43242, 8315, 2423, 11743, 27431, 1975, 1829, 8592, 20449, 8315, 47395, 2423, 11743, 22807], "avg_logprob": -0.1766975279207583, "compression_ratio": 1.518181818181818, "no_speech_prob": 0.0, "words": [{"start": 470.42, "end": 471.02, "word": "Temples", "probability": 0.697021484375}, {"start": 471.02, "end": 471.98, "word": " also", "probability": 0.79736328125}, {"start": 471.98, "end": 472.78, "word": " vary", "probability": 0.951171875}, {"start": 472.78, "end": 473.6, "word": " greatly", "probability": 0.56201171875}, {"start": 473.6, "end": 474.18, "word": " in", "probability": 0.9716796875}, {"start": 474.18, "end": 474.48, "word": " their", "probability": 0.96337890625}, {"start": 474.48, "end": 475.28, "word": " construction", "probability": 0.89697265625}, {"start": 475.28, "end": 475.8, "word": " يعني", "probability": 0.70166015625}, {"start": 475.8, "end": 475.98, "word": " في", "probability": 0.8828125}, {"start": 475.98, "end": 476.44, "word": " هناك", "probability": 0.85205078125}, {"start": 476.44, "end": 476.98, "word": " أنواع", "probability": 0.9632161458333334}, {"start": 476.98, "end": 478.32, "word": " مختلفة", "probability": 0.994873046875}, {"start": 478.32, "end": 479.74, "word": " ومتنوعة", "probability": 0.9384765625}, {"start": 479.74, "end": 480.36, "word": " من", "probability": 0.9892578125}, {"start": 480.36, "end": 480.64, "word": " اللي", "probability": 0.93310546875}, {"start": 480.64, "end": 481.08, "word": " هو", "probability": 0.99365234375}, {"start": 481.08, "end": 481.5, "word": " ال", "probability": 0.84814453125}, {"start": 481.5, "end": 481.86, "word": " temple", "probability": 0.39501953125}, {"start": 481.86, "end": 483.44, "word": " لكن", "probability": 0.8525390625}, {"start": 483.44, "end": 484.16, "word": " بالعموم", "probability": 0.8790283203125}, {"start": 484.16, "end": 485.12, "word": " في", "probability": 0.8955078125}, {"start": 485.12, "end": 485.64, "word": " خمس", "probability": 0.98681640625}, {"start": 485.64, "end": 486.14, "word": " أنواع", "probability": 0.9767252604166666}, {"start": 486.14, "end": 486.88, "word": " أساسية", "probability": 0.977783203125}, {"start": 486.88, "end": 487.5, "word": " in", "probability": 0.440673828125}, {"start": 487.5, "end": 487.96, "word": " general", "probability": 0.9208984375}, {"start": 487.96, "end": 488.62, "word": " there", "probability": 0.85546875}, {"start": 488.62, "end": 488.98, "word": " are", "probability": 0.96728515625}, {"start": 488.98, "end": 489.58, "word": " five", "probability": 0.90478515625}, {"start": 489.58, "end": 490.36, "word": " major", "probability": 0.94384765625}, {"start": 490.36, "end": 491.28, "word": " categories", "probability": 0.9482421875}, {"start": 491.28, "end": 492.48, "word": " ايش", "probability": 0.7810872395833334}, {"start": 492.48, "end": 493.42, "word": " هما؟", "probability": 0.81982421875}, {"start": 493.42, "end": 493.76, "word": " اول", "probability": 0.74072265625}, {"start": 493.76, "end": 494.02, "word": " نوع", "probability": 0.992919921875}, {"start": 494.02, "end": 494.54, "word": " عندنا", "probability": 0.934814453125}, {"start": 494.54, "end": 494.9, "word": " ال", "probability": 0.94384765625}, {"start": 494.9, "end": 495.4, "word": " skull", "probability": 0.525390625}, {"start": 495.4, "end": 496.24, "word": " temples", "probability": 0.7646484375}, {"start": 496.24, "end": 496.68, "word": " ايش", "probability": 0.86572265625}, {"start": 496.68, "end": 497.02, "word": " معناته", "probability": 0.6206868489583334}, {"start": 497.02, "end": 497.18, "word": " ال", "probability": 0.63916015625}, {"start": 497.18, "end": 497.62, "word": " skull؟", "probability": 0.831787109375}], "temperature": 1.0}, {"id": 19, "seek": 52874, "start": 499.62, "end": 528.74, "text": "جمجمة صح ولا لأ؟ مش الـ skull اللي خدتوها في الاناتومي معناها جمجمة تمام؟ إذا عندنا skull temples bent down إيش معناه bent؟ يعني يميل أو ينحني down behind the ear إذا خلف اللي هو الأذن and follow the counter of the skull و هيتبع اللي هو لمحيط من الجمجمة", "tokens": [7435, 2304, 7435, 46007, 20328, 5016, 49429, 5296, 10721, 22807, 37893, 2423, 39184, 11743, 13672, 1829, 16490, 3215, 2655, 2407, 11296, 8978, 2423, 7649, 9307, 20498, 1829, 20449, 8315, 11296, 10874, 2304, 7435, 46007, 46811, 10943, 22807, 11933, 15730, 43242, 8315, 11743, 27431, 14075, 760, 11933, 1829, 8592, 20449, 8315, 3224, 14075, 22807, 37495, 22653, 7251, 2304, 26895, 34051, 7251, 1863, 5016, 22653, 760, 2261, 264, 1273, 11933, 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"word": " خدتوها", "probability": 0.79638671875}, {"start": 501.98, "end": 502.12, "word": " في", "probability": 0.9189453125}, {"start": 502.12, "end": 502.6, "word": " الاناتومي", "probability": 0.79296875}, {"start": 502.6, "end": 503.36, "word": " معناها", "probability": 0.8248697916666666}, {"start": 503.36, "end": 503.94, "word": " جمجمة", "probability": 0.9898681640625}, {"start": 503.94, "end": 505.38, "word": " تمام؟", "probability": 0.7902018229166666}, {"start": 505.38, "end": 506.32, "word": " إذا", "probability": 0.6923828125}, {"start": 506.32, "end": 506.76, "word": " عندنا", "probability": 0.8203125}, {"start": 506.76, "end": 507.12, "word": " skull", "probability": 0.32177734375}, {"start": 507.12, "end": 507.96, "word": " temples", "probability": 0.31298828125}, {"start": 507.96, "end": 509.66, "word": " bent", "probability": 0.2000732421875}, {"start": 509.66, "end": 510.46, "word": " down", "probability": 0.78173828125}, {"start": 510.46, "end": 511.1, "word": " إيش", "probability": 0.8426106770833334}, {"start": 511.1, "end": 511.32, "word": " معناه", "probability": 0.7822265625}, {"start": 511.32, "end": 512.58, "word": " bent؟", "probability": 0.6494140625}, {"start": 512.58, "end": 512.98, "word": " يعني", "probability": 0.914794921875}, {"start": 512.98, "end": 513.54, "word": " يميل", "probability": 0.95751953125}, {"start": 513.54, "end": 513.98, "word": " أو", "probability": 0.904296875}, {"start": 513.98, "end": 514.74, "word": " ينحني", "probability": 0.9652099609375}, {"start": 514.74, "end": 516.14, "word": " down", "probability": 0.3486328125}, {"start": 516.14, "end": 517.04, "word": " behind", "probability": 0.9716796875}, {"start": 517.04, "end": 517.28, "word": " the", "probability": 0.93310546875}, {"start": 517.28, "end": 517.54, "word": " ear", "probability": 0.97265625}, {"start": 517.54, "end": 519.44, "word": " إذا", "probability": 0.896240234375}, {"start": 519.44, "end": 519.88, "word": " خلف", "probability": 0.9638671875}, {"start": 519.88, "end": 520.14, "word": " اللي", "probability": 0.92431640625}, {"start": 520.14, "end": 520.38, "word": " هو", "probability": 0.99365234375}, {"start": 520.38, "end": 520.94, "word": " الأذن", "probability": 0.98193359375}, {"start": 520.94, "end": 521.96, "word": " and", "probability": 0.67822265625}, {"start": 521.96, "end": 522.36, "word": " follow", "probability": 0.83935546875}, {"start": 522.36, "end": 523.02, "word": " the", "probability": 0.9306640625}, {"start": 523.02, "end": 523.64, "word": " counter", "probability": 0.80712890625}, {"start": 523.64, "end": 524.14, "word": " of", "probability": 0.97998046875}, {"start": 524.14, "end": 524.38, "word": " the", "probability": 0.93603515625}, {"start": 524.38, "end": 524.7, "word": " skull", "probability": 0.814453125}, {"start": 524.7, "end": 525.92, "word": " و", "probability": 0.89306640625}, {"start": 525.92, "end": 526.54, "word": " هيتبع", "probability": 0.83941650390625}, {"start": 526.54, "end": 526.8, "word": " اللي", "probability": 0.977294921875}, {"start": 526.8, "end": 526.98, "word": " هو", "probability": 0.97216796875}, {"start": 526.98, "end": 527.62, "word": " لمحيط", "probability": 0.94287109375}, {"start": 527.62, "end": 527.84, "word": " من", "probability": 0.580078125}, {"start": 527.84, "end": 528.74, "word": " الجمجمة", "probability": 0.9652099609375}], "temperature": 1.0}, {"id": 20, "seek": 55165, "start": 529.47, "end": 551.65, "text": "Okay resting evenly against it ومن الرات انه بتلاحظي انه بيريح بشكل اللي هو مضاد، كيف يعني؟الان هي عندنا ال temple او ال skull temple بتلاحظي انه هو بياخد محيط من ال skull", "tokens": [8297, 21221, 17658, 1970, 309, 4032, 27842, 34892, 9307, 16472, 3224, 39894, 15040, 5016, 19913, 1829, 16472, 3224, 4724, 13546, 1829, 5016, 4724, 8592, 28820, 13672, 1829, 31439, 3714, 11242, 18513, 12399, 9122, 33911, 37495, 22653, 22807, 6027, 7649, 39896, 43242, 8315, 2423, 10184, 1975, 2407, 2423, 11743, 10184, 39894, 15040, 5016, 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"probability": 0.890869140625}, {"start": 537.29, "end": 537.87, "word": " بيريح", "probability": 0.9337158203125}, {"start": 537.87, "end": 538.57, "word": " بشكل", "probability": 0.9915364583333334}, {"start": 538.57, "end": 538.83, "word": " اللي", "probability": 0.943603515625}, {"start": 538.83, "end": 539.05, "word": " هو", "probability": 0.9833984375}, {"start": 539.05, "end": 539.67, "word": " مضاد،", "probability": 0.86834716796875}, {"start": 539.67, "end": 540.09, "word": " كيف", "probability": 0.967529296875}, {"start": 540.09, "end": 542.73, "word": " يعني؟الان", "probability": 0.772802734375}, {"start": 542.73, "end": 542.93, "word": " هي", "probability": 0.560546875}, {"start": 542.93, "end": 543.61, "word": " عندنا", "probability": 0.861572265625}, {"start": 543.61, "end": 543.97, "word": " ال", "probability": 0.95263671875}, {"start": 543.97, "end": 544.37, "word": " temple", "probability": 0.59130859375}, {"start": 544.37, "end": 544.77, "word": " او", "probability": 0.8955078125}, {"start": 544.77, "end": 544.91, "word": " ال", "probability": 0.978515625}, {"start": 544.91, "end": 545.27, "word": " skull", "probability": 0.81396484375}, {"start": 545.27, "end": 545.79, "word": " temple", "probability": 0.306396484375}, {"start": 545.79, "end": 547.11, "word": " بتلاحظي", "probability": 0.9015625}, {"start": 547.11, "end": 547.69, "word": " انه", "probability": 0.921875}, {"start": 547.69, "end": 548.11, "word": " هو", "probability": 0.88232421875}, {"start": 548.11, "end": 549.99, "word": " بياخد", "probability": 0.95751953125}, {"start": 549.99, "end": 550.61, "word": " محيط", "probability": 0.991455078125}, {"start": 550.61, "end": 550.89, "word": " من", "probability": 0.83544921875}, {"start": 550.89, "end": 551.25, "word": " ال", "probability": 0.9853515625}, {"start": 551.25, "end": 551.65, "word": " skull", "probability": 0.68359375}], "temperature": 1.0}, {"id": 21, "seek": 58019, "start": 553.25, "end": 580.19, "text": "و بيكون اللي هو over the ear فوق اللي هو الأذن بحيث ان الباحة تعت وين بتكون كلهيتها over the ear زي الإطارات معظمها اللي احنا بنشوفها هي عبارة عن ايه؟ اللي هو skull metal تمام؟ the bent down portion is narrower at the top الآن في المنطقة هذه ايش بتلاحظي؟", "tokens": [2407, 4724, 1829, 30544, 13672, 1829, 31439, 670, 264, 1273, 6156, 30543, 13672, 1829, 31439, 16247, 8848, 1863, 4724, 5016, 1829, 12984, 16472, 29739, 39319, 3660, 37279, 2655, 4032, 9957, 39894, 30544, 28242, 3224, 36081, 11296, 670, 264, 1273, 30767, 1829, 33688, 9566, 9640, 9307, 20449, 19913, 2304, 11296, 13672, 1829, 1975, 5016, 8315, 44945, 8592, 38688, 11296, 39896, 6225, 3555, 9640, 3660, 18871, 1975, 1829, 3224, 22807, 13672, 1829, 31439, 11743, 5760, 46811, 10943, 22807, 264, 14075, 760, 8044, 307, 46751, 412, 264, 1192, 6024, 48506, 8978, 9673, 1863, 9566, 28671, 29538, 1975, 1829, 8592, 39894, 15040, 5016, 19913, 1829, 22807], "avg_logprob": -0.18689320012203697, "compression_ratio": 1.6824034334763949, "no_speech_prob": 0.0, 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" قابل", "probability": 0.9822591145833334}, {"start": 794.64, "end": 795.8, "word": " للتبديل", "probability": 0.908935546875}, {"start": 795.8, "end": 801.58, "word": " Were", "probability": 0.285888671875}, {"start": 801.58, "end": 802.76, "word": " originally", "probability": 0.77783203125}, {"start": 802.76, "end": 803.66, "word": " designed", "probability": 0.87255859375}, {"start": 803.66, "end": 804.4, "word": " so", "probability": 0.880859375}, {"start": 804.4, "end": 804.66, "word": " they", "probability": 0.8505859375}, {"start": 804.66, "end": 804.94, "word": " could", "probability": 0.896484375}, {"start": 804.94, "end": 805.28, "word": " be", "probability": 0.8603515625}, {"start": 805.28, "end": 806.14, "word": " bent", "probability": 0.9013671875}, {"start": 806.14, "end": 806.76, "word": " down", "probability": 0.8427734375}, {"start": 806.76, "end": 807.48, "word": " to", "probability": 0.92919921875}, {"start": 807.48, "end": 807.82, "word": " take", "probability": 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skull temple يعني ممكن انا اغير فيه او ابدل اللي هو بالشكل بتاعه نشوف كيف because this temple is versatile يعني متعدد الجوانب والاستعمالات تمام؟", "tokens": [1671, 18537, 490, 264, 2997, 646, 281, 264, 11743, 1715, 31439, 7251, 43020, 6055, 5016, 2407, 26895, 3224, 9154, 6405, 10184, 5296, 11743, 10184, 37495, 22653, 3714, 43020, 1975, 8315, 1975, 17082, 13546, 8978, 3224, 1975, 2407, 1975, 44510, 1211, 13672, 1829, 31439, 20666, 8592, 28820, 39894, 45761, 3224, 8717, 8592, 38688, 9122, 33911, 570, 341, 10184, 307, 25057, 37495, 22653, 44650, 22488, 3215, 25724, 2407, 7649, 3555, 16070, 995, 14851, 25957, 6027, 9307, 46811, 10943, 22807], "avg_logprob": -0.16165865098054594, "compression_ratio": 1.5185185185185186, "no_speech_prob": 0.0, "words": [{"start": 834.16, "end": 834.86, "word": "converted", "probability": 0.648193359375}, {"start": 834.86, "end": 835.38, "word": " from", "probability": 0.90625}, {"start": 835.38, "end": 835.84, "word": " the", "probability": 0.88525390625}, 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أو على القوس او behind the ear portion او بنهاية الأذن from a flexible coiled cable يعني هنا في عندنا القطعة المعدنية تمام هذه ايش بتساعد انه بتكون flexible مرنة بحيث انه تعمل عملية مسك لأ اللي هو الإطار يعني cable", "tokens": [3224, 24192, 25062, 9566, 27884, 9673, 22488, 1863, 10632, 3714, 11242, 31845, 3660, 15844, 29739, 995, 2407, 34051, 15844, 25062, 41779, 1975, 2407, 2261, 264, 1273, 8044, 1975, 2407, 44945, 11296, 10632, 16247, 8848, 1863, 490, 257, 11358, 598, 7292, 8220, 37495, 22653, 34105, 8978, 43242, 8315, 25062, 9566, 27884, 9673, 22488, 1863, 10632, 46811, 10943, 29538, 1975, 1829, 8592, 39894, 3794, 995, 22488, 16472, 3224, 39894, 30544, 11358, 3714, 2288, 1863, 3660, 4724, 5016, 1829, 12984, 16472, 3224, 6055, 25957, 1211, 6225, 42213, 10632, 47524, 4117, 5296, 10721, 13672, 1829, 31439, 33688, 9566, 9640, 37495, 22653, 8220], "avg_logprob": -0.2083333372467696, "compression_ratio": 1.7456140350877194, "no_speech_prob": 0.0, "words": [{"start": 1160.66, "end": 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"text": "الغير الهدف منه انه يعمل عملية اللي هو مرونة و اللي هو تثبيت للإطار اذا الفرق ما بين ال comfort cable اللي هي timbles و ال riding bow timbles ان هنا في عندنا ال flexible coiled cable اللي هي القطعة المعدنية اللي بتكون قابلة للتغيير او اللي هو بتكون flexible marina", "tokens": [6027, 17082, 13546, 2423, 3224, 3215, 5172, 9154, 3224, 16472, 3224, 7251, 25957, 1211, 6225, 42213, 10632, 13672, 1829, 31439, 3714, 2288, 11536, 3660, 4032, 13672, 1829, 31439, 6055, 12984, 21292, 2655, 24976, 28814, 9566, 9640, 1975, 15730, 27188, 2288, 4587, 19446, 49374, 2423, 3400, 8220, 13672, 1829, 39896, 524, 8806, 4032, 2423, 9546, 4503, 524, 8806, 16472, 34105, 8978, 43242, 8315, 2423, 11358, 598, 7292, 8220, 13672, 1829, 39896, 25062, 9566, 27884, 9673, 22488, 1863, 10632, 13672, 1829, 39894, 30544, 12174, 16758, 37977, 24976, 2655, 17082, 1829, 13546, 1975, 2407, 13672, 1829, 31439, 39894, 30544, 11358, 1849, 1426], "avg_logprob": -0.1996875013411045, "compression_ratio": 1.9069767441860466, 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نسميها hypoallergenic تمام؟ يعني اقل اللي هو حساسية يعني ماتعملش اللي هو reaction ما بين جسمه و ما بين الإطار", "tokens": [3555, 16254, 1975, 5016, 995, 12610, 1975, 16254, 1975, 9566, 9640, 7251, 30544, 9673, 18513, 3660, 9673, 9381, 1211, 2407, 27884, 9154, 3224, 1975, 4587, 1211, 13672, 1829, 31439, 1975, 1829, 8592, 6055, 5172, 995, 30241, 995, 1975, 2407, 1975, 4587, 1211, 11331, 3794, 32277, 10632, 8717, 38251, 1829, 11296, 2477, 2259, 22414, 1766, 299, 46811, 10943, 22807, 37495, 22653, 1975, 4587, 1211, 13672, 1829, 31439, 11331, 3794, 32277, 10632, 37495, 22653, 3714, 9307, 25957, 1211, 8592, 13672, 1829, 31439, 5480, 19446, 49374, 10874, 38251, 3224, 4032, 19446, 49374, 33688, 9566, 9640], "avg_logprob": -0.14684139784946237, "compression_ratio": 1.7459459459459459, "no_speech_prob": 0.0, "words": [{"start": 1611.66, "end": 1612.02, "word": "بدي", "probability": 0.648681640625}, {"start": 1612.02, "end": 1612.54, "word": " احاول", "probability": 0.83636474609375}, {"start": 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1.0}, {"id": 90, "seek": 229173, "start": 2265.01, "end": 2291.73, "text": "for frames and lenses so that placement of lens optical center would be consistent يعني ممكن أن تكون هذا ال reference point عاملة محاكاة بين الإطار و ما بين من العدسات بحيث أن تكون ال optical center للعدسات في وضعها الطبيعي أو في وضعها الصحيح", "tokens": [2994, 12083, 293, 18059, 370, 300, 17257, 295, 6765, 20674, 3056, 576, 312, 8398, 37495, 22653, 3714, 43020, 14739, 6055, 30544, 23758, 2423, 6408, 935, 6225, 10943, 37977, 3714, 5016, 995, 4117, 995, 3660, 49374, 33688, 9566, 9640, 4032, 19446, 49374, 9154, 18863, 3215, 3794, 9307, 4724, 5016, 1829, 12984, 14739, 6055, 30544, 2423, 20674, 3056, 24976, 22488, 3794, 9307, 8978, 4032, 11242, 3615, 11296, 41950, 21292, 3615, 1829, 34051, 8978, 4032, 11242, 3615, 11296, 31767, 5016, 1829, 5016], "avg_logprob": -0.1435546914115548, "compression_ratio": 1.6226415094339623, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2265.01, "end": 2265.27, "word": 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b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/66h4nZmDbEA_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..cb89853006b270773c7fd95ed28bfa4a5aacaaeb --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/66h4nZmDbEA_raw.srt @@ -0,0 +1,1872 @@ +1 +00:00:20,860 --> 00:00:23,680 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,680 --> 00:00:27,060 +وبركاته and a very good morning to all of you + +3 +00:00:27,060 --> 00:00:32,200 +هنبدأ اليوم ان شاء الله في موضوع ال in-piece + +4 +00:00:32,200 --> 00:00:38,040 +construction in-piece construction like the bridge + +5 +00:00:38,040 --> 00:00:44,600 +area construction اي بمعنى ان صناعة ال in-piece هي + +6 +00:00:44,600 --> 00:00:48,880 +مشابهة لصناعة مين ال bridge اللي بيكون ما بين ال + +7 +00:00:48,880 --> 00:00:55,280 +two lensesOkay can be of either plastic or metal + +8 +00:00:55,280 --> 00:01:00,860 +يمكن تقسيمه إلى إما أن يكون ال plastic مصنوع من ال + +9 +00:01:00,860 --> 00:01:06,860 +plastic أو يمكن أن يكون مصنوع من ال metal نشوف + +10 +00:01:06,860 --> 00:01:11,120 +عندنا ال plastic in pieces اللي هو يعتبر أكتر + +11 +00:01:11,120 --> 00:01:11,900 +شيوعا + +12 +00:01:14,420 --> 00:01:18,980 +There are three general types of in-piece + +13 +00:01:18,980 --> 00:01:24,440 +construction in plastic frames إذا هناك تلاتة + +14 +00:01:24,440 --> 00:01:30,640 +أنواع أساسية لل in-piece construction مصنوعة من + +15 +00:01:30,640 --> 00:01:37,020 +إيه؟ من ال plastic النوع الأول the most common in + +16 +00:01:37,020 --> 00:01:42,080 +-piece construction is the pot type ال pot type + +17 +00:01:42,630 --> 00:01:47,630 +كمفهوم له او كتعريف in which the front is straight + +18 +00:01:47,630 --> 00:01:51,590 +شايفين هنا ال front كله يتقاش يعتبر straight + +19 +00:01:51,590 --> 00:01:58,310 +مستقيم تمام and the temple is flat و ال side او ال + +20 +00:01:58,310 --> 00:02:04,710 +temple بيكون عبارة عن مسطح بيعمل ما بينهم زاوية + +21 +00:02:04,710 --> 00:02:10,910 +قيمة الزاوية هذه بتكون قداش تسعين degreeإذا عندنا + +22 +00:02:10,910 --> 00:02:16,850 +مرة تانية ال bot type في عندنا أول حاجة بتكون من + +23 +00:02:16,850 --> 00:02:21,230 +ال front بيكون straight و عندنا ال temple بيكون + +24 +00:02:21,230 --> 00:02:25,450 +flat بشكل اللي هو زاوية في نقطة اللي هو الالتقاء + +25 +00:02:25,450 --> 00:02:30,390 +ما بينهما قيمة الزاوية هذه بتكون 90 degree هذا + +26 +00:02:30,390 --> 00:02:32,050 +النوع الأول أو ال bot type + +27 +00:02:37,160 --> 00:02:43,960 +النوع التاني the mitre in piece causes the frame a + +28 +00:02:43,960 --> 00:02:49,360 +front contact area and the temple both to meet at + +29 +00:02:49,360 --> 00:02:55,400 +a 45 degree angle الان نقطة التقاء ما بين ال + +30 +00:02:55,400 --> 00:02:59,040 +temple و ما بين اللي هو ال front ولكن الزاوية + +31 +00:02:59,040 --> 00:03:03,940 +هنقدش هتكون 45 degree بس هنضيفه 45 ل 60 degree + +32 +00:03:05,080 --> 00:03:10,380 +تمام؟ يعني بمعنى آخر لو الآن هي عندنا ال front + +33 +00:03:10,380 --> 00:03:15,140 +هيكون ال temple بالشكل هذا عامل زاوية كده؟ خمسة + +34 +00:03:15,140 --> 00:03:18,280 +وارعين لستين ديجري خدته للستلام + +35 +00:03:21,280 --> 00:03:24,600 +الستلة من الآن لما تجي مثلا زاوية خمسة واربعين او + +36 +00:03:24,600 --> 00:03:28,700 +ستين بتلاقي هاي الميار الميار عاملة زاوية ايش + +37 +00:03:28,700 --> 00:03:33,600 +بالشكل هذا الزاوية هذه قيمتها تقريبا من خمسة + +38 +00:03:33,600 --> 00:03:37,240 +وارعين لستين ديجري لكن على التسعين التنتين هتكون + +39 +00:03:37,240 --> 00:03:40,580 +على زاوية واحدة نفس الحاجة بالنسبة لمين لل in + +40 +00:03:40,580 --> 00:03:47,020 +piece construction النوع التالت in the turn back + +41 +00:03:47,020 --> 00:03:54,340 +typeThe frame in front bends around and meets the + +42 +00:03:54,340 --> 00:04:00,560 +temple end to end الآن إيش ملاحظين هنا؟ فيه ميلان + +43 +00:04:00,560 --> 00:04:04,960 +صح ولا لأ؟ يعني فيه اللي هو انحناق، الانحناق هذا + +44 +00:04:04,960 --> 00:04:10,080 +بكل مين؟ لأ ال front إذا منطقة ال front فيها + +45 +00:04:10,080 --> 00:04:14,980 +انحناق أو فيها ميلان و هذه هتقابل مين؟ ال temple + +46 +00:04:14,980 --> 00:04:21,690 +هتظلها لحد ديت اللي هو النهايةend to end تمام فهذا + +47 +00:04:21,690 --> 00:04:25,270 +ايش بنسميه اللي هو turn back time يعني فيه هناك + +48 +00:04:25,270 --> 00:04:29,870 +انحناء لل front تمام هيقابل اللي هو ال temple حتى + +49 +00:04:29,870 --> 00:04:34,570 +النهاية هذا نوع من أنواع ال in peace construction + +50 +00:04:34,570 --> 00:04:39,650 +هذا + +51 +00:04:39,650 --> 00:04:43,890 +كله اللي اتكلمنا عنهم التلت أنواع هم عبارة عن ال + +52 +00:04:43,890 --> 00:04:48,820 +plastic in peaceفي عندنا أيضا ال metal in piece + +53 +00:04:48,820 --> 00:04:55,460 +the traditional metal in piece has a construction + +54 +00:04:55,460 --> 00:05:01,040 +similar to the turn back in piece of the plastic + +55 +00:05:01,040 --> 00:05:06,580 +frame يعني هو ال in piece اللي مصنوع من ال metal + +56 +00:05:06,580 --> 00:05:12,000 +مشابه لمين او مماثل لاللي هو ال plastic لكن اي نوع + +57 +00:05:12,000 --> 00:05:16,790 +التالتاللي هو عبارة عن ال term bag اللي بيكون فيه + +58 +00:05:16,790 --> 00:05:23,490 +انحناء وبتقابل مع ال temple حتى النهاية، okay؟ + +59 +00:05:23,490 --> 00:05:27,490 +هي بالشكل هذا، انه فيه hand عندنا زي انحناق + +60 +00:05:27,490 --> 00:05:31,150 +وبتقابل مع ال temple حتى النهاية شايفين كيف + +61 +00:05:31,150 --> 00:05:36,830 +الانحناق هذا؟ تمام؟ وفيه اللي هو meet ما بين ال + +62 +00:05:36,830 --> 00:05:40,290 +front و اللي هو ال temple حتى النهاية + +63 +00:05:43,320 --> 00:05:49,040 +There are now a wide variety of metal in-piece + +64 +00:05:49,040 --> 00:05:54,220 +designs يعني هناك تصميم مختلفة وأنواع اللي هو + +65 +00:05:54,220 --> 00:05:58,720 +مختلفة من ال in-piece الخاصة في مين اللي مصنوعة من + +66 +00:05:58,720 --> 00:06:04,840 +ال metal in-pieces are also noticeable by their + +67 +00:06:04,840 --> 00:06:09,100 +absence في بعض الأحيان احنا بنلاحظ ان في هنا غياب + +68 +00:06:09,100 --> 00:06:13,080 +لل in-piece يعني بيكون غير موجود أو غير حاضر تمام؟ + +69 +00:06:14,840 --> 00:06:18,720 +Instead of an in-piece, some frames, fronts and + +70 +00:06:18,720 --> 00:06:23,880 +temples are made as one continuous piece يعني + +71 +00:06:23,880 --> 00:06:28,060 +التنتين هيكون عبارة عن إيه؟ قطعة واحدة زي الشكل + +72 +00:06:28,060 --> 00:06:33,680 +هذا الآن هيعنى منطقة ال front مقابلة مع مين؟ مع + +73 +00:06:33,680 --> 00:06:37,580 +اللي هو ال temple بس مافي هناك in-piece يعني + +74 +00:06:37,580 --> 00:06:41,420 +التواصل ما بينهم إيش مباشر طلع عنكم في الصورة إن + +75 +00:06:41,420 --> 00:06:45,460 +في هناك تواصل ما بين ال front و ال templeدون أي + +76 +00:06:45,460 --> 00:06:56,420 +تنحناء في منطقة الـ temple وهذه + +77 +00:06:56,420 --> 00:07:06,000 +خاصة في العدسات الريملس اللي ما بيكون لها الريم + +78 +00:07:10,140 --> 00:07:15,000 +إذا احنا أخدنا ال in piece construction can be + +79 +00:07:15,000 --> 00:07:19,180 +classified into two types إما بيكون plastic أو + +80 +00:07:19,180 --> 00:07:24,740 +بيكون metal ال plastic can be sub categorized into + +81 +00:07:24,740 --> 00:07:32,240 +three types إما بيكون عندنا both type أوالـ mitre + +82 +00:07:32,240 --> 00:07:36,920 +اللي هو type أو بيكون اللي هو turn back straight + +83 +00:07:36,920 --> 00:07:42,120 +بينما ال blast ال metal بيكون مشابه لمين لل turn + +84 +00:07:42,120 --> 00:07:47,280 +back اللي هو ال style بالنسبة + +85 +00:07:47,280 --> 00:07:54,180 +لل temple constructionTemples also vary greatly in + +86 +00:07:54,180 --> 00:07:58,320 +their construction يعني في هناك أنواع مختلفة + +87 +00:07:58,320 --> 00:08:05,640 +ومتنوعة من اللي هو ال temple لكن بالعموم في خمس + +88 +00:08:05,640 --> 00:08:10,360 +أنواع أساسية in general there are five major + +89 +00:08:10,360 --> 00:08:16,240 +categories ايش هما؟ اول نوع عندنا ال skull temples + +90 +00:08:16,240 --> 00:08:21,500 +ايش معناته ال skull؟جمجمة صح ولا لأ؟ مش الـ skull + +91 +00:08:21,500 --> 00:08:26,320 +اللي خدتوها في الاناتومي معناها جمجمة تمام؟ إذا + +92 +00:08:26,320 --> 00:08:32,980 +عندنا skull temples bent down إيش معناه bent؟ يعني + +93 +00:08:32,980 --> 00:08:40,380 +يميل أو ينحني down behind the ear إذا خلف اللي هو + +94 +00:08:40,380 --> 00:08:46,540 +الأذن and follow the counter of the skull و هيتبع + +95 +00:08:46,540 --> 00:08:52,490 +اللي هو لمحيط من الجمجمةOkay resting evenly + +96 +00:08:52,490 --> 00:08:58,570 +against it ومن الرات انه بتلاحظي انه بيريح بشكل + +97 +00:08:58,570 --> 00:09:04,770 +اللي هو مضاد، كيف يعني؟الان هي عندنا ال temple او + +98 +00:09:04,770 --> 00:09:11,250 +ال skull temple بتلاحظي انه هو بياخد محيط من ال + +99 +00:09:11,250 --> 00:09:16,950 +skullو بيكون اللي هو over the ear فوق اللي هو + +100 +00:09:16,950 --> 00:09:21,270 +الأذن بحيث ان الباحة تعت وين بتكون كلهيتها over + +101 +00:09:21,270 --> 00:09:24,990 +the ear زي الإطارات معظمها اللي احنا بنشوفها هي + +102 +00:09:24,990 --> 00:09:31,070 +عبارة عن ايه؟ اللي هو skull metal تمام؟ + +103 +00:09:31,070 --> 00:09:37,630 +the bent down portion is narrower at the top الآن + +104 +00:09:37,630 --> 00:09:44,220 +في المنطقة هذه ايش بتلاحظي؟ان هان نحيفة او يعني + +105 +00:09:44,220 --> 00:09:47,600 +اللي هو فيه نحافة مقارنة في مين؟ في الـ bottom + +106 +00:09:47,600 --> 00:09:54,000 +تمام؟ يعني عندنا مره تانية في الـ skull temple انه + +107 +00:09:54,000 --> 00:09:59,680 +في منطقة الـ top هذه ال top و هذه عندنا المنطقة + +108 +00:09:59,680 --> 00:10:04,760 +هذه ال bottom ان + +109 +00:10:04,760 --> 00:10:08,920 +هان بتكون نحيفة مقارنة بمنطقة اللي هو ايه؟ ال + +110 +00:10:08,920 --> 00:10:14,390 +bottomإذا الـ bend down portion is narrower إنه + +111 +00:10:14,390 --> 00:10:19,810 +ضيق at the top of the ear and wideness إنه بيعرب + +112 +00:10:19,810 --> 00:10:31,130 +باتجاه ال end أو باتجاه البتم library + +113 +00:10:31,130 --> 00:10:39,600 +temples usually begin with an average widthيعني + +114 +00:10:39,600 --> 00:10:46,180 +غالبا بيكون فيه هناك ايش توسط لالهو العرض يعني + +115 +00:10:46,180 --> 00:10:51,820 +اللي هو العرض بتاعه بيكون اللي هو متوسط at the bot + +116 +00:10:51,820 --> 00:10:56,500 +and decrease يعني هان في ال bot type طلعوا معايا + +117 +00:10:56,500 --> 00:11:00,960 +في الصورة هان بتكون متوسط اللي هو average اللي هو + +118 +00:11:00,960 --> 00:11:06,400 +widthوهذا العرض اشماله بقل كل ما انا وين روحت and + +119 +00:11:06,400 --> 00:11:10,400 +decrease in width posteriorly الان انتوا ايش + +120 +00:11:10,400 --> 00:11:14,280 +بتلاحظوا كل ما انتقلنا من منطقة ال bot للنهاية + +121 +00:11:14,280 --> 00:11:20,720 +بتلاحظوا انه العرض اشماله بقل تمام؟ + +122 +00:11:20,720 --> 00:11:25,780 +they are practically straight شو معنى practically + +123 +00:11:25,780 --> 00:11:30,610 +يعني من ناحية عملية تمام؟Straight بيكون اللي هو + +124 +00:11:30,610 --> 00:11:38,070 +مستقيم And hold the glasses اللي هو العدسات On + +125 +00:11:38,070 --> 00:11:42,750 +primarily يعني بالأساس هو بيمسك اللي هو العدسات + +126 +00:11:42,750 --> 00:11:48,230 +بحيث انه بيخليهم أمام عين المريض By pressure + +127 +00:11:48,230 --> 00:11:52,890 +بواسطة الضغط against the side of the head يعني من + +128 +00:11:52,890 --> 00:11:58,210 +خلال اللي هو الضغط على نهاية اللي هو مينالـ ear أو + +129 +00:11:58,210 --> 00:12:04,470 +نهاية اللي هو ال head الخاص في مين في المريض أيضًا + +130 +00:12:04,470 --> 00:12:10,290 +اللي مسمى آخر they are also known as straight back + +131 +00:12:10,290 --> 00:12:14,390 +temples يعني هذا عبارة عن another name لمن؟ لال + +132 +00:12:14,390 --> 00:12:20,520 +library اللي هو templesإذا ببساطة ال library تنبلز + +133 +00:12:20,520 --> 00:12:24,700 +إنه في منطقة ال bot بيكون العرض بتاعه متوسط + +134 +00:12:24,700 --> 00:12:28,680 +average اللي هو width كل ما روحنا للنهاية بتلاقي + +135 +00:12:28,680 --> 00:12:35,960 +إنه بقل طيب هو كيف بالأساس بيحافظ على إن العدسات + +136 +00:12:35,960 --> 00:12:41,590 +تكون أمام العين من خلال عملية الضغط على ال headلا + +137 +00:12:41,590 --> 00:12:46,610 +اللي هو المريض ال another name له بيسمى straight + +138 +00:12:46,610 --> 00:12:53,890 +back temples ايضا + +139 +00:12:53,890 --> 00:12:58,150 +عندنا convertible temples ايش مانعت convertible + +140 +00:12:58,150 --> 00:13:03,510 +temples يعني + +141 +00:13:03,510 --> 00:13:08,210 +ال temple اللي ممكن انه يتحول او يتبدل يعني تحويل + +142 +00:13:08,210 --> 00:13:13,820 +او تبديل اللي هو لمين لل templeيعني قابل للتحويل + +143 +00:13:13,820 --> 00:13:21,580 +أو قابل للتبديل Were + +144 +00:13:21,580 --> 00:13:27,480 +originally designed so they could be bent down to + +145 +00:13:27,480 --> 00:13:33,420 +take on the form of skull templesيعني بداية كانت + +146 +00:13:33,420 --> 00:13:38,900 +نشأته نشأة اللي هو إنه هذا بيسمى الإطار على إنه + +147 +00:13:38,900 --> 00:13:43,240 +convertible temple فكانت النشأة الأولى هو عبارة عن + +148 +00:13:43,240 --> 00:13:48,120 +skull temple فاكرينه ال skull اللي بيكون إيش؟ يعني + +149 +00:13:48,120 --> 00:13:52,820 +بيجي اللي هو على محيط اللي هو مين الجمجمة، تمام؟ + +150 +00:13:54,160 --> 00:13:57,760 +converted from the straight back to the skull + +151 +00:13:57,760 --> 00:14:03,820 +design هو يمكن تحويله من library temple ل skull + +152 +00:14:03,820 --> 00:14:09,460 +temple يعني ممكن انا اغير فيه او ابدل اللي هو + +153 +00:14:09,460 --> 00:14:15,260 +بالشكل بتاعه نشوف كيف because this temple is + +154 +00:14:15,260 --> 00:14:20,000 +versatile يعني + +155 +00:14:20,000 --> 00:14:25,030 +متعدد الجوانب والاستعمالات تمام؟هذا الـ Timble + +156 +00:14:25,030 --> 00:14:28,770 +الميزة اللي فيه انه بتكون متعددة الجوانب + +157 +00:14:28,770 --> 00:14:34,770 +والاستعمالات and can be made to fit people with a + +158 +00:14:34,770 --> 00:14:39,490 +variety of timble length requirements it's + +159 +00:14:39,490 --> 00:14:44,510 +commonly used يعني حسب ال proper fit للمريض أنا + +160 +00:14:44,510 --> 00:14:51,250 +باستخدمه يعني دايما انه بتم عملية التبديل بناء على + +161 +00:14:51,250 --> 00:14:58,500 +أنسب حاجة للمريضOkay however it now comes already + +162 +00:14:58,500 --> 00:15:04,560 +bent down for a certain temple fit لكن الآن كلهي + +163 +00:15:04,560 --> 00:15:11,480 +تو إيش بيجي تمبل اللي هو fit يعني أقرب لمين ل ال + +164 +00:15:11,480 --> 00:15:16,410 +straight backتمام او لل library اللي هو timble + +165 +00:15:16,410 --> 00:15:21,250 +احنا قلنا في الأول كان منشأه عبارة عن skull timble + +166 +00:15:21,250 --> 00:15:26,970 +بعدين ممكن ان نحاوله من skull لمين ل library او + +167 +00:15:26,970 --> 00:15:31,610 +اللي هو tearing back نفس الاسم لكن الآن حاليا كله + +168 +00:15:31,610 --> 00:15:38,570 +يستخدم على انه library timble if the pen is in the + +169 +00:15:38,570 --> 00:15:43,580 +wrong locationلو كان موقعه غير صحيح أو خاطئ يعني + +170 +00:15:43,580 --> 00:15:48,000 +الآن انا اديت لمريض اطار وكان موقع ال timble هذا + +171 +00:15:48,000 --> 00:15:55,700 +غير صحيح يعني + +172 +00:15:55,700 --> 00:16:01,670 +يمكن اللي هو استقامته المنحنى هذا ممكن اعدلهOkay + +173 +00:16:01,670 --> 00:16:06,390 +out and then repaint to fit the wearer أنه بعمله + +174 +00:16:06,390 --> 00:16:10,450 +أول حاجة مستقيم اللي هو straighten ومن ثم بعمل + +175 +00:16:10,450 --> 00:16:15,610 +إعادة إيش ميلان لاللي هو نهاية ال temple بحيث أنه + +176 +00:16:15,610 --> 00:16:23,310 +يكون مناسب لهذا المريض okay هاي شايفين الشكل الأول + +177 +00:16:23,310 --> 00:16:27,830 +إيش هو عبارة عن skull temple صح ولا لأ لكن قال + +178 +00:16:27,830 --> 00:16:34,730 +للنهاية هذهممكن ان يتم عملية ازالتها وانحناقها + +179 +00:16:34,730 --> 00:16:41,110 +فبتصير عبارة عن library تمبل تمام ايضا ان لو هذه + +180 +00:16:41,110 --> 00:16:45,510 +ال location غير صحيح يمكن اللي هو تعديله ويعادت + +181 +00:16:45,510 --> 00:16:49,510 +اللي هو ال repaint بناء على ال fit of the patient + +182 +00:16:56,430 --> 00:17:01,690 +النوع الرابع هو عبارة عن riding bow timbals، إيش + +183 +00:17:01,690 --> 00:17:09,610 +معناه كلمة bow؟ قوس، يعني عبارة عن قوس بتركب، لا + +184 +00:17:09,610 --> 00:17:13,330 +اللي هو ال timble، هي شايفين انتوا؟ زي اللي هو ال + +185 +00:17:13,330 --> 00:17:19,410 +bow، زي القوس curve around the ear، إذا بيكون + +186 +00:17:19,410 --> 00:17:26,660 +منحنة حوالين الأذن following the approachهيتبعه + +187 +00:17:26,660 --> 00:17:31,180 +نقطة اللي هو التقاء وين هذه نقطة الالتقاء of the + +188 +00:17:31,180 --> 00:17:37,740 +ear where the ear مع اللي هو الأذن and the head + +189 +00:17:37,740 --> 00:17:45,300 +meet وهيقابل مين اللي هو الرأس okay and extend to + +190 +00:17:45,300 --> 00:17:50,400 +the level of the earlobe يعني هينتهي وين في شحمة + +191 +00:17:50,400 --> 00:17:57,220 +الأذن إذا مرة تانيةبالنسبة له ال riding bow + +192 +00:17:57,220 --> 00:18:04,180 +temples هو عبارة عن منحنة حوالين من الأذن، هيعمل + +193 +00:18:04,180 --> 00:18:08,460 +نقطة اللي هو التقاء، لحد ما يصل لنهاية إيه شحمة + +194 +00:18:08,460 --> 00:18:16,560 +الأذن They are sometimes used in children's and + +195 +00:18:16,560 --> 00:18:20,940 +safety framesأكتر اللي هو استخدامه مع اللي هو + +196 +00:18:20,940 --> 00:18:26,140 +الأطفال، يعني بمعنى إيش؟ إنه بيوفر حماية للطفل، + +197 +00:18:26,140 --> 00:18:30,420 +تمام؟ و أيضًا بيستخدم مع الحددين، يعني الآن لما + +198 +00:18:30,420 --> 00:18:34,800 +بيجي اللي هو بلحم، إنه بتلاقي هذه حماية له، عشان + +199 +00:18:34,800 --> 00:18:39,340 +ما يتضلهاش النضارة تسقط، فبتلاقي إنه ماسكة في مين؟ + +200 +00:18:39,340 --> 00:18:42,960 +في اللي هو الـ earlobe، شحمة اللي هو الأذن، فهو + +201 +00:18:42,960 --> 00:18:47,000 +يعتبر أكتر اللي هو أمان لهدول الأشخاص + +202 +00:18:52,010 --> 00:18:58,710 +Comfort table temples are shaped the same as + +203 +00:18:58,710 --> 00:19:04,450 +riding bow temples يعني الشكل الخاص فيه هو مماثل + +204 +00:19:04,450 --> 00:19:11,670 +لمين؟ لشكل القوس تمام نفس الحاجة لكن فيه إضافة But + +205 +00:19:11,670 --> 00:19:17,310 +are of metal construction with the accrual لكن في + +206 +00:19:17,310 --> 00:19:23,720 +قطعة معدنية مضعفةهذه القطعة المعدنية مضافة على + +207 +00:19:23,720 --> 00:19:29,480 +الباو أو على القوس او behind the ear portion او + +208 +00:19:29,480 --> 00:19:35,840 +بنهاية الأذن from a flexible coiled cable يعني هنا + +209 +00:19:35,840 --> 00:19:40,620 +في عندنا القطعة المعدنية تمام هذه ايش بتساعد انه + +210 +00:19:40,620 --> 00:19:44,980 +بتكون flexible مرنة بحيث انه تعمل عملية مسك لأ + +211 +00:19:44,980 --> 00:19:51,310 +اللي هو الإطار يعني cableالغير الهدف منه انه يعمل + +212 +00:19:51,310 --> 00:19:56,970 +عملية اللي هو مرونة و اللي هو تثبيت للإطار اذا + +213 +00:19:56,970 --> 00:20:01,730 +الفرق ما بين ال comfort cable اللي هي timbles و ال + +214 +00:20:01,730 --> 00:20:05,750 +riding bow timbles ان هنا في عندنا ال flexible + +215 +00:20:05,750 --> 00:20:11,290 +coiled cable اللي هي القطعة المعدنية اللي بتكون + +216 +00:20:11,290 --> 00:20:16,580 +قابلة للتغيير او اللي هو بتكون flexible marinaطبعا + +217 +00:20:16,580 --> 00:20:22,320 +وين بترتبط؟ مع الـ ear loop اللي هي شحمة الأذن + +218 +00:20:22,320 --> 00:20:28,680 +بالنسبة لـ coloration إيش مانت coloration؟ تلوين + +219 +00:20:31,870 --> 00:20:37,070 +Plastic frames may be partially classified by + +220 +00:20:37,070 --> 00:20:43,030 +coloration يعني الإطارات اللي plastic يمكن اللي هو + +221 +00:20:43,030 --> 00:20:50,610 +تصنيفها بشكل جزء بناء على اللون فعنا number onea + +222 +00:20:50,610 --> 00:20:55,330 +solid a frame is all one color يعني كل الإطار + +223 +00:20:55,330 --> 00:20:59,510 +تقريبا بيكون لون واحد تمام؟ يعني الآن لو احنا + +224 +00:20:59,510 --> 00:21:05,250 +اتطلعنا على منطقة ال front على منطقة ال top rim او + +225 +00:21:05,250 --> 00:21:09,710 +منطقة ال bottom rim او منطقة ال bridge او منطقة ال + +226 +00:21:09,710 --> 00:21:15,970 +temple كلها تقريبا لون واحد تمام؟ هذا بنسميه a + +227 +00:21:15,970 --> 00:21:20,530 +solid a frame is all one color اتنين عندناA + +228 +00:21:20,530 --> 00:21:25,930 +vertically gradient ايش معناه كلمة gradient بمعنى + +229 +00:21:25,930 --> 00:21:31,070 +اللي هو تدريج مية في المية It's darker all the way + +230 +00:21:31,070 --> 00:21:35,930 +across the top منطقة اللي هو ال rim في ال top + +231 +00:21:35,930 --> 00:21:40,030 +بتلاقيها darker مضيقة اكتر او بمعنى لونها اكتر + +232 +00:21:40,030 --> 00:21:47,770 +غامق اكتر تمام في ال top ال top rimincluding the + +233 +00:21:47,770 --> 00:21:52,050 +bridge أيضًا ال bridge بتلاقي اللي هو darker and + +234 +00:21:52,050 --> 00:21:57,170 +is lighter أقل اللي هو إضاءة تمام أو أخف اللي هو + +235 +00:21:57,170 --> 00:22:01,050 +إضاءة وين بتكون across the bottom يعني الآن لو أنا + +236 +00:22:01,050 --> 00:22:07,410 +سألتك وين اللي هو ال darker color في ال top ولا ال + +237 +00:22:07,410 --> 00:22:11,250 +bottom؟ أكيد في ال top وبالإضافة لمين؟ لا اللي هو + +238 +00:22:11,250 --> 00:22:15,410 +ال bridgeبينما منطقة الـ bottom rim بتلاقيها + +239 +00:22:15,410 --> 00:22:22,730 +lighter than top rim هذه بالنسبة لـ a vertically a + +240 +00:22:22,730 --> 00:22:27,910 +gradient عندنا + +241 +00:22:27,910 --> 00:22:34,090 +a horizontally a gradient a frame is darker وين at + +242 +00:22:34,090 --> 00:22:38,550 +the temporal شايفين اللون غامق كتير وين في الأطراف + +243 +00:22:38,550 --> 00:22:43,940 +في ال temporal portionsand lightens towards the + +244 +00:22:43,940 --> 00:22:48,380 +ear كل ما إجينا باتجاه اللي هو .. عفوا باتجاه اللي + +245 +00:22:48,380 --> 00:22:51,400 +هو ال center كل ما إجينا باتجاه ال center بتلاقي + +246 +00:22:51,400 --> 00:22:56,840 +أنه بتفتح أكتر يعني هان غامق كتير أو واضح اللي هو + +247 +00:22:56,840 --> 00:23:00,780 +ال darker كتير هان إيش بتلاقيه أخف اللي هو lighter + +248 +00:23:00,780 --> 00:23:06,340 +than في منطقة ال center أو في منطقة ال bridge حتى + +249 +00:23:06,340 --> 00:23:13,330 +بتلاحظي هي أخفهن سواد غامق وهن إيش اللون الأخف هذه + +250 +00:23:13,330 --> 00:23:20,810 +a horizontally gradient تدريج اللي هو أفقي a + +251 +00:23:20,810 --> 00:23:25,730 +clear bridge a frames somewhat resemble يعني هي + +252 +00:23:25,730 --> 00:23:29,930 +بتكون مشابهة إلى حد ما من ال horizontal gradient + +253 +00:23:29,930 --> 00:23:34,890 +ولكن but are dark at the top أن ال top يكون dark + +254 +00:23:36,440 --> 00:23:41,420 +Except باستثناء ال bridge area يعني منطقة ال clear + +255 +00:23:41,420 --> 00:23:46,740 +bridge انه عندنا ال temporal هتكون dark تمام و + +256 +00:23:46,740 --> 00:23:51,560 +ايضا ايش كمان عندنا منطقة اللي هو ال top rim + +257 +00:23:51,560 --> 00:23:54,740 +باستثناء ال bridge هي اللي هيكون ايش اللي هو + +258 +00:23:54,740 --> 00:24:00,120 +lighter مقارنة في المناطق التانية okay the + +259 +00:24:00,120 --> 00:24:05,800 +multitude of color combinationsavailable now makes + +260 +00:24:05,800 --> 00:24:11,180 +categorization beyond this difficult الآن أيضًا في + +261 +00:24:11,180 --> 00:24:16,580 +هناك تصنيفات تانية أنه يمكن العمل بيها ولكن يعني + +262 +00:24:16,580 --> 00:24:23,040 +في ال .. في مساقنا هذا أنه مش هنتلبق لها عشان ما + +263 +00:24:23,040 --> 00:24:28,210 +نعملش اللي هو عملية إيش خربطة اللي هوفي كيفية اللي + +264 +00:24:28,210 --> 00:24:32,570 +هو تصنيف الـ plastic اللي هو الـ frame من خلال + +265 +00:24:32,570 --> 00:24:35,290 +اللون اللي هو اللون اللي هو اللون اللي هو اللون + +266 +00:24:35,290 --> 00:24:35,290 +اللي هو اللون اللي هو اللون اللي هو اللون اللي هو + +267 +00:24:35,290 --> 00:24:35,350 +اللون اللي هو اللون اللي هو اللون اللي هو اللون + +268 +00:24:35,350 --> 00:24:35,450 +اللي هو اللون اللي هو اللون اللي هو اللون اللي هو + +269 +00:24:35,450 --> 00:24:35,610 +اللون اللي هو اللون اللي هو اللون اللي هو اللون + +270 +00:24:35,610 --> 00:24:35,970 +اللي هو اللون اللي هو اللون اللي هو اللون اللي هو + +271 +00:24:35,970 --> 00:24:36,790 +اللون اللي هو اللون اللي هو اللون اللي هو اللون + +272 +00:24:36,790 --> 00:24:37,170 +اللي هو اللون اللي هو اللون اللي هو اللون اللي هو + +273 +00:24:37,170 --> 00:24:37,170 +اللون اللي هو اللون اللي هو اللون اللي هو اللون + +274 +00:24:37,170 --> 00:24:37,670 +اللي هو اللون اللي هو اللون اللي هو اللون اللي هو + +275 +00:24:37,670 --> 00:24:42,670 +اللون اللي هو اللون اللي هو اللون اللي هو اللون + +276 +00:24:42,670 --> 00:24:46,350 +اللي هو اللون اللي هو + +277 +00:24:56,410 --> 00:25:02,010 +إيش مانات allergic reactions؟ يعني ردت اللي هو + +278 +00:25:02,010 --> 00:25:09,250 +الفعل أو الحساسية اللي بتحدث مع ارتداء من ال frame + +279 +00:25:09,250 --> 00:25:15,770 +Most frame manufacturers will use a coating on + +280 +00:25:15,770 --> 00:25:22,470 +their plastic frames to protect the framesand also + +281 +00:25:22,470 --> 00:25:26,630 +to reduce any possibility of allergic reactions + +282 +00:25:26,630 --> 00:25:32,470 +معظم الأشخاص اللي بيصنعوا الإطارات الطبية + +283 +00:25:32,470 --> 00:25:39,150 +بيستخدموا اللي هي طبقة من الطلاق أو طبقة اللي هو + +284 +00:25:39,150 --> 00:25:45,070 +من التلوين تمام الهدف من هذه الطبقة أنه تعمل حماية + +285 +00:25:45,070 --> 00:25:50,960 +لمن؟ للإفريموالشغل التاني إذا في هناك أي تتفاعل ما + +286 +00:25:50,960 --> 00:25:56,220 +بين ال frame و الجسم بتاع اللي هو المريض أنه تخفف + +287 +00:25:56,220 --> 00:26:01,860 +هذا الألم هذا اللي هو الأمر يعني معظم الإطارات + +288 +00:26:01,860 --> 00:26:06,180 +اللي إحنا شايفينها ملبوسة لازم يكون عليها طبقة من + +289 +00:26:06,180 --> 00:26:08,880 +اللي هو ال coating طبقة طلائية + +290 +00:26:11,400 --> 00:26:17,720 +However sometimes this is not enough مع ذلك ان هذه + +291 +00:26:17,720 --> 00:26:22,480 +الطبقة الطلاقية في بعض الأحيان ما بتكون كافية + +292 +00:26:25,460 --> 00:26:29,940 +to reduce the possibility of a reaction for people + +293 +00:26:29,940 --> 00:26:34,480 +who have a history of skin reactions to wearing + +294 +00:26:34,480 --> 00:26:39,860 +Ephraims use Ephraim materials that are known to + +295 +00:26:39,860 --> 00:26:44,700 +be hypoallergenic الان لو احنا بنعرف شخص عنده + +296 +00:26:44,700 --> 00:26:49,760 +دايما حساسية في جلده تمام؟ الان لما انا بدى ادي + +297 +00:26:49,760 --> 00:26:56,140 +اطاربدي احاول ادي اطار يكون المادة المصلوعة منه + +298 +00:26:56,140 --> 00:27:00,980 +اقل اللي هو ايش تفاعلا او اقل حساسية نسميها + +299 +00:27:00,980 --> 00:27:06,080 +hypoallergenic تمام؟ يعني اقل اللي هو حساسية يعني + +300 +00:27:06,080 --> 00:27:09,580 +ماتعملش اللي هو reaction ما بين جسمه و ما بين + +301 +00:27:09,580 --> 00:27:10,100 +الإطار + +302 +00:27:12,960 --> 00:27:16,760 +Here are some that are reported to be + +303 +00:27:16,760 --> 00:27:22,000 +hypoallergenic، من هذه المواد اللي بتقلل الحساسية + +304 +00:27:22,000 --> 00:27:27,520 +ما بين الإطار و ما بين جسم اللي هو الشخص، في عندنا + +305 +00:27:27,520 --> 00:27:33,200 +optimal materialOptel Material هي عبارة عن Multi + +306 +00:27:33,200 --> 00:27:37,820 +-Polymer، إيش يعني Multi-Polymer؟ إنه Plastic + +307 +00:27:37,820 --> 00:27:42,860 +متعدد، يعني مصنوع من أكتر من مادة بلاستيكية، الإسم + +308 +00:27:42,860 --> 00:27:49,980 +التجاري بتاعه اسمه A Brand of Epoxy + +309 +00:27:49,980 --> 00:27:57,110 +Resinهذا الاسم التجاري الخاص في الـ optimal عنا a + +310 +00:27:57,110 --> 00:28:01,650 +brand of epoxy resin resin معناها plastic صح ولا + +311 +00:28:01,650 --> 00:28:16,250 +لأ يعني بمعنى multi polymer أيضا + +312 +00:28:16,250 --> 00:28:23,790 +عنا polyamide أوCoprolamide عندنا تيتانيوم و + +313 +00:28:23,790 --> 00:28:30,630 +stainless steel في هناك تلت خواص لهدول الأربع مواد + +314 +00:28:30,630 --> 00:28:36,410 +الخاصية الأولى انه تعتبر hypoallergenic يعني أقل + +315 +00:28:36,410 --> 00:28:41,330 +حساسية مع جسم اللي هو الإنسان أو أقل تفاعل مع اللي + +316 +00:28:41,330 --> 00:28:46,160 +هو مين مع جسم الإنسانالشغلة التانية انه + +317 +00:28:46,160 --> 00:28:50,860 +comfortable مريحة والشغلة التالتة انه lightweight + +318 +00:28:50,860 --> 00:28:55,400 +خفيفة الان ال stainless steel او التيتانيوم دايما + +319 +00:28:55,400 --> 00:28:59,760 +ايش بتلاحظه انه فيه خفة صح ولا لأ فهي المميزات + +320 +00:28:59,760 --> 00:29:09,400 +الخاصة بالتلت او الأربع مواد هدول if + +321 +00:29:09,400 --> 00:29:13,440 +a person is already having a reactions + +322 +00:29:26,100 --> 00:29:34,680 +الان المريض شعر ان فيه تفاعل ما بين الإطار و ما + +323 +00:29:34,680 --> 00:29:40,150 +بين جلدهتمام؟ الآن ايش بدنا نبدأ نعمل؟ نقول له هذا + +324 +00:29:40,150 --> 00:29:44,090 +الإطار غير مناسب إلك تمام؟ ولابد من اللي هو + +325 +00:29:44,090 --> 00:29:49,650 +استبداله لأنه إذا دل الإطار هذا لابسه الشخص هيبدأ + +326 +00:29:49,650 --> 00:29:54,330 +اللي هو يزيد عملية ال allergy الحساسية Have a + +327 +00:29:54,330 --> 00:29:58,290 +clear coat finish applied to a frame طيب هو غير + +328 +00:29:58,290 --> 00:30:04,590 +مقتدرانه يغير الإطار بناخد الإطار طبعاً هذه الشركة + +329 +00:30:04,590 --> 00:30:10,410 +وبتعمل له اللي هو coating طبقة طلاقية الهدف منها + +330 +00:30:10,410 --> 00:30:15,650 +انه تقلل عملية ايش التفاعل ما بين الجلد بتاع ال + +331 +00:30:15,650 --> 00:30:21,970 +patient و الإطار اوبتم استخدام ultra-thin ايش + +332 +00:30:21,970 --> 00:30:26,590 +معناه ultra-thin يعني طبقة رقيقة هي عبارة عن ال + +333 +00:30:26,590 --> 00:30:31,810 +tube انبيب صغيرة او انبيب رقيقة الهدف منها انه + +334 +00:30:31,810 --> 00:30:37,130 +تعمل ال shrink لل heat يعني تعمل اللي هو انكماش + +335 +00:30:37,130 --> 00:30:41,390 +لدرجة الحرارة او للحرارة الخاصة في الإطار يعني + +336 +00:30:41,390 --> 00:30:46,800 +تقلل اللي هو درجة الحرارةإذا نيوز ultra-thin، + +337 +00:30:46,800 --> 00:30:51,900 +clear heat shrink tubing over the temples طبعا هذه + +338 +00:30:51,900 --> 00:31:06,420 +كلها بالتم من خلال الشركات صناعة الإطارات If + +339 +00:31:06,420 --> 00:31:13,470 +a person has an allergic reaction to nose bathالان + +340 +00:31:13,470 --> 00:31:18,770 +لو الشخص عنده حساسية من المخدات الخاصة في النضارة + +341 +00:31:18,770 --> 00:31:24,750 +تمام؟ there are replacement paths اذا بدنا نعمل + +342 +00:31:24,750 --> 00:31:28,310 +عملية استبدال لهذه المخدات replacement في معنى + +343 +00:31:28,310 --> 00:31:33,230 +استبدال available that will eliminate the problem + +344 +00:31:33,950 --> 00:31:41,590 +أذا بدنا نستبدل بالهو امخدات أخرى تمام عشان انه + +345 +00:31:41,590 --> 00:31:46,990 +نعمل إزالة لهذه المشكلة طيب الامخدات الجديدة اللي + +346 +00:31:46,990 --> 00:31:51,930 +بدها تقلل ال reaction allergy تمام من إيش مصنوعة؟ + +347 +00:31:51,930 --> 00:31:59,190 +أول حاجة عندنا gold plated metal nose bath يعني + +348 +00:31:59,190 --> 00:32:06,490 +هذه الامخدات بدها تكونمصارعة شوية أو بمعنى اللي هو + +349 +00:32:06,490 --> 00:32:12,330 +فيها مادة من اللي هو الدهب تمام؟ يعني مضاعف إلها + +350 +00:32:12,330 --> 00:32:19,540 +شيء من اللي هو الدهب أو عندنا تيتانيوم نوزبازأو + +351 +00:32:19,540 --> 00:32:23,180 +الـ crystal nose bath طبعا الـ crystal nose bath + +352 +00:32:23,180 --> 00:32:28,880 +اللي عبارة عن معدن، معدن اللي هو ال crystal يعني + +353 +00:32:28,880 --> 00:32:33,580 +معدن اللي هو ثمين هذول التلت مواد بيعملوا على اللي + +354 +00:32:33,580 --> 00:32:39,740 +هو تقليل ال reaction ما بين ال frame أو ما بين ال + +355 +00:32:39,740 --> 00:32:45,480 +nose bath و اللي هو ال skin الخاص بالشخصFor + +356 +00:32:45,480 --> 00:32:52,900 +allergic reactions to metal cable templesUse a + +357 +00:32:52,900 --> 00:32:57,180 +timber cover to cover the timber بعض الأحيان ال + +358 +00:32:57,180 --> 00:33:02,020 +timber نهايته بيكون عاملة أيضا ايش حساسية لجلد + +359 +00:33:02,020 --> 00:33:06,140 +الشخص طب ايش بنعمل؟ بنجيب ال timber و بنجيب قطعة + +360 +00:33:06,140 --> 00:33:10,720 +بلاستيكية تانية يمكن شفتوها في بعض الإطارات بتلاحظ + +361 +00:33:10,720 --> 00:33:15,460 +ان ال timber بتاع الإطار كله معدن بحط قطعة + +362 +00:33:15,460 --> 00:33:19,780 +بلاستيكية مضافة عشان يقلل من ال reaction ما بين + +363 +00:33:19,780 --> 00:33:25,190 +اللي هوالـ counter of skill مع اللي هو من ال frame + +364 +00:33:25,190 --> 00:33:31,130 +تمام يعني إضافة تمبل جديد في داخل ال تمبل اللي هو + +365 +00:33:31,130 --> 00:33:40,010 +الرئيسي أو الأساسي تمبل covers هذا تمبل اللي تم + +366 +00:33:40,010 --> 00:33:45,810 +إضافته جديد مصنوع اللي هو من إما plastic أو vinyl + +367 +00:33:45,810 --> 00:33:51,500 +and silicon materialsلأنه دايما أنه أقل اللي هو + +368 +00:33:51,500 --> 00:33:56,520 +خطورة اللي plastic من مين من ال metal أو أقل + +369 +00:33:56,520 --> 00:34:02,700 +تفاعلا بينه و بين مين اللي هو ال what I call اللي + +370 +00:34:02,700 --> 00:34:09,160 +هو ال metal okay there is also heat shrink tubing + +371 +00:34:09,160 --> 00:34:14,280 +sold for this purpose يعني بتم اللي هو زي ما قلنا + +372 +00:34:14,280 --> 00:34:20,340 +شراءالـ ultra-thin اللي هي ال .. ال ultra-thin + +373 +00:34:20,340 --> 00:34:25,640 +قلنا إيش معناها؟ الطبقات اللي هو البقيقة بتم اللي + +374 +00:34:25,640 --> 00:34:31,560 +هو شرائها لهذا الهدف إذا sold for this purpose + +375 +00:34:31,560 --> 00:34:37,500 +يعني لهذا الهدف which reportedly takes care of + +376 +00:34:37,500 --> 00:34:41,100 +eliminating allergic reactions و اللي بتعطى أو + +377 +00:34:41,100 --> 00:34:45,200 +بتأخذ اللي هو بعناية لعملية اللي هو إزالة إيش + +378 +00:34:45,510 --> 00:34:51,770 +التفاعل ما بين ال skin patient و ما بين ال frame + +379 +00:34:51,770 --> 00:34:57,510 +an + +380 +00:34:57,510 --> 00:35:02,890 +additional note on allergies there is a liquid + +381 +00:35:02,890 --> 00:35:07,990 +lens linear sometimes used in the groove of a + +382 +00:35:07,990 --> 00:35:13,650 +frame to make a loose lens more secure في بعض + +383 +00:35:13,650 --> 00:35:19,300 +الأحيانالان يما بيجي أو باخد اللي هو وصفة المريض + +384 +00:35:21,070 --> 00:35:26,350 +أول حاجة بشتري الـ uncut lens بيجي الان بده يقص + +385 +00:35:26,350 --> 00:35:30,950 +الـ uncut lens بيخلي انه فيه هناك اللي هو العدسة + +386 +00:35:30,950 --> 00:35:35,450 +في اتفاضة يعني بتكون العدسة ايش مالها؟ واسعة يعني + +387 +00:35:35,450 --> 00:35:39,970 +مزودة بعملية ال gas يعني الآن لو انا امسكت العدسات + +388 +00:35:39,970 --> 00:35:43,930 +في داخل الإطار بتلاقي العدسة loose يعني رقيقة + +389 +00:35:43,930 --> 00:35:49,090 +بتتحرك معيهذه ايش الهدف بيعملها؟ انه عشان يكون + +390 +00:35:49,090 --> 00:35:53,090 +اكتر secure يعني اكتر امان، دايما بقولك يما تكون + +391 +00:35:53,090 --> 00:35:58,090 +العدسة مضغوطة كتير ممكن الشخص و هو لبسها ايش تنكسر + +392 +00:35:58,090 --> 00:36:04,050 +العدسة، نتيجة اللي هو ال pressure القوي، تمام؟إيش + +393 +00:36:04,050 --> 00:36:09,830 +الفايدة من ذلك؟ This material contains latex and + +394 +00:36:09,830 --> 00:36:15,390 +shouldn't be used on a frame whose wearers have + +395 +00:36:15,390 --> 00:36:22,150 +latex allergies طيب، الآن صاحب المركز بدي يحافظ + +396 +00:36:22,150 --> 00:36:27,190 +على هذه العدساتيعني بمعنى آخر أنه بدهوش يرمى + +397 +00:36:27,190 --> 00:36:30,990 +العدسات أو بدهوش أنه يخسر هدول العدسات، إيش بروح + +398 +00:36:30,990 --> 00:36:35,770 +بيجيب؟ بيجيب مادة الأمير الـ Latex تمام؟ و بيلزج + +399 +00:36:35,770 --> 00:36:40,370 +اللي هو العدسة طيب، الآن أنت لما بتلزج العدسة، هذه + +400 +00:36:40,370 --> 00:36:45,310 +المادة الأمير إيش بتعمل؟ reaction ما بين الإطار و + +401 +00:36:45,310 --> 00:36:49,810 +ما بين مين ال skin اللي هو human وبالتالي بتأدى + +402 +00:36:49,810 --> 00:36:54,350 +لإيه ال allergyطبعا هذا التصرف خاطئ مية في المية + +403 +00:36:54,350 --> 00:37:04,450 +واضح الفكرة عندنا + +404 +00:37:04,450 --> 00:37:11,630 +frame measurements and markings يعني قياسات وتعليم + +405 +00:37:11,630 --> 00:37:18,820 +الإطار بداية عندناالنظام الأول اللي هو عبارة عن + +406 +00:37:18,820 --> 00:37:26,060 +الـ older datum system تمام؟ a system of reference + +407 +00:37:26,060 --> 00:37:30,560 +points ايش المقصود بال reference points في اللي هو + +408 +00:37:30,560 --> 00:37:37,960 +ال datum system؟ عندنا ال mid datum depth و عندنا + +409 +00:37:37,960 --> 00:37:41,640 +ال datum line و عندنا ال datum center صح ولا لأ؟ + +410 +00:37:41,640 --> 00:37:46,410 +هدول عبارة عن ال reference pointsfor frames and + +411 +00:37:46,410 --> 00:37:53,430 +lenses so that placement of lens optical center + +412 +00:37:53,430 --> 00:37:58,410 +would be consistent يعني ممكن أن تكون هذا ال + +413 +00:37:58,410 --> 00:38:04,010 +reference point عاملة محاكاة بين الإطار و ما بين + +414 +00:38:04,010 --> 00:38:08,410 +من العدسات بحيث أن تكون ال optical center للعدسات + +415 +00:38:08,410 --> 00:38:11,730 +في وضعها الطبيعي أو في وضعها الصحيح + +416 +00:38:15,340 --> 00:38:20,940 +عنا الـ mid datum depth و + +417 +00:38:20,940 --> 00:38:27,740 +ال datum line و ال datum center خاصة + +418 +00:38:27,740 --> 00:38:33,040 +في مين؟ في اللي هو ال datum system عنا ال mid + +419 +00:38:33,040 --> 00:38:40,260 +datum + +420 +00:38:40,260 --> 00:38:44,140 +depth + +421 +00:38:48,110 --> 00:38:55,230 +و ال datum line و + +422 +00:38:55,230 --> 00:38:59,990 +ال + +423 +00:38:59,990 --> 00:39:05,750 +datum center with the + +424 +00:39:05,750 --> 00:39:10,350 +lens placed as it should sit in the frame, + +425 +00:39:10,890 --> 00:39:14,890 +horizontal lines were drawn at the highest and + +426 +00:39:14,890 --> 00:39:21,340 +lowest edge of the lensالان الخطوة الاولى يما انا + +427 +00:39:21,340 --> 00:39:27,000 +بجيب الإطار تمام اول حاجة بدي ارسم من الشابلونة + +428 +00:39:27,000 --> 00:39:32,420 +الان في عندنا خط لازم يكون horizontal ال + +429 +00:39:32,420 --> 00:39:37,720 +horizontal هذا يكون من ال top rim و من من ال + +430 +00:39:37,720 --> 00:39:46,260 +bottom rim تمام هذه اول خطوة اذا الخطوة الاولىwith + +431 +00:39:46,260 --> 00:39:51,040 +the lens placed it should sit in the frame عشان + +432 +00:39:51,040 --> 00:39:56,440 +العدسة يعني تجعد في مكانها أو تجلس في مكانها بعمل + +433 +00:39:56,440 --> 00:40:00,140 +horizontal lines على مدار العدستين أو على طول + +434 +00:40:00,140 --> 00:40:05,000 +العدستين برسم اللي هو ال highest او ال top اللي هو + +435 +00:40:05,000 --> 00:40:10,360 +area او ال top rim وعنا ال bottom او بنسميها ال + +436 +00:40:10,360 --> 00:40:13,040 +lowest اللي هو edge of the lens + +437 +00:40:33,170 --> 00:40:39,870 +أول حاجة موازلة مين للـ horizontal line صح ولا لأ؟ + +438 +00:40:40,010 --> 00:40:44,850 +و جاي في اللي هو منتصف العدسة الأولى والعدسة + +439 +00:40:44,850 --> 00:40:51,210 +التانية okay هاي ال datum line موازية لأول حاجة ال + +440 +00:40:51,210 --> 00:40:55,030 +horizontal سواء كان ال top او ال bottom والنقطة + +441 +00:40:55,030 --> 00:40:59,510 +التانية انه جاي منصف للعدسة الأولى والعدسة التانية + +442 +00:41:06,330 --> 00:41:11,470 +The width of the lens along this line was called + +443 +00:41:11,470 --> 00:41:16,150 +the datum length أو بنسميها ال eye sizeاللي هي + +444 +00:41:16,150 --> 00:41:20,570 +بتمثل حجم مين؟ العدسة هي الـ Datum Length أو الـ I + +445 +00:41:20,570 --> 00:41:25,970 +Size إن حجم العدسة اللي هيتم قصها طبعاً العدسة + +446 +00:41:25,970 --> 00:41:30,950 +هيكون حجمها أصغر من مين؟ من الـ Rim ليش طيب؟ لأنه + +447 +00:41:30,950 --> 00:41:36,430 +هيكون بدمجها لجروف يعني المنطقة اللي هتحصر اللي هو + +448 +00:41:36,430 --> 00:41:42,130 +العدسة أو لبيفل تمام؟ عشان يتم اللي هو تلائم ما + +449 +00:41:42,130 --> 00:41:44,050 +بين العدسة و ما بين الإطار + +450 +00:41:48,660 --> 00:41:53,960 +Okay الـ point along the datum line halfway + +451 +00:41:53,960 --> 00:41:58,760 +between the edges of the lens is the datum center + +452 +00:41:58,760 --> 00:42:03,660 +ال datum center هو منتصف من ال datum line اللي + +453 +00:42:03,660 --> 00:42:08,380 +بيكون موازلة من لل horizontal line هاي datum + +454 +00:42:08,380 --> 00:42:18,120 +center وهنا datum center في المنتصف Okay + +455 +00:42:19,110 --> 00:42:22,870 +the depth of the lens او الـ mid اللي هو datum + +456 +00:42:22,870 --> 00:42:29,630 +depth أيضا بيسمى okay measured as the vertical + +457 +00:42:29,630 --> 00:42:34,930 +depth through the datum center was the mid datum + +458 +00:42:34,930 --> 00:42:40,370 +depth اذا انا مادام بتكلم على كلمة اللي هو depth + +459 +00:42:40,370 --> 00:42:45,870 +اذا عنا عبارة عن ال vertical okay يعني باخد اللي + +460 +00:42:45,870 --> 00:42:52,380 +هو العدسةمن الـ top part لبطن part الملاحظين هنا + +461 +00:42:52,380 --> 00:42:56,360 +على حدود من العدسة مش على حدود ال frame الإطار + +462 +00:42:56,360 --> 00:43:00,920 +يعني في هناك فرق تقريبا من اتنين لاتنين و نص ملي + +463 +00:43:06,350 --> 00:43:12,430 +The datum system preceded the currently used + +464 +00:43:12,430 --> 00:43:16,750 +boxing اللي هو system يعني الآن تم الاستغناء عن + +465 +00:43:16,750 --> 00:43:20,750 +نظام اللي هو ال datum system والنظام المعمول فيه + +466 +00:43:20,750 --> 00:43:25,150 +في الوقت الحاضر هو عبارة عن مين؟ ال boxing system + +467 +00:43:25,150 --> 00:43:29,450 +اللي هنكمل ان شاء الله في مجرياته في المحاضرة + +468 +00:43:29,450 --> 00:43:33,150 +القادمة يعطيكم العافية، أي سؤال؟ أي استفسار؟ + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/81J6EddFqIw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/81J6EddFqIw.srt new file mode 100644 index 0000000000000000000000000000000000000000..e175218340b79ade0dc502e6cf4c68057d720ec5 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/81J6EddFqIw.srt @@ -0,0 +1,1395 @@ +1 +00:00:20,790 --> 00:00:23,910 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,910 --> 00:00:29,510 +وبركاته and a very good afternoon to all of you. في + +3 +00:00:29,510 --> 00:00:34,670 +المحاضرة السابقة أخذنا موضوع الـ lensmeter و + +4 +00:00:34,670 --> 00:00:41,630 +المبادئ المتعلقة باللينزميتر. اليوم سيكون عندنا بعض + +5 +00:00:41,630 --> 00:00:49,920 +من الأسئلة المتعلقة بالـ true or false. If a stock + +6 +00:00:49,920 --> 00:00:56,520 +lens، إيش المقصود بالـ stock lens؟ يعني العدسة التي + +7 +00:00:56,520 --> 00:01:01,700 +يتم جلبها من اللي هو المستودع، الخاص بالمركز + +8 +00:01:01,700 --> 00:01:07,980 +البصريات أو خلينا نقول بالـ optical center. If a + +9 +00:01:07,980 --> 00:01:13,580 +stock lens is available، كان عندنا مستودع للعدسات + +10 +00:01:13,580 --> 00:01:20,330 +في داخل المركز. It's normally used instead of a + +11 +00:01:20,330 --> 00:01:26,270 +custom-surfaced lens. إنه ممكن هذه الـ stock lens + +12 +00:01:26,270 --> 00:01:31,570 +تكون بديلة عن العدسة الـ custom lens. إيش المقصود + +13 +00:01:31,570 --> 00:01:38,850 +فيها؟ إن العدسة اللي مثلا عندنا مريض وصفته كانت + +14 +00:01:38,850 --> 00:01:51,740 ++2 على -1. تمام، هذه بدي أطلبها كـ order يعني + +15 +00:01:51,740 --> 00:01:56,160 +بمعنى آخر اللي أنا بدي أطلبه من الشركة أن الشركة + +16 +00:01:56,160 --> 00:02:03,140 +الصانعة عندنا عدسة قوتها +2 على -1، CR 39 أو + +17 +00:02:03,140 --> 00:02:07,960 +مثلا crown glass or whatever. تمام، بنفس المواصفات + +18 +00:02:07,960 --> 00:02:15,430 +هذه. طيب، هل يمكن أن تكون الـ stock lens، تمام، هي بديلة + +19 +00:02:15,430 --> 00:02:20,830 +عن الـ custom-surfaced lens ولا لأ؟ يعني true or + +20 +00:02:20,830 --> 00:02:28,490 +false. الإجابة false. إيش رأيكم؟ طبعا هي false من + +21 +00:02:28,490 --> 00:02:34,550 +ناحية اللي هو ideal. false. لازم أنا كل وصفة أبتجينيها + +22 +00:02:35,380 --> 00:02:42,060 +للمركز الخاص بها أن أعمل طلب لهذه الوصفة دون اللي + +23 +00:02:42,060 --> 00:02:49,400 +هو الرجوع لمين؟ للـ stock الخاصة بالعدسات. Number two: + +24 +00:02:49,400 --> 00:02:55,600 +For high plus lens powers، إذا العدسة إيه شمالها + +25 +00:02:55,600 --> 00:03:03,400 +high plus، A center thickness increases. سماكة العدسة + +26 +00:03:03,400 --> 00:03:08,020 +بالزيادة في المنتصف. Which is of the following is + +27 +00:03:08,020 --> 00:03:15,340 +true? A. Magnification of the wearer's eye increases. + +28 +00:03:16,340 --> 00:03:21,200 +A. Minification of the wearer's eyes increases. B. + +29 +00:03:21,200 --> 00:03:26,040 +No relationship exists between lens power, center + +30 +00:03:26,040 --> 00:03:30,100 +thickness and either magnification or minification. + +31 +00:03:36,130 --> 00:03:40,250 +ما دام high plus power، إذا إيش هتعمل العدسة؟ + +32 +00:03:40,250 --> 00:03:43,530 +Magnification، صح ولا لأ؟ إذا هي هتعمل + +33 +00:03:43,530 --> 00:03:48,730 +magnification of the wearer's eye increases. يعني + +34 +00:03:48,730 --> 00:03:53,090 +دايما ما ترتبك من طول السؤال أو من اللي هو صياغة + +35 +00:03:53,090 --> 00:03:58,250 +السؤال. مباشرة، high plus lenses هي إيش بتعمل؟ وظيفة + +36 +00:03:58,250 --> 00:04:02,830 +الـ magnification. حدد كمية + +37 +00:04:02,830 --> 00:04:10,570 +إن شاء الله. طيب، هل السؤال مهم ومتعلق بالمحاضرة + +38 +00:04:10,570 --> 00:04:16,930 +السابقة؟ A prescription is -2 over -1.25 x 30. إذا ما دام x's، هذه وصفة + +39 +00:04:16,930 --> 00:04:22,530 +إيش؟ glasses، نضارة، صح ولا لأ؟ قولا واحدا. okay. Which + +40 +00:04:29,900 --> 00:04:35,020 +of the following two power will... الآن احنا أخذنا + +41 +00:04:35,020 --> 00:04:39,040 +المرة الماضية، لو كان عندي عدسة أسفير أو cylinder + +42 +00:04:39,040 --> 00:04:44,160 +lens، هتديني كم power؟ اثنتين، صح ولا لأ؟ بوضح واحدة، + +43 +00:04:44,160 --> 00:04:49,840 +الثانية بتغبش. بوضح الثانية، الأولى بتغبش، وهكذا. الآن + +44 +00:04:49,840 --> 00:04:54,640 +which of the following two power wheel readings + +45 +00:04:54,640 --> 00:05:00,560 +appear when first sphere? The cylinder lines are + +46 +00:05:00,560 --> 00:05:04,320 +brought into focus. الآن لما أنا بستخدم الـ power + +47 +00:05:04,320 --> 00:05:08,640 +wheel، تمام، أي واحدة فيهم هتوضح وأي واحدة فيهم + +48 +00:05:08,640 --> 00:05:13,580 +هتغبش؟ اللي هي القراءة الأكبر. مش احنا دائما الاسفير + +49 +00:05:13,580 --> 00:05:19,020 +يعني الـ -2، إيش تمثل؟ الاسفير، صح ولا لأ؟ إذا هي + +50 +00:05:19,020 --> 00:05:23,660 +الاسفير power اللي مفترض أول واحدة توضح، صح؟ طيب، + +51 +00:05:23,660 --> 00:05:30,160 +الإجابة إيش بده تكون؟ يعني أي واحدة أو أي صورة + +52 +00:05:30,160 --> 00:05:34,600 +هتكون هي الأوضح؟ يعني أنا بدي أعمل اللي هو قياس + +53 +00:05:34,600 --> 00:05:42,870 +لقوة العدسة -2. في حد عنده إجابة ثانية؟ أنا بقول + +54 +00:05:42,870 --> 00:05:48,950 +-2 و -3.25. مئة بالمئة لأ، مش مجموعهم، الـ + +55 +00:05:48,950 --> 00:05:54,490 +neutralization، صح ولا لأ؟ لأن عندنا -2، هذه + +56 +00:05:54,490 --> 00:05:58,090 +هتكون الـ sphere، صح ولا لأ؟ إذا هذه القراءة الأولى + +57 +00:05:58,090 --> 00:06:01,890 +اللي أنا هشوفها. طيب، الآن لو أنا أجيت أخدت المعادلة + +58 +00:06:01,890 --> 00:06:07,430 +-2 أو الوصفة على -1.25، بدي أجمعهم، + +59 +00:06:07,430 --> 00:06:13,990 +اللي هي -3.25. إذا، هتكون إيش؟ -2. + +60 +00:06:13,990 --> 00:06:18,650 +الإجابة صحيحة، و -3.25 أيضا اللي هو + +61 +00:06:18,650 --> 00:06:24,630 +الصحيحة. إذا الإجابة إما A أو اللي هو C، تمام؟ يعني + +62 +00:06:24,630 --> 00:06:28,050 +بمعنى آخر أنه أنا حولت من -cylinder لـ + + +63 +00:06:28,050 --> 00:06:33,210 +cylinder. شوف + +64 +00:06:33,210 --> 00:06:41,890 +السؤال الأخير. True or false: When the lensmeter is + +65 +00:06:41,890 --> 00:06:48,730 +used to neutralize a lens of unknown power، إذا هذه + +66 +00:06:48,730 --> 00:06:57,670 +إيش تعتبر؟ A spectacle lens and + +67 +00:06:57,670 --> 00:07:05,150 +obtain results directly in a plus cylinder form، + +68 +00:07:05,150 --> 00:07:11,040 +إذا مباشرة أنا بدي أحولها لإيش؟ لـ +cylinder بشكل + +69 +00:07:11,040 --> 00:07:16,260 +مباشر. يعني الآن الوصفة زي هذه، بدنا نقول + أو + +70 +00:07:16,260 --> 00:07:24,000 +عفوا -3.25 على +1.25، ما طلعهاش + +71 +00:07:24,000 --> 00:07:27,120 +بالـ -cylinder، طلعها بشكل مباشر بالـ + + +72 +00:07:27,120 --> 00:07:33,380 +cylinder. okay. The power wheel is turned into the + +73 +00:07:33,380 --> 00:07:39,290 +high minus numbers. إذا هو طلع مين؟ القراءة الأولى + +74 +00:07:39,290 --> 00:07:46,650 +كانت - number lenses and slowly moved in the + +75 +00:07:46,650 --> 00:07:51,470 +plus direction. بعدين طلع مين؟ الـ + اللي هو lens + +76 +00:07:51,470 --> 00:07:57,270 +power. مين الآن اللي أكبر؟ الـ +، صح ولا لأ؟ يعني + +77 +00:07:57,270 --> 00:08:01,610 +هذه تعتبر القيمة الأولى اللي هي تعتبر الـ sphere، صح + +78 +00:08:01,610 --> 00:08:08,730 +ولا لأ؟ وهذه تعتبر الثانية ناقص الأولى. متفقين؟ الـ + +79 +00:08:08,730 --> 00:08:14,230 +high plus هي تعتبر الـ sphere. لو أخذنا مثلا عندنا الآن + +80 +00:08:14,230 --> 00:08:21,710 +بالشكل هذا، +5 وعندنا -1، مين هتكون + +81 +00:08:21,710 --> 00:08:26,310 +الـ sphere؟ تمام؟ هو نفس الشيء بس هو إيش قال لك؟ أن + +82 +00:08:26,310 --> 00:08:31,280 +احنا طلعنا القراءة الأولى الـ -cylinder، وبعدين + +83 +00:08:31,280 --> 00:08:35,120 +اتحركنا ببطء لمين؟ للـ +cylinder. هو الصح أنه + +84 +00:08:35,120 --> 00:08:41,620 +يطلع مين؟ الـ +. تمام؟ وكانت تتحرك ببطء في + +85 +00:08:41,620 --> 00:08:47,160 +الاتجاه الـ + حتى تصل + +86 +00:08:47,160 --> 00:08:51,380 +إلى الاتجاه الـ sharp focus الواضح. أن المفترض + +87 +00:08:51,380 --> 00:08:55,780 +الأولى هي تكون الـ +، الـ + lens اللي هي + +88 +00:08:55,780 --> 00:08:59,920 +عبارة عن الـ + sphere، والثانية هي اللي بنتحرك ببطء + +89 +00:08:59,920 --> 00:09:03,440 +لمين؟ للـ -cylinder. طيب، + +90 +00:09:08,490 --> 00:09:15,230 +هدول بالنسبة لأربعة أسئلة متعلقة بالـ subject اللي + +91 +00:09:15,230 --> 00:09:24,570 +أخذناه في المرات السابقة. عندنا + +92 +00:09:24,570 --> 00:09:30,010 +يا جماعة، الآن قضية سهلة كتير. لما أنا مثلا بدي أعلم + +93 +00:09:30,010 --> 00:09:38,780 +uncut lens، تمام. نفترض مثلا قوة العدسة +5 على الـ + +94 +00:09:38,780 --> 00:09:45,780 +-1، وجاتنا الوصفة بالشكل هذا، -cylinder، + +95 +00:09:45,780 --> 00:09:52,420 +axis 50. دائما + +96 +00:09:52,420 --> 00:09:56,700 +الأمر هذا سهل. ما دام الـ uncut lens، إذا العدسة إيش + +97 +00:09:56,700 --> 00:10:03,630 +مالها؟ مش معلمة، يعني ما فيش عليها أي axis. الآن هذه + +98 +00:10:03,630 --> 00:10:08,230 +الوصفة، إيش بروح بعمله؟ شيء بسيط جدا، بجمع قيمة + +99 +00:10:08,230 --> 00:10:17,710 +الاسفير مع السلندر، +5 + -1 = +4. إيش + +100 +00:10:17,710 --> 00:10:23,830 +بروح بعمل؟ بحط الـ axis wheel على الـ 50، والـ + + +101 +00:10:23,830 --> 00:10:29,970 +4 بروح بحطها، هي بوضحها إن هي الـ axis الصحيح. تمام. + +102 +00:10:29,970 --> 00:10:37,400 +نفترض مثلا مثال ثاني، الـ +2 على -1، + +103 +00:10:37,400 --> 00:10:44,220 +وجاء لي أعلمه الـ -cylinder على axis 30. + +104 +00:10:44,220 --> 00:10:49,980 +okay. بجمع الأول مع الثاني، إذا الناتج الـ +1. + +105 +00:10:49,980 --> 00:10:53,580 +إذا الـ +1 هي اللي بدها تكون واضحة على + +106 +00:10:53,580 --> 00:10:58,820 +الجداش الـ axis 30. هذه وين؟ في الـ uncut lens. + +107 +00:10:58,820 --> 00:11:06,480 +تمام. طيب لو كان عندنا spectacle lens، تمام؟ يعني + +108 +00:11:06,480 --> 00:11:13,600 +بمعنى آخر اللي هو frame والنضارة جاهزة. مثال عندنا + +109 +00:11:13,600 --> 00:11:21,720 +مثلا +4.5 على -1، axis 30. + +110 +00:11:21,720 --> 00:11:26,140 +دائما قلنا الـ power اللي احنا بناخذه من داخل الـ + +111 +00:11:26,140 --> 00:11:30,830 +lensmeter هو عبارة عن meridian الكبير، هذا الـ sphere + +112 +00:11:30,830 --> 00:11:35,870 +meridian. بأخذ الأول sphere، بطرح الثاني من الأول، + +113 +00:11:35,870 --> 00:11:41,310 +بأخذ الـ axis بتاع مين؟ الأصغر. تمام، هذا كـ axis لكن + +114 +00:11:41,310 --> 00:11:45,170 +احنا إيش بنعمل في الأول؟ يعني بنكتب مثلا على سبيل + +115 +00:11:45,170 --> 00:11:50,850 +المثال، +4.5 وهنا +2. تمام، هذا إيش + +116 +00:11:50,850 --> 00:11:55,230 +يمثل meridian. طب أنا بدي أكتبها بالـ axis، صح ولا + +117 +00:11:55,230 --> 00:11:58,430 +لأ؟ لأن النضارات كلها عندنا بالـ axis. بقول + + +118 +00:11:58,430 --> 00:12:03,750 +4.5 اللي هي الـ sphere، على الثاني -1، - + +119 +00:12:03,750 --> 00:12:10,790 +الثاني من الأول، -2، axis 180، وإن + +120 +00:12:10,790 --> 00:12:15,150 +هذا meridian. تمام، إذا الـ axis هيكون عكس الـ + +121 +00:12:15,150 --> 00:12:21,890 +meridian. أمر جدا بسيط. الآن أنا مثلا حطيت النضارة، + +122 +00:12:21,890 --> 00:12:25,750 +إيش بروح؟ أول حاجة بطلع القوة الكبيرة، بأخذها + +123 +00:12:25,750 --> 00:12:29,490 +السفير، بعدين بطرح الثاني من الأول وبأخذ الـ + +124 +00:12:29,490 --> 00:12:35,050 +access بتاع مين؟ اللي صغير. نفس + +125 +00:12:35,050 --> 00:12:38,390 +الشيء. هذا الكلام وين؟ في الـ corneal cylinder. لو + +126 +00:12:38,390 --> 00:12:42,310 +كان عندنا مثلا K1 50 + +127 +00:12:50,590 --> 00:13:01,610 +okay. عندنا 50 at 90 وعندنا K2 مثلا 45 at 180. هذا إيش يمثل؟ corneal power. + +128 +00:13:01,610 --> 00:13:09,070 +okay، اللي هو عبارة عن meridian. كيف بدي أعملهم؟ عندنا + +129 +00:13:09,070 --> 00:13:14,660 +الـ 50 هيها على الـ 90، تمام، والـ 45 okay. + +130 +00:13:14,660 --> 00:13:21,440 +الآن جاء لي أحسب قيمة corneal cylinder. إيش معناه + +131 +00:13:21,440 --> 00:13:28,000 +corneal cylinder؟ يعني فقط جاية من الكورنيا، يعني قداش + +132 +00:13:28,000 --> 00:13:33,320 +الـ amount of astigmatism from the cornea. okay. + +133 +00:13:33,320 --> 00:13:38,680 +الـ corneal cylinder إيش هتكون؟ -5. الـ Axes + +134 +00:13:38,680 --> 00:13:46,200 +اللي هي 180، واضح. + +135 +00:13:46,200 --> 00:13:51,080 +الفكرة دائما لما تتعامل مع الـ meridian ومع الـ + +136 +00:13:51,080 --> 00:13:55,620 +axes، عكس بعض. الـ meridian في اللي هو along. يعني + +137 +00:13:55,620 --> 00:14:01,340 +قلت لك مثلا 45 at 180، إذا على + +138 +00:14:01,340 --> 00:14:05,740 +طول بحط إيش؟ الـ 45 على الـ 180، + +139 +00:14:05,740 --> 00:14:10,060 +قلت لك مثلا 43 at 90، بحط على + +140 +00:14:10,060 --> 00:14:14,160 +التسعين. الـ axis العكس تماما، لأن الـ axis has no + +141 +00:14:14,160 --> 00:14:18,580 +power. مين اللي فيه الـ power؟ الـ meridian، اللي + +142 +00:14:18,580 --> 00:14:21,420 +فيه هو الـ maximum power، تمام؟ + +143 +00:14:40,870 --> 00:14:44,490 +طبعا هذا الكلام كله ينعكس من الـ written scope عشان + +144 +00:14:44,490 --> 00:14:53,690 +ما تخربطوش. طيب، + +145 +00:14:53,690 --> 00:14:59,990 +نبدأ في موضوعنا اليوم، الـ spectacle frames. إيش + +146 +00:14:59,990 --> 00:15:06,090 +معناتها؟ اطارات النضارات، تمام؟ أو الإطار الخاص + +147 +00:15:06,090 --> 00:15:06,970 +بالنضارة. + +148 +00:15:12,380 --> 00:15:16,760 +Familiarity with the frame measurements and how + +149 +00:15:16,760 --> 00:15:22,560 +they are marked is essential, too. دائما الإلمام + +150 +00:15:22,560 --> 00:15:29,220 +بقياسات الإطار، وكيفية تعليم الإطار، هذا يعتبر + +151 +00:15:29,220 --> 00:15:36,870 +أمر أساسي بالنسبة لنا في إيش؟ طيب. Number one: Lens + +152 +00:15:36,870 --> 00:15:41,770 +centration in front of patient's eye. كثير من + +153 +00:15:41,770 --> 00:15:46,210 +الأحيان احنا بنشوف ناس لابسين إطارات، ولكن بتلاقي + +154 +00:15:46,210 --> 00:15:50,770 +الإطار إما صغير على الـ patient's eye أو كبير وين على + +155 +00:15:50,770 --> 00:15:55,130 +الـ patient's eye، وهذا بيؤثر على مين؟ الـ optical + +156 +00:15:55,130 --> 00:16:00,510 +center of a lens. فالآن أول شغلة، أنه لازم أنا أختار + +157 +00:16:00,510 --> 00:16:04,050 +إطار يكون a proper fit. + +158 +00:16:11,310 --> 00:16:15,950 +يعني يكون الفتة أو ملائم أو مناسب بالنسبة لمين؟ للـ + +159 +00:16:15,950 --> 00:16:23,070 +patient. عشان أحصل على optical center of a lens + +160 +00:16:23,070 --> 00:16:29,410 +يكون مناسب لهذا المريض. Number + +161 +00:16:29,410 --> 00:16:36,160 +two: appropriate ordering. الآن الطلب اللي خاص + +162 +00:16:36,160 --> 00:16:41,420 +بالنضارة هذه، لازم أيضا أن يكون ملائم أو يكون مناسب. + +163 +00:16:41,420 --> 00:16:47,640 +يعني بمعنى آخر، لو أنا مثلا مريض عنده الـ IBD، نفترض + +164 +00:16:47,640 --> 00:16:55,800 +60، ورحت أنا مثلا لبسته إطار لـ frame BD 42، هتلاقي + +165 +00:16:55,800 --> 00:17:00,460 +إما أنا بطلب من الشركة الإطار هذا، هيقول لي إيش؟ + +166 +00:17:00,460 --> 00:17:05,620 +غير مناسب لمين؟ لهذا الشخص أو للـ patient. لأن عندك + +167 +00:17:05,620 --> 00:17:09,980 +اللي هو قيمة الـ frame BD وقيمة الـ IBD غير متلائمة. + +168 +00:17:09,980 --> 00:17:18,960 +okay. And frame selection. ودائما أنا بقول إن 80% من + +169 +00:17:18,960 --> 00:17:25,100 +اختيار الإطار هو بيرجع على عاتق أخصائي البصريات. فما فيش + +170 +00:17:25,100 --> 00:17:29,940 +حاجة تقول لي إن والله المريض هو بده إياه، لأ، لازم أنت + +171 +00:17:29,940 --> 00:17:36,250 +تثبت له إن مثلا لو هو مقتنع بإطار معين، ولا يعتبر + +172 +00:17:36,250 --> 00:17:40,730 +appropriate بالنسبة له، أن هذا الأمر مش صحيح أو مش + +173 +00:17:40,730 --> 00:17:45,010 +صحي لك حتى ولو على حساب إيش؟ الناحية الجمالية. + +174 +00:17:45,010 --> 00:17:48,870 +كثير من الناس بختار الإطار فقط من ناحية cosmetic، + +175 +00:17:48,870 --> 00:17:5 + +223 +00:22:13,230 --> 00:22:18,950 +لكن في هناك تشابه ما بين اللي هو الـ two + +224 +00:22:18,950 --> 00:22:19,830 +systems + +225 +00:22:23,530 --> 00:22:29,030 +Okay الآن زي ما اتفقنا، في عندنا datum line في + +226 +00:22:29,030 --> 00:22:33,970 +عندنا الـ mid datum depth، في عندنا الـ datum center + +227 +00:22:33,970 --> 00:22:47,250 +تمام، أيضاً في عندنا الـ MBL، اختصار لإيش؟ هذه عبارة + +228 +00:22:47,250 --> 00:22:54,080 +عن الـ minimum between lenses، تمام؟ يعني المسافة، يعني + +229 +00:22:54,080 --> 00:22:58,400 +أو اللي هو الـ minimum، أقل مسافة ما بين العدستين + +230 +00:22:58,400 --> 00:23:07,060 +اللي إحنا إيش بنسميها الآن؟ الـ bridge الآن. + +231 +00:23:07,060 --> 00:23:11,660 +لو هي معاك، إطار المسافة بين العدستين هذه بنسميها + +232 +00:23:11,660 --> 00:23:17,240 +إيش؟ الـ minimum between lenses. قالوا الكلام بتاع الـ + +233 +00:23:17,240 --> 00:23:21,490 +bridge. هذا خطأ، ما بنفعش إحنا نقول عنها هي الـ minimum + +234 +00:23:21,490 --> 00:23:27,190 +between lenses. راحوا غيروا المسمى، بـ اسم آخر، + +235 +00:23:27,190 --> 00:23:31,870 +قالوا عنه الـ distance between lenses، المسافة ما + +236 +00:23:31,870 --> 00:23:38,170 +بين العدستين، okay؟ يعني سابقاً في الأول قالوا أن هذه + +237 +00:23:38,170 --> 00:23:42,710 +عبارة عن الـ minimum between lenses، هي نفسها اللي + +238 +00:23:42,710 --> 00:23:47,910 +بتمثل الـ bridge. بعد ما عملوا دراسات على هذا الموضوع، + +239 +00:23:47,910 --> 00:23:52,670 +قالوا لأ، هذا الكلام خاطئ، هي بتمثل مين؟ الـ distance + +240 +00:23:52,670 --> 00:23:58,510 +between lenses، تمام؟ طيب، + +241 +00:23:58,510 --> 00:24:03,470 +الـ datum center distance، اللي هي إيش بتمثل هذه؟ + +242 +00:24:03,470 --> 00:24:10,730 +datum center distance. طيب، إيش بتمثل معنى الـ frame + +243 +00:24:10,730 --> 00:24:15,580 +PD، صح؟ الـ IBD بالنسبة للـ patient، إذًا هي بتمثل + +244 +00:24:15,580 --> 00:24:22,960 +الـ frame PD، أو إلها اسم آخر، datum center اللي هو + +245 +00:24:22,960 --> 00:24:27,600 +distance. يعني عندنا الـ distance between lenses، أو + +246 +00:24:27,600 --> 00:24:32,260 +بيسموها الـ datum center distance. كيف هذه؟ هل يجوز + +247 +00:24:32,260 --> 00:24:37,060 +ممكن أنا أعمل marker من الـ center اليمين للـ center + +248 +00:24:37,060 --> 00:24:41,680 +الشمال، وأجيب المسافة بينهم، هذه إيش بتمثل؟ الـ frame + +249 +00:24:41,680 --> 00:24:47,300 +PD، أو الـ datum center distance. شغل ثانية، ممكن إيش + +250 +00:24:47,300 --> 00:24:53,160 +أعمل من حفة العدسة اليمين لأول حفة العدسة الشمال + +251 +00:24:54,410 --> 00:24:58,510 +استمعوا معي. الآن لو أنا عملت على الـ marker، عملت + +252 +00:24:58,510 --> 00:25:01,810 +العدسة من الـ center للـ center، تمام؟ هذه إيش + +253 +00:25:01,810 --> 00:25:06,990 +بتمثل؟ الـ datum center distance. بس إحنا كل النظام + +254 +00:25:06,990 --> 00:25:10,750 +الآن بنشتغل على الـ boxing، هذا النظام انتهى، okay؟ + +255 +00:25:10,750 --> 00:25:16,050 +الآن ممكن آخذ من الـ center للـ center، أو ممكن آخذ + +256 +00:25:16,050 --> 00:25:21,870 +من حفة العدسة اليمين لحفة العدسة الشمال، ممكن أجيب + +257 +00:25:21,870 --> 00:25:25,440 +من هنا لهنا، Okay، شكراً + +258 +00:25:30,980 --> 00:25:34,780 +طيب، الـ boxing system، النظام اللي إحنا حالياً + +259 +00:25:34,780 --> 00:25:40,440 +بنتعامل معاه، أو بيسموه الـ British system، النظام + +260 +00:25:40,440 --> 00:25:44,080 +هذا يا جماعة، إيش بيكون؟ فيه هناك تساوي، لأنه مربع، + +261 +00:25:44,080 --> 00:25:47,960 +صح ولا لأ؟ يعني من الـ up والـ down، والتانجينشيا، + +262 +00:25:47,960 --> 00:25:52,060 +الكل هيكون، بدي يكون الـ cross متساوي، حتى أنتم الآن + +263 +00:25:52,060 --> 00:25:54,940 +عندما تطبقوا إن شاء الله في الـ lab، هتعملوا على + +264 +00:25:54,940 --> 00:26:01,230 +نظام مين؟ الـ boxing system. The boxing system + +265 +00:26:01,230 --> 00:26:07,550 +improved on the foundation provided by the datum + +266 +00:26:07,550 --> 00:26:13,330 +system. إن هذا النظام صار عليه عملية تحسين، أو عملية + +267 +00:26:13,330 --> 00:26:18,690 +modification، تعديل، تمام؟ من الأساس اللي هو من الـ + +268 +00:26:18,690 --> 00:26:22,730 +foundation، الأساس أو التركيب الأساسي اللي هو عبارة + +269 +00:26:22,730 --> 00:26:24,250 +عن الـ datum system + +270 +00:26:28,240 --> 00:26:36,300 +الداتوم يستخدم اتصالات اتصالات اتصالات اتصالات + +271 +00:26:36,300 --> 00:26:37,100 +اتصالات اتصالات اتصالات اتصالات اتصالات اتصالات + +272 +00:26:37,100 --> 00:26:44,840 +اتصالات اتصالات اتصالات اتصالات + +273 +00:26:44,840 --> 00:26:50,160 +اتصالات اتصالات + +274 +00:26:50,160 --> 00:26:52,540 +اتصالات + +275 +00:26:56,790 --> 00:27:01,610 +هي شفناها، اللي هو مكونات الـ datum system، قلنا + +276 +00:27:01,610 --> 00:27:06,450 +datum line، وdatum center، والـ mid datum depth. + +277 +00:27:08,870 --> 00:27:12,910 +طيب، نشوف الـ boxing system kept these two + +278 +00:27:12,910 --> 00:27:17,210 +horizontal lines and added two vertical lines. + +279 +00:27:17,210 --> 00:27:22,190 +هنضيف عليهم إيش؟ زي ما اتفقنا، باجي على حفة العدسة، + +280 +00:27:22,190 --> 00:27:26,550 +من هنا بضيف، وبضيف line، إيه صار؟ عندنا فيه vertical + +281 +00:27:26,550 --> 00:27:31,610 +line، وفي عندنا horizontal اللي هي line، تمام؟ وحتى + +282 +00:27:31,610 --> 00:27:38,100 +بعدها، يعني after you add vertical lines، بدنا نعمل + +283 +00:27:38,100 --> 00:27:43,540 +اللي هو الـ cross، الـ cross إيش بيمثل؟ بيمثل الـ + +284 +00:27:43,540 --> 00:27:47,080 +effective diameter. + +285 +00:27:47,080 --> 00:27:50,780 +تمام؟ + +286 +00:27:50,780 --> 00:27:57,140 +اللي هو ED، وحناخد إيش الـ effective diameter فيما + +287 +00:27:57,140 --> 00:27:57,840 +بعد إن شاء الله. + +288 +00:28:24,170 --> 00:28:28,830 +الأربعة هدول إيش هيكونوا؟ box للعدسة، اللي هو من الـ + +289 +00:28:28,830 --> 00:28:35,080 +vertical lines والـ horizontal lines، تمام؟ إذًا مين + +290 +00:28:35,080 --> 00:28:39,320 +الـ foundation للـ boxing system؟ هو عبارة عن الـ + +291 +00:28:39,320 --> 00:28:43,520 +datum، هي، لأن هي عم بيشتغل على إيش؟ datum system. + +292 +00:28:43,520 --> 00:28:49,280 +okay، نشوف + +293 +00:28:49,280 --> 00:28:51,340 +عندنا الـ boxing system. + +294 +00:29:03,880 --> 00:29:08,960 +الآن، مين الـ right، ومين الـ left؟ هذه right، صح؟ و + +295 +00:29:08,960 --> 00:29:14,280 +هذه left. طيب، لو أنا أديتك العدسة monocular، كيف + +296 +00:29:14,280 --> 00:29:19,980 +تعرف أن هذه right، وهذه left؟ يعني الآن أنا أفرضه + +297 +00:29:19,980 --> 00:29:24,640 +أنه جيسها اللي هي الـ left، وأديتك الشكل هذا، كيف + +298 +00:29:24,640 --> 00:29:29,420 +تعرف أنه هذه right؟ + +299 +00:29:29,420 --> 00:29:30,840 +تمام، واحدة بس أتكلم. + +300 +00:29:38,810 --> 00:29:42,630 +تمام، بس هذا كشغل practitioner، لكن أنا الآن شغل + +301 +00:29:42,630 --> 00:29:50,090 +علمي، امتياز. الآن تعالوا، تطلعوا هنا، هذه إيش بتمثل؟ الـ + +302 +00:29:50,090 --> 00:29:56,630 +knows، صح ولا لأ؟ إذا هذه إيش؟ صفر، هذه 180. الآن في + +303 +00:29:56,630 --> 00:29:59,690 +الـ right، لو فاكرين في الـ ophthalmic lenses، قلنا + +304 +00:29:59,690 --> 00:30:05,050 +دايماً هذه صفر، هذه 180، هذه 180، هذه صفر، يعني + +305 +00:30:05,050 --> 00:30:10,050 +بمعنى آخر، لما أنا بدي أعمل decentralization، إزاحة + +306 +00:30:10,050 --> 00:30:15,790 +للعدسة in في الـ right، إذا وين بروح؟ باتجاه مين؟ لكن + +307 +00:30:15,790 --> 00:30:20,690 +في الـ left، من هذه أنا بعرفها مباشرة بدون قضية + +308 +00:30:20,690 --> 00:30:25,190 +يعني ممكن في بعض الأحيان بيكون الـ shape للـ right + +309 +00:30:25,190 --> 00:30:29,010 +والـ left واحد، خاصة إذا كانوا مربع الشكل، إنه + +310 +00:30:29,010 --> 00:30:33,190 +بتلاقي نفس اللي هو typical الـ demo lens، طب كيف بدي + +311 +00:30:33,190 --> 00:30:36,690 +أعرفها؟ مباشرة من خلال اللي هو الصفر والـ 180. + +312 +00:30:36,690 --> 00:30:43,110 +تمام؟ أيوة، موجود الـ marker، موجود إنه هذه الصفر و + +313 +00:30:43,110 --> 00:30:49,770 +180، okay؟ طيب، إذا هي، عرفنا إن كيف نحدد هل هي right + +314 +00:30:49,770 --> 00:30:58,010 +أو left، right 0 180، left 180 0. طيب، في عندنا الـ + +315 +00:30:58,010 --> 00:31:03,810 +vertical lines، هي اللي هي حددناها، وفي عندنا الـ + +316 +00:31:03,810 --> 00:31:09,190 +horizontal lines، وفي عندنا الـ tangential اللي هو + +317 +00:31:09,190 --> 00:31:12,570 +العين، اللي مثلت لي إيش؟ الـ effective diameter. + +318 +00:31:12,570 --> 00:31:15,570 +عارفين كيف الـ effective diameter دي؟ لنظارة مرة + +319 +00:31:15,570 --> 00:31:22,250 +ثانية، إذا سمحت، هل يجوز؟ بجيب مصطرة، باخذ من هنا من + +320 +00:31:22,250 --> 00:31:32,810 +القاع بالشكل هذا، تمام؟ من هنا لهنا، في إيش؟ بالضبط + +321 +00:31:32,810 --> 00:31:39,800 +بس هذا مربع تقريباً متساوي، فباخذ من هنا لهنا، تمام؟ و + +322 +00:31:39,800 --> 00:31:44,020 +فعلاً هي من أبعد نقطة، لو كان هو irregular، غير منتظم، + +323 +00:31:44,020 --> 00:31:48,260 +لكن إذا كان الشكل اللي هو كل الـ pattern منتظم، باخد + +324 +00:31:48,260 --> 00:31:52,500 +اللي هو أبعد نقطة لـ اللي هو أبعد نقطة من اللي هو + +325 +00:31:52,500 --> 00:31:58,640 +الأسفل، okay؟ إذا هذه إيش بتمثل؟ من العدسة للعدسة + +326 +00:31:58,640 --> 00:32:02,140 +أو من أعلى العدسة لأسفل العدسة، هي الـ effective + +327 +00:32:02,140 --> 00:32:06,720 +اللي هو الـ diameter، وهذه وين بتكون موجودة كمان؟ في + +328 +00:32:06,720 --> 00:32:09,660 +داخل اللي هو الـ frame، يعني أنت لو قرأتي على الـ + +329 +00:32:09,660 --> 00:32:13,300 +frame، بتلاقي قيمة الـ effective diameter، ممكن تتأكد + +330 +00:32:13,300 --> 00:32:17,420 +أنه موجودة على الـ temple أو على الـ side تاع اللي + +331 +00:32:17,420 --> 00:32:24,940 +هو الإطار، okay؟ طيب، في عندنا الـ distance between + +332 +00:32:24,940 --> 00:32:31,810 +centers، okay؟ هذه إيش بتمثل؟ الـ frame PD، المسافة من + +333 +00:32:31,810 --> 00:32:36,270 +الـ Center للـ Center. طيب، الـ Frame PD، أو إيش قلنا + +334 +00:32:36,270 --> 00:32:45,730 +عنها؟ الـ Datum Center between الـ Lenses. طيب، + +335 +00:32:45,730 --> 00:32:49,650 +في عندنا الـ Geometric Center Distance، أو الـ + +336 +00:32:49,650 --> 00:32:54,070 +Frame PD، برضه بيسموها نفس المسمى. طيب، مدام عندنا + +337 +00:32:54,070 --> 00:32:59,440 +Geometric Center، إذا هي وين بتمثل؟ منتصف العدسة، + +338 +00:32:59,440 --> 00:33:02,620 +يعني الآن لما أنا بدي أعمل marker للعدسة في + +339 +00:33:02,620 --> 00:33:07,500 +المنتصف، okay؟ هي بتمثل الـ geometric center of + +340 +00:33:07,500 --> 00:33:13,680 +ellipse، تمام؟ طيب، الـ B هذه إيش بتمثل؟ + +341 +00:33:18,420 --> 00:33:22,380 +لكن هنا ما بقدرش أقول عنها الـ mid datum depth، خطأ. + +342 +00:33:22,380 --> 00:33:26,980 +ليش؟ لأن أنتم لو شفتوا في الـ mid datum depth، كان + +343 +00:33:26,980 --> 00:33:30,680 +فيه فراغ، أو كان فيه space ما بين الـ up والـ down. + +344 +00:33:30,680 --> 00:33:35,600 +حكيتها، النقطة هذه ركزت عليها، لكن هنا فيه space؟ لأ، + +345 +00:33:35,600 --> 00:33:42,620 +الاثنين متساويات، يعني handle B لا تساوي، unequal + +346 +00:33:42,620 --> 00:33:49,260 +لمين؟ للـ mid datum depth، ما بتساويها، عبارة عن + +347 +00:33:49,260 --> 00:33:53,480 +بوكس متساوي الأضلاع، هناك كان فيه بعد ما + +348 +00:33:53,480 --> 00:33:56,240 +بين الـ up والـ down، ارجعوا عليها الصورة، هتلاقوا + +349 +00:33:56,240 --> 00:34:01,120 +الشغل. هذه في أيضاً اللي هو الـ A، اللي هو الـ A إيش + +350 +00:34:01,120 --> 00:34:05,760 +بتمثل؟ الـ I size، برضه نفس الحاجة، لو أخذنا النظارة + +351 +00:34:05,760 --> 00:34:10,140 +جسمها بشكل اللي هو horizontal، هتمثل للـ A اللي هي + +352 +00:34:10,140 --> 00:34:11,440 +الـ I size. + +353 +00:34:13,840 --> 00:34:18,660 +طبعاً في الـ Boxing System، أهم حاجة الـ Frame PD. + +354 +00:34:18,660 --> 00:34:28,380 +عندنا الـ B والـ A والـ C، تمام؟ بالإضافة للـ Boxing + +355 +00:34:28,380 --> 00:34:31,760 +اللي هي distance between lenses، أو الـ bridge size. + +356 +00:34:31,760 --> 00:34:36,490 +هناك إيه سميناها؟ لأ، بس قلنا في الأول، سمّوها الـ + +357 +00:34:36,490 --> 00:34:39,890 +minimum between lenses، بعد ذلك إيش أعطوها اسم آخر، + +358 +00:34:39,890 --> 00:34:44,710 +اللي هي distance between the lenses، أنه المسافة ما + +359 +00:34:44,710 --> 00:34:51,610 +بين اللي هو العدستين. فدائماً الآن إحنا بنستخدم الـ + +360 +00:34:51,610 --> 00:34:55,750 +boxing system، الهدف منه أن هو يديني أكثر + +361 +00:34:55,750 --> 00:35:02,530 +parameters، مقارنة في مين؟ أو أكثر اللي هو بمعنى آخر + +362 +00:35:02,530 --> 00:35:10,450 +الـ criteria فيه أكثر، مقارنة في الـ datum system. هاي + +363 +00:35:10,450 --> 00:35:16,350 +شايفين؟ يعمل comparison، اللي هي مقارنة of standard + +364 +00:35:16,350 --> 00:35:21,920 +terms، بالمصطلحات العامة. في عندنا boxing system، وفي + +365 +00:35:21,920 --> 00:35:28,260 +عندنا datum، أو bridge standard. الـ A والـ B، قلنا + +366 +00:35:28,260 --> 00:35:33,100 +ما لهمش إيه؟ اسم في الـ datum system، لأن ما + +367 +00:35:33,100 --> 00:35:36,540 +بنقدر نقول عن الـ B هي عبارة عن الـ datum depth، أو + +368 +00:35:36,540 --> 00:35:41,420 +الـ mid datum depth. والـ B، عفواً، الـ A، ما بنقدر نقول + +369 +00:35:41,420 --> 00:35:47,140 +عنها اللي هي الـ datum line، أو الآخر، يعني ما فيش لها + +370 +00:35:47,140 --> 00:35:52,800 +اسم. الـ C ممكن هي تمثل الـ datum length، قلنا إيش + +371 +00:35:52,800 --> 00:35:53,760 +الـ datum length؟ + +372 +00:35:56,470 --> 00:36:00,990 +مية في المية، المسافة على طول اللي هو الـ datum، تمام؟ + +373 +00:36:00,990 --> 00:36:06,230 +عندنا أيضاً الـ boxing distance between lenses، إيش + +374 +00:36:06,230 --> 00:36:09,970 +مثلت؟ اللي هي الـ minimum between lenses، بس أنا + +375 +00:36:09,970 --> 00:36:13,290 +بقول لكم أنه في التحديث الجديد هي لا تساوي الـ + +376 +00:36:13,290 --> 00:36:17,870 +minimum between lenses، هي بتساوي الـ datum distance + +377 +00:36:17,870 --> 00:36:23,930 +between lenses. باقي المصطلحات اللي هي عندنا أيضاً، + +378 +00:36:23,930 --> 00:36:27,270 +أخذناهم، الـ Geometric Center، أو الـ Frame PD، هذه + +379 +00:36:27,270 --> 00:36:31,530 +تقريباً اللي هو ثابتة، الـ Major Reference Point، والـ + +380 +00:36:31,530 --> 00:36:35,190 +Prism Reference Point، حناخدهم فيما بعد، لأن هدول + +381 +00:36:35,190 --> 00:36:41,310 +متعلقين في الـ progressive lenses. طيب، مين تقدر + +382 +00:36:41,310 --> 00:36:49,650 +تديني إيش المقصود بالشكل هذا، أو الـ pattern؟ اه، وين + +383 +00:36:49,650 --> 00:36:50,170 +طيب؟ + +384 +00:36:54,500 --> 00:37:00,680 +طيب، إيش المقارنة طلعت فيها؟ + +385 +00:37:00,680 --> 00:37:04,380 +طيب، + +386 +00:37:04,380 --> 00:37:10,460 +ممكن أوضح من هيك الشكل + +387 +00:37:10,460 --> 00:37:11,420 +هذا + +388 +00:37:23,010 --> 00:37:27,970 +طبعاً إحنا الـ B والـ A هي غير موجودة في وين؟ في الـ + +389 +00:37:27,970 --> 00:37:33,210 +datum، تمام؟ طب ليش؟ هنكتب اللي هو mid، اه، ممتاز، هذه + +390 +00:37:33,210 --> 00:37:38,650 +الرسمة، شايفين الـ mid datum depth من فوق، لكن من تحت + +391 +00:37:38,650 --> 00:37:44,490 +إيش؟ في اللي هو gap، ما بين اللي هو الـ datum system + +392 +00:37:44,490 --> 00:37:49,630 +والـ boxing system، يعني الاثنين مش متساويات، لكن هذا + +393 +00:37:49,630 --> 00:37:53,250 +الشكل يا جماعة، أو الـ shape هو أقرب لما تكون + +394 +00:37:53,250 --> 00:37:59,330 +العدستين بشكل اللي هو مربع، تمام؟ يعني الـ two اللي + +395 +00:37:59,330 --> 00:38:06,170 +هو الـ lenses، مربع الشكل، فمعظم اللي هو المصطلحات + +396 +00:38:06,170 --> 00:38:10,78 + +Please provide the Arabic/English lecture transcript you wish me to correct. diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/81J6EddFqIw_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/81J6EddFqIw_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..05c7667e499c043ee9eac51d1c574bccc7a9cab3 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/81J6EddFqIw_postprocess.srt @@ -0,0 +1,1776 @@ +1 +00:00:20,790 --> 00:00:23,910 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,910 --> 00:00:29,510 +وبركاته and a very good afternoon to all of you في + +3 +00:00:29,510 --> 00:00:34,670 +المحاضرة السابقة أخدنا موضوع ال lensmeter و + +4 +00:00:34,670 --> 00:00:41,630 +المبادئ المتعلقة باللينزميتر اليوم هيكون عندنا بعض + +5 +00:00:41,630 --> 00:00:49,920 +من الأسئلة المتعلقة بالـ true or falseIf a stock + +6 +00:00:49,920 --> 00:00:56,520 +lens، إيش المقصود بالـ stock lens؟يعني العدسة التي + +7 +00:00:56,520 --> 00:01:01,700 +يتم جلبها من اللي هو المستودع، الخاص بالمركز + +8 +00:01:01,700 --> 00:01:07,980 +البصريات أو خلينا نقول بال optical center If a + +9 +00:01:07,980 --> 00:01:13,580 +stock lens is available، كان عندنا مستودع للعدسات + +10 +00:01:13,580 --> 00:01:20,330 +في داخل المركزIt's normally used instead of a + +11 +00:01:20,330 --> 00:01:26,270 +custom surfaced lens إنه ممكن هذه الـ stock lens + +12 +00:01:26,270 --> 00:01:31,570 +تكون بديلة عن العدسة الـ custom lens إيش المقصود + +13 +00:01:31,570 --> 00:01:38,850 +فيها؟ إن العدسة اللي مثلا عندنا مريض وصفته كانت + +14 +00:01:38,850 --> 00:01:51,740 +plus 2 على minus 1تمام هذه بدي اطلبها ك order يعني + +15 +00:01:51,740 --> 00:01:56,160 +بمعنى اخر اللي انا بدي اطلبها من الشركة ان الشركة + +16 +00:01:56,160 --> 00:02:03,140 +الصنيع عندنا عدسة قوتها plus 2 ع minus 1 CR 39 او + +17 +00:02:03,140 --> 00:02:07,960 +مثلا crown glass or whatever تمام بنفس المواصفات + +18 +00:02:07,960 --> 00:02:15,430 +هذه طيب هل يمكن ان تكون ال stock lensتمام هي بديلة + +19 +00:02:15,430 --> 00:02:20,830 +عن ال custom surfaced lens ولا لأ يعني true or + +20 +00:02:20,830 --> 00:02:28,490 +false الإجابة false ايش رأيكم؟ طبعا هي false من + +21 +00:02:28,490 --> 00:02:34,550 +ناحية اللي هو ideal false لازم انا كل وصفة ابتجيني + +22 +00:02:35,380 --> 00:02:42,060 +للمركز الخاص بيه ان اعمل طلب لهذه الوصفة دون اللي + +23 +00:02:42,060 --> 00:02:49,400 +هو الرجوع لمين لل stock الخاصة بالعدسات number two + +24 +00:02:49,400 --> 00:02:55,600 +for high plus lens powers اذا العدسة ايه شمالها + +25 +00:02:55,600 --> 00:03:03,400 +high plusA center thickness increases سماكة العدسة + +26 +00:03:03,400 --> 00:03:08,020 +بالزيد في المنتصف Which is of the following is + +27 +00:03:08,020 --> 00:03:15,340 +true A magnification of the wearer's eye increases + +28 +00:03:16,340 --> 00:03:21,200 +A. Minification of the wearer's eyes increases B. + +29 +00:03:21,200 --> 00:03:26,040 +No relationship exists between lens power, center + +30 +00:03:26,040 --> 00:03:30,100 +thickness and either magnification or minification + +31 +00:03:36,130 --> 00:03:40,250 +ما دام high plus power اذا ايش هتعمل العدسة؟ + +32 +00:03:40,250 --> 00:03:43,530 +magnification صح ولا لأ؟ اذا هي هتعمل + +33 +00:03:43,530 --> 00:03:48,730 +magnification of the wearers eye increases يعني + +34 +00:03:48,730 --> 00:03:53,090 +دايما ما ترتبك من طول السؤال او من اللي هو صياخة + +35 +00:03:53,090 --> 00:03:58,250 +السؤال مباشرة high plus lenses هي ايش بتعمل وظيفة + +36 +00:03:58,250 --> 00:04:02,830 +ال magnification حديكمية + +37 +00:04:02,830 --> 00:04:10,570 +ان شاء اللهطيب هل السؤال مهم و متعلق بالمحاضرة + +38 +00:04:10,570 --> 00:04:16,930 +السابقة a prescription is minus two over minus one + +39 +00:04:16,930 --> 00:04:22,530 +point two five x's تلاتين إذا مادام x's هذي وصفة + +40 +00:04:22,530 --> 00:04:29,900 +إيش؟ glasses نضارة صح ولا لأ؟قولا واحدا okay which + +41 +00:04:29,900 --> 00:04:35,020 +of the following two power will ..الان احنا أخدنا + +42 +00:04:35,020 --> 00:04:39,040 +المرة الماضية لو كان عندى عدسة أسفير أو cylinder + +43 +00:04:39,040 --> 00:04:44,160 +lens هتديني أكم power تنتين صح ولا لا بوضح واحدة + +44 +00:04:44,160 --> 00:04:49,840 +التانية بتغبش بوضح التانية الأولى بتغبش و هكذاالان + +45 +00:04:49,840 --> 00:04:54,640 +which of the following two power wheel readings + +46 +00:04:54,640 --> 00:05:00,560 +appear when first sphere؟ the cylinder lines are + +47 +00:05:00,560 --> 00:05:04,320 +brought into focus الان يما انا بستخدم ال power + +48 +00:05:04,320 --> 00:05:08,640 +wheel تمام، اي واحدة فيهم هتوضح و اي واحدة فيهم + +49 +00:05:08,640 --> 00:05:13,580 +هتغبش؟اللي هي القراءة الأكبر مش احنا دايما الاسفير + +50 +00:05:13,580 --> 00:05:19,020 +يعني الـ-2 إيش تمثل الاسفير صح ولا لا؟ إذا هي + +51 +00:05:19,020 --> 00:05:23,660 +الاسفير power اللي مفترض أول واحدة توضح صح؟ طيب + +52 +00:05:23,660 --> 00:05:30,160 +الإجابة إيش بده تكون؟ يعني أى واحدة أو أى صورة + +53 +00:05:30,160 --> 00:05:34,600 +هتكون هي الأوضح يعني أنا بدي أعمل اللي هو قياس + +54 +00:05:34,600 --> 00:05:42,870 +لقوة العدسة minus 2في حد عنده إجابة تانية أنا بقول + +55 +00:05:42,870 --> 00:05:48,950 +minus 2 و minus 3.25مية في المية لأ مش مجموحهم ال + +56 +00:05:48,950 --> 00:05:54,490 +neutralization صح ولا لأ لأن عندنا minus اتنين هذه + +57 +00:05:54,490 --> 00:05:58,090 +هتكون ال sphere صح ولا لأ اذا هذه القراءه الاوله + +58 +00:05:58,090 --> 00:06:01,890 +اللي انا هشوفها طيب الان لو انا اجيت اخدت المعادلة + +59 +00:06:01,890 --> 00:06:07,430 +minus اتنين او الوصفه ع minus واحد ربع بدي اجمعهم + +60 +00:06:07,430 --> 00:06:13,990 +اللي هي minus تلاته وربع اذا هتكون ايشمينوس اتنين + +61 +00:06:13,990 --> 00:06:18,650 +الإجابة صحيحة ومينوس تلاتة وربع أيضا اللي هو + +62 +00:06:18,650 --> 00:06:24,630 +الصحيحة إذا الإجابة إما a أو اللي هو c تمام يعني + +63 +00:06:24,630 --> 00:06:28,050 +بمعنى أخر أنه انا حولت من minus cylinder ل plus + +64 +00:06:28,050 --> 00:06:33,210 +cylinder شوف + +65 +00:06:33,210 --> 00:06:41,890 +السؤال الأخير true or false when the lens meteris + +66 +00:06:41,890 --> 00:06:48,730 +used to neutralize a lens of unknown power اذا هذي + +67 +00:06:48,730 --> 00:06:57,670 +ايش تعتبر F ال U صح او F ال spectacle lens and + +68 +00:06:57,670 --> 00:07:05,150 +obtain results directly in a plus cylinder form + +69 +00:07:05,150 --> 00:07:11,040 +اذا مباشرة انا بدي احولها لإيش لplus cylinderبشكل + +70 +00:07:11,040 --> 00:07:16,260 +مباشر يعني الآن الوصفة زي هذه بدنا نقول plus أو + +71 +00:07:16,260 --> 00:07:24,000 +عفوا minus تلاتة وربع على plus واحد ربع ما طلعهاش + +72 +00:07:24,000 --> 00:07:27,120 +بال minus cylinder طلعها بشكل مباشر بال plus + +73 +00:07:27,120 --> 00:07:33,380 +cylinder okay the power wheel is turned into the + +74 +00:07:33,380 --> 00:07:39,290 +high minus numbersإذا هو طلع مين القراءة الأولى + +75 +00:07:39,290 --> 00:07:46,650 +كانت minus number lenses and slowly moved in the + +76 +00:07:46,650 --> 00:07:51,470 +plus direction بعدين طلع مين ال plus اللى هو lens + +77 +00:07:51,470 --> 00:07:57,270 +power مين الآن اللى أكبر ال plus صح ولا لأ يعني + +78 +00:07:57,270 --> 00:08:01,610 +هذه تعتبر القيمة الأولى اللى هي تعتبر السفير صح + +79 +00:08:01,610 --> 00:08:08,730 +ولا لأ وهذه تعتبر التانية ناقص الأولىمتفقين؟ الـ + +80 +00:08:08,730 --> 00:08:14,230 +high plus هي تعتبر الاسفير لو أخدنا مثلا عنا الآن + +81 +00:08:14,230 --> 00:08:21,710 +بالشكل هذا plus خمسة وعنا minus واحد مين هتكون + +82 +00:08:21,710 --> 00:08:26,310 +الاسفير؟ تمام؟ هو نفس الحاجة بس هو ايش قالك؟ ان + +83 +00:08:26,310 --> 00:08:31,280 +احنا طلعنا القراءة الأولى ال minus cylinderوبعدين + +84 +00:08:31,280 --> 00:08:35,120 +اتحركنا ببطء لمين؟ لل plus cylinder هو الصح انه + +85 +00:08:35,120 --> 00:08:41,620 +يطلع مين؟ ال plus تمام؟وكانت تتحرك بطولة في + +86 +00:08:41,620 --> 00:08:47,160 +الاتجاه الـ plus حتى تتجه + +87 +00:08:47,160 --> 00:08:51,380 +إلى الاتجاه الـ sharp فوكس الواضح أن المفترض + +88 +00:08:51,380 --> 00:08:55,780 +الأولى هي تكون الـ plus الـ plus lens اللي هي + +89 +00:08:55,780 --> 00:08:59,920 +عبارة عن ال plus سفير والتانية هي اللي بنتحرك بطء + +90 +00:08:59,920 --> 00:09:03,440 +لمين؟ لـ ال minus cylinder طيب + +91 +00:09:08,490 --> 00:09:15,230 +هدول بالنسبة لأربع أسئلة متعلقة بال subject اللي + +92 +00:09:15,230 --> 00:09:24,570 +أخدناه في المرات السابقة عندنا + +93 +00:09:24,570 --> 00:09:30,010 +يا جماعة الآن قضية سهلة كتير لما أنا مثلا بدي أعلم + +94 +00:09:30,010 --> 00:09:38,780 +uncut lens تمام نفترض مثلا قوة العدسة plus 5ع الـ + +95 +00:09:38,780 --> 00:09:45,780 +minus واحد و جتنا الوصفة بالشكل هذه minus cylinder + +96 +00:09:45,780 --> 00:09:52,420 +axis خمسين دايما + +97 +00:09:52,420 --> 00:09:56,700 +الأمر هذا سهل مدام الـ uncut lens إذا العدسة إيش + +98 +00:09:56,700 --> 00:10:03,630 +مالها؟ مش معلمة يعني مافيش عليها أية axisالان هذه + +99 +00:10:03,630 --> 00:10:08,230 +الوصفة ايش بروح بعمله اشي بسيط جدا بجمع قيمة + +100 +00:10:08,230 --> 00:10:17,710 +الاسفير مع السلندر plus 5 زائد minus 1 plus 4 ايش + +101 +00:10:17,710 --> 00:10:23,830 +بروح بعمل بحط ال axis wheel على الخمسين و ال plus + +102 +00:10:23,830 --> 00:10:29,970 +4 بروح بحطها هي بوضحها ان هي ال axis الصحيح تمام + +103 +00:10:29,970 --> 00:10:37,400 +نفترض مثلا مثال تانيالـ plus اتنين على minus واحد + +104 +00:10:37,400 --> 00:10:44,220 +و جالي اعلمليه ال minus cylinder على axis تلاتين + +105 +00:10:44,220 --> 00:10:49,980 +okay بجمع الاول مع التاني اذا الجداش ال plus واحد + +106 +00:10:49,980 --> 00:10:53,580 +اذا ال plus واحد هي اللي بدها تكون واضحة على + +107 +00:10:53,580 --> 00:10:58,820 +الجداش ال axis تلاتين هذه وين في ال uncut lens + +108 +00:10:58,820 --> 00:11:06,480 +تمامطيب لو كان عندنا spectacle lens تمام يعني + +109 +00:11:06,480 --> 00:11:13,600 +بمعنى آخر اللي هو frame والنضارة جاهزة مثال عندنا + +110 +00:11:13,600 --> 00:11:21,720 +مثلا plus أربعة و نص على minus واحد axis تلاتين + +111 +00:11:21,720 --> 00:11:26,140 +دايما قلنا ال power اللي احنا بناخده من داخل ال + +112 +00:11:26,140 --> 00:11:30,830 +lensmeter هو عبارة عن meridianالكبير هذا الاسفير + +113 +00:11:30,830 --> 00:11:35,870 +meridian باخد الأول اسفير بطرح التاني من الأول + +114 +00:11:35,870 --> 00:11:41,310 +باخد ال axis بتاع مين الاصغير تمام هذا ك axis لكن + +115 +00:11:41,310 --> 00:11:45,170 +احنا ايش بنعمل في الأول يعني بنكتب مثلا على سبيل + +116 +00:11:45,170 --> 00:11:50,850 +المثال honey plus 4وهنا plus اتنين تمام هذا ايش + +117 +00:11:50,850 --> 00:11:55,230 +بيمثل meridian طب انا بدي اكتبها بال axis صح ولا + +118 +00:11:55,230 --> 00:11:58,430 +لأ لان النضارات كلها عندنا بال axis بقول plus + +119 +00:11:58,430 --> 00:12:03,750 +اربعة اللي هي الاسفير على التاني ناقص واحد ناقص + +120 +00:12:03,750 --> 00:12:10,790 +التاني من الاول minus اتنين axis مية و تمانين و ان + +121 +00:12:10,790 --> 00:12:15,150 +هذا meridian تمام اذا ال axis هيكون عكس ال + +122 +00:12:15,150 --> 00:12:21,890 +meridianأمر جدا بسيط، الآن أنا مثلا حطيت النضارة، + +123 +00:12:21,890 --> 00:12:25,750 +إيش بروح؟ أول حاجة بطلع القوة الكبيرة، باخدها + +124 +00:12:25,750 --> 00:12:29,490 +السفير، بعدين بطرح التاني من الأول و باخد ال + +125 +00:12:29,490 --> 00:12:35,050 +access بتاع مين اللي صغير نفس + +126 +00:12:35,050 --> 00:12:38,390 +الحاجة هدا الكلام وين؟ في ال Cornell cylinder لو + +127 +00:12:38,390 --> 00:12:42,310 +كان عندنا مثلا K1 50 + +128 +00:12:50,590 --> 00:13:01,610 +Okay عندنا خمسين ات تسعين وعندنا كتو مثلا خمسة + +129 +00:13:01,610 --> 00:13:09,070 +واربعين ات مية و تمانين هذا ايش بيمثل Cornel power + +130 +00:13:09,070 --> 00:13:14,660 +okay اللي هو عبارة عن Meridian كيف بدي اعملهم؟عنا + +131 +00:13:14,660 --> 00:13:21,440 +الخمسين هيها على التسعين تمام والخمسة واربعين okay + +132 +00:13:21,440 --> 00:13:28,000 +الان انا جالي احسب قيمة كورنيال سيلندر ايش معناه + +133 +00:13:28,000 --> 00:13:33,320 +كورنيال سيلندر يعني فقط جاية من الكورنيا يعني قداش + +134 +00:13:33,320 --> 00:13:38,680 +ال amount of a stigmatism from the كورنيا okay + +135 +00:13:38,680 --> 00:13:46,200 +الكورنيال سيلندر ايش هتكون ماينوس خمسةالـ Axes + +136 +00:13:46,200 --> 00:13:51,080 +اللي هي 180 واضح + +137 +00:13:51,080 --> 00:13:55,620 +الفكرة دايما اما تتعامل مع ال meridian و مع ال + +138 +00:13:55,620 --> 00:14:01,340 +axes عكس بعضالـ Meridian في اللي هو along يعني + +139 +00:14:01,340 --> 00:14:05,740 +قلتلك مثلا خمسة و أربعين at مية و تمانين، إذا على + +140 +00:14:05,740 --> 00:14:10,060 +طول بحط إيش؟ الخمسة و أربعين ع المية و تمانين، + +141 +00:14:10,060 --> 00:14:14,160 +قلتلك مثلا تلاتة و أربعين at تسعين، بحط على + +142 +00:14:14,160 --> 00:14:18,580 +التسعين، ال axis العكس تماما، لأن ال axis has no + +143 +00:14:18,580 --> 00:14:21,420 +power، مين اللي فيه ال power؟ ال meridian، اللي + +144 +00:14:21,420 --> 00:14:25,700 +فيه هو ال maximum power، تمام؟ + +145 +00:14:40,870 --> 00:14:44,490 +طبعا هذا الكلام كلها تعكس من ال written scope عشان + +146 +00:14:44,490 --> 00:14:53,690 +ما تخربطوش طيب + +147 +00:14:53,690 --> 00:14:59,990 +نبدأ في موضوعنا اليوم ال spectacle frames ايش + +148 +00:14:59,990 --> 00:15:06,090 +معناتها اطارات النضارات تمام او الاطار الخاص + +149 +00:15:06,090 --> 00:15:06,970 +بالنضارة + +150 +00:15:12,380 --> 00:15:16,760 +familiarity with the frame measurements and how + +151 +00:15:16,760 --> 00:15:22,560 +they are marked is essential too دايما الإلمام + +152 +00:15:22,560 --> 00:15:29,220 +بقياسات الإطار وإن كيفية تعليم الإطار هذا يعتبر + +153 +00:15:29,220 --> 00:15:36,870 +أمر أساسي بالنسبة إنا في إيش طيب؟Number one lens + +154 +00:15:36,870 --> 00:15:41,770 +centration in front of patients eye كتير من + +155 +00:15:41,770 --> 00:15:46,210 +الأحيان احنا بنشوف ناس لابسين إطارات ولكن بتلاقي + +156 +00:15:46,210 --> 00:15:50,770 +الإطار اما صغير على ال patient eye او كبير وين على + +157 +00:15:50,770 --> 00:15:55,130 +ال patient eye وهذا بيؤثر على مين؟ ال optical + +158 +00:15:55,130 --> 00:16:00,510 +center of a lens فالان أول شغلة انه لازم انا اختار + +159 +00:16:00,510 --> 00:16:04,050 +إطار يكون a proper fit + +160 +00:16:11,310 --> 00:16:15,950 +يعني يكون الفتة او ملائم او مناسب بالنسبة لمين لل + +161 +00:16:15,950 --> 00:16:23,070 +patient عشان احصل على optical center of a lens + +162 +00:16:23,070 --> 00:16:29,410 +يكون مناسب لهذا المريض number + +163 +00:16:29,410 --> 00:16:36,160 +two appropriate orderingالان الطلب اللى خاص + +164 +00:16:36,160 --> 00:16:41,420 +بالنضارة هذه لازم ايضا ان يكون ملائم او يكون مناسب + +165 +00:16:41,420 --> 00:16:47,640 +يعني بمعنى اخر لو انا مثلا مريض عنده ال IBD نفترض + +166 +00:16:47,640 --> 00:16:55,800 +ستين وروحت انا مثلا لبسته اطار ل frame BD 42هتلاقي + +167 +00:16:55,800 --> 00:17:00,460 +اما انا باطلب من الشركة الاطار هذا هيقول لي ايش + +168 +00:17:00,460 --> 00:17:05,620 +غير مناسب لمين لهذا الشخص او لل patient I لان عندك + +169 +00:17:05,620 --> 00:17:09,980 +اللي هو قيمة ال frame BD وقيمة ال IBD غير متلائمة + +170 +00:17:09,980 --> 00:17:18,960 +okay and frame selection ودايما انا بقول انه 80%من + +171 +00:17:18,960 --> 00:17:25,100 +اختيار الإطار هو بيرجع على عاتق أخصاء البصريات فاش + +172 +00:17:25,100 --> 00:17:29,940 +حاجة تقوليلي ان والله المريض هو بدهيك لأ لازم انت + +173 +00:17:29,940 --> 00:17:36,250 +تثبتيله ان مثلا لو هو مقتنع بإطار معينولا يعتبر + +174 +00:17:36,250 --> 00:17:40,730 +appropriate بالنسبة له أن هذا الأمر مش صحيح أو مش + +175 +00:17:40,730 --> 00:17:45,010 +صحيه إلك حتى و لو على حساب إيش الناحية الجمالية + +176 +00:17:45,010 --> 00:17:48,870 +كتير من الناس بختار الإطار فقط من ناحية cosmetic + +177 +00:17:48,870 --> 00:17:54,510 +وهذا الأمر يعني غير صحيح و غير اللي هو سليم تمام؟ + +178 +00:17:57,400 --> 00:18:02,280 +knowledge of measurement procedures أي بمعنى + +179 +00:18:02,280 --> 00:18:07,260 +التعرف على القياسات المناسبة أو اللي هو الملائمة + +180 +00:18:07,260 --> 00:18:15,240 +assures receipt of the proper size when ordering a + +181 +00:18:15,240 --> 00:18:19,160 +replacement for a broken partيعني الأن أنا ما + +182 +00:18:19,160 --> 00:18:23,760 +بتعرف على القياسات المناسبة أو الملائمة للمريض، + +183 +00:18:23,760 --> 00:18:28,200 +هذا بيضمن .. بيضمن إلي يما الإطار بتاع ال patient + +184 +00:18:28,200 --> 00:18:33,320 +ينكسر، أجيب نفسه اللي هو كبه منه، وهذا أيضا يكون + +185 +00:18:33,320 --> 00:18:39,320 +اللي .. اللي تم اختياره جديد بعد عملية الكسر يكون + +186 +00:18:39,320 --> 00:18:43,480 +ايش برضه proper fit بالنسبة للمريض، تمام؟ + +187 +00:18:46,460 --> 00:18:56,580 +طيب في عندنا أنظمة لعملية تحديد رسم + +188 +00:18:56,580 --> 00:19:02,140 +الإطار تمام و كيفية اختيار العدسة المناسبة أو + +189 +00:19:02,140 --> 00:19:06,560 +الملائمة لهذا الإطار في عندنا النظام القديم اسمه + +190 +00:19:06,560 --> 00:19:13,700 +the older datum system نظام اللي هو ال datumبداية + +191 +00:19:13,700 --> 00:19:20,200 +عنا ايش هاري بنسميها الـ + +192 +00:19:20,200 --> 00:19:29,620 +Demo Lens تمام؟ اذا هاري بنسميها Demo Lens + +193 +00:19:30,550 --> 00:19:35,330 +اللي بتكون موجودة في داخل الإطار يعني انتوا شايفين + +194 +00:19:35,330 --> 00:19:40,470 +كل الإطارات اللي بتكون معروضة في المراكز فيها عدسة + +195 +00:19:40,470 --> 00:19:45,430 +هذه بنسميها Demo Lens اللي من خلالها أنا بقص إيش + +196 +00:19:45,430 --> 00:19:49,770 +الإطار يعني العدسات اللي هو أو ال prescription + +197 +00:19:49,770 --> 00:19:55,490 +بتاعة المريض في عندنا ال datum line إيش المقصود في + +198 +00:19:55,490 --> 00:19:56,350 +ال datum line؟ + +199 +00:20:02,770 --> 00:20:09,410 +فال datum line املاحظين وين طيب جاي؟ تمام يعني هو + +200 +00:20:09,410 --> 00:20:17,810 +الخط المناسب او الملائم لفصل ما بين ال superior و + +201 +00:20:17,810 --> 00:20:24,350 +ال inferior area و في عندنا كمان ايش ال tangential + +202 +00:20:24,350 --> 00:20:30,590 +area اللي هي المماس اذا مرة تانية الخطالفاصل أو + +203 +00:20:30,590 --> 00:20:34,110 +المنطقة الفاصلة ما بين ال superior part و ال + +204 +00:20:34,110 --> 00:20:38,550 +inferior part و خط التماس هذا بنسميه ايه؟ datum + +205 +00:20:38,550 --> 00:20:44,970 +line في عندنا ايضا datum center ايش المقصود في + +206 +00:20:44,970 --> 00:20:54,030 +datum center؟ اه فضلي يا لطيفة 100% هي النقطة اللى + +207 +00:20:54,030 --> 00:20:59,090 +موجودة في مركز مين؟ ال datum line صح؟إذا النقطة + +208 +00:20:59,090 --> 00:21:02,830 +اللى موجودة في مركز الـ datum line بنسميها datum + +209 +00:21:02,830 --> 00:21:10,750 +center طيب في عندنا أيضا ال mid datum depth اللى + +210 +00:21:10,750 --> 00:21:16,130 +هو العمق الآن هذا إيش بيمثل ال frame صح ولا لأ + +211 +00:21:16,130 --> 00:21:21,170 +اللى موجود في داخله العدسة الآن شايفين ال depth من + +212 +00:21:21,170 --> 00:21:26,220 +هنا مختلف عن هنا صح ولا لأالمسافة من هنا مختلفة عن + +213 +00:21:26,220 --> 00:21:30,780 +المسافة من هنا فهذه كلها تقش بنسميها ال mid datum + +214 +00:21:30,780 --> 00:21:34,500 +depth اللي هي العمق يعني بمعنى آخر احنا الآن في + +215 +00:21:34,500 --> 00:21:39,080 +الوقت الحاضر بنسميها اللي هو ال B لكن ال B وين + +216 +00:21:39,080 --> 00:21:45,760 +هذه؟ في ال boxing system اللي هناخده كمان شوية + +217 +00:21:45,760 --> 00:21:50,280 +يعني + +218 +00:21:50,280 --> 00:21:55,650 +الآن لو انا مثلا اخدت خطعمودي من ال upper rim + +219 +00:21:55,650 --> 00:22:00,990 +والlower rim للعدسة هذا بنسميه ال mid datum depth + +220 +00:22:00,990 --> 00:22:04,950 +طبعا هذا النظام ال older system او ال older datum + +221 +00:22:04,950 --> 00:22:09,630 +system لا يتم التعامل معه في الوقت الحاضر كل اللي + +222 +00:22:09,630 --> 00:22:13,230 +احنا بنتعامل معه الآن هو عبارة عن مين ال boxing + +223 +00:22:13,230 --> 00:22:18,950 +system لكن في هناك تشابه ما بين اللي هو ال two + +224 +00:22:18,950 --> 00:22:19,830 +systems + +225 +00:22:23,530 --> 00:22:29,030 +Okay الآن زي ما اتفقنا فى عندنا datum line فى + +226 +00:22:29,030 --> 00:22:33,970 +عندنا ال mid datum depth فى عندنا ال datum center + +227 +00:22:33,970 --> 00:22:47,250 +تمام ايضا فى عندنا ال MBL اختصار لإيش هذه عبارة + +228 +00:22:47,250 --> 00:22:54,080 +عن ال minimum between lenses تمام يعني المسافةيعني + +229 +00:22:54,080 --> 00:22:58,400 +او اللي هو ال minimum اقل مسافة ما بين العدستين + +230 +00:22:58,400 --> 00:23:07,060 +اللي احنا ايش بنسميها الآن ال bridge الان + +231 +00:23:07,060 --> 00:23:11,660 +لو هي معاك اطار المسافة بين العدستين هذي بنسميها + +232 +00:23:11,660 --> 00:23:17,240 +ايش ال minimum between lenses جالوا الكلام بتاع ال + +233 +00:23:17,240 --> 00:23:21,490 +bridge هذا خطأبنفعش احنا نقول عنها هي الـ minimum + +234 +00:23:21,490 --> 00:23:27,190 +between lenses راحوا غيروا المسمى بالهو مسمى آخر + +235 +00:23:27,190 --> 00:23:31,870 +قالوا عنه ال distance between lenses المسافة ما + +236 +00:23:31,870 --> 00:23:38,170 +بين العدستين okay يعني سابقا في الأول قالوا ان هذه + +237 +00:23:38,170 --> 00:23:42,710 +عبارة عن ال minimum between lenses هي نفسها اللي + +238 +00:23:42,710 --> 00:23:47,910 +بتمثل ال bridgeبعد ما عملوا دراسات على هذا الموضوع + +239 +00:23:47,910 --> 00:23:52,670 +قالوا لأ هذا الكلام خاطئ هي بتمثل مين ال distance + +240 +00:23:52,670 --> 00:23:58,510 +between lenses تمام طيب + +241 +00:23:58,510 --> 00:24:03,470 +ال datum center distance اللي هي إيش بتمثل هذه + +242 +00:24:03,470 --> 00:24:10,730 +datum center distance طيب إيش بتمثل معنى ال frame + +243 +00:24:10,730 --> 00:24:15,580 +بيدي صح؟الـ IBD بالنسبة للـ patient إذاً هي بتمثل + +244 +00:24:15,580 --> 00:24:22,960 +الـ frame PD أو إلها مسمة آخر datum center اللي هو + +245 +00:24:22,960 --> 00:24:27,600 +distanceيعني عندنا الـ distance between lenses او + +246 +00:24:27,600 --> 00:24:32,260 +بيسموها الـ datum center distance كيف هذه؟ هلجيت + +247 +00:24:32,260 --> 00:24:37,060 +ممكن انا اعمل marker من ال center اليمين للcenter + +248 +00:24:37,060 --> 00:24:41,680 +الشمال و اجيس المسافة بينهم هذه ايش بتمثل ال frame + +249 +00:24:41,680 --> 00:24:47,300 +bd او ال datum center distance شغل تانية ممكن ايش + +250 +00:24:47,300 --> 00:24:53,160 +اعمل من حفة العدسة اليمين لأول حفة العدسة الشمال + +251 +00:24:54,410 --> 00:24:58,510 +استمعبين معاه؟ الان لو انا عملت على ال marker علمت + +252 +00:24:58,510 --> 00:25:01,810 +العدسة من ال center ل ال center تمام؟ هذه ايش + +253 +00:25:01,810 --> 00:25:06,990 +بتمثل؟ ال datum center distance بس احنا كل النظام + +254 +00:25:06,990 --> 00:25:10,750 +الان بنشتغل على ال boxing هذا النظام انتهى okay + +255 +00:25:10,750 --> 00:25:16,050 +الان ممكن اخد من ال center ل ال center او ممكن اخد + +256 +00:25:16,050 --> 00:25:21,870 +من حفة العدسة اليمين لحفة العدسة الشمال ممكن اجيس + +257 +00:25:21,870 --> 00:25:25,440 +من هنا ل هناOkay شكرا + +258 +00:25:30,980 --> 00:25:34,780 +طيب ال boxing system النظام اللى احنا حاليا + +259 +00:25:34,780 --> 00:25:40,440 +بنتعامل معاه او بيسموه ال British system النظام + +260 +00:25:40,440 --> 00:25:44,080 +هذا يا جماعة ايش بيكون؟ فيه هناك تساوي لانه مربع + +261 +00:25:44,080 --> 00:25:47,960 +صح ولا لأ يعني من ال up و ال down و التانجينشيا + +262 +00:25:47,960 --> 00:25:52,060 +الكل هيته بدي يكون ال cross متساوي حتى انتوا الآن + +263 +00:25:52,060 --> 00:25:54,940 +عندما تطبقوا ان شاء الله في ال lab هتعملوا على + +264 +00:25:54,940 --> 00:26:01,230 +نظام مين؟ ال boxing systemThe boxing system + +265 +00:26:01,230 --> 00:26:07,550 +improved on the foundation provided by the datum + +266 +00:26:07,550 --> 00:26:13,330 +system إن هذا النظام صار عليه عملية تحسين أو عملية + +267 +00:26:13,330 --> 00:26:18,690 +modification تعديل تمام من الأساس اللي هو من ال + +268 +00:26:18,690 --> 00:26:22,730 +foundation الأساس أو التركيب الأساسي اللي هو عبارة + +269 +00:26:22,730 --> 00:26:24,250 +عن ال datum system + +270 +00:26:28,240 --> 00:26:36,300 +الداتوم يستخدم اتصالات اتصالات اتصالات اتصالات + +271 +00:26:36,300 --> 00:26:37,100 +اتصالات اتصالات اتصالات اتصالات اتصالات اتصالات + +272 +00:26:37,100 --> 00:26:44,840 +اتصالات اتصالات اتصالات اتصالات + +273 +00:26:44,840 --> 00:26:50,160 +اتصالات اتصالات + +274 +00:26:50,160 --> 00:26:52,540 +اتصالات + +275 +00:26:56,790 --> 00:27:01,610 +هي شفناها اللي هو مكونات الـ datum system قولنا + +276 +00:27:01,610 --> 00:27:06,450 +datum line و datum center و ال mid datum depth + +277 +00:27:08,870 --> 00:27:12,910 +طيب نشوف الـ boxing system kept these two + +278 +00:27:12,910 --> 00:27:17,210 +horizontal lines and added two vertical lines + +279 +00:27:17,210 --> 00:27:22,190 +هنضيف عليهم ايش؟ زي ما اتفقنا باجي على حفة العدسة + +280 +00:27:22,190 --> 00:27:26,550 +من هنا بضيف وبضيف line ايه صار؟ عندنا فيه vertical + +281 +00:27:26,550 --> 00:27:31,610 +line وفي عندنا horizontal اللي هي line تمام؟ وحتى + +282 +00:27:31,610 --> 00:27:38,100 +بعدها يعني after you addvertical lines بدنا نعمل + +283 +00:27:38,100 --> 00:27:43,540 +اللي هو ال cross ال cross ايش بيمثل؟ بيمثل ال + +284 +00:27:43,540 --> 00:27:47,080 +effective diameter + +285 +00:27:47,080 --> 00:27:50,780 +تمام؟ + +286 +00:27:50,780 --> 00:27:57,140 +اللي هو ED وحناخد ايش ال effective diameter فيما + +287 +00:27:57,140 --> 00:27:57,840 +بعد ان شاء الله + +288 +00:28:24,170 --> 00:28:28,830 +الأربعة هدول ايش هيكونولي box للعدسة اللي هو من ال + +289 +00:28:28,830 --> 00:28:35,080 +vertical linesوالـ horizontal lines تمام؟ اذا مين + +290 +00:28:35,080 --> 00:28:39,320 +ال foundation لل boxing system؟ هو عبارة عن ال + +291 +00:28:39,320 --> 00:28:43,520 +datum هى لان هى عم بيشتغل على ايش؟ datum system + +292 +00:28:43,520 --> 00:28:49,280 +okay نشوف + +293 +00:28:49,280 --> 00:28:51,340 +عندنا ال boxing system + +294 +00:29:03,880 --> 00:29:08,960 +الان مين ال right و مين ال left؟ هذي right صح و + +295 +00:29:08,960 --> 00:29:14,280 +هذي left طيب لو انا اديتك العدسة monocular كيف + +296 +00:29:14,280 --> 00:29:19,980 +تعرف ان هذي right و هذي left؟ يعني الان انا افرضه + +297 +00:29:19,980 --> 00:29:24,640 +انه جسينا اللي هي ال left و اديتك الشكل هذا كيف + +298 +00:29:24,640 --> 00:29:29,420 +تعرف انه هذي right؟ + +299 +00:29:29,420 --> 00:29:30,840 +تمام واحدة بس اتكلم + +300 +00:29:38,810 --> 00:29:42,630 +تمام بس هذا كشغل practitioner لكن انا الان شغل + +301 +00:29:42,630 --> 00:29:50,090 +علمى امتازة الان تعالى تطلعى هان هذه ايش بتمثل ال + +302 +00:29:50,090 --> 00:29:56,630 +knows صح ولا لأ اذا هذه ايش صفرو هذه 180، الآن في + +303 +00:29:56,630 --> 00:29:59,690 +الـ right لو فاكرين في الـ ophthalmic lenses، قلنا + +304 +00:29:59,690 --> 00:30:05,050 +دايما هذه صفر، هذه 180، هذه 180، هذه صفر، يعني + +305 +00:30:05,050 --> 00:30:10,050 +بمعنى أخر، يما أنا بدي أعمل decentralization إزاحة + +306 +00:30:10,050 --> 00:30:15,790 +للعدسة in في ال right، إذا وين بروح باتجاه مين؟لكن + +307 +00:30:15,790 --> 00:30:20,690 +في الـ left من هذه أنا بعرفها مباشرة بدون قضية + +308 +00:30:20,690 --> 00:30:25,190 +يعني ممكن في بعض الأحيان بيكون ال shape ل ال right + +309 +00:30:25,190 --> 00:30:29,010 +و ال left واحد خاصة إذا كانوا مربع الشكل إنه + +310 +00:30:29,010 --> 00:30:33,190 +بتلاقي نفس اللي هو typical ال demo lens طب كيف بدي + +311 +00:30:33,190 --> 00:30:36,690 +أعرفها؟ مباشرة من خلال اللي هو السفر و ال 180 + +312 +00:30:36,690 --> 00:30:43,110 +تمام؟ أيوة موجود ال marker موجود إنه هذه السفر و + +313 +00:30:43,110 --> 00:30:49,770 +180 okayطيب إذا هي عرفنا إن كيف نحدد هل هي right + +314 +00:30:49,770 --> 00:30:58,010 +أو left right 0 180 left 180 0 طيب في عندنا ال + +315 +00:30:58,010 --> 00:31:03,810 +vertical lines هي اللي هي حددناها وفي عندنا ال + +316 +00:31:03,810 --> 00:31:09,190 +horizontal lines وفي عندناالـ tangential اللي هو + +317 +00:31:09,190 --> 00:31:12,570 +العين اللي مثلت لي إيش ال effective diameter + +318 +00:31:12,570 --> 00:31:15,570 +عارفين كيف ال effective diameter دي لنظارة مرة + +319 +00:31:15,570 --> 00:31:22,250 +تانية اذا سمحت هلجيت بجيب مصطرة باخد من هان من + +320 +00:31:22,250 --> 00:31:32,810 +القاع بالشكل هذا تمام من هنا لهنا فى إيش؟ بالضبط + +321 +00:31:32,810 --> 00:31:39,800 +بس هذا مربع تقريبا متساوي فباخد من هان لهانتمام؟ و + +322 +00:31:39,800 --> 00:31:44,020 +فعلا هي من أبعد نقطة لو كان هو irregular غير منتظم + +323 +00:31:44,020 --> 00:31:48,260 +لكن إذا كان الشكل اللي هو كل ال pattern منتظم باخد + +324 +00:31:48,260 --> 00:31:52,500 +اللي هو أبعد نقطة ل اللي هو أبعد نقطة من اللي هو + +325 +00:31:52,500 --> 00:31:58,640 +الأسفل okay؟ إذا هذه إيش بتمثل؟ من العدسة للعدسة + +326 +00:31:58,640 --> 00:32:02,140 +أو من أعلى العدسة لأسفل العدسة هي ال effective + +327 +00:32:02,140 --> 00:32:06,720 +اللي هو ال diameter وهذه وين بتكون موجودة كمان؟في + +328 +00:32:06,720 --> 00:32:09,660 +داخل اللي هو ال frame يعني انت لو قرأتي على ال + +329 +00:32:09,660 --> 00:32:13,300 +frame بتلاقي قيمة ال effective diameter ممكن تتأكد + +330 +00:32:13,300 --> 00:32:17,420 +انه موجودة على ال temple او على ال side تاع اللي + +331 +00:32:17,420 --> 00:32:24,940 +هو الإطار okay طيب في عندنا ال distance between + +332 +00:32:24,940 --> 00:32:31,810 +center okay هذه ايش بتمثل ال frame BDالمسافة من + +333 +00:32:31,810 --> 00:32:36,270 +الـ Center للـ Center طيب الـ Frame BD أو ايش قلنا + +334 +00:32:36,270 --> 00:32:45,730 +عنها؟ الـ Datum Center between الـ هو Lenses طيب + +335 +00:32:45,730 --> 00:32:49,650 +في عندنا الـ Geometric Center Distance او الـ + +336 +00:32:49,650 --> 00:32:54,070 +Frame BD برضه بيسموها نفس المسمة طيب مدام عندنا + +337 +00:32:54,070 --> 00:32:59,440 +Geometric Center اذا هي وين بتمثل؟منتصف العدسة + +338 +00:32:59,440 --> 00:33:02,620 +يعني الآن يما انا بدي اعمل marker للعدسة في + +339 +00:33:02,620 --> 00:33:07,500 +المنتصف okay هي بتمثل ال geometric center of + +340 +00:33:07,500 --> 00:33:13,680 +ellipse تمام طيب ال B هذه ايش بتمثل؟ + +341 +00:33:18,420 --> 00:33:22,380 +لكن هنا بقدرش اقول عنها ال mid datum depth خطأ + +342 +00:33:22,380 --> 00:33:26,980 +ليش؟ لأن انتوا لو شفتوا في ال mid datum depth كان + +343 +00:33:26,980 --> 00:33:30,680 +فيه فراغ او كان فيه space ما بين ال up و ال down + +344 +00:33:30,680 --> 00:33:35,600 +حكيتها النقطة هذه ركزت عليها لكن هنا فيه space لأ + +345 +00:33:35,600 --> 00:33:42,620 +التنتين متساويات يعني handle B لا تساوي unequal + +346 +00:33:42,620 --> 00:33:49,260 +لمين؟ ل ال mid datum depthما بتساويها؟ عبارة عن + +347 +00:33:49,260 --> 00:33:53,480 +بوكس متساوي اللي هو الأضلاع هناك كان فيه بعد ما + +348 +00:33:53,480 --> 00:33:56,240 +بين ال up و ال down ارجعوا عليها الصورة هتلاقيوا + +349 +00:33:56,240 --> 00:34:01,120 +الشغل هذه في أيضا اللي هو ال a اللي هو ال a ايش + +350 +00:34:01,120 --> 00:34:05,760 +بتمثل؟ ال I size برضه نفس الحاجة لو أخدنا النضارة + +351 +00:34:05,760 --> 00:34:10,140 +جسمها بشكل اللي هو horizontal هتمثل لل a اللي هي + +352 +00:34:10,140 --> 00:34:11,440 +ال I size + +353 +00:34:13,840 --> 00:34:18,660 +طبعا في الـ Boxing System أهم حاجة الـ Frame BD + +354 +00:34:18,660 --> 00:34:28,380 +عندنا الـ B والـ A والـ C تمام بالإضافة للـ Boxing + +355 +00:34:28,380 --> 00:34:31,760 +اللي هي distance between lens أو ال bridge size + +356 +00:34:31,760 --> 00:34:36,490 +هناك إيه سمناها؟لأ بس قلنا في الأول صموها ال + +357 +00:34:36,490 --> 00:34:39,890 +minimum between lenses بعد ذلك ايش ادوها مسمة اخر + +358 +00:34:39,890 --> 00:34:44,710 +اللي هي distance between the lens انه المسافة ما + +359 +00:34:44,710 --> 00:34:51,610 +بين اللي هو العدستين فدائما الان احنا بنستخدم ال + +360 +00:34:51,610 --> 00:34:55,750 +boxing system الهدف منه ان هو يديني اكتر + +361 +00:34:55,750 --> 00:35:02,530 +parameters مقارنة في مينأو أكتر اللي هو بمعنى آخر + +362 +00:35:02,530 --> 00:35:10,450 +ال criteria فيه أكتر مقارنة في ال datum system هاي + +363 +00:35:10,450 --> 00:35:16,350 +شايفين؟ يعمل comparison اللي هي مقارنة of standard + +364 +00:35:16,350 --> 00:35:21,920 +terms بالمصطلحات العامةفي عندنا بوكسنج سيستم و في + +365 +00:35:21,920 --> 00:35:28,260 +عندنا داتوم او bridge standard ال a و ال b قلنا + +366 +00:35:28,260 --> 00:35:33,100 +مالهمش ايه اية مسمة في ال datum system لأن ما + +367 +00:35:33,100 --> 00:35:36,540 +بنقدر نقول عن ال b هي عبارة عن ال datum depth او + +368 +00:35:36,540 --> 00:35:41,420 +ال mid datum depth و ال b عفوا ال a ما بنقدر نقول + +369 +00:35:41,420 --> 00:35:47,140 +عنها اللي هي ال datum line او الاخر يعني مافيش لها + +370 +00:35:47,140 --> 00:35:52,800 +مسمةالـ C ممكن هي تمثل الـ datum length، قولنا إيش + +371 +00:35:52,800 --> 00:35:53,760 +ال datum length؟ + +372 +00:35:56,470 --> 00:36:00,990 +مية فى المية المسافة على طول اللى هو ال datum تمام + +373 +00:36:00,990 --> 00:36:06,230 +عندنا ايضا ال boxing distance between lenses ايش + +374 +00:36:06,230 --> 00:36:09,970 +مثلت اللى هي ال minimum between lenses بس انا + +375 +00:36:09,970 --> 00:36:13,290 +بقولكم انه في التحديث الجديد هي لا تساوي ال + +376 +00:36:13,290 --> 00:36:17,870 +minimum between lenses هي بساوي ال datum distance + +377 +00:36:17,870 --> 00:36:23,930 +between lensesباقي المصطلحات اللي هي عندنا ايضا + +378 +00:36:23,930 --> 00:36:27,270 +اخدناهم الـ Geometric Center او الـ Frame PD هذه + +379 +00:36:27,270 --> 00:36:31,530 +تقريبا اللي هو ثابتة ال Major Reference Point و ال + +380 +00:36:31,530 --> 00:36:35,190 +Prism Reference Point هناخدهم فيما بعد لان هدول + +381 +00:36:35,190 --> 00:36:41,310 +متعلقين في ال progressive lenses طيب مين تقدر + +382 +00:36:41,310 --> 00:36:49,650 +تديني ايش المقصود بالشكل هذا او ال pattern؟ اه وين + +383 +00:36:49,650 --> 00:36:50,170 +طيب؟ + +384 +00:36:54,500 --> 00:37:00,680 +طيب إيش المقارنة طلعت فيها؟ + +385 +00:37:00,680 --> 00:37:04,380 +طيب + +386 +00:37:04,380 --> 00:37:10,460 +ممكن أوضح من هيك الشكل + +387 +00:37:10,460 --> 00:37:11,420 +هذا + +388 +00:37:23,010 --> 00:37:27,970 +طبعا احنا ال B و ال A هي غير موجودة في وين؟ في ال + +389 +00:37:27,970 --> 00:37:33,210 +datum تمام طب ليش هنكتب اللي هو mid اه ممتاز هذه + +390 +00:37:33,210 --> 00:37:38,650 +الرسمة شايفين ال mid datum depth من فوق لكن من تحت + +391 +00:37:38,650 --> 00:37:44,490 +ايش؟ في اللي هو gapما بين اللي هو ال datum system + +392 +00:37:44,490 --> 00:37:49,630 +و ال boxing system يعني التنتين مش متساوية لكن هذا + +393 +00:37:49,630 --> 00:37:53,250 +الشكل يا جماعة او ال shape هو اقرب لما تكون + +394 +00:37:53,250 --> 00:37:59,330 +العدساتين بشكل اللي هو مربع تمام؟ يعني ال two اللي + +395 +00:37:59,330 --> 00:38:06,170 +هو ال lenses مربع الشكل فمعظم اللي هو المصطلحات + +396 +00:38:06,170 --> 00:38:10,780 +هيكونوا اللي هو متشابهاتمن ناحية اللي هو الـ datum + +397 +00:38:10,780 --> 00:38:15,000 +ومن ناحية ال boxing system يعني صح مثلا ال B غير + +398 +00:38:15,000 --> 00:38:18,760 +مساوية للمد اللي هو datum depth لكن هذه المسافة + +399 +00:38:18,760 --> 00:38:22,520 +اللي هي واحد او واحد و نص او اتنين ملي احنا فعليا + +400 +00:38:22,520 --> 00:38:26,620 +في عملية الجثة بنتركهايعني بمعنى أخر لإن أنا برسم + +401 +00:38:26,620 --> 00:38:30,900 +الشبلونة بحط الإحساب هذا ليش؟ لأنه في حاجة ما بعد + +402 +00:38:30,900 --> 00:38:34,460 +اللي هو عملية القص اللي هي بنسميها الـ Bullishing + +403 +00:38:34,460 --> 00:38:38,800 +تمام؟ أو بمعنى أخر أنه قد نعمل اللي هو Growth أو + +404 +00:38:38,800 --> 00:38:42,920 +بذل العدسة بالنهاية، هذه هناخدها فيما بعد ما مش + +405 +00:38:42,920 --> 00:38:47,720 +وقتنا نتكلم فيها، لكن هي مثلا الـMinimum between + +406 +00:38:47,720 --> 00:38:52,320 +lensesماذا مكتوب؟ Boxing اللي هو distance between + +407 +00:38:52,320 --> 00:38:57,680 +lenses تنتين متساويات مثلاً هنا ال datum between + +408 +00:38:57,680 --> 00:39:01,060 +lenses او ال distance between center هي نفسها + +409 +00:39:01,060 --> 00:39:07,120 +عبارة عن ال frame PD واحدة ماتغيرتش عنا ال ايه او + +410 +00:39:07,120 --> 00:39:11,140 +بنسميها ال eye size في ال datum برضه نفس الحاجة + +411 +00:39:11,140 --> 00:39:16,360 +هذه في حالة ما يكون عندنا العدسات اللي هي مربعة + +412 +00:39:16,360 --> 00:39:16,840 +الشكل + +413 +00:39:21,200 --> 00:39:25,060 +تقريبا هيكون فيه هناك تساوي ما بين ال datum و ال + +414 +00:39:25,060 --> 00:39:32,880 +boxing system طيب في عندنا الآن مفاهيم ال knaps + +415 +00:39:32,880 --> 00:39:40,140 +law ايش معناه اللي هو ال define ل ال knaps law اه + +416 +00:39:40,140 --> 00:39:46,090 +بالضبط ايش تعريفهإن حجم الصورة كما هو لا يتغير + +417 +00:40:02,480 --> 00:40:10,200 +describe briefly أنه بيشرح أو بيوضح باختصار أو + +418 +00:40:10,200 --> 00:40:15,080 +بإيجاز the role of eyepiece أنه إيش وظيفة الـ + +419 +00:40:15,080 --> 00:40:19,230 +eyepiece اللي موجودة في داخل الـ Lensmeterيعني هل + +420 +00:40:19,230 --> 00:40:25,330 +مثلا وظيفتها بتعمل توضيح للصورة، بتغبّش الصورة؟ هل + +421 +00:40:25,330 --> 00:40:30,470 +مثلا حتى في بعض الأجهزة الماني والـ Lensmeter أنه + +422 +00:40:30,470 --> 00:40:36,290 +ممكن تقريبلك مثلا ال .. ال power scale و تغبّش ال + +423 +00:40:36,290 --> 00:40:40,130 +target أو بعضهم بتغبّش ال target و بتوضح ال power + +424 +00:40:40,130 --> 00:40:45,820 +scale هذه الجزء القديم من الأجهزة تمام؟إذاً هان + +425 +00:40:45,820 --> 00:40:51,760 +إنه بيوضّح بإيجاز إيش هو وظيفة الـ IBS اللي موجودة + +426 +00:40:51,760 --> 00:40:58,040 +في داخل جهاز الـ Lens Meter الآن الـ Knaps law تم + +427 +00:40:58,040 --> 00:41:02,100 +اللي هو تعديل الإسم الخاص فيه فاحنا إيش استخدمناه + +428 +00:41:02,100 --> 00:41:07,820 +البدل principle البدل principle هذا مستخدم وين؟ في + +429 +00:41:07,820 --> 00:41:10,940 +الـ Lens Meter يعني الآن لو سألتك إيش ال principle + +430 +00:41:10,940 --> 00:41:16,380 +للـ Lens Meter هو البدل principleانه بيحاول انه ما + +431 +00:41:16,380 --> 00:41:21,060 +يغير من حجم الصورة لا يتغير انه ثابت سواء انا جبت + +432 +00:41:21,060 --> 00:41:24,860 +low minus power high minus power low plus power + +433 +00:41:24,860 --> 00:41:29,160 +high plus power هيظل الشكل او اللي هو حجم الصورة + +434 +00:41:29,160 --> 00:41:36,540 +ثابت اذا describe briefly the rule of collimating + +435 +00:41:36,540 --> 00:41:43,320 +lens ايش المقصود بال collimating lens100% اللي هي + +436 +00:41:43,320 --> 00:41:48,020 +ال F standard lens اللي احنا قداش قولنا قوتها من + +437 +00:41:48,020 --> 00:41:54,980 +plus 20 ل plus 25 ديوبتر طبعا كيف بدنا نحدد قيمة + +438 +00:41:54,980 --> 00:41:58,440 +ال standard lens قولنا بنرجع للماني و لا الجهاز + +439 +00:41:58,440 --> 00:42:03,200 +تمام و بنعرف اللي هو من خلال الأمر هذا طيب ايش + +440 +00:42:03,200 --> 00:42:11,870 +الوظيفة ل ال collimating lensالـ function نعم 100% + +441 +00:42:11,870 --> 00:42:16,410 +انه بتقصر اللي هو حجم الجهاز تمام والشغل التاني + +442 +00:42:16,410 --> 00:42:20,930 +الأهم انه بصير linear اللي هو scale بدل ما كان في + +443 +00:42:20,930 --> 00:42:26,510 +الأول non linear scale تمام نقف ان شاء الله لهان + +444 +00:42:26,510 --> 00:42:27,630 +يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/81J6EddFqIw_raw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/81J6EddFqIw_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..05c7667e499c043ee9eac51d1c574bccc7a9cab3 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/81J6EddFqIw_raw.srt @@ -0,0 +1,1776 @@ +1 +00:00:20,790 --> 00:00:23,910 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,910 --> 00:00:29,510 +وبركاته and a very good afternoon to all of you في + +3 +00:00:29,510 --> 00:00:34,670 +المحاضرة السابقة أخدنا موضوع ال lensmeter و + +4 +00:00:34,670 --> 00:00:41,630 +المبادئ المتعلقة باللينزميتر اليوم هيكون عندنا بعض + +5 +00:00:41,630 --> 00:00:49,920 +من الأسئلة المتعلقة بالـ true or falseIf a stock + +6 +00:00:49,920 --> 00:00:56,520 +lens، إيش المقصود بالـ stock lens؟يعني العدسة التي + +7 +00:00:56,520 --> 00:01:01,700 +يتم جلبها من اللي هو المستودع، الخاص بالمركز + +8 +00:01:01,700 --> 00:01:07,980 +البصريات أو خلينا نقول بال optical center If a + +9 +00:01:07,980 --> 00:01:13,580 +stock lens is available، كان عندنا مستودع للعدسات + +10 +00:01:13,580 --> 00:01:20,330 +في داخل المركزIt's normally used instead of a + +11 +00:01:20,330 --> 00:01:26,270 +custom surfaced lens إنه ممكن هذه الـ stock lens + +12 +00:01:26,270 --> 00:01:31,570 +تكون بديلة عن العدسة الـ custom lens إيش المقصود + +13 +00:01:31,570 --> 00:01:38,850 +فيها؟ إن العدسة اللي مثلا عندنا مريض وصفته كانت + +14 +00:01:38,850 --> 00:01:51,740 +plus 2 على minus 1تمام هذه بدي اطلبها ك order يعني + +15 +00:01:51,740 --> 00:01:56,160 +بمعنى اخر اللي انا بدي اطلبها من الشركة ان الشركة + +16 +00:01:56,160 --> 00:02:03,140 +الصنيع عندنا عدسة قوتها plus 2 ع minus 1 CR 39 او + +17 +00:02:03,140 --> 00:02:07,960 +مثلا crown glass or whatever تمام بنفس المواصفات + +18 +00:02:07,960 --> 00:02:15,430 +هذه طيب هل يمكن ان تكون ال stock lensتمام هي بديلة + +19 +00:02:15,430 --> 00:02:20,830 +عن ال custom surfaced lens ولا لأ يعني true or + +20 +00:02:20,830 --> 00:02:28,490 +false الإجابة false ايش رأيكم؟ طبعا هي false من + +21 +00:02:28,490 --> 00:02:34,550 +ناحية اللي هو ideal false لازم انا كل وصفة ابتجيني + +22 +00:02:35,380 --> 00:02:42,060 +للمركز الخاص بيه ان اعمل طلب لهذه الوصفة دون اللي + +23 +00:02:42,060 --> 00:02:49,400 +هو الرجوع لمين لل stock الخاصة بالعدسات number two + +24 +00:02:49,400 --> 00:02:55,600 +for high plus lens powers اذا العدسة ايه شمالها + +25 +00:02:55,600 --> 00:03:03,400 +high plusA center thickness increases سماكة العدسة + +26 +00:03:03,400 --> 00:03:08,020 +بالزيد في المنتصف Which is of the following is + +27 +00:03:08,020 --> 00:03:15,340 +true A magnification of the wearer's eye increases + +28 +00:03:16,340 --> 00:03:21,200 +A. Minification of the wearer's eyes increases B. + +29 +00:03:21,200 --> 00:03:26,040 +No relationship exists between lens power, center + +30 +00:03:26,040 --> 00:03:30,100 +thickness and either magnification or minification + +31 +00:03:36,130 --> 00:03:40,250 +ما دام high plus power اذا ايش هتعمل العدسة؟ + +32 +00:03:40,250 --> 00:03:43,530 +magnification صح ولا لأ؟ اذا هي هتعمل + +33 +00:03:43,530 --> 00:03:48,730 +magnification of the wearers eye increases يعني + +34 +00:03:48,730 --> 00:03:53,090 +دايما ما ترتبك من طول السؤال او من اللي هو صياخة + +35 +00:03:53,090 --> 00:03:58,250 +السؤال مباشرة high plus lenses هي ايش بتعمل وظيفة + +36 +00:03:58,250 --> 00:04:02,830 +ال magnification حديكمية + +37 +00:04:02,830 --> 00:04:10,570 +ان شاء اللهطيب هل السؤال مهم و متعلق بالمحاضرة + +38 +00:04:10,570 --> 00:04:16,930 +السابقة a prescription is minus two over minus one + +39 +00:04:16,930 --> 00:04:22,530 +point two five x's تلاتين إذا مادام x's هذي وصفة + +40 +00:04:22,530 --> 00:04:29,900 +إيش؟ glasses نضارة صح ولا لأ؟قولا واحدا okay which + +41 +00:04:29,900 --> 00:04:35,020 +of the following two power will ..الان احنا أخدنا + +42 +00:04:35,020 --> 00:04:39,040 +المرة الماضية لو كان عندى عدسة أسفير أو cylinder + +43 +00:04:39,040 --> 00:04:44,160 +lens هتديني أكم power تنتين صح ولا لا بوضح واحدة + +44 +00:04:44,160 --> 00:04:49,840 +التانية بتغبش بوضح التانية الأولى بتغبش و هكذاالان + +45 +00:04:49,840 --> 00:04:54,640 +which of the following two power wheel readings + +46 +00:04:54,640 --> 00:05:00,560 +appear when first sphere؟ the cylinder lines are + +47 +00:05:00,560 --> 00:05:04,320 +brought into focus الان يما انا بستخدم ال power + +48 +00:05:04,320 --> 00:05:08,640 +wheel تمام، اي واحدة فيهم هتوضح و اي واحدة فيهم + +49 +00:05:08,640 --> 00:05:13,580 +هتغبش؟اللي هي القراءة الأكبر مش احنا دايما الاسفير + +50 +00:05:13,580 --> 00:05:19,020 +يعني الـ-2 إيش تمثل الاسفير صح ولا لا؟ إذا هي + +51 +00:05:19,020 --> 00:05:23,660 +الاسفير power اللي مفترض أول واحدة توضح صح؟ طيب + +52 +00:05:23,660 --> 00:05:30,160 +الإجابة إيش بده تكون؟ يعني أى واحدة أو أى صورة + +53 +00:05:30,160 --> 00:05:34,600 +هتكون هي الأوضح يعني أنا بدي أعمل اللي هو قياس + +54 +00:05:34,600 --> 00:05:42,870 +لقوة العدسة minus 2في حد عنده إجابة تانية أنا بقول + +55 +00:05:42,870 --> 00:05:48,950 +minus 2 و minus 3.25مية في المية لأ مش مجموحهم ال + +56 +00:05:48,950 --> 00:05:54,490 +neutralization صح ولا لأ لأن عندنا minus اتنين هذه + +57 +00:05:54,490 --> 00:05:58,090 +هتكون ال sphere صح ولا لأ اذا هذه القراءه الاوله + +58 +00:05:58,090 --> 00:06:01,890 +اللي انا هشوفها طيب الان لو انا اجيت اخدت المعادلة + +59 +00:06:01,890 --> 00:06:07,430 +minus اتنين او الوصفه ع minus واحد ربع بدي اجمعهم + +60 +00:06:07,430 --> 00:06:13,990 +اللي هي minus تلاته وربع اذا هتكون ايشمينوس اتنين + +61 +00:06:13,990 --> 00:06:18,650 +الإجابة صحيحة ومينوس تلاتة وربع أيضا اللي هو + +62 +00:06:18,650 --> 00:06:24,630 +الصحيحة إذا الإجابة إما a أو اللي هو c تمام يعني + +63 +00:06:24,630 --> 00:06:28,050 +بمعنى أخر أنه انا حولت من minus cylinder ل plus + +64 +00:06:28,050 --> 00:06:33,210 +cylinder شوف + +65 +00:06:33,210 --> 00:06:41,890 +السؤال الأخير true or false when the lens meteris + +66 +00:06:41,890 --> 00:06:48,730 +used to neutralize a lens of unknown power اذا هذي + +67 +00:06:48,730 --> 00:06:57,670 +ايش تعتبر F ال U صح او F ال spectacle lens and + +68 +00:06:57,670 --> 00:07:05,150 +obtain results directly in a plus cylinder form + +69 +00:07:05,150 --> 00:07:11,040 +اذا مباشرة انا بدي احولها لإيش لplus cylinderبشكل + +70 +00:07:11,040 --> 00:07:16,260 +مباشر يعني الآن الوصفة زي هذه بدنا نقول plus أو + +71 +00:07:16,260 --> 00:07:24,000 +عفوا minus تلاتة وربع على plus واحد ربع ما طلعهاش + +72 +00:07:24,000 --> 00:07:27,120 +بال minus cylinder طلعها بشكل مباشر بال plus + +73 +00:07:27,120 --> 00:07:33,380 +cylinder okay the power wheel is turned into the + +74 +00:07:33,380 --> 00:07:39,290 +high minus numbersإذا هو طلع مين القراءة الأولى + +75 +00:07:39,290 --> 00:07:46,650 +كانت minus number lenses and slowly moved in the + +76 +00:07:46,650 --> 00:07:51,470 +plus direction بعدين طلع مين ال plus اللى هو lens + +77 +00:07:51,470 --> 00:07:57,270 +power مين الآن اللى أكبر ال plus صح ولا لأ يعني + +78 +00:07:57,270 --> 00:08:01,610 +هذه تعتبر القيمة الأولى اللى هي تعتبر السفير صح + +79 +00:08:01,610 --> 00:08:08,730 +ولا لأ وهذه تعتبر التانية ناقص الأولىمتفقين؟ الـ + +80 +00:08:08,730 --> 00:08:14,230 +high plus هي تعتبر الاسفير لو أخدنا مثلا عنا الآن + +81 +00:08:14,230 --> 00:08:21,710 +بالشكل هذا plus خمسة وعنا minus واحد مين هتكون + +82 +00:08:21,710 --> 00:08:26,310 +الاسفير؟ تمام؟ هو نفس الحاجة بس هو ايش قالك؟ ان + +83 +00:08:26,310 --> 00:08:31,280 +احنا طلعنا القراءة الأولى ال minus cylinderوبعدين + +84 +00:08:31,280 --> 00:08:35,120 +اتحركنا ببطء لمين؟ لل plus cylinder هو الصح انه + +85 +00:08:35,120 --> 00:08:41,620 +يطلع مين؟ ال plus تمام؟وكانت تتحرك بطولة في + +86 +00:08:41,620 --> 00:08:47,160 +الاتجاه الـ plus حتى تتجه + +87 +00:08:47,160 --> 00:08:51,380 +إلى الاتجاه الـ sharp فوكس الواضح أن المفترض + +88 +00:08:51,380 --> 00:08:55,780 +الأولى هي تكون الـ plus الـ plus lens اللي هي + +89 +00:08:55,780 --> 00:08:59,920 +عبارة عن ال plus سفير والتانية هي اللي بنتحرك بطء + +90 +00:08:59,920 --> 00:09:03,440 +لمين؟ لـ ال minus cylinder طيب + +91 +00:09:08,490 --> 00:09:15,230 +هدول بالنسبة لأربع أسئلة متعلقة بال subject اللي + +92 +00:09:15,230 --> 00:09:24,570 +أخدناه في المرات السابقة عندنا + +93 +00:09:24,570 --> 00:09:30,010 +يا جماعة الآن قضية سهلة كتير لما أنا مثلا بدي أعلم + +94 +00:09:30,010 --> 00:09:38,780 +uncut lens تمام نفترض مثلا قوة العدسة plus 5ع الـ + +95 +00:09:38,780 --> 00:09:45,780 +minus واحد و جتنا الوصفة بالشكل هذه minus cylinder + +96 +00:09:45,780 --> 00:09:52,420 +axis خمسين دايما + +97 +00:09:52,420 --> 00:09:56,700 +الأمر هذا سهل مدام الـ uncut lens إذا العدسة إيش + +98 +00:09:56,700 --> 00:10:03,630 +مالها؟ مش معلمة يعني مافيش عليها أية axisالان هذه + +99 +00:10:03,630 --> 00:10:08,230 +الوصفة ايش بروح بعمله اشي بسيط جدا بجمع قيمة + +100 +00:10:08,230 --> 00:10:17,710 +الاسفير مع السلندر plus 5 زائد minus 1 plus 4 ايش + +101 +00:10:17,710 --> 00:10:23,830 +بروح بعمل بحط ال axis wheel على الخمسين و ال plus + +102 +00:10:23,830 --> 00:10:29,970 +4 بروح بحطها هي بوضحها ان هي ال axis الصحيح تمام + +103 +00:10:29,970 --> 00:10:37,400 +نفترض مثلا مثال تانيالـ plus اتنين على minus واحد + +104 +00:10:37,400 --> 00:10:44,220 +و جالي اعلمليه ال minus cylinder على axis تلاتين + +105 +00:10:44,220 --> 00:10:49,980 +okay بجمع الاول مع التاني اذا الجداش ال plus واحد + +106 +00:10:49,980 --> 00:10:53,580 +اذا ال plus واحد هي اللي بدها تكون واضحة على + +107 +00:10:53,580 --> 00:10:58,820 +الجداش ال axis تلاتين هذه وين في ال uncut lens + +108 +00:10:58,820 --> 00:11:06,480 +تمامطيب لو كان عندنا spectacle lens تمام يعني + +109 +00:11:06,480 --> 00:11:13,600 +بمعنى آخر اللي هو frame والنضارة جاهزة مثال عندنا + +110 +00:11:13,600 --> 00:11:21,720 +مثلا plus أربعة و نص على minus واحد axis تلاتين + +111 +00:11:21,720 --> 00:11:26,140 +دايما قلنا ال power اللي احنا بناخده من داخل ال + +112 +00:11:26,140 --> 00:11:30,830 +lensmeter هو عبارة عن meridianالكبير هذا الاسفير + +113 +00:11:30,830 --> 00:11:35,870 +meridian باخد الأول اسفير بطرح التاني من الأول + +114 +00:11:35,870 --> 00:11:41,310 +باخد ال axis بتاع مين الاصغير تمام هذا ك axis لكن + +115 +00:11:41,310 --> 00:11:45,170 +احنا ايش بنعمل في الأول يعني بنكتب مثلا على سبيل + +116 +00:11:45,170 --> 00:11:50,850 +المثال honey plus 4وهنا plus اتنين تمام هذا ايش + +117 +00:11:50,850 --> 00:11:55,230 +بيمثل meridian طب انا بدي اكتبها بال axis صح ولا + +118 +00:11:55,230 --> 00:11:58,430 +لأ لان النضارات كلها عندنا بال axis بقول plus + +119 +00:11:58,430 --> 00:12:03,750 +اربعة اللي هي الاسفير على التاني ناقص واحد ناقص + +120 +00:12:03,750 --> 00:12:10,790 +التاني من الاول minus اتنين axis مية و تمانين و ان + +121 +00:12:10,790 --> 00:12:15,150 +هذا meridian تمام اذا ال axis هيكون عكس ال + +122 +00:12:15,150 --> 00:12:21,890 +meridianأمر جدا بسيط، الآن أنا مثلا حطيت النضارة، + +123 +00:12:21,890 --> 00:12:25,750 +إيش بروح؟ أول حاجة بطلع القوة الكبيرة، باخدها + +124 +00:12:25,750 --> 00:12:29,490 +السفير، بعدين بطرح التاني من الأول و باخد ال + +125 +00:12:29,490 --> 00:12:35,050 +access بتاع مين اللي صغير نفس + +126 +00:12:35,050 --> 00:12:38,390 +الحاجة هدا الكلام وين؟ في ال Cornell cylinder لو + +127 +00:12:38,390 --> 00:12:42,310 +كان عندنا مثلا K1 50 + +128 +00:12:50,590 --> 00:13:01,610 +Okay عندنا خمسين ات تسعين وعندنا كتو مثلا خمسة + +129 +00:13:01,610 --> 00:13:09,070 +واربعين ات مية و تمانين هذا ايش بيمثل Cornel power + +130 +00:13:09,070 --> 00:13:14,660 +okay اللي هو عبارة عن Meridian كيف بدي اعملهم؟عنا + +131 +00:13:14,660 --> 00:13:21,440 +الخمسين هيها على التسعين تمام والخمسة واربعين okay + +132 +00:13:21,440 --> 00:13:28,000 +الان انا جالي احسب قيمة كورنيال سيلندر ايش معناه + +133 +00:13:28,000 --> 00:13:33,320 +كورنيال سيلندر يعني فقط جاية من الكورنيا يعني قداش + +134 +00:13:33,320 --> 00:13:38,680 +ال amount of a stigmatism from the كورنيا okay + +135 +00:13:38,680 --> 00:13:46,200 +الكورنيال سيلندر ايش هتكون ماينوس خمسةالـ Axes + +136 +00:13:46,200 --> 00:13:51,080 +اللي هي 180 واضح + +137 +00:13:51,080 --> 00:13:55,620 +الفكرة دايما اما تتعامل مع ال meridian و مع ال + +138 +00:13:55,620 --> 00:14:01,340 +axes عكس بعضالـ Meridian في اللي هو along يعني + +139 +00:14:01,340 --> 00:14:05,740 +قلتلك مثلا خمسة و أربعين at مية و تمانين، إذا على + +140 +00:14:05,740 --> 00:14:10,060 +طول بحط إيش؟ الخمسة و أربعين ع المية و تمانين، + +141 +00:14:10,060 --> 00:14:14,160 +قلتلك مثلا تلاتة و أربعين at تسعين، بحط على + +142 +00:14:14,160 --> 00:14:18,580 +التسعين، ال axis العكس تماما، لأن ال axis has no + +143 +00:14:18,580 --> 00:14:21,420 +power، مين اللي فيه ال power؟ ال meridian، اللي + +144 +00:14:21,420 --> 00:14:25,700 +فيه هو ال maximum power، تمام؟ + +145 +00:14:40,870 --> 00:14:44,490 +طبعا هذا الكلام كلها تعكس من ال written scope عشان + +146 +00:14:44,490 --> 00:14:53,690 +ما تخربطوش طيب + +147 +00:14:53,690 --> 00:14:59,990 +نبدأ في موضوعنا اليوم ال spectacle frames ايش + +148 +00:14:59,990 --> 00:15:06,090 +معناتها اطارات النضارات تمام او الاطار الخاص + +149 +00:15:06,090 --> 00:15:06,970 +بالنضارة + +150 +00:15:12,380 --> 00:15:16,760 +familiarity with the frame measurements and how + +151 +00:15:16,760 --> 00:15:22,560 +they are marked is essential too دايما الإلمام + +152 +00:15:22,560 --> 00:15:29,220 +بقياسات الإطار وإن كيفية تعليم الإطار هذا يعتبر + +153 +00:15:29,220 --> 00:15:36,870 +أمر أساسي بالنسبة إنا في إيش طيب؟Number one lens + +154 +00:15:36,870 --> 00:15:41,770 +centration in front of patients eye كتير من + +155 +00:15:41,770 --> 00:15:46,210 +الأحيان احنا بنشوف ناس لابسين إطارات ولكن بتلاقي + +156 +00:15:46,210 --> 00:15:50,770 +الإطار اما صغير على ال patient eye او كبير وين على + +157 +00:15:50,770 --> 00:15:55,130 +ال patient eye وهذا بيؤثر على مين؟ ال optical + +158 +00:15:55,130 --> 00:16:00,510 +center of a lens فالان أول شغلة انه لازم انا اختار + +159 +00:16:00,510 --> 00:16:04,050 +إطار يكون a proper fit + +160 +00:16:11,310 --> 00:16:15,950 +يعني يكون الفتة او ملائم او مناسب بالنسبة لمين لل + +161 +00:16:15,950 --> 00:16:23,070 +patient عشان احصل على optical center of a lens + +162 +00:16:23,070 --> 00:16:29,410 +يكون مناسب لهذا المريض number + +163 +00:16:29,410 --> 00:16:36,160 +two appropriate orderingالان الطلب اللى خاص + +164 +00:16:36,160 --> 00:16:41,420 +بالنضارة هذه لازم ايضا ان يكون ملائم او يكون مناسب + +165 +00:16:41,420 --> 00:16:47,640 +يعني بمعنى اخر لو انا مثلا مريض عنده ال IBD نفترض + +166 +00:16:47,640 --> 00:16:55,800 +ستين وروحت انا مثلا لبسته اطار ل frame BD 42هتلاقي + +167 +00:16:55,800 --> 00:17:00,460 +اما انا باطلب من الشركة الاطار هذا هيقول لي ايش + +168 +00:17:00,460 --> 00:17:05,620 +غير مناسب لمين لهذا الشخص او لل patient I لان عندك + +169 +00:17:05,620 --> 00:17:09,980 +اللي هو قيمة ال frame BD وقيمة ال IBD غير متلائمة + +170 +00:17:09,980 --> 00:17:18,960 +okay and frame selection ودايما انا بقول انه 80%من + +171 +00:17:18,960 --> 00:17:25,100 +اختيار الإطار هو بيرجع على عاتق أخصاء البصريات فاش + +172 +00:17:25,100 --> 00:17:29,940 +حاجة تقوليلي ان والله المريض هو بدهيك لأ لازم انت + +173 +00:17:29,940 --> 00:17:36,250 +تثبتيله ان مثلا لو هو مقتنع بإطار معينولا يعتبر + +174 +00:17:36,250 --> 00:17:40,730 +appropriate بالنسبة له أن هذا الأمر مش صحيح أو مش + +175 +00:17:40,730 --> 00:17:45,010 +صحيه إلك حتى و لو على حساب إيش الناحية الجمالية + +176 +00:17:45,010 --> 00:17:48,870 +كتير من الناس بختار الإطار فقط من ناحية cosmetic + +177 +00:17:48,870 --> 00:17:54,510 +وهذا الأمر يعني غير صحيح و غير اللي هو سليم تمام؟ + +178 +00:17:57,400 --> 00:18:02,280 +knowledge of measurement procedures أي بمعنى + +179 +00:18:02,280 --> 00:18:07,260 +التعرف على القياسات المناسبة أو اللي هو الملائمة + +180 +00:18:07,260 --> 00:18:15,240 +assures receipt of the proper size when ordering a + +181 +00:18:15,240 --> 00:18:19,160 +replacement for a broken partيعني الأن أنا ما + +182 +00:18:19,160 --> 00:18:23,760 +بتعرف على القياسات المناسبة أو الملائمة للمريض، + +183 +00:18:23,760 --> 00:18:28,200 +هذا بيضمن .. بيضمن إلي يما الإطار بتاع ال patient + +184 +00:18:28,200 --> 00:18:33,320 +ينكسر، أجيب نفسه اللي هو كبه منه، وهذا أيضا يكون + +185 +00:18:33,320 --> 00:18:39,320 +اللي .. اللي تم اختياره جديد بعد عملية الكسر يكون + +186 +00:18:39,320 --> 00:18:43,480 +ايش برضه proper fit بالنسبة للمريض، تمام؟ + +187 +00:18:46,460 --> 00:18:56,580 +طيب في عندنا أنظمة لعملية تحديد رسم + +188 +00:18:56,580 --> 00:19:02,140 +الإطار تمام و كيفية اختيار العدسة المناسبة أو + +189 +00:19:02,140 --> 00:19:06,560 +الملائمة لهذا الإطار في عندنا النظام القديم اسمه + +190 +00:19:06,560 --> 00:19:13,700 +the older datum system نظام اللي هو ال datumبداية + +191 +00:19:13,700 --> 00:19:20,200 +عنا ايش هاري بنسميها الـ + +192 +00:19:20,200 --> 00:19:29,620 +Demo Lens تمام؟ اذا هاري بنسميها Demo Lens + +193 +00:19:30,550 --> 00:19:35,330 +اللي بتكون موجودة في داخل الإطار يعني انتوا شايفين + +194 +00:19:35,330 --> 00:19:40,470 +كل الإطارات اللي بتكون معروضة في المراكز فيها عدسة + +195 +00:19:40,470 --> 00:19:45,430 +هذه بنسميها Demo Lens اللي من خلالها أنا بقص إيش + +196 +00:19:45,430 --> 00:19:49,770 +الإطار يعني العدسات اللي هو أو ال prescription + +197 +00:19:49,770 --> 00:19:55,490 +بتاعة المريض في عندنا ال datum line إيش المقصود في + +198 +00:19:55,490 --> 00:19:56,350 +ال datum line؟ + +199 +00:20:02,770 --> 00:20:09,410 +فال datum line املاحظين وين طيب جاي؟ تمام يعني هو + +200 +00:20:09,410 --> 00:20:17,810 +الخط المناسب او الملائم لفصل ما بين ال superior و + +201 +00:20:17,810 --> 00:20:24,350 +ال inferior area و في عندنا كمان ايش ال tangential + +202 +00:20:24,350 --> 00:20:30,590 +area اللي هي المماس اذا مرة تانية الخطالفاصل أو + +203 +00:20:30,590 --> 00:20:34,110 +المنطقة الفاصلة ما بين ال superior part و ال + +204 +00:20:34,110 --> 00:20:38,550 +inferior part و خط التماس هذا بنسميه ايه؟ datum + +205 +00:20:38,550 --> 00:20:44,970 +line في عندنا ايضا datum center ايش المقصود في + +206 +00:20:44,970 --> 00:20:54,030 +datum center؟ اه فضلي يا لطيفة 100% هي النقطة اللى + +207 +00:20:54,030 --> 00:20:59,090 +موجودة في مركز مين؟ ال datum line صح؟إذا النقطة + +208 +00:20:59,090 --> 00:21:02,830 +اللى موجودة في مركز الـ datum line بنسميها datum + +209 +00:21:02,830 --> 00:21:10,750 +center طيب في عندنا أيضا ال mid datum depth اللى + +210 +00:21:10,750 --> 00:21:16,130 +هو العمق الآن هذا إيش بيمثل ال frame صح ولا لأ + +211 +00:21:16,130 --> 00:21:21,170 +اللى موجود في داخله العدسة الآن شايفين ال depth من + +212 +00:21:21,170 --> 00:21:26,220 +هنا مختلف عن هنا صح ولا لأالمسافة من هنا مختلفة عن + +213 +00:21:26,220 --> 00:21:30,780 +المسافة من هنا فهذه كلها تقش بنسميها ال mid datum + +214 +00:21:30,780 --> 00:21:34,500 +depth اللي هي العمق يعني بمعنى آخر احنا الآن في + +215 +00:21:34,500 --> 00:21:39,080 +الوقت الحاضر بنسميها اللي هو ال B لكن ال B وين + +216 +00:21:39,080 --> 00:21:45,760 +هذه؟ في ال boxing system اللي هناخده كمان شوية + +217 +00:21:45,760 --> 00:21:50,280 +يعني + +218 +00:21:50,280 --> 00:21:55,650 +الآن لو انا مثلا اخدت خطعمودي من ال upper rim + +219 +00:21:55,650 --> 00:22:00,990 +والlower rim للعدسة هذا بنسميه ال mid datum depth + +220 +00:22:00,990 --> 00:22:04,950 +طبعا هذا النظام ال older system او ال older datum + +221 +00:22:04,950 --> 00:22:09,630 +system لا يتم التعامل معه في الوقت الحاضر كل اللي + +222 +00:22:09,630 --> 00:22:13,230 +احنا بنتعامل معه الآن هو عبارة عن مين ال boxing + +223 +00:22:13,230 --> 00:22:18,950 +system لكن في هناك تشابه ما بين اللي هو ال two + +224 +00:22:18,950 --> 00:22:19,830 +systems + +225 +00:22:23,530 --> 00:22:29,030 +Okay الآن زي ما اتفقنا فى عندنا datum line فى + +226 +00:22:29,030 --> 00:22:33,970 +عندنا ال mid datum depth فى عندنا ال datum center + +227 +00:22:33,970 --> 00:22:47,250 +تمام ايضا فى عندنا ال MBL اختصار لإيش هذه عبارة + +228 +00:22:47,250 --> 00:22:54,080 +عن ال minimum between lenses تمام يعني المسافةيعني + +229 +00:22:54,080 --> 00:22:58,400 +او اللي هو ال minimum اقل مسافة ما بين العدستين + +230 +00:22:58,400 --> 00:23:07,060 +اللي احنا ايش بنسميها الآن ال bridge الان + +231 +00:23:07,060 --> 00:23:11,660 +لو هي معاك اطار المسافة بين العدستين هذي بنسميها + +232 +00:23:11,660 --> 00:23:17,240 +ايش ال minimum between lenses جالوا الكلام بتاع ال + +233 +00:23:17,240 --> 00:23:21,490 +bridge هذا خطأبنفعش احنا نقول عنها هي الـ minimum + +234 +00:23:21,490 --> 00:23:27,190 +between lenses راحوا غيروا المسمى بالهو مسمى آخر + +235 +00:23:27,190 --> 00:23:31,870 +قالوا عنه ال distance between lenses المسافة ما + +236 +00:23:31,870 --> 00:23:38,170 +بين العدستين okay يعني سابقا في الأول قالوا ان هذه + +237 +00:23:38,170 --> 00:23:42,710 +عبارة عن ال minimum between lenses هي نفسها اللي + +238 +00:23:42,710 --> 00:23:47,910 +بتمثل ال bridgeبعد ما عملوا دراسات على هذا الموضوع + +239 +00:23:47,910 --> 00:23:52,670 +قالوا لأ هذا الكلام خاطئ هي بتمثل مين ال distance + +240 +00:23:52,670 --> 00:23:58,510 +between lenses تمام طيب + +241 +00:23:58,510 --> 00:24:03,470 +ال datum center distance اللي هي إيش بتمثل هذه + +242 +00:24:03,470 --> 00:24:10,730 +datum center distance طيب إيش بتمثل معنى ال frame + +243 +00:24:10,730 --> 00:24:15,580 +بيدي صح؟الـ IBD بالنسبة للـ patient إذاً هي بتمثل + +244 +00:24:15,580 --> 00:24:22,960 +الـ frame PD أو إلها مسمة آخر datum center اللي هو + +245 +00:24:22,960 --> 00:24:27,600 +distanceيعني عندنا الـ distance between lenses او + +246 +00:24:27,600 --> 00:24:32,260 +بيسموها الـ datum center distance كيف هذه؟ هلجيت + +247 +00:24:32,260 --> 00:24:37,060 +ممكن انا اعمل marker من ال center اليمين للcenter + +248 +00:24:37,060 --> 00:24:41,680 +الشمال و اجيس المسافة بينهم هذه ايش بتمثل ال frame + +249 +00:24:41,680 --> 00:24:47,300 +bd او ال datum center distance شغل تانية ممكن ايش + +250 +00:24:47,300 --> 00:24:53,160 +اعمل من حفة العدسة اليمين لأول حفة العدسة الشمال + +251 +00:24:54,410 --> 00:24:58,510 +استمعبين معاه؟ الان لو انا عملت على ال marker علمت + +252 +00:24:58,510 --> 00:25:01,810 +العدسة من ال center ل ال center تمام؟ هذه ايش + +253 +00:25:01,810 --> 00:25:06,990 +بتمثل؟ ال datum center distance بس احنا كل النظام + +254 +00:25:06,990 --> 00:25:10,750 +الان بنشتغل على ال boxing هذا النظام انتهى okay + +255 +00:25:10,750 --> 00:25:16,050 +الان ممكن اخد من ال center ل ال center او ممكن اخد + +256 +00:25:16,050 --> 00:25:21,870 +من حفة العدسة اليمين لحفة العدسة الشمال ممكن اجيس + +257 +00:25:21,870 --> 00:25:25,440 +من هنا ل هناOkay شكرا + +258 +00:25:30,980 --> 00:25:34,780 +طيب ال boxing system النظام اللى احنا حاليا + +259 +00:25:34,780 --> 00:25:40,440 +بنتعامل معاه او بيسموه ال British system النظام + +260 +00:25:40,440 --> 00:25:44,080 +هذا يا جماعة ايش بيكون؟ فيه هناك تساوي لانه مربع + +261 +00:25:44,080 --> 00:25:47,960 +صح ولا لأ يعني من ال up و ال down و التانجينشيا + +262 +00:25:47,960 --> 00:25:52,060 +الكل هيته بدي يكون ال cross متساوي حتى انتوا الآن + +263 +00:25:52,060 --> 00:25:54,940 +عندما تطبقوا ان شاء الله في ال lab هتعملوا على + +264 +00:25:54,940 --> 00:26:01,230 +نظام مين؟ ال boxing systemThe boxing system + +265 +00:26:01,230 --> 00:26:07,550 +improved on the foundation provided by the datum + +266 +00:26:07,550 --> 00:26:13,330 +system إن هذا النظام صار عليه عملية تحسين أو عملية + +267 +00:26:13,330 --> 00:26:18,690 +modification تعديل تمام من الأساس اللي هو من ال + +268 +00:26:18,690 --> 00:26:22,730 +foundation الأساس أو التركيب الأساسي اللي هو عبارة + +269 +00:26:22,730 --> 00:26:24,250 +عن ال datum system + +270 +00:26:28,240 --> 00:26:36,300 +الداتوم يستخدم اتصالات اتصالات اتصالات اتصالات + +271 +00:26:36,300 --> 00:26:37,100 +اتصالات اتصالات اتصالات اتصالات اتصالات اتصالات + +272 +00:26:37,100 --> 00:26:44,840 +اتصالات اتصالات اتصالات اتصالات + +273 +00:26:44,840 --> 00:26:50,160 +اتصالات اتصالات + +274 +00:26:50,160 --> 00:26:52,540 +اتصالات + +275 +00:26:56,790 --> 00:27:01,610 +هي شفناها اللي هو مكونات الـ datum system قولنا + +276 +00:27:01,610 --> 00:27:06,450 +datum line و datum center و ال mid datum depth + +277 +00:27:08,870 --> 00:27:12,910 +طيب نشوف الـ boxing system kept these two + +278 +00:27:12,910 --> 00:27:17,210 +horizontal lines and added two vertical lines + +279 +00:27:17,210 --> 00:27:22,190 +هنضيف عليهم ايش؟ زي ما اتفقنا باجي على حفة العدسة + +280 +00:27:22,190 --> 00:27:26,550 +من هنا بضيف وبضيف line ايه صار؟ عندنا فيه vertical + +281 +00:27:26,550 --> 00:27:31,610 +line وفي عندنا horizontal اللي هي line تمام؟ وحتى + +282 +00:27:31,610 --> 00:27:38,100 +بعدها يعني after you addvertical lines بدنا نعمل + +283 +00:27:38,100 --> 00:27:43,540 +اللي هو ال cross ال cross ايش بيمثل؟ بيمثل ال + +284 +00:27:43,540 --> 00:27:47,080 +effective diameter + +285 +00:27:47,080 --> 00:27:50,780 +تمام؟ + +286 +00:27:50,780 --> 00:27:57,140 +اللي هو ED وحناخد ايش ال effective diameter فيما + +287 +00:27:57,140 --> 00:27:57,840 +بعد ان شاء الله + +288 +00:28:24,170 --> 00:28:28,830 +الأربعة هدول ايش هيكونولي box للعدسة اللي هو من ال + +289 +00:28:28,830 --> 00:28:35,080 +vertical linesوالـ horizontal lines تمام؟ اذا مين + +290 +00:28:35,080 --> 00:28:39,320 +ال foundation لل boxing system؟ هو عبارة عن ال + +291 +00:28:39,320 --> 00:28:43,520 +datum هى لان هى عم بيشتغل على ايش؟ datum system + +292 +00:28:43,520 --> 00:28:49,280 +okay نشوف + +293 +00:28:49,280 --> 00:28:51,340 +عندنا ال boxing system + +294 +00:29:03,880 --> 00:29:08,960 +الان مين ال right و مين ال left؟ هذي right صح و + +295 +00:29:08,960 --> 00:29:14,280 +هذي left طيب لو انا اديتك العدسة monocular كيف + +296 +00:29:14,280 --> 00:29:19,980 +تعرف ان هذي right و هذي left؟ يعني الان انا افرضه + +297 +00:29:19,980 --> 00:29:24,640 +انه جسينا اللي هي ال left و اديتك الشكل هذا كيف + +298 +00:29:24,640 --> 00:29:29,420 +تعرف انه هذي right؟ + +299 +00:29:29,420 --> 00:29:30,840 +تمام واحدة بس اتكلم + +300 +00:29:38,810 --> 00:29:42,630 +تمام بس هذا كشغل practitioner لكن انا الان شغل + +301 +00:29:42,630 --> 00:29:50,090 +علمى امتازة الان تعالى تطلعى هان هذه ايش بتمثل ال + +302 +00:29:50,090 --> 00:29:56,630 +knows صح ولا لأ اذا هذه ايش صفرو هذه 180، الآن في + +303 +00:29:56,630 --> 00:29:59,690 +الـ right لو فاكرين في الـ ophthalmic lenses، قلنا + +304 +00:29:59,690 --> 00:30:05,050 +دايما هذه صفر، هذه 180، هذه 180، هذه صفر، يعني + +305 +00:30:05,050 --> 00:30:10,050 +بمعنى أخر، يما أنا بدي أعمل decentralization إزاحة + +306 +00:30:10,050 --> 00:30:15,790 +للعدسة in في ال right، إذا وين بروح باتجاه مين؟لكن + +307 +00:30:15,790 --> 00:30:20,690 +في الـ left من هذه أنا بعرفها مباشرة بدون قضية + +308 +00:30:20,690 --> 00:30:25,190 +يعني ممكن في بعض الأحيان بيكون ال shape ل ال right + +309 +00:30:25,190 --> 00:30:29,010 +و ال left واحد خاصة إذا كانوا مربع الشكل إنه + +310 +00:30:29,010 --> 00:30:33,190 +بتلاقي نفس اللي هو typical ال demo lens طب كيف بدي + +311 +00:30:33,190 --> 00:30:36,690 +أعرفها؟ مباشرة من خلال اللي هو السفر و ال 180 + +312 +00:30:36,690 --> 00:30:43,110 +تمام؟ أيوة موجود ال marker موجود إنه هذه السفر و + +313 +00:30:43,110 --> 00:30:49,770 +180 okayطيب إذا هي عرفنا إن كيف نحدد هل هي right + +314 +00:30:49,770 --> 00:30:58,010 +أو left right 0 180 left 180 0 طيب في عندنا ال + +315 +00:30:58,010 --> 00:31:03,810 +vertical lines هي اللي هي حددناها وفي عندنا ال + +316 +00:31:03,810 --> 00:31:09,190 +horizontal lines وفي عندناالـ tangential اللي هو + +317 +00:31:09,190 --> 00:31:12,570 +العين اللي مثلت لي إيش ال effective diameter + +318 +00:31:12,570 --> 00:31:15,570 +عارفين كيف ال effective diameter دي لنظارة مرة + +319 +00:31:15,570 --> 00:31:22,250 +تانية اذا سمحت هلجيت بجيب مصطرة باخد من هان من + +320 +00:31:22,250 --> 00:31:32,810 +القاع بالشكل هذا تمام من هنا لهنا فى إيش؟ بالضبط + +321 +00:31:32,810 --> 00:31:39,800 +بس هذا مربع تقريبا متساوي فباخد من هان لهانتمام؟ و + +322 +00:31:39,800 --> 00:31:44,020 +فعلا هي من أبعد نقطة لو كان هو irregular غير منتظم + +323 +00:31:44,020 --> 00:31:48,260 +لكن إذا كان الشكل اللي هو كل ال pattern منتظم باخد + +324 +00:31:48,260 --> 00:31:52,500 +اللي هو أبعد نقطة ل اللي هو أبعد نقطة من اللي هو + +325 +00:31:52,500 --> 00:31:58,640 +الأسفل okay؟ إذا هذه إيش بتمثل؟ من العدسة للعدسة + +326 +00:31:58,640 --> 00:32:02,140 +أو من أعلى العدسة لأسفل العدسة هي ال effective + +327 +00:32:02,140 --> 00:32:06,720 +اللي هو ال diameter وهذه وين بتكون موجودة كمان؟في + +328 +00:32:06,720 --> 00:32:09,660 +داخل اللي هو ال frame يعني انت لو قرأتي على ال + +329 +00:32:09,660 --> 00:32:13,300 +frame بتلاقي قيمة ال effective diameter ممكن تتأكد + +330 +00:32:13,300 --> 00:32:17,420 +انه موجودة على ال temple او على ال side تاع اللي + +331 +00:32:17,420 --> 00:32:24,940 +هو الإطار okay طيب في عندنا ال distance between + +332 +00:32:24,940 --> 00:32:31,810 +center okay هذه ايش بتمثل ال frame BDالمسافة من + +333 +00:32:31,810 --> 00:32:36,270 +الـ Center للـ Center طيب الـ Frame BD أو ايش قلنا + +334 +00:32:36,270 --> 00:32:45,730 +عنها؟ الـ Datum Center between الـ هو Lenses طيب + +335 +00:32:45,730 --> 00:32:49,650 +في عندنا الـ Geometric Center Distance او الـ + +336 +00:32:49,650 --> 00:32:54,070 +Frame BD برضه بيسموها نفس المسمة طيب مدام عندنا + +337 +00:32:54,070 --> 00:32:59,440 +Geometric Center اذا هي وين بتمثل؟منتصف العدسة + +338 +00:32:59,440 --> 00:33:02,620 +يعني الآن يما انا بدي اعمل marker للعدسة في + +339 +00:33:02,620 --> 00:33:07,500 +المنتصف okay هي بتمثل ال geometric center of + +340 +00:33:07,500 --> 00:33:13,680 +ellipse تمام طيب ال B هذه ايش بتمثل؟ + +341 +00:33:18,420 --> 00:33:22,380 +لكن هنا بقدرش اقول عنها ال mid datum depth خطأ + +342 +00:33:22,380 --> 00:33:26,980 +ليش؟ لأن انتوا لو شفتوا في ال mid datum depth كان + +343 +00:33:26,980 --> 00:33:30,680 +فيه فراغ او كان فيه space ما بين ال up و ال down + +344 +00:33:30,680 --> 00:33:35,600 +حكيتها النقطة هذه ركزت عليها لكن هنا فيه space لأ + +345 +00:33:35,600 --> 00:33:42,620 +التنتين متساويات يعني handle B لا تساوي unequal + +346 +00:33:42,620 --> 00:33:49,260 +لمين؟ ل ال mid datum depthما بتساويها؟ عبارة عن + +347 +00:33:49,260 --> 00:33:53,480 +بوكس متساوي اللي هو الأضلاع هناك كان فيه بعد ما + +348 +00:33:53,480 --> 00:33:56,240 +بين ال up و ال down ارجعوا عليها الصورة هتلاقيوا + +349 +00:33:56,240 --> 00:34:01,120 +الشغل هذه في أيضا اللي هو ال a اللي هو ال a ايش + +350 +00:34:01,120 --> 00:34:05,760 +بتمثل؟ ال I size برضه نفس الحاجة لو أخدنا النضارة + +351 +00:34:05,760 --> 00:34:10,140 +جسمها بشكل اللي هو horizontal هتمثل لل a اللي هي + +352 +00:34:10,140 --> 00:34:11,440 +ال I size + +353 +00:34:13,840 --> 00:34:18,660 +طبعا في الـ Boxing System أهم حاجة الـ Frame BD + +354 +00:34:18,660 --> 00:34:28,380 +عندنا الـ B والـ A والـ C تمام بالإضافة للـ Boxing + +355 +00:34:28,380 --> 00:34:31,760 +اللي هي distance between lens أو ال bridge size + +356 +00:34:31,760 --> 00:34:36,490 +هناك إيه سمناها؟لأ بس قلنا في الأول صموها ال + +357 +00:34:36,490 --> 00:34:39,890 +minimum between lenses بعد ذلك ايش ادوها مسمة اخر + +358 +00:34:39,890 --> 00:34:44,710 +اللي هي distance between the lens انه المسافة ما + +359 +00:34:44,710 --> 00:34:51,610 +بين اللي هو العدستين فدائما الان احنا بنستخدم ال + +360 +00:34:51,610 --> 00:34:55,750 +boxing system الهدف منه ان هو يديني اكتر + +361 +00:34:55,750 --> 00:35:02,530 +parameters مقارنة في مينأو أكتر اللي هو بمعنى آخر + +362 +00:35:02,530 --> 00:35:10,450 +ال criteria فيه أكتر مقارنة في ال datum system هاي + +363 +00:35:10,450 --> 00:35:16,350 +شايفين؟ يعمل comparison اللي هي مقارنة of standard + +364 +00:35:16,350 --> 00:35:21,920 +terms بالمصطلحات العامةفي عندنا بوكسنج سيستم و في + +365 +00:35:21,920 --> 00:35:28,260 +عندنا داتوم او bridge standard ال a و ال b قلنا + +366 +00:35:28,260 --> 00:35:33,100 +مالهمش ايه اية مسمة في ال datum system لأن ما + +367 +00:35:33,100 --> 00:35:36,540 +بنقدر نقول عن ال b هي عبارة عن ال datum depth او + +368 +00:35:36,540 --> 00:35:41,420 +ال mid datum depth و ال b عفوا ال a ما بنقدر نقول + +369 +00:35:41,420 --> 00:35:47,140 +عنها اللي هي ال datum line او الاخر يعني مافيش لها + +370 +00:35:47,140 --> 00:35:52,800 +مسمةالـ C ممكن هي تمثل الـ datum length، قولنا إيش + +371 +00:35:52,800 --> 00:35:53,760 +ال datum length؟ + +372 +00:35:56,470 --> 00:36:00,990 +مية فى المية المسافة على طول اللى هو ال datum تمام + +373 +00:36:00,990 --> 00:36:06,230 +عندنا ايضا ال boxing distance between lenses ايش + +374 +00:36:06,230 --> 00:36:09,970 +مثلت اللى هي ال minimum between lenses بس انا + +375 +00:36:09,970 --> 00:36:13,290 +بقولكم انه في التحديث الجديد هي لا تساوي ال + +376 +00:36:13,290 --> 00:36:17,870 +minimum between lenses هي بساوي ال datum distance + +377 +00:36:17,870 --> 00:36:23,930 +between lensesباقي المصطلحات اللي هي عندنا ايضا + +378 +00:36:23,930 --> 00:36:27,270 +اخدناهم الـ Geometric Center او الـ Frame PD هذه + +379 +00:36:27,270 --> 00:36:31,530 +تقريبا اللي هو ثابتة ال Major Reference Point و ال + +380 +00:36:31,530 --> 00:36:35,190 +Prism Reference Point هناخدهم فيما بعد لان هدول + +381 +00:36:35,190 --> 00:36:41,310 +متعلقين في ال progressive lenses طيب مين تقدر + +382 +00:36:41,310 --> 00:36:49,650 +تديني ايش المقصود بالشكل هذا او ال pattern؟ اه وين + +383 +00:36:49,650 --> 00:36:50,170 +طيب؟ + +384 +00:36:54,500 --> 00:37:00,680 +طيب إيش المقارنة طلعت فيها؟ + +385 +00:37:00,680 --> 00:37:04,380 +طيب + +386 +00:37:04,380 --> 00:37:10,460 +ممكن أوضح من هيك الشكل + +387 +00:37:10,460 --> 00:37:11,420 +هذا + +388 +00:37:23,010 --> 00:37:27,970 +طبعا احنا ال B و ال A هي غير موجودة في وين؟ في ال + +389 +00:37:27,970 --> 00:37:33,210 +datum تمام طب ليش هنكتب اللي هو mid اه ممتاز هذه + +390 +00:37:33,210 --> 00:37:38,650 +الرسمة شايفين ال mid datum depth من فوق لكن من تحت + +391 +00:37:38,650 --> 00:37:44,490 +ايش؟ في اللي هو gapما بين اللي هو ال datum system + +392 +00:37:44,490 --> 00:37:49,630 +و ال boxing system يعني التنتين مش متساوية لكن هذا + +393 +00:37:49,630 --> 00:37:53,250 +الشكل يا جماعة او ال shape هو اقرب لما تكون + +394 +00:37:53,250 --> 00:37:59,330 +العدساتين بشكل اللي هو مربع تمام؟ يعني ال two اللي + +395 +00:37:59,330 --> 00:38:06,170 +هو ال lenses مربع الشكل فمعظم اللي هو المصطلحات + +396 +00:38:06,170 --> 00:38:10,780 +هيكونوا اللي هو متشابهاتمن ناحية اللي هو الـ datum + +397 +00:38:10,780 --> 00:38:15,000 +ومن ناحية ال boxing system يعني صح مثلا ال B غير + +398 +00:38:15,000 --> 00:38:18,760 +مساوية للمد اللي هو datum depth لكن هذه المسافة + +399 +00:38:18,760 --> 00:38:22,520 +اللي هي واحد او واحد و نص او اتنين ملي احنا فعليا + +400 +00:38:22,520 --> 00:38:26,620 +في عملية الجثة بنتركهايعني بمعنى أخر لإن أنا برسم + +401 +00:38:26,620 --> 00:38:30,900 +الشبلونة بحط الإحساب هذا ليش؟ لأنه في حاجة ما بعد + +402 +00:38:30,900 --> 00:38:34,460 +اللي هو عملية القص اللي هي بنسميها الـ Bullishing + +403 +00:38:34,460 --> 00:38:38,800 +تمام؟ أو بمعنى أخر أنه قد نعمل اللي هو Growth أو + +404 +00:38:38,800 --> 00:38:42,920 +بذل العدسة بالنهاية، هذه هناخدها فيما بعد ما مش + +405 +00:38:42,920 --> 00:38:47,720 +وقتنا نتكلم فيها، لكن هي مثلا الـMinimum between + +406 +00:38:47,720 --> 00:38:52,320 +lensesماذا مكتوب؟ Boxing اللي هو distance between + +407 +00:38:52,320 --> 00:38:57,680 +lenses تنتين متساويات مثلاً هنا ال datum between + +408 +00:38:57,680 --> 00:39:01,060 +lenses او ال distance between center هي نفسها + +409 +00:39:01,060 --> 00:39:07,120 +عبارة عن ال frame PD واحدة ماتغيرتش عنا ال ايه او + +410 +00:39:07,120 --> 00:39:11,140 +بنسميها ال eye size في ال datum برضه نفس الحاجة + +411 +00:39:11,140 --> 00:39:16,360 +هذه في حالة ما يكون عندنا العدسات اللي هي مربعة + +412 +00:39:16,360 --> 00:39:16,840 +الشكل + +413 +00:39:21,200 --> 00:39:25,060 +تقريبا هيكون فيه هناك تساوي ما بين ال datum و ال + +414 +00:39:25,060 --> 00:39:32,880 +boxing system طيب في عندنا الآن مفاهيم ال knaps + +415 +00:39:32,880 --> 00:39:40,140 +law ايش معناه اللي هو ال define ل ال knaps law اه + +416 +00:39:40,140 --> 00:39:46,090 +بالضبط ايش تعريفهإن حجم الصورة كما هو لا يتغير + +417 +00:40:02,480 --> 00:40:10,200 +describe briefly أنه بيشرح أو بيوضح باختصار أو + +418 +00:40:10,200 --> 00:40:15,080 +بإيجاز the role of eyepiece أنه إيش وظيفة الـ + +419 +00:40:15,080 --> 00:40:19,230 +eyepiece اللي موجودة في داخل الـ Lensmeterيعني هل + +420 +00:40:19,230 --> 00:40:25,330 +مثلا وظيفتها بتعمل توضيح للصورة، بتغبّش الصورة؟ هل + +421 +00:40:25,330 --> 00:40:30,470 +مثلا حتى في بعض الأجهزة الماني والـ Lensmeter أنه + +422 +00:40:30,470 --> 00:40:36,290 +ممكن تقريبلك مثلا ال .. ال power scale و تغبّش ال + +423 +00:40:36,290 --> 00:40:40,130 +target أو بعضهم بتغبّش ال target و بتوضح ال power + +424 +00:40:40,130 --> 00:40:45,820 +scale هذه الجزء القديم من الأجهزة تمام؟إذاً هان + +425 +00:40:45,820 --> 00:40:51,760 +إنه بيوضّح بإيجاز إيش هو وظيفة الـ IBS اللي موجودة + +426 +00:40:51,760 --> 00:40:58,040 +في داخل جهاز الـ Lens Meter الآن الـ Knaps law تم + +427 +00:40:58,040 --> 00:41:02,100 +اللي هو تعديل الإسم الخاص فيه فاحنا إيش استخدمناه + +428 +00:41:02,100 --> 00:41:07,820 +البدل principle البدل principle هذا مستخدم وين؟ في + +429 +00:41:07,820 --> 00:41:10,940 +الـ Lens Meter يعني الآن لو سألتك إيش ال principle + +430 +00:41:10,940 --> 00:41:16,380 +للـ Lens Meter هو البدل principleانه بيحاول انه ما + +431 +00:41:16,380 --> 00:41:21,060 +يغير من حجم الصورة لا يتغير انه ثابت سواء انا جبت + +432 +00:41:21,060 --> 00:41:24,860 +low minus power high minus power low plus power + +433 +00:41:24,860 --> 00:41:29,160 +high plus power هيظل الشكل او اللي هو حجم الصورة + +434 +00:41:29,160 --> 00:41:36,540 +ثابت اذا describe briefly the rule of collimating + +435 +00:41:36,540 --> 00:41:43,320 +lens ايش المقصود بال collimating lens100% اللي هي + +436 +00:41:43,320 --> 00:41:48,020 +ال F standard lens اللي احنا قداش قولنا قوتها من + +437 +00:41:48,020 --> 00:41:54,980 +plus 20 ل plus 25 ديوبتر طبعا كيف بدنا نحدد قيمة + +438 +00:41:54,980 --> 00:41:58,440 +ال standard lens قولنا بنرجع للماني و لا الجهاز + +439 +00:41:58,440 --> 00:42:03,200 +تمام و بنعرف اللي هو من خلال الأمر هذا طيب ايش + +440 +00:42:03,200 --> 00:42:11,870 +الوظيفة ل ال collimating lensالـ function نعم 100% + +441 +00:42:11,870 --> 00:42:16,410 +انه بتقصر اللي هو حجم الجهاز تمام والشغل التاني + +442 +00:42:16,410 --> 00:42:20,930 +الأهم انه بصير linear اللي هو scale بدل ما كان في + +443 +00:42:20,930 --> 00:42:26,510 +الأول non linear scale تمام نقف ان شاء الله لهان + +444 +00:42:26,510 --> 00:42:27,630 +يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/FVlK52JvlLw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/FVlK52JvlLw.srt new file mode 100644 index 0000000000000000000000000000000000000000..347b64aa0aef533bbaff82be0c59699820c2618f --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/FVlK52JvlLw.srt @@ -0,0 +1,1579 @@ +1 +00:00:21,500 --> 00:00:24,800 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله و + +2 +00:00:24,800 --> 00:00:29,420 +بركاته، and a very good morning to all of you. بداية + +3 +00:00:29,420 --> 00:00:34,500 +نهنئكم مع بداية الفصل الثاني، وإن شاء الله سأكون + +4 +00:00:34,500 --> 00:00:39,220 +معكم في مساق إعداد النظارات، أو ما يُعرف بـ dispensing + +5 +00:00:39,220 --> 00:00:46,700 +one. إن شاء الله، مواضيع المساق هذا، بداية عندنا lens + +6 +00:00:46,700 --> 00:00:53,500 +identification، التعرف على العدسة. بمعنى آخر، لو أنا + +7 +00:00:53,500 --> 00:01:00,740 +أمسكتُ أي عدسة، سواء كانت finished أو unfinished، + +8 +00:01:00,740 --> 00:01:06,800 +لازم أن أكون قادرًا على التعرف على خواص هذه + +9 +00:01:06,800 --> 00:01:13,420 +العدسة من خلال مجموعة من الأمور. عندنا الـ lens + +10 +00:01:13,420 --> 00:01:19,300 +category، أي تصنيف العدسة. تصنيف العدسة عندنا: + +11 +00:01:19,300 --> 00:01:24,740 +Number one: single vision lenses. Single vision + +12 +00:01:24,740 --> 00:01:31,750 +lenses هي مجموعة من العدسات التي يكون لها one + +13 +00:01:31,750 --> 00:01:37,210 +optical center. تمام؟ أو بمعنى آخر، أن هذه العدسة في + +14 +00:01:37,210 --> 00:01:41,130 +كل أجزائها offer only one optical + +15 +00:01:41,130 --> 00:01:44,910 +correction. يعني بتستخدم مثلاً للميوبيا، + +16 +00:01:44,910 --> 00:01:49,170 +لـ hypermetrope، لـ presbyope. يعني لها فقط one + +17 +00:01:49,170 --> 00:01:55,870 +function. أما segmented multifocal lenses، إما بتكون + +18 +00:01:55,870 --> 00:02:02,020 +bifocal أو trifocal. بالنسبة للـ Bifocal، يكون فيها + +19 +00:02:02,020 --> 00:02:07,430 +أكثر من optical center للعدسة؛ اثنين: واحد للـ near، واحد + +20 +00:02:07,430 --> 00:02:12,630 +للـ distance. الـ trifocal تم تحديثها، أو تم + +21 +00:02:12,630 --> 00:02:16,450 +التعديل عليها حاليًا من خلال الـ progressive + +22 +00:02:16,450 --> 00:02:21,490 +addition lenses. Progressive addition lenses هي + +23 +00:02:21,490 --> 00:02:25,890 +العدسات التي يكون فيها أكثر من two optical + +24 +00:02:25,890 --> 00:02:31,190 +centers. يعني بمعنى آخر، الـ patient يستخدمها قرب + +25 +00:02:31,190 --> 00:02:37,040 +والبعيد، والـ intermediate. البرزم: كيف أنا ممكن + +26 +00:02:37,040 --> 00:02:43,160 +أتعرّف على البرزم هذا؟ كيف ممكن أنا مثلاً عندي two + +27 +00:02:43,160 --> 00:02:48,980 +prisms، أقول مثلاً: هذه القوة أعلى من البرزم + +28 +00:02:48,980 --> 00:02:54,260 +هذا؟ 100% من الـ thickness difference. كل ما + +29 +00:02:54,260 --> 00:02:58,720 +زادت سماكة البرزم، كل ما كانت قوّة + +30 +00:02:58,720 --> 00:03:01,940 +البرزم أعلى، تمام؟ + +31 +00:03:04,880 --> 00:03:08,940 +طبعاً هذه الصورة توضح الـ segment الخاصة بـ + +32 +00:03:08,940 --> 00:03:14,200 +الـ multifocal أو في الـ bifocal lens. طبعاً كلها الـ + +33 +00:03:14,200 --> 00:03:17,860 +optical correction for distance، والـ segment هذه + +34 +00:03:17,860 --> 00:03:24,920 +الصغيرة للـ near vision. بالنسبة + +35 +00:03:24,920 --> 00:03:32,540 +لـ lens material، في عندنا مادّتين مصنوعة منهما + +36 +00:03:32,540 --> 00:03:38,000 +العدسات: إمّا الـ plastic أو الـ glass. الـ plastic هنا + +37 +00:03:38,000 --> 00:03:44,440 +ما الذي نقصده بها؟ التي هي CR تسعة وثلاثين، تمام؟ التي + +38 +00:03:44,440 --> 00:03:50,520 +جُدش معامل انكسارها 1.489، صح؟ طيب، + +39 +00:03:50,520 --> 00:03:55,700 +مادة الـ CR تسعة وثلاثين، من مميزاتها أن الـ impact + +40 +00:03:55,700 --> 00:03:59,720 +resistance فيها أقل من مين؟ من الـ polycarbonate. + +41 +00:03:59,720 --> 00:04:05,320 +تمام؟ لكن تحملها لدرجات الحرارة أكثر من مين؟ من الـ + +42 +00:04:05,320 --> 00:04:10,560 +polycarbonate، okay. لذلك، أن الـ polycarbonate تعتبر + +43 +00:04:10,560 --> 00:04:18,640 +high impact resistance مقارنة بالـ CR 39. High index + +44 +00:04:18,640 --> 00:04:23,980 +plastic lenses. أن هذه العدسات تتميّز بأن كثافتها + +45 +00:04:23,980 --> 00:04:31,260 +عالية، ونحيفة، وتُعطي قوة انكسار عالية. كذا معامل + +46 +00:04:31,260 --> 00:04:37,860 +انكسار فيها 1.7 أو 1.9، تمام؟ الـ + +47 +00:04:37,860 --> 00:04:41,000 +glass lenses، التي هي متمثلة في مين؟ في الـ crown + +48 +00:04:41,000 --> 00:04:46,680 +glasses، التي جدّش معامل انكسارها 1.523. وشَفْنا إيش + +49 +00:04:46,680 --> 00:04:51,100 +الفرق ما بين الـ plastic وما بين الـ glasses + +50 +00:04:51,100 --> 00:04:56,740 +من خلال الـ comparison between plastic CR 39 + +51 +00:04:56,740 --> 00:05:00,440 +and crown glass 1.523. + +52 +00:05:03,980 --> 00:05:10,480 +أما بالنسبة لـ Lens readiness، أي بمعنى إيش؟ تجهيز + +53 +00:05:10,480 --> 00:05:14,300 +العدسة. يعني كيف الآن، العدسة بدها تكون + +54 +00:05:14,300 --> 00:05:20,980 +جاهزة. فنقول: finished lenses، أن سطحَي العدسة + +55 +00:05:20,980 --> 00:05:24,280 +جاهزان. أي بمعنى uncut lens. + +56 +00:05:27,560 --> 00:05:33,780 +أن واحدًا من الأسطح جاهز والآخر غير جاهز. Uncut + +57 +00:05:33,780 --> 00:05:37,680 +lenses هي نفسها غير الـ finished lenses. أن الـ two + +58 +00:05:37,680 --> 00:05:43,580 +surfaces، front and back، are ready. تمام؟ في عندنا الـ + +59 +00:05:43,580 --> 00:05:48,160 +stock single vision lenses، هو عبارة عن مستودع أو + +60 +00:05:48,160 --> 00:05:53,380 +مخزن للعدسات، الذي منه أنا أجلب العدسات. + +61 +00:05:53,380 --> 00:05:57,560 +وهذه قد تكون متوفرة في داخل الـ optical + +62 +00:05:57,560 --> 00:06:03,480 +center الخاص بها، أو في أي شخص. طبعاً إذا + +63 +00:06:03,480 --> 00:06:09,460 +لم تكن power المطلوبة متوفرة، ممكن أن أجلب + +64 +00:06:09,460 --> 00:06:14,500 +هذه العدسة من مكان آخر، أو مثلاً من شركة أخرى. + +65 +00:06:14,500 --> 00:06:19,540 +Quoting and tinting. Quoting بمعنى إيش؟ الـ + +66 +00:06:19,540 --> 00:06:24,660 +Quoting، والـ tinting، بمعنى التلوين. Coating is defined as a thin material + +67 +00:06:24,660 --> 00:06:30,640 +layer deposited on component lens or component + +68 +00:06:30,640 --> 00:06:36,880 +optical correction such as lens or mirror. بالنسبة + +69 +00:06:36,880 --> 00:06:43,600 +للـ tinting، ممكن أن أُدَرِّجها؛ ممكن تكون فاتحة، + +70 +00:06:43,600 --> 00:06:48,770 +ممكن تكون متوسطة، ممكن تكون داكنة. طبعاً هذه كلها... + +71 +00:06:48,770 --> 00:06:53,430 +it depends on the patient، في هذا الأمر، وطبعاً + +72 +00:06:53,430 --> 00:06:57,450 +الحالة المرضية التي يمتلكها المريض. في عندنا الـ + +73 +00:07:02,030 --> 00:07:07,690 +tinting، mirror coating. طبعاً، اختلاف الـ + +74 +00:07:07,690 --> 00:07:12,210 +optical correction، زي ما اتفقنا. Anti-Reflection + +75 +00:07:12,210 --> 00:07:17,050 +Coating، أو نسميها الـ MC. Multi-Coating. الـ Multi- + +76 +00:07:17,050 --> 00:07:22,310 +Coating قلنا أنها تقلل موضوع الـ reflection الذي + +77 +00:07:22,310 --> 00:07:27,990 +يأتي من الـ front والـ back surface للعدسة، و + +78 +00:07:27,990 --> 00:07:32,250 +يزيد قيمة الـ transmission لـ light rays. Hydrophobic Coating هي مادة أو + +79 +00:07:32,250 --> 00:07:38,430 +مادة طلاء، تكون كارهة للماء. يعني بمعنى آخر، لو + +80 +00:07:38,430 --> 00:07:43,910 +أنا جِئْتُ بعدسة، وقطرتُ عليها ماء، ستجد أن الماء + +81 +00:07:43,910 --> 00:07:48,970 +لن ينتشر على سطح العدسة. لماذا؟ لأن العدسة + +82 +00:07:48,970 --> 00:07:52,930 +غير قادرة على امتصاص هذا الماء، okay. + +83 +00:08:00,290 --> 00:08:06,050 +بمعنى أنها ستكون مضادة للبرد، أو + +84 +00:08:06,050 --> 00:08:08,310 +ستكون مضادة للضباب. + +85 +00:08:10,080 --> 00:08:15,680 +طيب، في عندنا خمس طبقات لأي عدسة: Hydrophobic Layer، + +86 +00:08:15,680 --> 00:08:20,000 +طبقة كارهة للماء. Anti-reflection Multilayer System، + +87 +00:08:20,000 --> 00:08:25,500 +Hard Layer، طبقة صلبة. Buffer Layer، التي تكون + +88 +00:08:25,500 --> 00:08:30,200 +طبقة معادلة. تمام؟ والـ adhesive layer، التي هي طبقة + +89 +00:08:30,200 --> 00:08:37,160 +لاصقة. وبعد ذلك نحصل على العدسة. Diameter + +90 +00:08:37,160 --> 00:08:45,990 +العدسة. قلنا: إذا كان عندي عدسة plus lens، تمام؟ كل ما + +91 +00:08:45,990 --> 00:08:51,410 +أنا صغرت الـ diameter الخاص بها، تمام؟ كل ما + +92 +00:08:51,410 --> 00:08:56,730 +أنا حصلت على عدسة Thin. بينما في العدسة + +93 +00:08:56,730 --> 00:09:00,510 +الـ minus lens، كل ما كبّرت الـ diameter، كل ما + +94 +00:09:00,510 --> 00:09:03,930 +أنا حصلت على عدسة thin. كل ما صغرت الـ diameter، أنا إيش + +95 +00:09:03,930 --> 00:09:08,570 +حصلت على عدسة thick. طيب، الآن، المريض كيف يستفيد من هذا + +96 +00:09:08,570 --> 00:09:14,090 +الأمر؟ أنه إذا عنده small diameter plus lens، أريد + +97 +00:09:14,090 --> 00:09:17,830 +أن أحصل على الـ blank size أو الـ diameter بتاع + +98 +00:09:17,830 --> 00:09:22,340 +الإطار، أن يكون كبيرًا، صح أو لا؟ في الـ plus + +99 +00:09:22,340 --> 00:09:29,020 +lens، نعم، عشان أحصل على أطراف تكون thin. في المقابل، في + +100 +00:09:29,020 --> 00:09:32,700 +الـ minus lens، diameter كبير، أطراف إيش ستكون؟ + +101 +00:09:32,700 --> 00:09:36,620 +نحيفة. يريد أن يجلب الـ blank size أن يكون إيش؟ + +102 +00:09:36,620 --> 00:09:42,520 +قطر الإطار صغيرًا. هذه المعايير الخاصة بـ + +103 +00:09:42,520 --> 00:09:49,680 +كيفية الوصول لـ what I call، للوصول إلى ما أسميه عدسة thin + +104 +00:09:49,680 --> 00:09:56,570 +lens، أو بمعنى أطراف عدسة نحيفة. الآن، في + +105 +00:09:56,570 --> 00:10:02,650 +عندنا two figures، الأولى والثانية. مدى القص فيهما + +106 +00:10:02,650 --> 00:10:07,590 +متساوي. لكن في عندنا large diameter وفي عندنا small + +107 +00:10:07,590 --> 00:10:12,330 +diameter. الآن، في الـ small diameter، كل مكان أصغر، + +108 +00:10:12,330 --> 00:10:16,750 +ستكون الأطراف أرقّ، too thin، مقارنة بالـ + +109 +00:10:16,750 --> 00:10:20,640 +large diameter التي كانت too thick. حيث إنّ + +110 +00:10:20,640 --> 00:10:24,780 +يُما كبّرنا القطر بتاع العدسة في حالة الـ plus، يُما + +111 +00:10:24,780 --> 00:10:29,040 +قصّينا من... يعني كان متساوي المدى بتاع القص، لكن كانت + +112 +00:10:29,040 --> 00:10:35,120 +العدسة أسمك، السماكة أعلى. بينما في الـ + +113 +00:10:35,120 --> 00:10:41,400 +minus lens، الاثنين وصلنا إلى نفس الـ frame. شفنا + +114 +00:10:41,400 --> 00:10:44,420 +أنه كل ما كبّرت الـ diameter للعدسة الـ minus + +115 +00:10:44,420 --> 00:10:49,220 +lens، أنا حصلت على عدسة، أو على أطراف للعدسة، too + +116 +00:10:49,220 --> 00:10:53,640 +thin. يُما أركّبها أين؟ داخل قطر الإطار. + +117 +00:10:53,640 --> 00:11:00,780 +مفهوم الـ diameter هو المسافة من الـ edge إلى الـ edge + +118 +00:11:00,780 --> 00:11:02,040 +لأي عدسة. + +119 +00:11:08,080 --> 00:11:14,620 +Lens Optical Quality Inspection. كيفية فحص جودة + +120 +00:11:14,620 --> 00:11:20,160 +البصرية للعدسة. الآن، أنا أمسك أي عدسة، أريد أن أفعل + +121 +00:11:20,160 --> 00:11:25,460 +لها تفحّص. أريد أن أرى: هل هذه العدسة فيها اصفرار؟ + +122 +00:11:25,460 --> 00:11:30,140 +هل quality بتاعتها من ناحية الـ optical + +123 +00:11:30,140 --> 00:11:34,630 +جيدة أم لا؟ أريد أن أرى: هل العدسة هذه فيها scratch أم لا؟ + +124 +00:11:34,630 --> 00:11:38,890 +تمام؟ وبشكل مبسط، أنني ممكن أن أمسك + +125 +00:11:38,890 --> 00:11:43,390 +العدسات، وأضعها في light rays أو في مصدر ضوء، و + +126 +00:11:43,390 --> 00:11:47,750 +من خلال مصدر الضوء، أستطيع اكتشاف أي + +127 +00:11:47,750 --> 00:11:53,430 +scratch أو أي مشاكل داخل العدسة. هنا عندنا + +128 +00:11:53,430 --> 00:11:57,830 +التجربة: العدسة، وعندنا الـ examiner eye، والـ + +129 +00:11:57,830 --> 00:12:02,740 +light source. أستكشف وضع العدسة من + +130 +00:12:02,740 --> 00:12:06,880 +حيث الـ optical quality. Surface + +131 +00:12:06,880 --> 00:12:11,260 +inspection، والـ body inspection. يعني يرى + +132 +00:12:11,260 --> 00:12:17,000 +تفاصيل العدسة، أو تفحص لشكل، أو أسطح + +133 +00:12:17,000 --> 00:12:18,960 +العدسة بشكل كامل. + +134 +00:12:21,490 --> 00:12:28,590 +Lens free from waviness. برضه يُعَمَل تفحّص للعدسة من + +135 +00:12:28,590 --> 00:12:33,150 +حيث التموّجات. بعض الأحيان، أنا آخذ عدسة تكون + +136 +00:12:33,150 --> 00:12:38,690 +جديدة، لكن فيها تموجات. هذه العدسة لازم أُرَجِّعها + +137 +00:12:38,690 --> 00:12:43,590 +إلى الشركة. لأن لو أعطيتها للمريض، ممكن أن + +138 +00:12:43,590 --> 00:12:47,770 +تكون الرؤية غير واضحة له، أو الـ quality of + +139 +00:12:47,770 --> 00:12:48,910 +vision is not good. + +140 +00:12:54,380 --> 00:13:00,220 +طيب، عندنا الـ lens power، قوة العدسة، إمّا بتكون plus + +141 +00:13:00,220 --> 00:13:05,480 +أو minus. طبعاً هذه إذا كانت spherical lens. وأيضاً plus + +142 +00:13:05,480 --> 00:13:10,160 +أو minus إذا كانت العدسة cylindrical lens. في عندنا + +143 +00:13:10,160 --> 00:13:14,740 +ظاهرتان مهمتان: بين caution distortion و partial + +144 +00:13:14,740 --> 00:13:19,760 +distortion. في حالة ما يكون عندي عدسة high plus + +145 +00:13:19,760 --> 00:13:24,080 +power، كل ما ابتعدت عن الأطراف، يكون الـ + +146 +00:13:24,080 --> 00:13:28,660 +magnification أعلى، وبالتالي يسبب عندي distortion + +147 +00:13:28,660 --> 00:13:34,660 +للـ image، يكون وكأنه الـ curve للخارج. شايفين عندنا + +148 +00:13:34,660 --> 00:13:40,840 +curve outward. في حالة الـ high plus lens. بينما + +149 +00:13:40,840 --> 00:13:45,380 +في الـ high minus lens، بيصير عندي partial distortion، + +150 +00:13:45,380 --> 00:13:49,880 +أن كل ما ابتعدت عن أطراف العدسة، يزيد الـ + +151 +00:13:49,880 --> 00:13:56,040 +minification، تمام؟ فيكون عندك curve، لكن إلى الداخل، inward + +152 +00:13:56,040 --> 00:14:01,510 +للداخل. طبعاً من خلال رؤية أي object أو أي target، + +153 +00:14:01,510 --> 00:14:06,230 +أنا أمسك العدسة، وأنظر إلى الـ target، + +154 +00:14:06,230 --> 00:14:12,270 +ألاحظ الظاهرتين هاتين. الـ cylindrical lens، شيئاً ما تختلف، أنّه + +155 +00:14:12,270 --> 00:14:16,370 +في عندنا two meridian. الـ meridian هو الذي عليه + +156 +00:14:16,370 --> 00:14:21,510 +الـ maximum power. يعني بمعنى آخر، لو قلنا: الـ + +157 +00:14:21,510 --> 00:14:26,410 +meridian الأول plus 5، والـ meridian الثاني minus 2، + +158 +00:14:26,410 --> 00:14:30,350 +في عندنا اختلاف في القوة ما بين المحورين، okay. + +159 +00:14:30,350 --> 00:14:35,630 +كل محور آخذه على حدة، وأرى قيمة المحور + +160 +00:14:35,630 --> 00:14:39,170 +الأول، أو الـ meridian الأول، والـ meridian الثاني، + +161 +00:14:39,170 --> 00:14:43,930 +وبعد ذلك أُحَصِّلُ على الـ final power الخاصة بالعدسة. + +162 +00:14:46,070 --> 00:14:50,990 +Measurement of lens power. قياسات، أو قياس قوة + +163 +00:14:50,990 --> 00:14:56,870 +العدسة. إما من خلال الـ neutralization، التي هي + +164 +00:14:56,870 --> 00:15:02,410 +طريقة المعادلة، أو الـ Geneva clock، أو عندنا الـ + +165 +00:15:02,410 --> 00:15:06,990 +lens meter. من حيث الدقة، يجب أن يكون الترتيب بالعكس: + +166 +00:15:06,990 --> 00:15:13,850 +ثلاثة، اثنان، واحد. عندنا Number one: checking the lens + +167 +00:15:13,850 --> 00:15:18,110 +power of a spectacle. أريد أن أؤكد على قوة العدسة + +168 +00:15:18,110 --> 00:15:23,430 +الخاصة بالنضارة. Determining the + +169 +00:15:23,430 --> 00:15:29,190 +specification of an unknown lenses. أريد أن أحدد + +170 +00:15:29,190 --> 00:15:34,450 +الخاصية بالعدسة التي لا أعرف قوتها، تمام؟ من + +171 +00:15:34,450 --> 00:15:40,280 +خلال الطريقة الثلاث التي تم ذكرها. الطريقة الأولى: + +172 +00:15:40,280 --> 00:15:45,400 +الـ neutralization. الآن، لو سألنا السؤال: دائماً + +173 +00:15:45,400 --> 00:15:50,340 +العدسة التي معي، هل قوتها معروفة + +174 +00:15:50,340 --> 00:15:56,550 +أم لا؟ الآن، أنا أمسك عدسة uncut lens. هل + +175 +00:15:56,550 --> 00:16:02,110 +هذه العدسة تكون non-lens أم unknown lens power؟ + +176 +00:16:02,110 --> 00:16:06,770 +بالضبط unknown lens power، صح أم لا؟ يعني بمعنى + +177 +00:16:06,770 --> 00:16:11,480 +آخر: أريد أن أعرف قوتها. كيف أعرف + +178 +00: + +223 +00:20:13,530 --> 00:20:16,330 +إذا كانت against movement، بدي أعادل بـ with + +224 +00:20:16,330 --> 00:20:20,870 +movement using the lenses + +225 +00:20:20,870 --> 00:20:25,270 +of opposite powers to neutralize until I get no + +226 +00:20:25,270 --> 00:20:31,200 +movement. The lenses must be held in contact. أنه بدي + +227 +00:20:31,200 --> 00:20:35,460 +أحطّ العدستان متلاصقتين، العدسة الأولى التي هي الـ + +228 +00:20:35,460 --> 00:20:39,600 +unknown lens، والعدسة الثانية ذات الـ non-lens power + +229 +00:20:39,600 --> 00:20:43,400 +المعروفة قوتها، متلاصقتين. مش هحطّ واحدة بعيدة عن + +230 +00:20:43,400 --> 00:20:50,510 +الأخرى، لأنّ الأصل no movement. إنّ high power دائماً + +231 +00:20:50,510 --> 00:20:54,490 +will win. الصعوبة أو التحدي الكبير أنّني في الـ high + +232 +00:20:54,490 --> 00:20:58,730 +power، بيصير الحركة مهما كانت سريعة، سواء against + +233 +00:20:58,730 --> 00:21:02,790 +أو سواء كانت with. عشان هيك أنا إيش بدي أستخدم؟ + +234 +00:21:02,790 --> 00:21:07,490 +aperture. الهدف منه أنّه يعمل restrict، أي بمعنى + +235 +00:21:07,490 --> 00:21:13,050 +تحديد أو limitation لمن؟ للـ view، الرؤية. بعد ذلك + +236 +00:21:13,050 --> 00:21:17,690 +النقطة الأساسية أنّي بدي أعمل practicing technique. + +237 +00:21:17,690 --> 00:21:23,650 +عملية حصر، يعني الآن مثلاً أنا عندي minus خمسة، بدي + +238 +00:21:23,650 --> 00:21:29,910 +أحصرها بين اللي هو two powers، plus مثلاً ستة و plus + +239 +00:21:29,910 --> 00:21:36,610 +أربعة، لأصل اللي هو إيش؟ للقوة الـ fit أو الـ proper + +240 +00:21:36,610 --> 00:21:43,070 +fit، أو بمعنى آخر القوة الصحيحة بالنسبة لمن؟ للعدسة + +241 +00:21:43,070 --> 00:21:44,050 +الغير معروفة. + +242 +00:21:51,100 --> 00:21:57,540 +طبعاً إحنا قلنا الاصطح سابقاً أنّه بتتكون، يعني عندنا + +243 +00:21:57,540 --> 00:22:04,320 +ثلاثة أنواع من الاصطح: إمّا sphere surface أو cylinder + +244 +00:22:04,320 --> 00:22:09,980 +surface أو toroidal surface. بينما الـ sphere والـ + +245 +00:22:09,980 --> 00:22:14,900 +cylinder إيش يُعتبران؟ بالضبط، يُعتبران اللي هو optical + +246 +00:22:14,900 --> 00:22:19,740 +appropriability، يعني بمعنى آخر أنّي ممكن أحصل + +247 +00:22:19,740 --> 00:22:27,560 +عليها من combination ما بين الـ sphere والـ cylinder lens. + +248 +00:22:27,560 --> 00:22:32,840 +أحصل على اللي هو الـ sphere والـ cylinder lens in + +249 +00:22:32,840 --> 00:22:36,660 +neutralizing unknown cylindrical or sphero-cylindrical power lenses. Number one: identify the + +250 +00:22:36,660 --> 00:22:41,940 +lens by the rotation test. إذا بدنا نحدد أو نتعرف + +251 +00:22:41,940 --> 00:22:47,660 +على العدسة من خلال عملية إيش؟ الدوران. طبعاً كلّ + +252 +00:22:47,660 --> 00:22:54,580 +meridian على حدة: الـ Horizontal والـ Vertical. طبعاً + +253 +00:22:54,580 --> 00:22:58,720 +ليس شرطاً أن يكون 90 و180، ممكن يكون الـ axis + +254 +00:22:58,720 --> 00:23:05,120 +مثلاً 30، ممكن يكون 130. فأنا بدي أعمل اللي هو ممكن + +255 +00:23:05,120 --> 00:23:10,660 +أن يكون Oblique كـ movement. أيضاً بدي أعمل mark the + +256 +00:23:10,660 --> 00:23:15,560 +optical center. بدي أُحدّد اللي هو جداش الـ image + +257 +00:23:15,560 --> 00:23:19,160 +rotation. لكن هنا كلّ meridian على حدة، يعني ممكن + +258 +00:23:19,160 --> 00:23:23,300 +يكون واحد with والآخر against، ممكن الاثنان against، + +259 +00:23:23,300 --> 00:23:27,120 +ممكن الاثنان with. + +260 +00:23:27,120 --> 00:23:28,120 +الاثنان will + +261 +00:23:31,000 --> 00:23:35,560 +Using lenses of opposite powers to neutralize. + +262 +00:23:35,560 --> 00:23:39,880 +check meridian by spherical lenses. بعد ذلك بدنا + +263 +00:23:39,880 --> 00:23:44,160 +نجمع. يعني الآن أنا مثلاً عدّلت المحور اللي هو + +264 +00:23:44,160 --> 00:23:50,480 +العمودي، نفترض plus 4، الأفقي مثلاً plus 2. إذا إيش + +265 +00:23:50,480 --> 00:23:58,060 +بيصير عندنا plus 4 على minus 2، x is mean 90، تمام؟ + +266 +00:23:59,160 --> 00:24:05,520 +للوصول للمعادلة أو الـ power النهائي. Or use + +267 +00:24:05,520 --> 00:24:09,880 +spherical lens to neutralize one meridian, leave + +268 +00:24:09,880 --> 00:24:14,320 +it in place and use cylindrical lens to neutralize + +269 +00:24:14,320 --> 00:24:18,600 +the other meridian. بعد ما أنا عدّلت المحور الأول، + +270 +00:24:18,600 --> 00:24:23,720 +أروح اللي هو أعادل المحور الثاني. طب السؤال: لو + +271 +00:24:23,720 --> 00:24:29,880 +أنا مثلاً عندي المحور التسعين، كان نفترض هو الأعلى + +272 +00:24:29,880 --> 00:24:37,560 +قوة، والمحور الأفقي الـ 180 الأقل قوة أو الأقل حركة، + +273 +00:24:37,560 --> 00:24:42,320 +خلينا نقول: وين أبدأ؟ أبدأ هل في الـ vertical ولا + +274 +00:24:42,320 --> 00:24:46,560 +أبدأ في الـ horizontal؟ إيش رأيكم؟ + +275 +00:24:49,250 --> 00:24:54,950 +استوعبتم السؤال؟ لأنّ عندنا في أنّ أبدأ الأكثر حركة + +276 +00:24:54,950 --> 00:25:02,130 +ولا الأقل حركة؟ دائماً في الأعلى power. ليش؟ لأنّه + +277 +00:25:02,130 --> 00:25:06,610 +قلنا التحدي الأصعب أن أصل للـ high power، بينما الـ + +278 +00:25:06,610 --> 00:25:13,170 +low power هو إيش؟ من السهل أن أصله. determine the + +279 +00:25:13,170 --> 00:25:17,810 +axis by the protractor. ممكن في بعض الأحيان أنا + +280 +00:25:17,810 --> 00:25:23,190 +أستخدم المنقلة لتحديد الـ axis اللي ممكن يعمل + +281 +00:25:23,190 --> 00:25:29,590 +ليّ إيه؟ أو يساعدني في عملية الـ neutralization. طيب + +282 +00:25:29,590 --> 00:25:36,970 +الطريقة الثانية لعملية قياس قوة العدسة هي عبارة عن + +283 +00:25:36,970 --> 00:25:38,930 +الـ Geneva Clock. + +284 +00:25:42,040 --> 00:25:45,980 +في عندنا قانون أخذناه سابقاً في مادة الـ + +285 +00:25:45,980 --> 00:25:50,200 +ophthalmic lenses: أنّ الـ F، الـ power of a lens + +286 +00:25:50,200 --> 00:25:50,960 +يساوي + +287 +00:25:54,100 --> 00:25:59,340 +معامل الانكسار ناقص واحد. طبعاً معامل الانكسار لمن؟ + +288 +00:25:59,340 --> 00:26:04,540 +للمادة، ناقص اللي هو واحد، معامل الانكسار لمن؟ + +289 +00:26:04,540 --> 00:26:09,840 +للهواء، على الـ radius of curvature. في شغلة مهمة + +290 +00:26:09,840 --> 00:26:17,480 +جداً، أنّ ممكن كمان الـ F يساوي؟ N ناقص N + +291 +00:26:17,480 --> 00:26:25,410 +شرطة على R. هذه متى أستخدمها؟ عندما أنا بدي أحسب قيمة + +292 +00:26:25,410 --> 00:26:31,930 +الـ R. ما فيش R في الـ minus. وعندكم يمكن اللي هو فيه + +293 +00:26:31,930 --> 00:26:35,830 +بعض اللي هو الـ defect موجود، أنّه حاسب قيمة الـ R بالـ + +294 +00:26:35,830 --> 00:26:40,390 +minus. الصح أنّ قيمة الـ R تكون في الـ plus، اللي هي + +295 +00:26:40,390 --> 00:26:50,200 +الـ radius of curvature، تمام؟ By knowing R and أن + +296 +00:26:50,200 --> 00:26:54,620 +شرطة، اللي هي refractive index، ده للمادة، ممكن + +297 +00:26:54,620 --> 00:26:59,600 +من خلالها + +298 +00:26:59,600 --> 00:27:04,120 +أحدد قوة العدسة. إيش في اللي هو الهواء اللي بيساوي + +299 +00:27:04,120 --> 00:27:04,620 +واحد. + +300 +00:27:09,330 --> 00:27:13,630 +سابقا أخذنا equation: الـ R، الـ radius of curvature، يساوي + +301 +00:27:13,630 --> 00:27:17,970 +يساوي الـ Y تربيع، اللي هي عبارة عن إيش؟ الـ + +302 +00:27:17,970 --> 00:27:25,510 +diameter، صح؟ الـ diameter of a lens على اثنين. الـ S، الـ S + +303 +00:27:25,510 --> 00:27:31,070 +هي بتمثل إيش؟ الـ digital depth. okay. الآن كلّ ما زادت + +304 +00:27:31,070 --> 00:27:37,880 +الـ R، بيزيد الـ Y، وكلّ ما قلت الـ a بتقل من الـ s اللي هي + +305 +00:27:37,880 --> 00:27:43,140 +الـ digital depth الخاصة بالعدسة. إذا عندنا العلاقة + +306 +00:27:43,140 --> 00:27:48,160 +ما بين الـ r اللي هي الـ radius of curvature والـ + +307 +00:27:48,160 --> 00:27:53,040 +diameter، هي تعتبر علاقة directly proportional. + +308 +00:27:53,040 --> 00:27:58,260 +بينما العلاقة ما بين الـ r والـ digital depth هي + +309 +00:27:58,260 --> 00:28:01,120 +علاقة inversely proportional. + +310 +00:28:13,940 --> 00:28:23,780 +ومن خلالها + +311 +00:28:23,780 --> 00:28:27,920 +أنا بقدر أحسب قيمة مين؟ الـ power of lens. + +312 +00:28:34,230 --> 00:28:43,370 +طبعاً في عندنا الرسمة بتوضح بداية + +313 +00:28:43,370 --> 00:28:48,810 +اللي هو الجهاز الـ Geneva clock، تمام؟ وهي عندنا الـ + +314 +00:28:48,810 --> 00:28:53,290 +surface of a lens، وفي عندنا حاجة اسمها الـ Sagittal + +315 +00:28:53,290 --> 00:28:59,530 +height. إيش المقصود بالـ Sagittal height؟ اللي هي + +316 +00:28:59,530 --> 00:29:07,790 +مقدار ارتفاع الجهاز عن سطح العدسة، تمام؟ عشان أحصل + +317 +00:29:07,790 --> 00:29:10,850 +على مين؟ الـ radius of curvature. + +318 +00:29:14,240 --> 00:29:19,560 +legs will give fixed diameter or fixed y تربيع. + +319 +00:29:19,560 --> 00:29:25,120 +الآن أنا بثبت الجهاز على مين؟ على سطح العدسة، و + +320 +00:29:25,120 --> 00:29:30,440 +أضغط، يعني أعمل عملية fix للّي هو الجهاز على سطح + +321 +00:29:30,440 --> 00:29:35,460 +العدسة. ومن خلاله بقدر أحسب الـ radius of + +322 +00:29:35,460 --> 00:29:40,160 +curvature، اللي هي الـ R. طبعاً مادام أنا حسبت قيمة الـ + +323 +00:29:40,160 --> 00:29:44,440 +R، مباشرة من خلالها أجيب الـ Y اللي هي أو الـ D، + +324 +00:29:44,440 --> 00:29:49,600 +الـ diameter، تمام؟ وبعد ذلك بقدر أحسب الـ power of + +325 +00:29:49,600 --> 00:29:55,980 +lens. بس لازم أكون عارف إيش؟ الـ refractive index + +326 +00:29:55,980 --> 00:29:59,880 +الخاصة في المادة بتاعة مين؟ العدسة، okay. + +327 +00:30:05,220 --> 00:30:09,240 +movable، أي بمعنى leg، movable leg، أنّه بدي أعمل + +328 +00:30:09,240 --> 00:30:17,160 +تحريك للّي هو الـ leg هذا، will determine the thigh by + +329 +00:30:17,160 --> 00:30:22,280 +the difference in height between it. الآن لما أنا + +330 +00:30:22,280 --> 00:30:27,420 +بدي أعمل تثبيت له، ومن ثم أحرك الـ leg، حيصير فيه + +331 +00:30:27,420 --> 00:30:31,580 +اختلاف، صح ولا لأ؟ بدي أُحدد جداش قيمة الاختلاف هذا. + +332 +00:30:32,400 --> 00:30:36,660 +يعني جداش قيمة اللي هو الـ Sagittal Depth. بداية + +333 +00:30:36,660 --> 00:30:42,020 +أنا عملت، اللي هو الجهاز، ثبتّه على العدسة، صح؟ في هنا عندنا + +334 +00:30:42,020 --> 00:30:46,920 +إيش؟ اللي هي الـ Sagittal Height. الآن أنا عملت ضغط + +335 +00:30:46,920 --> 00:30:52,200 +لمن؟ من قبل اللي هو الـ leg للعدسة. بدي أحسب أيضاً + +336 +00:30:52,200 --> 00:30:56,260 +جداش قيمة الـ radius of curvature. الاختلاف بينهم، + +337 +00:30:56,260 --> 00:30:56,940 +تمام. + +338 +00:31:00,640 --> 00:31:04,620 +هي مثلاً عندنا الـ N يساوي 1.53، إذا + +339 +00:31:04,620 --> 00:31:09,660 +هذا الـ refractive index لمن؟ للـ crown glass، تمام؟ + +340 +00:31:09,660 --> 00:31:16,820 +عندنا الـ F يساوي؟ N شرطة ناقص واحد على R. + +341 +00:31:16,820 --> 00:31:23,140 +طلع 0.53 على R، تمام. + +342 +00:31:25,120 --> 00:31:33,280 +Geneva Clock is a mechanical dial، يعني إيش هو؟ مؤشر، + +343 +00:31:33,280 --> 00:31:37,940 +صح ولا لأ؟ المؤشر هذا إيش يُعتبر؟ Indicator، أي + +344 +00:31:37,940 --> 00:31:42,600 +بمعنى يُشير، that is used to measure diopteric + +345 +00:31:42,600 --> 00:31:47,180 +power of lenses. من خلال المؤشر أنا بعرف آخذ قد + +346 +00:31:47,180 --> 00:31:53,200 +إيش؟ قوة العدسة. Assuming the lens is made of a + +347 +00:31:53,200 --> 00:31:58,840 +material with a particular refractive index. الآن إن + +348 +00:31:58,840 --> 00:32:02,660 +أنت لو أي عدسة uncut lens أمسكتيها، هتلاقي + +349 +00:32:02,660 --> 00:32:07,800 +مكتوب على الورقة تاعتها معامل الانكسار الخاص فيها. + +350 +00:32:07,800 --> 00:32:12,200 +يعني إذا كان الـ CR 1.39، بيكتب لك 1.4 + +351 +00:32:12,200 --> 00:32:16,460 +تسعة ثمانية. إذا والله crown glass، بيكتب لك جداش + +352 +00:32:16,460 --> 00:32:20,280 +معامل الانكسار. الـ high index، يعني هو دائماً يُفترض + +353 +00:32:20,280 --> 00:32:24,940 +أنّ قيمة معامل الانكسار معروفة بالنسبة لمن؟ للـ + +354 +00:32:24,940 --> 00:32:32,100 +examiner أو للـ dispenser. okay. the + +355 +00:32:32,100 --> 00:32:37,300 +clock will measure the power of each surface. يعني + +356 +00:32:37,300 --> 00:32:43,540 +هذا الـ clock هيقيس أي قوة لأي سطح كان على العدسة. + +357 +00:32:54,060 --> 00:33:01,220 +إذا القوة اللي أعطاني إياها by rotating the clock + +358 +00:33:01,220 --> 00:33:05,000 +remains unchanged. يعني الآن أنا مثلاً حطيت سطح + +359 +00:33:05,000 --> 00:33:10,660 +العدسة وحطيت الجهاز عليه، وما لاحظت أنّ المؤشر تحرّك، + +360 +00:33:10,660 --> 00:33:16,560 +معنى الكلام أنّ الـ power equal في all the meridians. + +361 +00:33:16,560 --> 00:33:25,120 +يعني هنا العدسة إيش اسمها؟ تُعتبر sphere lens. if the + +362 +00:33:25,120 --> 00:33:29,940 +power given by rotating the clock shows change, the + +363 +00:33:29,940 --> 00:33:35,380 +surface is either cylindrical or toroidal. الآن أنا + +364 +00:33:35,380 --> 00:33:40,000 +نفس الفكرة: حطيت الجهاز أو الـ leg بتاعه على سطح + +365 +00:33:40,000 --> 00:33:46,380 +العدسة، ولاحظت أنّ في هناك اختلاف أو في هناك اللي هو + +366 +00:33:46,380 --> 00:33:53,040 +حركة لمن؟ يعني للمؤشر الخاص في الجهاز. بالتالي، هيرجع + +367 +00:33:53,040 --> 00:33:57,160 +يُعطيني انطباع أنّ العدسة هي تُعتبر إيش؟ cylinder أو + +368 +00:33:57,160 --> 00:34:02,420 +toroidal surface. We should determine the maximum + +369 +00:34:02,420 --> 00:34:06,160 +and minimum powers. طب ليش إحنا بدنا نحسب الـ maximum + +370 +00:34:06,160 --> 00:34:12,790 +والـ minimum power الخاص بسطح العدسة؟ 100% لحساب + +371 +00:34:12,790 --> 00:34:16,570 +قيمة الـ total power أو الـ overall power الخاصة في + +372 +00:34:16,570 --> 00:34:20,370 +الـ cylinder lens. يعني آخذ السطح الأول، + +373 +00:34:20,370 --> 00:34:24,590 +السطح الثاني. مثلاً هذا عندنا maximum power و + +374 +00:34:24,590 --> 00:34:29,090 +minimum power. أطرحهم من بعض عشان أحصل على مين؟ الـ + +375 +00:34:29,090 --> 00:34:32,490 +overall power للعدسة. + +376 +00:34:34,140 --> 00:34:39,760 +Finally, the powers of each surface can be added to + +377 +00:34:39,760 --> 00:34:44,140 +give the approximate optical power of the whole + +378 +00:34:44,140 --> 00:34:48,120 +lens. هاي + +379 +00:34:48,120 --> 00:34:50,760 +مثلاً عندنا مثال على الكلام هذا. + +380 +00:35:00,360 --> 00:35:07,120 +عندنا example: a front surface power measured by lens + +381 +00:35:07,120 --> 00:35:12,940 +a clock gives a plus three diopter sphere. إذا + +382 +00:35:12,940 --> 00:35:18,060 +السطح الأول إيش كان؟ plus ثلاثة، بدها تعني plus + +383 +00:35:18,060 --> 00:35:23,600 +three diopter sphere. إذا على طول إيش مالها؟ أنّه + +384 +00:35:23,600 --> 00:35:30,650 +all the surface has the same power. يعني على كلّ + +385 +00:35:30,650 --> 00:35:37,130 +المحاور القوة حتكون plus ثلاثة. back surface power + +386 +00:35:37,130 --> 00:35:43,830 +shows maximum power minus five. جماعة، كلمة هذه + +387 +00:35:43,830 --> 00:35:52,830 +معناها at، بمعنى اللي هو along، اللي + +388 +00:35:52,830 --> 00:35:59,050 +فيها هي تُعتبر الـ maximum power. + +389 +00:36:00,990 --> 00:36:06,250 +وهي تُعتبر معاكس لمن؟ للـ axis. دائماً الـ axis مثلاً + +390 +00:36:06,250 --> 00:36:12,770 +أنا عندي minus خمسة، axis 180. 180 هي + +391 +00:36:12,770 --> 00:36:17,290 +تُعتبر إيش؟ الـ 180، zero power، يعني فيها + +392 +00:36:17,290 --> 00:36:21,610 +الـ minimum power، تمام؟ إذا الـ minus خمسة في التسعين + +393 +00:36:21,610 --> 00:36:25,890 +نلاحظ أنّ هذه أعلى قوة، هذه الـ maximum power. + +394 +00:36:26,830 --> 00:36:30,550 +and minimum power minus two at one hundred and + +395 +00:36:30,550 --> 00:36:35,850 +eighty. إذا السطح الأول إيش يُعتبر؟ spherical surface. + +396 +00:36:35,850 --> 00:36:41,070 +السطح الثاني إيش يُعتبر؟ toroidal surface، أو تركيب + +397 +00:36:41,070 --> 00:36:45,590 +اللي هو surface. المجموع بتاعه، هنا نطلع عندي minus + +398 +00:36:45,590 --> 00:36:49,710 +اثنين زائد واحد من السطح + +445 +00:41:19,770 --> 00:41:21,370 +عبارة عن ال + one + +446 +00:41:26,750 --> 00:41:32,290 +أما بالنسبة ل correcting for refractive index طيب + +447 +00:41:32,290 --> 00:41:37,910 +الآن أنا عندي معلومة جداش معامل الانكسار للعدسة + +448 +00:41:37,910 --> 00:41:46,890 +okay نكمل if a lens with a refractive index of 1.7 + +449 +00:41:46,890 --> 00:41:53,330 +الـ 1.7 إيش تعتبر high index material صح؟ + +450 +00:41:55,840 --> 00:42:04,020 +المثال مجرد مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد + +451 +00:42:04,020 --> 00:42:07,520 +اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد + +452 +00:42:07,520 --> 00:42:11,480 +مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة + +453 +00:42:11,480 --> 00:42:13,060 +اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد + +454 +00:42:13,060 --> 00:42:13,080 +مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة + +455 +00:42:13,080 --> 00:42:23,840 +اكلوك مجرد + +456 +00:42:23,840 --> 00:42:31,050 +مع نسخة الـ Lens made of material of refractive + +457 +00:42:31,050 --> 00:42:36,790 +index 1.7 surface power is measured by a clock + +458 +00:42:36,790 --> 00:42:42,690 +lens calibrated with n = 1.523 + +459 +00:42:50,350 --> 00:42:56,250 +إذاً هنا يعتبر السطح سفير ولا سيلندر ولا تورويدل؟ + +460 +00:42:56,250 --> 00:43:02,510 +سفير يعني ماينص ثلاثة على كل المحاور هذه + +461 +00:43:02,510 --> 00:43:05,670 +وقتا ما كان عندنا معامل الانكسار a crown glass + +462 +00:43:05,670 --> 00:43:11,910 +okay؟ بدنا جداش قوة العدسة للسطح لما غيرنا معامل + +463 +00:43:11,910 --> 00:43:16,210 +الانكسار بدل 1.523 خليناها جداش + +464 +00:43:16,210 --> 00:43:24,360 +1.7 First we calculate R which gives minus + +465 +00:43:24,360 --> 00:43:29,520 +three عندنا الـ R إيش بالساوي؟ شايفين 1- n + +466 +00:43:29,520 --> 00:43:34,940 +شرطة على F عشان أطلع قيمة الـ R إيش موجبة؟ صححوها + +467 +00:43:34,940 --> 00:43:40,460 +عندكم ثم القوة التي قمت بحسابها باستخدام عملية الانكسار + +468 +00:43:40,460 --> 00:43:42,660 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +469 +00:43:42,660 --> 00:43:45,820 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +470 +00:43:45,820 --> 00:43:45,980 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +471 +00:43:45,980 --> 00:43:50,400 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +472 +00:43:50,400 --> 00:43:52,200 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +473 +00:43:52,200 --> 00:43:55,420 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +474 +00:43:55,420 --> 00:44:00,760 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +475 +00:44:00,760 --> 00:44:05,640 +باستخدام إذاً أنا الآن كل ما قللت من سماكة الـ + +476 +00:44:05,640 --> 00:44:11,380 +عدسة تمام وزودت كثافة العدسة أنا زودت في مين؟ في + +477 +00:44:11,380 --> 00:44:15,160 +الـ power للعدسة يعني لما كانت في معامل انكسار 1. + +478 +00:44:15,160 --> 00:44:18,800 +523 كانت minus تلاتة لما صارت 1. + +479 +00:44:18,800 --> 00:44:22,300 +7 اللي هي الـ high index material صارت minus + +480 +00:44:22,300 --> 00:44:27,060 +أربعة وهذا منطق؛ أن كل ما أنا زدت الكثافة للعدسة كل + +481 +00:44:27,060 --> 00:44:31,440 +ما أنا قللت السماكة بتزيد اللي هو مين؟ قوة العدسة + +482 +00:44:31,550 --> 00:44:35,650 +Okay طيب + +483 +00:44:35,650 --> 00:44:40,530 +إن شاء الله بنقف عند هذه النقطة في المحاضرة القادمة + +484 +00:44:40,530 --> 00:44:45,270 +ونكمل موضوع الـ Measurement of Lens Power في اللي + +485 +00:44:45,270 --> 00:44:48,570 +هو جهاز الـ Lens Meter يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/FVlK52JvlLw_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/FVlK52JvlLw_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..f92feea42874eaf1d95aeab0f9b12e58b325ed5a --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/FVlK52JvlLw_postprocess.srt @@ -0,0 +1,1940 @@ +1 +00:00:21,500 --> 00:00:24,800 +بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و + +2 +00:00:24,800 --> 00:00:29,420 +بركاته and a very good morning to all of you بداية + +3 +00:00:29,420 --> 00:00:34,500 +نهنيكم مع بداية الفصل التاني و ان شاء الله هكون + +4 +00:00:34,500 --> 00:00:39,220 +معكم في مساق اعداد النضارات او اللي هو dispensing + +5 +00:00:39,220 --> 00:00:46,700 +one ان شاء اللهمواضيع المساق هذا بداية عندنا lens + +6 +00:00:46,700 --> 00:00:53,500 +identification التعرف على العدسة بمعنى اخر لو انا + +7 +00:00:53,500 --> 00:01:00,740 +امسكت اي عدسة سواء كانت finished او unfinished + +8 +00:01:00,740 --> 00:01:06,800 +لازم ان انا اكون قادر على التعرف على خواص هذه + +9 +00:01:06,800 --> 00:01:13,420 +العدسة من خلال مجموعة من الأمورعنا ال lens + +10 +00:01:13,420 --> 00:01:19,300 +category أي تصنيف العدسة تصنيف العدسة في عنا + +11 +00:01:19,300 --> 00:01:24,740 +number one single vision lenses single vision + +12 +00:01:24,740 --> 00:01:31,750 +lenses هي مجموعة من العدسات اللي بيكون لهاone + +13 +00:01:31,750 --> 00:01:37,210 +optical center تمام؟ او بمعنى اخر ان هذه العدسة في + +14 +00:01:37,210 --> 00:01:41,130 +كل اللي هو أجزائها offer only one optical + +15 +00:01:41,130 --> 00:01:44,910 +correction يعني بتستخدم مثلا للميوب، + +16 +00:01:44,910 --> 00:01:49,170 +لـhypermetrope، لـpresmyope يعني إلها فقط one + +17 +00:01:49,170 --> 00:01:55,870 +function أما segmented multifocal lenses إما بتكون + +18 +00:01:55,870 --> 00:02:02,020 +bifocal أو trifocalبالنسبة للـ Bifocal بيكون فيها + +19 +00:02:02,020 --> 00:02:07,430 +أكام optical center للعدسةتنين واحد للـ near واحد + +20 +00:02:07,430 --> 00:02:12,630 +للـ distance الـ trifocal تم اللي هو تحديثها أو تم + +21 +00:02:12,630 --> 00:02:16,450 +التعديل عليها حاليا من خلال ال progressive + +22 +00:02:16,450 --> 00:02:21,490 +addition lenses progressive addition lenses ان + +23 +00:02:21,490 --> 00:02:25,890 +العدسات اللي بيكون فيه لها اكتر من two optical + +24 +00:02:25,890 --> 00:02:31,190 +centers يعني بمعنى اخر ال patient بيستخدمها جريب + +25 +00:02:31,190 --> 00:02:37,040 +ولا البعيد و ال intermediateالبرزم كيف انا ممكن + +26 +00:02:37,040 --> 00:02:43,160 +اتعرف على البرزم هذا؟ كيف ممكن انا مثلا عندي two + +27 +00:02:43,160 --> 00:02:48,980 +prisms اقول مثلا هذا القوة تعتق أعلى من البرزم + +28 +00:02:48,980 --> 00:02:54,260 +هذا؟ 100% من اللي هو thickness difference كل ما + +29 +00:02:54,260 --> 00:02:58,720 +زادت ثماكة اللي هو البرزم كل ما كان اللي هو قوة + +30 +00:02:58,720 --> 00:03:01,940 +البرزم ايش تعتبر أعلى تمام؟ + +31 +00:03:04,880 --> 00:03:08,940 +طبعا هذه الصورة بتوضح اللي هي ال segment الخاصة في + +32 +00:03:08,940 --> 00:03:14,200 +ال multi او في ال bifocal lens طبعا كلهيتها ال + +33 +00:03:14,200 --> 00:03:17,860 +optical correction for distance و ال segment هذه + +34 +00:03:17,860 --> 00:03:24,920 +الصغيرة لاللي هو ال near vision بالنسبة + +35 +00:03:24,920 --> 00:03:32,540 +لل lens materialفي عندنا مادتين مصنوعة منها + +36 +00:03:32,540 --> 00:03:38,000 +العدسات اما ال plastic او ال glass ال plastic هان + +37 +00:03:38,000 --> 00:03:44,440 +ايش بنقصد فيها؟اللي هي CR تسعة وتلاتين تمام اللي + +38 +00:03:44,440 --> 00:03:50,520 +جديش معامل انكسارها واحد اربعة تمانية تسعة صح طيب + +39 +00:03:50,520 --> 00:03:55,700 +مادة ال CR تسعة وتلاتين من وميزاتها ان ال impact + +40 +00:03:55,700 --> 00:03:59,720 +resistance فيها اقل من مين من ال polycarbonate + +41 +00:03:59,720 --> 00:04:05,320 +تمام لكن تحملها لدرجات الحرارة اكتر من مين من ال + +42 +00:04:05,320 --> 00:04:10,560 +polycarbonate okayلذلك ان الـ polycarbonate تعتبر + +43 +00:04:10,560 --> 00:04:18,640 +high impact resistance مقارنة بال CR 39 high index + +44 +00:04:18,640 --> 00:04:23,980 +plastic lenses ان هذه العدسات بتتميز ان كثفتها + +45 +00:04:23,980 --> 00:04:31,260 +عالية و نحيفة و بتدي قوة اشمالها عالية كده معامل + +46 +00:04:31,260 --> 00:04:37,860 +انكسار فيها واحد وسبعة او واحد وتسعة تمام؟الـ + +47 +00:04:37,860 --> 00:04:41,000 +glass lenses اللى هى متمثلة فى مين؟ فى الـ crown + +48 +00:04:41,000 --> 00:04:46,680 +glasses اللى جداش معامل انكسارها 1523 وشوفنا ايش + +49 +00:04:46,680 --> 00:04:51,100 +الفرق ما بين ال plastic وما بين اللى هو ال glasses + +50 +00:04:51,100 --> 00:04:56,740 +من خلال اللى هى comparison between plastic CR 39 + +51 +00:04:56,740 --> 00:05:00,440 +and crown glass 1523 + +52 +00:05:03,980 --> 00:05:10,480 +أما بالنسبة لـ Lens readiness أي بمعنى ايش؟ تجهيز + +53 +00:05:10,480 --> 00:05:14,300 +اللي هو العدسة يعني كيف الآن احنا العدسة بدها تكون + +54 +00:05:14,300 --> 00:05:20,980 +اللي هو جاهزة فنشت لينزز انه بيكون سطحين العدسة + +55 +00:05:20,980 --> 00:05:24,280 +جاهزين أي بمعنى uncut lens + +56 +00:05:27,560 --> 00:05:33,780 +إن واحد من الأسطح بيكون جاهز والآخر غير جاهز Uncut + +57 +00:05:33,780 --> 00:05:37,680 +lenses هي نفسها من ال finished lenses إن ال two + +58 +00:05:37,680 --> 00:05:43,580 +surfaces front and back are ready تمامفي عندنا ال + +59 +00:05:43,580 --> 00:05:48,160 +stock single visual lenses هو عبارة عن مستودع او + +60 +00:05:48,160 --> 00:05:53,380 +مخزن العدسات اللي منه ايش انا بجلب اللي هو العدسات + +61 +00:05:53,380 --> 00:05:57,560 +وهذه ممكن تكون متوفرة في داخل اللي هو ال optical + +62 +00:05:57,560 --> 00:06:03,480 +center الخاص فيها او اللي هو في اي شخص طبعا اذا + +63 +00:06:03,480 --> 00:06:09,460 +غير متوفر ال power المطلوبممكن انا اجلب اللي هو + +64 +00:06:09,460 --> 00:06:14,500 +هذه العدسة من وين من مكان اخر او مثلا من شركة اللي + +65 +00:06:14,500 --> 00:06:19,540 +هو تانية Quoting + +66 +00:06:19,540 --> 00:06:24,660 +and tinting Quoting بمعنى ايه؟ طلاق و ال tinting + +67 +00:06:24,660 --> 00:06:30,640 +بمعنى تلوينCoating is defined as a thin material + +68 +00:06:30,640 --> 00:06:36,880 +layer deposited on component lens or component + +69 +00:06:36,880 --> 00:06:43,600 +optical correction such as lens or mirror بالنسبة + +70 +00:06:43,600 --> 00:06:48,770 +للـ tinting ممكن انا اعمل تدريج لهاممكن تكون فاتح، + +71 +00:06:48,770 --> 00:06:53,430 +ممكن تكون متوسط، ممكن تكون ذامج طبعا هذه كلها .. + +72 +00:06:53,430 --> 00:06:57,450 +it depends on the patient في هذا الأمر طبعا و + +73 +00:06:57,450 --> 00:07:02,030 +الحالة المرضية اللي بيمتلكها المريض في عندنا ال + +74 +00:07:02,030 --> 00:07:07,690 +tinting، mirror coating طبعا اللي هو اختلافالـ + +75 +00:07:07,690 --> 00:07:12,210 +Optical Correction زي ما اتفقنا Anti Reflection + +76 +00:07:12,210 --> 00:07:17,050 +Coating أو بنسميها ال MC Multi Coating ال Multi + +77 +00:07:17,050 --> 00:07:22,310 +Coating قلنا انه بتقلل موضوع ال reflection اللي + +78 +00:07:22,310 --> 00:07:27,990 +جاي من ال front و ال back surface لمين للعدسة و + +79 +00:07:27,990 --> 00:07:32,250 +بيزود اللي هو قيمة ال transmission ل اللي هو ال + +80 +00:07:32,250 --> 00:07:38,430 +light rays Hydrophobic Coatingهي مادة او مادة + +81 +00:07:38,430 --> 00:07:43,910 +طلاقية بتكون ايه كارهة لالماء يعني بمعنى اخر لو + +82 +00:07:43,910 --> 00:07:48,970 +انا جبت عدسة و دلت عليها ميه هتلاقي انه هيصير اللي + +83 +00:07:48,970 --> 00:07:52,930 +هو الماء بنتشر على كل سطح العدسة ليش؟ لان العدسة + +84 +00:07:52,930 --> 00:07:57,210 +هي غير قادرة على ايش امتصاص هذا الماء okay + +85 +00:08:00,290 --> 00:08:06,050 +بمعنى انه زي اللي هو هيكون مضاد لمين؟ لالبرد أو + +86 +00:08:06,050 --> 00:08:08,310 +هيكون مضاد لالضباب + +87 +00:08:10,080 --> 00:08:15,680 +طيب فى عندنا خمس طبقات لأى عدسة Hydrophobic Layer + +88 +00:08:15,680 --> 00:08:20,000 +طبقة كارهة للماء Antireflection Multilayer System + +89 +00:08:20,000 --> 00:08:25,500 +Hard Layer طبقة صلبة Buffer Layer اللى هى بتكون + +90 +00:08:25,500 --> 00:08:30,200 +طبقة معادلة تمام والادهش ال layer اللى هى طبقة + +91 +00:08:30,200 --> 00:08:37,160 +لاصقة وبعد ذلك بنحصل على العدسة Diameter + +92 +00:08:37,160 --> 00:08:45,990 +لعدسةقلنا إذا كان عندى عدسة plus lens تمام، كل ما + +93 +00:08:45,990 --> 00:08:51,410 +أنا صغرت اللى هو ال diameter الخاص فيها تمام، كل + +94 +00:08:51,410 --> 00:08:56,730 +ما أنا حصلت على إيش؟Thin للعدسة بينما في العدسة + +95 +00:08:56,730 --> 00:09:00,510 +الـ minus lens كل ما انا كبرت ال diameter كل ما + +96 +00:09:00,510 --> 00:09:03,930 +انا حصلت على thin كل ما زغرت ال diameter انا ايش + +97 +00:09:03,930 --> 00:09:08,570 +حصلت على thick طيب الان المريض كيف باستفيد من هذا + +98 +00:09:08,570 --> 00:09:14,090 +الأمر انه انا عنده small diameter plus lens بدي + +99 +00:09:14,090 --> 00:09:17,830 +اجيب اللي هو ال blank size او ال diameter بتاع + +100 +00:09:17,830 --> 00:09:22,340 +الإطار انه يكون ايش مالهاكبير صح ولا لا في ال plus + +101 +00:09:22,340 --> 00:09:29,020 +lens اه عشان احصل على اطراف تكون thinفي المقابل في + +102 +00:09:29,020 --> 00:09:32,700 +الـ minus lens، ديامتر كبير، أطراف إيش هتكون + +103 +00:09:32,700 --> 00:09:36,620 +نحيفة، بده يجيب الـ blank size إن يكون إيش ماله + +104 +00:09:36,620 --> 00:09:42,520 +قطر الإطار الصغير، هذه المعايير اللي بتكون خاصة في + +105 +00:09:42,520 --> 00:09:49,680 +كيفية الوصول لـ what I call ل الوصول لاللي هو thin + +106 +00:09:49,680 --> 00:09:56,570 +lens أو بمعنى اللي هو أطراف عدسة نحيفةالان في + +107 +00:09:56,570 --> 00:10:02,650 +عندنا two figures الأولى والتانية مدى القص فيهم + +108 +00:10:02,650 --> 00:10:07,590 +متساوي لكن في عندنا large diameter وفي عندنا small + +109 +00:10:07,590 --> 00:10:12,330 +diameter الان في ال small diameter كل مكان أصغر + +110 +00:10:12,330 --> 00:10:16,750 +هيكون عندنا الأطراف أشمالها too thin مقارنة في ال + +111 +00:10:16,750 --> 00:10:20,640 +large diameter اللى كانت too thick وينفي اللي هو + +112 +00:10:20,640 --> 00:10:24,780 +يما كبرنا القطر بتاع العدسة في حالة ال plus جد ما + +113 +00:10:24,780 --> 00:10:29,040 +جصينا من يعني كان متساوي المدى بتاع الجص لكن كانت + +114 +00:10:29,040 --> 00:10:35,120 +العدسة اشمالها السماكة اللي هو أعلىبينما في الـ + +115 +00:10:35,120 --> 00:10:41,400 +minus lens التنتين وصلنا لمين؟ لنفس ال frame شوفنا + +116 +00:10:41,400 --> 00:10:44,420 +انه كل ما انا كبرت ال diameter للعدسة ال minus + +117 +00:10:44,420 --> 00:10:49,220 +lens انا حصلت على عدسة او على اطراف للعدسة انه too + +118 +00:10:49,220 --> 00:10:53,640 +thin يما بركبها وين في داخل اللي هو قطر الإطار + +119 +00:10:53,640 --> 00:11:00,780 +مفهوم ال diameter هو المسافة من ال edge لل edge + +120 +00:11:00,780 --> 00:11:02,040 +لأي عدسة + +121 +00:11:08,080 --> 00:11:14,620 +Lens Optical Quality Inspection كيفية فحص جودة + +122 +00:11:14,620 --> 00:11:20,160 +البصرية للعدسة الان انا بمسك اي عدسة بدي اعمل + +123 +00:11:20,160 --> 00:11:25,460 +اليها تفحص بدي اشوف ان هل هذه العدسة فيها اصفرار + +124 +00:11:25,460 --> 00:11:30,140 +هل مثلا ال quality بتاعتها من ناحية ال optical + +125 +00:11:30,140 --> 00:11:34,630 +جيدة ولا لابدي اشوف هل العدسة هذه فيها scratch ولا + +126 +00:11:34,630 --> 00:11:38,890 +لا تمام و بشكل مبسط انه انا ممكن امسك اللي هو + +127 +00:11:38,890 --> 00:11:43,390 +العدسات و احطها في ال light rays او في مصدر ضوء و + +128 +00:11:43,390 --> 00:11:47,750 +من خلال اللي هو المصدر الضوء بقدر اللي هو اكتشف اي + +129 +00:11:47,750 --> 00:11:53,430 +ت scratch او اي ت مشاكل في داخل العدسة هنا عندنا + +130 +00:11:53,430 --> 00:11:57,830 +التجربة هى العدسة و عندنا هى ال examiner eye و ال + +131 +00:11:57,830 --> 00:12:02,740 +light source عم باستكشف اللي هو ايهوضع العدسة من + +132 +00:12:02,740 --> 00:12:06,880 +حيث اللي هو الـ optical equality Surface + +133 +00:12:06,880 --> 00:12:11,260 +inspection و ال body inspection يعني بيشوف اللي هو + +134 +00:12:11,260 --> 00:12:17,000 +تفاصيل العدسة أو تفحص لشكل أو لا اللي هو أسطح + +135 +00:12:17,000 --> 00:12:18,960 +العدسة بشكل كامل + +136 +00:12:21,490 --> 00:12:28,590 +Lens free from waviness برضه بيعمل تفحص للعدسة من + +137 +00:12:28,590 --> 00:12:33,150 +أي تتموجات بعض الأحيان انا باخد مثلا عدسة بتكون + +138 +00:12:33,150 --> 00:12:38,690 +جديدة لكن فيها تموجات هذه العدسة برضه لازم ارجعها + +139 +00:12:38,690 --> 00:12:43,590 +لمين؟ للشركة لأن لو اديتها للمريض تمام ممكن انه + +140 +00:12:43,590 --> 00:12:47,770 +ايش؟ تكون الرؤية غير واضحة له او ال quality of + +141 +00:12:47,770 --> 00:12:48,910 +vision is not good + +142 +00:12:54,380 --> 00:13:00,220 +طيب عندنا ال lens power قوة العدسة اما بتكون plus + +143 +00:13:00,220 --> 00:13:05,480 +او minus طبعا هذه اذا كانت سفير lens و ايضا plus + +144 +00:13:05,480 --> 00:13:10,160 +او minus اذا كانت العدسة cylinder lensفي عنا + +145 +00:13:10,160 --> 00:13:14,740 +ظاهرتين مهمات بين caution distortion و parial + +146 +00:13:14,740 --> 00:13:19,760 +distortion في حالة ما يكون عندى عدسة high plus + +147 +00:13:19,760 --> 00:13:24,080 +power كل ما انا اطلعت من الأطراف بيكون ال + +148 +00:13:24,080 --> 00:13:28,660 +magnification اعلى وبالتالي بيسبب عندى distortion + +149 +00:13:28,660 --> 00:13:34,660 +لل image بيكون وكأنه ال curve للخارجشايفين عندنا + +150 +00:13:34,660 --> 00:13:40,840 +curve outward في حالة مين ال high plus lens بينما + +151 +00:13:40,840 --> 00:13:45,380 +في ال high minus lens بصير عند باريال distortion + +152 +00:13:45,380 --> 00:13:49,880 +انه كل ما اطلعت من اطراف العدسة بصير اكتر ال + +153 +00:13:49,880 --> 00:13:56,040 +minification تمام فبكون عندك curve لكن وين inward + +154 +00:13:56,040 --> 00:14:01,510 +للداخلطبعا من خلال رؤية اية object او اية target + +155 +00:14:01,510 --> 00:14:06,230 +انا بمسك العدسة وبطلع يعني على اللي هو ال target + +156 +00:14:06,230 --> 00:14:12,270 +بلاحظ الظاهرتين هدولالسلمدر لينز شويه بتختلف انه + +157 +00:14:12,270 --> 00:14:16,370 +في عندنا two meridian ال meridian هو بيكون عليه + +158 +00:14:16,370 --> 00:14:21,510 +ايه ال maximum power يعني بمعنى اخر لو قلنا ال + +159 +00:14:21,510 --> 00:14:26,410 +meridian الاول plus 5 وال meridian التاني minus 2 + +160 +00:14:26,410 --> 00:14:30,350 +في عندنا اختلاف في القوة ما بين ايش المحورين okay + +161 +00:14:30,350 --> 00:14:35,630 +كل محور بدي اخده على حدهوبدى اشوف قيمة المحور + +162 +00:14:35,630 --> 00:14:39,170 +الاول او ال meridian الاول و ال meridian التانى + +163 +00:14:39,170 --> 00:14:43,930 +وبعد ذلك بطلع ال final power اللى خاصة بالعدسة + +164 +00:14:46,070 --> 00:14:50,990 +measurement of lens power قياسات او قياس قوة + +165 +00:14:50,990 --> 00:14:56,870 +العدسة في عندنا اما من خلال ال neutralization اللي + +166 +00:14:56,870 --> 00:15:02,410 +هي طريقة المعادلة او ال Geneva clock او عندنا ال + +167 +00:15:02,410 --> 00:15:06,990 +lens meter من حيث الدقة بدها يكون الترتيب بالعكس + +168 +00:15:06,990 --> 00:15:13,850 +تلاتة اتنين واحدعنا number one checking the lens + +169 +00:15:13,850 --> 00:15:18,110 +power of a spectacle بدي أعمل تأكيد على قوة العدسة + +170 +00:15:18,110 --> 00:15:23,430 +اللي خاصة في مين في النضارة determining the + +171 +00:15:23,430 --> 00:15:29,190 +specification of an unknown lenses بدي أحدد اللي + +172 +00:15:29,190 --> 00:15:34,450 +هو خاص العدسة اللي غير معروف إيش قوتها تمام من + +173 +00:15:34,450 --> 00:15:40,280 +خلال ال method التلاتة اللي تم ذكرهمطريقة الأولى + +174 +00:15:40,280 --> 00:15:45,400 +ال neutralization، الآن لو أسألنا السؤال، دايما + +175 +00:15:45,400 --> 00:15:50,340 +العدسة اللى بتكون معي أنا، هذه العدسة بتكون معروفة + +176 +00:15:50,340 --> 00:15:56,550 +قوتها ولا لا؟الان انا ماسك عدسة uncapped lens هل + +177 +00:15:56,550 --> 00:16:02,110 +هذه العدسة بتكون non-lens ولا unknown lens power؟ + +178 +00:16:02,110 --> 00:16:06,770 +بالضبط unknown lens power صح ولا لأ؟ يعني بمعنى + +179 +00:16:06,770 --> 00:16:11,480 +اخر انا بدي اتعرف على قوتهاكيف انا بتعرف على + +180 +00:16:11,480 --> 00:16:18,280 +قوتها؟ من خلال اللي هو بجيب قوة معاكسة لمين لصين + +181 +00:16:18,280 --> 00:16:22,960 +الخاص فيها لكن التنتين the same power ففي المحصلة + +182 +00:16:22,960 --> 00:16:28,980 +ايش بيكون الحركة؟ no movement تمام؟ lens with + +183 +00:16:28,980 --> 00:16:34,140 +unknown power combined with non lens power لاحصل + +184 +00:16:34,140 --> 00:16:39,720 +على اللي هو ال zero powerknown lens power in + +185 +00:16:39,720 --> 00:16:45,420 +neutralizing the unknown lens الان انا مثلا عندي + +186 +00:16:45,420 --> 00:16:51,480 +minus 2 متعرف على موجودة في ال trial set بينما ال + +187 +00:16:51,480 --> 00:16:56,180 +uncut lens غير معروفة جبت ال minus 2 وحطيتها على + +188 +00:16:56,180 --> 00:17:00,740 +العدسة وحركت لاحظت ان مافيش حركة اذا مجدش قوة + +189 +00:17:00,740 --> 00:17:06,400 +العدسة plus 2 اللي هي معاكس لمن لل non lens power + +190 +00:17:13,520 --> 00:17:19,200 +في حالة ما يكون عندى انا بداية with movement زى في + +191 +00:17:19,200 --> 00:17:24,660 +الـ minus lens ليش ال minus lens with movement؟ في + +192 +00:17:24,660 --> 00:17:31,320 +المادة السابقة ذكرنا ان العدسات هي عبارة عن مجموعة + +193 +00:17:31,320 --> 00:17:37,500 +من البريزمات صح ولا لأ؟دايما الـ minus lens ميزتها + +194 +00:17:37,500 --> 00:17:43,540 +ان هي تعتبر apex to apex صح؟ الان انا مجربة مايكون + +195 +00:17:43,540 --> 00:17:48,620 +عندى عدسة minus lens و احرك العدسة ال target او ال + +196 +00:17:48,620 --> 00:17:53,680 +object هيتحرك ايش معايا صح ولا لا؟ طيب ليش؟ لأنه + +197 +00:17:53,680 --> 00:18:00,590 +عندنا apex to apex فالموفمنت هيكون widthو دايما + +198 +00:18:00,590 --> 00:18:05,190 +عندنا ال light rays وين بيكون في حالة البرزمات؟ + +199 +00:18:05,190 --> 00:18:09,210 +وين بيصيرله refracted؟ ال base ال base بينما ال + +200 +00:18:09,210 --> 00:18:17,490 +image وين بتكون؟ towards the apex طبعا + +201 +00:18:17,490 --> 00:18:23,330 +دايما بيفضل لتحديد حركة العدسة انه ارسم optical + +202 +00:18:23,330 --> 00:18:29,490 +target او optical acrossحتى انه اقدر اعرف ان هذه + +203 +00:18:29,490 --> 00:18:34,790 +العدسة sphere ولا cylinder lens اذا كل خواص العدسة + +204 +00:18:34,790 --> 00:18:38,550 +متساوية في كل المحاور اذا هذه العدسة ايش تعتبر + +205 +00:18:38,550 --> 00:18:43,890 +sphere lens اذا والله حركنا up و down وجناها مختلف + +206 +00:18:43,890 --> 00:18:47,310 +عن ال right و ال left اذا هذه العدسة ايش تعتبر + +207 +00:18:47,310 --> 00:18:53,820 +cylinder lens تمام؟against movement اللي هي زي في + +208 +00:18:53,820 --> 00:18:58,460 +ال plus lens ليش؟ لأن العدسة بتكون base to base + +209 +00:18:58,460 --> 00:19:03,200 +والصورة دايما باتجاه من ال apex فبالتالي انا بحرك + +210 +00:19:03,200 --> 00:19:08,580 +right الصورة بتصبح left حركت up الصورة بتصبح down + +211 +00:19:08,580 --> 00:19:17,720 +okay + +212 +00:19:18,870 --> 00:19:24,390 +neutralizing unknown spherical power lenses كيفية + +213 +00:19:24,390 --> 00:19:30,370 +تحديد قوة العدسة الغير معروفة يما يكون عندى عدسة + +214 +00:19:30,370 --> 00:19:31,990 +sphere lens + +215 +00:19:36,930 --> 00:19:41,210 +Number one a cross target رسمنا ال cross target و + +216 +00:19:41,210 --> 00:19:45,530 +بدى يكون فى داخل ال cross target اللى هو ال circle + +217 +00:19:45,530 --> 00:19:51,130 +لتحديد انه هل العدسة كل صلوكها متساوي فى كل + +218 +00:19:51,130 --> 00:19:55,930 +المحاور ولا لا Mark the optical center بدى احدد + +219 +00:19:55,930 --> 00:20:00,110 +مركز اللى هو العدسة من خلال اللى هو تعليمه بقلم + +220 +00:20:00,110 --> 00:20:04,170 +اللى هو ال markerdetermine the image movement بدي + +221 +00:20:04,170 --> 00:20:09,190 +احدد انه حركة العدسة هل هي with ولا against طيب + +222 +00:20:09,190 --> 00:20:13,530 +اذا كانت with اذا بدي اعادل في ايش في against و + +223 +00:20:13,530 --> 00:20:16,330 +اذا كانت against movement بدي اعادل ب with + +224 +00:20:16,330 --> 00:20:20,870 +movement using lenses + +225 +00:20:20,870 --> 00:20:25,270 +of opposite powers to neutralize until get no + +226 +00:20:25,270 --> 00:20:31,200 +movementThe lenses must be held in contact أنه بدي + +227 +00:20:31,200 --> 00:20:35,460 +أحط التنتين متلاسقات العدسة الأولى اللى هى الـ + +228 +00:20:35,460 --> 00:20:39,600 +unknown lens و العدسة التانية الـ non-lens power + +229 +00:20:39,600 --> 00:20:43,400 +اللى معروف قوتها متلاسقات مش هحط واحدة بعيدة عن + +230 +00:20:43,400 --> 00:20:50,510 +التانية عشان أصلها no movementان high power دايما + +231 +00:20:50,510 --> 00:20:54,490 +win الصعوبة او التحدي الكبير انه انا في ال high + +232 +00:20:54,490 --> 00:20:58,730 +power بيصير الحركة ايش ما لها سريعة سواء against + +233 +00:20:58,730 --> 00:21:02,790 +او سواء كانت with عشان هيك انا ايش بده استخدم؟ + +234 +00:21:02,790 --> 00:21:07,490 +aperture الهدف منه انه يعمل restrict اي بمعنى + +235 +00:21:07,490 --> 00:21:13,050 +تحديد او limitation لمين لل view الرؤيةبعد ذلك + +236 +00:21:13,050 --> 00:21:17,690 +النقطة الأساسية أنه بدي أعمل practicing technique + +237 +00:21:17,690 --> 00:21:23,650 +عملية حصر يعني الآن مثلا انا عندي minus خمسة بدي + +238 +00:21:23,650 --> 00:21:29,910 +أحصرها بين اللي هو two powerplus مثلا ستة و plus + +239 +00:21:29,910 --> 00:21:36,610 +أربعة لأصل اللي هو إيش للقوة ال fit أو ال proper + +240 +00:21:36,610 --> 00:21:43,070 +fit أو بمعنى آخر القوة الصحيحة بالنسبة لمين للعدسة + +241 +00:21:43,070 --> 00:21:44,050 +الغير معروفة + +242 +00:21:51,100 --> 00:21:57,540 +طبعا احنا قلنا الاصطح سابقا انه بتتكون يعني عندنا + +243 +00:21:57,540 --> 00:22:04,320 +تلت اللي هو اصطح اما sphere surface او cylinder + +244 +00:22:04,320 --> 00:22:09,980 +surface او toroidal surface بينما ال sphere و ال + +245 +00:22:09,980 --> 00:22:14,900 +cylinder ايش يعتبر؟بالضبط تعتبر اللي هو optical + +246 +00:22:14,900 --> 00:22:19,740 +appropriability يعني بمعنى آخر أنه انا ممكن احصل + +247 +00:22:19,740 --> 00:22:27,560 +عليها من combination ما بين الاسفير والسلندر lens + +248 +00:22:27,560 --> 00:22:32,840 +بحصل على مين اللي هو الاسفير والسلندر lens in + +249 +00:22:32,840 --> 00:22:36,660 +neutralizing unknown cylindrical or sphero + +250 +00:22:36,660 --> 00:22:41,940 +cylindrical power lensesNumber one identify the + +251 +00:22:41,940 --> 00:22:47,660 +lens by the rotation test اذا بدنا نحدد او نتعرف + +252 +00:22:47,660 --> 00:22:54,580 +على العدسة من خلال عملية ايش؟ الدوران طبعا كل + +253 +00:22:54,580 --> 00:22:58,720 +meridian على حدةالـ Horizontal و ال Vertical طبعا + +254 +00:22:58,720 --> 00:23:05,120 +هو ليس شرطا ان يكون 90 و 180 ممكن يكون ال axis + +255 +00:23:05,120 --> 00:23:10,660 +مثلا 30 ممكن يكون 130 فانا بدي اعمل اللي هو ممكن + +256 +00:23:10,660 --> 00:23:15,560 +ان يكون Oblige ك movement ايضا بدي نعمل mark the + +257 +00:23:15,560 --> 00:23:19,160 +optical center بدي نحدد اللي هو جداش ال image + +258 +00:23:19,160 --> 00:23:23,300 +rotation لكن هنا كل meridian على حدة يعني ممكن + +259 +00:23:23,300 --> 00:23:27,120 +يكون واحد with التاني againstممكن التنين against + +260 +00:23:27,120 --> 00:23:28,120 +التنين will + +261 +00:23:31,000 --> 00:23:35,560 +Using lenses of opposite powers to neutralize + +262 +00:23:35,560 --> 00:23:39,880 +check meridian biospherical lenses بعد ذلك بدنا + +263 +00:23:39,880 --> 00:23:44,160 +نجمع يعني الآن انا مثلا عدلت المحور اللي هو + +264 +00:23:44,160 --> 00:23:50,480 +العمودي نفترض plus 4 الأفقي مثلا plus 2 اذا ايش + +265 +00:23:50,480 --> 00:23:58,060 +بيصير عندنا plus 4 على minus 2 x is mean 90 تمام؟ + +266 +00:23:59,160 --> 00:24:05,520 +للوصول للمعادلة او ال power النهائي Or use + +267 +00:24:05,520 --> 00:24:09,880 +spherical lens to neutralize one meridian, leave + +268 +00:24:09,880 --> 00:24:14,320 +it in place and use cylindrical lens to neutralize + +269 +00:24:14,320 --> 00:24:18,600 +the other meridian بعد ما انا عدلت المحور الاول + +270 +00:24:18,600 --> 00:24:23,720 +بروح اللي هو بعادل من المحور التاني طب السؤال لو + +271 +00:24:23,720 --> 00:24:29,880 +انا مثلا عندىالمحور التسعين كان نفترض هو الأعلى + +272 +00:24:29,880 --> 00:24:37,560 +قوة والمحور الأفقي الـ180 الأقل قوة أو الأقل حركة + +273 +00:24:37,560 --> 00:24:42,320 +خلنا نقول وين ببدأ؟ ببدأ هل في ال vertical ولا + +274 +00:24:42,320 --> 00:24:46,560 +ببدأ في ال horizontal؟ ايش رأيكم؟ + +275 +00:24:49,250 --> 00:24:54,950 +استعبين السؤال؟ لان عنا في أنه أبدأ الأكتر حركة + +276 +00:24:54,950 --> 00:25:02,130 +ولا الأقل حركة؟ دايما في الأعلى power ليش؟ لأنه + +277 +00:25:02,130 --> 00:25:06,610 +قلنا التحدي الأصعب أن أصل لل high power بينما ال + +278 +00:25:06,610 --> 00:25:13,170 +low power هو ايش؟ من السهل أن أصله determine the + +279 +00:25:13,170 --> 00:25:17,810 +axis by the protectorممكن في بعض الأحيان انا + +280 +00:25:17,810 --> 00:25:23,190 +بستخدم المنقلة لتحديد من ال access اللي ممكن يعمل + +281 +00:25:23,190 --> 00:25:29,590 +لي ايه او يساعدني في عملية ال neutralization طيب + +282 +00:25:29,590 --> 00:25:36,970 +الطريقة التانية لعملية قياس قوة العدسة هو عبارة عن + +283 +00:25:36,970 --> 00:25:38,930 +مين Geneva Clock + +284 +00:25:42,040 --> 00:25:45,980 +في عندنا قانون اخدناها سابقا في مادة الـ + +285 +00:25:45,980 --> 00:25:50,200 +ophthalmic lenses ان ال F ال power of a lens + +286 +00:25:50,200 --> 00:25:50,960 +بالساوي + +287 +00:25:54,100 --> 00:25:59,340 +معامل الانكسار ناقص واحد طبعا معامل الانكسار لمن؟ + +288 +00:25:59,340 --> 00:26:04,540 +للمaterial ناقص اللي هو واحد معامل الانكسار من؟ + +289 +00:26:04,540 --> 00:26:09,840 +الهواء على ال radius of curvature في شغلة مهمة + +290 +00:26:09,840 --> 00:26:17,480 +كتير انه ممكن كمان ال F ايش بالساوية؟ N ناقص N + +291 +00:26:17,480 --> 00:26:25,410 +شرطة على Rهذه وقتيش بستخدمها يما انا بدي احسب قيمة + +292 +00:26:25,410 --> 00:26:31,930 +ال R مافيش R في ال minus وعندكم يمكن اللي هو فيه + +293 +00:26:31,930 --> 00:26:35,830 +بعض اللي هو ال defect موجود انه حاسب قيمة ال R بال + +294 +00:26:35,830 --> 00:26:40,390 +minus الصح انه قيمة ال R تكون في ال plus اللي هي + +295 +00:26:40,390 --> 00:26:50,200 +ال radius of curvature تمام؟ By knowing RAnd ان + +296 +00:26:50,200 --> 00:26:54,620 +شرطة اللى هى refractive index ده ال material ممكن + +297 +00:26:54,620 --> 00:26:59,600 +من خلالها + +298 +00:26:59,600 --> 00:27:04,120 +احدد قوة العدسة ايش في اللى هو الهواء اللى بيساوي + +299 +00:27:04,120 --> 00:27:04,620 +واحد + +300 +00:27:09,330 --> 00:27:13,630 +سابقا اخدنا equation ال R ال radius of curvature S + +301 +00:27:13,630 --> 00:27:17,970 +ايش بالساوي ال Y تربيع اللي هي عبارة عن ايه ال + +302 +00:27:17,970 --> 00:27:25,510 +diameter صح ال diameter of a lens على اتنين S ال S + +303 +00:27:25,510 --> 00:27:31,070 +هي بتمثل ايش ال digital depth okay الان كل ما زادت + +304 +00:27:31,070 --> 00:27:37,880 +ال R بزيد ال Yوكل مزالة ال a بتقل من ال s اللي هي + +305 +00:27:37,880 --> 00:27:43,140 +ال digital depth الخاصة بالعدسة إذا عندنا العلاقة + +306 +00:27:43,140 --> 00:27:48,160 +ما بين ال r اللي هي ال radius of curvature و ال + +307 +00:27:48,160 --> 00:27:53,040 +diameter هي تعتبر علاقة directly appropriation + +308 +00:27:53,040 --> 00:27:58,260 +بينما العلاقة ما بين ال r و ال digital depth هي + +309 +00:27:58,260 --> 00:28:01,120 +علاقة inversely appropriation + +310 +00:28:13,940 --> 00:28:23,780 +و من خلالها + +311 +00:28:23,780 --> 00:28:27,920 +انا بقدر احسب قيمة مين ال power of ellens + +312 +00:28:34,230 --> 00:28:43,370 +طبعا فى عندنا الرسمة بتوضح بداية + +313 +00:28:43,370 --> 00:28:48,810 +هى الجهاز ال Geneva clock تمام وهى عندنا ال + +314 +00:28:48,810 --> 00:28:53,290 +surface of a lens وفى عندنا حاجة اسمها ال Sagittal + +315 +00:28:53,290 --> 00:28:59,530 +height ايش المقصود بال Sagittal height؟اللي هي + +316 +00:28:59,530 --> 00:29:07,790 +مقدار ارتفاع الجهاز عن سطح العدسة تمام عشان احصل + +317 +00:29:07,790 --> 00:29:10,850 +على مين ال radius of curvature + +318 +00:29:14,240 --> 00:29:19,560 +legs will give fixed diameter or fixed y تربية + +319 +00:29:19,560 --> 00:29:25,120 +الان انا بثبت الجهاز على مين؟ على سطح العدسة و + +320 +00:29:25,120 --> 00:29:30,440 +بضغط يعني بعمل عملية fix لأ اللي هو الجهاز على سطح + +321 +00:29:30,440 --> 00:29:35,460 +العدسةو من خلاله بقدر احسب mean ال radius of + +322 +00:29:35,460 --> 00:29:40,160 +curvature اللي هي ال R طبعا مدام انا حسبت قيمة ال + +323 +00:29:40,160 --> 00:29:44,440 +R مباشرة من خلالها بجيب mean ال Y اللي هي او ال D + +324 +00:29:44,440 --> 00:29:49,600 +ال diameter تمام و بعد ذلك بقدر احسب ال power of + +325 +00:29:49,600 --> 00:29:55,980 +ellens بس لازم اكون عارف ايش ال refractive index + +326 +00:29:55,980 --> 00:29:59,880 +الخاصة في ال material بتاعة مين العدسة okay + +327 +00:30:05,220 --> 00:30:09,240 +movable أي بمعنى leg، movable leg انه بدي اعمل + +328 +00:30:09,240 --> 00:30:17,160 +تحريك لالهو ال leg هذا will determine the thigh by + +329 +00:30:17,160 --> 00:30:22,280 +the difference in height between it الان لما انا + +330 +00:30:22,280 --> 00:30:27,420 +بدي اعمل تثبيت له و من ثم احركه لل leg حيصير فيه + +331 +00:30:27,420 --> 00:30:31,580 +اختلاف صح ولا لأ؟ بدي احد اتجدش قيمة الاختلاف هذا + +332 +00:30:32,400 --> 00:30:36,660 +يعني جداش قيمة اللى هو الـ Sagittal Depth بداية + +333 +00:30:36,660 --> 00:30:42,020 +انا عملت هى الجهاز ثبته على العدسة صح فى هن عندنا + +334 +00:30:42,020 --> 00:30:46,920 +ايش اللى هى ال Sagittal Height الان انا عملت ضغط + +335 +00:30:46,920 --> 00:30:52,200 +لمين من قبل اللى هو ال leg للعدسة بدي احسب ايضا + +336 +00:30:52,200 --> 00:30:56,260 +جداش قيمة ال radius of curvature الاختلاف بينهم + +337 +00:30:56,260 --> 00:30:56,940 +تمام + +338 +00:31:00,640 --> 00:31:04,620 +هي مثلا عندنا ال N بالساوية واحد خمسة تلاتة اذا + +339 +00:31:04,620 --> 00:31:09,660 +هذا ال refractive index لمن؟ لل crown glass تمام + +340 +00:31:09,660 --> 00:31:16,820 +عندنا ال F ايش بالساوية؟ N شرطة ناقص واحد على R + +341 +00:31:16,820 --> 00:31:23,140 +طلعت 0.53 على R تمام + +342 +00:31:25,120 --> 00:31:33,280 +Geneva Clock is a mechanical dial يعني إيش هو مؤشر + +343 +00:31:33,280 --> 00:31:37,940 +صح ولا لأ؟ المؤشر هذا إيش يعتبر؟ Indicator أي + +344 +00:31:37,940 --> 00:31:42,600 +بمعنى بيشير that is used to measure diopteric + +345 +00:31:42,600 --> 00:31:47,180 +power of elements من خلال المؤشر أنا بعرف أخد قد + +346 +00:31:47,180 --> 00:31:53,200 +إيش قوة العدسةAssuming the lens is made of a + +347 +00:31:53,200 --> 00:31:58,840 +material with particular refractive index الان ان + +348 +00:31:58,840 --> 00:32:02,660 +انت لو أي اتعة عدسة uncut lens امسكتيها هتلاقي + +349 +00:32:02,660 --> 00:32:07,800 +مكتوب على الورقة تاعتها معامل الانكسار الخاص فيها + +350 +00:32:07,800 --> 00:32:12,200 +يعني اذا كان الCR تسعة وتلاتين بيكتبلك واحد اربعة + +351 +00:32:12,200 --> 00:32:16,460 +تسعة تمانيةإذا والله crowny glass بيكتب لجديش + +352 +00:32:16,460 --> 00:32:20,280 +معامل الانكسار ال high index يعني هو دايما بيفترض + +353 +00:32:20,280 --> 00:32:24,940 +انه قضية معامل الانكسار معروفة بالنسبة لمين لل + +354 +00:32:24,940 --> 00:32:32,100 +examiner او لل dispenser okay the + +355 +00:32:32,100 --> 00:32:37,300 +clock will measure the power of each surface يعني + +356 +00:32:37,300 --> 00:32:43,540 +هذا ال clock هيقيس أي تقوى لأي سطح كان على العدسة + +357 +00:32:54,060 --> 00:33:01,220 +إذا القوة اللي داني إياها by rotating the clock + +358 +00:33:01,220 --> 00:33:05,000 +remains unchanged يعني الآن أنا مثلا حطيت سطح + +359 +00:33:05,000 --> 00:33:10,660 +العدسة وحطيت الجهاز عليه ومالاحطش أن المؤشر اتحرك + +360 +00:33:10,660 --> 00:33:16,560 +معنى الكلام أن ال powerequal in all the meridian + +361 +00:33:16,560 --> 00:33:25,120 +يعني هنا العدسة اي شمالها تعتبر sphere lens if the + +362 +00:33:25,120 --> 00:33:29,940 +power given by rotating the clock shows change the + +363 +00:33:29,940 --> 00:33:35,380 +surface is either cylindrical or toroidal الان انا + +364 +00:33:35,380 --> 00:33:40,000 +نفس الفكرة حطيت الجهاز او ال leg بتاعه على سطح + +365 +00:33:40,000 --> 00:33:46,380 +العدسة ولاحظت ان في هناك اختلافأو في هناك اللي هو + +366 +00:33:46,380 --> 00:33:53,040 +حركة لمن يعني للمؤشر الخاص في الجهاز بالتالي هرب + +367 +00:33:53,040 --> 00:33:57,160 +يدين انطباع ان العدسة هي تعتبر ايه سيلندر أو + +368 +00:33:57,160 --> 00:34:02,420 +Troidal Surface We should determine the maximum + +369 +00:34:02,420 --> 00:34:06,160 +and minimum powers طب ليش احنا هم نحسب ال maximum + +370 +00:34:06,160 --> 00:34:12,790 +و ال minimum power الخاص بسطح العدسة؟100% لحساب + +371 +00:34:12,790 --> 00:34:16,570 +قيمة الـ total power أو ال overall power الخاصة في + +372 +00:34:16,570 --> 00:34:20,370 +مين في ال cylinder lens يعني باخد السطح الأول + +373 +00:34:20,370 --> 00:34:24,590 +السطح التاني مثلا هذا عندنا maximum power و + +374 +00:34:24,590 --> 00:34:29,090 +minimum power أطرحهم من بعض عشان أحصل على مين ال + +375 +00:34:29,090 --> 00:34:32,490 +over power للعدسة + +376 +00:34:34,140 --> 00:34:39,760 +Finally the powers of each surface can be added to + +377 +00:34:39,760 --> 00:34:44,140 +give the approximate optical power of the whole + +378 +00:34:44,140 --> 00:34:48,120 +lens هاي + +379 +00:34:48,120 --> 00:34:50,760 +مثلا عندنا مثال على الكلام هذا + +380 +00:35:00,360 --> 00:35:07,120 +عنا example a front surface power measured by lens + +381 +00:35:07,120 --> 00:35:12,940 +a clock gives a plus three diopter sphere إذا + +382 +00:35:12,940 --> 00:35:18,060 +السطح الأول إيش كان؟ plus تلاتة بدها مجلي plus + +383 +00:35:18,060 --> 00:35:23,600 +three diopter sphere إذا على طول إيش مالها؟ إنه + +384 +00:35:23,600 --> 00:35:30,650 +all the surface has the same powerيعني على كل + +385 +00:35:30,650 --> 00:35:37,130 +المحاور القوة هتكون plus ثلاثة back surface power + +386 +00:35:37,130 --> 00:35:43,830 +shows maximum power minus five جماعة كلمة هذه + +387 +00:35:43,830 --> 00:35:52,830 +معناها at بمعنى اللي هو along اللي + +388 +00:35:52,830 --> 00:35:59,050 +فيها هي تعتبر ال maximum power + +389 +00:36:00,990 --> 00:36:06,250 +وهي تعتبر معاكس لمن؟ لل axis دايما ال axis مثلا + +390 +00:36:06,250 --> 00:36:12,770 +انا عندى minus خمسة axis مية و تمانين مية في المية + +391 +00:36:12,770 --> 00:36:17,290 +هي تعتبر ايش؟ المية و تمانين zero power يعني فيها + +392 +00:36:17,290 --> 00:36:21,610 +ال minimum power تمام؟ اذا ال minus خمسة التسعين + +393 +00:36:21,610 --> 00:36:25,890 +هيملاحظين يعني هذه اعلى قوة هذه ال maximum power + +394 +00:36:26,830 --> 00:36:30,550 +and minimum power minus two at one hundred and + +395 +00:36:30,550 --> 00:36:35,850 +eighty إذا السطح الأول إيش يعتبر؟ السفير surface + +396 +00:36:35,850 --> 00:36:41,070 +السطح التاني إيش يعتبر؟ لأ toroidal surface أو ترك + +397 +00:36:41,070 --> 00:36:45,590 +اللي هو surface المجموع بتاعه هنطلع عندى minus + +398 +00:36:45,590 --> 00:36:49,710 +اتنين plus واحد من السطحين هدول اللي هو السفيره + +399 +00:36:49,710 --> 00:36:53,130 +cylinder surface تمام؟ + +400 +00:36:55,940 --> 00:37:01,380 +إذا ببساطة جدا عندنا لو مسكنا العدسة الـ uncut + +401 +00:37:01,380 --> 00:37:06,820 +lens تمام فيها سطحين front surface و back surface + +402 +00:37:06,820 --> 00:37:11,760 +الآن أنا بجيب ال Geneva clock ال leg بتاعه بعمله + +403 +00:37:11,760 --> 00:37:16,380 +اللي هو fix على مين السطح الأمامي للعدسةإذا ما + +404 +00:37:16,380 --> 00:37:22,460 +صارتش أي حركة للمؤشر معنى الكلام انه العدسة sphere + +405 +00:37:22,460 --> 00:37:27,840 +lens يعني has the same power in all meridians نفس + +406 +00:37:27,840 --> 00:37:31,620 +الفكرة بعملها على مين ال back surface إذا صار + +407 +00:37:31,620 --> 00:37:36,950 +والله تحريك للمؤشر إذا العدسة هي تعتبربتكون + +408 +00:37:36,950 --> 00:37:41,250 +cylinder lens او tridal surface لكن غالبا اللي هو + +409 +00:37:41,250 --> 00:37:44,990 +ايش هيكون يعني العدسات اللي هي ال meniscus lens + +410 +00:37:44,990 --> 00:37:50,290 +هيكون cylinder اللي هو surface okay الان بعمل + +411 +00:37:50,290 --> 00:37:54,210 +combination ما بين ال two surfaces الاول سفير + +412 +00:37:54,210 --> 00:37:57,690 +والتاني اللي هو turquoise surface او cylinder + +413 +00:37:57,690 --> 00:38:02,010 +surface للحصول على ال final power الخاص بالعدسة + +414 +00:38:02,010 --> 00:38:03,710 +اكتبوا مثال عندكم + +415 +00:38:11,050 --> 00:38:18,850 +front surface power measured + +416 +00:38:18,850 --> 00:38:23,490 +by lens + +417 +00:38:23,490 --> 00:38:30,870 +clock gives + +418 +00:38:30,870 --> 00:38:39,410 +maximum + +419 +00:38:39,410 --> 00:38:40,090 +power + +420 +00:38:48,600 --> 00:38:52,900 +plus two at + +421 +00:38:52,900 --> 00:39:01,280 +forty maximum + +422 +00:39:01,280 --> 00:39:11,080 +power تمام؟ and minimum power minus + +423 +00:39:11,080 --> 00:39:15,100 +one at + +424 +00:39:18,850 --> 00:39:29,670 +one hundred thirty back + +425 +00:39:29,670 --> 00:39:37,350 +surface power shows + +426 +00:39:37,350 --> 00:39:43,190 +or + +427 +00:39:43,190 --> 00:39:43,590 +gives + +428 +00:39:50,070 --> 00:39:58,270 +-2 ديوبتر أسفير لكل + +429 +00:39:58,270 --> 00:40:05,450 +مصادر ماهي + +430 +00:40:05,450 --> 00:40:08,910 +قوة + +431 +00:40:08,910 --> 00:40:10,990 +الانز + +432 +00:40:18,240 --> 00:40:24,160 +الفكرة بدنا نرسم بداية ال front surface تمام؟ ال + +433 +00:40:24,160 --> 00:40:29,120 +front surface هل هو كان عندنا cylinder ولا + +434 +00:40:29,120 --> 00:40:34,820 +spherical ولا toric surface؟ 100% بدي اشوف كل + +435 +00:40:34,820 --> 00:40:38,600 +power ال maximum power at what؟الـ minimum power + +436 +00:40:38,600 --> 00:40:44,740 +at what؟ زائد الـ spherical اللي هو الـ surface، + +437 +00:40:44,740 --> 00:40:48,500 +السطح التاني أو ال back surface و أعمل combination + +438 +00:40:48,500 --> 00:40:49,300 +للتانين + +439 +00:40:53,070 --> 00:40:57,030 +طبعا في النهاية بدي اكتب المعادلة الخاصة في مين؟ + +440 +00:40:57,030 --> 00:41:00,210 +في الـ Sphero Cylinder يعني هاني plus one على + +441 +00:41:00,210 --> 00:41:05,230 +minus ثلاثة at مية و تمانين زي ما بنكتب اللي هو + +442 +00:41:05,230 --> 00:41:11,990 +وصفة الـ Sphero Cylinder Lens هي عندنا plus one + +443 +00:41:11,990 --> 00:41:16,070 +الأكتر اللي هو power بعدين بدي اطرح التان من الأول + +444 +00:41:16,070 --> 00:41:19,770 +minus three و ا access ال maximum power اللي هو + +445 +00:41:19,770 --> 00:41:21,370 +عبارة عن ال plus one + +446 +00:41:26,750 --> 00:41:32,290 +أما بالنسبة ل correcting for refractive index طيب + +447 +00:41:32,290 --> 00:41:37,910 +الان انا عندى معلوم جداش معامل الانكسار ل العدسة + +448 +00:41:37,910 --> 00:41:46,890 +okay نكمل if a lens with a refractive index of 1.7 + +449 +00:41:46,890 --> 00:41:53,330 +ال 1.7 ايش تعتبر high index material صح؟ + +450 +00:41:55,840 --> 00:42:04,020 +المثال مجرد مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد + +451 +00:42:04,020 --> 00:42:07,520 +اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد + +452 +00:42:07,520 --> 00:42:11,480 +مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة + +453 +00:42:11,480 --> 00:42:13,060 +اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد + +454 +00:42:13,060 --> 00:42:13,080 +مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة + +455 +00:42:13,080 --> 00:42:23,840 +اكلوك مجرد + +456 +00:42:23,840 --> 00:42:31,050 +مع نسخة االـ Lens made of material of refractive + +457 +00:42:31,050 --> 00:42:36,790 +index 1.7 surface power is measured by a clock + +458 +00:42:36,790 --> 00:42:42,690 +lens calibrated with N' 1523 + +459 +00:42:50,350 --> 00:42:56,250 +اذا هان يعتبر السطح اسفير ولا سيلندر ولا ترويدل + +460 +00:42:56,250 --> 00:43:02,510 +اسفير يعني ماينوس تلاتة انه على كل المحاور هذه + +461 +00:43:02,510 --> 00:43:05,670 +وقتاشة ما كان عندنا معامل الانكسار a crown glass + +462 +00:43:05,670 --> 00:43:11,910 +okay؟ بدنا جداش قوة العدسة للسطح يما غيرنا معامل + +463 +00:43:11,910 --> 00:43:16,210 +الانكسار بدل واحد خمسة اتنين تلاتة خلناها جداش + +464 +00:43:16,210 --> 00:43:24,360 +واحد وسبعةFirst we calculate R which gives minus + +465 +00:43:24,360 --> 00:43:29,520 +three عندنا ال R إيش بالساوي؟ شايفين واحد ناقص أن + +466 +00:43:29,520 --> 00:43:34,940 +شرطة على F عشان أطلع قيمة ال R إيش موجبة صلحوها + +467 +00:43:34,940 --> 00:43:40,460 +عندكمثم القوة التي قمت باستخدام عملية الانكسار + +468 +00:43:40,460 --> 00:43:42,660 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +469 +00:43:42,660 --> 00:43:45,820 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +470 +00:43:45,820 --> 00:43:45,980 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +471 +00:43:45,980 --> 00:43:50,400 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +472 +00:43:50,400 --> 00:43:52,200 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +473 +00:43:52,200 --> 00:43:55,420 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +474 +00:43:55,420 --> 00:44:00,760 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +475 +00:44:00,760 --> 00:44:05,640 +باستخدأذا انا الان كل ما قللت من ثماكة اللى هي + +476 +00:44:05,640 --> 00:44:11,380 +العدسة تمام وزودت كثافة العدسة انا زودت في مين؟ في + +477 +00:44:11,380 --> 00:44:15,160 +ال power للعدسة يعني لما كانت في معامل انكسار واحد + +478 +00:44:15,160 --> 00:44:18,800 +خمس اتنين تلاتة كانت minus تلاتة لما صارت واحد + +479 +00:44:18,800 --> 00:44:22,300 +وسبعة اللى هي ال high index material صارت minus + +480 +00:44:22,300 --> 00:44:27,060 +اربعة وهذا منطق ان كل ما انا زدت الكثافة للعدسة كل + +481 +00:44:27,060 --> 00:44:31,440 +ما انا قللت الثماكة بتزيد اللى هو مين قوة العدسة + +482 +00:44:31,550 --> 00:44:35,650 +Okay طيب + +483 +00:44:35,650 --> 00:44:40,530 +ان شاء الله بنقف للنقطة هذه في المحاضرة القادمة + +484 +00:44:40,530 --> 00:44:45,270 +بنكمل موضوع الـ Measurement of Lens Power في اللي + +485 +00:44:45,270 --> 00:44:48,570 +هو جهاز الـ Lens Meter يعطيكم العافية + diff --git 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إيش؟", "tokens": [4587, 1211, 8315, 11933, 15730, 25961, 43242, 7578, 6225, 3215, 3794, 3660, 1804, 6765, 46811, 10943, 12399, 28242, 19446, 41850, 20328, 17082, 43500, 13672, 7578, 31439, 2423, 14196, 33962, 33546, 8978, 11296, 46811, 10943, 12399, 28242, 19446, 41850, 11331, 36520, 2655, 15844, 11933, 1829, 8592, 22807], "avg_logprob": -0.18118350937011393, "compression_ratio": 1.3722627737226278, "no_speech_prob": 0.0, "words": [{"start": 519.31, "end": 519.81, "word": "قلنا", "probability": 0.8556315104166666}, {"start": 519.81, "end": 520.17, "word": " إذا", "probability": 0.829345703125}, {"start": 520.17, "end": 520.45, "word": " كان", "probability": 0.9921875}, {"start": 520.45, "end": 521.29, "word": " عندى", "probability": 0.886474609375}, {"start": 521.29, "end": 522.45, "word": " عدسة", "probability": 0.969482421875}, {"start": 522.45, "end": 523.25, "word": " plus", "probability": 0.44580078125}, {"start": 523.25, "end": 524.25, "word": " lens", "probability": 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أسألنا السؤال، دايما العدسة اللى بتكون معي أنا، هذه العدسة بتكون معروفة قوتها ولا لا؟", "tokens": [9566, 16572, 28671, 16247, 12610, 7578, 2423, 10598, 2144, 12399, 6024, 48506, 45164, 5551, 3794, 10721, 1211, 8315, 21136, 33604, 6027, 12399, 11778, 47302, 15042, 18863, 3215, 3794, 3660, 13672, 7578, 39894, 30544, 20449, 1829, 41850, 12399, 29538, 18863, 3215, 3794, 3660, 39894, 30544, 20449, 32887, 5172, 3660, 12174, 35473, 11296, 49429, 20193, 22807], "avg_logprob": -0.16406250325116245, "compression_ratio": 1.5, "no_speech_prob": 0.0, "words": [{"start": 939.16, "end": 939.62, "word": "طريقة", "probability": 0.9083658854166666}, {"start": 939.62, "end": 940.28, "word": " الأولى", "probability": 0.9345703125}, {"start": 940.28, "end": 940.48, "word": " ال", "probability": 0.603515625}, {"start": 940.48, "end": 942.44, "word": " neutralization،", "probability": 0.5960286458333334}, {"start": 942.44, "end": 942.9, "word": " الآن", "probability": 0.7080078125}, {"start": 942.9, "end": 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في المادة السابقة ذكرنا ان العدسات هي عبارة عن مجموعة من البريزمات صح ولا لأ؟", "tokens": [41185, 11331, 6027, 3660, 19446, 7251, 30544, 43242, 7578, 1975, 8315, 4724, 28259, 10632, 365, 3963, 30767, 7578, 8978, 2423, 39184, 3175, 6765, 32239, 8592, 2423, 3175, 6765, 365, 3963, 22807, 8978, 9673, 18513, 3660, 21136, 16758, 28671, 29910, 37983, 8315, 16472, 18863, 3215, 3794, 9307, 39896, 6225, 3555, 9640, 3660, 18871, 3714, 7435, 2304, 2407, 27884, 9154, 29739, 16572, 11622, 2304, 9307, 20328, 5016, 49429, 5296, 10721, 22807], "avg_logprob": -0.16506695981536593, "compression_ratio": 1.5771428571428572, "no_speech_prob": 0.0, "words": [{"start": 1033.52, "end": 1033.72, "word": "في", "probability": 0.8232421875}, {"start": 1033.72, "end": 1034.18, "word": " حالة", "probability": 0.9479166666666666}, {"start": 1034.18, "end": 1034.28, "word": " ما", "probability": 0.97607421875}, {"start": 1034.28, "end": 1034.58, "word": " يكون", "probability": 0.967041015625}, {"start": 1034.58, 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"tokens": [2304, 43020, 16712, 1863, 9957, 1970, 16712, 1863, 9957, 486], "avg_logprob": -0.33647017045454547, "compression_ratio": 1.0930232558139534, "no_speech_prob": 0.0, "words": [{"start": 1405.84, "end": 1406.22, "word": "ممكن", "probability": 0.77587890625}, {"start": 1406.22, "end": 1406.64, "word": " التنين", "probability": 0.7308756510416666}, {"start": 1406.64, "end": 1407.12, "word": " against", "probability": 0.81982421875}, {"start": 1407.12, "end": 1407.84, "word": " التنين", "probability": 0.758544921875}, {"start": 1407.84, "end": 1408.12, "word": " will", "probability": 0.87255859375}], "temperature": 1.0}, {"id": 63, "seek": 143806, "start": 1411.0, "end": 1438.06, "text": "Using lenses of opposite powers to neutralize check meridian biospherical lenses بعد ذلك بدنا نجمع يعني الآن انا مثلا عدلت المحور اللي هو العمودي نفترض plus 4 الأفقي مثلا plus 2 اذا ايش بيصير عندنا plus 4 على minus 2 x is mean 90 تمام؟", "tokens": [29211, 278, 18059, 295, 6182, 8674, 281, 10598, 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"word": " use", "probability": 0.82275390625}, {"start": 1445.52, "end": 1446.24, "word": " spherical", "probability": 0.546875}, {"start": 1446.24, "end": 1446.82, "word": " lens", "probability": 0.96044921875}, {"start": 1446.82, "end": 1447.2, "word": " to", "probability": 0.97509765625}, {"start": 1447.2, "end": 1448.1, "word": " neutralize", "probability": 0.908203125}, {"start": 1448.1, "end": 1448.56, "word": " one", "probability": 0.94140625}, {"start": 1448.56, "end": 1449.1, "word": " meridian,", "probability": 0.95654296875}, {"start": 1449.48, "end": 1449.88, "word": " leave", "probability": 0.865234375}, {"start": 1449.88, "end": 1450.24, "word": " it", "probability": 0.9609375}, {"start": 1450.24, "end": 1450.6, "word": " in", "probability": 0.94921875}, {"start": 1450.6, "end": 1451.08, "word": " place", "probability": 0.8056640625}, {"start": 1451.08, "end": 1451.48, "word": " and", "probability": 0.68408203125}, {"start": 1451.48, "end": 1451.8, "word": " use", "probability": 0.87158203125}, {"start": 1451.8, "end": 1452.5, "word": " cylindrical", "probability": 0.644775390625}, {"start": 1452.5, "end": 1453.1, "word": " lens", "probability": 0.953125}, {"start": 1453.1, "end": 1453.38, "word": " to", "probability": 0.97314453125}, {"start": 1453.38, "end": 1454.32, "word": " neutralize", "probability": 0.961669921875}, {"start": 1454.32, "end": 1454.64, "word": " the", "probability": 0.88916015625}, {"start": 1454.64, "end": 1455.0, "word": " other", "probability": 0.89794921875}, {"start": 1455.0, "end": 1455.68, "word": " meridian", "probability": 0.955078125}, {"start": 1455.68, "end": 1456.8, "word": " بعد", "probability": 0.91650390625}, {"start": 1456.8, "end": 1456.98, "word": " ما", "probability": 0.85888671875}, {"start": 1456.98, "end": 1457.14, "word": " انا", "probability": 0.838134765625}, {"start": 1457.14, "end": 1457.58, "word": " عدلت", "probability": 0.9683837890625}, {"start": 1457.58, "end": 1458.02, "word": " المحور", 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that is used to measure diopteric power of elements من خلال المؤشر أنا بعرف أخد قد إيش قوة العدسة", "tokens": [38, 1450, 2757, 46986, 307, 257, 12070, 5502, 37495, 22653, 11933, 1829, 8592, 31439, 3714, 33604, 46309, 20328, 5016, 49429, 5296, 10721, 22807, 9673, 33604, 46309, 23758, 11933, 1829, 8592, 7251, 34268, 26890, 22807, 2333, 299, 1639, 36632, 4724, 2304, 3615, 1863, 7578, 4724, 1829, 8592, 13546, 300, 307, 1143, 281, 3481, 1026, 404, 391, 299, 1347, 295, 4959, 9154, 16490, 1211, 6027, 9673, 33604, 46309, 41850, 45030, 28480, 5551, 9778, 3215, 12174, 3215, 11933, 1829, 8592, 12174, 2407, 3660, 18863, 3215, 3794, 3660], "avg_logprob": -0.16167278850779815, "compression_ratio": 1.375586854460094, "no_speech_prob": 0.0, "words": [{"start": 1885.12, "end": 1885.7, "word": "Geneva", "probability": 0.719482421875}, {"start": 1885.7, "end": 1886.12, "word": " Clock", "probability": 0.498291015625}, {"start": 1886.12, "end": 1886.7, "word": " is", "probability": 0.78369140625}, 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{"start": 1895.54, "end": 1895.74, "word": " إيش", "probability": 0.9876302083333334}, {"start": 1895.74, "end": 1896.8, "word": " يعتبر؟", "probability": 0.876708984375}, {"start": 1896.8, "end": 1897.64, "word": " Indicator", "probability": 0.92626953125}, {"start": 1897.64, "end": 1897.94, "word": " أي", "probability": 0.78125}, {"start": 1897.94, "end": 1898.4, "word": " بمعنى", "probability": 0.98994140625}, {"start": 1898.4, "end": 1898.96, "word": " بيشير", "probability": 0.9766845703125}, {"start": 1898.96, "end": 1900.22, "word": " that", "probability": 0.465576171875}, {"start": 1900.22, "end": 1900.5, "word": " is", "probability": 0.95263671875}, {"start": 1900.5, "end": 1900.86, "word": " used", "probability": 0.919921875}, {"start": 1900.86, "end": 1901.12, "word": " to", "probability": 0.982421875}, {"start": 1901.12, "end": 1901.46, "word": " measure", "probability": 0.90185546875}, {"start": 1901.46, "end": 1902.6, "word": " diopteric", "probability": 0.8114013671875}, {"start": 1902.6, "end": 1902.9, "word": " power", "probability": 0.89306640625}, {"start": 1902.9, "end": 1903.22, "word": " of", "probability": 0.97509765625}, {"start": 1903.22, "end": 1903.68, "word": " elements", "probability": 0.349853515625}, {"start": 1903.68, "end": 1904.38, "word": " من", "probability": 0.87353515625}, {"start": 1904.38, "end": 1904.76, "word": " خلال", "probability": 0.9934895833333334}, {"start": 1904.76, "end": 1905.4, "word": " المؤشر", "probability": 0.9928385416666666}, {"start": 1905.4, "end": 1905.7, "word": " أنا", "probability": 0.81494140625}, {"start": 1905.7, "end": 1906.22, "word": " بعرف", "probability": 0.988525390625}, {"start": 1906.22, "end": 1906.92, "word": " أخد", "probability": 0.7703450520833334}, {"start": 1906.92, "end": 1907.18, "word": " قد", "probability": 0.81689453125}, {"start": 1907.18, "end": 1907.46, "word": " إيش", "probability": 0.775634765625}, {"start": 1907.46, "end": 1908.02, "word": " قوة", "probability": 0.9443359375}, {"start": 1908.02, "end": 1908.76, "word": " العدسة", "probability": 0.983642578125}], "temperature": 1.0}, {"id": 83, "seek": 193334, "start": 1910.18, "end": 1933.34, "text": "Assuming the lens is made of a material with particular refractive index الان ان انت لو أي اتعة عدسة uncut lens امسكتيها هتلاقي مكتوب على الورقة تاعتها معامل الانكسار الخاص فيها يعني اذا كان الCR تسعة وتلاتين بيكتبلك واحد اربعة تسعة تمانية", "tokens": [20892, 24919, 264, 6765, 307, 1027, 295, 257, 2527, 365, 1729, 45353, 488, 8186, 2423, 7649, 16472, 16472, 2655, 45164, 36632, 1975, 2655, 27884, 6225, 3215, 3794, 3660, 6219, 325, 6765, 1975, 2304, 3794, 4117, 31371, 11296, 8032, 2655, 15040, 38436, 3714, 4117, 2655, 37746, 15844, 2423, 13063, 28671, 6055, 995, 34268, 11296, 20449, 10943, 1211, 2423, 7649, 4117, 3794, 9640, 33962, 33546, 8978, 11296, 37495, 22653, 1975, 15730, 25961, 2423, 18547, 6055, 3794, 27884, 34683, 1211, 9307, 9957, 4724, 1829, 4117, 2655, 3555, 23275, 36764, 24401, 1975, 25513, 27884, 6055, 3794, 27884, 46811, 7649, 10632], "avg_logprob": -0.22503221157899836, "compression_ratio": 1.5336134453781514, "no_speech_prob": 0.0, "words": [{"start": 1910.18, "end": 1910.86, "word": "Assuming", "probability": 0.6171875}, {"start": 1910.86, "end": 1911.14, "word": " the", "probability": 0.7919921875}, {"start": 1911.14, "end": 1911.54, "word": " lens", "probability": 0.91455078125}, {"start": 1911.54, "end": 1912.24, "word": " is", "probability": 0.95703125}, {"start": 1912.24, "end": 1912.6, "word": " made", "probability": 0.8896484375}, {"start": 1912.6, "end": 1912.96, "word": " of", "probability": 0.951171875}, {"start": 1912.96, "end": 1913.2, "word": " a", "probability": 0.9609375}, {"start": 1913.2, "end": 1913.78, "word": " material", "probability": 0.896484375}, {"start": 1913.78, "end": 1914.72, "word": " with", "probability": 0.916015625}, {"start": 1914.72, "end": 1915.94, "word": " particular", "probability": 0.84033203125}, {"start": 1915.94, "end": 1917.1, "word": " refractive", "probability": 0.95166015625}, {"start": 1917.1, "end": 1917.66, "word": " index", "probability": 0.880859375}, {"start": 1917.66, "end": 1918.68, "word": " الان", "probability": 0.5684814453125}, {"start": 1918.68, "end": 1918.84, "word": " ان", "probability": 0.461669921875}, {"start": 1918.84, "end": 1918.9, "word": " انت", "probability": 0.766845703125}, {"start": 1918.9, "end": 1919.1, "word": " لو", "probability": 0.611328125}, {"start": 1919.1, "end": 1919.34, "word": " أي", "probability": 0.5}, {"start": 1919.34, "end": 1919.64, "word": " اتعة", "probability": 0.4721272786458333}, {"start": 1919.64, "end": 1920.12, "word": " عدسة", "probability": 0.947509765625}, {"start": 1920.12, "end": 1920.62, "word": " uncut", "probability": 0.553192138671875}, {"start": 1920.62, "end": 1920.94, "word": " lens", "probability": 0.8447265625}, {"start": 1920.94, "end": 1921.86, "word": " امسكتيها", "probability": 0.899169921875}, {"start": 1921.86, "end": 1922.66, "word": " هتلاقي", "probability": 0.9456787109375}, {"start": 1922.66, "end": 1923.18, "word": " مكتوب", "probability": 0.9891357421875}, {"start": 1923.18, "end": 1923.48, "word": " على", "probability": 0.70703125}, {"start": 1923.48, "end": 1924.94, "word": " الورقة", "probability": 0.761962890625}, {"start": 1924.94, "end": 1925.54, "word": " تاعتها", "probability": 0.8026123046875}, {"start": 1925.54, "end": 1926.28, "word": " معامل", "probability": 0.9581705729166666}, {"start": 1926.28, "end": 1927.0, "word": " الانكسار", "probability": 0.94287109375}, {"start": 1927.0, "end": 1927.44, "word": " الخاص", "probability": 0.97412109375}, {"start": 1927.44, "end": 1927.8, "word": " فيها", "probability": 0.89111328125}, {"start": 1927.8, "end": 1928.46, "word": " يعني", "probability": 0.80322265625}, {"start": 1928.46, "end": 1928.64, "word": " اذا", "probability": 0.836669921875}, {"start": 1928.64, "end": 1928.92, "word": " كان", "probability": 0.98681640625}, {"start": 1928.92, "end": 1929.4, "word": " الCR", "probability": 0.6727294921875}, {"start": 1929.4, "end": 1929.76, "word": " تسعة", "probability": 0.8181966145833334}, {"start": 1929.76, "end": 1930.32, "word": " وتلاتين", "probability": 0.91015625}, {"start": 1930.32, "end": 1931.18, "word": " بيكتبلك", "probability": 0.8057047526041666}, {"start": 1931.18, "end": 1931.6, "word": " واحد", "probability": 0.88671875}, {"start": 1931.6, "end": 1932.2, "word": " اربعة", "probability": 0.8675130208333334}, {"start": 1932.2, "end": 1932.8, "word": " تسعة", "probability": 0.9845377604166666}, {"start": 1932.8, "end": 1933.34, "word": " تمانية", "probability": 0.9860026041666666}], "temperature": 1.0}, {"id": 84, "seek": 196354, "start": 1933.96, "end": 1963.54, "text": "إذا والله crowny glass بيكتب لجديش معامل الانكسار ال high index يعني هو دايما بيفترض انه قضية معامل الانكسار معروفة بالنسبة لمين لل examiner او لل dispenser okay the clock will measure the power of each surface يعني هذا ال clock هيقيس أي تقوى لأي سطح كان على العدسة", "tokens": [28814, 15730, 16070, 43761, 11841, 88, 4276, 4724, 1829, 4117, 2655, 3555, 5296, 7435, 16254, 8592, 20449, 10943, 1211, 2423, 7649, 4117, 3794, 9640, 2423, 1090, 8186, 37495, 22653, 31439, 11778, 47302, 15042, 4724, 33911, 2655, 43042, 16472, 3224, 12174, 11242, 10632, 20449, 10943, 1211, 2423, 7649, 4117, 3794, 9640, 20449, 32887, 5172, 3660, 20666, 1863, 35457, 3660, 32767, 9957, 24976, 1139, 4564, 1975, 2407, 24976, 4920, 30041, 1392, 264, 7830, 486, 3481, 264, 1347, 295, 1184, 3753, 37495, 22653, 23758, 2423, 7830, 39896, 38436, 3794, 36632, 6055, 4587, 2407, 7578, 5296, 10721, 1829, 8608, 9566, 5016, 25961, 15844, 18863, 3215, 3794, 3660], "avg_logprob": -0.18810096755623817, "compression_ratio": 1.5776892430278884, "no_speech_prob": 0.0, "words": [{"start": 1933.96, "end": 1934.22, "word": "إذا", "probability": 0.735595703125}, {"start": 1934.22, "end": 1934.64, "word": " والله", "probability": 0.9189453125}, {"start": 1934.64, "end": 1935.16, "word": " crowny", "probability": 0.371826171875}, {"start": 1935.16, "end": 1935.52, "word": " glass", "probability": 0.7373046875}, {"start": 1935.52, "end": 1935.94, "word": " بيكتب", "probability": 0.839794921875}, {"start": 1935.94, "end": 1936.46, "word": " لجديش", "probability": 0.5576171875}, {"start": 1936.46, "end": 1936.84, "word": " معامل", "probability": 0.9495442708333334}, {"start": 1936.84, "end": 1937.4, "word": " الانكسار", "probability": 0.870166015625}, {"start": 1937.4, "end": 1937.72, "word": " ال", "probability": 0.7880859375}, {"start": 1937.72, "end": 1937.94, "word": " high", "probability": 0.56005859375}, {"start": 1937.94, "end": 1938.4, "word": " index", "probability": 0.80126953125}, {"start": 1938.4, "end": 1939.0, "word": " يعني", "probability": 0.885009765625}, {"start": 1939.0, "end": 1939.24, "word": " هو", "probability": 0.96435546875}, {"start": 1939.24, "end": 1939.7, "word": " دايما", "probability": 0.7482096354166666}, {"start": 1939.7, "end": 1940.28, "word": " بيفترض", "probability": 0.8922119140625}, {"start": 1940.28, "end": 1941.12, "word": " انه", "probability": 0.7119140625}, {"start": 1941.12, "end": 1941.82, "word": " قضية", "probability": 0.9930013020833334}, {"start": 1941.82, "end": 1942.44, "word": " معامل", "probability": 0.98828125}, {"start": 1942.44, "end": 1943.12, "word": " الانكسار", "probability": 0.9923828125}, {"start": 1943.12, "end": 1943.7, "word": " معروفة", "probability": 0.9677734375}, {"start": 1943.7, "end": 1944.18, "word": " بالنسبة", "probability": 0.9857177734375}, {"start": 1944.18, "end": 1944.56, "word": " لمين", "probability": 0.824951171875}, {"start": 1944.56, "end": 1944.94, "word": " لل", "probability": 0.6279296875}, {"start": 1944.94, "end": 1945.54, "word": " examiner", "probability": 0.945068359375}, {"start": 1945.54, "end": 1946.16, "word": " او", "probability": 0.7587890625}, {"start": 1946.16, "end": 1946.48, "word": " لل", "probability": 0.9228515625}, {"start": 1946.48, "end": 1947.1, "word": " dispenser", "probability": 0.7998046875}, {"start": 1947.1, "end": 1947.8, "word": " okay", "probability": 0.357421875}, {"start": 1947.8, "end": 1952.1, "word": " the", "probability": 0.2452392578125}, {"start": 1952.1, "end": 1952.52, "word": " clock", "probability": 0.9033203125}, {"start": 1952.52, "end": 1953.08, "word": " will", "probability": 0.91064453125}, {"start": 1953.08, "end": 1953.74, "word": " measure", "probability": 0.9208984375}, {"start": 1953.74, "end": 1954.3, "word": " the", "probability": 0.912109375}, {"start": 1954.3, "end": 1954.66, "word": " power", "probability": 0.88720703125}, {"start": 1954.66, "end": 1954.98, "word": " of", "probability": 0.9794921875}, {"start": 1954.98, "end": 1955.38, "word": " each", "probability": 0.94482421875}, {"start": 1955.38, "end": 1956.18, "word": " surface", "probability": 0.9365234375}, {"start": 1956.18, "end": 1957.3, "word": " يعني", "probability": 0.953857421875}, {"start": 1957.3, "end": 1957.6, "word": " هذا", "probability": 0.84033203125}, {"start": 1957.6, "end": 1957.76, "word": " ال", "probability": 0.97021484375}, {"start": 1957.76, "end": 1958.1, "word": " clock", "probability": 0.94580078125}, {"start": 1958.1, "end": 1959.38, "word": " هيقيس", "probability": 0.8465169270833334}, {"start": 1959.38, "end": 1959.72, "word": " أي", "probability": 0.533203125}, {"start": 1959.72, "end": 1960.48, "word": " تقوى", "probability": 0.9049072265625}, {"start": 1960.48, "end": 1961.06, "word": " لأي", "probability": 0.9482421875}, {"start": 1961.06, "end": 1961.96, "word": " سطح", "probability": 0.9855143229166666}, {"start": 1961.96, "end": 1962.32, "word": " كان", "probability": 0.95751953125}, {"start": 1962.32, "end": 1962.72, "word": " على", "probability": 0.9091796875}, {"start": 1962.72, "end": 1963.54, "word": " العدسة", "probability": 0.98095703125}], "temperature": 1.0}, {"id": 85, "seek": 199376, "start": 1974.06, "end": 1993.76, "text": "إذا القوة اللي داني إياها by rotating the clock remains unchanged يعني الآن أنا مثلا حطيت سطح العدسة وحطيت الجهاز عليه ومالاحطش أن المؤشر اتحرك معنى الكلام أن ال power", "tokens": [28814, 15730, 25062, 2407, 3660, 13672, 1829, 11778, 7649, 1829, 11933, 25528, 11296, 538, 19627, 264, 7830, 7023, 44553, 37495, 22653, 6024, 48506, 41850, 50113, 15040, 11331, 9566, 36081, 8608, 9566, 5016, 18863, 3215, 3794, 3660, 4032, 5016, 9566, 36081, 25724, 3224, 31377, 47356, 4032, 15042, 15040, 5016, 9566, 8592, 14739, 9673, 33604, 46309, 1975, 2655, 5016, 31747, 20449, 1863, 7578, 2423, 28820, 10943, 14739, 2423, 1347], "avg_logprob": -0.2681525608195978, "compression_ratio": 1.4777777777777779, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 1974.0600000000002, "end": 1975.16, "word": "إذا", "probability": 0.57733154296875}, {"start": 1975.16, "end": 1976.26, "word": " القوة", "probability": 0.8629557291666666}, {"start": 1976.26, "end": 1976.4, "word": " اللي", "probability": 0.697265625}, {"start": 1976.4, "end": 1976.76, "word": " داني", "probability": 0.6881917317708334}, {"start": 1976.76, "end": 1977.86, "word": " إياها", "probability": 0.8113606770833334}, {"start": 1977.86, "end": 1979.66, "word": " by", "probability": 0.243408203125}, {"start": 1979.66, "end": 1980.3, "word": " rotating", "probability": 0.95458984375}, {"start": 1980.3, "end": 1980.84, "word": " the", "probability": 0.8525390625}, {"start": 1980.84, "end": 1981.22, "word": " clock", "probability": 0.890625}, {"start": 1981.22, "end": 1981.8, "word": " remains", "probability": 0.70751953125}, {"start": 1981.8, "end": 1982.58, "word": " unchanged", "probability": 0.8388671875}, {"start": 1982.58, "end": 1983.18, "word": " يعني", "probability": 0.60455322265625}, {"start": 1983.18, "end": 1983.44, "word": " الآن", "probability": 0.6597900390625}, {"start": 1983.44, "end": 1983.66, "word": " أنا", "probability": 0.65380859375}, {"start": 1983.66, "end": 1983.94, "word": " مثلا", "probability": 0.9853515625}, {"start": 1983.94, "end": 1984.56, "word": " حطيت", "probability": 0.9443359375}, {"start": 1984.56, "end": 1985.0, "word": " سطح", "probability": 0.9637044270833334}, {"start": 1985.0, "end": 1985.92, "word": " العدسة", "probability": 0.9869384765625}, {"start": 1985.92, "end": 1986.5, "word": " وحطيت", "probability": 0.8919677734375}, {"start": 1986.5, "end": 1987.0, "word": " الجهاز", "probability": 0.9762369791666666}, {"start": 1987.0, "end": 1987.36, "word": " عليه", "probability": 0.8916015625}, {"start": 1987.36, "end": 1989.28, "word": " ومالاحطش", "probability": 0.8658040364583334}, {"start": 1989.28, "end": 1989.5, "word": " أن", "probability": 0.435302734375}, {"start": 1989.5, "end": 1990.06, "word": " المؤشر", "probability": 0.8870442708333334}, {"start": 1990.06, "end": 1990.66, "word": " اتحرك", "probability": 0.96044921875}, {"start": 1990.66, "end": 1991.54, "word": " معنى", "probability": 0.80029296875}, {"start": 1991.54, "end": 1992.0, "word": " الكلام", "probability": 0.9510091145833334}, {"start": 1992.0, "end": 1992.38, "word": " أن", "probability": 0.63427734375}, {"start": 1992.38, "end": 1993.38, "word": " ال", "probability": 0.5400390625}, {"start": 1993.38, "end": 1993.76, "word": " power", "probability": 0.23046875}], "temperature": 1.0}, {"id": 86, "seek": 202356, "start": 1994.4, "end": 2023.56, "text": "equal in all the meridian يعني هنا العدسة اي شمالها تعتبر sphere lens if the power given by rotating the clock shows change the surface is either cylindrical or toroidal الان انا نفس الفكرة حطيت الجهاز او ال leg بتاعه على سطح العدسة ولاحظت ان في هناك اختلاف", "tokens": [12816, 304, 294, 439, 264, 3551, 34681, 37495, 22653, 34105, 18863, 3215, 3794, 3660, 1975, 1829, 13412, 2304, 6027, 11296, 6055, 34268, 26890, 16687, 6765, 498, 264, 1347, 2212, 538, 19627, 264, 7830, 3110, 1319, 264, 3753, 307, 2139, 28044, 15888, 420, 281, 6490, 304, 2423, 7649, 1975, 8315, 8717, 36178, 27188, 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{"start": 1998.36, "end": 1998.5, "word": " اي", "probability": 0.642578125}, {"start": 1998.5, "end": 1998.84, "word": " شمالها", "probability": 0.8807373046875}, {"start": 1998.84, "end": 1999.36, "word": " تعتبر", "probability": 0.93212890625}, {"start": 1999.36, "end": 2000.16, "word": " sphere", "probability": 0.250244140625}, {"start": 2000.16, "end": 2000.62, "word": " lens", "probability": 0.41357421875}, {"start": 2000.62, "end": 2002.36, "word": " if", "probability": 0.27880859375}, {"start": 2002.36, "end": 2005.12, "word": " the", "probability": 0.90771484375}, {"start": 2005.12, "end": 2005.38, "word": " power", "probability": 0.88623046875}, {"start": 2005.38, "end": 2005.96, "word": " given", "probability": 0.76611328125}, {"start": 2005.96, "end": 2006.26, "word": " by", "probability": 0.97705078125}, {"start": 2006.26, "end": 2006.76, "word": " rotating", "probability": 0.947265625}, {"start": 2006.76, "end": 2007.02, "word": " the", "probability": 0.90478515625}, {"start": 2007.02, "end": 2007.38, "word": " clock", "probability": 0.892578125}, {"start": 2007.38, "end": 2008.42, "word": " shows", "probability": 0.87646484375}, {"start": 2008.42, "end": 2009.4, "word": " change", "probability": 0.81689453125}, {"start": 2009.4, "end": 2009.94, "word": " the", "probability": 0.418212890625}, {"start": 2009.94, "end": 2010.52, "word": " surface", "probability": 0.857421875}, {"start": 2010.52, "end": 2010.86, "word": " is", "probability": 0.9580078125}, {"start": 2010.86, "end": 2011.42, "word": " either", "probability": 0.9404296875}, {"start": 2011.42, "end": 2012.92, "word": " cylindrical", "probability": 0.893798828125}, {"start": 2012.92, "end": 2013.38, "word": " or", "probability": 0.94873046875}, {"start": 2013.38, "end": 2014.46, "word": " toroidal", "probability": 0.83154296875}, {"start": 2014.46, "end": 2015.1, "word": " الان", "probability": 0.6651611328125}, {"start": 2015.1, "end": 2015.38, "word": " انا", "probability": 0.8681640625}, {"start": 2015.38, "end": 2015.72, "word": " نفس", "probability": 0.980712890625}, {"start": 2015.72, "end": 2016.3, "word": " الفكرة", "probability": 0.9943033854166666}, {"start": 2016.3, "end": 2017.02, "word": " حطيت", "probability": 0.9684244791666666}, {"start": 2017.02, "end": 2017.74, "word": " الجهاز", "probability": 0.9708658854166666}, {"start": 2017.74, "end": 2018.3, "word": " او", "probability": 0.9013671875}, {"start": 2018.3, "end": 2018.48, "word": " ال", "probability": 0.875}, {"start": 2018.48, "end": 2018.72, "word": " leg", "probability": 0.67724609375}, {"start": 2018.72, "end": 2019.3, "word": " بتاعه", "probability": 0.82275390625}, {"start": 2019.3, "end": 2019.64, "word": " على", "probability": 0.91015625}, {"start": 2019.64, "end": 2020.0, "word": " سطح", "probability": 0.9541015625}, {"start": 2020.0, "end": 2020.64, "word": " العدسة", "probability": 0.995849609375}, {"start": 2020.64, "end": 2021.92, "word": " ولاحظت", "probability": 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{"start": 2042.98, "end": 2043.32, "word": " minimum", "probability": 0.943359375}, {"start": 2043.32, "end": 2043.8, "word": " powers", "probability": 0.8017578125}, {"start": 2043.8, "end": 2044.2, "word": " طب", "probability": 0.83349609375}, {"start": 2044.2, "end": 2044.4, "word": " ليش", "probability": 0.967041015625}, {"start": 2044.4, "end": 2044.6, "word": " احنا", "probability": 0.9230143229166666}, {"start": 2044.6, "end": 2044.8, "word": " هم", "probability": 0.7177734375}, {"start": 2044.8, "end": 2045.36, "word": " نحسب", "probability": 0.8279622395833334}, {"start": 2045.36, "end": 2045.68, "word": " ال", "probability": 0.7900390625}, {"start": 2045.68, "end": 2046.16, "word": " maximum", "probability": 0.97119140625}, {"start": 2046.16, "end": 2046.64, "word": " و", "probability": 0.83642578125}, {"start": 2046.64, "end": 2046.74, "word": " ال", "probability": 0.71875}, {"start": 2046.74, "end": 2047.0, "word": " minimum", "probability": 0.9501953125}, {"start": 2047.0, "end": 2047.46, "word": " power", "probability": 0.91455078125}, {"start": 2047.46, "end": 2048.26, "word": " الخاص", "probability": 0.983154296875}, {"start": 2048.26, "end": 2048.96, "word": " بسطح", "probability": 0.9803466796875}, {"start": 2048.96, "end": 2049.68, "word": " العدسة؟", "probability": 0.98466796875}], "temperature": 1.0}, {"id": 88, "seek": 207248, "start": 2051.27, "end": 2072.49, "text": "100% لحساب قيمة الـ total power أو ال overall power الخاصة في مين في ال cylinder lens يعني باخد السطح الأول السطح التاني مثلا هذا عندنا maximum power و minimum power أطرحهم من بعض عشان أحصل على مين ال over power للعدسة", "tokens": [6879, 4, 5296, 5016, 3794, 16758, 12174, 32640, 3660, 2423, 39184, 3217, 1347, 34051, 2423, 4787, 1347, 33962, 33546, 3660, 8978, 3714, 9957, 8978, 2423, 17884, 6765, 37495, 22653, 4724, 47283, 3215, 21136, 9566, 5016, 16247, 12610, 21136, 9566, 5016, 16712, 7649, 1829, 50113, 15040, 23758, 43242, 8315, 6674, 1347, 4032, 7285, 1347, 5551, 9566, 2288, 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{"start": 2059.85, "end": 2060.37, "word": " الأول", "probability": 0.93994140625}, {"start": 2060.37, "end": 2061.55, "word": " السطح", "probability": 0.8151041666666666}, {"start": 2061.55, "end": 2062.25, "word": " التاني", "probability": 0.9288736979166666}, {"start": 2062.25, "end": 2062.89, "word": " مثلا", "probability": 0.964111328125}, {"start": 2062.89, "end": 2063.15, "word": " هذا", "probability": 0.64306640625}, {"start": 2063.15, "end": 2063.45, "word": " عندنا", "probability": 0.6356201171875}, {"start": 2063.45, "end": 2063.85, "word": " maximum", "probability": 0.94091796875}, {"start": 2063.85, "end": 2064.33, "word": " power", "probability": 0.892578125}, {"start": 2064.33, "end": 2064.59, "word": " و", "probability": 0.8671875}, {"start": 2064.59, "end": 2064.79, "word": " minimum", "probability": 0.375}, {"start": 2064.79, "end": 2065.21, "word": " power", "probability": 0.89208984375}, {"start": 2065.21, "end": 2066.01, "word": " أطرحهم", "probability": 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give the approximate optical power of the whole lens هاي مثلا عندنا مثال على الكلام هذا", "tokens": [44259, 264, 8674, 295, 1184, 3753, 393, 312, 3869, 281, 976, 264, 30874, 20674, 1347, 295, 264, 1379, 6765, 8032, 47302, 50113, 15040, 43242, 8315, 50113, 6027, 15844, 2423, 28820, 10943, 23758], "avg_logprob": -0.16571969696969696, "compression_ratio": 1.2205882352941178, "no_speech_prob": 0.0, "words": [{"start": 2074.14, "end": 2074.64, "word": "Finally", "probability": 0.325439453125}, {"start": 2074.64, "end": 2074.94, "word": " the", "probability": 0.446044921875}, {"start": 2074.94, "end": 2075.44, "word": " powers", "probability": 0.873046875}, {"start": 2075.44, "end": 2075.92, "word": " of", "probability": 0.98095703125}, {"start": 2075.92, "end": 2076.46, "word": " each", "probability": 0.95263671875}, {"start": 2076.46, "end": 2077.42, "word": " surface", "probability": 0.89013671875}, {"start": 2077.42, "end": 2077.94, "word": " can", "probability": 0.95849609375}, 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2084.92, "end": 2088.12, "word": " هاي", "probability": 0.588623046875}, {"start": 2088.12, "end": 2088.44, "word": " مثلا", "probability": 0.9560546875}, {"start": 2088.44, "end": 2088.92, "word": " عندنا", "probability": 0.892333984375}, {"start": 2088.92, "end": 2089.52, "word": " مثال", "probability": 0.9521484375}, {"start": 2089.52, "end": 2089.76, "word": " على", "probability": 0.8740234375}, {"start": 2089.76, "end": 2090.44, "word": " الكلام", "probability": 0.9397786458333334}, {"start": 2090.44, "end": 2090.76, "word": " هذا", "probability": 0.95068359375}], "temperature": 1.0}, {"id": 90, "seek": 212769, "start": 2100.36, "end": 2127.7, "text": "عنا example a front surface power measured by lens a clock gives a plus three diopter sphere إذا السطح الأول إيش كان؟ plus تلاتة بدها مجلي plus three diopter sphere إذا على طول إيش مالها؟ إنه all the surface has the same power", "tokens": [3615, 8315, 1365, 257, 1868, 3753, 1347, 12690, 538, 6765, 257, 7830, 2709, 257, 1804, 1045, 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"probability": 0.82568359375}, {"start": 2105.1, "end": 2106.22, "word": " by", "probability": 0.982421875}, {"start": 2106.22, "end": 2107.12, "word": " lens", "probability": 0.88916015625}, {"start": 2107.12, "end": 2107.84, "word": " a", "probability": 0.2724609375}, {"start": 2107.84, "end": 2108.18, "word": " clock", "probability": 0.89697265625}, {"start": 2108.18, "end": 2109.06, "word": " gives", "probability": 0.92724609375}, {"start": 2109.06, "end": 2109.6, "word": " a", "probability": 0.17041015625}, {"start": 2109.6, "end": 2109.84, "word": " plus", "probability": 0.29052734375}, {"start": 2109.84, "end": 2110.38, "word": " three", "probability": 0.6865234375}, {"start": 2110.38, "end": 2111.18, "word": " diopter", "probability": 0.8606770833333334}, {"start": 2111.18, "end": 2111.78, "word": " sphere", "probability": 0.85791015625}, {"start": 2111.78, "end": 2112.94, "word": " إذا", "probability": 0.59521484375}, {"start": 2112.94, "end": 2113.42, "word": " السطح", "probability": 0.9236653645833334}, {"start": 2113.42, "end": 2113.98, "word": " الأول", "probability": 0.990234375}, {"start": 2113.98, "end": 2114.4, "word": " إيش", "probability": 0.9182942708333334}, {"start": 2114.4, "end": 2115.04, "word": " كان؟", "probability": 0.868408203125}, {"start": 2115.04, "end": 2115.34, "word": " plus", "probability": 0.388427734375}, {"start": 2115.34, "end": 2116.22, "word": " تلاتة", "probability": 0.8660888671875}, {"start": 2116.22, "end": 2117.1, "word": " بدها", "probability": 0.4578857421875}, {"start": 2117.1, "end": 2117.44, "word": " مجلي", "probability": 0.673095703125}, {"start": 2117.44, "end": 2118.06, "word": " plus", "probability": 0.88330078125}, {"start": 2118.06, "end": 2118.62, "word": " three", "probability": 0.900390625}, {"start": 2118.62, "end": 2119.5, "word": " diopter", "probability": 0.9044596354166666}, {"start": 2119.5, "end": 2120.0, "word": " sphere", "probability": 0.767578125}, {"start": 2120.0, "end": 2120.56, "word": " إذا", "probability": 0.845458984375}, {"start": 2120.56, "end": 2120.78, "word": " على", "probability": 0.828125}, {"start": 2120.78, "end": 2121.1, "word": " طول", "probability": 0.9921875}, {"start": 2121.1, "end": 2121.38, "word": " إيش", "probability": 0.9542643229166666}, {"start": 2121.38, "end": 2122.5, "word": " مالها؟", "probability": 0.917724609375}, {"start": 2122.5, "end": 2123.6, "word": " إنه", "probability": 0.43994140625}, {"start": 2123.6, "end": 2124.42, "word": " all", "probability": 0.82958984375}, {"start": 2124.42, "end": 2125.46, "word": " the", "probability": 0.90234375}, {"start": 2125.46, "end": 2126.16, "word": " surface", "probability": 0.8310546875}, {"start": 2126.16, "end": 2126.82, "word": " has", "probability": 0.9462890625}, {"start": 2126.82, "end": 2127.14, "word": " the", "probability": 0.9404296875}, {"start": 2127.14, "end": 2127.38, "word": " same", "probability": 0.9052734375}, {"start": 2127.38, "end": 2127.7, "word": " power", "probability": 0.89208984375}], "temperature": 1.0}, {"id": 91, "seek": 215905, "start": 2129.93, "end": 2159.05, "text": "يعني على كل المحاور القوة هتكون plus ثلاثة back surface power shows maximum power minus five جماعة كلمة هذه معناها at بمعنى اللي هو along اللي فيها هي تعتبر ال maximum power", "tokens": [40228, 22653, 15844, 28242, 9673, 5016, 995, 13063, 25062, 2407, 3660, 8032, 2655, 30544, 1804, 38637, 1211, 5718, 104, 3660, 646, 3753, 1347, 3110, 6674, 1347, 3175, 1732, 10874, 15042, 27884, 9122, 19528, 3660, 29538, 20449, 8315, 11296, 412, 4724, 2304, 3615, 1863, 7578, 13672, 1829, 31439, 2051, 13672, 1829, 8978, 11296, 39896, 6055, 34268, 26890, 2423, 6674, 1347], "avg_logprob": -0.15820312052965163, "compression_ratio": 1.4534883720930232, "no_speech_prob": 0.0, "words": [{"start": 2129.93, "end": 2130.25, "word": "يعني", "probability": 0.87841796875}, {"start": 2130.25, "end": 2130.45, "word": " على", "probability": 0.58154296875}, {"start": 2130.45, "end": 2130.65, "word": " كل", "probability": 0.98876953125}, {"start": 2130.65, "end": 2131.27, "word": " المحاور", "probability": 0.979248046875}, {"start": 2131.27, "end": 2131.75, "word": " القوة", "probability": 0.9825846354166666}, {"start": 2131.75, "end": 2132.35, "word": " هتكون", "probability": 0.8447265625}, {"start": 2132.35, "end": 2132.97, "word": " plus", "probability": 0.452880859375}, {"start": 2132.97, "end": 2134.35, "word": " ثلاثة", "probability": 0.82314453125}, {"start": 2134.35, "end": 2136.03, "word": " back", "probability": 0.45556640625}, {"start": 2136.03, "end": 2136.57, "word": " surface", "probability": 0.853515625}, {"start": 2136.57, "end": 2137.13, "word": " power", "probability": 0.90185546875}, {"start": 2137.13, "end": 2138.17, "word": " shows", "probability": 0.89208984375}, {"start": 2138.17, "end": 2139.43, "word": " maximum", "probability": 0.94384765625}, {"start": 2139.43, "end": 2140.19, "word": " power", "probability": 0.91015625}, {"start": 2140.19, "end": 2141.13, "word": " minus", "probability": 0.884765625}, {"start": 2141.13, "end": 2141.77, "word": " five", "probability": 0.7958984375}, {"start": 2141.77, "end": 2142.89, "word": " جماعة", "probability": 0.92041015625}, {"start": 2142.89, "end": 2143.47, "word": " كلمة", "probability": 0.9803059895833334}, {"start": 2143.47, "end": 2143.83, "word": " هذه", "probability": 0.50390625}, {"start": 2143.83, "end": 2144.49, "word": " معناها", "probability": 0.97314453125}, {"start": 2144.49, "end": 2144.89, "word": " at", "probability": 0.81005859375}, {"start": 2144.89, "end": 2146.83, "word": " بمعنى", "probability": 0.82548828125}, {"start": 2146.83, "end": 2147.03, "word": " اللي", "probability": 0.878662109375}, {"start": 2147.03, "end": 2147.29, "word": " هو", "probability": 0.97265625}, {"start": 2147.29, "end": 2147.77, "word": " along", "probability": 0.9287109375}, {"start": 2147.77, "end": 2152.83, "word": " اللي", "probability": 0.95654296875}, {"start": 2152.83, "end": 2153.21, "word": " فيها", "probability": 0.978271484375}, {"start": 2153.21, "end": 2153.43, "word": " هي", "probability": 0.8486328125}, {"start": 2153.43, "end": 2153.99, "word": " تعتبر", "probability": 0.9597981770833334}, {"start": 2153.99, "end": 2154.17, "word": " ال", "probability": 0.6279296875}, {"start": 2154.17, "end": 2154.73, "word": " maximum", "probability": 0.98583984375}, {"start": 2154.73, "end": 2159.05, "word": " power", "probability": 0.9189453125}], "temperature": 1.0}, {"id": 92, "seek": 218589, "start": 2160.99, "end": 2185.89, "text": "وهي تعتبر معاكس لمن؟ لل axis دايما ال axis مثلا انا عندى minus خمسة axis مية و تمانين مية في المية هي تعتبر ايش؟ المية و تمانين zero power يعني فيها ال minimum power تمام؟ اذا ال minus خمسة التسعين هيملاحظين يعني هذه اعلى قوة هذه ال maximum power", "tokens": [2407, 3224, 1829, 6055, 34268, 26890, 20449, 995, 4117, 3794, 5296, 27842, 22807, 24976, 10298, 11778, 47302, 15042, 2423, 10298, 50113, 15040, 1975, 8315, 43242, 7578, 3175, 16490, 2304, 3794, 3660, 10298, 3714, 10632, 4032, 46811, 7649, 9957, 3714, 10632, 8978, 9673, 10632, 39896, 6055, 34268, 26890, 1975, 1829, 8592, 22807, 9673, 10632, 4032, 46811, 7649, 9957, 4018, 1347, 37495, 22653, 8978, 11296, 2423, 7285, 1347, 46811, 10943, 22807, 1975, 15730, 2423, 3175, 16490, 2304, 3794, 3660, 16712, 3794, 3615, 9957, 8032, 32640, 15040, 5016, 19913, 9957, 37495, 22653, 29538, 1975, 3615, 23942, 12174, 2407, 3660, 29538, 2423, 6674, 1347], "avg_logprob": -0.1813118853191338, "compression_ratio": 1.897560975609756, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2160.99, "end": 2161.39, "word": "وهي", "probability": 0.83349609375}, {"start": 2161.39, "end": 2161.91, "word": " تعتبر", "probability": 0.9347330729166666}, {"start": 2161.91, "end": 2162.55, "word": " معاكس", "probability": 0.9703369140625}, {"start": 2162.55, "end": 2163.19, "word": " لمن؟", "probability": 0.66162109375}, {"start": 2163.19, "end": 2163.65, "word": " لل", "probability": 0.85546875}, {"start": 2163.65, "end": 2164.11, "word": " axis", "probability": 0.1971435546875}, {"start": 2164.11, "end": 2165.31, "word": " دايما", "probability": 0.7880859375}, {"start": 2165.31, "end": 2165.47, "word": " ال", "probability": 0.92626953125}, {"start": 2165.47, "end": 2165.85, "word": " axis", "probability": 0.9677734375}, {"start": 2165.85, "end": 2166.25, "word": " مثلا", "probability": 0.98095703125}, {"start": 2166.25, "end": 2166.47, "word": " انا", "probability": 0.842529296875}, {"start": 2166.47, "end": 2167.17, "word": " عندى", "probability": 0.670166015625}, {"start": 2167.17, "end": 2167.67, "word": " minus", "probability": 0.291748046875}, {"start": 2167.67, "end": 2168.47, "word": " خمسة", "probability": 0.882080078125}, {"start": 2168.47, "end": 2169.43, "word": " axis", "probability": 0.70068359375}, {"start": 2169.43, "end": 2169.99, "word": " مية", "probability": 0.90234375}, {"start": 2169.99, "end": 2170.13, "word": " و", "probability": 0.544921875}, {"start": 2170.13, "end": 2170.63, "word": " تمانين", "probability": 0.9645182291666666}, {"start": 2170.63, "end": 2172.29, "word": " مية", "probability": 0.7171630859375}, {"start": 2172.29, "end": 2172.43, "word": " في", "probability": 0.6708984375}, {"start": 2172.43, "end": 2172.77, "word": " المية", "probability": 0.943115234375}, {"start": 2172.77, "end": 2173.05, "word": " هي", "probability": 0.5029296875}, {"start": 2173.05, "end": 2173.65, "word": " تعتبر", "probability": 0.9812825520833334}, {"start": 2173.65, "end": 2174.41, "word": " ايش؟", "probability": 0.7098388671875}, {"start": 2174.41, "end": 2174.69, "word": " المية", "probability": 0.7032470703125}, {"start": 2174.69, "end": 2174.81, "word": " و", "probability": 0.82568359375}, {"start": 2174.81, "end": 2175.27, "word": " تمانين", "probability": 0.9847005208333334}, {"start": 2175.27, "end": 2175.79, "word": " zero", "probability": 0.59375}, {"start": 2175.79, "end": 2176.19, "word": " power", "probability": 0.92529296875}, {"start": 2176.19, "end": 2176.93, "word": " يعني", "probability": 0.915771484375}, {"start": 2176.93, "end": 2177.29, "word": " فيها", "probability": 0.9794921875}, {"start": 2177.29, "end": 2177.41, "word": " ال", "probability": 0.9404296875}, {"start": 2177.41, "end": 2177.65, "word": " minimum", "probability": 0.95556640625}, {"start": 2177.65, "end": 2178.09, "word": " power", "probability": 0.91455078125}, {"start": 2178.09, "end": 2179.53, "word": " تمام؟", "probability": 0.83642578125}, {"start": 2179.53, "end": 2179.75, "word": " اذا", "probability": 0.849853515625}, {"start": 2179.75, "end": 2179.93, "word": " ال", "probability": 0.86669921875}, {"start": 2179.93, "end": 2180.23, "word": " minus", "probability": 0.9677734375}, {"start": 2180.23, "end": 2180.83, "word": " خمسة", "probability": 0.987060546875}, {"start": 2180.83, "end": 2181.61, "word": " التسعين", "probability": 0.953369140625}, {"start": 2181.61, "end": 2182.63, "word": " هيملاحظين", "probability": 0.8723958333333334}, {"start": 2182.63, "end": 2183.27, "word": " يعني", "probability": 0.94970703125}, {"start": 2183.27, "end": 2183.63, "word": " هذه", "probability": 0.6376953125}, {"start": 2183.63, "end": 2184.11, "word": " اعلى", "probability": 0.8675130208333334}, {"start": 2184.11, "end": 2184.63, "word": " قوة", "probability": 0.9920247395833334}, {"start": 2184.63, "end": 2184.91, "word": " هذه", "probability": 0.6748046875}, {"start": 2184.91, "end": 2185.07, "word": " ال", "probability": 0.7919921875}, {"start": 2185.07, "end": 2185.45, "word": " maximum", "probability": 0.9755859375}, {"start": 2185.45, "end": 2185.89, "word": " power", "probability": 0.896484375}], "temperature": 1.0}, {"id": 93, "seek": 221313, "start": 2186.83, "end": 2213.13, "text": "and minimum power minus two at one hundred and eighty إذا السطح الأول إيش يعتبر؟ السفير surface السطح التاني إيش يعتبر؟ لأ toroidal surface أو ترك اللي هو surface المجموع بتاعه هنطلع عندى minus اتنين plus واحد من السطحين هدول اللي هو السفيره cylinder surface تمام؟", "tokens": [474, 7285, 1347, 3175, 732, 412, 472, 3262, 293, 26348, 11933, 15730, 21136, 9566, 5016, 16247, 12610, 11933, 1829, 8592, 7251, 34268, 26890, 22807, 21136, 5172, 13546, 3753, 21136, 9566, 5016, 16712, 7649, 1829, 11933, 1829, 8592, 7251, 34268, 26890, 22807, 5296, 10721, 281, 6490, 304, 3753, 34051, 6055, 31747, 13672, 1829, 31439, 3753, 9673, 7435, 2304, 45367, 39894, 45761, 3224, 8032, 1863, 9566, 1211, 3615, 43242, 7578, 3175, 1975, 2655, 1863, 9957, 1804, 36764, 24401, 9154, 21136, 9566, 5016, 9957, 8032, 3215, 12610, 13672, 1829, 31439, 21136, 5172, 13546, 3224, 17884, 3753, 46811, 10943, 22807], "avg_logprob": -0.3010631443298969, "compression_ratio": 1.685589519650655, "no_speech_prob": 0.0, "words": [{"start": 2186.83, "end": 2187.29, "word": "and", "probability": 0.090087890625}, {"start": 2187.29, "end": 2187.67, "word": " minimum", "probability": 0.8701171875}, {"start": 2187.67, "end": 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"end": 2194.03, "word": " يعتبر؟", "probability": 0.8155517578125}, {"start": 2194.03, "end": 2195.07, "word": " السفير", "probability": 0.6661783854166666}, {"start": 2195.07, "end": 2195.85, "word": " surface", "probability": 0.62353515625}, {"start": 2195.85, "end": 2196.85, "word": " السطح", "probability": 0.9659830729166666}, {"start": 2196.85, "end": 2197.23, "word": " التاني", "probability": 0.9305013020833334}, {"start": 2197.23, "end": 2197.45, "word": " إيش", "probability": 0.9755859375}, {"start": 2197.45, "end": 2198.37, "word": " يعتبر؟", "probability": 0.964111328125}, {"start": 2198.37, "end": 2198.81, "word": " لأ", "probability": 0.787841796875}, {"start": 2198.81, "end": 2199.55, "word": " toroidal", "probability": 0.6218973795572916}, {"start": 2199.55, "end": 2200.19, "word": " surface", "probability": 0.896484375}, {"start": 2200.19, "end": 2200.73, "word": " أو", "probability": 0.900390625}, {"start": 2200.73, "end": 2201.07, "word": " ترك", "probability": 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00:00:46,700 +one ان شاء اللهمواضيع المساق هذا بداية عندنا lens + +6 +00:00:46,700 --> 00:00:53,500 +identification التعرف على العدسة بمعنى اخر لو انا + +7 +00:00:53,500 --> 00:01:00,740 +امسكت اي عدسة سواء كانت finished او unfinished + +8 +00:01:00,740 --> 00:01:06,800 +لازم ان انا اكون قادر على التعرف على خواص هذه + +9 +00:01:06,800 --> 00:01:13,420 +العدسة من خلال مجموعة من الأمورعنا ال lens + +10 +00:01:13,420 --> 00:01:19,300 +category أي تصنيف العدسة تصنيف العدسة في عنا + +11 +00:01:19,300 --> 00:01:24,740 +number one single vision lenses single vision + +12 +00:01:24,740 --> 00:01:31,750 +lenses هي مجموعة من العدسات اللي بيكون لهاone + +13 +00:01:31,750 --> 00:01:37,210 +optical center تمام؟ او بمعنى اخر ان هذه العدسة في + +14 +00:01:37,210 --> 00:01:41,130 +كل اللي هو أجزائها offer only one optical + +15 +00:01:41,130 --> 00:01:44,910 +correction يعني بتستخدم مثلا للميوب، + +16 +00:01:44,910 --> 00:01:49,170 +لـhypermetrope، لـpresmyope يعني إلها فقط one + +17 +00:01:49,170 --> 00:01:55,870 +function أما segmented multifocal lenses إما بتكون + +18 +00:01:55,870 --> 00:02:02,020 +bifocal أو trifocalبالنسبة للـ Bifocal بيكون فيها + +19 +00:02:02,020 --> 00:02:07,430 +أكام optical center للعدسةتنين واحد للـ near واحد + +20 +00:02:07,430 --> 00:02:12,630 +للـ distance الـ trifocal تم اللي هو تحديثها أو تم + +21 +00:02:12,630 --> 00:02:16,450 +التعديل عليها حاليا من خلال ال progressive + +22 +00:02:16,450 --> 00:02:21,490 +addition lenses progressive addition lenses ان + +23 +00:02:21,490 --> 00:02:25,890 +العدسات اللي بيكون فيه لها اكتر من two optical + +24 +00:02:25,890 --> 00:02:31,190 +centers يعني بمعنى اخر ال patient بيستخدمها جريب + +25 +00:02:31,190 --> 00:02:37,040 +ولا البعيد و ال intermediateالبرزم كيف انا ممكن + +26 +00:02:37,040 --> 00:02:43,160 +اتعرف على البرزم هذا؟ كيف ممكن انا مثلا عندي two + +27 +00:02:43,160 --> 00:02:48,980 +prisms اقول مثلا هذا القوة تعتق أعلى من البرزم + +28 +00:02:48,980 --> 00:02:54,260 +هذا؟ 100% من اللي هو thickness difference كل ما + +29 +00:02:54,260 --> 00:02:58,720 +زادت ثماكة اللي هو البرزم كل ما كان اللي هو قوة + +30 +00:02:58,720 --> 00:03:01,940 +البرزم ايش تعتبر أعلى تمام؟ + +31 +00:03:04,880 --> 00:03:08,940 +طبعا هذه الصورة بتوضح اللي هي ال segment الخاصة في + +32 +00:03:08,940 --> 00:03:14,200 +ال multi او في ال bifocal lens طبعا كلهيتها ال + +33 +00:03:14,200 --> 00:03:17,860 +optical correction for distance و ال segment هذه + +34 +00:03:17,860 --> 00:03:24,920 +الصغيرة لاللي هو ال near vision بالنسبة + +35 +00:03:24,920 --> 00:03:32,540 +لل lens materialفي عندنا مادتين مصنوعة منها + +36 +00:03:32,540 --> 00:03:38,000 +العدسات اما ال plastic او ال glass ال plastic هان + +37 +00:03:38,000 --> 00:03:44,440 +ايش بنقصد فيها؟اللي هي CR تسعة وتلاتين تمام اللي + +38 +00:03:44,440 --> 00:03:50,520 +جديش معامل انكسارها واحد اربعة تمانية تسعة صح طيب + +39 +00:03:50,520 --> 00:03:55,700 +مادة ال CR تسعة وتلاتين من وميزاتها ان ال impact + +40 +00:03:55,700 --> 00:03:59,720 +resistance فيها اقل من مين من ال polycarbonate + +41 +00:03:59,720 --> 00:04:05,320 +تمام لكن تحملها لدرجات الحرارة اكتر من مين من ال + +42 +00:04:05,320 --> 00:04:10,560 +polycarbonate okayلذلك ان الـ polycarbonate تعتبر + +43 +00:04:10,560 --> 00:04:18,640 +high impact resistance مقارنة بال CR 39 high index + +44 +00:04:18,640 --> 00:04:23,980 +plastic lenses ان هذه العدسات بتتميز ان كثفتها + +45 +00:04:23,980 --> 00:04:31,260 +عالية و نحيفة و بتدي قوة اشمالها عالية كده معامل + +46 +00:04:31,260 --> 00:04:37,860 +انكسار فيها واحد وسبعة او واحد وتسعة تمام؟الـ + +47 +00:04:37,860 --> 00:04:41,000 +glass lenses اللى هى متمثلة فى مين؟ فى الـ crown + +48 +00:04:41,000 --> 00:04:46,680 +glasses اللى جداش معامل انكسارها 1523 وشوفنا ايش + +49 +00:04:46,680 --> 00:04:51,100 +الفرق ما بين ال plastic وما بين اللى هو ال glasses + +50 +00:04:51,100 --> 00:04:56,740 +من خلال اللى هى comparison between plastic CR 39 + +51 +00:04:56,740 --> 00:05:00,440 +and crown glass 1523 + +52 +00:05:03,980 --> 00:05:10,480 +أما بالنسبة لـ Lens readiness أي بمعنى ايش؟ تجهيز + +53 +00:05:10,480 --> 00:05:14,300 +اللي هو العدسة يعني كيف الآن احنا العدسة بدها تكون + +54 +00:05:14,300 --> 00:05:20,980 +اللي هو جاهزة فنشت لينزز انه بيكون سطحين العدسة + +55 +00:05:20,980 --> 00:05:24,280 +جاهزين أي بمعنى uncut lens + +56 +00:05:27,560 --> 00:05:33,780 +إن واحد من الأسطح بيكون جاهز والآخر غير جاهز Uncut + +57 +00:05:33,780 --> 00:05:37,680 +lenses هي نفسها من ال finished lenses إن ال two + +58 +00:05:37,680 --> 00:05:43,580 +surfaces front and back are ready تمامفي عندنا ال + +59 +00:05:43,580 --> 00:05:48,160 +stock single visual lenses هو عبارة عن مستودع او + +60 +00:05:48,160 --> 00:05:53,380 +مخزن العدسات اللي منه ايش انا بجلب اللي هو العدسات + +61 +00:05:53,380 --> 00:05:57,560 +وهذه ممكن تكون متوفرة في داخل اللي هو ال optical + +62 +00:05:57,560 --> 00:06:03,480 +center الخاص فيها او اللي هو في اي شخص طبعا اذا + +63 +00:06:03,480 --> 00:06:09,460 +غير متوفر ال power المطلوبممكن انا اجلب اللي هو + +64 +00:06:09,460 --> 00:06:14,500 +هذه العدسة من وين من مكان اخر او مثلا من شركة اللي + +65 +00:06:14,500 --> 00:06:19,540 +هو تانية Quoting + +66 +00:06:19,540 --> 00:06:24,660 +and tinting Quoting بمعنى ايه؟ طلاق و ال tinting + +67 +00:06:24,660 --> 00:06:30,640 +بمعنى تلوينCoating is defined as a thin material + +68 +00:06:30,640 --> 00:06:36,880 +layer deposited on component lens or component + +69 +00:06:36,880 --> 00:06:43,600 +optical correction such as lens or mirror بالنسبة + +70 +00:06:43,600 --> 00:06:48,770 +للـ tinting ممكن انا اعمل تدريج لهاممكن تكون فاتح، + +71 +00:06:48,770 --> 00:06:53,430 +ممكن تكون متوسط، ممكن تكون ذامج طبعا هذه كلها .. + +72 +00:06:53,430 --> 00:06:57,450 +it depends on the patient في هذا الأمر طبعا و + +73 +00:06:57,450 --> 00:07:02,030 +الحالة المرضية اللي بيمتلكها المريض في عندنا ال + +74 +00:07:02,030 --> 00:07:07,690 +tinting، mirror coating طبعا اللي هو اختلافالـ + +75 +00:07:07,690 --> 00:07:12,210 +Optical Correction زي ما اتفقنا Anti Reflection + +76 +00:07:12,210 --> 00:07:17,050 +Coating أو بنسميها ال MC Multi Coating ال Multi + +77 +00:07:17,050 --> 00:07:22,310 +Coating قلنا انه بتقلل موضوع ال reflection اللي + +78 +00:07:22,310 --> 00:07:27,990 +جاي من ال front و ال back surface لمين للعدسة و + +79 +00:07:27,990 --> 00:07:32,250 +بيزود اللي هو قيمة ال transmission ل اللي هو ال + +80 +00:07:32,250 --> 00:07:38,430 +light rays Hydrophobic Coatingهي مادة او مادة + +81 +00:07:38,430 --> 00:07:43,910 +طلاقية بتكون ايه كارهة لالماء يعني بمعنى اخر لو + +82 +00:07:43,910 --> 00:07:48,970 +انا جبت عدسة و دلت عليها ميه هتلاقي انه هيصير اللي + +83 +00:07:48,970 --> 00:07:52,930 +هو الماء بنتشر على كل سطح العدسة ليش؟ لان العدسة + +84 +00:07:52,930 --> 00:07:57,210 +هي غير قادرة على ايش امتصاص هذا الماء okay + +85 +00:08:00,290 --> 00:08:06,050 +بمعنى انه زي اللي هو هيكون مضاد لمين؟ لالبرد أو + +86 +00:08:06,050 --> 00:08:08,310 +هيكون مضاد لالضباب + +87 +00:08:10,080 --> 00:08:15,680 +طيب فى عندنا خمس طبقات لأى عدسة Hydrophobic Layer + +88 +00:08:15,680 --> 00:08:20,000 +طبقة كارهة للماء Antireflection Multilayer System + +89 +00:08:20,000 --> 00:08:25,500 +Hard Layer طبقة صلبة Buffer Layer اللى هى بتكون + +90 +00:08:25,500 --> 00:08:30,200 +طبقة معادلة تمام والادهش ال layer اللى هى طبقة + +91 +00:08:30,200 --> 00:08:37,160 +لاصقة وبعد ذلك بنحصل على العدسة Diameter + +92 +00:08:37,160 --> 00:08:45,990 +لعدسةقلنا إذا كان عندى عدسة plus lens تمام، كل ما + +93 +00:08:45,990 --> 00:08:51,410 +أنا صغرت اللى هو ال diameter الخاص فيها تمام، كل + +94 +00:08:51,410 --> 00:08:56,730 +ما أنا حصلت على إيش؟Thin للعدسة بينما في العدسة + +95 +00:08:56,730 --> 00:09:00,510 +الـ minus lens كل ما انا كبرت ال diameter كل ما + +96 +00:09:00,510 --> 00:09:03,930 +انا حصلت على thin كل ما زغرت ال diameter انا ايش + +97 +00:09:03,930 --> 00:09:08,570 +حصلت على thick طيب الان المريض كيف باستفيد من هذا + +98 +00:09:08,570 --> 00:09:14,090 +الأمر انه انا عنده small diameter plus lens بدي + +99 +00:09:14,090 --> 00:09:17,830 +اجيب اللي هو ال blank size او ال diameter بتاع + +100 +00:09:17,830 --> 00:09:22,340 +الإطار انه يكون ايش مالهاكبير صح ولا لا في ال plus + +101 +00:09:22,340 --> 00:09:29,020 +lens اه عشان احصل على اطراف تكون thinفي المقابل في + +102 +00:09:29,020 --> 00:09:32,700 +الـ minus lens، ديامتر كبير، أطراف إيش هتكون + +103 +00:09:32,700 --> 00:09:36,620 +نحيفة، بده يجيب الـ blank size إن يكون إيش ماله + +104 +00:09:36,620 --> 00:09:42,520 +قطر الإطار الصغير، هذه المعايير اللي بتكون خاصة في + +105 +00:09:42,520 --> 00:09:49,680 +كيفية الوصول لـ what I call ل الوصول لاللي هو thin + +106 +00:09:49,680 --> 00:09:56,570 +lens أو بمعنى اللي هو أطراف عدسة نحيفةالان في + +107 +00:09:56,570 --> 00:10:02,650 +عندنا two figures الأولى والتانية مدى القص فيهم + +108 +00:10:02,650 --> 00:10:07,590 +متساوي لكن في عندنا large diameter وفي عندنا small + +109 +00:10:07,590 --> 00:10:12,330 +diameter الان في ال small diameter كل مكان أصغر + +110 +00:10:12,330 --> 00:10:16,750 +هيكون عندنا الأطراف أشمالها too thin مقارنة في ال + +111 +00:10:16,750 --> 00:10:20,640 +large diameter اللى كانت too thick وينفي اللي هو + +112 +00:10:20,640 --> 00:10:24,780 +يما كبرنا القطر بتاع العدسة في حالة ال plus جد ما + +113 +00:10:24,780 --> 00:10:29,040 +جصينا من يعني كان متساوي المدى بتاع الجص لكن كانت + +114 +00:10:29,040 --> 00:10:35,120 +العدسة اشمالها السماكة اللي هو أعلىبينما في الـ + +115 +00:10:35,120 --> 00:10:41,400 +minus lens التنتين وصلنا لمين؟ لنفس ال frame شوفنا + +116 +00:10:41,400 --> 00:10:44,420 +انه كل ما انا كبرت ال diameter للعدسة ال minus + +117 +00:10:44,420 --> 00:10:49,220 +lens انا حصلت على عدسة او على اطراف للعدسة انه too + +118 +00:10:49,220 --> 00:10:53,640 +thin يما بركبها وين في داخل اللي هو قطر الإطار + +119 +00:10:53,640 --> 00:11:00,780 +مفهوم ال diameter هو المسافة من ال edge لل edge + +120 +00:11:00,780 --> 00:11:02,040 +لأي عدسة + +121 +00:11:08,080 --> 00:11:14,620 +Lens Optical Quality Inspection كيفية فحص جودة + +122 +00:11:14,620 --> 00:11:20,160 +البصرية للعدسة الان انا بمسك اي عدسة بدي اعمل + +123 +00:11:20,160 --> 00:11:25,460 +اليها تفحص بدي اشوف ان هل هذه العدسة فيها اصفرار + +124 +00:11:25,460 --> 00:11:30,140 +هل مثلا ال quality بتاعتها من ناحية ال optical + +125 +00:11:30,140 --> 00:11:34,630 +جيدة ولا لابدي اشوف هل العدسة هذه فيها scratch ولا + +126 +00:11:34,630 --> 00:11:38,890 +لا تمام و بشكل مبسط انه انا ممكن امسك اللي هو + +127 +00:11:38,890 --> 00:11:43,390 +العدسات و احطها في ال light rays او في مصدر ضوء و + +128 +00:11:43,390 --> 00:11:47,750 +من خلال اللي هو المصدر الضوء بقدر اللي هو اكتشف اي + +129 +00:11:47,750 --> 00:11:53,430 +ت scratch او اي ت مشاكل في داخل العدسة هنا عندنا + +130 +00:11:53,430 --> 00:11:57,830 +التجربة هى العدسة و عندنا هى ال examiner eye و ال + +131 +00:11:57,830 --> 00:12:02,740 +light source عم باستكشف اللي هو ايهوضع العدسة من + +132 +00:12:02,740 --> 00:12:06,880 +حيث اللي هو الـ optical equality Surface + +133 +00:12:06,880 --> 00:12:11,260 +inspection و ال body inspection يعني بيشوف اللي هو + +134 +00:12:11,260 --> 00:12:17,000 +تفاصيل العدسة أو تفحص لشكل أو لا اللي هو أسطح + +135 +00:12:17,000 --> 00:12:18,960 +العدسة بشكل كامل + +136 +00:12:21,490 --> 00:12:28,590 +Lens free from waviness برضه بيعمل تفحص للعدسة من + +137 +00:12:28,590 --> 00:12:33,150 +أي تتموجات بعض الأحيان انا باخد مثلا عدسة بتكون + +138 +00:12:33,150 --> 00:12:38,690 +جديدة لكن فيها تموجات هذه العدسة برضه لازم ارجعها + +139 +00:12:38,690 --> 00:12:43,590 +لمين؟ للشركة لأن لو اديتها للمريض تمام ممكن انه + +140 +00:12:43,590 --> 00:12:47,770 +ايش؟ تكون الرؤية غير واضحة له او ال quality of + +141 +00:12:47,770 --> 00:12:48,910 +vision is not good + +142 +00:12:54,380 --> 00:13:00,220 +طيب عندنا ال lens power قوة العدسة اما بتكون plus + +143 +00:13:00,220 --> 00:13:05,480 +او minus طبعا هذه اذا كانت سفير lens و ايضا plus + +144 +00:13:05,480 --> 00:13:10,160 +او minus اذا كانت العدسة cylinder lensفي عنا + +145 +00:13:10,160 --> 00:13:14,740 +ظاهرتين مهمات بين caution distortion و parial + +146 +00:13:14,740 --> 00:13:19,760 +distortion في حالة ما يكون عندى عدسة high plus + +147 +00:13:19,760 --> 00:13:24,080 +power كل ما انا اطلعت من الأطراف بيكون ال + +148 +00:13:24,080 --> 00:13:28,660 +magnification اعلى وبالتالي بيسبب عندى distortion + +149 +00:13:28,660 --> 00:13:34,660 +لل image بيكون وكأنه ال curve للخارجشايفين عندنا + +150 +00:13:34,660 --> 00:13:40,840 +curve outward في حالة مين ال high plus lens بينما + +151 +00:13:40,840 --> 00:13:45,380 +في ال high minus lens بصير عند باريال distortion + +152 +00:13:45,380 --> 00:13:49,880 +انه كل ما اطلعت من اطراف العدسة بصير اكتر ال + +153 +00:13:49,880 --> 00:13:56,040 +minification تمام فبكون عندك curve لكن وين inward + +154 +00:13:56,040 --> 00:14:01,510 +للداخلطبعا من خلال رؤية اية object او اية target + +155 +00:14:01,510 --> 00:14:06,230 +انا بمسك العدسة وبطلع يعني على اللي هو ال target + +156 +00:14:06,230 --> 00:14:12,270 +بلاحظ الظاهرتين هدولالسلمدر لينز شويه بتختلف انه + +157 +00:14:12,270 --> 00:14:16,370 +في عندنا two meridian ال meridian هو بيكون عليه + +158 +00:14:16,370 --> 00:14:21,510 +ايه ال maximum power يعني بمعنى اخر لو قلنا ال + +159 +00:14:21,510 --> 00:14:26,410 +meridian الاول plus 5 وال meridian التاني minus 2 + +160 +00:14:26,410 --> 00:14:30,350 +في عندنا اختلاف في القوة ما بين ايش المحورين okay + +161 +00:14:30,350 --> 00:14:35,630 +كل محور بدي اخده على حدهوبدى اشوف قيمة المحور + +162 +00:14:35,630 --> 00:14:39,170 +الاول او ال meridian الاول و ال meridian التانى + +163 +00:14:39,170 --> 00:14:43,930 +وبعد ذلك بطلع ال final power اللى خاصة بالعدسة + +164 +00:14:46,070 --> 00:14:50,990 +measurement of lens power قياسات او قياس قوة + +165 +00:14:50,990 --> 00:14:56,870 +العدسة في عندنا اما من خلال ال neutralization اللي + +166 +00:14:56,870 --> 00:15:02,410 +هي طريقة المعادلة او ال Geneva clock او عندنا ال + +167 +00:15:02,410 --> 00:15:06,990 +lens meter من حيث الدقة بدها يكون الترتيب بالعكس + +168 +00:15:06,990 --> 00:15:13,850 +تلاتة اتنين واحدعنا number one checking the lens + +169 +00:15:13,850 --> 00:15:18,110 +power of a spectacle بدي أعمل تأكيد على قوة العدسة + +170 +00:15:18,110 --> 00:15:23,430 +اللي خاصة في مين في النضارة determining the + +171 +00:15:23,430 --> 00:15:29,190 +specification of an unknown lenses بدي أحدد اللي + +172 +00:15:29,190 --> 00:15:34,450 +هو خاص العدسة اللي غير معروف إيش قوتها تمام من + +173 +00:15:34,450 --> 00:15:40,280 +خلال ال method التلاتة اللي تم ذكرهمطريقة الأولى + +174 +00:15:40,280 --> 00:15:45,400 +ال neutralization، الآن لو أسألنا السؤال، دايما + +175 +00:15:45,400 --> 00:15:50,340 +العدسة اللى بتكون معي أنا، هذه العدسة بتكون معروفة + +176 +00:15:50,340 --> 00:15:56,550 +قوتها ولا لا؟الان انا ماسك عدسة uncapped lens هل + +177 +00:15:56,550 --> 00:16:02,110 +هذه العدسة بتكون non-lens ولا unknown lens power؟ + +178 +00:16:02,110 --> 00:16:06,770 +بالضبط unknown lens power صح ولا لأ؟ يعني بمعنى + +179 +00:16:06,770 --> 00:16:11,480 +اخر انا بدي اتعرف على قوتهاكيف انا بتعرف على + +180 +00:16:11,480 --> 00:16:18,280 +قوتها؟ من خلال اللي هو بجيب قوة معاكسة لمين لصين + +181 +00:16:18,280 --> 00:16:22,960 +الخاص فيها لكن التنتين the same power ففي المحصلة + +182 +00:16:22,960 --> 00:16:28,980 +ايش بيكون الحركة؟ no movement تمام؟ lens with + +183 +00:16:28,980 --> 00:16:34,140 +unknown power combined with non lens power لاحصل + +184 +00:16:34,140 --> 00:16:39,720 +على اللي هو ال zero powerknown lens power in + +185 +00:16:39,720 --> 00:16:45,420 +neutralizing the unknown lens الان انا مثلا عندي + +186 +00:16:45,420 --> 00:16:51,480 +minus 2 متعرف على موجودة في ال trial set بينما ال + +187 +00:16:51,480 --> 00:16:56,180 +uncut lens غير معروفة جبت ال minus 2 وحطيتها على + +188 +00:16:56,180 --> 00:17:00,740 +العدسة وحركت لاحظت ان مافيش حركة اذا مجدش قوة + +189 +00:17:00,740 --> 00:17:06,400 +العدسة plus 2 اللي هي معاكس لمن لل non lens power + +190 +00:17:13,520 --> 00:17:19,200 +في حالة ما يكون عندى انا بداية with movement زى في + +191 +00:17:19,200 --> 00:17:24,660 +الـ minus lens ليش ال minus lens with movement؟ في + +192 +00:17:24,660 --> 00:17:31,320 +المادة السابقة ذكرنا ان العدسات هي عبارة عن مجموعة + +193 +00:17:31,320 --> 00:17:37,500 +من البريزمات صح ولا لأ؟دايما الـ minus lens ميزتها + +194 +00:17:37,500 --> 00:17:43,540 +ان هي تعتبر apex to apex صح؟ الان انا مجربة مايكون + +195 +00:17:43,540 --> 00:17:48,620 +عندى عدسة minus lens و احرك العدسة ال target او ال + +196 +00:17:48,620 --> 00:17:53,680 +object هيتحرك ايش معايا صح ولا لا؟ طيب ليش؟ لأنه + +197 +00:17:53,680 --> 00:18:00,590 +عندنا apex to apex فالموفمنت هيكون widthو دايما + +198 +00:18:00,590 --> 00:18:05,190 +عندنا ال light rays وين بيكون في حالة البرزمات؟ + +199 +00:18:05,190 --> 00:18:09,210 +وين بيصيرله refracted؟ ال base ال base بينما ال + +200 +00:18:09,210 --> 00:18:17,490 +image وين بتكون؟ towards the apex طبعا + +201 +00:18:17,490 --> 00:18:23,330 +دايما بيفضل لتحديد حركة العدسة انه ارسم optical + +202 +00:18:23,330 --> 00:18:29,490 +target او optical acrossحتى انه اقدر اعرف ان هذه + +203 +00:18:29,490 --> 00:18:34,790 +العدسة sphere ولا cylinder lens اذا كل خواص العدسة + +204 +00:18:34,790 --> 00:18:38,550 +متساوية في كل المحاور اذا هذه العدسة ايش تعتبر + +205 +00:18:38,550 --> 00:18:43,890 +sphere lens اذا والله حركنا up و down وجناها مختلف + +206 +00:18:43,890 --> 00:18:47,310 +عن ال right و ال left اذا هذه العدسة ايش تعتبر + +207 +00:18:47,310 --> 00:18:53,820 +cylinder lens تمام؟against movement اللي هي زي في + +208 +00:18:53,820 --> 00:18:58,460 +ال plus lens ليش؟ لأن العدسة بتكون base to base + +209 +00:18:58,460 --> 00:19:03,200 +والصورة دايما باتجاه من ال apex فبالتالي انا بحرك + +210 +00:19:03,200 --> 00:19:08,580 +right الصورة بتصبح left حركت up الصورة بتصبح down + +211 +00:19:08,580 --> 00:19:17,720 +okay + +212 +00:19:18,870 --> 00:19:24,390 +neutralizing unknown spherical power lenses كيفية + +213 +00:19:24,390 --> 00:19:30,370 +تحديد قوة العدسة الغير معروفة يما يكون عندى عدسة + +214 +00:19:30,370 --> 00:19:31,990 +sphere lens + +215 +00:19:36,930 --> 00:19:41,210 +Number one a cross target رسمنا ال cross target و + +216 +00:19:41,210 --> 00:19:45,530 +بدى يكون فى داخل ال cross target اللى هو ال circle + +217 +00:19:45,530 --> 00:19:51,130 +لتحديد انه هل العدسة كل صلوكها متساوي فى كل + +218 +00:19:51,130 --> 00:19:55,930 +المحاور ولا لا Mark the optical center بدى احدد + +219 +00:19:55,930 --> 00:20:00,110 +مركز اللى هو العدسة من خلال اللى هو تعليمه بقلم + +220 +00:20:00,110 --> 00:20:04,170 +اللى هو ال markerdetermine the image movement بدي + +221 +00:20:04,170 --> 00:20:09,190 +احدد انه حركة العدسة هل هي with ولا against طيب + +222 +00:20:09,190 --> 00:20:13,530 +اذا كانت with اذا بدي اعادل في ايش في against و + +223 +00:20:13,530 --> 00:20:16,330 +اذا كانت against movement بدي اعادل ب with + +224 +00:20:16,330 --> 00:20:20,870 +movement using lenses + +225 +00:20:20,870 --> 00:20:25,270 +of opposite powers to neutralize until get no + +226 +00:20:25,270 --> 00:20:31,200 +movementThe lenses must be held in contact أنه بدي + +227 +00:20:31,200 --> 00:20:35,460 +أحط التنتين متلاسقات العدسة الأولى اللى هى الـ + +228 +00:20:35,460 --> 00:20:39,600 +unknown lens و العدسة التانية الـ non-lens power + +229 +00:20:39,600 --> 00:20:43,400 +اللى معروف قوتها متلاسقات مش هحط واحدة بعيدة عن + +230 +00:20:43,400 --> 00:20:50,510 +التانية عشان أصلها no movementان high power دايما + +231 +00:20:50,510 --> 00:20:54,490 +win الصعوبة او التحدي الكبير انه انا في ال high + +232 +00:20:54,490 --> 00:20:58,730 +power بيصير الحركة ايش ما لها سريعة سواء against + +233 +00:20:58,730 --> 00:21:02,790 +او سواء كانت with عشان هيك انا ايش بده استخدم؟ + +234 +00:21:02,790 --> 00:21:07,490 +aperture الهدف منه انه يعمل restrict اي بمعنى + +235 +00:21:07,490 --> 00:21:13,050 +تحديد او limitation لمين لل view الرؤيةبعد ذلك + +236 +00:21:13,050 --> 00:21:17,690 +النقطة الأساسية أنه بدي أعمل practicing technique + +237 +00:21:17,690 --> 00:21:23,650 +عملية حصر يعني الآن مثلا انا عندي minus خمسة بدي + +238 +00:21:23,650 --> 00:21:29,910 +أحصرها بين اللي هو two powerplus مثلا ستة و plus + +239 +00:21:29,910 --> 00:21:36,610 +أربعة لأصل اللي هو إيش للقوة ال fit أو ال proper + +240 +00:21:36,610 --> 00:21:43,070 +fit أو بمعنى آخر القوة الصحيحة بالنسبة لمين للعدسة + +241 +00:21:43,070 --> 00:21:44,050 +الغير معروفة + +242 +00:21:51,100 --> 00:21:57,540 +طبعا احنا قلنا الاصطح سابقا انه بتتكون يعني عندنا + +243 +00:21:57,540 --> 00:22:04,320 +تلت اللي هو اصطح اما sphere surface او cylinder + +244 +00:22:04,320 --> 00:22:09,980 +surface او toroidal surface بينما ال sphere و ال + +245 +00:22:09,980 --> 00:22:14,900 +cylinder ايش يعتبر؟بالضبط تعتبر اللي هو optical + +246 +00:22:14,900 --> 00:22:19,740 +appropriability يعني بمعنى آخر أنه انا ممكن احصل + +247 +00:22:19,740 --> 00:22:27,560 +عليها من combination ما بين الاسفير والسلندر lens + +248 +00:22:27,560 --> 00:22:32,840 +بحصل على مين اللي هو الاسفير والسلندر lens in + +249 +00:22:32,840 --> 00:22:36,660 +neutralizing unknown cylindrical or sphero + +250 +00:22:36,660 --> 00:22:41,940 +cylindrical power lensesNumber one identify the + +251 +00:22:41,940 --> 00:22:47,660 +lens by the rotation test اذا بدنا نحدد او نتعرف + +252 +00:22:47,660 --> 00:22:54,580 +على العدسة من خلال عملية ايش؟ الدوران طبعا كل + +253 +00:22:54,580 --> 00:22:58,720 +meridian على حدةالـ Horizontal و ال Vertical طبعا + +254 +00:22:58,720 --> 00:23:05,120 +هو ليس شرطا ان يكون 90 و 180 ممكن يكون ال axis + +255 +00:23:05,120 --> 00:23:10,660 +مثلا 30 ممكن يكون 130 فانا بدي اعمل اللي هو ممكن + +256 +00:23:10,660 --> 00:23:15,560 +ان يكون Oblige ك movement ايضا بدي نعمل mark the + +257 +00:23:15,560 --> 00:23:19,160 +optical center بدي نحدد اللي هو جداش ال image + +258 +00:23:19,160 --> 00:23:23,300 +rotation لكن هنا كل meridian على حدة يعني ممكن + +259 +00:23:23,300 --> 00:23:27,120 +يكون واحد with التاني againstممكن التنين against + +260 +00:23:27,120 --> 00:23:28,120 +التنين will + +261 +00:23:31,000 --> 00:23:35,560 +Using lenses of opposite powers to neutralize + +262 +00:23:35,560 --> 00:23:39,880 +check meridian biospherical lenses بعد ذلك بدنا + +263 +00:23:39,880 --> 00:23:44,160 +نجمع يعني الآن انا مثلا عدلت المحور اللي هو + +264 +00:23:44,160 --> 00:23:50,480 +العمودي نفترض plus 4 الأفقي مثلا plus 2 اذا ايش + +265 +00:23:50,480 --> 00:23:58,060 +بيصير عندنا plus 4 على minus 2 x is mean 90 تمام؟ + +266 +00:23:59,160 --> 00:24:05,520 +للوصول للمعادلة او ال power النهائي Or use + +267 +00:24:05,520 --> 00:24:09,880 +spherical lens to neutralize one meridian, leave + +268 +00:24:09,880 --> 00:24:14,320 +it in place and use cylindrical lens to neutralize + +269 +00:24:14,320 --> 00:24:18,600 +the other meridian بعد ما انا عدلت المحور الاول + +270 +00:24:18,600 --> 00:24:23,720 +بروح اللي هو بعادل من المحور التاني طب السؤال لو + +271 +00:24:23,720 --> 00:24:29,880 +انا مثلا عندىالمحور التسعين كان نفترض هو الأعلى + +272 +00:24:29,880 --> 00:24:37,560 +قوة والمحور الأفقي الـ180 الأقل قوة أو الأقل حركة + +273 +00:24:37,560 --> 00:24:42,320 +خلنا نقول وين ببدأ؟ ببدأ هل في ال vertical ولا + +274 +00:24:42,320 --> 00:24:46,560 +ببدأ في ال horizontal؟ ايش رأيكم؟ + +275 +00:24:49,250 --> 00:24:54,950 +استعبين السؤال؟ لان عنا في أنه أبدأ الأكتر حركة + +276 +00:24:54,950 --> 00:25:02,130 +ولا الأقل حركة؟ دايما في الأعلى power ليش؟ لأنه + +277 +00:25:02,130 --> 00:25:06,610 +قلنا التحدي الأصعب أن أصل لل high power بينما ال + +278 +00:25:06,610 --> 00:25:13,170 +low power هو ايش؟ من السهل أن أصله determine the + +279 +00:25:13,170 --> 00:25:17,810 +axis by the protectorممكن في بعض الأحيان انا + +280 +00:25:17,810 --> 00:25:23,190 +بستخدم المنقلة لتحديد من ال access اللي ممكن يعمل + +281 +00:25:23,190 --> 00:25:29,590 +لي ايه او يساعدني في عملية ال neutralization طيب + +282 +00:25:29,590 --> 00:25:36,970 +الطريقة التانية لعملية قياس قوة العدسة هو عبارة عن + +283 +00:25:36,970 --> 00:25:38,930 +مين Geneva Clock + +284 +00:25:42,040 --> 00:25:45,980 +في عندنا قانون اخدناها سابقا في مادة الـ + +285 +00:25:45,980 --> 00:25:50,200 +ophthalmic lenses ان ال F ال power of a lens + +286 +00:25:50,200 --> 00:25:50,960 +بالساوي + +287 +00:25:54,100 --> 00:25:59,340 +معامل الانكسار ناقص واحد طبعا معامل الانكسار لمن؟ + +288 +00:25:59,340 --> 00:26:04,540 +للمaterial ناقص اللي هو واحد معامل الانكسار من؟ + +289 +00:26:04,540 --> 00:26:09,840 +الهواء على ال radius of curvature في شغلة مهمة + +290 +00:26:09,840 --> 00:26:17,480 +كتير انه ممكن كمان ال F ايش بالساوية؟ N ناقص N + +291 +00:26:17,480 --> 00:26:25,410 +شرطة على Rهذه وقتيش بستخدمها يما انا بدي احسب قيمة + +292 +00:26:25,410 --> 00:26:31,930 +ال R مافيش R في ال minus وعندكم يمكن اللي هو فيه + +293 +00:26:31,930 --> 00:26:35,830 +بعض اللي هو ال defect موجود انه حاسب قيمة ال R بال + +294 +00:26:35,830 --> 00:26:40,390 +minus الصح انه قيمة ال R تكون في ال plus اللي هي + +295 +00:26:40,390 --> 00:26:50,200 +ال radius of curvature تمام؟ By knowing RAnd ان + +296 +00:26:50,200 --> 00:26:54,620 +شرطة اللى هى refractive index ده ال material ممكن + +297 +00:26:54,620 --> 00:26:59,600 +من خلالها + +298 +00:26:59,600 --> 00:27:04,120 +احدد قوة العدسة ايش في اللى هو الهواء اللى بيساوي + +299 +00:27:04,120 --> 00:27:04,620 +واحد + +300 +00:27:09,330 --> 00:27:13,630 +سابقا اخدنا equation ال R ال radius of curvature S + +301 +00:27:13,630 --> 00:27:17,970 +ايش بالساوي ال Y تربيع اللي هي عبارة عن ايه ال + +302 +00:27:17,970 --> 00:27:25,510 +diameter صح ال diameter of a lens على اتنين S ال S + +303 +00:27:25,510 --> 00:27:31,070 +هي بتمثل ايش ال digital depth okay الان كل ما زادت + +304 +00:27:31,070 --> 00:27:37,880 +ال R بزيد ال Yوكل مزالة ال a بتقل من ال s اللي هي + +305 +00:27:37,880 --> 00:27:43,140 +ال digital depth الخاصة بالعدسة إذا عندنا العلاقة + +306 +00:27:43,140 --> 00:27:48,160 +ما بين ال r اللي هي ال radius of curvature و ال + +307 +00:27:48,160 --> 00:27:53,040 +diameter هي تعتبر علاقة directly appropriation + +308 +00:27:53,040 --> 00:27:58,260 +بينما العلاقة ما بين ال r و ال digital depth هي + +309 +00:27:58,260 --> 00:28:01,120 +علاقة inversely appropriation + +310 +00:28:13,940 --> 00:28:23,780 +و من خلالها + +311 +00:28:23,780 --> 00:28:27,920 +انا بقدر احسب قيمة مين ال power of ellens + +312 +00:28:34,230 --> 00:28:43,370 +طبعا فى عندنا الرسمة بتوضح بداية + +313 +00:28:43,370 --> 00:28:48,810 +هى الجهاز ال Geneva clock تمام وهى عندنا ال + +314 +00:28:48,810 --> 00:28:53,290 +surface of a lens وفى عندنا حاجة اسمها ال Sagittal + +315 +00:28:53,290 --> 00:28:59,530 +height ايش المقصود بال Sagittal height؟اللي هي + +316 +00:28:59,530 --> 00:29:07,790 +مقدار ارتفاع الجهاز عن سطح العدسة تمام عشان احصل + +317 +00:29:07,790 --> 00:29:10,850 +على مين ال radius of curvature + +318 +00:29:14,240 --> 00:29:19,560 +legs will give fixed diameter or fixed y تربية + +319 +00:29:19,560 --> 00:29:25,120 +الان انا بثبت الجهاز على مين؟ على سطح العدسة و + +320 +00:29:25,120 --> 00:29:30,440 +بضغط يعني بعمل عملية fix لأ اللي هو الجهاز على سطح + +321 +00:29:30,440 --> 00:29:35,460 +العدسةو من خلاله بقدر احسب mean ال radius of + +322 +00:29:35,460 --> 00:29:40,160 +curvature اللي هي ال R طبعا مدام انا حسبت قيمة ال + +323 +00:29:40,160 --> 00:29:44,440 +R مباشرة من خلالها بجيب mean ال Y اللي هي او ال D + +324 +00:29:44,440 --> 00:29:49,600 +ال diameter تمام و بعد ذلك بقدر احسب ال power of + +325 +00:29:49,600 --> 00:29:55,980 +ellens بس لازم اكون عارف ايش ال refractive index + +326 +00:29:55,980 --> 00:29:59,880 +الخاصة في ال material بتاعة مين العدسة okay + +327 +00:30:05,220 --> 00:30:09,240 +movable أي بمعنى leg، movable leg انه بدي اعمل + +328 +00:30:09,240 --> 00:30:17,160 +تحريك لالهو ال leg هذا will determine the thigh by + +329 +00:30:17,160 --> 00:30:22,280 +the difference in height between it الان لما انا + +330 +00:30:22,280 --> 00:30:27,420 +بدي اعمل تثبيت له و من ثم احركه لل leg حيصير فيه + +331 +00:30:27,420 --> 00:30:31,580 +اختلاف صح ولا لأ؟ بدي احد اتجدش قيمة الاختلاف هذا + +332 +00:30:32,400 --> 00:30:36,660 +يعني جداش قيمة اللى هو الـ Sagittal Depth بداية + +333 +00:30:36,660 --> 00:30:42,020 +انا عملت هى الجهاز ثبته على العدسة صح فى هن عندنا + +334 +00:30:42,020 --> 00:30:46,920 +ايش اللى هى ال Sagittal Height الان انا عملت ضغط + +335 +00:30:46,920 --> 00:30:52,200 +لمين من قبل اللى هو ال leg للعدسة بدي احسب ايضا + +336 +00:30:52,200 --> 00:30:56,260 +جداش قيمة ال radius of curvature الاختلاف بينهم + +337 +00:30:56,260 --> 00:30:56,940 +تمام + +338 +00:31:00,640 --> 00:31:04,620 +هي مثلا عندنا ال N بالساوية واحد خمسة تلاتة اذا + +339 +00:31:04,620 --> 00:31:09,660 +هذا ال refractive index لمن؟ لل crown glass تمام + +340 +00:31:09,660 --> 00:31:16,820 +عندنا ال F ايش بالساوية؟ N شرطة ناقص واحد على R + +341 +00:31:16,820 --> 00:31:23,140 +طلعت 0.53 على R تمام + +342 +00:31:25,120 --> 00:31:33,280 +Geneva Clock is a mechanical dial يعني إيش هو مؤشر + +343 +00:31:33,280 --> 00:31:37,940 +صح ولا لأ؟ المؤشر هذا إيش يعتبر؟ Indicator أي + +344 +00:31:37,940 --> 00:31:42,600 +بمعنى بيشير that is used to measure diopteric + +345 +00:31:42,600 --> 00:31:47,180 +power of elements من خلال المؤشر أنا بعرف أخد قد + +346 +00:31:47,180 --> 00:31:53,200 +إيش قوة العدسةAssuming the lens is made of a + +347 +00:31:53,200 --> 00:31:58,840 +material with particular refractive index الان ان + +348 +00:31:58,840 --> 00:32:02,660 +انت لو أي اتعة عدسة uncut lens امسكتيها هتلاقي + +349 +00:32:02,660 --> 00:32:07,800 +مكتوب على الورقة تاعتها معامل الانكسار الخاص فيها + +350 +00:32:07,800 --> 00:32:12,200 +يعني اذا كان الCR تسعة وتلاتين بيكتبلك واحد اربعة + +351 +00:32:12,200 --> 00:32:16,460 +تسعة تمانيةإذا والله crowny glass بيكتب لجديش + +352 +00:32:16,460 --> 00:32:20,280 +معامل الانكسار ال high index يعني هو دايما بيفترض + +353 +00:32:20,280 --> 00:32:24,940 +انه قضية معامل الانكسار معروفة بالنسبة لمين لل + +354 +00:32:24,940 --> 00:32:32,100 +examiner او لل dispenser okay the + +355 +00:32:32,100 --> 00:32:37,300 +clock will measure the power of each surface يعني + +356 +00:32:37,300 --> 00:32:43,540 +هذا ال clock هيقيس أي تقوى لأي سطح كان على العدسة + +357 +00:32:54,060 --> 00:33:01,220 +إذا القوة اللي داني إياها by rotating the clock + +358 +00:33:01,220 --> 00:33:05,000 +remains unchanged يعني الآن أنا مثلا حطيت سطح + +359 +00:33:05,000 --> 00:33:10,660 +العدسة وحطيت الجهاز عليه ومالاحطش أن المؤشر اتحرك + +360 +00:33:10,660 --> 00:33:16,560 +معنى الكلام أن ال powerequal in all the meridian + +361 +00:33:16,560 --> 00:33:25,120 +يعني هنا العدسة اي شمالها تعتبر sphere lens if the + +362 +00:33:25,120 --> 00:33:29,940 +power given by rotating the clock shows change the + +363 +00:33:29,940 --> 00:33:35,380 +surface is either cylindrical or toroidal الان انا + +364 +00:33:35,380 --> 00:33:40,000 +نفس الفكرة حطيت الجهاز او ال leg بتاعه على سطح + +365 +00:33:40,000 --> 00:33:46,380 +العدسة ولاحظت ان في هناك اختلافأو في هناك اللي هو + +366 +00:33:46,380 --> 00:33:53,040 +حركة لمن يعني للمؤشر الخاص في الجهاز بالتالي هرب + +367 +00:33:53,040 --> 00:33:57,160 +يدين انطباع ان العدسة هي تعتبر ايه سيلندر أو + +368 +00:33:57,160 --> 00:34:02,420 +Troidal Surface We should determine the maximum + +369 +00:34:02,420 --> 00:34:06,160 +and minimum powers طب ليش احنا هم نحسب ال maximum + +370 +00:34:06,160 --> 00:34:12,790 +و ال minimum power الخاص بسطح العدسة؟100% لحساب + +371 +00:34:12,790 --> 00:34:16,570 +قيمة الـ total power أو ال overall power الخاصة في + +372 +00:34:16,570 --> 00:34:20,370 +مين في ال cylinder lens يعني باخد السطح الأول + +373 +00:34:20,370 --> 00:34:24,590 +السطح التاني مثلا هذا عندنا maximum power و + +374 +00:34:24,590 --> 00:34:29,090 +minimum power أطرحهم من بعض عشان أحصل على مين ال + +375 +00:34:29,090 --> 00:34:32,490 +over power للعدسة + +376 +00:34:34,140 --> 00:34:39,760 +Finally the powers of each surface can be added to + +377 +00:34:39,760 --> 00:34:44,140 +give the approximate optical power of the whole + +378 +00:34:44,140 --> 00:34:48,120 +lens هاي + +379 +00:34:48,120 --> 00:34:50,760 +مثلا عندنا مثال على الكلام هذا + +380 +00:35:00,360 --> 00:35:07,120 +عنا example a front surface power measured by lens + +381 +00:35:07,120 --> 00:35:12,940 +a clock gives a plus three diopter sphere إذا + +382 +00:35:12,940 --> 00:35:18,060 +السطح الأول إيش كان؟ plus تلاتة بدها مجلي plus + +383 +00:35:18,060 --> 00:35:23,600 +three diopter sphere إذا على طول إيش مالها؟ إنه + +384 +00:35:23,600 --> 00:35:30,650 +all the surface has the same powerيعني على كل + +385 +00:35:30,650 --> 00:35:37,130 +المحاور القوة هتكون plus ثلاثة back surface power + +386 +00:35:37,130 --> 00:35:43,830 +shows maximum power minus five جماعة كلمة هذه + +387 +00:35:43,830 --> 00:35:52,830 +معناها at بمعنى اللي هو along اللي + +388 +00:35:52,830 --> 00:35:59,050 +فيها هي تعتبر ال maximum power + +389 +00:36:00,990 --> 00:36:06,250 +وهي تعتبر معاكس لمن؟ لل axis دايما ال axis مثلا + +390 +00:36:06,250 --> 00:36:12,770 +انا عندى minus خمسة axis مية و تمانين مية في المية + +391 +00:36:12,770 --> 00:36:17,290 +هي تعتبر ايش؟ المية و تمانين zero power يعني فيها + +392 +00:36:17,290 --> 00:36:21,610 +ال minimum power تمام؟ اذا ال minus خمسة التسعين + +393 +00:36:21,610 --> 00:36:25,890 +هيملاحظين يعني هذه اعلى قوة هذه ال maximum power + +394 +00:36:26,830 --> 00:36:30,550 +and minimum power minus two at one hundred and + +395 +00:36:30,550 --> 00:36:35,850 +eighty إذا السطح الأول إيش يعتبر؟ السفير surface + +396 +00:36:35,850 --> 00:36:41,070 +السطح التاني إيش يعتبر؟ لأ toroidal surface أو ترك + +397 +00:36:41,070 --> 00:36:45,590 +اللي هو surface المجموع بتاعه هنطلع عندى minus + +398 +00:36:45,590 --> 00:36:49,710 +اتنين plus واحد من السطحين هدول اللي هو السفيره + +399 +00:36:49,710 --> 00:36:53,130 +cylinder surface تمام؟ + +400 +00:36:55,940 --> 00:37:01,380 +إذا ببساطة جدا عندنا لو مسكنا العدسة الـ uncut + +401 +00:37:01,380 --> 00:37:06,820 +lens تمام فيها سطحين front surface و back surface + +402 +00:37:06,820 --> 00:37:11,760 +الآن أنا بجيب ال Geneva clock ال leg بتاعه بعمله + +403 +00:37:11,760 --> 00:37:16,380 +اللي هو fix على مين السطح الأمامي للعدسةإذا ما + +404 +00:37:16,380 --> 00:37:22,460 +صارتش أي حركة للمؤشر معنى الكلام انه العدسة sphere + +405 +00:37:22,460 --> 00:37:27,840 +lens يعني has the same power in all meridians نفس + +406 +00:37:27,840 --> 00:37:31,620 +الفكرة بعملها على مين ال back surface إذا صار + +407 +00:37:31,620 --> 00:37:36,950 +والله تحريك للمؤشر إذا العدسة هي تعتبربتكون + +408 +00:37:36,950 --> 00:37:41,250 +cylinder lens او tridal surface لكن غالبا اللي هو + +409 +00:37:41,250 --> 00:37:44,990 +ايش هيكون يعني العدسات اللي هي ال meniscus lens + +410 +00:37:44,990 --> 00:37:50,290 +هيكون cylinder اللي هو surface okay الان بعمل + +411 +00:37:50,290 --> 00:37:54,210 +combination ما بين ال two surfaces الاول سفير + +412 +00:37:54,210 --> 00:37:57,690 +والتاني اللي هو turquoise surface او cylinder + +413 +00:37:57,690 --> 00:38:02,010 +surface للحصول على ال final power الخاص بالعدسة + +414 +00:38:02,010 --> 00:38:03,710 +اكتبوا مثال عندكم + +415 +00:38:11,050 --> 00:38:18,850 +front surface power measured + +416 +00:38:18,850 --> 00:38:23,490 +by lens + +417 +00:38:23,490 --> 00:38:30,870 +clock gives + +418 +00:38:30,870 --> 00:38:39,410 +maximum + +419 +00:38:39,410 --> 00:38:40,090 +power + +420 +00:38:48,600 --> 00:38:52,900 +plus two at + +421 +00:38:52,900 --> 00:39:01,280 +forty maximum + +422 +00:39:01,280 --> 00:39:11,080 +power تمام؟ and minimum power minus + +423 +00:39:11,080 --> 00:39:15,100 +one at + +424 +00:39:18,850 --> 00:39:29,670 +one hundred thirty back + +425 +00:39:29,670 --> 00:39:37,350 +surface power shows + +426 +00:39:37,350 --> 00:39:43,190 +or + +427 +00:39:43,190 --> 00:39:43,590 +gives + +428 +00:39:50,070 --> 00:39:58,270 +-2 ديوبتر أسفير لكل + +429 +00:39:58,270 --> 00:40:05,450 +مصادر ماهي + +430 +00:40:05,450 --> 00:40:08,910 +قوة + +431 +00:40:08,910 --> 00:40:10,990 +الانز + +432 +00:40:18,240 --> 00:40:24,160 +الفكرة بدنا نرسم بداية ال front surface تمام؟ ال + +433 +00:40:24,160 --> 00:40:29,120 +front surface هل هو كان عندنا cylinder ولا + +434 +00:40:29,120 --> 00:40:34,820 +spherical ولا toric surface؟ 100% بدي اشوف كل + +435 +00:40:34,820 --> 00:40:38,600 +power ال maximum power at what؟الـ minimum power + +436 +00:40:38,600 --> 00:40:44,740 +at what؟ زائد الـ spherical اللي هو الـ surface، + +437 +00:40:44,740 --> 00:40:48,500 +السطح التاني أو ال back surface و أعمل combination + +438 +00:40:48,500 --> 00:40:49,300 +للتانين + +439 +00:40:53,070 --> 00:40:57,030 +طبعا في النهاية بدي اكتب المعادلة الخاصة في مين؟ + +440 +00:40:57,030 --> 00:41:00,210 +في الـ Sphero Cylinder يعني هاني plus one على + +441 +00:41:00,210 --> 00:41:05,230 +minus ثلاثة at مية و تمانين زي ما بنكتب اللي هو + +442 +00:41:05,230 --> 00:41:11,990 +وصفة الـ Sphero Cylinder Lens هي عندنا plus one + +443 +00:41:11,990 --> 00:41:16,070 +الأكتر اللي هو power بعدين بدي اطرح التان من الأول + +444 +00:41:16,070 --> 00:41:19,770 +minus three و ا access ال maximum power اللي هو + +445 +00:41:19,770 --> 00:41:21,370 +عبارة عن ال plus one + +446 +00:41:26,750 --> 00:41:32,290 +أما بالنسبة ل correcting for refractive index طيب + +447 +00:41:32,290 --> 00:41:37,910 +الان انا عندى معلوم جداش معامل الانكسار ل العدسة + +448 +00:41:37,910 --> 00:41:46,890 +okay نكمل if a lens with a refractive index of 1.7 + +449 +00:41:46,890 --> 00:41:53,330 +ال 1.7 ايش تعتبر high index material صح؟ + +450 +00:41:55,840 --> 00:42:04,020 +المثال مجرد مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد + +451 +00:42:04,020 --> 00:42:04,020 +مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة + +452 +00:42:04,020 --> 00:42:07,520 +اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد + +453 +00:42:07,520 --> 00:42:11,480 +مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة + +454 +00:42:11,480 --> 00:42:13,060 +اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد + +455 +00:42:13,060 --> 00:42:13,080 +مع نسخة اكلوك مجرد مع نسخة اكلوك مجرد مع نسخة + +456 +00:42:13,080 --> 00:42:23,840 +اكلوك مجرد + +457 +00:42:23,840 --> 00:42:31,050 +مع نسخة االـ Lens made of material of refractive + +458 +00:42:31,050 --> 00:42:36,790 +index 1.7 surface power is measured by a clock + +459 +00:42:36,790 --> 00:42:42,690 +lens calibrated with N' 1523 + +460 +00:42:50,350 --> 00:42:56,250 +اذا هان يعتبر السطح اسفير ولا سيلندر ولا ترويدل + +461 +00:42:56,250 --> 00:43:02,510 +اسفير يعني ماينوس تلاتة انه على كل المحاور هذه + +462 +00:43:02,510 --> 00:43:05,670 +وقتاشة ما كان عندنا معامل الانكسار a crown glass + +463 +00:43:05,670 --> 00:43:11,910 +okay؟ بدنا جداش قوة العدسة للسطح يما غيرنا معامل + +464 +00:43:11,910 --> 00:43:16,210 +الانكسار بدل واحد خمسة اتنين تلاتة خلناها جداش + +465 +00:43:16,210 --> 00:43:24,360 +واحد وسبعةFirst we calculate R which gives minus + +466 +00:43:24,360 --> 00:43:29,520 +three عندنا ال R إيش بالساوي؟ شايفين واحد ناقص أن + +467 +00:43:29,520 --> 00:43:34,940 +شرطة على F عشان أطلع قيمة ال R إيش موجبة صلحوها + +468 +00:43:34,940 --> 00:43:40,460 +عندكمثم القوة التي قمت باستخدام عملية الانكسار + +469 +00:43:40,460 --> 00:43:42,660 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +470 +00:43:42,660 --> 00:43:45,820 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +471 +00:43:45,820 --> 00:43:45,980 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +472 +00:43:45,980 --> 00:43:50,400 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +473 +00:43:50,400 --> 00:43:52,200 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +474 +00:43:52,200 --> 00:43:55,420 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +475 +00:43:55,420 --> 00:44:00,760 +باستخدام عملية الانكسار باستخدام عملية الانكسار + +476 +00:44:00,760 --> 00:44:05,640 +باستخدأذا انا الان كل ما قللت من ثماكة اللى هي + +477 +00:44:05,640 --> 00:44:11,380 +العدسة تمام وزودت كثافة العدسة انا زودت في مين؟ في + +478 +00:44:11,380 --> 00:44:15,160 +ال power للعدسة يعني لما كانت في معامل انكسار واحد + +479 +00:44:15,160 --> 00:44:18,800 +خمس اتنين تلاتة كانت minus تلاتة لما صارت واحد + +480 +00:44:18,800 --> 00:44:22,300 +وسبعة اللى هي ال high index material صارت minus + +481 +00:44:22,300 --> 00:44:27,060 +اربعة وهذا منطق ان كل ما انا زدت الكثافة للعدسة كل + +482 +00:44:27,060 --> 00:44:31,440 +ما انا قللت الثماكة بتزيد اللى هو مين قوة العدسة + +483 +00:44:31,550 --> 00:44:35,650 +Okay طيب + +484 +00:44:35,650 --> 00:44:40,530 +ان شاء الله بنقف للنقطة هذه في المحاضرة القادمة + +485 +00:44:40,530 --> 00:44:45,270 +بنكمل موضوع الـ Measurement of Lens Power في اللي + +486 +00:44:45,270 --> 00:44:48,570 +هو جهاز الـ Lens Meter يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/He9P5VXEVLs.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/He9P5VXEVLs.srt new file mode 100644 index 0000000000000000000000000000000000000000..10856d2edcc52bf1e2d1913428e2c9781d258072 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/He9P5VXEVLs.srt @@ -0,0 +1,1381 @@ +1 +00:00:20,960 --> 00:00:23,520 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,520 --> 00:00:27,820 +وبركاته and a very good morning to all of you. في + +3 +00:00:27,820 --> 00:00:37,960 +المحاضرة السابقة أخذنا قانون X = F + +4 +00:00:37,960 --> 00:00:45,660 +الـ U على الـ F للـ standard lens تربيع. قلنا الـ X هي + +5 +00:00:45,660 --> 00:00:51,470 +عبارة عن الـ focal length للـ standard lens بيساوي + +6 +00:00:51,470 --> 00:00:58,470 +الف ملي متر في الـ FU اللي هي الـ power of the unknown + +7 +00:00:58,470 --> 00:01:03,490 +lens. يعني قوة العدسة الغير معروفة أو المجهولة. + +8 +00:01:03,490 --> 00:01:13,350 +مقسومة على قوة العدسة الـ standard. تمام، الآن + +9 +00:01:13,350 --> 00:01:20,310 +الاثنين هذول إيش سميناهم؟ عبارة عن optical system. + +10 +00:01:20,310 --> 00:01:29,410 +تمام، بتكون من الـ unknown lens اللي هي الـ FU أو + +11 +00:01:29,410 --> 00:01:38,490 +بسموها عبارة عن الـ original lens. + +12 +00:01:38,490 --> 00:01:45,910 +اللي هي قيمة قوة العدسة أو النضارة الغير معروفة. + +13 +00:01:45,910 --> 00:01:53,200 +وعندنا أيضاً هذه عبارة عن الـ standard lens أو بيسموها + +14 +00:01:53,200 --> 00:02:02,740 +الـ second lens. أيضاً أخذنا في المحاضرة السابقة أن + +15 +00:02:02,740 --> 00:02:09,620 +الـ light rays اللي خارج من النضارة أو الـ uncut + +16 +00:02:09,620 --> 00:02:14,980 +lens بيكون parallel light rays، والسر أنه بيكون + +17 +00:02:14,980 --> 00:02:20,130 +parallel. إن الـ target بيكون جالس على مين؟ على الـ + +18 +00:02:20,130 --> 00:02:26,190 +nodal point اللي خاصة بالعدسة. تمام؟ هذا عبارة عن + +19 +00:02:26,190 --> 00:02:31,650 +الـ scale اللي بتلاقوه اللي هو في داخل الجهاز أو + +20 +00:02:31,650 --> 00:02:36,470 +المؤشر عندنا إما بالـ minus إذا كانت قوة العدسة + +21 +00:02:36,470 --> 00:02:41,050 +سالبة أو بالـ plus إذا كانت قوة العدسة موجبة. + +22 +00:02:47,040 --> 00:02:51,980 +تمام، في عندنا قاعدة مهمة. كتير different unknown + +23 +00:02:51,980 --> 00:02:59,260 +lenses powers. إيش المقصود فيها؟ هل + +24 +00:02:59,260 --> 00:03:06,260 +جيت جماعة، اه، تفضلي يا هديل، تفضلي. + +25 +00:03:06,260 --> 00:03:13,410 +إيوة، طيب عندنا بالنسبة للـ unknown lenses المقصود + +26 +00:03:13,410 --> 00:03:18,630 +فيها كقوة العدسة. الآن إحنا الجهاز ثابت والـ + +27 +00:03:18,630 --> 00:03:23,050 +standard lens إيش بتكون؟ constant، ثابتة. لكن مين + +28 +00:03:23,050 --> 00:03:28,820 +المتغير؟ قوة النضارة أو العدسة. يعني الآن قوة نضارة + +29 +00:03:28,820 --> 00:03:33,920 +أو عدسة هديل مختلفة عن هديل، مختلفة عن اللي هو + +30 +00:03:33,920 --> 00:03:39,100 +السمية، مختلفة عن X، عن Y. إذا هذه كلها بتعطينا إيش؟ + +31 +00:03:39,100 --> 00:03:45,360 +different unknown lenses. okay. and the distance + +32 +00:03:45,360 --> 00:03:50,740 +between the unknown lens. الآن لو افترضنا أن مريم + +33 +00:03:50,740 --> 00:03:56,380 +لابسة minus 2، هيكون فيها إيه؟ focal length مختلف عن + +34 +00:03:56,380 --> 00:04:01,020 +الـ focal length لواحدة صغيرة اللي هو plus 2. هيديني + +35 +00:04:01,020 --> 00:04:05,080 +focal length مختلف. فالآن حيصير في عندنا اختلاف في + +36 +00:04:05,080 --> 00:04:09,340 +قيمة الـ focal length. فالآن أول حاجة عندنا اختلاف + +37 +00:04:09,340 --> 00:04:14,260 +في الـ unknown lens اللي هي القوة المجهولة أو الغير + +38 +00:04:14,260 --> 00:04:19,780 +معروفة اللي هي بتمثل قوة النضارة. and the distance + +39 +00:04:19,780 --> 00:04:24,710 +between the unknown lens والمسافة التي هي الـ focal + +40 +00:04:24,710 --> 00:04:30,750 +length الخاصة في مين؟ في القوة المجهولة. and + +41 +00:04:30,750 --> 00:04:34,910 +standard lens. يعني هنا عندنا الـ X والـ X شرطة اللي + +42 +00:04:34,910 --> 00:04:40,270 +أخذناه في المحاضرة الماضية will change both the + +43 +00:04:40,270 --> 00:04:45,870 +target image size and location. إذا سوف يغير من حجم + +44 +00:04:45,870 --> 00:04:51,850 +الصورة، هيغير من الـ target، وهيغير من إيه؟ من موقع الـ + +45 +00:04:51,850 --> 00:04:58,530 +target. إذا مرة أخرى اختلاف قوة عدسة النضارة + +46 +00:04:58,530 --> 00:05:04,330 +واختلاف المسافة ما بين النضارة والـ standard lens + +47 +00:05:04,330 --> 00:05:10,410 +هذا هيغير من حجم الصورة، وهيغير من موقعها، وهيغير من + +48 +00:05:10,410 --> 00:05:11,410 +اللي هو الـ target. + +49 +00:05:29,280 --> 00:05:35,660 +الآن الشكل هذا إيش بيمثل؟ simple + +50 +00:05:35,660 --> 00:05:46,360 +lens meter. تمام، إذا هذا بيمثل simple lens meter. + +51 +00:05:46,360 --> 00:05:50,960 +تمام، أو بيمثل اللي هو الـ traditional + +52 +00:05:56,450 --> 00:06:02,190 +lens meter. طيب، أنا قلت traditional أو simple lens + +53 +00:06:02,190 --> 00:06:07,010 +meter لأنه مش موجودة فيه مين؟ الـ standard lens أو الـ + +54 +00:06:07,010 --> 00:06:14,050 +second lens. الآن هذه العدسة هي عبارة عن مين؟ FU، صح؟ + +55 +00:06:14,050 --> 00:06:20,350 +اللي هي عبارة عن الـ original lens أو الـ unknown + +56 +00:06:20,350 --> 00:06:27,100 +lens. الآن هنا الـ F، الـ A، إيش بتمثل؟ الـ nodal point + +57 +00:06:27,100 --> 00:06:31,500 +لمين؟ + +58 +00:06:31,500 --> 00:06:38,860 +للعدسة الـ unknown lens. وهنا بتمثل الـ focal point + +59 +00:06:38,860 --> 00:06:48,760 +لمين؟ للـ FU. الآن + +60 +00:06:48,760 --> 00:06:53,490 +الـ light rays آتية من الـ infinity أو parallel + +61 +00:06:53,490 --> 00:07:00,750 +light rays، تصطدم بالـ optical system أو بالـ + +62 +00:07:00,750 --> 00:07:07,090 +unknown lens، عملت إيش؟ divergent light rays، عفواً + +63 +00:07:07,090 --> 00:07:12,110 +convergent light rays، كلها تتجمع في الـ object هذا. + +64 +00:07:12,110 --> 00:07:17,410 +صح ولا لا؟ زي ما اتفقنا أن جزء منه إيش بيصير له؟ + +65 +00:07:17,410 --> 00:07:23,190 +refracted، انكسار من خلال إيش؟ الـ nodal point. مش + +66 +00:07:23,190 --> 00:07:27,830 +المرة الماضية أخذنا في الـ cell lens أنه أي أشعة + +67 +00:07:27,830 --> 00:07:34,430 +بتمر بالسطح الأمامي للعدسة والسطح الخلفي للعدسة + +68 +00:07:34,430 --> 00:07:39,850 +كل واحد هيمثل nodal point. تمام؟ جزء من الأشعة + +69 +00:07:39,850 --> 00:07:46,470 +هتنكسر، لكن معظم الأشعة، أغلبها، هتمر من خلال الـ + +70 +00:07:46,470 --> 00:07:51,080 +optical center اللي هو الـ lens. لكن هذه الأشعة + +71 +00:07:51,080 --> 00:07:56,240 +كلها، يعني الجُل بتاعها أو معظم الـ light rays + +72 +00:07:56,240 --> 00:08:00,260 +لا ينكسر أو ما يحدث له أي تَأثير اللي هو refraction. + +73 +00:08:00,260 --> 00:08:08,560 +okay. الآن هنا لاحظين أن في عندنا الـ X، صح ولا لأ؟ + +74 +00:08:08,560 --> 00:08:12,880 +اللي هي بتمثل الـ focal length للـ unknown lens. إن + +75 +00:08:12,880 --> 00:08:20,370 +زي ما اتفقنا لو أنا عندي عدسة قوتها أربعة ديوبتر، بدي + +76 +00:08:20,370 --> 00:08:26,530 +طولها قد إيش؟ أربعة متر. صح؟ متفقين؟ لأن ما فيش عندنا + +77 +00:08:26,530 --> 00:08:32,790 +standard lens. روحنا إيش عملنا؟ أضفنا الـ standard + +78 +00:08:32,790 --> 00:08:38,450 +lens اللي كانت قوتها قد إيش؟ من عشرين لخمسة وعشرين. + +79 +00:08:38,450 --> 00:08:43,570 +هذه ثابتة يا جماعة في داخل اللي هو الـ instrument + +80 +00:08:43,570 --> 00:08:46,590 +أو في داخل الـ lens meter. + +81 +00:08:53,550 --> 00:08:58,770 +الآن عندما تم إضافة الـ standard lens اللي بتكون + +82 +00:08:58,770 --> 00:09:05,310 +قوتها plus 20 أو plus 25، إيش عملت بالـ size + +83 +00:09:05,310 --> 00:09:12,730 +shortness؟ صح ولا لأ؟ لأ، الـ instrument اللي عبارة عن + +84 +00:09:12,730 --> 00:09:20,030 +الـ X شرطة قصرته. طيب الآن لاحظوا الحجم، هل اتغير الـ + +85 +00:09:20,030 --> 00:09:27,490 +target؟ حجم الـ target ثابت. إذا الآن لما أنا روح أضفت + +86 +00:09:27,490 --> 00:09:34,250 +عدسة standard lens قوتها plus 20 أو plus 25، أنا + +87 +00:09:34,250 --> 00:09:40,610 +قصرت مين؟ الجهاز. لكن حافظت على حجم مين؟ لكن إيش الزاد؟ + +88 +00:09:40,610 --> 00:09:47,110 +هنا غير إنه حجم الجهاز قل، إيش الشيء اللي زاد أكثر؟ + +89 +00:09:47,110 --> 00:09:57,660 +اه يا رشاد، ماذا زاد؟ هذا إيش بيمثل؟ جناح؟ وهذا إيش + +90 +00:09:57,660 --> 00:10:02,220 +بيمثل؟ الآن لو أنا حطيت عدستين، الـ refraction هيزيد + +91 +00:10:02,220 --> 00:10:07,820 +ولا هيقل؟ هيزيد. إذا هنا الانكسار إيش ماله؟ زاد، + +92 +00:10:07,820 --> 00:10:14,060 +نتيجة أن عندي الآن F الـ U وعندي F الـ S، عدستين بدل + +93 +00:10:14,060 --> 00:10:21,310 +عدسة واحدة. إذا هذا للـ slide بعمل اللي هو تلخيص. + +94 +00:10:21,310 --> 00:10:26,470 +إما أنا بكون عندي عدسة واحدة، بحصل على حجم target + +95 +00:10:26,470 --> 00:10:32,110 +ولكن الجهاز إيش بيظل؟ اللي هو طويل. صح ولا لا؟ لكن + +96 +00:10:32,110 --> 00:10:38,770 +إما أنا بضيف عدسة standard lens، بقصر الجهاز، بحافظ + +97 +00:10:38,770 --> 00:10:43,790 +على حجم الـ target، بزود معدل الـ refraction. تمام. + +98 +00:10:53,970 --> 00:11:01,090 +طيب، عندنا الآن عبارة عن الـ Lens Meter اللي متوفر + +99 +00:11:01,090 --> 00:11:07,070 +عندنا الآن اللي بتكون من F للـ U، وايضاً من F للـ + +100 +00:11:07,070 --> 00:11:12,810 +Standard Lens. إيش التعريف تاعها؟ هذا عبارة عن تعريف + +101 +00:11:12,810 --> 00:11:18,770 +لـ Principle، مبدأ جهاز الـ Lens Meter. The Image + +102 +00:11:18,770 --> 00:11:25,110 +Size، وأضيف هنا The Image Size Target. تمام؟ إذا حجم + +103 +00:11:25,110 --> 00:11:34,670 +الصورة لا يتغير، واكتشف أنه ما بيتغير حجم الصورة if + +104 +00:11:34,670 --> 00:11:38,950 +the posterior nodal point of the second lens وين + +105 +00:11:38,950 --> 00:11:43,010 +الـ second lens هنا؟ + +106 +00:11:43,010 --> 00:11:48,810 +لأ، هي هي مش، مش قال لك إيش الـ nodal point هنا؟ عبارة + +107 +00:11:48,810 --> 00:11:49,830 +عن الـ second lens. + +108 +00:11:54,650 --> 00:12:00,790 +اللي هي بتمثل إيش؟ الـ standard lens. تمام؟ إذا حجم + +109 +00:12:00,790 --> 00:12:05,790 +الـ target لا يتغير. إذا الـ posterior nodal point + +110 +00:12:05,790 --> 00:12:10,790 +شايفين وين الـ nodal point؟ داخل العدسة. الآن إيش + +111 +00:12:10,790 --> 00:12:15,090 +معناه أن الـ nodal point في داخل العدسة؟ أن سلوك + +112 +00:12:15,090 --> 00:12:20,210 +العدسة واحد لا يتغير. يعني الآن أي أشعة هتمر من هنا + +113 +00:12:20,210 --> 00:12:25,690 +هتطلع زي ما هي. حيصير أي refraction؟ لأ. ليش؟ لأنه إحنا + +114 +00:12:25,690 --> 00:12:29,210 +في المرة الماضية أو في المثال اللي جبت لكم إياه + +115 +00:12:29,210 --> 00:12:32,370 +كصورة، كانت وين الـ nodal point؟ بالرغم من تاعة الـ + +116 +00:12:32,370 --> 00:12:36,150 +F1، والـ nodal point الثانية كانت هنا، تاعة الـ + +117 +00:12:36,150 --> 00:12:40,790 +posterior. فكان جزء من الأشعة بيمر، بيطلع كما هو. لكن + +118 +00:12:40,790 --> 00:12:45,970 +جزء بسيط وين؟ بنكسر. لكن في الحالة هذه أن الـ nodal + +119 +00:12:45,970 --> 00:12:49,490 +point تاعة الـ standard lens أو الـ second lens + +120 +00:12:49,490 --> 00:12:54,070 +مطابق لمين؟ للـ focal point بتاعة العدسة الـ + +121 +00:12:54,070 --> 00:12:59,930 +original lens. تمام؟ يعني الآن يا جماعة، لما بيكون + +122 +00:12:59,930 --> 00:13:05,950 +الـ nodal point في داخل اللي هو العدسة، العدسة + +123 +00:13:05,950 --> 00:13:11,210 +هيكون سلوكها واحد، يعني الأشعة زي ما بتدخل زي ما + +124 +00:13:11,210 --> 00:13:15,570 +بتطلع، لا يحدث لها أي انكسار. okay? + +125 +00:13:19,300 --> 00:13:23,720 +ماذا يعني Concise؟ + +126 +00:13:23,720 --> 00:13:29,420 +يتطابق. ممتازة. with the anterior focal point of the + +127 +00:13:29,420 --> 00:13:34,080 +original lens. إذا عندنا الـ focal point بتاعة + +128 +00:13:34,080 --> 00:13:38,260 +العدسة الـ second lens، تطابق الـ nodal point مع الـ + +129 +00:13:38,260 --> 00:13:43,190 +focal point تاعة اللي هو الـ original lens. إذا + +130 +00:13:43,190 --> 00:13:48,290 +في هذه الحالة حجم الـ object إيش ماله؟ حيظل ثابت. عشان + +131 +00:13:48,290 --> 00:13:54,410 +هيك، جد أضفنا optical system، وظل الـ nodal point + +132 +00:13:54,410 --> 00:13:59,490 +بتاع الـ standard lens مطابق للـ focal point بتاع الـ + +133 +00:13:59,490 --> 00:14:04,010 +what I call التاع الـ spectacle lens أو الـ unknown + +134 +00:14:04,010 --> 00:14:10,700 +lens. حيظل حجم الصورة ثابت، لا يتغير. okay. هذا كتعريف + +135 +00:14:10,700 --> 00:14:14,160 +لمين؟ بنسميه اللي هو Knapp's law. + +136 +00:14:21,960 --> 00:14:25,480 +أخذتها أكيد في اللي هو الـ Geometric Optics. تمام. + +137 +00:14:25,480 --> 00:14:30,200 +الـ Knapp's law اللي هو المبني عليه الـ Lens Meter. + +138 +00:14:30,200 --> 00:14:35,180 +أن حجم الصورة لا يتغير، أو حجم الـ target لا يتغير. + +139 +00:14:35,180 --> 00:14:40,200 +إذا تطابق الـ nodal point للـ standard lens مع الـ + +140 +00:14:40,200 --> 00:14:46,840 +focal point للـ second lens أو للـ original lens. + +141 +00:14:46,840 --> 00:14:54,360 +اللي هي Knapp's law. الـ Knapp's law في حالة + +142 +00:14:54,360 --> 00:15:03,680 +الـ Lensmeter بنسميه بدل a principle. + +143 +00:15:03,680 --> 00:15:09,980 +Manual Lensmeters make use of the same principle. أنه + +144 +00:15:09,980 --> 00:15:15,440 +principle؟ اللي هو بدل a principle. تمام؟ اللي هو + +145 +00:15:15,440 --> 00:15:19,710 +عبارة عن another name للـ Knapp's law. When applied + +146 +00:15:19,710 --> 00:15:24,090 +to lens meters, Knapp's law is called the Bedel + +147 +00:15:24,090 --> 00:15:29,010 +principle. هاي + +148 +00:15:29,010 --> 00:15:36,430 +عندنا الرسمة أيضاً مكررة في + +149 +00:15:36,430 --> 00:15:42,370 +عندنا الـ observer eye، في عندنا أيضاً اللي هو الـ eye + +150 +00:15:42,370 --> 00:15:46,880 +piece graticule اللي هي المنقلة اللي من خلالها بحدد + +151 +00:15:46,880 --> 00:15:52,740 +الاتجاه السليم للـ axis. تمام. في عندنا الـ original + +152 +00:15:52,740 --> 00:15:57,670 +lens أو الـ spectacle lens. في أيضاً الـ standard lens + +153 +00:15:57,670 --> 00:16:02,970 +أو ما يسمى بالـ second lens. الاثنين هدول بيسموهم الـ + +154 +00:16:02,970 --> 00:16:08,730 +optical system. تمام. هنا الـ light rays بيكون اللي + +155 +00:16:08,730 --> 00:16:13,790 +هو متوازي، اللي طالع من اللي هو الـ target، بسبب إنه + +156 +00:16:13,790 --> 00:16:19,010 +الـ nodal point. تمام. وين جالسة؟ أو الـ target جالس + +157 +00:16:19,010 --> 00:16:22,650 +على الـ nodal point بتاع العدسة. تمام؟ وهذا عبارة + +158 +00:16:22,650 --> 00:16:27,190 +عن المنقلة اللي بنشوفها في داخل اللي هو الجهاز. + +159 +00:16:27,190 --> 00:16:33,990 +تمام؟ + +160 +00:16:33,990 --> 00:16:39,950 +طيب، في حاجة اسمها astronomical telescope. إيش + +161 +00:16:39,950 --> 00:16:45,730 +معناها؟ التلسكوب الفضائي. تمام؟ التلسكوب الفضائي + +162 +00:16:45,730 --> 00:16:52,670 +بيكون من عدستين. عندنا عدسة اللي هي الـ eye piece، وعندنا + +163 +00:16:52,670 --> 00:16:57,970 +عدسة ثانية، الـ objective lens. الاثنين هدول بيكونوا + +164 +00:16:57,970 --> 00:17:04,210 +positive lens أو plus lens. على طول لما أنا بحكي + +165 +00:17:04,210 --> 00:17:08,890 +positive أو plus lens، إيش بيجي على بالي؟ أن الصورة + +166 +00:17:08,890 --> 00:17:12,630 +شكلها بيكون virtual، صح ولا لأ؟ وبتكون + +167 +00:17:12,630 --> 00:17:17,230 +magnification، مكبرة. تمام. من الـ characteristics + +168 +00:17:17,230 --> 00:17:23,990 +الخاصة في الصورة. بيكون هي عندنا الـ objective lens + +169 +00:17:23,990 --> 00:17:30,790 +والـ eye piece lens. الثانية. أكثر. طيب، كيف بيصير له adjusted؟ + +170 +00:17:30,790 --> 00:17:37,150 +إيش معنى adjusted؟ إنه ضبط. تمام. is adjusted so + +171 +00:17:37,150 --> 00:17:43,410 +that it's focused on infinity. يعني أنا بعمله عملية + +172 +00:17:43,410 --> 00:17:48,790 +اللي هو ضبط، بيحدث لما بتكون الأشعة من وين جاية؟ من + +173 +00:17:48,790 --> 00:17:53,450 +الـ infinity. طيب، الـ light rays لما تكون جاية من الـ + +174 +00:17:53,450 --> 00:17:57,390 +infinity، إيش هتكون؟ يعني الـ divergence مقدارها هيكون + +175 +00:17:57,390 --> 00:18:03,090 +لها zero، مية في المية. and therefore only parallel + +176 +00:18:03,090 --> 00:18:07,730 +light will be seen in focus. طيب، الآن الأشعة كلها + +177 +00:1 + +223 +00:22:14,130 --> 00:22:18,990 +بمعنى آخر أني بخلي المنقلة على المئة وثمانين + +224 +00:22:18,990 --> 00:22:22,990 +والتسعين بخليها متعامدة بخليهاش اللي هو oblique + +225 +00:22:22,990 --> 00:22:33,330 +واضحة بعد ذلك screw in the eyepiece control until + +226 +00:22:33,330 --> 00:22:37,670 +the target and the graphical just comes into focus + +227 +00:22:37,670 --> 00:22:43,280 +الآن أنا وضحت ال target، لا يكفي ذلك، لازم أخلي ال + +228 +00:22:43,280 --> 00:22:48,240 +target وين؟ في المنتصف، يعني بمعنى آخر لو أنا مثلاً + +229 +00:22:48,240 --> 00:22:56,140 +بستخدم ال dot بدي يكون في منتصف مين؟ ال ... ال ... ال + +230 +00:22:56,140 --> 00:22:59,560 +... ال graphical اللي هي المنقلة، أو لو أنا بستخدم + +231 +00:22:59,560 --> 00:23:05,140 +مثلاً ال cross لازم يكون في المنتصف ووضوحه الآن + +232 +00:23:05,140 --> 00:23:11,720 +كده حطيت الباور زيرو، تمام؟ واضحة اللي هو ال image + +233 +00:23:11,720 --> 00:23:16,180 +التنتين لا تكفي، لازم كمان ال target يكون في + +234 +00:23:16,180 --> 00:23:20,740 +المنتصف، بدنا + +235 +00:23:20,740 --> 00:23:25,600 +نعمل check اللي هو تأكيد، set the power control + +236 +00:23:25,600 --> 00:23:32,090 +wheel to a random value, refocus the target. The + +237 +00:23:32,090 --> 00:23:36,630 +power control should read zero. الآن أنا مثلاً بدي + +238 +00:23:36,630 --> 00:23:41,230 +أختبر الجهاز، أو بدي أتأكد أنه هل ال adjustment + +239 +00:23:41,230 --> 00:23:45,630 +بتاعة الجهاز هذا صح ولا لأ، بروح أحط بشكل عشوائي + +240 +00:23:45,630 --> 00:23:50,010 +minus ثلاثة أو plus ثلاثة، إيش حتلاقي ال target + +241 +00:23:50,010 --> 00:23:55,750 +يصير فيه؟ حتغبش، صح ولا لأ؟ مئة بالمئة حيصير اللي + +242 +00:23:55,750 --> 00:24:00,310 +هو blurred vision. طيب، رجعت ال target للزيرو، + +243 +00:24:01,010 --> 00:24:06,270 +حتلاقيها اللي هو focus، وحتلاقيها sharp vision. إذا + +244 +00:24:06,270 --> 00:24:09,770 +معنى الكلام إنه أنا عندي الجهاز اللي هو ال + +245 +00:24:09,770 --> 00:24:17,990 +adjustment بتاعه اللي هو الصحيح، okay. Illuminated + +246 +00:24:17,990 --> 00:24:24,840 +targets. في عندنا نوعين من الأجهزة: أما بيكون الـ + +247 +00:24:24,840 --> 00:24:31,400 +cross lines target أو ال dots target. طبعاً ال dots + +248 +00:24:31,400 --> 00:24:35,060 +هو يعتبر أقدم من ال cross line target اللي + +249 +00:24:35,060 --> 00:24:40,020 +هو يعتبر أكثر شيوعاً والأسهل في عملية الاستخدام. + +250 +00:24:40,020 --> 00:24:46,670 +measurement procedure. كيف أنا بدي أقيس اللي هو أو + +251 +00:24:46,670 --> 00:24:53,530 +طريقة قياس النضارة أو العدسة غير المجسّمة من خلال + +252 +00:24:53,530 --> 00:24:58,230 +جهاز ال Lensmeter. الآن يا جماعة ال Lensmeter + +253 +00:24:58,230 --> 00:25:03,750 +بيعتمد على مبدأ ال meridian. يعني جداش أنا مثلاً على + +254 +00:25:03,750 --> 00:25:08,670 +التسعين، بكتب القوة، جداش مثلاً على المئة وثمانين، + +255 +00:25:08,670 --> 00:25:12,030 +بكتب اللي هو القوة وهكذا، تمام. + +256 +00:25:14,660 --> 00:25:19,860 +عندنا spherical lenses has the same power in all + +257 +00:25:19,860 --> 00:25:24,140 +meridians, rare + +258 +00:25:24,140 --> 00:25:32,320 +surface down. إيش معناه rare؟ نعم، لأ، هذه ك... اه + +259 +00:25:32,320 --> 00:25:39,760 +هان معناها اللي هو ال back surface، تمام؟ إذا هو + +260 +00:25:39,760 --> 00:25:43,860 +عبارة عن ال back surface. + +261 +00:25:52,250 --> 00:25:55,330 +العدسة موجودة في ال front surface، والعدسة موجودة + +262 +00:25:55,330 --> 00:25:57,790 +في ال back surface. دائماً بدي أمسك ال back + +263 +00:25:57,790 --> 00:26:05,630 +surface وأحط العدسة. طبعاً عندنا back vertex power + +264 +00:26:05,630 --> 00:26:10,010 +is majority، هيجيس اللي هو قوة العدسة. + +265 +00:26:12,710 --> 00:26:18,030 +ال back surface للعدسة ملاصق للجهاز، إذا هو حيقيّص + +266 +00:26:18,030 --> 00:26:26,390 +من ال back vertex power للعدسة، okay. ال + +267 +00:26:26,390 --> 00:26:31,090 +lens center is over the center of the aperture. + +268 +00:26:31,090 --> 00:26:37,710 +الآن مباشرة أنا بروح وين؟ لمنتصف العدسة اللي هي + +269 +00:26:37,710 --> 00:26:42,070 +المفترض يكون فيه إيه؟ ال optical center of a lens. + +270 +00:26:43,040 --> 00:26:47,440 +في عندنا aperture في الجهاز زي ال pin hole، فبمسك + +271 +00:26:47,440 --> 00:26:52,280 +العدسة وبحطها في منتصف ال aperture، يعني لازم + +272 +00:26:52,280 --> 00:26:58,880 +يكون ال optical center بتاع العدسة مطابق لمن؟ لل + +273 +00:26:58,880 --> 00:27:00,340 +aperture بتاعة الجهاز. + +274 +00:27:03,960 --> 00:27:08,240 +The lens should be supported by the frame table. + +275 +00:27:08,240 --> 00:27:13,740 +الآن لو أنا حطيت العدسة free حتسقط، صح ولا لأ؟ أو + +276 +00:27:13,740 --> 00:27:19,520 +حتقع مني، لازم أثبتها بمِصطرة. المصطرة هذه بتمسك + +277 +00:27:19,520 --> 00:27:22,160 +العدسة خوفاً من اللي هو وقوعها. + +278 +00:27:35,230 --> 00:27:40,910 +العدسات الكروية كلها حتعطينا نفس الوضوح في كل + +279 +00:27:40,910 --> 00:27:45,490 +اللي هو الأجزاء، يعني القوة واحدة حتكون. يعني يا + +280 +00:27:45,490 --> 00:27:50,050 +جماعة مجرد ما أنا مثلاً عندي عدسة قوتها plus 4، مجرد + +281 +00:27:50,050 --> 00:27:54,890 +ما أحط plus 4 حتلاحظوا أنه إيش؟ كل اللي هو ال + +282 +00:27:54,890 --> 00:28:03,130 +meridian بتاعة الجهاز واضحة. the power wheel، العجل + +283 +00:28:03,130 --> 00:28:09,810 +الخاص بالقوة should be adjusted until the target is + +284 +00:28:09,810 --> 00:28:14,370 +becoming sharp. وهذه مهمة. يعني الآن أنا مثلاً نرجع + +285 +00:28:14,370 --> 00:28:20,650 +للمثال، عندنا plus أربعة، تمام؟ وهنا عندنا صفر، وهنا + +286 +00:28:20,650 --> 00:28:26,430 +عندنا minus أربعة. الآن لو أنا مشيت لحد دي plus + +287 +00:28:26,430 --> 00:28:31,430 +ثلاثة وخمسة وسبعين، حتلاحظ أن ال target واضح لكن + +288 +00:28:31,430 --> 00:28:38,070 +الوضوح هذا إيش؟ مش هو ال sharp، يعني لازم أصل لأفضل + +289 +00:28:38,070 --> 00:28:41,630 +رؤية تكون واضحة بالنسبة لمين؟ إليه. + +290 +00:28:48,020 --> 00:28:53,380 +The lens power read of the scale. الآن في مؤشر + +291 +00:28:53,380 --> 00:28:59,640 +الجهاز له مؤشر. أنا مثلاً عندي plus أربعة، صارت الرؤية + +292 +00:28:59,640 --> 00:29:03,940 +أو ال target واضح، بقرأ قداش المؤشر جاي مثلاً على + +293 +00:29:03,940 --> 00:29:11,660 +الأربعة، على الاثنين، على الواحد وهكذا، هي + +294 +00:29:11,660 --> 00:29:16,020 +شايفين أنتم كيف؟ هي مثلاً عندنا الآن إيش ملاحظين؟ + +295 +00:29:16,020 --> 00:29:22,820 +الصورة faint، صح ولا لأ؟ blurred vision. الآن هيك إيه + +296 +00:29:22,820 --> 00:29:27,320 +صار فيها؟ sharp vision. الآن ماينص سبعة إيه + +297 +00:29:27,320 --> 00:29:33,020 +شمالها؟ صفر، يعني all the same region، صح؟ إذا + +298 +00:29:33,020 --> 00:29:38,440 +المؤشر جاي وين؟ على الـ -7. طب، عمّا حطينا ماينص ستة، + +299 +00:29:38,440 --> 00:29:43,370 +حتكون blurred vision أو اللي هو faint. لكن الـ -7 + +300 +00:29:43,370 --> 00:29:46,850 +المؤشر بالضبط، إذا بكتب قوة العدسة هذه قد إيش؟ + +301 +00:29:46,850 --> 00:29:52,790 +minus 7. يعني بتلاحظوا يا جماعة إنه ال target + +302 +00:29:52,790 --> 00:29:57,750 +كله، لما حطينا على مؤشر الـ -7، كله إجا نفس + +303 +00:29:57,750 --> 00:30:04,970 +الوضوح. شايفين كيف؟ ال space ما بين النقاط واضحة، نفس + +304 +00:30:04,970 --> 00:30:08,190 +الفكرة وين حتكون؟ 100%. + +305 +00:30:12,270 --> 00:30:16,710 +الآن عينكم مغبش شوية نوعاً ما، هيك اللي هو faint + +306 +00:30:16,710 --> 00:30:23,650 +أكثر، تمام؟ هيك إيه صار؟ اللي هو sharp vision. plus + +307 +00:30:23,650 --> 00:30:27,570 +اثنين، لما أنا حطيت على المؤشر plus اثنين، صارت كل + +308 +00:30:27,570 --> 00:30:31,670 +الرؤية إيش مالها؟ واضحة. طيب، الآن لو أنا بدي أكتب + +309 +00:30:31,670 --> 00:30:39,250 +الوصفة هذه، بقول أن RX للنضارة هذه minus 7، وهان + +310 +00:30:39,250 --> 00:30:49,600 +مثلاً RX plus 3، مقصود فيها ديوبتر كروي، وديوبتر كروي + +311 +00:30:49,600 --> 00:30:58,800 +في كل المحاور، plus + +312 +00:30:58,800 --> 00:31:00,380 +2 ديوبتر كروي. + +313 +00:31:14,730 --> 00:31:20,470 +الصعوبة أو الأكثر دقة اللي لازم أكون فيه عبارة عن + +314 +00:31:20,470 --> 00:31:25,410 +ال sphero cylindrical lenses. sphero cylindrical + +315 +00:31:25,410 --> 00:31:31,210 +lenses، أن كل محور سيكون فيه قوة مختلفة عن المحور + +316 +00:31:31,210 --> 00:31:35,250 +الثاني، يعني بمعنى آخر أنا بدي أوضح المحور الأول، + +317 +00:31:35,250 --> 00:31:40,090 +آخذ قراءته، وأوضح المحور الثاني، آخذ قراءته، و + +318 +00:31:40,090 --> 00:31:42,690 +بعدها أطرحهم من بعض، وأطلع ال final power. + +319 +00:31:45,470 --> 00:31:49,490 +بارضه عندنا rear surface down، اللي هو عبارة عن ال + +320 +00:31:49,490 --> 00:31:54,690 +back surface. lens back vertex power is measured. إذا + +321 +00:31:54,690 --> 00:32:00,510 +أنا بدي أقيس اللي هو السطح الخلفي للعدسة. ال + +322 +00:32:00,510 --> 00:32:04,170 +lens center is over the center of the aperture. the + +323 +00:32:04,170 --> 00:32:09,590 +same procedure. ال lens should be supported by the + +324 +00:32:09,590 --> 00:32:16,360 +frame table. Okay. هان المهم، Determine the maximum + +325 +00:32:16,360 --> 00:32:22,480 +and minimum meridians powers. يعني الآن لو أنا كان + +326 +00:32:22,480 --> 00:32:31,680 +عنده ال maximum plus خمسة، تمام؟ نفترض axis تسعين، + +327 +00:32:31,680 --> 00:32:39,180 +وال minimum meridians مثلاً plus ثلاثة، axis مئة + +328 +00:32:39,180 --> 00:32:43,680 +وثمانين. الآن لما أنا بدي أجي أمثلها على ال optical + +329 +00:32:43,680 --> 00:32:51,180 +cross، حتكون بالشكل هذا. عندنا plus خمسة وعندنا plus + +330 +00:32:51,180 --> 00:33:00,100 +ثلاثة. إيش أقول؟ مين الكبير؟ plus خمسة. الفرق بينهم + +331 +00:33:00,100 --> 00:33:05,980 +minus اثنين. ال axis مئة وثمانين. + +332 +00:33:11,110 --> 00:33:16,330 +ليش تسعين؟ لأ، دائماً بأخذ الأكثر وضوحاً للصغير. أنا + +333 +00:33:16,330 --> 00:33:20,770 +meridian هذا. الآن يا جماعة هذا meridian، هذا + +334 +00:33:20,770 --> 00:33:23,970 +meridians اللي هو powers. أنا الآن بدي أكتبها بال + +335 +00:33:23,970 --> 00:33:28,230 +axis. لو ال meridian بكتب meridian اللي هو تسعين، + +336 +00:33:28,230 --> 00:33:33,850 +لكن axis حيكون مئة وثمانين. الآن أنا فيه عندي اللي هو + +337 +00:33:33,850 --> 00:33:39,710 +two targets. بأخذ الكبير هو الكروي، بطرح الأصغر من + +338 +00:33:39,710 --> 00:33:43,510 +الكبير، وبوضح الأصغر، بأخذ ال axis بتاع مين؟ + +339 +00:33:43,510 --> 00:33:48,630 +الأصغر، هناك axis، تمام؟ لكن إحنا بنشتغل اللي هو + +340 +00:33:48,630 --> 00:33:51,990 +meridian. يعني أنت بتاخذ القراءة الأولى والقراءة + +341 +00:33:51,990 --> 00:33:55,210 +الثانية، أنت meridian بس أنت بتكتب ال final power، + +342 +00:33:55,210 --> 00:34:01,400 +إيش axis؟ إستوعبناها؟ دائماً أنا بدي أوضح اللي هو + +343 +00:34:01,400 --> 00:34:05,280 +ال line بتاع اللي هو ال axis، ما إليّش أنا في ال + +344 +00:34:05,280 --> 00:34:11,560 +meridian، طيب. + +345 +00:34:11,560 --> 00:34:17,540 +عندنا هنا ال dots target. هاي مثلاً عندنا الآن هيك + +346 +00:34:17,540 --> 00:34:23,660 +مغبش، هيك الثانية مغبش، معناه اللي هو تطلعوا كيف؟ ال + +347 +00:34:23,660 --> 00:34:24,460 +spherical cylinder. + +348 +00:34:26,980 --> 00:34:34,460 +هي عندنا مثلاً target آخر، plus 2، هي + +349 +00:34:34,460 --> 00:34:39,360 +plus 1. حيكون عندنا ال plus 2 الكبير، minus 1، axis + +350 +00:34:39,360 --> 00:34:42,640 +اللي هو الخمسة وأربعين. ممكن واحدة تقول لي، طب لو + +351 +00:34:42,640 --> 00:34:46,140 +بدك تكتب meridian؟ اه، ال meridian هان حتكون للكبير، + +352 +00:34:46,140 --> 00:34:48,900 +لكن كـ axis حيكون لمين؟ للصغير. + +353 +00:34:53,160 --> 00:34:58,480 +تمام، اه، كـ axis، كـ meridian. هان بكتبها، هو هان بقصد + +354 +00:34:58,480 --> 00:35:02,340 +فيها اللي هو meridian مش axis. يعني عفواً، الآن لو + +355 +00:35:02,340 --> 00:35:06,320 +أنت مسكت اللي هو ال autoref keratometer، حتكون + +356 +00:35:06,320 --> 00:35:09,680 +مكتوب عندك اللي هو axis، لكن هو بقصد فيها كـ + +357 +00:35:09,680 --> 00:35:13,880 +meridian، استوعبناها؟ لكن إحنا الآن أما بدنا + +358 +00:35:13,880 --> 00:35:19,240 +نعمل اللي هو كـ axis، بأخذ الكبير، بطرح الصغير من + +359 +00:35:19,240 --> 00:35:22,400 +الكبير، وبأخذ axis اللي صغير، okay. + +360 +00:35:26,860 --> 00:35:33,180 +نفس الحاجة بالنسبة لـ cross line target، طبعاً حسب + +361 +00:35:33,180 --> 00:35:37,460 +إذا كان اللي هو oblique، نفس الحاجة على اللي هو الـ + +362 +00:35:37,460 --> 00:35:44,780 +45 أو الـ 130، تمام؟ بحدد اللي هو قيمة قداش ال axis + +363 +00:35:44,780 --> 00:35:51,940 +الخاص بالعدسة. في طريقة أسهل من هيك، تمام؟ هال + +364 +00:35:51,940 --> 00:36:00,700 +gate، مثلاً إحنا عندنا plus 3 على (-1, 40, 40, 40, + +365 +00:36:00,700 --> 00:36:00,780 +40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, + +366 +00:36:00,780 --> 00:36:02,200 +40, 40, 40, 40, 40, 40, 40, 40, + +367 +00:36:05,620 --> 00:36:06,920 +40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, + +368 +00:36:06,920 --> 00:36:09,140 +40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, + +369 +00:36:09,140 --> 00:36:10,360 +40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, + +370 +00:36:10,360 --> 00:36:10,460 +40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, + +371 +00:36:10,460 --> 00:36:10,720 +40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, + +372 +00:36:10,720 --> 00:36:15,400 +40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, 40, + +373 +00:36:15,460 --> 00:36:18,520 +40, + +374 +00:36:22,920 --> 00:36:26,300 +40, 40 + +375 +00:36:29,310 --> 00:36:34,690 +تمام؟ إيش بروح بعمل؟ الآن بحط مثلاً، هبة بعتت لي + +376 +00:36:34,690 --> 00:36:39,830 +الوصفة، قالت لي بدنا نشتغل على axis 40، بروح بحط + +377 +00:36:39,830 --> 00:36:44,650 +المنقلة على إيه؟ الـ 40 من خلال ال axis wheel. قداش + +378 +00:36:44,650 --> 00:36:49,650 +القوة طلعتها؟ plus 2. إذا أنا بدي أوضح على ال plus + +379 +00:36:49,650 --> 00:36:55,880 +2، axis قداش؟ 40. اشتغلوا بالطريقة هذه، أسهل لكم، بتوفر + +380 +00:36:55,880 --> 00:37:00,400 +وقت بشكل اللي هو كبير. يعني الآن لو أنا أعطيتك الـ + +381 +00:37:00,400 --> 00:37:06,220 +uncut lens، قلت لك والله علّم لي عليها على 130 مباشرة، + +382 +00:37:06,220 --> 00:37:11,900 +على اللي هو الورقة بتاعتها، العدسة حيكون مكتوب مثلاً + +383 +00:37:11,900 --> 00:37:18,620 +plus 10 على minus 1، إيش مباشرة أنا أعمل؟ بجمع + +384 +00:37:18,620 --> 00:37:24,860 +الأول مع الثاني، كده حيكون؟ plus 9. إذا الـ 145 أو + +385 +00:37:24,860 --> 00:37:28,380 +الأربعين، بعلمها على قداش؟ ال plus 9. يعني الآن + +386 +00:37:28,380 --> 00:37:33,240 +بدي أما أوضح على ال plus 9 هذا كـ axis، واللي إحنا + +387 +00:37:33,240 --> 00:37:40,940 +بنشتغل فيه، okay. هاي + +388 +00:37:40,940 --> 00:37:45,020 +مثلاً عندنا ال zero وال minus ثلاثة، بياخد الكبير + +389 +00:37:45,020 --> 00:37:51,250 +كروي، الصغير من الكبير. هان هو كاتب meridian، لكن لو + +390 +00:37:51,250 --> 00:37:55,210 +بديها كـ axis بأخذ اللي هو الصغير، ال target اللي + +391 +00:37:55,2 \ No newline at end of file diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/He9P5VXEVLs_raw.json b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/He9P5VXEVLs_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..0979af358069cc15ea8d47699dabe2f91d27abbd --- /dev/null +++ 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{"start": 461.75, "end": 463.51, "word": " المعظم", "probability": 0.9693603515625}, {"start": 463.51, "end": 464.37, "word": " الأشعة", "probability": 0.9915364583333334}, {"start": 464.37, "end": 465.05, "word": " أشمالها", "probability": 0.84833984375}, {"start": 465.05, "end": 465.75, "word": " هتمر", "probability": 0.9386393229166666}, {"start": 465.75, "end": 465.91, "word": " من", "probability": 0.9970703125}, {"start": 465.91, "end": 466.25, "word": " خلال", "probability": 0.9928385416666666}, {"start": 466.25, "end": 466.47, "word": " الـ", "probability": 0.76513671875}, {"start": 466.47, "end": 466.79, "word": " optical", "probability": 0.8896484375}, {"start": 466.79, "end": 467.65, "word": " center", "probability": 0.80029296875}, {"start": 467.65, "end": 468.51, "word": " اللي", "probability": 0.861572265625}, {"start": 468.51, "end": 468.89, "word": " هو", "probability": 0.99560546875}, {"start": 468.89, "end": 469.09, "word": " الـ", "probability": 0.7041015625}, 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945.03, "text": "When applied to lens meters, Knaps law is called the Bedel principle هاي عندنا الرسمة أيضا مكررة في عندنا ال observer eye في عندنا أيضا اللي هو ال eye piece graticule اللي هي المنقلة", "tokens": [11645, 6456, 281, 6765, 8146, 11, 10519, 2382, 2101, 307, 1219, 264, 19893, 338, 8665, 8032, 47302, 43242, 8315, 34892, 38251, 3660, 36632, 11242, 995, 3714, 37983, 25720, 8978, 43242, 8315, 2423, 27878, 3313, 8978, 43242, 8315, 36632, 11242, 995, 13672, 1829, 31439, 2423, 3313, 2522, 677, 2399, 2271, 13672, 1829, 39896, 9673, 1863, 4587, 37977], "avg_logprob": -0.33059211781150416, "compression_ratio": 1.430232558139535, "no_speech_prob": 0.0, "words": [{"start": 918.79, "end": 919.13, "word": "When", "probability": 0.09765625}, {"start": 919.13, "end": 919.71, "word": " applied", "probability": 0.8271484375}, {"start": 919.71, "end": 920.01, "word": " to", "probability": 0.97607421875}, {"start": 920.01, "end": 920.35, "word": " lens", "probability": 0.75}, {"start": 920.35, 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"end": 945.74, "word": "اللي", "probability": 0.546875}, {"start": 945.74, "end": 945.88, "word": " من", "probability": 0.98681640625}, {"start": 945.88, "end": 946.34, "word": " خلالها", "probability": 0.9940185546875}, {"start": 946.34, "end": 946.88, "word": " بحدد", "probability": 0.9622395833333334}, {"start": 946.88, "end": 947.54, "word": " الاتجاه", "probability": 0.91943359375}, {"start": 947.54, "end": 948.2, "word": " السليم", "probability": 0.9275716145833334}, {"start": 948.2, "end": 949.02, "word": " للـ", "probability": 0.51904296875}, {"start": 949.02, "end": 949.52, "word": " axis", "probability": 0.472900390625}, {"start": 949.52, "end": 950.86, "word": " تمام", "probability": 0.7685546875}, {"start": 950.86, "end": 951.54, "word": " في", "probability": 0.354248046875}, {"start": 951.54, "end": 952.04, "word": " عندنا", "probability": 0.745849609375}, {"start": 952.04, "end": 952.32, "word": " ال", "probability": 0.97509765625}, {"start": 952.32, "end": 952.74, 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الفضائي تمام؟ التلسكوب الفضائي بتكون من عدستين", "tokens": [10721, 2407, 2423, 39184, 3779, 10874, 6027, 3794, 15844, 2423, 39184, 15224, 304, 935, 39894, 45761, 18863, 3215, 3794, 3660, 46811, 10943, 22807, 37037, 15730, 6225, 3555, 9640, 3660, 18871, 9673, 1863, 4587, 37977, 13672, 1829, 44945, 8592, 38688, 11296, 8978, 11778, 47283, 1211, 13672, 1829, 31439, 25724, 3224, 31377, 46811, 10943, 22807, 23032, 1829, 3555, 8978, 11331, 26108, 3660, 24525, 2304, 11296, 49035, 26114, 11933, 1829, 8592, 20449, 8315, 11296, 22807, 16712, 1211, 3794, 4117, 37746, 27188, 11242, 16373, 1829, 46811, 10943, 22807, 16712, 1211, 3794, 4117, 37746, 27188, 11242, 16373, 1829, 39894, 30544, 9154, 6225, 3215, 14851, 9957], "avg_logprob": -0.1552444283324893, "compression_ratio": 1.7098214285714286, "no_speech_prob": 0.0, "words": [{"start": 977.79, "end": 978.07, "word": "أو", "probability": 0.833740234375}, {"start": 978.07, "end": 978.23, "word": " الـ", "probability": 0.78515625}, {"start": 978.23, 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جاي مثلا على الأربعة على التنين على الواحد و هكذا هى شايفين انتوا كيف هى مثلا عندنا الآن ايش ملاحظين الصورة", "tokens": [2278, 6765, 1347, 1401, 295, 264, 4373, 2423, 7649, 8978, 3714, 33604, 46309, 25724, 3224, 31377, 46740, 3714, 33604, 46309, 1975, 8315, 50113, 15040, 43242, 7578, 1804, 5551, 25513, 27884, 20328, 9640, 34892, 33604, 10632, 1975, 2407, 2423, 3779, 4032, 46958, 5016, 4724, 4587, 2288, 10721, 12174, 3215, 33599, 9673, 33604, 46309, 10874, 47302, 50113, 15040, 15844, 16247, 25513, 27884, 15844, 16712, 1863, 9957, 15844, 2423, 14407, 24401, 4032, 8032, 4117, 15730, 8032, 7578, 13412, 995, 33911, 9957, 16472, 2655, 14407, 9122, 33911, 8032, 7578, 50113, 15040, 43242, 8315, 6024, 48506, 1975, 1829, 8592, 3714, 15040, 5016, 19913, 9957, 31767, 13063, 3660], "avg_logprob": -0.22178397566369437, "compression_ratio": 1.7400881057268722, "no_speech_prob": 0.0, "words": [{"start": 1728.02, "end": 1728.24, "word": "The", "probability": 0.193359375}, {"start": 1728.24, "end": 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"Faint صح ولا لأ؟ Blurred vision الآن هيك إيه صار فيها؟ Sharp vision الآن مايناس سبعة إيه شمالها؟ سفير يعني all the same region صح؟ إذا المؤشر جاي وين؟ على الـ-7 طب عمّا حطينا ماينس ستة هتكون Blurred vision أو اللي هو faint", "tokens": [37, 5114, 20328, 5016, 49429, 5296, 10721, 22807, 2177, 374, 986, 5201, 6024, 48506, 39896, 4117, 11933, 1829, 3224, 20328, 9640, 8978, 11296, 22807, 31654, 5201, 6024, 48506, 19446, 1829, 8315, 3794, 8608, 3555, 27884, 11933, 1829, 3224, 13412, 2304, 6027, 11296, 22807, 8608, 5172, 13546, 37495, 22653, 439, 264, 912, 4458, 20328, 5016, 22807, 11933, 15730, 9673, 33604, 46309, 10874, 47302, 4032, 9957, 22807, 15844, 2423, 39184, 12, 22, 23032, 3555, 6225, 2304, 11703, 995, 11331, 9566, 1829, 8315, 19446, 9957, 3794, 8608, 2655, 3660, 8032, 2655, 30544, 2177, 374, 986, 5201, 34051, 13672, 1829, 31439, 21104], "avg_logprob": -0.33680556458656236, "compression_ratio": 1.5458715596330275, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1757.36, 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"end": 1892.41, "word": " يعني", "probability": 0.742431640625}, {"start": 1892.41, "end": 1892.89, "word": " بمعنى", "probability": 0.992578125}, {"start": 1892.89, "end": 1893.29, "word": " اخر", "probability": 0.90234375}, {"start": 1893.29, "end": 1893.57, "word": " انا", "probability": 0.869384765625}, {"start": 1893.57, "end": 1893.81, "word": " بدي", "probability": 0.8271484375}, {"start": 1893.81, "end": 1894.23, "word": " اوضح", "probability": 0.95703125}, {"start": 1894.23, "end": 1894.69, "word": " المحور", "probability": 0.9912109375}, {"start": 1894.69, "end": 1895.25, "word": " الاول", "probability": 0.85400390625}, {"start": 1895.25, "end": 1896.27, "word": " واخد", "probability": 0.837890625}, {"start": 1896.27, "end": 1896.89, "word": " قراءته", "probability": 0.8076171875}, {"start": 1896.89, "end": 1897.35, "word": " و", "probability": 0.94873046875}, {"start": 1897.35, "end": 1897.75, "word": " اوضح", "probability": 0.8807373046875}, {"start": 1897.75, "end": 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"end": 1902.69, "word": " power", "probability": 0.80859375}], "temperature": 1.0}, {"id": 72, "seek": 193055, "start": 1905.47, "end": 1930.55, "text": "بارضه عندنا rear surface down اللي هو عبارة عن ال back surface لنز back vertex power is measured اذا انا بدي اقيس اللي هو السطح الخالف لمين للعدسة ال lens center is over the center of the aperture the same procedure ال lens should be supported by the frame table", "tokens": [3555, 9640, 11242, 3224, 43242, 8315, 8250, 3753, 760, 13672, 1829, 31439, 6225, 3555, 9640, 3660, 18871, 2423, 646, 3753, 5296, 1863, 11622, 646, 28162, 1347, 307, 12690, 1975, 15730, 1975, 8315, 4724, 16254, 1975, 38436, 3794, 13672, 1829, 31439, 21136, 9566, 5016, 33962, 6027, 5172, 32767, 9957, 24976, 22488, 3794, 3660, 2423, 6765, 3056, 307, 670, 264, 3056, 295, 264, 29848, 264, 912, 10747, 2423, 6765, 820, 312, 8104, 538, 264, 3920, 3199], "avg_logprob": -0.27104167143503827, "compression_ratio": 1.5754716981132075, "no_speech_prob": 0.0, "words": [{"start": 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"end": 1923.25, "word": " the", "probability": 0.90380859375}, {"start": 1923.25, "end": 1923.65, "word": " aperture", "probability": 0.52197265625}, {"start": 1923.65, "end": 1924.17, "word": " the", "probability": 0.2734375}, {"start": 1924.17, "end": 1924.59, "word": " same", "probability": 0.90625}, {"start": 1924.59, "end": 1925.33, "word": " procedure", "probability": 0.94970703125}, {"start": 1925.33, "end": 1926.77, "word": " ال", "probability": 0.461669921875}, {"start": 1926.77, "end": 1927.17, "word": " lens", "probability": 0.7265625}, {"start": 1927.17, "end": 1927.97, "word": " should", "probability": 0.96435546875}, {"start": 1927.97, "end": 1928.31, "word": " be", "probability": 0.93359375}, {"start": 1928.31, "end": 1929.03, "word": " supported", "probability": 0.89111328125}, {"start": 1929.03, "end": 1929.39, "word": " by", "probability": 0.97802734375}, {"start": 1929.39, "end": 1929.59, "word": " the", "probability": 0.8916015625}, {"start": 1929.59, "end": 1929.97, "word": " frame", "probability": 0.880859375}, {"start": 1929.97, "end": 1930.55, "word": " table", "probability": 0.87890625}], "temperature": 1.0}, {"id": 73, "seek": 195978, "start": 1932.56, "end": 1959.78, "text": "Okay هان المهم Determine the maximum and minimum meridians powers يعني الآن لو أنا كان عنده ال maximum plus خمسة تمام نفترض axis تسعين وال minimum meridians مثلا plus دلاتة axis مية وتمانين", "tokens": [8297, 8032, 7649, 9673, 16095, 4237, 966, 533, 264, 6674, 293, 7285, 3551, 327, 2567, 8674, 37495, 22653, 6024, 48506, 45164, 41850, 25961, 43242, 3224, 2423, 6674, 1804, 16490, 2304, 3794, 3660, 46811, 10943, 8717, 5172, 2655, 43042, 10298, 6055, 3794, 3615, 9957, 16070, 7285, 3551, 327, 2567, 50113, 15040, 1804, 11778, 1211, 9307, 3660, 10298, 3714, 10632, 34683, 2304, 7649, 9957], "avg_logprob": -0.2254464262061649, "compression_ratio": 1.4388888888888889, "no_speech_prob": 0.0, "words": [{"start": 1932.56, "end": 1932.94, "word": "Okay", "probability": 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"probability": 0.94140625}, {"start": 1942.0, "end": 1942.22, "word": " أنا", "probability": 0.61376953125}, {"start": 1942.22, "end": 1942.48, "word": " كان", "probability": 0.9794921875}, {"start": 1942.48, "end": 1943.1, "word": " عنده", "probability": 0.7587890625}, {"start": 1943.1, "end": 1943.32, "word": " ال", "probability": 0.7939453125}, {"start": 1943.32, "end": 1943.86, "word": " maximum", "probability": 0.94140625}, {"start": 1943.86, "end": 1945.3, "word": " plus", "probability": 0.445556640625}, {"start": 1945.3, "end": 1946.26, "word": " خمسة", "probability": 0.884521484375}, {"start": 1946.26, "end": 1948.0, "word": " تمام", "probability": 0.846435546875}, {"start": 1948.0, "end": 1949.74, "word": " نفترض", "probability": 0.9468994140625}, {"start": 1949.74, "end": 1950.28, "word": " axis", "probability": 0.476806640625}, {"start": 1950.28, "end": 1951.68, "word": " تسعين", "probability": 0.9400634765625}, {"start": 1951.68, "end": 1953.34, "word": " وال", "probability": 0.56640625}, {"start": 1953.34, "end": 1953.68, "word": " minimum", "probability": 0.91162109375}, {"start": 1953.68, "end": 1954.44, "word": " meridians", "probability": 0.95458984375}, {"start": 1954.44, "end": 1955.06, "word": " مثلا", "probability": 0.966552734375}, {"start": 1955.06, "end": 1955.48, "word": " plus", "probability": 0.85693359375}, {"start": 1955.48, "end": 1956.66, "word": " دلاتة", "probability": 0.830078125}, {"start": 1956.66, "end": 1958.62, "word": " axis", "probability": 0.440185546875}, {"start": 1958.62, "end": 1959.18, "word": " مية", "probability": 0.93310546875}, {"start": 1959.18, "end": 1959.78, "word": " وتمانين", "probability": 0.837158203125}], "temperature": 1.0}, {"id": 74, "seek": 198598, "start": 1960.72, "end": 1985.98, "text": "الان يما انا بدي اجي امثلها على ال optical cross هتكون بالشكل هذا عندنا plus خمسة وعندنا plus دلاتة ايش هقول؟ مين الكبير؟ plus خمسة الفرق بينهم minus اتنين ال axis مية و تمانين", "tokens": [6027, 7649, 7251, 15042, 1975, 8315, 4724, 16254, 1975, 7435, 1829, 1975, 2304, 12984, 1211, 11296, 15844, 2423, 20674, 3278, 8032, 2655, 30544, 20666, 8592, 28820, 23758, 43242, 8315, 1804, 16490, 2304, 3794, 3660, 4032, 3615, 41260, 8315, 1804, 11778, 1211, 9307, 3660, 1975, 1829, 8592, 8032, 39648, 22807, 3714, 9957, 33251, 3555, 13546, 22807, 1804, 16490, 2304, 3794, 3660, 27188, 2288, 4587, 49374, 16095, 3175, 1975, 2655, 1863, 9957, 2423, 10298, 3714, 10632, 4032, 46811, 7649, 9957], "avg_logprob": -0.17622626129584976, "compression_ratio": 1.615819209039548, "no_speech_prob": 0.0, "words": [{"start": 1960.72, "end": 1961.2, "word": "الان", "probability": 0.826416015625}, {"start": 1961.2, "end": 1961.42, "word": " يما", "probability": 0.6162109375}, {"start": 1961.42, "end": 1961.64, "word": " انا", "probability": 0.861328125}, {"start": 1961.64, "end": 1962.0, "word": " بدي", "probability": 0.6861572265625}, {"start": 1962.0, "end": 1962.4, "word": " اجي", "probability": 0.7521158854166666}, {"start": 1962.4, "end": 1963.06, "word": " امثلها", "probability": 0.94814453125}, {"start": 1963.06, "end": 1963.24, "word": " على", "probability": 0.44287109375}, {"start": 1963.24, "end": 1963.34, "word": " ال", "probability": 0.82763671875}, {"start": 1963.34, "end": 1963.68, "word": " optical", "probability": 0.76416015625}, {"start": 1963.68, "end": 1964.26, "word": " cross", "probability": 0.8642578125}, {"start": 1964.26, "end": 1964.88, "word": " هتكون", "probability": 0.9361979166666666}, {"start": 1964.88, "end": 1965.4, "word": " بالشكل", "probability": 0.9676106770833334}, {"start": 1965.4, "end": 1965.76, "word": " هذا", "probability": 0.80810546875}, {"start": 1965.76, "end": 1967.04, "word": " عندنا", "probability": 0.779296875}, {"start": 1967.04, "end": 1967.28, "word": " plus", "probability": 0.7197265625}, {"start": 1967.28, "end": 1967.96, "word": " خمسة", "probability": 0.8255615234375}, {"start": 1967.96, "end": 1970.86, "word": " وعندنا", "probability": 0.8470458984375}, {"start": 1970.86, "end": 1971.18, "word": " plus", "probability": 0.966796875}, {"start": 1971.18, "end": 1972.08, "word": " دلاتة", "probability": 0.8701171875}, {"start": 1972.08, "end": 1973.98, "word": " ايش", "probability": 0.8102213541666666}, {"start": 1973.98, "end": 1974.6, "word": " هقول؟", "probability": 0.7732747395833334}, {"start": 1974.6, "end": 1974.76, "word": " مين", "probability": 0.953857421875}, {"start": 1974.76, "end": 1976.54, "word": " الكبير؟", "probability": 0.918701171875}, {"start": 1976.54, "end": 1976.98, "word": " plus", "probability": 0.89208984375}, {"start": 1976.98, "end": 1977.92, "word": " خمسة", "probability": 0.978515625}, {"start": 1977.92, "end": 1979.56, "word": " الفرق", "probability": 0.9505208333333334}, {"start": 1979.56, "end": 1980.1, "word": " بينهم", "probability": 0.9931640625}, {"start": 1980.1, "end": 1981.2, "word": " minus", "probability": 0.62158203125}, {"start": 1981.2, "end": 1981.72, "word": 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{"start": 2080.74, "end": 2081.72, "word": " ممكن", "probability": 0.90966796875}, {"start": 2081.72, "end": 2082.0, "word": " واحدة", "probability": 0.9402669270833334}, {"start": 2082.0, "end": 2082.24, "word": " تقول", "probability": 0.975341796875}, {"start": 2082.24, "end": 2082.34, "word": " لي", "probability": 0.293212890625}, {"start": 2082.34, "end": 2082.5, "word": " طب", "probability": 0.5810546875}, {"start": 2082.5, "end": 2082.64, "word": " لو", "probability": 0.98388671875}, {"start": 2082.64, "end": 2082.96, "word": " بدك", "probability": 0.7685546875}, {"start": 2082.96, "end": 2083.16, "word": " تب", "probability": 0.734130859375}, {"start": 2083.16, "end": 2083.66, "word": " meridian", "probability": 0.835693359375}, {"start": 2083.66, "end": 2084.16, "word": " اه", "probability": 0.7958984375}, {"start": 2084.16, "end": 2084.38, "word": " ال", "probability": 0.8056640625}, {"start": 2084.38, "end": 2084.74, "word": " meridian", "probability": 0.96923828125}, 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{"start": 2312.3, "end": 2312.66, "word": " من", "probability": 0.9814453125}, {"start": 2312.66, "end": 2312.94, "word": " اللي", "probability": 0.97216796875}, {"start": 2312.94, "end": 2313.26, "word": " هو", "probability": 0.966796875}, {"start": 2313.26, "end": 2313.86, "word": " الطريقة", "probability": 0.9851888020833334}, {"start": 2313.86, "end": 2314.38, "word": " النظرية", "probability": 0.9874267578125}, {"start": 2314.38, "end": 2314.74, "word": " نوعا", "probability": 0.9597981770833334}, {"start": 2314.74, "end": 2314.86, "word": " ما", "probability": 0.83642578125}, {"start": 2314.86, "end": 2315.6, "word": " يعطيكم", "probability": 0.9036865234375}, {"start": 2315.6, "end": 2315.96, "word": " العافية", "probability": 0.9827473958333334}, {"start": 2315.96, "end": 2316.36, "word": " وشكرا", "probability": 0.8426513671875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2316.6084375, "duration_after_vad": 2136.013124999994} \ No newline at end of file diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/NabJQJDd3-Y.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/NabJQJDd3-Y.srt new file mode 100644 index 0000000000000000000000000000000000000000..b360f6a0d8c5c01815bd2c468edd5762746c5e86 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/NabJQJDd3-Y.srt @@ -0,0 +1,1133 @@ +1 +00:00:20,940 --> 00:00:23,780 +باسم الله الرحمن الرحيم السلام عليكم ورحمة الله و + +2 +00:00:23,780 --> 00:00:28,720 +بركاته، وأهلاً وسهلاً بكم جميعاً إن شاء الله. اليوم + +3 +00:00:28,720 --> 00:00:35,440 +سنبدأ في محاضرة للطالبات بعنوان: Measure of Lens + +4 +00:00:35,440 --> 00:00:41,180 +Power by a Neutralization Method, Geneva Clock + +5 +00:00:41,180 --> 00:00:47,340 +Method and Lensmeter Method. ستُقدمها الطالبات: كل من + +6 +00:00:47,340 --> 00:00:54,380 +إسراء العفيف، ونسرين أبو سالم، أفنان + +7 +00:00:54,380 --> 00:01:01,900 +عمان، وفاطمة عزام، إن شاء الله. + +8 +00:01:01,900 --> 00:01:07,530 +اتفضلن. باسم الله الرحمن الرحيم، معكم ميساء أبو سهيل، + +9 +00:01:07,530 --> 00:01:10,930 +Today we will talk about measurement of lens power. + +10 +00:01:10,930 --> 00:01:15,470 +هناك ثلاث طرق لقياس قوة العدسة، أولها طريقة الـ + +11 +00:01:15,470 --> 00:01:19,630 +Neutralization، ثانياً طريقة Geneva Clock، ثالثاً + +12 +00:01:19,630 --> 00:01:23,690 +طريقة الـ Lensmeter. من حيث الدقة، الـ Lensmeter + +13 +00:01:23,690 --> 00:01:27,250 +أكثرها دقة، بعدها طريقة Geneva Clock، وطريقة الـ + +14 +00:01:27,250 --> 00:01:28,710 +Neutralization هي أقل دقة. + +15 +00:01:31,610 --> 00:01:34,830 +الـ Neutralization، اللي هي طريقة... طريقة المعادلة + +16 +00:01:34,830 --> 00:01:38,750 +لمعرفة قوة العدسة. Two lenses neutralize each other + +17 +00:01:38,750 --> 00:01:41,110 +when placed in contact with each other so that + +18 +00:01:41,110 --> 00:01:43,810 +the combined power of the two lenses is equal to + +19 +00:01:43,810 --> 00:01:51,060 +zero. أول شيء يجب وضع العدستان بحيث يكونا + +20 +00:01:51,060 --> 00:01:55,940 +متلاصقتان مع بعض... بحيث يكونا متلاصقتان: العدسة + +21 +00:01:55,940 --> 00:01:58,640 +الأولى، وهي العدسة غير المعروفة قوتها (unknown lens)، والعدسة + +22 +00:01:58,640 --> 00:02:02,000 +الأولى (unknown lens) غير المعروفة قوتها، والعدسة + +23 +00:02:02,000 --> 00:02:04,660 +الثانية، وهي العدسة التي تُعادل بها (known lens). + +24 +00:02:04,660 --> 00:02:09,530 +للحصول على no movement. An unknown lens is + +25 +00:02:09,530 --> 00:02:12,750 +neutralized by a known lens of equal power but + +26 +00:02:12,750 --> 00:02:16,970 +opposite in sign. وللتعرف على قوة العدسة، نقطة قوة + +27 +00:02:16,970 --> 00:02:21,370 +معاكسة للـsign الخاص بها. وفي النهاية، العدستان + +28 +00:02:21,370 --> 00:02:26,210 +يُصبحان عدستين بـ no movement. It is often used to + +29 +00:02:26,210 --> 00:02:28,630 +know the power of sphere and cylinder lenses. + +30 +00:02:28,630 --> 00:02:32,270 +تُستخدم هذه الطريقة لمعرفة قوة العدسات الكروية + +31 +00:02:32,270 --> 00:02:37,190 +والأسطوانية. ولهذا... ولماذا يجب تحديد... ولماذا + +32 +00:02:37,190 --> 00:02:40,930 +لم نعرّف حركة العدسات؟ لأنه يجب رسم الـ optical cross + +33 +00:02:40,930 --> 00:02:45,250 +لمعرفة هل هي عدسات كروية أم أسطوانية. إذا كانت كل + +34 +00:02:45,250 --> 00:02:48,450 +خواص العدسة متساوية في... إذا كانت كل خواص العدسة + +35 +00:02:48,450 --> 00:02:52,490 +متساوية في كل المحاور، فتكون العدسة كروية. أما إنْ عند + +36 +00:02:52,490 --> 00:02:55,430 +تحريكها للأعلى والأسفل (up and down)، وكانت تختلف عن اليمين واليسار (right and left)، + +37 +00:02:55,430 --> 00:02:59,610 +فتكون العدسة أسطوانية. It is used to measure the front + +38 +00:02:59,610 --> 00:03:04,470 +vertex power of the lenses. تستخدم لقياس قوة السطح + +39 +00:03:04,470 --> 00:03:05,670 +الأمامي للعدسات. + +40 +00:03:08,410 --> 00:03:10,990 +View a large distance across a target through the + +41 +00:03:10,990 --> 00:03:14,530 +lenses. Move the lens vertically and observe the motion of + +42 +00:03:14,530 --> 00:03:17,830 +the horizontal line. Move the lens horizontally and observe + +43 +00:03:17,830 --> 00:03:22,990 +the motion of the vertical line. وللتّركيز على target معيّن، + +44 +00:03:22,990 --> 00:03:29,210 +يجب فحص المحور الأفقي أو العمودي. يجب فحص + +45 +00:03:29,210 --> 00:03:32,890 +المحور العمودي (vertically). نحرك العدسة يميناً ويساراً، وعند + +46 +00:03:32,890 --> 00:03:39,050 +فحص المحور الأفقي (horizontally)، نحرك العدسة للأعلى وللأسفل. For + +47 +00:03:39,050 --> 00:03:42,750 +a plus or minus lens, a linear motion is used to + +48 +00:03:42,750 --> 00:03:46,310 +neutralize the power. If the target moves against the motion, we + +49 +00:03:46,310 --> 00:03:50,110 +use a plus lens. If the target moves with the motion, we use + +50 +00:03:50,110 --> 00:03:54,410 +a minus lens. ففي العدسة السالبة (minus lens)، تكون الحركة + +51 +00:03:54,410 --> 00:03:59,860 +مع الحركة (with movement). أما كما أخذنا في مادة الـ ophthalmic + +52 +00:03:59,860 --> 00:04:03,660 +العدسات، فهي عبارة عن مجموعة من البرازمات. ففي حالة الـ + +53 +00:04:03,660 --> 00:04:08,780 +minus lens، تُعتبر العدسة apex to apex، وعند + +54 +00:04:08,780 --> 00:04:15,320 +تحريك العدسة، يتحرك الـ target مع الحركة (with movement). أما + +55 +00:04:15,320 --> 00:04:19,120 +في حالة الـ plus lens، تكون الحركة عكس الحركة (against movement) + +56 +00:04:19,120 --> 00:04:21,160 +لأنها تُعتبر base to base. + +57 +00:04:24,950 --> 00:04:30,010 +هنا أول شيء، نرسم cross target. وفي حالة الـ minus + +58 +00:04:30,010 --> 00:04:34,290 +lens، تكون الحركة مع الحركة (with movement). وفي حالة الـ plus + +59 +00:04:34,290 --> 00:04:39,010 +lens، تكون الحركة عكسها (against). Example: An unknown lens + +60 +00:04:39,010 --> 00:04:41,830 +is neutralized in the horizontal meridian with + +61 +00:04:41,830 --> 00:04:46,340 ++3, and the vertical meridian with +2. عندنا + +62 +00:04:46,340 --> 00:04:50,260 +عدسة مجهولة القوة. عادلنا... عادلنا... عادلنا المحور + +63 +00:04:50,260 --> 00:04:54,520 +الأفقي (horizontal)، طلع +3، والمحور العمودي (vertical meridian) + +64 +00:04:54,520 --> 00:05:01,640 ++2. نكتب... نرسم cross target. نخصم + +65 +00:05:01,640 --> 00:05:04,520 +أولاً... الأكبر... الـ plus الأكثر... الـ plus ثلاثة... الأكثر + +66 +00:05:04,520 --> 00:05:09,200 +plus (+3)، ونطرح الأصغر من الأكبر (+2) + +67 +00:05:09,200 --> 00:05:12,440 +– (+3) + 1، ونقسم على 2. + +68 +00:05:17,820 --> 00:05:21,120 +معكم فاطمة عزام، سأتحدث عن الطريقة الثانية + +69 +00:05:21,120 --> 00:05:24,740 +لقياس قوة العدسة، وهي Geneva Clock. Geneva Clock + +70 +00:05:24,740 --> 00:05:29,740 +يتكون من ثلاثة أطراف (three pins). It has two fixed pins and + +71 +00:05:29,740 --> 00:05:33,640 +a movable pin in the center. يتكون من ثلاثة أطراف أو مسامير، + +72 +00:05:33,640 --> 00:05:37,580 +اثنان على الأطراف ثابتان، واللي في الوسط متحرك. + +73 +00:05:37,580 --> 00:05:40,620 +When it is placed on a lens, and if it is a spherical lens, the central pin moves + +74 +00:05:40,620 --> 00:05:49,460 +or protrudes outward. عندما نضعها على عدسة، أو على سطح + +75 +00:05:49,460 --> 00:05:53,640 +العدسة، الطرف الذي في المنتصف سيدخل للداخل. The central pin + +76 +00:05:53,640 --> 00:05:56,460 +indicates the sign of the surface, which provides a + +77 +00:05:56,460 --> 00:06:00,600 +direct reading of refractive power. هذا الطرف الذي + +78 +00:06:00,600 --> 00:06:04,340 +في المنتصف هو الذي يحدد لنا قيمة refractive power + +79 +00:06:04,340 --> 00:06:05,060 +للعدسة. + +80 +00:06:07,500 --> 00:06:11,720 +استخدامات الـ Sagittal Depth. تُستخدم لقياس سماكة + +81 +00:06:11,720 --> 00:06:15,640 +العدسة وقوة العدسة، و ready secure feature قطر + +82 +00:06:15,640 --> 00:06:20,180 +التحدب. عندما نأتي لفحص العدسات الكروية، hold the lens + +83 +00:06:20,180 --> 00:06:23,740 +and measure the set so that the central contact point on the + +84 +00:06:23,740 --> 00:06:26,180 +lens clock is at the optical center, and the lens + +85 +00:06:26,180 --> 00:06:29,400 +clock is perpendicular to the lens. نضع العدسة + +86 +00:06:29,400 --> 00:06:34,560 +نضع Geneva Clock في مركز العدسة، ويكون عمودياً + +87 +00:06:34,560 --> 00:06:39,610 +عليها. When we rotate the clock, we will not see any + +88 +00:06:39,610 --> 00:06:44,030 +change in value. عندما نحرك Geneva Clock، لن نلاحظ + +89 +00:06:44,030 --> 00:06:47,010 +أي تغير في المؤشر، because the power is equal in + +90 +00:06:47,010 --> 00:06:53,070 +all meridians. أما في العدسات الأسطوانية، نضع Geneva + +91 +00:06:53,070 --> 00:06:58,440 +Clock في مركز العدسة. Lens clock is rotated at the + +92 +00:06:58,440 --> 00:07:01,320 +point with all three contact points against the + +93 +00:07:01,320 --> 00:07:05,600 +lens. نحرك Geneva Clock وسنرى تغييراً في + +94 +00:07:05,600 --> 00:07:08,900 +القيمة، because the surface has two curves. The value + +95 +00:07:08,900 --> 00:07:13,240 +of these curves indicates when the clock shows its + +96 +00:07:13,240 --> 00:07:17,900 +maximum and minimum value. عندما نحرك Geneva Clock على + +97 +00:07:17,900 --> 00:07:26,160 +العدسة، سنرى تغييراً في المؤشر، لأن القوة + +98 +00:07:26,160 --> 00:07:30,560 +البصرية... القوة في عدسات المحاور غير متساوية. نضعها + +99 +00:07:30,560 --> 00:07:36,200 +العدسة... هذه نضعها + +100 +00:07:36,200 --> 00:07:44,840 +في المركز، نلفها. + +101 +00:07:58,370 --> 00:08:08,230 +نرسم الـ cross target. السطح الأمامي +4. + +102 +00:08:08,230 --> 00:08:09,850 +...+4 + +103 +00:08:26,840 --> 00:08:54,620 +لا يوجد تغيير، كلاهما +4، ولكن السطح الخلفي + +104 +00:08:54,620 --> 00:09:09,450 +(-9). أصبح عندي 5.75 مع 7.5 + +105 +00:09:09,450 --> 00:09:18,230 +أصبح عندي 5.7... أصبح عندي 7.5. نجمعهم + +106 +00:09:18,230 --> 00:09:22,850 +معاً + +107 +00:09:22,850 --> 00:09:23,450 +13.25 + +108 +00:09:26,440 --> 00:09:31,960 +(هناك تكرار لفظي غير مفهوم في هذه الفقرة) + +109 +00:09:31,960 --> 00:09:35,060 +(هناك تكرار لفظي غير مفهوم في هذه الفقرة) + +110 +00:09:35,060 --> 00:09:45,100 +(هناك تكرار لفظي غير مفهوم في هذه الفقرة) + +111 +00:09:45,100 --> 00:09:46,240 +(هناك تكرار لفظي غير مفهوم في هذه الفقرة) + +112 +00:10:09,610 --> 00:10:17,370 +الآن سنتكلم عن الطريقة الثالثة، وهي أجهزة قياس + +113 +00:10:17,370 --> 00:10:22,970 +قوة العدسات (Lensmeter). أنواع الـ Lensmeter: + +114 +00:10:25,120 --> 00:10:28,940 +Automatic، Manual. الـ Manual أدق من الـ Automatic. + +115 +00:10:29,480 --> 00:10:32,280 +وطبعاً، للـ Manual نوعان: dot و cross. + +116 +00:10:33,120 --> 00:10:37,260 +أسماء أخرى للـ Lensmeter: photometer و + +117 +00:10:37,260 --> 00:10:38,440 +ferrometer. + +118 +00:10:41,750 --> 00:10:46,570 +استخدامات الـ Lensmeter. نستخدم الـ Lensmeter + +119 +00:10:46,570 --> 00:10:50,190 +في العدسات أحادية البؤرة (single vision lenses)، والعدسات ثنائية البؤرة (bifocal lenses)، و + +120 +00:10:50,190 --> 00:10:55,110 +العدسات ثلاثية البؤرة (trifocal lenses)، والعدسات ذات الإضافة التدريجية (progressive addition lenses). + +121 +00:10:55,110 --> 00:11:01,150 +لتحديد القوة الكروية والأسطوانية. يحدد + +122 +00:11:01,150 --> 00:11:05,190 +أيضاً المركز البصري (optical center)، قوة العدسات اللاصقة، وقوة + +123 +00:11:05,190 --> 00:11:12,160 +المنشور. مكونات المنشور: أولاً، الـ IBS + +124 +00:11:12,160 --> 00:11:16,200 +الـ IBS يختلف من شخص لآخر، حسب عيب الانكسار (refractive error). + +125 +00:11:16,200 --> 00:11:20,680 +ثم جهاز تركيب المنشور (prism combination device). طبعاً هذا... هذا + +126 +00:11:20,680 --> 00:11:27,520 +يعوض عن المنشور. ثم جهاز تحديد مكان العدسة (lens spotting device). هذا + +127 +00:11:27,520 --> 00:11:32,840 +يُستخدم لوضع علامات على العدسة (marking). حامل العدسة (lens holder) + +128 +00:11:32,840 --> 00:11:37,760 +نستخدمه لتثبيت العدسة. وعجلة المحور (axis wheel) لتحديد الـ + +129 +00:11:37,760 --> 00:11:42,100 +axis. وعجلة القوة (power wheel) لتحديد القوة. ثم هنا Lens + +130 +00:11:42,100 --> 00:11:50,540 +meter. الـ IBS، عجلة المحور (access wheel). طبعاً الـ access + +131 +00:11:50,540 --> 00:11:53,400 +wheel تكون ثابتة في العدسات غير المصقولة (uncut lenses)، أما في + +132 +00:11:53,400 --> 00:11:56,460 +النضارات، فتكون مختلفة حسب اليمين واليسار (left and right). ثم + +133 +00:11:56,460 --> 00:12:00,340 +عجلة القوة (power wheel)، التي نحدد بها قوة العدسة، سواء + +134 +00:12:00,340 --> 00:12:04,940 +كروية أو أسطوانية. ثم أجهزة تحديد المكان (spotting devices)، التي + +135 +00:12:04,940 --> 00:12:09,160 +تُستخدم في وضع العلامات (marking) التي تُعلم العدسة. يبقى الهدف + +136 +00:12:09,160 --> 00:12:13,840 +هو تثبيت العدسة حتى لا تتحرك + +137 +00:12:13,840 --> 00:12:19,800 +حسب العدسة التي نستخدمها. كما نعرف طبعاً، الـ + +138 +00:12:19,800 --> 00:12:23,580 +أشعة التي تأتي من اللانهاية (infinity) تكون متوازية (parallel). عندما + +139 +00:12:23,580 --> 00:12:28,760 +تصادف... الأشعة، سواء صادفت... تأتي من + +140 +00:12:28,760 --> 00:12:31,160 +الموازية (parallel) من اللانهاية (infinity) تكون متوازية (parallel)، سواء صادفت + +141 +00:12:31,160 --> 00:12:34,420 +عدسة سالبة (minus) أو موجبة (plus)، ستتجمع في النقطة البؤرية (focal point). + +142 +00:12:34,420 --> 00:12:37,340 +في العدسات الموجبة (plus lenses)، الأشعة التي تأتي من + +143 +00:12:37,340 --> 00:12:41,180 +اللانهاية (infinity) المتوازية (parallel) ستتجمع خلف العدسات (behind the lenses) في الـ... + +144 +00:12:41,180 --> 00:12:44,420 +سنسميها الـ conversions. ستتجمع في النقطة البؤرية (focal point) + +145 +00:12:44,420 --> 00:12:48,670 +خلف العدسات (behind the lenses). أما في الـ... في العدسات السالبة (minus lenses) + +146 +00:12:48,670 --> 00:12:53,490 +ستأتي الأشعة المتوازية (parallel)، ستصادف الـ... العدسات السالبة (minus) + +147 +00:12:53,490 --> 00:12:57,930 +ستكون متباعدة (divergent array). لكن في منطقة + +148 +00:12:57,930 --> 00:13:02,130 +معينة أو فترة معينة، يجب أن تصبح متقاربة (convergent) في الـ + +149 +00:13:02,130 --> 00:13:04,110 +focal point أمام العدسات (front lenses). + +150 +00:13:08,200 --> 00:13:12,040 +هذا طبعاً النظام البصري لـ Lensmeter. الـ + +151 +00:13:12,040 --> 00:13:17,560 +symbols. عين الراصد (eye of the observer). عين الراصد + +152 +00:13:17,560 --> 00:13:22,220 +يختلف من شخص لآخر، ويُضبط عبر الـ + +153 +00:13:22,220 --> 00:13:26,260 +graphics. العدسات الشيئية (objective lenses). الاشعة + +154 +00:13:26,260 --> 00:13:32,580 +المتوازية (parallel). العدسات القياسية (standard lenses) ومصدر الضوء (light source) والـ + +155 +00:13:32,580 --> 00:13:35,950 +target. والمقياس (scale) يعتمد على قوة + +156 +00:13:35,950 --> 00:13:39,310 +العدسة، سالبة (minus) أو موجبة (plus). مثلاً، إذا كانت العدسة + +157 +00:13:39,310 --> 00:13:43,110 +سالبة (minus)، لو تحركنا نحو الموجب (plus) تصبح الصورة باهتة (more faint). لكن إذا تحركنا نحو السالب (minus) تصبح + +158 +00:13:43,110 --> 00:13:45,970 +أوضح (more clear)، حتى نصل إلى الوضع الأمثل للصورة. أين المقياس؟ + +159 +00:13:45,970 --> 00:13:50,350 +طبعاً هنا نشاهد من خلال العدسة العينية (eye piece). نرى الصورة متوازية (parallel) لأن + +160 +00:13:50,350 --> 00:13:57,190 +يكون الـ target موضوعاً على النقطة العقدية (nodal point) للعدسة. + +161 +00:14:05,000 --> 00:14:08,940 +مشاكل Lensmeter البسيط. هناك مشاكل في + +162 +00:14:08,940 --> 00:14:12,180 +Lensmeter البسيط. الأولى أن الجهاز + +163 +00:14:12,180 --> 00:14:16,920 +يكون كبيراً جداً ليكون عملياً. أول + +164 +00:14:16,920 --> 00:14:20,540 +مشكلة أنه يكون الجهاز طويلاً جداً. مثلاً، لو كان + +165 +00:14:20,540 --> 00:14:25,420 +لدينا عدسة سالبة (-1/4)، تحتاج جهاز طوله + +166 +00:14:25,420 --> 00:14:29,070 +أربعة أمتار، وهذا غير معقول. The + +167 +00:14:29,070 --> 00:14:31,750 +second is that the scale for measuring lens + +168 +00:14:31,750 --> 00:14:36,270 +power would be non-linear. يكون المقياس غير + +169 +00:14:36,270 --> 00:14:40,090 +منتظم، يعني هناك فروقات بين كل قوة والأخرى. + +170 +00:14:41,670 --> 00:14:44,810 +إضافة عدسات أخرى إلى جهاز Lensmeter المبسط. طبعاً بما أنه + +171 +00:14:44,810 --> 00:14:49,270 +غير معقول أن يكون جهاز لعدسة قوتها (-1/4) طوله 4 أمتار، فكان الحل + +172 +00:14:49,270 --> 00:14:53,450 +بإضافة العدسات القياسية (standard lenses). العدسات القياسية (standard lenses) عملت على + +173 +00:14:53,450 --> 00:14:57,270 +تقصير طول الجهاز (shorting of length of instrument). قصرّت الجهاز و + +174 + +223 +00:19:01,460 --> 00:19:03,900 +anterior focal point للoriginal lens + +224 +00:19:08,510 --> 00:19:14,790 +النرمالية مثلاً هي الImon هي فوق الanterior + +225 +00:19:14,790 --> 00:19:20,470 +focal point وهي الposterior focal point فهنا هم + +226 +00:19:20,470 --> 00:19:25,310 +حطوا الstandard lens اللي هي +20 أو +25 + +227 +00:19:25,310 --> 00:19:30,050 +ديوبتر فإذا ما حطوا هذه و سروا و قَلوها أن ال + +228 +00:19:30,050 --> 00:19:33,210 +posterior nodal point لإلها coincide يعني تتطبق مع + +229 +00:19:33,210 --> 00:19:37,960 +الanterior focal point للـ unknown lens فعملوا short لل .. short لل + +230 +00:19:37,960 --> 00:19:41,940 +lensmeter وعملوا الscale linear هذا المبدأ هو عمل + +231 +00:19:41,940 --> 00:19:46,060 +الlensmeter بأن when applied to a lensmeter + +232 +00:19:46,060 --> 00:19:49,860 +when applied to a lensmeter Knapp's law يُدعى + +233 +00:19:49,860 --> 00:19:53,600 +بدل الprinciple لإن إحنا يعني لما نحكي على مبدأ ال + +234 +00:19:53,600 --> 00:19:57,000 +lensmeter ما بنستخدم Knapp's law بس نحكي بدل + +235 +00:19:57,000 --> 00:20:00,560 +الprinciple أستثناءً كان التلسكوب هذا ال + +236 +00:20:00,560 --> 00:20:04,220 +telescope بالنسبة لـ ANE OBJECTIVE و IB + +237 +00:20:04,220 --> 00:20:08,360 +7010 OBJECTIVE و IB SEVERA و Plus Lenses يعطون + +238 +00:20:08,360 --> 00:20:12,620 +Magnified Virtual Image ليتحسن ليكون مركزي + +239 +00:20:12,620 --> 00:20:17,640 +على اللانهاية ولذلك فقط bright light سيكون مرئي + +240 +00:20:17,640 --> 00:20:23,460 +في المركز أن إحنا بنعمل adjust بنخليه أن .. + +241 +00:20:23,460 --> 00:20:27,460 +بنعمل adjust على اللانهاية عشان يعطينا bright ال + +242 +00:20:27,460 --> 00:20:30,660 +light region في المركز اللي إحنا بنشوفه + +243 +00:20:30,660 --> 00:20:32,640 +اللي هو + +244 +00:20:35,430 --> 00:20:40,210 +الآن steps to neutralize astigmatic lens in manual + +245 +00:20:40,210 --> 00:20:44,670 +lensmeter اللي هو هذا طبعاً أول طريقة أن إحنا لازم + +246 +00:20:44,670 --> 00:20:48,790 +نعمل الIBS should be focused manually أول شيء أن + +247 +00:20:48,790 --> 00:20:52,410 +إحنا بنعمل الIBS اللي هي high بنحطها لأقصى يسار + +248 +00:20:52,410 --> 00:20:56,800 +وأقصى يسار ولما يوضح بنحرك طبعاً ليش + +249 +00:20:56,800 --> 00:21:00,580 +الIBS أو الissue أن بتعمل approximate + +250 +00:21:00,580 --> 00:21:03,800 +approximate أو amplitude لـ accommodation ثانياً + +251 +00:21:03,800 --> 00:21:07,700 +issue refractive error لانه ثانياً issue الpower + +252 +00:21:07,700 --> 00:21:12,240 +weight should be level .. should be level 0 لازم + +253 +00:21:12,240 --> 00:21:14,780 +نحط الpower weight .. الpower weight على 0 وال + +254 +00:21:14,780 --> 00:21:18,800 +axis weight على 0 أيضاً plus the spectral length of + +255 +00:21:18,800 --> 00:21:22,360 +the device toward the I .. IBS + +256 +00:21:38,070 --> 00:21:41,690 +الآن المصدر أن زي ما إحنا لابسينه هنحطه هيك يعني + +257 +00:21:41,690 --> 00:21:44,710 +إحنا لابسينها هكذا نحطها هكذا + +258 +00:21:59,180 --> 00:22:02,480 +هكذا يعني أن هيكون الfront surface لها باتجاه ال + +259 +00:22:02,480 --> 00:22:07,440 +IBS و هنعمل لها measurement هذه الصورة غير واضحة + +260 +00:22:07,440 --> 00:22:11,920 +جداً، لكن قبل أن تعمل الIBS ستكون المنطقة ال + +261 +00:22:11,920 --> 00:22:15,300 +blood protector في داخل lensmeter + +262 +00:22:15,300 --> 00:22:18,340 +protector لازم .. ستكون مُشوشة قليلاً، لكن لما نعملها + +263 +00:22:18,340 --> 00:22:22,380 +سيصبح focus الآن + +264 +00:22:22,380 --> 00:22:24,760 +الtarget الtarget الذي سنراه داخل ال + +265 +00:22:24,760 --> 00:22:29,240 +lensmeter to measure the sphere lens الآن سنبدأ + +266 +00:22:29,240 --> 00:22:32,380 +بالكروي طبعاً الكروي ليس له axis لأنه has the + +267 +00:22:32,380 --> 00:22:35,640 +same power in all meridian move the lens such that + +268 +00:22:35,640 --> 00:22:40,280 +the target is exactly at the center rotate the + +269 +00:22:40,280 --> 00:22:44,200 +power wheel until target is clear and sharp stop + +270 +00:22:44,200 --> 00:22:48,140 +rotating power wheel when target is sharp إذا + +271 +00:22:48,140 --> 00:22:55,090 +إحنا مثلاً يعني هذه lens كروية لكن يعني أنها تبقى + +272 +00:22:55,090 --> 00:23:00,630 +أسطوانية، لكن نعتبرها كروية أول شيء سنضع الlens + +273 +00:23:00,630 --> 00:23:04,850 +بعدين طبعاً إحنا عاملين أن الI-base سنخليه نوعاً + +274 +00:23:04,850 --> 00:23:08,750 +ما لما نشوف قبل أن نضع العدسة والpower wheel و + +275 +00:23:08,750 --> 00:23:11,410 +الpower wheel على الـ0 والaxis wheel على الـ0 + +276 +00:23:11,410 --> 00:23:14,570 +بس بعدين بنحطها و بنحرك بالpower wheel + +277 +00:23:14,570 --> 00:23:19,530 +يبقى أنها كروية، مش هنحتاج الaxis لما يظهر هنا + +278 +00:23:19,530 --> 00:23:23,730 +طبعاً في عندنا dot وcross، الdot هكذا هيكون شكله في + +279 +00:23:23,730 --> 00:23:27,810 +الأسفل أنه عبارة عن دائرة نقاط أما الcross الذي + +280 +00:23:27,810 --> 00:23:30,750 +في عندنا خطان، خط طويل وخط قصير، والاثنان سيكونان واضحين + +281 +00:23:30,750 --> 00:23:36,490 +في الأسفل بينما to measure a cylindrical lens move + +282 +00:23:36,490 --> 00:23:40,370 +the lens such that the target is exactly at the + +283 +00:23:40,370 --> 00:23:43,170 +center rotate the power wheel and the axis wheel + +284 +00:23:43,170 --> 00:23:48,550 +until the target is clear and sharp then rotate the + +285 +00:23:48,550 --> 00:23:52,230 +power wheel to get the center medium that align + +286 +00:23:52,230 --> 00:23:55,390 +the maximum and minimum طبعاً الأسطوانية فيها + +287 +00:23:55,390 --> 00:24:00,090 +عدسات أسطوانية فيها عندنا axis فأول ما نعمل ال + +288 +00:24:00,090 --> 00:24:03,210 +power wheel سنعمل أيضاً الaxis ولما نقول أول شيء + +289 +00:24:03,210 --> 00:24:07,510 +sharp vision أو sharp view أو sharp image سنسجلها + +290 +00:24:07,510 --> 00:24:11,070 +بعدين مش هنحرك الaxis سنحرك الpower فقط + +291 +00:24:11,070 --> 00:24:15,770 +لما نلاقي يعني الاثنين maximum وminimum power في + +292 +00:24:15,770 --> 00:24:19,310 +الdot هيك فيه أن الtarget يكون تقريباً مثل الثمانية + +293 +00:24:19,310 --> 00:24:26,130 +ولكن في الcross في الcross زي high بس لو واحد + +294 +00:24:26,130 --> 00:24:34,430 +سيكون بميل، والثاني سنفتحه أو العكس يعني example the + +295 +00:24:34,430 --> 00:24:38,790 +lensmeter power will extend into the high plus the + +296 +00:24:38,790 --> 00:24:43,190 +power will extend is then turned back slowly + +297 +00:24:43,190 --> 00:24:47,610 +reducing plus power until the sphere lines the + +298 +00:24:47,610 --> 00:24:53,530 +power and we will now read plus 2 يعني أنا بالكروي + +299 +00:24:53,530 --> 00:25:01,770 +أنا بالكروي وقرأت +2 أما الpower يعني + +300 +00:25:01,770 --> 00:25:08,230 +نرسمها هكذا + +301 +00:25:08,230 --> 00:25:15,140 +أنا +2، الأساس +12 وعندنا أيضاً حركة ثانية + +302 +00:25:15,140 --> 00:25:16,580 +حركة ثانية حركة ثانية حركة ثانية حركة ثانية حركة ثانية + +303 +00:25:16,580 --> 00:25:16,780 +حركة ثانية حركة ثانية حركة ثانية حركة ثانية حركة ثانية + +304 +00:25:16,780 --> 00:25:18,440 +حركة ثانية حركة ثانية حركة ثانية حركة ثانية حركة ثانية + +305 +00:25:18,440 --> 00:25:18,500 +حركة ثانية حركة ثانية حركة ثانية حركة ثانية حركة ثانية + +306 +00:25:18,500 --> 00:25:19,100 +حركة ثانية حركة ثانية حركة ثانية حركة ثانية حركة ثانية + +307 +00:25:19,100 --> 00:25:28,580 +حركة ثانية حركة ثانية حركة + +308 +00:25:28,580 --> 00:25:34,680 +ثانية حركة + +309 +00:26:00,830 --> 00:26:05,410 +بداية السلام عليكم، العافية على حضوركم، دقيقة، بس أنا + +310 +00:26:05,410 --> 00:26:11,450 +في كان عندي يعني إضافة بسيطة أن بعد ما انتهيتم + +311 +00:26:11,450 --> 00:26:15,050 +من عرض الpresentation لو عملتم هكذا + +312 +00:26:15,050 --> 00:26:18,650 +classification من حيث الadvantages وال + +313 +00:26:18,650 --> 00:26:22,890 +disadvantages لثلاث طرق الneutralization + +314 +00:26:22,890 --> 00:26:28,390 +تمام والجهاز، club، وبالإضافة للlens meter من + +315 +00:26:28,390 --> 00:26:32,410 +حيث من الأقوى، من الأضعف، من مثلاً الذي يمكن أن + +316 +00:26:32,410 --> 00:26:37,930 +أحصل عليه manually، من الممكن أن أحصل عليه by + +317 +00:26:37,930 --> 00:26:42,570 +automatic، تمام، من accurate result؟ من + +318 +00:26:42,570 --> 00:26:47,430 +inaccurate result؟ في الآخرين، تمام، الشغل الثاني + +319 +00:26:47,430 --> 00:26:56,670 +أن أعتقد اثنان يعني ما حسبتي الذي في البدل أو + +320 +00:26:56,670 --> 00:27:00,490 +الإقناع الذي هو؟ + +321 +00:27:00,490 --> 00:27:05,310 +لا أعرف، من فيكم كان الإقناع الذي هو؟ أو البدل ال + +322 +00:27:05,310 --> 00:27:10,380 +principle؟ طيب، الآن الفكرة مرة ثانية، الstandard + +323 +00:27:10,380 --> 00:27:15,680 +lens الanterior أو الposterior focal point هو + +324 +00:27:15,680 --> 00:27:22,640 +الذي يكون coincident للspectacle lens أو للuncut + +325 +00:27:22,640 --> 00:27:27,580 +lens، أعتقد أنها سقطت معك في الكلام + +326 +00:27:27,580 --> 00:27:33,570 +أن الposterior الposterior nodal point ليس قريباً + +327 +00:27:33,570 --> 00:27:36,590 +لدرجة أنهم يكونوا coincident مع الأدنى from point to + +328 +00:27:36,590 --> 00:27:42,990 +point الخاصة به الذي هو spectacle length تمام، + +329 +00:27:42,990 --> 00:27:48,230 +هل هناك أي سؤال يا جماعة؟ يعطيكم العافية مرة ثانية + +330 +00:27:48,230 --> 00:27:51,970 +و إن شاء الله طبعاً نشكر الطالبات على هذه + +331 +00:27:51,970 --> 00:27:57,370 +المحاضرة القيمة، وإن شاء الله نكمل يوم الاثنين في + +332 +00:27:57,370 --> 00:28:01,190 +محاضرة أو محاضرتين إن شاء الله، يعطيكم العافية diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/NabJQJDd3-Y_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/NabJQJDd3-Y_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..c542fddce8973cbf7bdaf2b48583729f2375bb6a --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/NabJQJDd3-Y_postprocess.srt @@ -0,0 +1,1328 @@ +1 +00:00:20,940 --> 00:00:23,780 +باسم الله الرحمن الرحيم السلام عليكم و رحمة الله و + +2 +00:00:23,780 --> 00:00:28,720 +بركاته و أهلا و رحمة لكم جميعا ان شاء الله اليوم + +3 +00:00:28,720 --> 00:00:35,440 +هنبدأ في محاضرة للطالبات بعنوان measure of lens + +4 +00:00:35,440 --> 00:00:41,180 +power by a neutralization method, geneva clock + +5 +00:00:41,180 --> 00:00:47,340 +method and lensmeter methodحيفضموها الطالبات كل من + +6 +00:00:47,340 --> 00:00:54,380 +Esra El Efsin و Nesma or Nesma Abu Salem, Afnan + +7 +00:00:54,380 --> 00:01:01,900 +Oman و Fatima Azam او Fatima Azam ان شاء الله، + +8 +00:01:01,900 --> 00:01:07,530 +اتفضلوابسم الله الرحمن الرحيم، معاكم ميس مابو سهل، + +9 +00:01:07,530 --> 00:01:10,930 +today we will talk about measurement of lens power + +10 +00:01:10,930 --> 00:01:15,470 +هناك three method لقياس قوة العدسة، أوله طريقة ال + +11 +00:01:15,470 --> 00:01:19,630 +neutralization، تالت طريقة Geneva o clock، تالت + +12 +00:01:19,630 --> 00:01:23,690 +طريقة ال lens meter، من حيث الدقة ال lens meter + +13 +00:01:23,690 --> 00:01:27,250 +أكثرهم دقة، بعدها بيئة ال Geneva o clock، ال + +14 +00:01:27,250 --> 00:01:28,710 +neutralization هي أقل دقة + +15 +00:01:31,610 --> 00:01:34,830 +الـ neutralization اللي هي طريقة .. طريقة المعادلة + +16 +00:01:34,830 --> 00:01:38,750 +لمعرفة قوة العدسة two lenses neutralize each other + +17 +00:01:38,750 --> 00:01:41,110 +when blessed in contact with each other so that + +18 +00:01:41,110 --> 00:01:43,810 +the combined power of the two lenses is equal to + +19 +00:01:43,810 --> 00:01:51,060 +zero أول حاجةيجب وضع الأحداث تان انه بحيث يكونوا + +20 +00:01:51,060 --> 00:01:55,940 +متلاثقات مع بعض .. بحيث يكونوا متلاثقات العدسة + +21 +00:01:55,940 --> 00:01:58,640 +الأولى اللى هى ال unknown lens الغير .. العدسة + +22 +00:01:58,640 --> 00:02:02,000 +الأولى لل unknown lens الغير معروفة قوتها و العدسة + +23 +00:02:02,000 --> 00:02:04,660 +التانية اللى هى ال non lens اللى بتنعدل فيها + +24 +00:02:04,660 --> 00:02:09,530 +للحصول على no movementan unknown lens is + +25 +00:02:09,530 --> 00:02:12,750 +neutralized by non neutral lens of equal power but + +26 +00:02:12,750 --> 00:02:16,970 +opposite in sign وللتعرف على قوة العدسة نقطة قوة + +27 +00:02:16,970 --> 00:02:21,370 +معاكسة لل sign الخاص بيها وفي النهاية العدستان + +28 +00:02:21,370 --> 00:02:26,210 +بيكونوا عدسين بوار no movementis often used to + +29 +00:02:26,210 --> 00:02:28,630 +noun the power of sphere and cylinder lenses + +30 +00:02:28,630 --> 00:02:32,270 +تستخدم هذه الطريقة لمعرفة قوة العدسات السفير + +31 +00:02:32,270 --> 00:02:37,190 +والسلندر وليه ماعرف .. وليه يجب تحديد .. وليه + +32 +00:02:37,190 --> 00:02:40,930 +ماعرفت حركة العدسات انه يجب رسم ال optical cross + +33 +00:02:40,930 --> 00:02:45,250 +لمعرفة هل هي العدسات سفيرة او سلندرإذا كانت كل + +34 +00:02:45,250 --> 00:02:48,450 +خواص العدسة متساوية في .. إذا كانت كل خواص العدسة + +35 +00:02:48,450 --> 00:02:52,490 +متساوية في كل المحاور بتكون العدسة سفير أما إن عند + +36 +00:02:52,490 --> 00:02:55,430 +تحريك up و down و كانت تختلف عن ال right و ال left + +37 +00:02:55,430 --> 00:02:59,610 +بتكون العدسة cylinder it used to measure the front + +38 +00:02:59,610 --> 00:03:04,470 +vertex power of the lenses تستخدم لقياس قوة السطح + +39 +00:03:04,470 --> 00:03:05,670 +الأمامي للعدسات + +40 +00:03:08,410 --> 00:03:10,990 +view a large distance across target through the + +41 +00:03:10,990 --> 00:03:14,530 +lenses move lens vertically and observe motion of + +42 +00:03:14,530 --> 00:03:17,830 +horizontal line move lens horizontally and observe + +43 +00:03:17,830 --> 00:03:22,990 +motion of vertical line و للتركيز على target معين + +44 +00:03:22,990 --> 00:03:29,210 +إنه عنده فحص المحور الأفقي أو العمودي إنه عنده فحص + +45 +00:03:29,210 --> 00:03:32,890 +المحور ال vertically إنه حرك العدسة right و left و + +46 +00:03:32,890 --> 00:03:39,050 +عنده فحص ال horizontal إنه حرك العدسة up و downFor + +47 +00:03:39,050 --> 00:03:42,750 +a plus or minus lens, a linear motion is used to + +48 +00:03:42,750 --> 00:03:46,310 +neutralize power. If observe against motion, we + +49 +00:03:46,310 --> 00:03:50,110 +use plus lens. If observe with motion, we use + +50 +00:03:50,110 --> 00:03:54,410 +minus lens. ففي العدسة ال minus lens بتكون الحركة + +51 +00:03:54,410 --> 00:03:59,860 +with movementأما كما أخدنا في مادة الـ ophthalmic + +52 +00:03:59,860 --> 00:04:03,660 +العدسات هي عبارة عن مجموعة من البرزمات ففي حالة ال + +53 +00:04:03,660 --> 00:04:08,780 +minus lens بتكون بتعتبر العدسة apex to apex و عند + +54 +00:04:08,780 --> 00:04:15,320 +تحريك العدسة بتكون target بيتحرك with movement أما + +55 +00:04:15,320 --> 00:04:19,120 +في حالة ال plus lens بتكون الحركة against movement + +56 +00:04:19,120 --> 00:04:21,160 +لأنها تعتبر base to base + +57 +00:04:24,950 --> 00:04:30,010 +هيو أول حاجة بنرسم cross target وفي حالة ال minus + +58 +00:04:30,010 --> 00:04:34,290 +lens بتكون الحركة with movement وفي حالة ال plus + +59 +00:04:34,290 --> 00:04:39,010 +lens بتكون الحركة against example an unknown lens + +60 +00:04:39,010 --> 00:04:41,830 +is neutralized in the horizontal meridian with + +61 +00:04:41,830 --> 00:04:46,340 +plus 3 and the vertical meridian with plus 2عنا + +62 +00:04:46,340 --> 00:04:50,260 +عدسة مجهورة القوة عدلنا .. عدلنا .. عدلنا المحور + +63 +00:04:50,260 --> 00:04:54,520 +ال horizontal طلع plus 3 و ال vertical meridian + +64 +00:04:54,520 --> 00:05:01,640 +plus 2 كتبنا .. رسلنا cross .. cross target بنخفض + +65 +00:05:01,640 --> 00:05:04,520 +أول حاجة ال .. ال more plus ال plus تلت .. ال more + +66 +00:05:04,520 --> 00:05:09,200 +plus plus 3 و بنطرح ال .. لصغير من الكبير plus 2 + +67 +00:05:09,200 --> 00:05:12,440 +minus plus 3 plus 1 و بنخفض أكثر من 100 + +68 +00:05:17,820 --> 00:05:21,120 +معاكم فاطمة عزام اللي بحنتكلم عن الطريقة التانية + +69 +00:05:21,120 --> 00:05:24,740 +لقياس قوة العفسة وهي geneva clock geneva clock + +70 +00:05:24,740 --> 00:05:29,740 +بيتكون من three pins it has two fixed pins and + +71 +00:05:29,740 --> 00:05:33,640 +movable pin in center بتكون من ثلاث pins او ساج + +72 +00:05:33,640 --> 00:05:37,580 +الاتنين اللي على الأطراف تبتين واللي بالنص متحبك + +73 +00:05:37,580 --> 00:05:40,620 +when it blasts وإن كانت ثابت the central pin moves + +74 +00:05:40,620 --> 00:05:49,460 +or protrudeout wall لما نضعها على عدسة او على تحدى + +75 +00:05:49,460 --> 00:05:53,640 +اللى فى ال center راح يدخل لجوا the central pin + +76 +00:05:53,640 --> 00:05:56,460 +indicate the side of the surface which provide the + +77 +00:05:56,460 --> 00:06:00,600 +direct reading of refractive power هذا ال pin اللى + +78 +00:06:00,600 --> 00:06:04,340 +فى ال center هو اللى بيحددنا ال refractive power + +79 +00:06:04,340 --> 00:06:05,060 +للعدسة + +80 +00:06:07,500 --> 00:06:11,720 +استخدامات الـ Sagital Depth بتستخدم لقياس سماكة + +81 +00:06:11,720 --> 00:06:15,640 +العدسة وقوة العدسة وready secure feature قطر + +82 +00:06:15,640 --> 00:06:20,180 +التحدث لما نجي نفحص العدسات للسفير hold the lens + +83 +00:06:20,180 --> 00:06:23,740 +measure set that the central contact point on the + +84 +00:06:23,740 --> 00:06:26,180 +lens clock is at the optical center and the lens + +85 +00:06:26,180 --> 00:06:29,400 +clock is perpendicular to the lens بنضع العدسة + +86 +00:06:29,400 --> 00:06:34,560 +بنضع ال Geneva clock في مركز العدسة وبيكون عمودي + +87 +00:06:34,560 --> 00:06:39,610 +عليهاwhen we rotate the clock we will not see any + +88 +00:06:39,610 --> 00:06:44,030 +change in value لما نحرك الجينيفا clock مارح نلاحظ + +89 +00:06:44,030 --> 00:06:47,010 +اي تغير في المؤشر because the power is equal in + +90 +00:06:47,010 --> 00:06:53,070 +all meridian أما في العدسات السيلندر نضع الجينيفا + +91 +00:06:53,070 --> 00:06:58,440 +clock في مركز العدسةLens clock is rotated at the + +92 +00:06:58,440 --> 00:07:01,320 +point with all three contact points against the + +93 +00:07:01,320 --> 00:07:05,600 +lens نحرك جينيفا clock and we will see changing in + +94 +00:07:05,600 --> 00:07:08,900 +value because the surface has two curves the value + +95 +00:07:08,900 --> 00:07:13,240 +of these curves indicates when the clock shows its + +96 +00:07:13,240 --> 00:07:17,900 +maximum and minimum value لما نحرك جينيفا على + +97 +00:07:17,900 --> 00:07:26,160 +العدسة رح نبحث تغير في المؤشر عشانمش متساوي القوة + +98 +00:07:26,160 --> 00:07:30,560 +البصري .. القوة في عدسات المحاول مش متساوية أعملها + +99 +00:07:30,560 --> 00:07:36,200 +العدسة هذا نضعها + +100 +00:07:36,200 --> 00:07:44,840 +في المركز نلفها + +101 +00:07:58,370 --> 00:08:08,230 +نرسل ال cross target ال front service plus + +102 +00:08:08,230 --> 00:08:09,850 +.. plus أربعة + +103 +00:08:26,840 --> 00:08:54,620 +مافيش تغيير كلها ساعة أربعة بس ال back + +104 +00:08:54,620 --> 00:09:09,450 +serviceتسعة أبقى عند خمسة وسبعين معي نص سبعة + +105 +00:09:09,450 --> 00:09:18,230 +أبقى عند خمسة سبعة أبقى عند خمسة وسبعين نجمعهم + +106 +00:09:18,230 --> 00:09:22,850 +فمنا + +107 +00:09:22,850 --> 00:09:23,450 +ساعة بقى + +108 +00:09:26,440 --> 00:09:31,960 +سنة و خمس سنة و خمس سنة و خمس سنة و خمس سنة و خمس + +109 +00:09:31,960 --> 00:09:35,060 +سنة و خمس سنة و خمس سنة و خمس سنة و خمس سنة و خمس + +110 +00:09:35,060 --> 00:09:45,100 +سنة و خمس + +111 +00:09:45,100 --> 00:09:46,240 +سنة + +112 +00:10:09,610 --> 00:10:17,370 +الان سوف نتكلم عن ثلاثة كينيكال ثالث كينيكال، اتو + +113 +00:10:17,370 --> 00:10:22,970 +مجرمات الهوار لينزس بلينزميتر نوع اللينزميتر + +114 +00:10:25,120 --> 00:10:28,940 +automatic, manual, ال manual أدق من ال automatic, + +115 +00:10:29,480 --> 00:10:32,280 +طبعا ال manual إيه له نوعين ال dot و ال cross, + +116 +00:10:33,120 --> 00:10:37,260 +other names of lensmeter, photometer and + +117 +00:10:37,260 --> 00:10:38,440 +ferrometer + +118 +00:10:41,750 --> 00:10:46,570 +uses of lensmeter استخدامات ال lensmeter نستخدمه + +119 +00:10:46,570 --> 00:10:50,190 +في single vision lenses و ال bifocal lenses و ال + +120 +00:10:50,190 --> 00:10:55,110 +trifocal lenses و ال progressive addition lenses + +121 +00:10:55,110 --> 00:11:01,150 +to determine that sphere and cylinder power مارك + +122 +00:11:01,150 --> 00:11:05,190 +ده optical center contact lenses power and power + +123 +00:11:05,190 --> 00:11:12,160 +of a prismعنا component of a prism أول حاجة ال IBS + +124 +00:11:12,160 --> 00:11:16,200 +ال IBS طبعا بختلف من شخص لآخر حسب refractive error + +125 +00:11:16,200 --> 00:11:20,680 +عنا ال prism combination device طبعا هدا .. هدا + +126 +00:11:20,680 --> 00:11:27,520 +بتعوض ال prismعنا ال lens spotting device هذه + +127 +00:11:27,520 --> 00:11:32,840 +تستخدم لتعليم العدسة في ال marking ال lens holder + +128 +00:11:32,840 --> 00:11:37,760 +بنستخدمها لتثبيت العدسة و ال axis wheel لتحديد ال + +129 +00:11:37,760 --> 00:11:42,100 +axis و ال power wheel لتحديد القوة عنا هنا lens + +130 +00:11:42,100 --> 00:11:50,540 +meterعنا ال IBS عنا ال access wheel طبعا ال access + +131 +00:11:50,540 --> 00:11:53,400 +wheel بيكون فى ال uncut lenses بيكون ثابت أما فى + +132 +00:11:53,400 --> 00:11:56,460 +النضارات بيكون مختلف حسب ال left و ال right عنا ال + +133 +00:11:56,460 --> 00:12:00,340 +power wheel اللى هو بنحدد فيها power العدسة طبعا + +134 +00:12:00,340 --> 00:12:04,940 +سواء sphere أو سيلندر عنا ال spotting devices اللى + +135 +00:12:04,940 --> 00:12:09,160 +هى تستخدم فى ال marking اللى بتعلم العدسة يبقى ال + +136 +00:12:09,160 --> 00:12:13,840 +goal ده؟اه و هذا تثبيت العدسة طبعا إيه ماتتحركتها + +137 +00:12:13,840 --> 00:12:19,800 +حسب العدسة اللي خدتها؟عنا زى ما بنعرف طبعا ال .. + +138 +00:12:19,800 --> 00:12:23,580 +الأشعة بتيجي من ال infinity بتكون parallel أول ما + +139 +00:12:23,580 --> 00:12:28,760 +تصادف ال .. ال .. الأشعة سواء صادفت .. بتيجي من ال + +140 +00:12:28,760 --> 00:12:31,160 +parallel من ال infinity بتكون parallel سواء صادفت + +141 +00:12:31,160 --> 00:12:34,420 +minus أو ال plus lenses هتتجمع في ال focal point + +142 +00:12:34,420 --> 00:12:37,340 +عنا في ال plus lenses طبعا أجدت الأشعة من ال + +143 +00:12:37,340 --> 00:12:41,180 +infinity parallel هتتجمع behind ال lenses في ال .. + +144 +00:12:41,180 --> 00:12:44,420 +حيسرينها ال conversions هتتجمع في ال focal point + +145 +00:12:44,420 --> 00:12:48,670 +behind the lensesأما في ال .. في ال minus lenses + +146 +00:12:48,670 --> 00:12:53,490 +هتيجي الأشياء على parallel هتصادف ال .. ال minus + +147 +00:12:53,490 --> 00:12:57,930 +lenses هي .. هيكون divergent array لكن في منطقة + +148 +00:12:57,930 --> 00:13:02,130 +معينة أو فترة معينة لازم يصيرلها convergent في ال + +149 +00:13:02,130 --> 00:13:04,110 +focal point front lenses + +150 +00:13:08,200 --> 00:13:12,040 +عنا هذا طبعا ال optical system of lens meter ال + +151 +00:13:12,040 --> 00:13:17,560 +symbol عنا ال eye of the observer عنا ال eye beast + +152 +00:13:17,560 --> 00:13:22,220 +اللي طبعا بختلف من شخص لآخر و بتتم ضبطه عبر ال + +153 +00:13:22,220 --> 00:13:26,260 +graphical عنا ال objective lenses عنا الأشياء أكيد + +154 +00:13:26,260 --> 00:13:32,580 +parallel ال standard lenses و ال light source و ال + +155 +00:13:32,580 --> 00:13:35,950 +targetوعندنا ال scale اللي هو باقتمد حسب قوة + +156 +00:13:35,950 --> 00:13:39,310 +العدسة بيكون minus أو plus مثلا إذا كانت العدسة + +157 +00:13:39,310 --> 00:13:43,110 +minus لو اتحركنا نحو ال plus هتصير الصورة more + +158 +00:13:43,110 --> 00:13:45,970 +faint لكن إذا اتحركنا نحو الباق ال minus هتصير + +159 +00:13:45,970 --> 00:13:50,350 +more clear حتى نصل للأوضع الصورة ديين ال scale؟ + +160 +00:13:50,350 --> 00:13:57,190 +طبعا هنا بنشوف من ال eye piece بنشوف parallel لإن + +161 +00:13:57,190 --> 00:14:00,010 +بيكون ال target موضوع على ال nodal point للعدسة + +162 +00:14:05,000 --> 00:14:08,940 +problem of simple lensmeter، في عندنا مشاكل ل + +163 +00:14:08,940 --> 00:14:12,180 +simple lensmeter، the first is that the instrument + +164 +00:14:12,180 --> 00:14:16,920 +would have to be too large to be practical، أول + +165 +00:14:16,920 --> 00:14:20,540 +مشكلة أنه بيكون الجهاز كتير طويل، يعني مثلا لو كان + +166 +00:14:20,540 --> 00:14:25,420 +عندنا عدسة minus ربع .. يعني ربع، بتحتاج جهاز طوله + +167 +00:14:25,420 --> 00:14:29,070 +أربعة متر، طبعا هذا .. هذا إشي مش معقول يعنيThe + +168 +00:14:29,070 --> 00:14:31,750 +second is that the scale for measuring Venice's + +169 +00:14:31,750 --> 00:14:36,270 +power would be non-linear، يكون ال scale ترتيبه + +170 +00:14:36,270 --> 00:14:40,090 +غير منتظم، يعني فيه فروقات بين كل power و التانية + +171 +00:14:41,670 --> 00:14:44,810 +introducing another lenses into a simplified lens + +172 +00:14:44,810 --> 00:14:49,270 +meter طبعا انه بما انه مش معقول ان يكون جهاز الى + +173 +00:14:49,270 --> 00:14:53,450 +عدسة ربع يكونيلها جهاز طوله 4 متر فكان الحل انه + +174 +00:14:53,450 --> 00:14:57,270 +بوضع standard lenses ال standard lenses عملت + +175 +00:14:57,270 --> 00:15:00,930 +shorting of length of instrument قسرت الجهاز و + +176 +00:15:00,930 --> 00:15:04,310 +make the depth still linear عملت linear منتظم و + +177 +00:15:04,310 --> 00:15:10,420 +بوارط منتظمThe relationship of the target movement + +178 +00:15:10,420 --> 00:15:14,320 +to power of unknown lenses فى علاقة بين ال target + +179 +00:15:14,320 --> 00:15:18,200 +movement و ال power لل unknown lenses الغير معروفة + +180 +00:15:18,200 --> 00:15:24,260 +عبر العلاقة X متساوية F U في الف على F S تربية ال + +181 +00:15:24,260 --> 00:15:28,660 +X هى طبعا ال target movement و ال F U اللى هى ال + +182 +00:15:28,660 --> 00:15:31,400 +power of unknown lenses و ال F S اللى هى ال + +183 +00:15:31,400 --> 00:15:35,660 +standard lensesعنا example for a standard lenses + +184 +00:15:35,660 --> 00:15:38,760 +plus twenty diopter, calculate the target movement + +185 +00:15:38,760 --> 00:15:44,040 +range in millimeter to cover minus twenty to plus + +186 +00:15:44,040 --> 00:15:52,820 +twenty diopter عنا المعطيات وعنا + +187 +00:15:52,820 --> 00:15:53,920 +المجمول X + +188 +00:16:03,570 --> 00:16:12,170 +X هنبدأ أول حاجة بـ X كتساوية أهلا + +189 +00:16:12,170 --> 00:16:13,770 +أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا + +190 +00:16:13,770 --> 00:16:15,110 +أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا + +191 +00:16:15,110 --> 00:16:15,410 +أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا + +192 +00:16:15,410 --> 00:16:15,430 +أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا + +193 +00:16:15,430 --> 00:16:15,470 +أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا أهلا + +194 +00:16:15,470 --> 00:16:27,530 +أهلا أهلا أهلا أهلا أهلا أهلا أهلا + +195 +00:16:27,530 --> 00:16:35,240 +أand then انا انا + +196 +00:16:35,240 --> 00:16:43,460 +plus twenty تقرير بتساوي + +197 +00:16:43,460 --> 00:16:54,260 +تبسين minus تبسين minus تبسين x بتساوي + +198 +00:16:54,260 --> 00:16:58,140 +ولا ال plus twenty دلتر + +199 +00:17:00,890 --> 00:17:10,150 +Plus two meter في ألف على plus two meters تقريبا + +200 +00:17:10,150 --> 00:17:17,370 +بساوية plus 52 millimeter اما ال X انها حاصل + +201 +00:17:17,370 --> 00:17:23,450 +مجموعة فهم ده جمع قدام و بطلع 100 millimeter + +202 +00:17:40,040 --> 00:17:44,960 +السلام عليكم ورحمة الله وبركاتهفي عندنا قاعدة مهمة + +203 +00:17:44,960 --> 00:17:47,260 +بتحكي ان الـ different unknown lenses power and + +204 +00:17:47,260 --> 00:17:49,840 +the distance between the unknown lenses and the + +205 +00:17:49,840 --> 00:17:53,140 +standard lens will change both the target image + +206 +00:17:53,140 --> 00:17:57,800 +size and location ان الاختلاف ال unknown lenses + +207 +00:17:57,800 --> 00:18:01,800 +power والاختلاف .. المسافة بين ال unknown lenses و + +208 +00:18:01,800 --> 00:18:07,300 +ال standard lens هيقدر تغيير ال target image سواء + +209 +00:18:07,300 --> 00:18:12,180 +بال size أو بال locationهو الـ Continuous Lapse + +210 +00:18:12,180 --> 00:18:17,580 +مرحبا أول ما بيشي أنا اسمي سرقة نفسان راح أتحدث عن + +211 +00:18:17,580 --> 00:18:20,520 +ال Knapp's law بس قبل هك .. قبل ما بدي أحكي عنه + +212 +00:18:20,520 --> 00:18:25,560 +حكت زميلتنا أفنان أنه أحنا حاطينا لبلاس 20 ال + +213 +00:18:25,560 --> 00:18:29,240 +standard lens يعني عشان أنه أحنا بنعمل ال .. ال .. + +214 +00:18:29,240 --> 00:18:33,060 +لللنزة ال traditional lensmeter أنه يعمل short و + +215 +00:18:33,060 --> 00:18:37,440 +يسير ال skill linearبس انه احنا سؤالنا اللي + +216 +00:18:37,440 --> 00:18:40,520 +ماسألناهاش انه ليش انه ال target صح انه حاطينا + +217 +00:18:40,520 --> 00:18:43,360 +احنا high plus power بس انه ال target ماكبرش وضبط + +218 +00:18:43,360 --> 00:18:46,660 +نفس ال .. يعني نفس ال size مع أنها انها كبيرة يعني + +219 +00:18:46,660 --> 00:18:50,780 +plus 20 لما plus 25 ده يبتر فتفسيرها ده نوكنابس + +220 +00:18:50,780 --> 00:18:54,400 +لاو نوكنابس لاو بيحكيله ان ال image ال image size + +221 +00:18:54,400 --> 00:18:58,480 +target does not change if the posterior nodal + +222 +00:18:58,480 --> 00:19:01,460 +point of the second lens coincide with the + +223 +00:19:01,460 --> 00:19:03,900 +anterior focal point لل original lens + +224 +00:19:08,510 --> 00:19:14,790 +النرسمالية مثلا هي ال Imon هي فوق ال anterior + +225 +00:19:14,790 --> 00:19:20,470 +focal point وهي ال posterior focal point فهنا هم + +226 +00:19:20,470 --> 00:19:25,310 +حطوا ال standard lens اللي هي plus 20 أو plus 25 + +227 +00:19:25,310 --> 00:19:30,050 +ديبتر فإذا ما حطوا هاي و سروا و قلوها ان ال + +228 +00:19:30,050 --> 00:19:33,210 +posterior nodal point لإلها coincide يعني تتطبق مع + +229 +00:19:33,210 --> 00:19:37,960 +ال anterior focal point لهاالـ arterial focal + +230 +00:19:37,960 --> 00:19:41,940 +point للـ unknown lens فعمل short لل .. short لل + +231 +00:19:41,940 --> 00:19:46,060 +lensmeter وعمل ال scale linear هذا المبدأ هو عمل + +232 +00:19:46,060 --> 00:19:49,860 +ال lensmeter بس انه when applied to a lensmeter + +233 +00:19:49,860 --> 00:19:53,600 +when applied to a lensmeter Knapp's law called بدل + +234 +00:19:53,600 --> 00:19:57,000 +ال principle لإن احنا يعني لما نحكي على مبدأ ال + +235 +00:19:57,000 --> 00:20:00,560 +lensmeter ما بنستخدم انه Knapp's law بس نحكي بدل + +236 +00:20:00,560 --> 00:20:04,220 +ال principle أستراليومان كان ال telescope هذا ال + +237 +00:20:04,220 --> 00:20:08,360 +telescope الفضائيبالنسبة لـ ANE OBJECTIVE و IB + +238 +00:20:08,360 --> 00:20:12,620 +7010 OBJECTIVE و IB SEVERA و Plus Lenses بيعطونا + +239 +00:20:12,620 --> 00:20:17,640 +Magnified Virtual Image انه يتحسن لكي يكون مركزي + +240 +00:20:17,640 --> 00:20:23,460 +على الانفينيتي و لذلك فقط برهر الليت سيكون مراهق + +241 +00:20:23,460 --> 00:20:27,460 +في الركز انه احنا بنعمله adjust بنخليه انه .. + +242 +00:20:27,460 --> 00:20:30,660 +بنعمله adjust على الانفينيتي عشان يعطينا برهر ال + +243 +00:20:30,660 --> 00:20:32,640 +light region ال center اللي احنا نشوفه + +244 +00:20:35,430 --> 00:20:40,210 +هلأ steps to neutralize steptalic lens in manual + +245 +00:20:40,210 --> 00:20:44,670 +lensmeter اللي هو هذا طبعا اول طريقة ان احنا لازم + +246 +00:20:44,670 --> 00:20:48,790 +نعمل ال IBS should be focused manually اول اشهر ان + +247 +00:20:48,790 --> 00:20:52,410 +احنا بنعمل ال IBS اللي هي high بنحطها لاخر اشهر + +248 +00:20:52,410 --> 00:20:56,800 +يسار اكتر اشهر و لما يوضحينا بنسير الحركةطبعا ليش + +249 +00:20:56,800 --> 00:21:00,580 +ال IBS او ال issue انه بتعملنا ال approximate .. + +250 +00:21:00,580 --> 00:21:03,800 +approximate او ال amplitude لل accommodation تاني + +251 +00:21:03,800 --> 00:21:07,700 +issue refractive error لانه تاني issue ال power + +252 +00:21:07,700 --> 00:21:12,240 +weight should be level .. should be level 0 لازم + +253 +00:21:12,240 --> 00:21:14,780 +نحط ال power weight .. ال power weight على 0 و ال + +254 +00:21:14,780 --> 00:21:18,800 +axis weight على 0 كمان plus the spectral length of + +255 +00:21:18,800 --> 00:21:22,360 +the device toward the I .. IBS + +256 +00:21:38,070 --> 00:21:41,690 +هلأ المصدر انه زي ما احنا لابسينه هنحط هيه يعني + +257 +00:21:41,690 --> 00:21:44,710 +احنا لابسينها هيك هنحطها هيك + +258 +00:21:59,180 --> 00:22:02,480 +هك يعني انه هيكون ال front surface ليلها باتجاه ال + +259 +00:22:02,480 --> 00:22:07,440 +IBS و هنعمل لها measurement هاد الصورة مش واضحه + +260 +00:22:07,440 --> 00:22:11,920 +كتير بس انه قبل ما تعمل ال IBS هتكون ال blood ال + +261 +00:22:11,920 --> 00:22:15,300 +protector المنطقة في جوا ال lensmeter فيانا + +262 +00:22:15,300 --> 00:22:18,340 +protector لازم .. هتكون شوية مخفشة بس لما نعملها + +263 +00:22:18,340 --> 00:22:22,380 +هيصير focus هلا + +264 +00:22:22,380 --> 00:22:24,760 +ال target ال target اللي راح نشوفه جوا ال + +265 +00:22:24,760 --> 00:22:29,240 +lensmeterto measure the sphere lens هلأ هنبدأ + +266 +00:22:29,240 --> 00:22:32,380 +بالاسفير طبعا الاسفير مالهاش access لإنها has the + +267 +00:22:32,380 --> 00:22:35,640 +same power in all meridian move the lens such that + +268 +00:22:35,640 --> 00:22:40,280 +the target is exactly at the center rotate the + +269 +00:22:40,280 --> 00:22:44,200 +power wheel until target is clear and sharp stop + +270 +00:22:44,200 --> 00:22:48,140 +rotating power wheel when target is sharp إنه إذا + +271 +00:22:48,140 --> 00:22:55,090 +إحنامثلا يعني lens هذه sphere بس يعني انها تبقى + +272 +00:22:55,090 --> 00:23:00,630 +سلندر بس هنكترها sphere انه اول اش هنحط ال lens + +273 +00:23:00,630 --> 00:23:04,850 +بعدين طبعا احنا عاملين انه ال I-base هنخليه نوعي + +274 +00:23:04,850 --> 00:23:08,750 +ات لما نشوف قبل ما نحط العدسة و ال power wheel و + +275 +00:23:08,750 --> 00:23:11,410 +ال power wheel ع ال zero و ال axis wheel ع ال zero + +276 +00:23:11,410 --> 00:23:14,570 +بس بعدين بنحطها و بنسير الحركة بال power wheel + +277 +00:23:14,570 --> 00:23:19,530 +بيبقى انها sphere مش هنحتاج ال axis لما يظهر هناو + +278 +00:23:19,530 --> 00:23:23,730 +طبعا فى عندنا dot و cross ال dot هيك هيكون شكله فى + +279 +00:23:23,730 --> 00:23:27,810 +الاسفل انه عبارة عن دائرة نقاط اما ال cross اللى + +280 +00:23:27,810 --> 00:23:30,750 +فى عندنا خطان خطا و خط قصير و الاثنان هيكون واضحين + +281 +00:23:30,750 --> 00:23:36,490 +فى الاسفل بينما to measure a cylindrical lens move + +282 +00:23:36,490 --> 00:23:40,370 +the lens such that the target is exactly at the + +283 +00:23:40,370 --> 00:23:43,170 +center rotate the power wheel and the axis wheel + +284 +00:23:43,170 --> 00:23:48,550 +until the target is clear and sharpthen rotate the + +285 +00:23:48,550 --> 00:23:52,230 +power wheel to get the center medium that align + +286 +00:23:52,230 --> 00:23:55,390 +the maximum and minimum طبعا ال cylinder فيها + +287 +00:23:55,390 --> 00:24:00,090 +cylindrical lenses فيها عندنا axis فأول ما نعمل ال + +288 +00:24:00,090 --> 00:24:03,210 +power wheel هنعمل برضه ال axis و لما نقول أول شي + +289 +00:24:03,210 --> 00:24:07,510 +sharp vision او sharp view او sharp image راح + +290 +00:24:07,510 --> 00:24:11,070 +نسجلها بعدين مش هنحرك ال axis هنحرك ال power بس + +291 +00:24:11,070 --> 00:24:15,770 +لما نلاقي يعني التنتين maximum و minimum powerفي + +292 +00:24:15,770 --> 00:24:19,310 +ال dot هيك فيه أن ال target بيكون تقريبا زي ثمانه + +293 +00:24:19,310 --> 00:24:26,130 +ولكن في ال cross في ال cross زي high بس لو واحد + +294 +00:24:26,130 --> 00:24:34,430 +هيكون بمق والتاني هنفتح أو العكس يعني example the + +295 +00:24:34,430 --> 00:24:38,790 +lensmeter power will extend into the high plus the + +296 +00:24:38,790 --> 00:24:43,190 +power will extendis then turned back slowly + +297 +00:24:43,190 --> 00:24:47,610 +reducing plus power until the sphere lines the + +298 +00:24:47,610 --> 00:24:53,530 +power and we will now read plus 2 يعني أنا بالسفير + +299 +00:24:53,530 --> 00:25:01,770 +هي أنا بالسفير و على read 12 أما ال power يعني + +300 +00:25:01,770 --> 00:25:08,230 +نرسمها هي + +301 +00:25:08,230 --> 00:25:15,140 +أنا plus 2الأساس 12 وعندنا كمان حركة دجال تاني + +302 +00:25:15,140 --> 00:25:16,580 +حركة تاني حركة تاني حركة تاني حركة تاني حركة تاني + +303 +00:25:16,580 --> 00:25:16,780 +حركة تاني حركة تاني حركة تاني حركة تاني حركة تاني + +304 +00:25:16,780 --> 00:25:18,440 +حركة تاني حركة تاني حركة تاني حركة تاني حركة تاني + +305 +00:25:18,440 --> 00:25:18,500 +حركة تاني حركة تاني حركة تاني حركة تاني حركة تاني + +306 +00:25:18,500 --> 00:25:19,100 +حركة تاني حركة تاني حركة تاني حركة تاني حركة تاني + +307 +00:25:19,100 --> 00:25:28,580 +حركة تاني حركة تاني حركة + +308 +00:25:28,580 --> 00:25:34,680 +تاني حركة + +309 +00:26:00,830 --> 00:26:05,410 +بداية السلام عليكم العافية على مقادرة ضيبة بس انا + +310 +00:26:05,410 --> 00:26:11,450 +في كان عندى يعني اتضافة بسيطة انهبعد ما انتهيتوا + +311 +00:26:11,450 --> 00:26:15,050 +من عرض ال presentation لو عملتوا هيك + +312 +00:26:15,050 --> 00:26:18,650 +classification من داحية ال advantages و ال + +313 +00:26:18,650 --> 00:26:22,890 +disadvantages لل three methods ال neutralization + +314 +00:26:22,890 --> 00:26:28,390 +تمام و الجريمة club و بالاضافة لل lens meter من + +315 +00:26:28,390 --> 00:26:32,410 +حيث مين الأقوى مين الأضعف مين مثلا اللي ممكن انا + +316 +00:26:32,410 --> 00:26:37,930 +احصل عليه by manually مين ممكن احصل عليه by + +317 +00:26:37,930 --> 00:26:42,570 +automatic تماممين ال accurate result؟ مين ال + +318 +00:26:42,570 --> 00:26:47,430 +inaccurate result؟ في الأخرين، تمام الشغل التاني + +319 +00:26:47,430 --> 00:26:56,670 +أنه أعتقد أثنان يعني ما حسبتي اللي هو في البدل أو + +320 +00:26:56,670 --> 00:27:00,490 +ال إقناع اللي هو؟ + +321 +00:27:00,490 --> 00:27:05,310 +ماعرف، مين فيكم كان ال إقناع اللي هو؟ أو البدل ال + +322 +00:27:05,310 --> 00:27:10,380 +principle؟ طيب، الآن الفكرة مرة تانيةال standard + +323 +00:27:10,380 --> 00:27:15,680 +lens ال anterior ولا ال posterior focal point هو + +324 +00:27:15,680 --> 00:27:22,640 +اللى بيكون concise لل spectacle lens او لل uncut + +325 +00:27:22,640 --> 00:27:27,580 +lens بستيريو بستيريو اعتقد هي سقطت معاك في الكلام + +326 +00:27:27,580 --> 00:27:33,570 +ان ال posterior ال posterior nodal pointمش هيقلتهم + +327 +00:27:33,570 --> 00:27:36,590 +صغير انهم يبقون coincide مع الأدنى from point to + +328 +00:27:36,590 --> 00:27:42,990 +point الخاصة فيه اللي هو ال spectacle length تمام، + +329 +00:27:42,990 --> 00:27:48,230 +في اي سؤال يا جماعة؟ يعطيكم العافية مرة تانية + +330 +00:27:48,230 --> 00:27:51,970 +موظفي ان شاء الله طبعا بنشكر الطالبات على هذه + +331 +00:27:51,970 --> 00:27:57,370 +المحاضرة القيمة و ان شاء الله بنكمل يوم التنين في + +332 +00:27:57,370 --> 00:28:01,190 +محاضرة او محاضرتين ان شاء الله يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/NabJQJDd3-Y_raw.json b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/NabJQJDd3-Y_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..0f9d19231c79dd2ddbe9f943d278b66f62cd5f1f --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/NabJQJDd3-Y_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4460, "start": 20.94, "end": 44.6, "text": "باسم الله الرحمن الرحيم 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"end": 103.81, "word": " to", "probability": 0.97998046875}, {"start": 103.81, "end": 104.13, "word": " zero", "probability": 0.78125}, {"start": 104.13, "end": 106.27, "word": " أول", "probability": 0.781982421875}, {"start": 106.27, "end": 106.81, "word": " حاجة", "probability": 0.99462890625}], "temperature": 1.0}, {"id": 5, "seek": 12712, "start": 108.5, "end": 127.12, "text": "يجب وضع الأحداث تان انه بحيث يكونوا متلاثقات مع بعض .. بحيث يكونوا متلاثقات العدسة الأولى اللى هى ال unknown lens الغير .. العدسة الأولى لل unknown lens الغير معروفة قوتها و العدسة التانية اللى هى ال non lens اللى بتنعدل فيها للحصول على no movement", "tokens": [1829, 7435, 3555, 4032, 11242, 3615, 16247, 24401, 5718, 104, 6055, 7649, 16472, 3224, 4724, 5016, 1829, 12984, 7251, 30544, 14407, 44650, 1211, 5718, 104, 4587, 9307, 20449, 45030, 11242, 4386, 4724, 5016, 1829, 12984, 7251, 30544, 14407, 44650, 1211, 5718, 104, 4587, 9307, 18863, 3215, 3794, 3660, 16247, 12610, 7578, 13672, 7578, 8032, 7578, 2423, 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"probability": 0.9871419270833334}, {"start": 121.16, "end": 121.62, "word": " و", "probability": 0.58837890625}, {"start": 121.62, "end": 122.0, "word": " العدسة", "probability": 0.97802734375}, {"start": 122.0, "end": 122.3, "word": " التانية", "probability": 0.9495442708333334}, {"start": 122.3, "end": 122.44, "word": " اللى", "probability": 0.984619140625}, {"start": 122.44, "end": 122.7, "word": " هى", "probability": 0.9794921875}, {"start": 122.7, "end": 122.96, "word": " ال", "probability": 0.9599609375}, {"start": 122.96, "end": 123.3, "word": " non", "probability": 0.9453125}, {"start": 123.3, "end": 123.58, "word": " lens", "probability": 0.52197265625}, {"start": 123.58, "end": 123.7, "word": " اللى", "probability": 0.994873046875}, {"start": 123.7, "end": 124.22, "word": " بتنعدل", "probability": 0.9393310546875}, {"start": 124.22, "end": 124.66, "word": " فيها", "probability": 0.978271484375}, {"start": 124.66, "end": 125.44, "word": " للحصول", "probability": 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"probability": 0.275390625}, {"start": 155.39, "end": 155.67, "word": " وليه", "probability": 0.9384765625}, {"start": 155.67, "end": 155.79, "word": " يجب", "probability": 0.8990885416666666}, {"start": 155.79, "end": 156.25, "word": " تحديد", "probability": 0.95166015625}, {"start": 156.25, "end": 156.49, "word": " ..", "probability": 0.334716796875}, {"start": 156.49, "end": 157.19, "word": " وليه", "probability": 0.9357096354166666}, {"start": 157.19, "end": 157.51, "word": " ماعرفت", "probability": 0.861083984375}, {"start": 157.51, "end": 157.87, "word": " حركة", "probability": 0.9920247395833334}, {"start": 157.87, "end": 158.75, "word": " العدسات", "probability": 0.9906005859375}, {"start": 158.75, "end": 159.35, "word": " انه", "probability": 0.6868896484375}, {"start": 159.35, "end": 159.69, "word": " يجب", "probability": 0.9934895833333334}, {"start": 159.69, "end": 160.11, "word": " رسم", "probability": 0.86767578125}, {"start": 160.11, "end": 160.19, "word": " ال", "probability": 0.9853515625}, {"start": 160.19, "end": 160.45, "word": " optical", "probability": 0.9375}, {"start": 160.45, "end": 160.93, "word": " cross", "probability": 0.9296875}, {"start": 160.93, "end": 161.55, "word": " لمعرفة", "probability": 0.83111572265625}, {"start": 161.55, "end": 161.71, "word": " هل", "probability": 0.92236328125}, {"start": 161.71, "end": 161.83, "word": " هي", "probability": 0.91748046875}, {"start": 161.83, "end": 162.37, "word": " العدسات", "probability": 0.9942626953125}, {"start": 162.37, "end": 162.77, "word": " سفيرة", "probability": 0.770751953125}, {"start": 162.77, "end": 163.07, "word": " او", "probability": 0.5594482421875}, {"start": 163.07, "end": 163.57, "word": " سلندر", "probability": 0.9134521484375}], "temperature": 1.0}, {"id": 8, "seek": 18567, "start": 163.95, "end": 185.67, "text": "إذا كانت كل خواص العدسة متساوية في .. إذا كانت كل خواص العدسة متساوية في كل المحاور بتكون العدسة سفير أما إن عند تحريك up و down و كانت تختلف عن ال right و ال left بتكون العدسة cylinder it used to measure the front vertex power of the lenses تستخدم لقياس قوة السطح الأمامي للعدسات", "tokens": [28814, 15730, 25961, 2655, 28242, 16490, 2407, 33546, 18863, 3215, 3794, 3660, 44650, 3794, 995, 2407, 10632, 8978, 4386, 11933, 15730, 25961, 2655, 28242, 16490, 2407, 33546, 18863, 3215, 3794, 3660, 44650, 3794, 995, 2407, 10632, 8978, 28242, 9673, 5016, 995, 13063, 39894, 30544, 18863, 3215, 3794, 3660, 8608, 5172, 13546, 5551, 15042, 36145, 43242, 6055, 5016, 16572, 4117, 493, 4032, 760, 4032, 25961, 2655, 6055, 46456, 46538, 18871, 2423, 558, 4032, 2423, 1411, 39894, 30544, 18863, 3215, 3794, 3660, 17884, 309, 1143, 281, 3481, 264, 1868, 28162, 1347, 295, 264, 18059, 6055, 14851, 9778, 40448, 5296, 4587, 25528, 3794, 12174, 2407, 3660, 21136, 9566, 5016, 16247, 2304, 10943, 1829, 24976, 22488, 3794, 9307], "avg_logprob": -0.10489130305207293, "compression_ratio": 1.8125, "no_speech_prob": 5.543231964111328e-06, "words": [{"start": 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" او", "probability": 0.7198486328125}, {"start": 348.64, "end": 348.84, "word": " على", "probability": 0.9296875}, {"start": 348.84, "end": 349.46, "word": " تحدى", "probability": 0.6222330729166666}, {"start": 349.46, "end": 350.28, "word": " اللى", "probability": 0.508056640625}, {"start": 350.28, "end": 351.22, "word": " فى", "probability": 0.76513671875}, {"start": 351.22, "end": 351.34, "word": " ال", "probability": 0.96923828125}, {"start": 351.34, "end": 351.52, "word": " center", "probability": 0.76611328125}, {"start": 351.52, "end": 351.74, "word": " راح", "probability": 0.85595703125}, {"start": 351.74, "end": 352.06, "word": " يدخل", "probability": 0.9886474609375}, {"start": 352.06, "end": 352.46, "word": " لجوا", "probability": 0.7890625}, {"start": 352.46, "end": 352.88, "word": " the", "probability": 0.40625}, {"start": 352.88, "end": 353.26, "word": " central", "probability": 0.92138671875}, {"start": 353.26, "end": 353.64, "word": " pin", "probability": 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"end": 358.26, "word": " refractive", "probability": 0.875244140625}, {"start": 358.26, "end": 358.56, "word": " power", "probability": 0.89501953125}, {"start": 358.56, "end": 359.72, "word": " هذا", "probability": 0.81005859375}, {"start": 359.72, "end": 359.98, "word": " ال", "probability": 0.91748046875}, {"start": 359.98, "end": 360.3, "word": " pin", "probability": 0.7646484375}, {"start": 360.3, "end": 360.6, "word": " اللى", "probability": 0.987060546875}, {"start": 360.6, "end": 360.78, "word": " فى", "probability": 0.975341796875}, {"start": 360.78, "end": 360.88, "word": " ال", "probability": 0.92626953125}, {"start": 360.88, "end": 361.2, "word": " center", "probability": 0.923828125}, {"start": 361.2, "end": 361.66, "word": " هو", "probability": 0.97265625}, {"start": 361.66, "end": 361.8, "word": " اللى", "probability": 0.98583984375}, {"start": 361.8, "end": 362.52, "word": " بيحددنا", "probability": 0.93623046875}, {"start": 362.52, "end": 363.42, "word": " ال", "probability": 0.7763671875}, {"start": 363.42, "end": 364.06, "word": " refractive", "probability": 0.98046875}, {"start": 364.06, "end": 364.34, "word": " power", "probability": 0.91650390625}, {"start": 364.34, "end": 365.06, "word": " للعدسة", "probability": 0.893798828125}], "temperature": 1.0}, {"id": 16, "seek": 39500, "start": 367.5, "end": 395.0, "text": "استخدامات الـ Sagital Depth بتستخدم لقياس سماكة العدسة وقوة العدسة وready secure feature قطر التحدث لما نجي نفحص العدسات للسفير hold the lens measure set that the central contact point on the lens clock is at the optical center and the lens clock is perpendicular to the lens بنضع العدسة بنضع ال Geneva clock في مركز العدسة وبيكون عمودي عليها", "tokens": [995, 14851, 9778, 3215, 10943, 9307, 2423, 39184, 34551, 1686, 4056, 392, 39894, 14851, 9778, 40448, 5296, 38436, 32277, 8608, 15042, 4117, 3660, 18863, 3215, 3794, 3660, 4032, 4587, 2407, 3660, 18863, 3215, 3794, 3660, 4032, 1201, 7144, 4111, 12174, 9566, 2288, 16712, 24401, 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"probability": 0.88623046875}, {"start": 369.66, "end": 370.28, "word": " لقياس", "probability": 0.8154296875}, {"start": 370.28, "end": 371.72, "word": " سماكة", "probability": 0.849609375}, {"start": 371.72, "end": 372.16, "word": " العدسة", "probability": 0.982666015625}, {"start": 372.16, "end": 372.62, "word": " وقوة", "probability": 0.83935546875}, {"start": 372.62, "end": 373.28, "word": " العدسة", "probability": 0.995361328125}, {"start": 373.28, "end": 374.2, "word": " وready", "probability": 0.4759521484375}, {"start": 374.2, "end": 374.58, "word": " secure", "probability": 0.8779296875}, {"start": 374.58, "end": 374.96, "word": " feature", "probability": 0.339599609375}, {"start": 374.96, "end": 375.64, "word": " قطر", "probability": 0.84130859375}, {"start": 375.64, "end": 377.02, "word": " التحدث", "probability": 0.7603352864583334}, {"start": 377.02, "end": 377.52, "word": " لما", "probability": 0.8896484375}, {"start": 377.52, "end": 377.8, "word": " نجي", "probability": 0.666748046875}, {"start": 377.8, "end": 378.14, "word": " نفحص", "probability": 0.9200439453125}, {"start": 378.14, "end": 378.64, "word": " العدسات", "probability": 0.948974609375}, {"start": 378.64, "end": 379.26, "word": " للسفير", "probability": 0.640625}, {"start": 379.26, "end": 379.82, "word": " hold", "probability": 0.5498046875}, {"start": 379.82, "end": 379.96, "word": " the", "probability": 0.81787109375}, {"start": 379.96, "end": 380.18, "word": " lens", "probability": 0.908203125}, {"start": 380.18, "end": 380.66, "word": " measure", "probability": 0.409423828125}, {"start": 380.66, "end": 381.42, "word": " set", "probability": 0.64794921875}, {"start": 381.42, "end": 381.68, "word": " that", "probability": 0.44677734375}, {"start": 381.68, "end": 381.9, "word": " the", "probability": 0.876953125}, {"start": 381.9, "end": 382.36, "word": " central", "probability": 0.8408203125}, {"start": 382.36, "end": 382.94, "word": " contact", "probability": 0.88671875}, {"start": 382.94, "end": 383.32, "word": " point", "probability": 0.9580078125}, {"start": 383.32, "end": 383.64, "word": " on", "probability": 0.90087890625}, {"start": 383.64, "end": 383.74, "word": " the", "probability": 0.5576171875}, {"start": 383.74, "end": 383.96, "word": " lens", "probability": 0.837890625}, {"start": 383.96, "end": 384.38, "word": " clock", "probability": 0.78125}, {"start": 384.38, "end": 384.62, "word": " is", "probability": 0.91796875}, {"start": 384.62, "end": 384.86, "word": " at", "probability": 0.9462890625}, {"start": 384.86, "end": 384.9, "word": " the", "probability": 0.480224609375}, {"start": 384.9, "end": 385.16, "word": " optical", "probability": 0.87841796875}, {"start": 385.16, "end": 385.58, "word": " center", "probability": 0.86572265625}, {"start": 385.58, "end": 385.84, "word": " and", "probability": 0.90673828125}, {"start": 385.84, "end": 385.98, "word": " the", "probability": 0.578125}, {"start": 385.98, "end": 386.18, "word": " lens", "probability": 0.9189453125}, {"start": 386.18, "end": 386.5, "word": " clock", "probability": 0.8642578125}, {"start": 386.5, "end": 386.74, "word": " is", "probability": 0.9462890625}, {"start": 386.74, "end": 387.1, "word": " perpendicular", "probability": 0.9052734375}, {"start": 387.1, "end": 387.56, "word": " to", "probability": 0.978515625}, {"start": 387.56, "end": 387.72, "word": " the", "probability": 0.8984375}, {"start": 387.72, "end": 388.02, "word": " lens", "probability": 0.91650390625}, {"start": 388.02, "end": 388.78, "word": " بنضع", "probability": 0.7689615885416666}, {"start": 388.78, "end": 389.4, "word": " العدسة", "probability": 0.9486083984375}, {"start": 389.4, "end": 390.4, "word": " بنضع", "probability": 0.796875}, {"start": 390.4, "end": 390.58, "word": " ال", "probability": 0.31591796875}, {"start": 390.58, "end": 391.68, "word": " Geneva", "probability": 0.73828125}, {"start": 391.68, "end": 392.08, "word": " clock", "probability": 0.50537109375}, {"start": 392.08, "end": 392.44, "word": " في", "probability": 0.93310546875}, {"start": 392.44, "end": 392.9, "word": " مركز", "probability": 0.99169921875}, {"start": 392.9, "end": 393.62, "word": " العدسة", "probability": 0.9971923828125}, {"start": 393.62, "end": 394.2, "word": " وبيكون", "probability": 0.80419921875}, {"start": 394.2, "end": 394.56, "word": " عمودي", "probability": 0.98388671875}, {"start": 394.56, "end": 395.0, "word": " عليها", "probability": 0.9755859375}], "temperature": 1.0}, {"id": 17, "seek": 41521, "start": 395.83, "end": 415.21, "text": "when we rotate the clock we will not see any change in value لما نحرك الجينيفا clock مارح نلاحظ اي تغير في المؤشر because the power is equal in all meridian أما في العدسات السيلندر نضع الجينيفا clock في مركز العدسة", "tokens": [18822, 321, 13121, 264, 7830, 321, 486, 406, 536, 604, 1319, 294, 2158, 5296, 15042, 8717, 5016, 31747, 25724, 9957, 33911, 995, 7830, 19446, 2288, 5016, 8717, 15040, 5016, 19913, 1975, 1829, 6055, 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"word": " not", "probability": 0.94384765625}, {"start": 399.07, "end": 399.37, "word": " see", "probability": 0.89501953125}, {"start": 399.37, "end": 399.61, "word": " any", "probability": 0.921875}, {"start": 399.61, "end": 399.99, "word": " change", "probability": 0.87890625}, {"start": 399.99, "end": 400.21, "word": " in", "probability": 0.93701171875}, {"start": 400.21, "end": 400.57, "word": " value", "probability": 0.95703125}, {"start": 400.57, "end": 401.07, "word": " لما", "probability": 0.94091796875}, {"start": 401.07, "end": 401.75, "word": " نحرك", "probability": 0.9475911458333334}, {"start": 401.75, "end": 402.95, "word": " الجينيفا", "probability": 0.6292724609375}, {"start": 402.95, "end": 403.31, "word": " clock", "probability": 0.64013671875}, {"start": 403.31, "end": 403.65, "word": " مارح", "probability": 0.75634765625}, {"start": 403.65, "end": 404.03, "word": " نلاحظ", "probability": 0.8753662109375}, {"start": 404.03, "end": 404.15, "word": " اي", "probability": 0.7135009765625}, {"start": 404.15, "end": 404.49, "word": " تغير", "probability": 0.9625651041666666}, {"start": 404.49, "end": 404.63, "word": " في", "probability": 0.71875}, {"start": 404.63, "end": 405.07, "word": " المؤشر", "probability": 0.8450520833333334}, {"start": 405.07, "end": 405.75, "word": " because", "probability": 0.8779296875}, {"start": 405.75, "end": 406.13, "word": " the", "probability": 0.88720703125}, {"start": 406.13, "end": 406.37, "word": " power", "probability": 0.89013671875}, {"start": 406.37, "end": 406.57, "word": " is", "probability": 0.9384765625}, {"start": 406.57, "end": 406.83, "word": " equal", "probability": 0.9365234375}, {"start": 406.83, "end": 407.01, "word": " in", "probability": 0.921875}, {"start": 407.01, "end": 407.21, "word": " all", "probability": 0.95263671875}, {"start": 407.21, "end": 407.71, "word": " meridian", "probability": 0.834716796875}, {"start": 407.71, "end": 408.91, "word": " أما", "probability": 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the surface has two curves the value of these curves indicates when the clock shows its maximum and minimum value لما نحرك جينيفا على العدسة رح نبحث تغير في المؤشر عشان", "tokens": [43, 694, 7830, 307, 42146, 412, 264, 935, 365, 439, 1045, 3385, 2793, 1970, 264, 6765, 8717, 5016, 31747, 10874, 9957, 1829, 5172, 995, 7830, 293, 321, 486, 536, 4473, 294, 2158, 570, 264, 3753, 575, 732, 19490, 264, 2158, 295, 613, 19490, 16203, 562, 264, 7830, 3110, 1080, 6674, 293, 7285, 2158, 5296, 15042, 8717, 5016, 31747, 10874, 9957, 33911, 995, 15844, 18863, 3215, 3794, 3660, 12602, 5016, 8717, 49628, 12984, 6055, 17082, 13546, 8978, 9673, 33604, 46309, 6225, 8592, 7649], "avg_logprob": -0.2957454869546086, "compression_ratio": 1.5166666666666666, "no_speech_prob": 9.5367431640625e-07, "words": [{"start": 416.46, "end": 417.0, "word": "Lens", "probability": 0.5001220703125}, {"start": 417.0, "end": 417.24, "word": " clock", "probability": 0.43310546875}, {"start": 417.24, "end": 417.44, "word": " 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طبعا ال access wheel بيكون فى ال uncut lenses بيكون ثابت أما فى النضارات بيكون مختلف حسب ال left و ال right عنا ال power wheel اللى هو بنحدد فيها power العدسة طبعا سواء sphere أو سيلندر عنا ال spotting devices اللى هى تستخدم فى ال marking اللى بتعلم العدسة يبقى ال goal ده؟", "tokens": [3615, 8315, 2423, 286, 8176, 6225, 8315, 2423, 2105, 5589, 23032, 3555, 3615, 995, 2423, 2105, 5589, 4724, 1829, 30544, 6156, 7578, 2423, 6219, 325, 18059, 4724, 1829, 30544, 38637, 16758, 2655, 5551, 15042, 6156, 7578, 28239, 11242, 9640, 9307, 4724, 1829, 30544, 3714, 46456, 46538, 11331, 35457, 2423, 1411, 4032, 2423, 558, 6225, 8315, 2423, 1347, 5589, 13672, 7578, 31439, 44945, 24401, 3215, 8978, 11296, 1347, 18863, 3215, 3794, 3660, 23032, 3555, 3615, 995, 8608, 2407, 16606, 16687, 34051, 8608, 26895, 41260, 2288, 6225, 8315, 2423, 4008, 783, 5759, 13672, 7578, 8032, 7578, 6055, 14851, 9778, 40448, 6156, 7578, 2423, 25482, 13672, 7578, 39894, 3615, 19528, 18863, 3215, 3794, 3660, 7251, 3555, 4587, 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انه ال I-base هنخليه نوعي ات لما نشوف قبل ما نحط العدسة و ال power wheel و ال power wheel ع ال zero و ال axis wheel ع ال zero بس بعدين بنحطها و بنسير الحركة بال power wheel بيبقى انها sphere مش هنحتاج ال axis لما يظهر هنا", "tokens": [2304, 12984, 15040, 37495, 22653, 6765, 29538, 16687, 4724, 3794, 37495, 22653, 16472, 11296, 6055, 3555, 4587, 7578, 8608, 1211, 41260, 2288, 4724, 3794, 8032, 1863, 4117, 2655, 2288, 11296, 16687, 16472, 3224, 1975, 12610, 1975, 8592, 8032, 1863, 5016, 9566, 2423, 6765, 39182, 9957, 23032, 3555, 3615, 995, 1975, 5016, 8315, 6225, 10943, 1211, 9957, 16472, 3224, 2423, 286, 12, 17429, 8032, 1863, 9778, 20292, 3224, 8717, 45367, 1829, 1975, 2655, 5296, 15042, 8717, 8592, 38688, 12174, 36150, 19446, 8717, 5016, 9566, 18863, 3215, 3794, 3660, 4032, 2423, 1347, 5589, 4032, 2423, 1347, 5589, 6225, 2423, 4018, 4032, 2423, 10298, 5589, 6225, 2423, 4018, 4724, 3794, 39182, 9957, 44945, 5016, 9566, 11296, 4032, 44945, 3794, 13546, 21542, 31747, 3660, 20666, 1347, 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{"start": 191.67, "end": 192.09, "word": " النقطة", "probability": 0.9806315104166666}, {"start": 192.09, "end": 192.53, "word": " اخدها", "probability": 0.859375}, {"start": 192.53, "end": 192.85, "word": " بعين", "probability": 0.94384765625}, {"start": 192.85, "end": 194.29, "word": " الاعتبار،", "probability": 0.91904296875}, {"start": 194.29, "end": 195.13, "word": " تمام؟", "probability": 0.8388671875}, {"start": 195.13, "end": 195.53, "word": " يعني", "probability": 0.83349609375}, {"start": 195.53, "end": 195.85, "word": " هذه", "probability": 0.955078125}, {"start": 195.85, "end": 196.47, "word": " النقطة", "probability": 0.98779296875}, {"start": 196.47, "end": 196.97, "word": " into", "probability": 0.395751953125}, {"start": 196.97, "end": 197.75, "word": " account", "probability": 0.87890625}, {"start": 197.75, "end": 198.27, "word": " ان", "probability": 0.39697265625}, {"start": 198.27, "end": 198.77, "word": " تكون", "probability": 0.791015625}, {"start": 198.77, "end": 200.17, "word": " مأخوذة", "probability": 0.9141438802083334}, {"start": 200.17, "end": 200.67, "word": " بعين", "probability": 0.912353515625}, {"start": 200.67, "end": 202.27, "word": " الاعتبار", "probability": 0.876953125}, {"start": 202.27, "end": 202.81, "word": " ان", "probability": 0.481689453125}, {"start": 202.81, "end": 203.05, "word": " في", "probability": 0.57763671875}, {"start": 203.05, "end": 203.37, "word": " عنا", "probability": 0.631103515625}, {"start": 203.37, "end": 203.79, "word": " عدم", "probability": 0.95947265625}, {"start": 203.79, "end": 204.93, "word": " تماثل", "probability": 0.87060546875}, {"start": 204.93, "end": 205.17, "word": " او", "probability": 0.7340087890625}, {"start": 205.17, "end": 205.95, "word": " asymmetrical", "probability": 0.82958984375}, {"start": 205.95, "end": 206.75, "word": " nodes", "probability": 0.80712890625}], "temperature": 1.0}, {"id": 9, "seek": 23937, "start": 212.59, "end": 239.37, "text": "It's possible to use an overhead transparency marking pen ممكن في بعض الأحيان أستخدم قلم زي ال marker اللي بتستخدموه اللي بيكون عبارة عن marker لونه أحمر تمام اللي من خلاله أنا بقدر اللي هو أعلم على العدسة اللي بتكون شفافة", "tokens": [3522, 311, 1944, 281, 764, 364, 19922, 17131, 25482, 3435, 3714, 43020, 8978, 45030, 11242, 16247, 5016, 1829, 7649, 5551, 14851, 9778, 40448, 12174, 19528, 30767, 1829, 2423, 15247, 13672, 1829, 39894, 14851, 9778, 40448, 2407, 3224, 13672, 1829, 4724, 1829, 30544, 6225, 3555, 9640, 3660, 18871, 15247, 5296, 11536, 3224, 5551, 5016, 29973, 46811, 10943, 13672, 1829, 9154, 16490, 1211, 6027, 3224, 41850, 4724, 28543, 2288, 13672, 1829, 31439, 5551, 3615, 19528, 15844, 18863, 3215, 3794, 3660, 13672, 1829, 39894, 30544, 13412, 5172, 31845, 3660], "avg_logprob": -0.10201149134115241, "compression_ratio": 1.5662100456621004, "no_speech_prob": 0.0, "words": [{"start": 212.59, "end": 213.13, "word": "It's", "probability": 0.6214599609375}, {"start": 213.13, "end": 213.83, "word": " possible", "probability": 0.95458984375}, {"start": 213.83, "end": 214.41, "word": " to", "probability": 0.98876953125}, {"start": 214.41, "end": 214.95, "word": " use", "probability": 0.89892578125}, {"start": 214.95, "end": 215.83, "word": " an", "probability": 0.814453125}, {"start": 215.83, "end": 216.99, "word": " overhead", "probability": 0.85888671875}, {"start": 216.99, "end": 218.75, "word": " transparency", "probability": 0.86572265625}, {"start": 218.75, "end": 219.77, "word": " marking", "probability": 0.9345703125}, {"start": 219.77, "end": 220.41, "word": " pen", "probability": 0.9609375}, {"start": 220.41, "end": 222.11, "word": " ممكن", "probability": 0.96142578125}, {"start": 222.11, "end": 222.29, "word": " في", "probability": 0.92724609375}, {"start": 222.29, "end": 222.55, "word": " بعض", "probability": 0.994140625}, {"start": 222.55, "end": 223.21, "word": " الأحيان", "probability": 0.9931640625}, {"start": 223.21, "end": 224.01, "word": " أستخدم", "probability": 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"word": " اللي", "probability": 0.982421875}, {"start": 238.21, "end": 238.61, "word": " بتكون", "probability": 0.9716796875}, {"start": 238.61, "end": 239.37, "word": " شفافة", "probability": 0.987060546875}], "temperature": 1.0}, {"id": 10, "seek": 25200, "start": 240.48, "end": 252.0, "text": "and the glass lenses يعني بيدي اللي هو قيمة أو بدي point نقطة على العدسة in the sample frame أو على الإطار", "tokens": [474, 264, 4276, 18059, 37495, 22653, 4724, 1829, 16254, 13672, 1829, 31439, 12174, 32640, 3660, 34051, 4724, 16254, 935, 8717, 47432, 3660, 15844, 18863, 3215, 3794, 3660, 294, 264, 6889, 3920, 34051, 15844, 33688, 9566, 9640], "avg_logprob": -0.21051520431363904, "compression_ratio": 1.224, "no_speech_prob": 0.0, "words": [{"start": 240.48, "end": 240.82, "word": "and", "probability": 0.1925048828125}, {"start": 240.82, "end": 241.0, "word": " the", "probability": 0.83349609375}, {"start": 241.0, "end": 241.44, "word": " glass", "probability": 0.880859375}, {"start": 241.44, 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"probability": 0.8583984375}, {"start": 249.42, "end": 249.62, "word": " the", "probability": 0.919921875}, {"start": 249.62, "end": 250.12, "word": " sample", "probability": 0.83447265625}, {"start": 250.12, "end": 250.68, "word": " frame", "probability": 0.697265625}, {"start": 250.68, "end": 250.98, "word": " أو", "probability": 0.65625}, {"start": 250.98, "end": 251.24, "word": " على", "probability": 0.857421875}, {"start": 251.24, "end": 252.0, "word": " الإطار", "probability": 0.9285481770833334}], "temperature": 1.0}, {"id": 11, "seek": 27380, "start": 255.96, "end": 273.8, "text": "طيب في حالة if the sample a frame doesn't have glass lenses الان انا لبست المريض زي ال trial frame اللي عندنا في المعمل او في اللي هو ال refraction مافيش فيه عدسات صح ولا لأ؟ يعني مافيش اللي هو ال glass lenses", "tokens": [9566, 1829, 3555, 8978, 11331, 6027, 3660, 498, 264, 6889, 257, 3920, 1177, 380, 362, 4276, 18059, 2423, 7649, 1975, 8315, 5296, 3555, 14851, 9673, 16572, 11242, 30767, 1829, 2423, 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0.8701171875}, {"start": 265.02, "end": 265.22, "word": " اللي", "probability": 0.873291015625}, {"start": 265.22, "end": 265.48, "word": " عندنا", "probability": 0.8740234375}, {"start": 265.48, "end": 265.58, "word": " في", "probability": 0.84521484375}, {"start": 265.58, "end": 266.14, "word": " المعمل", "probability": 0.9962565104166666}, {"start": 266.14, "end": 266.84, "word": " او", "probability": 0.874267578125}, {"start": 266.84, "end": 267.08, "word": " في", "probability": 0.91259765625}, {"start": 267.08, "end": 267.4, "word": " اللي", "probability": 0.938232421875}, {"start": 267.4, "end": 267.64, "word": " هو", "probability": 0.990234375}, {"start": 267.64, "end": 267.86, "word": " ال", "probability": 0.92041015625}, {"start": 267.86, "end": 268.64, "word": " refraction", "probability": 0.6116943359375}, {"start": 268.64, "end": 269.36, "word": " مافيش", "probability": 0.8883463541666666}, {"start": 269.36, "end": 269.76, "word": " فيه", "probability": 0.9814453125}, 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عدسة في العين الشمال و أحدد أنا من خلال مين هان السنتر و هان السنتر و أبدأ اللي هو أقيص إيش المونوكيلر بيدي لكل عين على حده", "tokens": [2304, 43020, 5551, 5016, 9566, 6225, 3215, 3794, 3660, 8978, 18863, 9957, 45595, 27842, 4032, 6225, 3215, 3794, 3660, 8978, 18863, 9957, 25124, 2304, 6027, 4032, 5551, 24401, 3215, 41850, 9154, 16490, 1211, 6027, 3714, 9957, 8032, 7649, 21136, 29399, 2288, 4032, 8032, 7649, 21136, 29399, 2288, 4032, 5551, 44510, 10721, 13672, 1829, 31439, 5551, 4587, 1829, 9381, 11933, 1829, 8592, 9673, 11536, 2407, 4117, 26895, 2288, 4724, 1829, 16254, 5296, 28820, 6225, 9957, 15844, 11331, 3215, 3224], "avg_logprob": -0.27175633590432663, "compression_ratio": 1.9097222222222223, "no_speech_prob": 0.0, "words": [{"start": 274.74, "end": 275.28, "word": "ممكن", "probability": 0.49560546875}, {"start": 275.28, "end": 280.52, "word": " أحط", "probability": 0.4446614583333333}, {"start": 280.52, "end": 281.46, "word": " عدسة", "probability": 0.9620361328125}, {"start": 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يتأكد من هذا القيمة تمام بروح بفحص ايش فقط من ال center لل center يعني عملية اللي هو recheck تأكيد لهذا الأمر", "tokens": [3522, 311, 1021, 300, 613, 39087, 312, 7500, 319, 15723, 292, 23032, 1829, 3555, 2423, 7649, 50113, 15040, 1975, 8315, 6156, 5016, 9381, 2655, 2423, 40385, 35, 46740, 15730, 9673, 16572, 11242, 4032, 5016, 21292, 8315, 16472, 3224, 1139, 4564, 1975, 34740, 7251, 2655, 10721, 4117, 3215, 9154, 23758, 25062, 32640, 3660, 46811, 10943, 4724, 32887, 5016, 4724, 5172, 5016, 9381, 1975, 1829, 8592, 6156, 47432, 9154, 2423, 3056, 24976, 3056, 37495, 22653, 6225, 42213, 10632, 13672, 1829, 31439, 319, 15723, 6055, 10721, 4117, 25708, 46740, 15730, 16247, 29973], "avg_logprob": -0.18472222238779068, "compression_ratio": 1.4956521739130435, "no_speech_prob": 0.0, "words": [{"start": 616.81, "end": 617.29, "word": "It's", "probability": 0.50103759765625}, {"start": 617.29, "end": 618.01, "word": " important", "probability": 0.91259765625}, {"start": 618.01, "end": 618.83, 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698.34, "end": 698.62, "word": " ال", "probability": 0.9013671875}, {"start": 698.62, "end": 699.02, "word": " center", "probability": 0.89697265625}, {"start": 699.02, "end": 699.5, "word": " إيش", "probability": 0.75341796875}, {"start": 699.5, "end": 700.22, "word": " ال", "probability": 0.6318359375}, {"start": 700.22, "end": 700.6, "word": " left", "probability": 0.96142578125}, {"start": 700.6, "end": 702.02, "word": " تمام؟", "probability": 0.8644205729166666}, {"start": 702.02, "end": 702.6, "word": " و", "probability": 0.701171875}, {"start": 702.6, "end": 703.02, "word": " بنعمل", "probability": 0.9544270833333334}, {"start": 703.02, "end": 703.48, "word": " عملية", "probability": 0.97900390625}, {"start": 703.48, "end": 703.96, "word": " تدجيل", "probability": 0.80322265625}, {"start": 703.96, "end": 704.28, "word": " له", "probability": 0.63427734375}, {"start": 704.28, "end": 705.48, "word": " زي", "probability": 0.853759765625}, {"start": 705.48, "end": 705.98, "word": " 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"end": 1210.72, "text": "ليش أنا جيبت ال parallax of motion؟ في عندنا parallax errors مختلف تماما، أي بمعنى الأخطاء الانكسارية اللي بتحدث خلال اللي هو قياس قيمة مين ال BD سواء كان monocular أو اللي هو binocular BD", "tokens": [20292, 8592, 41850, 10874, 1829, 3555, 2655, 2423, 8069, 2797, 295, 5394, 22807, 8978, 43242, 8315, 8069, 2797, 13603, 3714, 46456, 46538, 46811, 10943, 995, 12399, 36632, 4724, 2304, 3615, 1863, 7578, 16247, 9778, 9566, 16606, 2423, 7649, 4117, 3794, 9640, 10632, 13672, 1829, 39894, 24401, 12984, 16490, 1211, 6027, 13672, 1829, 31439, 12174, 25528, 3794, 12174, 32640, 3660, 3714, 9957, 2423, 363, 35, 8608, 2407, 16606, 25961, 1108, 905, 1040, 34051, 13672, 1829, 31439, 5171, 905, 1040, 363, 35], "avg_logprob": -0.1585648089279363, "compression_ratio": 1.5025906735751295, "no_speech_prob": 0.0, "words": [{"start": 1194.24, "end": 1194.56, "word": "ليش", "probability": 0.73193359375}, {"start": 1194.56, "end": 1194.68, "word": " أنا", "probability": 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" ال", "probability": 0.94775390625}, {"start": 1207.0, "end": 1207.38, "word": " BD", "probability": 0.5902099609375}, {"start": 1207.38, "end": 1207.9, "word": " سواء", "probability": 0.8138020833333334}, {"start": 1207.9, "end": 1208.12, "word": " كان", "probability": 0.990234375}, {"start": 1208.12, "end": 1208.68, "word": " monocular", "probability": 0.7926432291666666}, {"start": 1208.68, "end": 1209.02, "word": " أو", "probability": 0.64453125}, {"start": 1209.02, "end": 1209.2, "word": " اللي", "probability": 0.97021484375}, {"start": 1209.2, "end": 1209.42, "word": " هو", "probability": 0.98388671875}, {"start": 1209.42, "end": 1210.08, "word": " binocular", "probability": 0.9514973958333334}, {"start": 1210.08, "end": 1210.72, "word": " BD", "probability": 0.818603515625}], "temperature": 1.0}, {"id": 50, "seek": 124222, "start": 1229.6, "end": 1242.22, "text": "القياس الدقيق لقيمة ال IBD لابد ان يتم من خلال وضع ال frame بالضبط على ال bridge", "tokens": [6027, 4587, 25528, 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measuring plane at the approximate spectacle plane", "tokens": [10721, 2407, 4032, 11242, 3615, 3224, 15844, 5551, 16572, 5016, 9154, 9566, 28671, 8978, 13672, 1829, 31439, 24976, 8592, 9778, 9381, 13672, 1829, 1975, 5016, 8315, 8608, 2304, 8315, 11296, 2423, 43799, 6156, 995, 37983, 9957, 11296, 22807, 16472, 3224, 11778, 47302, 15042, 4724, 11242, 3615, 11296, 15844, 2423, 43799, 16472, 3224, 6055, 30544, 4724, 8592, 28820, 3714, 16572, 5016, 46740, 15730, 9673, 16572, 11242, 309, 820, 611, 2535, 264, 13389, 5720, 412, 264, 30874, 37303, 5720], "avg_logprob": -0.09980969856946896, "compression_ratio": 1.5194174757281553, "no_speech_prob": 0.0, "words": [{"start": 1245.22, "end": 1245.52, "word": "أو", "probability": 0.909423828125}, {"start": 1245.52, "end": 1245.92, "word": " وضعه", "probability": 0.9691162109375}, {"start": 1245.92, "end": 1246.14, "word": " على", "probability": 0.92919921875}, {"start": 1246.14, "end": 1246.8, "word": " أريح", "probability": 0.9661458333333334}, 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"start": 1272.83, "end": 1290.57, "text": "في كمان جهاز اسمه Adestometer تمام؟ Adestometer إيش وظيفة الجهاز هذا؟", "tokens": [41185, 9122, 2304, 7649, 10874, 3224, 31377, 24525, 2304, 3224, 1999, 377, 13606, 46811, 10943, 22807, 1999, 377, 13606, 11933, 1829, 8592, 4032, 19913, 33911, 3660, 25724, 3224, 31377, 23758, 22807], "avg_logprob": -0.215332027990371, "compression_ratio": 1.164835164835165, "no_speech_prob": 0.0, "words": [{"start": 1272.83, "end": 1273.13, "word": "في", "probability": 0.85595703125}, {"start": 1273.13, "end": 1273.57, "word": " كمان", "probability": 0.9892578125}, {"start": 1273.57, "end": 1274.15, "word": " جهاز", "probability": 0.9962565104166666}, {"start": 1274.15, "end": 1276.23, "word": " اسمه", "probability": 0.9698893229166666}, {"start": 1276.23, "end": 1277.27, "word": " Adestometer", "probability": 0.487548828125}, {"start": 1277.27, "end": 1285.01, "word": " تمام؟", "probability": 0.6494954427083334}, {"start": 1285.01, "end": 1286.43, "word": " 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اللي هو دائرة", "tokens": [1398, 2508, 295, 363, 35, 1975, 15730, 264, 3983, 36632, 4724, 2304, 3615, 1863, 7578, 2423, 4537, 9673, 16572, 11242, 486, 536, 257, 4875, 16472, 3224, 39896, 8592, 38688, 6225, 3555, 9640, 3660, 18871, 13672, 1829, 31439, 11778, 16373, 25720], "avg_logprob": -0.24314024099489537, "compression_ratio": 1.1374045801526718, "no_speech_prob": 0.0, "words": [{"start": 1420.9599999999998, "end": 1422.1, "word": "measure", "probability": 0.470062255859375}, {"start": 1422.1, "end": 1423.24, "word": " of", "probability": 0.953125}, {"start": 1423.24, "end": 1426.16, "word": " BD", "probability": 0.6923828125}, {"start": 1426.16, "end": 1438.4, "word": " اذا", "probability": 0.66845703125}, {"start": 1438.4, "end": 1438.72, "word": " the", "probability": 0.1885986328125}, {"start": 1438.72, "end": 1439.42, "word": " subject", "probability": 0.9638671875}, {"start": 1439.42, "end": 1440.12, "word": " أي", "probability": 0.27587890625}, {"start": 1440.12, "end": 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1943.4031249999925} \ No newline at end of file diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/RTHKgzXcDag_raw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/RTHKgzXcDag_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..a1d0f93b17df233fce312a6e3ea05223de8055f5 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/RTHKgzXcDag_raw.srt @@ -0,0 +1,1432 @@ +1 +00:00:20,820 --> 00:00:23,600 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,600 --> 00:00:27,880 +وبركاته and a very good morning to all of you + +3 +00:00:27,880 --> 00:00:34,160 +هنكمل ان شاء الله اليوم موضوع ال intra pupillary + +4 +00:00:34,160 --> 00:00:42,200 +distance or IBD في المحاضرات السابقة أخدنا how to + +5 +00:00:42,200 --> 00:00:50,540 +measure IBD اليوم هناخد monocular IBDA procedure + +6 +00:00:50,540 --> 00:00:56,540 +for measuring monocular BD using the frame إذا + +7 +00:00:56,540 --> 00:01:03,100 +نقياس قيمة ال IBD لكن هيكون اللي هو monocular + +8 +00:01:03,100 --> 00:01:08,560 +باستخدام ال frame One + +9 +00:01:08,560 --> 00:01:16,500 +error inherent أي بمعنى essential أساسيIn using a + +10 +00:01:16,500 --> 00:01:22,280 +ruler alone appears when a person has an + +11 +00:01:22,280 --> 00:01:29,240 +asymmetrical nose إذا واحدة من المشاكل الرئيسية أو + +12 +00:01:29,240 --> 00:01:35,340 +المشاكل الأساسية في قياس قيمة ال IBD بتكلم هنا أنا + +13 +00:01:35,340 --> 00:01:41,880 +binocular تمام لو كان الشخص عنده عدم تماثل في اللي + +14 +00:01:41,880 --> 00:01:47,500 +هو ال noseأو بمعنى آخر أنه في عنده منطقة في ال + +15 +00:01:47,500 --> 00:01:51,880 +nose مكسورة ومنطقة اللي هو سليمة فهيكون عنده + +16 +00:01:51,880 --> 00:01:56,900 +asymmetrical اللي هو nose an + +17 +00:01:56,900 --> 00:02:03,420 +asymmetrical nose often occurs when a nose has + +18 +00:02:03,420 --> 00:02:11,360 +been broken هذا عدم التماثلتمام؟ غالبا بيحدث يما + +19 +00:02:11,360 --> 00:02:17,100 +يكون في عندك كثر في أحد اللي هو أجزاء الأنف، سواء + +20 +00:02:17,100 --> 00:02:19,920 +من ناحية ال right أو من ناحية ال left + +21 +00:02:23,860 --> 00:02:28,960 +In this case في هذه الحالة الـ frame positions + +22 +00:02:28,960 --> 00:02:33,720 +itself somewhat to the left or right + +23 +00:02:39,840 --> 00:02:44,140 +في هذه الحالة هيكون ال framework مائل باتجاه اما + +24 +00:02:44,140 --> 00:02:47,880 +اليمين السليم او الشمال اذا كان هو السليم يعني + +25 +00:02:47,880 --> 00:02:54,280 +دايما باتجاه الانف اللي هو السليم او الجهة السليمة + +26 +00:02:54,280 --> 00:03:00,540 +في الانف for the lenses to be accurately placed + +27 +00:03:00,540 --> 00:03:07,010 +this factor must be taken into accountعشان انا + +28 +00:03:07,010 --> 00:03:12,090 +احصل على monocular بيدي يكون دقيق، لازم هذه النقطة + +29 +00:03:12,090 --> 00:03:16,970 +اخدها بعين الاعتبار، تمام؟ يعني هذه النقطة into + +30 +00:03:16,970 --> 00:03:23,790 +account ان تكون مأخوذة بعين الاعتبار ان في عنا عدم + +31 +00:03:23,790 --> 00:03:26,750 +تماثل او asymmetrical nodes + +32 +00:03:32,590 --> 00:03:38,750 +It's possible to use an overhead transparency + +33 +00:03:38,750 --> 00:03:45,190 +marking pen ممكن في بعض الأحيان أستخدم قلم زي ال + +34 +00:03:45,190 --> 00:03:50,890 +marker اللي بتستخدموه اللي بيكون عبارة عن marker + +35 +00:03:50,890 --> 00:03:56,230 +لونه أحمر تمام اللي من خلاله أنا بقدر اللي هو أعلم + +36 +00:03:56,230 --> 00:04:02,300 +على العدسة اللي بتكون شفافةand the glass lenses + +37 +00:04:02,300 --> 00:04:07,560 +يعني بيدي اللي هو قيمة أو بدي point نقطة على + +38 +00:04:07,560 --> 00:04:12,000 +العدسة in the sample frame أو على الإطار + +39 +00:04:15,960 --> 00:04:20,900 +طيب في حالة if the sample a frame doesn't have + +40 +00:04:20,900 --> 00:04:24,620 +glass lenses الان انا لبست المريض زي ال trial + +41 +00:04:24,620 --> 00:04:27,860 +frame اللي عندنا في المعمل او في اللي هو ال + +42 +00:04:27,860 --> 00:04:32,120 +refraction مافيش فيه عدسات صح ولا لأ؟ يعني مافيش + +43 +00:04:32,120 --> 00:04:40,520 +اللي هو ال glass lensesممكن أحط + +44 +00:04:40,520 --> 00:04:44,920 +عدسة في العين اليمن و عدسة في العين الشمال و أحدد + +45 +00:04:44,920 --> 00:04:48,980 +أنا من خلال مين هان السنتر و هان السنتر و أبدأ + +46 +00:04:48,980 --> 00:04:53,040 +اللي هو أقيص إيش المونوكيلر بيدي لكل عين على حده + +47 +00:04:58,700 --> 00:05:06,060 +البروسيجر لتحسين الـ BD المونوكولار يبدأ بالتحسين + +48 +00:05:06,060 --> 00:05:12,080 +للصورةزي بالضبط لما احنا بنعمل reflection اول قضية + +49 +00:05:12,080 --> 00:05:16,800 +ايش؟ بتعرف قداش قيمة ال IBD لهذا ال patient + +50 +00:05:16,800 --> 00:05:20,880 +وبعملها reflection على مين؟ على ال trial frame + +51 +00:05:20,880 --> 00:05:26,620 +الخاص في اللي هو المريض يعني مثلا المريض عنده ستة + +52 +00:05:26,620 --> 00:05:31,360 +و ستين بروح بنجل monocular اللي هو BD كداش هتكون + +53 +00:05:31,360 --> 00:05:34,440 +على ال right مثلا تلاتة و تلاتين و على ال left + +54 +00:05:34,440 --> 00:05:40,290 +اللي هو تلاتة و تلاتين تمام؟فهن اول قضية ان في + +55 +00:05:40,290 --> 00:05:45,210 +عملية قياس ال BD لازم اعمل adjustment لمين لل + +56 +00:05:45,210 --> 00:05:50,170 +frame ال + +57 +00:05:50,170 --> 00:05:56,130 +frame should occupy the exact position it will + +58 +00:05:56,130 --> 00:06:01,420 +have with the lenses in a placeأيضًا لازم الإطار + +59 +00:06:01,420 --> 00:06:07,240 +يحتل مكان اللي هو معين أو بنسميه اللي هو exact + +60 +00:06:07,240 --> 00:06:11,820 +position يعني الموضع اللي هو الرسمي له أو الصحيح + +61 +00:06:11,820 --> 00:06:16,540 +له بحيث العدسات ما تكونش للأعلى ولا للأسفل ولا + +62 +00:06:16,540 --> 00:06:21,460 +مثلًا للأمام ولا للخلف انه تكون اللي هو منضبطة + +63 +00:06:21,460 --> 00:06:26,080 +بشكل اللي هو الصحيح يعني بنسميها اللي هو optimal + +64 +00:06:34,910 --> 00:06:45,150 +fit for the frame او + +65 +00:06:45,150 --> 00:06:52,390 +بنسميه a proper fit + +66 +00:06:52,390 --> 00:06:56,830 +of the frame يعني بيكون اللي هو مناسب او ملائم + +67 +00:06:56,830 --> 00:06:58,130 +لاللي هو الإطار + +68 +00:07:03,460 --> 00:07:08,800 +الدسبينصر يجب أن يكون في نفس المستوى و 40 سانتا + +69 +00:07:08,800 --> 00:07:16,770 +متر بعيدنفس المسافة اللي كانت في ال binocular BD + +70 +00:07:16,770 --> 00:07:21,610 +نفسها هتكون وين؟ في ال monocular BD يعني الآن انه + +71 +00:07:21,610 --> 00:07:24,610 +في ال monocular BD بده تكون المسافة ما بين ال + +72 +00:07:24,610 --> 00:07:28,950 +dispenser و مين؟ و اللي هو ال patient اربعين سانتي + +73 +00:07:28,950 --> 00:07:34,650 +عشان انك تتحكمي في اللي هو المصطرة تمام؟ و تخلي + +74 +00:07:34,650 --> 00:07:39,170 +المريض انه يطلع اللي هو بشكل مناسب او بشكل ملائم + +75 +00:07:42,150 --> 00:07:46,810 +العين اليمنى يغلق + +76 +00:07:46,810 --> 00:07:52,330 +العين اليمنى عشان يضع عين المسطرة بالضبط على العين + +77 +00:07:52,330 --> 00:07:54,150 +المقابل له + +78 +00:08:08,110 --> 00:08:13,310 +The wearer is instructed to look at the dispenser + +79 +00:08:13,310 --> 00:08:19,370 +is open left eye دايما لازم يكون face to face + +80 +00:08:19,370 --> 00:08:24,570 +العلاقة ما بين المريض و ما بين مين الفاحص بحيث انه + +81 +00:08:24,570 --> 00:08:28,110 +دايما انت لازم ترشد المريض انه يطلع اللي هو + +82 +00:08:28,110 --> 00:08:28,730 +straight + +83 +00:08:32,690 --> 00:08:38,530 +The dispenser uses a marking pen and marks a cross + +84 +00:08:38,530 --> 00:08:43,830 +over the center of the wearer's right pupil الان + +85 +00:08:43,830 --> 00:08:48,350 +مثلا انا استخدمت ال trial frame عادي او a frame + +86 +00:08:48,350 --> 00:08:52,750 +فيه glasses دايما بدى يكون عندى marker لعملية اللي + +87 +00:08:52,750 --> 00:08:56,590 +هو تعليم ال center تمام من ناحية اللي هو ال right + +88 +00:08:56,590 --> 00:09:00,950 +و من ناحية ال left هدى في حالة ايش؟ + +89 +00:09:06,560 --> 00:09:12,280 +Iglost lenses موجودة في داخل اللي هو ال frame + +90 +00:09:12,280 --> 00:09:18,060 +Because + +91 +00:09:18,060 --> 00:09:24,840 +of the movement involved in marking pupil center + +92 +00:09:35,730 --> 00:09:40,910 +الان مثلا انا حددت اللي هو قيبة ال center في ال + +93 +00:09:40,910 --> 00:09:44,550 +right وال center في ال left الان ليش احنا بنعلم ب + +94 +00:09:44,550 --> 00:09:49,110 +marker؟ ممكن المريض وانت بتفحصييكون عنده + +95 +00:09:49,110 --> 00:09:53,110 +involuntary head movement يعني بشكل لا إرادة أو + +96 +00:09:53,110 --> 00:09:57,530 +بشكل اللي هو unintentional يعني غير مقصود انه يعمل + +97 +00:09:57,530 --> 00:10:01,850 +إزاحة لإيش للعين أو إزاحة لل head فانت هيك بتكون + +98 +00:10:01,850 --> 00:10:06,630 +ضيعت إيش ال center بتاع الخاص فيه اللي هو ال BD + +99 +00:10:06,630 --> 00:10:11,850 +فدايما انا بعمل اللي هو تعليم بال marker لخوفا من + +100 +00:10:11,850 --> 00:10:17,290 +إنه يصير هناك uninitial head movementIt's + +101 +00:10:17,290 --> 00:10:21,350 +important that these markings be carefully + +102 +00:10:21,350 --> 00:10:26,970 +rechecked طيب الان مثلا انا فحصت ال IBD لهذا + +103 +00:10:26,970 --> 00:10:32,510 +المريض وحبينا انه examiner اخر يتأكد من هذا القيمة + +104 +00:10:32,510 --> 00:10:38,390 +تمام بروح بفحص ايش فقط من ال center لل center يعني + +105 +00:10:38,390 --> 00:10:41,150 +عملية اللي هو recheck تأكيد لهذا الأمر + +106 +00:10:58,260 --> 00:11:04,300 +When the dispenser is confident the pupil centers + +107 +00:11:04,300 --> 00:11:12,140 +are accurately marked يما يكون الفاحص عنده ثقة ان + +108 +00:11:12,140 --> 00:11:17,420 +ال marker بتاعه اجى في منتصف العدسة تمام؟The + +109 +00:11:17,420 --> 00:11:22,420 +frames are removed ممكن أعمل إزالة للـ frame And + +110 +00:11:22,420 --> 00:11:27,140 +the distances from the center of the bridge to the + +111 +00:11:27,140 --> 00:11:31,760 +center of each cross are measured إيش بعمل؟ بروح + +112 +00:11:31,760 --> 00:11:36,020 +أجيس من منتصف اللي هو ال bridge ل ال center ال + +113 +00:11:36,020 --> 00:11:40,600 +right و من منتصف ال bridge ل ال center إيش ال left + +114 +00:11:40,600 --> 00:11:46,780 +تمام؟ و بنعمل عملية تدجيل له زي بالضبط الصورة هذه + +115 +00:11:49,190 --> 00:11:54,750 +الان اول خطوة ايش عمل هو؟ راح عمل اللي هو ال + +116 +00:11:54,750 --> 00:12:04,450 +marker من خلال يعني هذا عبارة عن ال pen marker + +117 +00:12:04,450 --> 00:12:08,530 +علمها + +118 +00:12:08,530 --> 00:12:14,490 +في ال pupil center + +119 +00:12:17,760 --> 00:12:24,220 +الان اخد الـ left و من ثم ال right طيب الان هو + +120 +00:12:24,220 --> 00:12:28,620 +قادر على ايش انه يعمل خلاص يعمل remove لل frame و + +121 +00:12:28,620 --> 00:12:32,620 +يبدأ يجيس من ال center لمنتصف ال bridge و من منتصف + +122 +00:12:32,620 --> 00:12:36,800 +ال bridge ل ال center هنا هيك بيكون حصل على ايش + +123 +00:12:36,800 --> 00:12:42,080 +monocular bd + +124 +00:12:47,240 --> 00:12:52,720 +طبعا هان ايش كمان بتلاحظوا انه في هناك symmetrical + +125 +00:12:52,720 --> 00:12:57,460 +اللي هو nose في تماثل ما بين اللي هو ال two part + +126 +00:12:57,460 --> 00:13:08,000 +of the nose طيب + +127 +00:13:08,000 --> 00:13:17,050 +هان السؤال انه هلال monocular PD مهم في ال + +128 +00:13:17,050 --> 00:13:21,670 +distance vision أكتر ولا ال near vision أكتر؟ و + +129 +00:13:21,670 --> 00:13:27,090 +ليش؟ + +130 +00:13:27,090 --> 00:13:33,370 +أه + +131 +00:13:33,370 --> 00:13:41,370 +إيش رأيك يا إسراء؟ لل near ولا لل distance؟ مين + +132 +00:13:41,370 --> 00:13:47,300 +أكتر أهمية؟طيب ليش؟ + +133 +00:13:47,300 --> 00:13:51,640 +ال position + +134 +00:13:51,640 --> 00:13:52,660 +of the glass + +135 +00:13:59,360 --> 00:14:04,440 +طبعا الصح انه دايما ال monocular PD هو الأهم لل + +136 +00:14:04,440 --> 00:14:09,520 +near vision أكتر من ال distance vision ليش؟ الآن + +137 +00:14:09,520 --> 00:14:15,060 +في حالات دايما ماتحطيش انه كل الحالات هي تعتبر + +138 +00:14:15,060 --> 00:14:18,340 +normal، لأ في حالات ممكن يكون عنده إيش؟ + +139 +00:14:19,260 --> 00:14:22,840 +Accumulative Esotropia يعني بمعنى ان العنتيل + +140 +00:14:22,840 --> 00:14:27,400 +للداخل أو عنده مثلا اكموديت او عنده اللي هو + +141 +00:14:27,400 --> 00:14:33,260 +اكزوتروبيا العنتيل للخارج تمام؟ لازم هنا احدد قيمة + +142 +00:14:33,260 --> 00:14:39,180 +اللي هو ال monocular PD لهذه الحالة عشان ان المريض + +143 +00:14:39,180 --> 00:14:44,920 +يكون بيقرأ من النضارة بأرياحيةأيضًا الآن للأشخاص + +144 +00:14:44,920 --> 00:14:49,640 +الطبيعيين، هناك اختلاف واضح ما بين قيمة الـ BD للـ + +145 +00:14:49,640 --> 00:14:53,440 +distance و قيمة الـ BD للـ near الفرق بينهم + +146 +00:14:53,440 --> 00:14:58,280 +تقريبًا قداش 4 مليمتر، يعني الآن لو إجاني مريض + +147 +00:14:58,280 --> 00:15:04,570 +عندهطبعا هذه في حالة أنا ماعنديش لا ruler ولا عندى + +148 +00:15:04,570 --> 00:15:08,390 +frame ولا عندى مثلا الآن هناخد اللى هو ال + +149 +00:15:08,390 --> 00:15:13,170 +pupilometer تمام عندي مثلا قيمة ال IBD فقط لل + +150 +00:15:13,170 --> 00:15:19,250 +distance كانت نفترض سبعين لان مير جدش هتكون مباشرة + +151 +00:15:19,250 --> 00:15:26,470 +بخصم أربعة ملي هتكون ستة و ستين ملي تمامبس هذه + +152 +00:15:26,470 --> 00:15:31,890 +بدها انه يكون يعني في حالة انا ماعنديش اية + +153 +00:15:31,890 --> 00:15:36,510 +instrument او اية tool لعملية التأكيد + +154 +00:15:40,620 --> 00:15:46,360 +قياس قيمة الـ BD من خلال اللي هو الأجهزة The intra + +155 +00:15:46,360 --> 00:15:50,780 +-bipolar distance is most easily measured by using + +156 +00:15:50,780 --> 00:15:55,940 +an instrument especially designed for this purpose + +157 +00:15:57,050 --> 00:16:03,050 +يعني في هناك العديد من الأجهزة اللي بتتم استخدامها + +158 +00:16:03,050 --> 00:16:08,890 +بسهولة لقياس قيمة الـ BD خاصة في الحالات إيش اللي + +159 +00:16:08,890 --> 00:16:15,050 +بيكون فيها Parallax Errorsيعني في عندى خطأ انه + +160 +00:16:15,050 --> 00:16:21,690 +المريض دايما بطريقة او بشكل غير مقصود بتلاقي عنده + +161 +00:16:21,690 --> 00:16:26,110 +اللي هو ايش حركة للhead او بطريقة غير مقصودة + +162 +00:16:26,110 --> 00:16:31,170 +بتلاقي دايما عنده حركة للعين تمام؟ في عندنا مصطلح + +163 +00:16:31,170 --> 00:16:36,010 +مهم اسمه ال parallax motion + +164 +00:16:45,730 --> 00:16:58,430 +تمام؟ والمصطلح الآخر ال size of image ايش + +165 +00:16:58,430 --> 00:17:04,250 +الفرق بين التانين ال parallax motion و ال size of + +166 +00:17:04,250 --> 00:17:10,110 +image؟ مين عندها فكرة؟ + +167 +00:17:20,790 --> 00:17:30,970 +طبعا ممكن عندنا ال size of image معناه الآن انا + +168 +00:17:30,970 --> 00:17:39,940 +عندما ال optotype عندى على مسافة نفترض ستة مترالان + +169 +00:17:39,940 --> 00:17:45,640 +الحرف ستة ع ستين بشوفه كبير، صح ولا لأ؟ لو هذا ستة + +170 +00:17:45,640 --> 00:17:50,200 +ع ستين وضعته على مسافة ستين متر، إيش هيصير فيه؟ + +171 +00:17:50,200 --> 00:17:55,600 +هيصغر، صح ولا لأ؟ يعني بمعنى آخر إنه ال target أو + +172 +00:17:55,600 --> 00:18:00,260 +ال object كل ما أنا بعدته كل ما إيش صار صغر في + +173 +00:18:00,260 --> 00:18:05,610 +الحجمفهمين عليه كيف؟ وهذا منطق زي بالضبط الان الست + +174 +00:18:05,610 --> 00:18:10,150 +على تمانتاش الان الحرف بتاع الست ع تمانتاش لو + +175 +00:18:10,150 --> 00:18:15,430 +حطيته ع مسافة تمانتاش متر هشوفه كأنه ستة ع ستة ع + +176 +00:18:15,430 --> 00:18:20,990 +مسافة جديش ستة متر تمام فهنا عندنا ال size of + +177 +00:18:20,990 --> 00:18:28,050 +image انه the target would small تمام كل ما هو + +178 +00:18:28,050 --> 00:18:33,620 +بعيد عن مين؟ عن اللي هو المريضبينما الـ parallax + +179 +00:18:33,620 --> 00:18:39,440 +motion، الآن أنا مثلا لابس نضارة، حركة رأسي right + +180 +00:18:39,440 --> 00:18:43,240 +to left أو side to side أو up to down، هذه بنسميها + +181 +00:18:43,240 --> 00:18:48,560 +parallax motion، يعني الـ movement of the head to + +182 +00:18:48,560 --> 00:18:55,300 +right or left or up to downوانتوا بتعرفوا انه من + +183 +00:18:55,300 --> 00:18:58,940 +ناحية ال glasses ايش هيصير في ال visual field + +184 +00:18:58,940 --> 00:19:04,660 +هيكون هناك limitation لالهو ال visual field اذا ال + +185 +00:19:04,660 --> 00:19:14,680 +parallax motion movement + +186 +00:19:14,680 --> 00:19:17,740 +of + +187 +00:19:17,740 --> 00:19:18,080 +the + +188 +00:19:27,210 --> 00:19:33,750 +or eyes right + +189 +00:19:33,750 --> 00:19:48,830 +to left or up to down تمام هذا مفهوم ال parallax + +190 +00:19:48,830 --> 00:19:49,570 +of motion + +191 +00:19:54,240 --> 00:19:57,500 +ليش أنا جيبت ال parallax of motion؟ في عندنا + +192 +00:19:57,500 --> 00:20:01,820 +parallax errors مختلف تماما، أي بمعنى الأخطاء + +193 +00:20:01,820 --> 00:20:06,340 +الانكسارية اللي بتحدث خلال اللي هو قياس قيمة مين + +194 +00:20:06,340 --> 00:20:10,720 +ال BD سواء كان monocular أو اللي هو binocular BD + +195 +00:20:29,600 --> 00:20:38,020 +القياس الدقيق لقيمة ال IBD لابد ان يتم من خلال وضع + +196 +00:20:38,020 --> 00:20:42,220 +ال frame بالضبط على ال bridge + +197 +00:20:45,220 --> 00:20:50,520 +أو وضعه على أريح منطقة في اللي هو للشخص اللي احنا + +198 +00:20:50,520 --> 00:20:55,420 +سمناها ال crest فاكرينها؟ انه دايما بضعها على ال + +199 +00:20:55,420 --> 00:21:03,660 +crest انه تكون بشكل مريح لهذا المريض it + +200 +00:21:03,660 --> 00:21:08,500 +should also position the measuring plane at the + +201 +00:21:08,500 --> 00:21:16,230 +approximate spectacle planeفي كمان جهاز اسمه + +202 +00:21:16,230 --> 00:21:25,010 +Adestometer تمام؟ + +203 +00:21:25,010 --> 00:21:30,570 +Adestometer إيش وظيفة الجهاز هذا؟ + +204 +00:21:33,110 --> 00:21:37,450 +شايفين الـ Back Vertic Distance اللي هي من 12 ل 15 + +205 +00:21:37,450 --> 00:21:40,650 +ملي، الآن احنا بنجيزها عن طريق مين؟ الـ + +206 +00:21:40,650 --> 00:21:47,330 +Autorefكراتوميتر قال لجهاز الاديستوميتر وضيفته انه + +207 +00:21:47,330 --> 00:21:50,210 +بيعمل عملية قياس للـ Back Vertic Distance + +208 +00:21:52,720 --> 00:21:58,140 +أذا ادستوميتر ميجار باك Vertical Distance فالان + +209 +00:21:58,140 --> 00:22:03,880 +انا لازم اقيس قيمة ال Spectacle Plane و لازم انه + +210 +00:22:03,880 --> 00:22:09,080 +تكون ملائمة لمين لهذا المريض يعني بحيث انه انا + +211 +00:22:09,080 --> 00:22:13,640 +احددها بالضبط قداش القيمة المناسبة او الملائمة له + +212 +00:22:39,140 --> 00:22:46,840 +الشخص سيشاهد رنق ورق أو ضوء خلق ضوء خلق ضوء خلق + +213 +00:22:46,840 --> 00:22:56,660 +ضوء خلق ضوء خلق ضوء خلق ضوء خلق ضوء خلق + +214 +00:22:56,660 --> 00:23:01,560 +ضوء + +215 +00:23:07,270 --> 00:23:13,470 +تمام الجهاز هي يما بمسكه المريض تمام بلاحظ عبارة + +216 +00:23:13,470 --> 00:23:18,390 +عن اللي هو ring ال ring هذه في داخلها دوق الدوق هو + +217 +00:23:18,390 --> 00:23:22,810 +بتطلع عليه مين ال patient بحيث انه يكون بشكل اللي + +218 +00:23:22,810 --> 00:23:28,950 +هو مستقيم هذا بنسميه ال papillometer انه two + +219 +00:23:40,960 --> 00:23:58,400 +measure of BD اذا + +220 +00:23:58,400 --> 00:24:04,020 +the subject أي بمعنى ال patient المريض will see a + +221 +00:24:04,020 --> 00:24:10,490 +ring انه هيشوف عبارة عن اللي هو دائرةof white or + +222 +00:24:10,490 --> 00:24:15,330 +colored light مضوية من اللي هو ال center okay + +223 +00:24:15,330 --> 00:24:21,690 +around a dark و حوالينها بالضبط اللي هو يعني dark + +224 +00:24:21,690 --> 00:24:28,550 +area يعني بالشكل هذا، الآن هي ال circle مضيقة من + +225 +00:24:28,550 --> 00:24:32,390 +المنتصف و هذا كله عبارة عن إيش؟ اللي هو dark area + +226 +00:24:39,890 --> 00:24:44,950 +central dot within the instrument بالضبط زي اللي + +227 +00:24:44,950 --> 00:24:48,070 +هو ال dot اللي موجود وين في جهاز اللي هو ال lens + +228 +00:24:48,070 --> 00:24:51,810 +meter مش فيه ال dot اللي بتشوفوها في المنتصف نفس + +229 +00:24:51,810 --> 00:24:56,490 +الحاجة بس هذا هيكون الإضاءة وين في داخل اللي هو + +230 +00:24:56,490 --> 00:24:59,630 +المنتصف و ال dark اللي حواليه في ال lens meter + +231 +00:24:59,630 --> 00:25:00,130 +العكس + +232 +00:25:04,120 --> 00:25:08,380 +The dispenser will see the subject's eye and a + +233 +00:25:08,380 --> 00:25:13,780 +scale appearing on it from which a direct measure + +234 +00:25:13,780 --> 00:25:20,480 +is read وظيفة اللي هو الآن الفاحس بعد ما المريض + +235 +00:25:20,480 --> 00:25:25,440 +بمسكها بمسك الجهاز بقرأ قداش قيمة اللي هو ال scale + +236 +00:25:25,440 --> 00:25:30,180 +انه بيكون مكتوب رقم ال number على اللي هو الجهاز + +237 +00:25:30,930 --> 00:25:35,510 +طبعاً بتديني monocular BD وأيضا اللي هو binocular + +238 +00:25:35,510 --> 00:25:40,330 +BD alternately + +239 +00:25:40,330 --> 00:25:45,830 +بالتبادل in some instruments a split image of the + +240 +00:25:45,830 --> 00:25:50,090 +pupil may be seen بعضها بتكونش يا جماعة عبارة عن + +241 +00:25:50,090 --> 00:25:54,730 +دائرة بتكون عبارة عن اللي هو split image يعني + +242 +00:25:54,730 --> 00:25:59,950 +وكأنه عبارة عن اللي هو خط هي اللي بتكون ظاهرةيعني + +243 +00:25:59,950 --> 00:26:06,650 +بدل ال ring بتكون اللي هو split image لكن الشائع + +244 +00:26:06,650 --> 00:26:11,770 +اللي هو بيكون عبارة عن circle هاي شايفين الان هاي + +245 +00:26:11,770 --> 00:26:16,630 +عندنا اتنين و ستين و نص هذا بيديني ايش ال + +246 +00:26:16,630 --> 00:26:21,870 +binocular BD عندنا واحد و تلاتين و نص و عندنا واحد + +247 +00:26:21,870 --> 00:26:25,950 +و تلاتين و نص + +248 +00:26:33,770 --> 00:26:36,650 +وهي زي ما انتوا شايفين عبارة عن اللي هو ال circle + +249 +00:26:36,650 --> 00:26:42,810 +تمام من المنتصف وعنا حوالينه بيكون اللي هو زي dark + +250 +00:26:42,810 --> 00:26:48,190 +فلازم تكون العين اللي هو straight ولازم انه + +251 +00:26:48,190 --> 00:26:53,130 +مايكونش فيه هناك اي تأذاح لمين لاللي هو عين المريض + +252 +00:26:53,130 --> 00:26:58,270 +طبعا مع الأطفال في هناك صعوبة في اللي هو استخدام + +253 +00:26:58,270 --> 00:26:59,270 +ال papillometer + +254 +00:27:05,520 --> 00:27:12,740 +النير بي دي يتطلب من النادرات الوحيدة للقراءة أو + +255 +00:27:12,740 --> 00:27:18,440 +للمعيارات المعيارات المعيارات المعيارات المعيارات + +256 +00:27:18,440 --> 00:27:18,820 +المعيارات المعيارات المعيارات المعيارات المعيارات + +257 +00:27:18,820 --> 00:27:19,240 +المعيارات المعيارات المعيارات المعيارات المعيارات + +258 +00:27:19,240 --> 00:27:20,760 +المعيارات المعيارات المعيارات المعيارات المعيارات + +259 +00:27:20,760 --> 00:27:20,760 +المعيارات المعيارات المعيارات المعيارات المعيارات + +260 +00:27:20,760 --> 00:27:20,760 +المعيارات المعيارات المعيارات المعيارات المعيارات + +261 +00:27:20,760 --> 00:27:20,760 +المعيارات المعيارات المعيارات المعيارات المعيارات + +262 +00:27:20,760 --> 00:27:25,460 +المعيارات المعيارات المعيارات + +263 +00:27:25,460 --> 00:27:26,720 +المعيارات + +264 +00:27:35,370 --> 00:27:41,570 +Okay for single vision reading glasses, the lenses + +265 +00:27:41,570 --> 00:27:47,170 +are set so that their optical centerswill be in + +266 +00:27:47,170 --> 00:27:51,670 +the lines of sight of the eye when the eyes are + +267 +00:27:51,670 --> 00:27:55,610 +converted for reading دايما يا جماعة لما انا بدي + +268 +00:27:55,610 --> 00:28:01,210 +احدد قيمة ال IBD لهذا المريض لازم اراعي موضوع ال + +269 +00:28:01,210 --> 00:28:06,150 +convergence اثناء القراءة تمام؟ عشان تكون ملائمة + +270 +00:28:06,150 --> 00:28:12,760 +ال optical center في حالة اللي هو ال near workThe + +271 +00:28:12,760 --> 00:28:18,380 +near PD can be either measured or calculated يمكن + +272 +00:28:18,380 --> 00:28:24,440 +اللي هو حسابها زي ما حكيتلكم من خلال انه بطرح قيمة + +273 +00:28:24,440 --> 00:28:28,840 +ال binocular PD اللي هي تاعة ال distance مثلا + +274 +00:28:28,840 --> 00:28:33,920 +سبعين بخسم منها أربعة هذه بيمثل ال 66 عبارة عن ال + +275 +00:28:33,920 --> 00:28:36,940 +near PD تمام؟ + +276 +00:28:45,670 --> 00:28:53,510 +measuring near BD with a BD rule to measure the + +277 +00:28:53,510 --> 00:28:58,390 +near BD with a BD rule the dispenser is positioned + +278 +00:28:58,390 --> 00:29:04,450 +at the subject's working distance الان اما انا بده + +279 +00:29:04,450 --> 00:29:10,160 +اقيس ال monocular BD ل المريضطبعا for Norwegian + +280 +00:29:10,160 --> 00:29:14,300 +لازم اقعد على مسافة العمل اللي هو بيشتغل عليها، + +281 +00:29:14,300 --> 00:29:17,960 +يعني بسأله قبل انه جديش مسافة العمل بتاعتك، بقوللي + +282 +00:29:17,960 --> 00:29:22,580 +مثلا تلاتين صنطة، خمسة و تلاتين، اربعين، حسب مسافة + +283 +00:29:22,580 --> 00:29:29,880 +العمل بقوم باللي هو قياس قيمة ال BDThe dispenser + +284 +00:29:29,880 --> 00:29:35,920 +aligns his or her bitter eye directly before the + +285 +00:29:35,920 --> 00:29:41,420 +subject's nose and instructs the subject to look + +286 +00:29:41,420 --> 00:29:47,910 +into the open eyeدايما الفاحص ببدأ بالعين الأفضل + +287 +00:29:47,910 --> 00:29:52,770 +من ناحية اللي هو ال vision تمام وبرشد المريض أنه + +288 +00:29:52,770 --> 00:29:56,250 +يطلع سواء في ال right إذا بدأ اللي هو في ال left + +289 +00:29:56,250 --> 00:29:59,570 +أو اللي هو في ال left إذا بدأ بفحص اللي هو ال + +290 +00:29:59,570 --> 00:30:05,210 +right The PD rule is a line up the zero point + +291 +00:30:05,210 --> 00:30:08,730 +corresponding to the center of the subject's right + +292 +00:30:08,730 --> 00:30:13,340 +pupilأذا عنا بدنا نبدأ اللي هو في الـ scale من + +293 +00:30:13,340 --> 00:30:16,900 +اللي هو السفر هتكون على ال center of اللي هو pupil + +294 +00:30:16,900 --> 00:30:22,420 +تمام؟ زي بالضبط اللي هو four distance في العين + +295 +00:30:22,420 --> 00:30:27,620 +الأخرى هيكون عبارة عن ايه؟ ال scale الآخر يعني ال + +296 +00:30:27,620 --> 00:30:31,860 +scale الأول ال zero ال scale التاني هيكون على ال + +297 +00:30:31,860 --> 00:30:37,620 +another I هذا هيك بيكون قاسمين ال near PDthe + +298 +00:30:37,620 --> 00:30:43,000 +subject is not required to shift gears يعني لازم + +299 +00:30:43,000 --> 00:30:48,380 +انا اقول للمريض انه ماتحركش في اللي هو هالمعنات + +300 +00:30:48,380 --> 00:30:56,280 +اللي هو shift gears يعني عبارة عن up او down او + +301 +00:30:56,280 --> 00:31:04,480 +right او left gears يعني دايما يكون انه straight + +302 +00:31:04,480 --> 00:31:05,340 +مستقيم + +303 +00:31:15,540 --> 00:31:21,980 +ولازم الفاحص يحافظ على ان كلا العنتين ايضا يكونوا + +304 +00:31:21,980 --> 00:31:26,180 +في ال straight position طب لو واحد عنده squint + +305 +00:31:32,650 --> 00:31:36,430 +مية في المية بنعمل monocular PD تمام؟ طيب ليش + +306 +00:31:36,430 --> 00:31:44,470 +هالمصدرة حطها على ال spectacle plane؟ هاي شايفين + +307 +00:31:44,470 --> 00:31:53,190 +ال ruler حطها على ال spectacle plane، إيش السبب؟ + +308 +00:31:53,190 --> 00:31:58,510 +قال لأنه أنا مابدأ أحط النضارة، المريض مش هي .. + +309 +00:31:58,510 --> 00:32:02,290 +يعني هيكون فيه هناك ال back vertic distanceيعني + +310 +00:32:02,290 --> 00:32:06,410 +الهدف من ذلك هو المحافظة على المسافة ما بين الـ + +311 +00:32:06,410 --> 00:32:09,170 +posterior surface of the limbs و ال anterior + +312 +00:32:09,170 --> 00:32:13,290 +surface of the cornea، بدهاش تكون اللي هو بشكل + +313 +00:32:13,290 --> 00:32:18,530 +مباشر، فعشان هي كمان أنا بدي أجي أقيس، لازم أحط + +314 +00:32:18,530 --> 00:32:23,890 +اللي هو على مسافة ال spectacle plane، طبعا هو بدأ + +315 +00:32:23,890 --> 00:32:30,310 +molecular، PDفي اللي هو ال right و من ثم او في ال + +316 +00:32:30,310 --> 00:32:34,050 +left من ثم اللي هو ال right وهي عندنا ال dispenser + +317 +00:32:34,050 --> 00:32:37,690 +و بدها تكون المسافة هي عبارة عن ال working + +318 +00:32:37,690 --> 00:32:41,750 +distance مثلا اربعين او خمسة و تلاتين او تلاتين + +319 +00:32:41,750 --> 00:32:47,970 +صنطة هذه بالاساس بتعتمد على مين على المريض in a + +320 +00:32:47,970 --> 00:32:55,150 +practice من ناحية عملية many who use a PD rule to + +321 +00:32:55,150 --> 00:33:01,040 +measureThe binocular distance BD measure the near + +322 +00:33:01,040 --> 00:33:07,940 +BD at the same time اذا من ناحية عملية ان اول حاجة + +323 +00:33:07,940 --> 00:33:13,580 +بقيس قيمة ال BD ومن ثم بقيس قيمة ال BD عفوا لا ال + +324 +00:33:13,580 --> 00:33:19,650 +monocular ومن ثم لل binocular او ممكن انا اقيسالـ + +325 +00:33:19,650 --> 00:33:24,030 +monocular و اضيف عليها ايش قيمة اللي هو يعني هتكون + +326 +00:33:24,030 --> 00:33:29,690 +العين الأخرى مساوية لمين للأولى تمام فهيديني نفس + +327 +00:33:29,690 --> 00:33:34,530 +الوقت اللي هو قيمة ايش ال IBD ككل ال both eyes + +328 +00:33:39,920 --> 00:33:44,340 +زي ما اتفقنا انه ع مسافة اربعين سانتي المريض او + +329 +00:33:44,340 --> 00:33:48,460 +الفاحص ببدأ بالعين اليمين و من ثم العين الشمال و + +330 +00:33:48,460 --> 00:33:55,100 +العين الأخرى بتكون اللي هو ثابتة من ناحية اللي هو + +331 +00:33:55,100 --> 00:34:00,380 +ال scale هنبدأ من الصفر و ال another اللي هو part + +332 +00:34:00,380 --> 00:34:04,360 +of the ruler هتكون على ال scale الآخر + +333 +00:34:06,870 --> 00:34:11,670 +تمام فهيك انا بكون اللي هو بقرأ قيمة قداش اللي هو + +334 +00:34:11,670 --> 00:34:15,890 +ال IPD سواء كانت monocular او اللي هو binocular PD + +335 +00:34:15,890 --> 00:34:22,850 +طيب + +336 +00:34:22,850 --> 00:34:29,610 +taking near PD using a pupillometer اللي هو الجهاز + +337 +00:34:29,610 --> 00:34:34,880 +او ال instrumentUsually a PD measuring instrument + +338 +00:34:34,880 --> 00:34:40,340 +will allow both distance and near PD to measured + +339 +00:34:40,340 --> 00:34:45,220 +يعني الجهاز قادر على قياس ال distance and near PD + +340 +00:34:45,220 --> 00:34:49,240 +والان بعض الأجهزة تنتين بيقيصوا ال near و ال + +341 +00:34:49,240 --> 00:34:53,680 +distance at the same time في نفس الوقت زي ما شوفنا + +342 +00:34:53,680 --> 00:35:01,740 +بديكي ال scale على نفس الجهازهذا مفهوم من خلال + +343 +00:35:01,740 --> 00:35:08,660 +استخدام مصمم للمصورة الداخلية التي تغير مقاطع + +344 +00:35:08,660 --> 00:35:15,560 +الصورة والتقاط للموضوعيمكن هذا الأمر اللي هو + +345 +00:35:15,560 --> 00:35:21,100 +إجراءه من خلال اللي هو تحريك العدسة الداخلية اللي + +346 +00:35:21,100 --> 00:35:24,880 +موجودة في الداخل اللي هو الجهاز أن ممكن أعمل اللي + +347 +00:35:24,880 --> 00:35:29,140 +هو convergence أو اللي هو divergence حسب المراد + +348 +00:35:29,140 --> 00:35:33,660 +the new readings are carried out ايش معنى carried + +349 +00:35:33,660 --> 00:35:39,920 +out؟يعني بمعنى be reformed يعني اللي هو بتجرى أو + +350 +00:35:39,920 --> 00:35:44,340 +بمعنى اللي هو donein the same manner at the same + +351 +00:35:44,340 --> 00:35:51,180 +reading إذا بتم اللي هو إجراء فحص أو قياس الـnear + +352 +00:35:51,180 --> 00:35:56,340 +BD نفس اللي هو طريقة مين فحص اللي هو ال distance + +353 +00:35:56,340 --> 00:36:00,120 +reading بس الخلاف الوحيد أني أنا بدي أعرف ال + +354 +00:36:00,120 --> 00:36:05,000 +working distance للمريض جديش عن هديك اللي بتكون + +355 +00:36:05,000 --> 00:36:09,780 +محددة هي عبارة عن أربعين ساطة في أي سؤال أي + +356 +00:36:09,780 --> 00:36:10,620 +استفسار؟ + +357 +00:36:13,800 --> 00:36:16,960 +فبنقف ان شاء الله على النقطة هذه في المحاضرة + +358 +00:36:16,960 --> 00:36:18,780 +القادمة ان شاء الله بنكمل + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/WdKMboPcyvo.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/WdKMboPcyvo.srt new file mode 100644 index 0000000000000000000000000000000000000000..1f2fadc88d0a93f45b36ca84a72de334a49ff825 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/WdKMboPcyvo.srt @@ -0,0 +1,1438 @@ +1 +00:00:21,530 --> 00:00:24,530 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:24,530 --> 00:00:28,390 +وبركاته and a very good morning to all of you. + +3 +00:00:28,390 --> 00:00:34,350 +في المحاضرة السابقة، تناولنا مفهوم الـ intra pupillary + +4 +00:00:34,350 --> 00:00:41,830 +distance، وعرفنا أن الـ IPD is defined as the + +5 +00:00:41,830 --> 00:00:47,810 +distance between one pupil and another pupil + +6 +00:00:47,810 --> 00:00:53,970 +from the other eye. وانتهينا من موضوع الـ common + +7 +00:00:53,970 --> 00:01:00,630 +difficulties and their solution. أخذنا المشكلة + +8 +00:01:00,630 --> 00:01:06,150 +الأولى: إذا كان المريض، أو عفواً، الـ examiner ليس لديه + +9 +00:01:06,150 --> 00:01:11,350 +قدرة على إغلاق one eye. المشكلة الثانية + +10 +00:01:11,350 --> 00:01:18,600 +أيضاً، ما هي المشكلة الثانية؟ أنه، قضية أن + +11 +00:01:18,600 --> 00:01:23,540 +الـ patient لا يستطيع إغلاق one eye، بينما + +12 +00:01:23,540 --> 00:01:27,360 +ثانياً، لو كان الـ examiner لديه ضعف في + +13 +00:01:27,360 --> 00:01:32,500 +visual acuity، أو ما يسمى تعطيل في حدة الإبصار الخاصة + +14 +00:01:32,500 --> 00:01:38,520 +بالمريض. اليوم، موضوعنا هو strabismic، يعني + +15 +00:01:38,520 --> 00:01:46,150 +بمعنى أن الـ examiner لديه، أو هناك، ما يسمى + +16 +00:01:46,150 --> 00:01:48,650 +حول موجود في العين. + +17 +00:02:02,610 --> 00:02:07,130 +دائماً يا جماعة، المريض عندما يكون لديه أي نوع من + +18 +00:02:07,130 --> 00:02:12,350 +الحول، سواء كان حولاً للداخل (إيزوتروبيا)، أو كان حولاً + +19 +00:02:12,350 --> 00:02:17,230 +للخارج (إكزوتروبيا)، فإما يزيد أو يقلل من قيمة + +20 +00:02:17,230 --> 00:02:21,170 +الـ intra pupillary distance. لأن لو كانت العينان + +21 +00:02:21,170 --> 00:02:27,500 +للدّاخل، ماذا سيحدث لقيمة الـ IBD؟ تقل، أليس كذلك؟ لو + +22 +00:02:27,500 --> 00:02:31,600 +كانت العينان للخارج، ستزيد قيمة الـ IPD. + +23 +00:02:31,600 --> 00:02:37,600 +فإما ستكون قيمة مصطنعة، سواء + +24 +00:02:37,600 --> 00:02:42,580 +كانت بدرجات عالية أو بدرجات منخفضة. + +25 +00:02:42,580 --> 00:02:47,820 +للحصول على قراءة صحيحة. إذن، نحن + +26 +00:02:47,820 --> 00:02:54,080 +الآن نريد القيمة الصحيحة لـ IPD لهذا الشخص. كيف يمكنني + +27 +00:02:54,080 --> 00:02:59,860 +حسابه ببساطة؟ simply cover the subject's eye + +28 +00:02:59,860 --> 00:03:05,480 +not being observed. ببساطة، ماذا سنفعل؟ سنغطي العين + +29 +00:03:05,480 --> 00:03:10,220 +التي لا نفحصها. أي أن العين التي نفحصها + +30 +00:03:10,220 --> 00:03:16,090 +ستظل هي التي تقوم بعملية التثبيت مع + +31 +00:03:16,090 --> 00:03:20,030 +الـ examiner، والعين غير المفحوصة، سنقوم بعمل + +32 +00:03:20,030 --> 00:03:23,190 +ما يسمى occluder، وهو تغطية أو cover. + +33 +00:03:23,190 --> 00:03:27,790 +هل فهمتم؟ بمعنى آخر، أن المريض سيصبح + +34 +00:03:27,790 --> 00:03:35,020 +بعين واحدة. this ensures that the + +35 +00:03:35,020 --> 00:03:39,160 +subject is fixating with the eye under observation. + +36 +00:03:39,160 --> 00:03:45,140 +هذا يضمن أن المريض سيظلّ يقوم بعملية + +37 +00:03:45,140 --> 00:03:49,480 +التثبيت بعين واحدة، أي في العين التي هي under + +38 +00:03:49,480 --> 00:03:53,500 +observation، أي العين التي هي تحت الفحص، التي نحن + +39 +00:03:53,500 --> 00:03:54,300 +نعمل عليها. + +40 +00:03:58,710 --> 00:04:03,830 +وهذه العين لن يحدث لها أي انحراف للداخل أو الخارج + +41 +00:04:03,830 --> 00:04:05,630 +أو الأعلى أو الأسفل. + +42 +00:04:09,530 --> 00:04:13,650 +في بعض الحالات، + +43 +00:04:13,650 --> 00:04:20,470 +حيث تتحرك إحدى العينين باستمرار للخارج، يعني في + +44 +00:04:20,470 --> 00:04:25,130 +بعض الحالات، أن زاوية الحول أو الحول دائماً يكون + +45 +00:04:25,130 --> 00:04:30,530 +باتجاه معين، ثابت constantly، لا يتغير، أو غير + +46 +00:04:30,530 --> 00:04:31,330 +متقطع. + +47 +00:04:36,260 --> 00:04:43,080 +Okay. إذاً، في بعض الحالات حيث تتحرك إحدى العينين للخارج + +48 +00:04:43,080 --> 00:04:48,890 +باستمرار، إذاً زاوية الحول ستظل باتجاه معين. The + +49 +00:04:48,890 --> 00:04:52,730 +prescribing doctor may determine, or the + +50 +00:04:52,730 --> 00:04:56,730 +prescribing optometrist may determine that the + +51 +00:04:56,730 --> 00:05:02,170 +wearer is better served if the lenses are centered + +52 +00:05:02,170 --> 00:05:07,430 +in front of the pupils. الآن، أخصائي البصريات ماذا سيفعل؟ سيفعل + +53 +00:05:07,430 --> 00:05:14,470 +إزاحة لهذه العين، بحيث تصبح العين + +54 +00:05:14,470 --> 00:05:18,630 +ما يسمى Decentration، وتخرج من أين؟ من + +55 +00:05:18,630 --> 00:05:23,990 +الـ optical center of a lens. مرة ثانية، إذا كانت العين + +56 +00:05:23,990 --> 00:05:30,650 +لها حول دائم للداخل أو للخارج، الآن، وظيفة أخصائي + +57 +00:05:30,650 --> 00:05:35,250 +البصريات ماذا يفعل؟ Decentration، إزاحة، لمن؟ للـ + +58 +00:05:35,250 --> 00:05:39,670 +optical center of a lens، بحيث تصبح العين + +59 +00:05:39,670 --> 00:05:45,020 +مستقيمة، دون أي حول، أو إذا + +60 +00:05:45,020 --> 00:05:49,860 +كانت زاوية الانحراف angle of deviation عالية جداً، سيفعل + +61 +00:05:49,860 --> 00:05:52,060 +ما يسمى تقليل لهذه الزاوية. + +62 +00:05:55,010 --> 00:06:00,590 +This will require that a separate measurement be taken + +63 +00:06:00,590 --> 00:06:06,090 +for each eye. كيف يمكن إجراء هذا العمل؟ من خلال أن + +64 +00:06:06,090 --> 00:06:11,770 +أنا آخذ قيمة الـ IBD لكل عين على حدة، لا نقوم بعمل + +65 +00:06:11,770 --> 00:06:16,510 +قياس ثنائي IBD، بل نقوم بعمل ما نسميه monocular + +66 +00:06:16,510 --> 00:06:17,250 +IBD. + +67 +00:06:22,940 --> 00:06:30,240 +تمام، أو monocular IBD. One measurement will then be + +68 +00:06:30,240 --> 00:06:34,600 +considerably larger than the other. أكيد، الآن، عندما + +69 +00:06:34,600 --> 00:06:41,000 +أقوم بعمل قياس monocular IBD، سيكون لدي قيمة + +70 +00:06:41,000 --> 00:06:46,530 +لـ IBD، للعين اليمنى مختلفة + +71 +00:06:46,530 --> 00:06:50,030 +اختلافاً كبيراً عن العين اليسرى، أليس كذلك؟ لو كان + +72 +00:06:50,030 --> 00:06:53,930 +المريض لديه زاوية حول للداخل في العين + +73 +00:06:53,930 --> 00:06:58,170 +اليمنى، إذاً، ستكون قيمة الـ IBD ماذا؟ صغيرة، مقارنة + +74 +00:06:58,170 --> 00:07:02,010 +بالعين الأخرى، وهذا سيجعل القياس considerably + +75 +00:07:02,010 --> 00:07:06,470 +أكبر من ناحية القياس، + +76 +00:07:06,470 --> 00:07:11,000 +القياس لكل عين. نحن نتحدث عن الـ + +77 +00:07:11,000 --> 00:07:19,380 +strabismic subject، الحالة الثالثة، تمام؟ + +78 +00:07:19,380 --> 00:07:25,860 +هي، مثلاً، لدينا الآن حالة تسمى turn off light، okay، + +79 +00:07:25,860 --> 00:07:29,090 +هذه الحالة لدينا في العين اليمنى. ما العين؟ + +80 +00:07:29,090 --> 00:07:34,790 +إكزوتروبيا، أي أن العين للخارج. الآن، + +81 +00:07:34,790 --> 00:07:39,550 +نحن نريد استخدام نظارة لعمل + +82 +00:07:39,550 --> 00:07:43,870 +ماذا؟ Decentration، إزاحة، بحيث تعدل العين في + +83 +00:07:43,870 --> 00:07:49,390 +المنتصف. okay. لبست الطفلة الآن نظارة، أصبحت العين + +84 +00:07:49,390 --> 00:07:53,350 +تقريباً ماذا؟ مستقيمة. من الذي حل هذه المشكلة؟ الـ + +85 +00:07:53,350 --> 00:07:57,190 +Decentration. من قام بهذا؟ أخصائي البصريات من خلال + +86 +00:07:57,190 --> 00:08:01,730 +تغيير الـ + +87 +00:08:01,730 --> 00:08:04,890 +intra pupillary distance بين العينين. + +88 +00:08:04,890 --> 00:08:06,170 +تمام؟ + +89 +00:08:08,950 --> 00:08:14,350 +طيب، subject is an uncooperative child. الآن، لو كان + +90 +00:08:14,350 --> 00:08:18,910 +الطفل غير متعاون، ودائماً الأطفال في مجتمعنا غير + +91 +00:08:18,910 --> 00:08:23,530 +متعاونين، يعني هناك صعوبة في أخذ قيمة الـ IBD. + +92 +00:08:23,530 --> 00:08:29,970 +If the subject is young or uncooperative, making + +93 +00:08:29,970 --> 00:08:35,790 +normal IBD measurements impossible. إذاً، هنا سيكون + +94 +00:08:35,790 --> 00:08:43,570 +قياس قيمة الـ IBD ماذا؟ صعباً جداً أو مستحيلاً. The + +95 +00:08:43,570 --> 00:08:48,210 +dispenser may have to take a canvass measurement. يعني يأخذ من الـ lateral canvass إلى الـ + +96 +00:08:48,210 --> 00:08:51,990 +medial canvass. قيمة مين؟ الـ IBD. هل تتبعون معي؟ يأخذ + +97 +00:08:51,990 --> 00:08:57,770 +من الـ lateral canvass إلى الـ medial canvass. + +98 +00:08:57,770 --> 00:09:00,830 +من الزاوية الخارجية إلى الزاوية الداخلية. + +99 +00:09:03,270 --> 00:09:08,190 +This is done by measuring from the outer canthus + +100 +00:09:08,190 --> 00:09:19,010 +لنفرض، مثلاً، للعين اليمنى، to the inner canthus + +101 +00:09:19,010 --> 00:09:26,610 +of the other eye، أي العين اليسرى، ولكن + +102 +00:09:26,610 --> 00:09:31,770 +أين المشكلة؟ unfortunately، لسوء الحظ، This + +103 +00:09:31,770 --> 00:09:36,810 +measurement is not entirely exact، ليس بالضبط + +104 +00:09:36,810 --> 00:09:42,310 +دقيقاً جداً، تمام؟ Since the inner + +105 +00:09:42,310 --> 00:09:46,950 +canthi of the eyes encroach farther across the + +106 +00:09:46,950 --> 00:09:51,730 +sclera with younger children. نعرف أن الأطفال دائماً + +107 +00:09:52,510 --> 00:09:57,390 +يكونون كـ... كالصينيين، تجد كل + +108 +00:09:57,390 --> 00:10:01,490 +الـ sclera أو الصلبة داخلة للداخل، بحيث أنت لست + +109 +00:10:01,490 --> 00:10:06,390 +قادراً على رؤية الـ canthus. هنا، نحتاج إلى + +110 +00:10:06,390 --> 00:10:10,790 +قياس غير دقيق، أو ما نسميه inaccurate + +111 +00:10:10,790 --> 00:10:14,530 +measurement، أو ما يسمى not + +112 +00:10:14,530 --> 00:10:17,890 +entirely exact، القيمة ليست بالضبط + +113 +00:10:17,890 --> 00:10:23,240 +دقيقة. جئت لكم بصورة لهذا الموضوع، هذه، ترون + +114 +00:10:23,240 --> 00:10:26,620 +هنا + +115 +00:10:26,620 --> 00:10:34,700 +هنا، الصلبة، أو الـ sclera، غير ظاهرة، لماذا؟ لأن كل + +116 +00:10:34,700 --> 00:10:39,080 +عين تدخل للداخل. هذا النوع نسميه + +117 +00:10:39,080 --> 00:10:44,830 +pseudoesotropia، أو ما يسمى pseudo + +118 +00:10:44,830 --> 00:10:49,850 +squint، يظهر للناس وكأنه حول، ولكن + +119 +00:10:49,850 --> 00:10:53,810 +مع تقدم العمر، يختفي، أو + +120 +00:10:53,810 --> 00:10:58,590 +يزول مع تقدم العمر. طبعاً، + +121 +00:10:58,590 --> 00:11:03,490 +encroach farther across the sclera، الـ sclera غير + +122 +00:11:03,490 --> 00:11:08,350 +ظاهرة، تختفي، فلا أستطيع إيجاد + +123 +00:11:08,350 --> 00:11:13,070 +القيمة المناسبة للـ IPD. هذا ما يفعله يا + +124 +00:11:13,070 --> 00:11:20,830 +سادة؟ Inaccurate measurement of الـ IPD، تمام؟ + +125 +00:11:20,830 --> 00:11:26,350 +أنه لا تكون قيمة الـ IPD دقيقة. يعني، الآن، + +126 +00:11:26,350 --> 00:11:29,910 +عندما يكون لدينا طفل لديه pseudosquint، كما في + +127 +00:11:29,910 --> 00:11:33,850 +هذه الحالة، من الصعب أن أقوم بعمل monocular PD، + +128 +00:11:33,850 --> 00:11:41,610 +لأنه سيعطيني قيمة غير صحيحة لـ PD، خاصةً + +129 +00:11:41,610 --> 00:11:45,850 +لو استخدمنا ماذا؟ المسطرة اليدوية، الـ manual + +130 +00:11:45,850 --> 00:11:46,650 +rule. + +131 +00:11:52,480 --> 00:11:57,400 +خطوات قياس المسافة البينية (BD). هذه + +132 +00:11:57,400 --> 00:12:01,940 +مربط الفرس، وهي الخطوات في عملية + +133 +00:12:01,940 --> 00:12:08,660 +قياس الـ IBD، المسافة البينية، أولاً، الـ dispenser + +134 +00:12:08,660 --> 00:12:14,600 +يضع المسطرة على مسافة 40 سم، يجب أن تكون على مسافة 40 + +135 +00:12:14,600 --> 00:12:20,020 +سم بين المريض والفحص، أو 16 + +136 +00:12:20,020 --> 00:12:25,770 +بوصة. Okay. هذه المسافة تماماً التي تقومون بها + +137 +00:12:25,770 --> 00:12:30,350 +تقريباً، اعتماداً على written scope. okay. تقريباً. + +138 +00:12:30,350 --> 00:12:36,950 +الـ dispenser يغلق العين اليمنى. سيغلق العين + +139 +00:12:36,950 --> 00:12:45,590 +اليمنى. Subject يثبت نظره على عين الـ dispenser اليسرى. إذاً + +140 +00:12:45,590 --> 00:12:50,950 +المريض سيُثبت نظره على العين المفتوحة، أو + +141 +00:12:50,950 --> 00:12:57,390 +العين اليسرى. تمام؟ الـ dispenser يضع نقطة الصفر + +142 +00:12:57,390 --> 00:13:01,910 +على الصفر. الآن، أنت ستضع حافة المسطرة أو قيمة الصفر + +143 +00:13:01,910 --> 00:13:08,170 +على أين؟ على مركز البؤبؤ، okay؟ on + +144 +00:13:08,170 --> 00:13:12,820 +عين المريض اليمنى، على مركز البؤبؤ. Left + +145 +00:13:12,820 --> 00:13:18,020 +Pupillary Border أو Left Limbus. الآن، الحافة الأخرى... + +146 +00:13:18,020 --> 00:13:22,660 +الجهة الأخرى للمسطرة، ستضعها + +147 +00:13:22,660 --> 00:13:28,880 +على حافة الليمبوس، تمام؟ إذاً، لدينا أولاً + +148 +00:13:28,880 --> 00:13:31,940 +الحافة الأولى، سنضعها في مركز + +149 +00:13:31,940 --> 00:13:36,560 +البؤبؤ، هل فهمتم؟ الآن، الحافة الثانية، أين سنضعها؟ + +150 +00:13:36,560 --> 00:13:43,510 +على حافة الليمبوس. Dispenser يغلق العين اليسرى، ويفتح + +151 +00:13:43,510 --> 00:13:50,650 +العين اليمنى. الآن، سيتغير العكس، من سيغلق؟ نعم، و + +152 +00:13:50,650 --> 00:13:56,490 +سيفتح من؟ العين اليمنى. Subject يثبت نظره على العين اليمنى، + +153 +00:13:56,490 --> 00:14:02,450 +إذاً، الآن المريض سيُثبت نظره على العين اليمنى. الـ Dispenser + +154 +00:14:02,450 --> 00:14:07,970 +يقرأ من المقياس، سيقرأ مباشرةً، + +155 +00:14:07,970 --> 00:14:12,870 +القراءة. directly aligned with left pupil center, + +156 +00:14:13,530 --> 00:14:16,350 +left pupillary border or left limbus. + +157 +00:14:24,620 --> 00:14:28,880 +الـ dispenser يغلق العين اليمنى للمريض، + +158 +00:14:28,880 --> 00:14:31,720 +ويثبت نظره على العين اليسرى. أنا سأقوم بعملية + +159 +00:14:31,720 --> 00:14:36,260 +التحقق. كيف يمكنني التأكد؟ نفس فكرة الخطوة الأولى + +160 +00:14:36,260 --> 00:14:41,040 +سنغلق العين اليمنى ونفتح اليسرى. + +161 +00:14:42,870 --> 00:14:47,110 +الـ dispenser يتأكد من أن نقطة الصفر + +162 +00:14:47,110 --> 00:14:51,470 +صحيحة، يجب أن أتأكد أن قيمة الصفر + +163 +00:14:51,470 --> 00:14:55,810 +على مركز البؤبؤ، لأقوم + +164 +00:14:55,810 --> 00:14:59,690 +بالخطوة الثانية، أو لأخذ القراءة + +165 +00:14:59,690 --> 00:15:08,310 +الصحيحة لقيمة الـ IBD. أيضاً، + +166 +00:15:08,310 --> 00:15:14,080 +الأسباب الشائعة للأخطاء، بمعنى الأسباب + +167 +00:15:14,080 --> 00:15:20,860 +الشائعة للخطأ. There are several common + +168 +00:15:20,860 --> 00:15:27,300 +causes of errors inherent in using a PD rule. يعني، + +169 +00:15:27,300 --> 00:15:31,120 +هناك مجموعة من الأخطاء التي يمكن + +170 +00:15:31,120 --> 00:15:36,360 +التعبير عنها أثناء إجراء عملية الفحص. أولاً، + +171 +00:15:37,320 --> 00:15:41,640 +There will be an error in measurement if the + +172 +00:15:41,640 --> 00:15:47,940 +measured BD differs significantly from + +173 +00:15:47,940 --> 00:15:53,460 +the subject's because the lines of sight are not + +174 +00:15:53,460 --> 00:15:59,120 +parallel. الآن، يا جماعة، أنا كـ examiner، لنفرض أن + +175 +00:15:59,120 --> 00:16:04,440 +قيمة الـ IBD 70، والـ patient قيمة IBD لديه ماذا؟ + +176 +00:16:04,440 --> 00:16:09,380 +50، إذاً هناك اختلاف واضح في قيمة الـ IBD بين + +177 +00:16:09,380 --> 00:16:12,380 +الـ examiner والـ patient، هذا قد يؤدي إلى + +178 +00:16:12,380 --> 00:16:18,610 +الخطأ. لماذا؟ لأن الوجهين ليسا متقابلين تماماً، + +179 +00:16:18,610 --> 00:16:21,790 +تمام؟ بمعنى آخر، عندما أغلق العين اليمنى + +180 +00:16:21,790 --> 00:16:26,350 +وأنظر بالعين اليسرى، أو العكس، سيكون + +181 +00:16:26,350 --> 00:16:31,510 +هناك نسبة خطأ، تمام؟ طبعاً، مقدار هذا الخطأ ربما + +182 +00:16:31,510 --> 00:16:36,070 +يكون درجة، أو ملليمتر واحد، ليس اختلافاً كبيراً، + +183 +00:1 + +223 +00:20:10,990 --> 00:20:15,170 +result if the person measuring أو بمعنى ال + +224 +00:20:15,170 --> 00:20:20,010 +examiner الشخص نفسه، أنا الفاحص، روحت مثلاً غيرت اللي + +225 +00:20:20,010 --> 00:20:24,510 +هو اتجاه عيني، أو اللي هو لفت وجهي يمين أو + +226 +00:20:24,510 --> 00:20:29,750 +شمال، برضه هيعمل خطأ في القراءة. An error will + +227 +00:20:29,750 --> 00:20:34,810 +result if the person measuring doesn't close or + +228 +00:20:34,810 --> 00:20:40,320 +include one eye. الآن وأنت بتفحصي، نفترض أن الفاحص + +229 +00:20:40,320 --> 00:20:45,980 +مغطاش عينه تماماً أثناء الفحص، يعني الآن مش أنا لازم + +230 +00:20:45,980 --> 00:20:50,900 +أول حاجة أعمل close the one eye، وأعمل the + +231 +00:20:50,900 --> 00:20:54,820 +open the another eye. الآن ما عملتش الطريقة هذه، روحت + +232 +00:20:54,820 --> 00:20:58,660 +مباشرة حطيت المصدر، والعينتين مفتوحتين، هذا أيضاً + +233 +00:20:58,660 --> 00:21:05,250 +هيعمل إيش؟ نسبة خطأ عند الـ أو في إجراء الفحص. At a + +234 +00:21:05,250 --> 00:21:11,610 +time to ensure sighting from directly in front of + +235 +00:21:11,610 --> 00:21:15,810 +the subject's eye under observation. هذا هيضمن أن + +236 +00:21:15,810 --> 00:21:24,110 +النظر سيكون مباشرة أمام العين من المريض، أو العين + +237 +00:21:24,110 --> 00:21:31,790 +اللي بده يتم إجراء عملية الفحص عليها. The subject may not + +238 +00:21:31,790 --> 00:21:36,530 +look directly at the examiner's pupil. الآن أنا عملت + +239 +00:21:36,530 --> 00:21:41,150 +اللي هو عملية الفحص، وكنت straight، لكن المريض أثناء + +240 +00:21:41,150 --> 00:21:45,590 +الفحص ما كانش بيطلع اللي هو في المنطقة هذه، أو مثلاً + +241 +00:21:45,590 --> 00:21:50,410 +الـ attention بتاعه لفوق أو لتحت. Okay, during the + +242 +00:21:50,410 --> 00:21:54,690 +test, which will result in an error. أيضاً هذا هيعمل + +243 +00:21:54,690 --> 00:21:58,510 +اللي هو نسبة خطأ في اللي هو النتيجة النهائية. + +244 +00:22:03,370 --> 00:22:10,190 +نعود الآن لـ monocular BD أو الـ monocular IBD. + +245 +00:22:10,190 --> 00:22:17,990 +Since faces are not always symmetrical. دائماً يعني + +246 +00:22:17,990 --> 00:22:24,130 +الوجه بيكونش متماثل، يعني في بعض الأحيان أنه بيكون + +247 +00:22:24,130 --> 00:22:28,730 +هنا غالباً الوجه غير متماثل تماماً بين اللي هو الـ + +248 +00:22:28,730 --> 00:22:34,180 +بين اللي هو الـ two eyes. It's often necessary to + +249 +00:22:34,180 --> 00:22:40,500 +specify the BD for each eye independently. فعشان هيك + +250 +00:22:40,500 --> 00:22:45,040 +أو بالسبب اللي هو عدم التماثل، لازم أنا أعمل قياس + +251 +00:22:45,040 --> 00:22:50,220 +لقيمة الـ BD لكل عين على حدة، يعني independently، أي + +252 +00:22:50,220 --> 00:22:56,660 +بمعنى اللي هو بشكل مستقل. الهدف + +253 +00:22:56,660 --> 00:23:03,640 +الأساسي in taking في أخذ الـ BD is to eventually + +254 +00:23:03,640 --> 00:23:08,920 +place the optical centers of the lenses. إذن عندنا + +255 +00:23:08,920 --> 00:23:14,000 +الهدف الأساسي إنه أخذ الـ monocular BD، إن يصل في + +256 +00:23:14,000 --> 00:23:18,320 +المرحلة النهائية إن يكون الـ pupil أو الـ center of + +257 +00:23:18,320 --> 00:23:23,100 +pupil جاي في منتصف من الـ optical center of a lens، + +258 +00:23:23,100 --> 00:23:26,620 +هذا الهدف الأساسي. Directly + +259 +00:23:28,400 --> 00:23:33,860 +in front of the subject's eyes. طيب إيش الهدف؟ To + +260 +00:23:33,860 --> 00:23:39,500 +prevent any undesired prismatic effect. يعني حتى + +261 +00:23:39,500 --> 00:23:45,760 +اللي يتم منع أو تجنب أي تأثير منشوري غير مرغوب فيه. + +262 +00:23:48,790 --> 00:23:55,010 +إذا قمت بقياس إحدى العيون لشخصية، لشخصية + +263 +00:23:55,010 --> 00:24:02,070 +شخصية، فإن الجانب ومركز العيون الموجودة فيه + +264 +00:24:02,070 --> 00:24:05,770 +مواجهة مكان، ومكان مواجهة مكان، بشكل مرتبط في + +265 +00:24:05,770 --> 00:24:14,570 +الصورة، لن تتجه من مركز العيون الموجودة فيه، مكان + +266 +00:24:14,610 --> 00:24:19,470 +الآن لو أنا مثلاً حطيت المسطرة في منطقة غير مريحة + +267 +00:24:19,470 --> 00:24:24,470 +لمن؟ للمريض. الآن المريض لو أنا بدي أعمله binocular + +268 +00:24:24,470 --> 00:24:29,550 +BD، هيكون نظره بشكل غير سليم، يعني بمعنى آخر، هيكون + +269 +00:24:29,550 --> 00:24:34,650 +هناك إزاحة للي هو العين، سواء كانت لليمين أو + +270 +00:24:34,650 --> 00:24:39,530 +للشمال، وهذا هيأثر في قيمة مين؟ الفحص، تمام؟ + +271 +00:24:39,530 --> 00:24:44,750 +فالطريقة الأسلم، والطريقة الأمثل، والطريقة الأصح، أنه + +272 +00:24:44,750 --> 00:24:49,160 +أعمل إيش؟ binocular BD لكل عين، بحيث أن أنا أعمل + +273 +00:24:49,160 --> 00:24:53,240 +fixation للعين الأولى، وبعد ذلك أعمل fixation للعين + +274 +00:24:53,240 --> 00:24:57,560 +الثانية، وأجيب اللي هو قيمة الـ monocular BD للـ + +275 +00:24:57,560 --> 00:25:04,260 +both eyes. هي مثلاً عندنا هذا عبارة عن اللي هو مسطرة + +276 +00:25:04,260 --> 00:25:10,120 +تمام، آخذ اللي هو الـ IPD، قيمتها جدعاً 64. إذا كان في + +277 +00:25:10,120 --> 00:25:15,380 +عندنا symmetrical، تماثل، هيكون هنا 32، 32. حتى أنتم + +278 +00:25:15,380 --> 00:25:18,680 +عندكم في الـ trial frame. الآن، أنا بيكون عند + +279 +00:25:18,680 --> 00:25:22,760 +مثلاً طلع على جهاز الـ Autoref-keratometer أو جسّدت + +280 +00:25:22,760 --> 00:25:27,740 +بالمسطرة قيمة الـ IPD 64، إيش أعمل؟ بحط من هنا مثلاً + +281 +00:25:27,740 --> 00:25:32,620 +32 ومن هنا 32، فبتكون للـ right وللـ left بشكل اللي + +282 +00:25:32,620 --> 00:25:36,760 +هو إيه؟ separate، اللي هو منفصل ما بينهم. + +283 +00:25:41,120 --> 00:25:45,680 +The error هذه مهمة is not too serious if the + +284 +00:25:45,680 --> 00:25:50,760 +lenses are of the same power. الآن لو كانت العين + +285 +00:25:50,760 --> 00:25:56,320 +اليمين minus 3، والعين اليسرى minus 3، هذا الأمر غير + +286 +00:25:56,320 --> 00:26:02,220 +مؤثر، أو غير اللي هو serious، يعني غير فعال أو غير + +287 +00:26:02,220 --> 00:26:04,160 +اللي هو حادث تأثير. + +288 +00:26:07,470 --> 00:26:11,650 +and are not strong. أو بمعنى أنه ما يكونش عنده + +289 +00:26:11,650 --> 00:26:14,410 +المريض high refractive error، يعني ما يكونش فيه عين + +290 +00:26:14,410 --> 00:26:18,970 +عنده minus عشرة، والثانية مثلاً minus اثنا عشر، okay. + +291 +00:26:18,970 --> 00:26:26,470 +اللي هو high refractive error. If, however, one lens + +292 +00:26:26,470 --> 00:26:31,410 +is very different from the other. Okay, the center + +293 +00:26:31,410 --> 00:26:36,270 +must be placed accurately to prevent unwanted + +294 +00:26:36,270 --> 00:26:40,370 +binocular prismatic effects. نفترض الآن المريض + +295 +00:26:40,370 --> 00:26:45,270 +عنده anisometropia. إيش معنى anisometropia يا + +296 +00:26:45,270 --> 00:26:45,830 +رشاد؟ + +297 +00:26:49,550 --> 00:26:53,770 +مئة في المئة أن في هناك اختلاف ما بين اللي هو الـ + +298 +00:26:53,770 --> 00:26:58,550 +both eyes. قيمة الاختلاف هذا مثلاً أكثر من أربعة هنا + +299 +00:26:58,550 --> 00:27:03,130 +بيحكي لي أنه لازم قيمة الـ BD تكون very accurate، لأن + +300 +00:27:03,130 --> 00:27:08,090 +أي اختلاف في هذه القيمة، إيش هيقود إلى؟ اللي هو موضوع + +301 +00:27:08,090 --> 00:27:12,030 +عندنا unwanted binocular prismatic effects، اللي + +302 +00:27:12,030 --> 00:27:16,930 +هو تأثير منشوري، أو عدم القدرة، عدم قدرة العينين + +303 +00:27:16,930 --> 00:27:23,350 +على رؤية بوضوح at the same time، تمام؟ Monocular PD + +304 +00:27:23,350 --> 00:27:28,590 +are also important when using aspheric lenses or + +305 +00:27:28,590 --> 00:27:34,450 +high index lenses, including polycarbonate lenses. فيه + +306 +00:27:34,450 --> 00:27:38,630 +هناك بعض العدسات زي مثلاً الـ high index material + +307 +00:27:38,630 --> 00:27:42,930 +أو مثلاً عندنا الـ polycarbonate. هذا النوع من + +308 +00:27:42,930 --> 00:27:47,210 +العدسات فيها يا جماعة الـ chromatic aberration أو + +309 +00:27:47,210 --> 00:27:51,230 +الـ spherical aberration عالية. عارفين إيش معناها؟ + +310 +00:27:51,230 --> 00:27:53,350 +إيش معنى الـ chromatic aberration أو الـ spherical + +311 +00:27:53,350 --> 00:27:57,670 +aberration؟ يعني المريض لما بيطلع من الـ center + +312 +00:27:57,670 --> 00:28:01,650 +بتكون الرؤية واضحة، لما بيطلع من الـ peripheral + +313 +00:28:01,650 --> 00:28:06,200 +بيكون هناك فيه distortion واضحة. الفكرة؟ هذه معناها + +314 +00:28:06,200 --> 00:28:10,500 +الـ spherical aberration أو اللي هو ما يسمى باللي + +315 +00:28:10,500 --> 00:28:16,740 +هو الـ chromatic aberration. هنا هو ضايف أيضاً، high + +316 +00:28:16,740 --> 00:28:21,520 +index lenses have more chromatic aberration، وضيفة + +317 +00:28:21,520 --> 00:28:25,660 +كمان spherical aberration than crown glasses or + +318 +00:28:25,660 --> 00:28:35,840 +regular CR 39 plastic lenses. الـ Negative effect of + +319 +00:28:35,840 --> 00:28:40,440 +chromatic aberration or spherical aberration on + +320 +00:28:40,440 --> 00:28:46,120 +vision is increased if the eye is not looking + +321 +00:28:46,120 --> 00:28:49,040 +through the optical center of the lens. + +322 +00:29:10,150 --> 00:29:18,010 +بالنسبة لـ procedure أو التكنيك for measuring + +323 +00:29:18,010 --> 00:29:25,510 +monocular BD using a ruler. يعني إيش الخطوات اللي + +324 +00:29:25,510 --> 00:29:32,240 +بتتم اجراءها لقياس قيمة الـ monocular BD. Monocular + +325 +00:29:32,240 --> 00:29:39,100 +PD are taken by measuring from the center of the + +326 +00:29:39,100 --> 00:29:43,240 +nose to the center of the pupil. يعني من الـ center + +327 +00:29:43,240 --> 00:29:47,820 +of the nose، تمام، للـ center للـ pupil. يعني بدك كل + +328 +00:29:47,820 --> 00:29:49,000 +عين تأخذيها على حدة. + +329 +00:30:16,380 --> 00:30:25,140 +أول حاجة بدنا نقيس مين؟ اللي هو الـ IBD للـ binocular + +330 +00:30:25,140 --> 00:30:29,960 +لكن هذه مش دائماً احنا بنستخدمها، الصحيح. ليش؟ لو كان + +331 +00:30:29,960 --> 00:30:34,560 +المريض عنده strabismic eye، هيكون فيه هناك إيش؟ + +332 +00:30:34,560 --> 00:30:38,920 +false اللي هو reading، صح ولا لأ؟ لو مثلاً المريض + +333 +00:30:38,920 --> 00:30:45,930 +عنده loss of fixation في one eye، برضه هيكون هناك + +334 +00:30:45,930 --> 00:30:50,770 +إيش؟ يعني false reading كقيمة. هذه مش دائماً أنه + +335 +00:30:50,770 --> 00:30:55,970 +بنعمل قياس لمين؟ لا، اللي هو الـ IPD للـ both eyes، أو + +336 +00:30:55,970 --> 00:31:01,630 +الـ binocular IBD. Use the center of the pupil as + +337 +00:31:01,630 --> 00:31:04,590 +the reference point. دائماً الـ reference point + +338 +00:31:04,590 --> 00:31:09,260 +بتاعتي هي عبارة عن مركز اللي هو الـ pupil. سواء لو + +339 +00:31:09,260 --> 00:31:13,880 +الـ right أو الـ left eye. Before moving the ruler, + +340 +00:31:13,880 --> 00:31:19,320 +note the scale reading on the ruler at the center + +341 +00:31:19,320 --> 00:31:24,400 +of the nose. يعني قبل ما أنا بدي أحرك المسطرة، لازم + +342 +00:31:24,400 --> 00:31:28,780 +ألاحظ أن التدريج تاعه وين؟ هيكون في مركز اللي هو الـ + +343 +00:31:28,780 --> 00:31:35,960 +nose. طبعاً أنا بتكلم هنا إيه؟ monocular PD. This is + +344 +00:31:35,960 --> 00:31:40,080 +the right monocular PD. يعني هذه بالضبط اللي هو الـ + +345 +00:31:40,080 --> 00:31:45,020 +exact أو الـ accurate PD measurement. أيضاً بدنا نعمل + +346 +00:31:45,020 --> 00:31:49,600 +إيه؟ subtract، بدنا نطرح الآن القيمة اللي احنا حصلنا + +347 +00:31:49,600 --> 00:31:54,300 +عليها. يعني أجيب مثال، لو كان عندنا مثلاً الـ IBD + +348 +00:31:54,300 --> 00:32:02,680 +كـ binocular مثلاً 66 ملي، هذه both eyes، أو + +349 +00:32:02,680 --> 00:32:07,960 +binocular I. والآن عملنا monocular تماماً للعين اليمين + +350 +00:32:07,960 --> 00:32:15,660 +مثلاً أنه كانت الـ IBD للمونوكيلر 32 + +351 +00:32:15,660 --> 00:32:22,660 +ملي للـ right eye، قداش قيمة اللي هو الـ left؟ 34 + +352 +00:32:22,660 --> 00:32:29,660 +و30، إذا هتكون قيمة 34، تمام، هي قيمة + +353 +00:32:29,660 --> 00:32:34,950 +اللي هو الـ IBD لمين؟ للـ left eye. واضحة الفكرة؟ إذا + +354 +00:32:34,950 --> 00:32:38,750 +قيمة الـ IBD للـ left eye هي عبارة عن أربعة + +355 +00:32:38,750 --> 00:32:45,850 +و ثلاثين ملي متر، من خلال + +356 +00:32:45,850 --> 00:32:51,490 +اللي هو الطرح ما بين قيمة الـ IBD للـ binocular + +357 +00:32:51,490 --> 00:32:56,510 +للـ both eyes، بدنا نطرحها من قيمة اللي هو الـ IBD + +358 +00:32:56,510 --> 00:32:59,530 +اللي تم الحصول عليها من one eye. + +359 +00:33:02,540 --> 00:33:08,920 +في عندنا هنا example: the binocular BD is sixty-six. + +360 +00:33:08,920 --> 00:33:13,980 +The scale reading at the center of the nose is + +361 +00:33:13,980 --> 00:33:18,000 +thirty-two. طبعاً هذه إما للـ right أو للـ left، أو + +362 +00:33:18,000 --> 00:33:24,140 +whatever. الـ Monocular BD للعين الآخرى 32. + +363 +00:33:45,860 --> 00:33:49,380 +طيب، الآن في عندنا بعض الأسئلة بدنا نحلها اللي هو + +364 +00:33:49,380 --> 00:33:54,420 +سويّاً، تمام، بتشمل + +365 +00:33:54,420 --> 00:34:01,060 +المحاضرة هذه، ومحاضرات سابقة. أول حاجة عندنا السؤال + +366 +00:34:01,060 --> 00:34:07,040 +الأول: the distance between lenses، إيش المسمى + +367 +00:34:07,040 --> 00:34:12,200 +الثاني له؟ another name. الـ + +368 +00:34:12,200 --> 00:34:16,540 +distance between lenses. ممتازة. الـ frame PD، أو الـ + +369 +00:34:16,540 --> 00:34:21,960 +geometric center of lenses، صح؟ أو الـ bridge size. إيش + +370 +00:34:21,960 --> 00:34:27,820 +هي الـ bridge size؟ أيوة، اللي هي الـ narrowest area + +371 +00:34:27,820 --> 00:34:32,500 +ما بين الـ two lenses. It's the distance between the + +372 +00:34:32,500 --> 00:34:39,160 +two boxes when both lenses in a frame are boxed + +373 +00:34:39,160 --> 00:34:44,980 +off. It's measured from the inside edge of the + +374 +00:34:44,980 --> 00:34:50,180 +grooves across the bridge. يعني الآن هو بده + +375 +00:34:50,180 --> 00:34:55,580 +السؤال: قداش قيمة اللي هو الـ bridge size، أو ما هو + +376 +00:34:55,580 --> 00:34:59,940 +مفهوم الـ bridge size؟ إيش هي من الخيارات الأربع؟ + +377 +00:35:02,610 --> 00:35:06,930 +إن هل هي تعتبر الـ highest point of the bridge، ولا + +378 +00:35:06,930 --> 00:35:11,150 +الـ horizontal midline، أو الـ datum line of + +379 +00:35:11,150 --> 00:35:16,410 +the frame، ولا الـ narrowest point of the bridge، ولا + +380 +00:35:16,410 --> 00:35:20,230 +الـ geometric center or boxing center line of the + +381 +00:35:20,230 --> 00:35:26,310 +frame؟ هي عبارة عن اللي هو الـ narrowest point of the bridge. + +382 +00:35:26,310 --> 00:35:29,490 +الآن أنا النظارة لما بمسكها، بدي قيمة الـ bridge + +383 +00:35:29,490 --> 00:35:33,930 +size، هي أضيق مسافة تحت الـ bridge، صح ولا لأ؟ من + +384 +00:35:33,930 --> 00:35:38,510 +حافتها للحافة الثانية. إذا هي تعتبر اللي هو C. هذه + +385 +00:35:38,510 --> 00:35:46,690 +بتمثل مين؟ الـ bridge size، تمام. حدّيكم + +386 +00:35:46,690 --> 00:35:52,280 +إياهم الأسئلة. سؤال الثاني: الـ geometric center + +387 +00:35:52,280 --> 00:35:58,040 +distance of a frame can also be termed of the + +388 +00:35:58,040 --> 00:36:03,520 +following except، يعني كل المصطلحات هذه أسماء ثانية + +389 +00:36:03,520 --> 00:36:07,400 +لمين؟ للـ geometric center distance. مع ده واحدة + +390 +00:36:07,400 --> 00:36:12,160 +عندنا: a frame center distance، distance between + +391 +00:36:12,160 --> 00:36:17,520 +centers، a frame BD، or a frame difference. إذا هي دي + +392 +00:36:17,520 --> 00:36:23,880 +frame difference، مئة في المئة. السؤال الثالث: a + +393 +00:36:23,880 --> 00:36:31,420 +frame has the following manufacturer's marking. اه + +394 +00:36:31,420 --> 00:36:35,760 +بس هو فيه له تكملة السؤال، أنه بدنا نحسب قداش قيمة + +395 +00:36:35,760 --> 00:36:41,640 +اللي هو الـ IBD. يعني الآن لو أنا مثلاً قلت لك أنه + +396 +00:36:41,640 --> 00:36:51,100 +إطار عندنا 40 مثلاً، 5 + +397 +00:36:51,100 --> 00:36:58,180 +و 20، تمام؟ إذا عندنا بالشكل هذا كده، قيمة الـ + +398 +00:36:58,180 --> 00:37:03,220 +frame PD مئة في المئة 40 زائد 5 و 20 + +399 +00:37:03,220 --> 00:37:08,140 +إذا هتكون \ No newline at end of file diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/WdKMboPcyvo_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/WdKMboPcyvo_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..949ca5273075a7137f894a35654432aeb2babf48 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/WdKMboPcyvo_postprocess.srt @@ -0,0 +1,1744 @@ +1 +00:00:21,530 --> 00:00:24,530 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:24,530 --> 00:00:28,390 +وبركاته and a very good morning to all of you في + +3 +00:00:28,390 --> 00:00:34,350 +المحاضرة السابقة اتناولنا مفهوم ال intra pupillary + +4 +00:00:34,350 --> 00:00:41,830 +distance وعرفنا ان ال IPD is defined as the + +5 +00:00:41,830 --> 00:00:47,810 +distance between from one pupil to another pupil + +6 +00:00:47,810 --> 00:00:53,970 +from another eyeوانتهينا من موضوع ال common + +7 +00:00:53,970 --> 00:01:00,630 +difficulties and their solution أخدنا المشكلة + +8 +00:01:00,630 --> 00:01:06,150 +الأولى إذا كان المريض أو عفوا ال examiner ماعندهوش + +9 +00:01:06,150 --> 00:01:11,350 +قدرة على إغلاق one eye المشكلة اللي هو التانية + +10 +00:01:11,350 --> 00:01:18,600 +أيضا، إيش هي المشكلة التانية؟انه قضية اللي هو ان + +11 +00:01:18,600 --> 00:01:23,540 +ال patient can not close for one اللي هو I بينما + +12 +00:01:23,540 --> 00:01:27,360 +number two لو كان ال examiner في عنده impair ل ال + +13 +00:01:27,360 --> 00:01:32,500 +visual acuity او اللي هو تعطيل بحدة الإبصار الخاصة + +14 +00:01:32,500 --> 00:01:38,520 +للمريض اليوم هنبدأ subject is a strabismic يعني + +15 +00:01:38,520 --> 00:01:46,150 +بمعنى انه ال examiner في عندهأو فيه هناك اللي هو + +16 +00:01:46,150 --> 00:01:48,650 +حول موجود اللي هو في العين + +17 +00:02:02,610 --> 00:02:07,130 +دائما يا جماعة المريض عندما يكون عنده اي نوع من + +18 +00:02:07,130 --> 00:02:12,350 +الحوال سواء كان حوال للداخل ايزوترابيا او كان حوال + +19 +00:02:12,350 --> 00:02:17,230 +للخارج اكزوترابيا اما هو بيزود او بيقلل من قيمة + +20 +00:02:17,230 --> 00:02:21,170 +مين الـ Intrapibular distance لان لو كان العنتين + +21 +00:02:21,170 --> 00:02:27,500 +للداخل ايش هيصير في قيمة ال IBD؟قل صح ولا لا؟ لو + +22 +00:02:27,500 --> 00:02:31,600 +كانت الـ Intel للخارج، هزيد اللي هو قيمة ال IPD + +23 +00:02:31,600 --> 00:02:37,600 +فإما هتكون اللي هو Artificial أي بمعنى مصطنعة سواء + +24 +00:02:37,600 --> 00:02:42,580 +اللي هو كانت high أو كانت ايه low degrees أو low + +25 +00:02:42,580 --> 00:02:47,820 +اللي هو readingto determine a true reading طب احنا + +26 +00:02:47,820 --> 00:02:54,080 +الآن بدنا القيمة الصحيحة لل IPD لهذا الشخص كيف انا + +27 +00:02:54,080 --> 00:02:59,860 +ممكن اللي هو احسبها simply cover the subjects eye + +28 +00:02:59,860 --> 00:03:05,480 +not being observed ببساطة ايش احنا بدنا نغطي العين + +29 +00:03:05,480 --> 00:03:10,220 +اللي احنا مابنفحصها يعني الآن العين اللي مفحوصة + +30 +00:03:10,220 --> 00:03:16,090 +بدها تظلها اللي هوهي اللي عاملة fixation مع اللي + +31 +00:03:16,090 --> 00:03:20,030 +هو ال examiner والعين الغير مفحوظة بدنا نعمل لها + +32 +00:03:20,030 --> 00:03:23,190 +اللي هو occluder اللي هو تغطية او اللي هو cover + +33 +00:03:23,190 --> 00:03:27,790 +فاهمين علي كيف؟ يعني بمعنى اخر انه المريض بيصبح + +34 +00:03:27,790 --> 00:03:35,020 +for one eye بعين واحدةthis ensures that the + +35 +00:03:35,020 --> 00:03:39,160 +subject is fixating with the eye under observation + +36 +00:03:39,160 --> 00:03:45,140 +هذا بيضطر ضمانة ان المريض ايش هيظله عامل اللي هو + +37 +00:03:45,140 --> 00:03:49,480 +fixation for one eye يعني في العين اللي هي under + +38 +00:03:49,480 --> 00:03:53,500 +observation يعني العين اللي هي تحت الفحص اللي احنا + +39 +00:03:53,500 --> 00:03:54,300 +بنشتغل فيها + +40 +00:03:58,710 --> 00:04:03,830 +و هاد العين مش هيصير لها اي تنحراف لداخل او الخارج + +41 +00:04:03,830 --> 00:04:05,630 +او الأعلى او الأسفل + +42 +00:04:09,530 --> 00:04:13,650 +instances يعني في بعض الحالات أو في بعض اللي هو + +43 +00:04:13,650 --> 00:04:20,470 +المرضى where one eye turns out constantly يعني في + +44 +00:04:20,470 --> 00:04:25,130 +بعض الحالات أن زاوية الحول أو الحول دايما بيكون + +45 +00:04:25,130 --> 00:04:30,530 +باتجاه معين يعني ثابت constantly لا يتغير أو غير + +46 +00:04:30,530 --> 00:04:31,330 +متقطع + +47 +00:04:36,260 --> 00:04:43,080 +Okay إذا in some instances where one eye turns out + +48 +00:04:43,080 --> 00:04:48,890 +constantly، إذا زاوية الحول هتظلها باتجاه معينThe + +49 +00:04:48,890 --> 00:04:52,730 +prescribing doctor may determine or the + +50 +00:04:52,730 --> 00:04:56,730 +prescribing optometrist may determine that the + +51 +00:04:56,730 --> 00:05:02,170 +wearer is better served if the lenses are centered + +52 +00:05:02,170 --> 00:05:07,430 +in front of the pupils الآن أخصاء البصريات إيش بده + +53 +00:05:07,430 --> 00:05:14,470 +يعمل؟ بده يعمل إزاحة لهذه العين بحيث أنه تصبحالعين + +54 +00:05:14,470 --> 00:05:18,630 +يعني عاملة Decentration وبتطلع من مين؟ من ال + +55 +00:05:18,630 --> 00:05:23,990 +optical center of a lens مرة تانية، إذا كانت العين + +56 +00:05:23,990 --> 00:05:30,650 +فيها حول دائم للداخل أو للخارج، الآن وظيفة أخصاء + +57 +00:05:30,650 --> 00:05:35,250 +البصريات إيش يعمل؟ Decentration إزاحة، لمين؟ لل + +58 +00:05:35,250 --> 00:05:39,670 +optical center of a lens، بحيث أنه تصبح العين اللي + +59 +00:05:39,670 --> 00:05:45,020 +هو straightيعني انه دون أي اللي هو حواله أو اذا + +60 +00:05:45,020 --> 00:05:49,860 +كانت ال angle of deviation عالية كتير انه بده يعمل + +61 +00:05:49,860 --> 00:05:52,060 +اللي هو تقليل لهذه الزاوية + +62 +00:05:55,010 --> 00:06:00,590 +This will require that a separate measure be taken + +63 +00:06:00,590 --> 00:06:06,090 +for each I كيف يمكن إجراء هذا العمل؟ من خلال أنه + +64 +00:06:06,090 --> 00:06:11,770 +أنا باخد قيمة ال IBD لكل عين على حده، يعني بنعملش + +65 +00:06:11,770 --> 00:06:16,510 +اللي هو binocular IBD، بعمل حاجة بنسميها monocular + +66 +00:06:16,510 --> 00:06:17,250 +BD + +67 +00:06:22,940 --> 00:06:30,240 +تمام او monocular IBD one measurement will then be + +68 +00:06:30,240 --> 00:06:34,600 +considerably larger than the other اكيد الان اما + +69 +00:06:34,600 --> 00:06:41,000 +انا بدي اعمل قياس monocular BD هيكون في عندى قيمة + +70 +00:06:41,000 --> 00:06:46,530 +اللي هو ال IBDلا، اللي هو العين اليمين مختلفة + +71 +00:06:46,530 --> 00:06:50,030 +اختلاف كبير عن العين الشمال، صح ولا لا؟ لو كان + +72 +00:06:50,030 --> 00:06:53,930 +المريض عنده الزاوية اللي حول للداخل في العين + +73 +00:06:53,930 --> 00:06:58,170 +اليمين، إذاً هيكون الـ IBD تعها أيش؟ صغير، مقارنة + +74 +00:06:58,170 --> 00:07:02,010 +في العين الأخرى، فهذا هيعمل اللي هو considerably + +75 +00:07:02,010 --> 00:07:06,470 +اللي هو larger من ناحية اللي هو الـmeasurement، + +76 +00:07:06,470 --> 00:07:11,000 +القياس لكل عينأحنا نتكلم قاعدين اللي هو ال + +77 +00:07:11,000 --> 00:07:19,380 +استرابيزميك اللي هو subject الحالة التالتة، تمام؟ + +78 +00:07:19,380 --> 00:07:25,860 +هي مثلا عندنا الآن، اسمها turn off light، okay، + +79 +00:07:25,860 --> 00:07:29,090 +هال gate هي عندنا في العين اليمينإيش العين؟ + +80 +00:07:29,090 --> 00:07:34,790 +إكزاتروبيا يعني out اللي هو word العين للخارج الآن + +81 +00:07:34,790 --> 00:07:39,550 +احنا بدنا نحاول نستخدم نضارة عشان تعمل اللي هو + +82 +00:07:39,550 --> 00:07:43,870 +ايه؟ Decentration إزاحة بحيث انه تعدل العين في + +83 +00:07:43,870 --> 00:07:49,390 +المنتصف okay لبسة الطفلة الآن نضارة صار اللي هو + +84 +00:07:49,390 --> 00:07:53,350 +تقريبا إيش في عندها؟ اللي هو straightلأ اللي هو + +85 +00:07:53,350 --> 00:07:57,190 +الـ I مين اللي عمل هذا ال issue؟ الـ Decentration + +86 +00:07:57,190 --> 00:08:01,730 +هو أخصاء البصريات من خلال اللي هو التغيير إيش الـ + +87 +00:08:01,730 --> 00:08:04,890 +intra pupillary distance between the two eyes + +88 +00:08:04,890 --> 00:08:06,170 +تمام؟ + +89 +00:08:08,950 --> 00:08:14,350 +طيب subject is an uncooperative child الآن لو كان + +90 +00:08:14,350 --> 00:08:18,910 +الطفل غير متعاون و دايما الأطفال في مجتمعنا غير + +91 +00:08:18,910 --> 00:08:23,530 +متعاونين يعني في صعوبة في أخد اللي هو قيمة ال IBD + +92 +00:08:23,530 --> 00:08:29,970 +if the subject is young or uncooperative making + +93 +00:08:29,970 --> 00:08:35,790 +normal BD measurements impossible إذا هنا هيكون + +94 +00:08:35,790 --> 00:08:43,570 +قياس قيمةالـ IBD إيش مالها؟ صعب جدا أو مستحيل The + +95 +00:08:43,570 --> 00:08:48,210 +dispenser may have to take a canvass to canvass + +96 +00:08:48,210 --> 00:08:51,990 +measurement يعني بياخد من ال lateral canvass ل ال + +97 +00:08:51,990 --> 00:08:57,770 +media canvass قيمة مين؟ ال IBD إتبعتوا عليا؟ بياخد + +98 +00:08:57,770 --> 00:09:00,830 +من ال lateral canvass ل ال media canvass + +99 +00:09:03,270 --> 00:09:08,190 +this is done by measuring from the outer canthus + +100 +00:09:08,190 --> 00:09:19,010 +نفترض مثلا لل right eye تمام to the inner canthus + +101 +00:09:19,010 --> 00:09:26,610 +of the other eye أي بمعنى ال left eye لكن + +102 +00:09:26,610 --> 00:09:31,770 +وين المشكلة unfortunately لسوء الحظThis + +103 +00:09:31,770 --> 00:09:36,810 +measurement is not entirely exact يعني ليس بالضبط + +104 +00:09:36,810 --> 00:09:42,310 +انه يكون دقيق اللي هو جدا تمام؟ Since the inner + +105 +00:09:42,310 --> 00:09:46,950 +canthi of the eyes encroach farther across the + +106 +00:09:46,950 --> 00:09:51,730 +sclera with younger children بنعرف الأطفال دايما + +107 +00:09:52,510 --> 00:09:57,390 +انه بيكونوا زي مين .. زي ال chinese انه بتلاقي كل + +108 +00:09:57,390 --> 00:10:01,490 +اللي هو ال sclera او الصلبة داخلة لجوا بحيث انت مش + +109 +00:10:01,490 --> 00:10:06,390 +قادر تشوفي مين اللي هو ال canthus فهنا بدي اللي هو + +110 +00:10:06,390 --> 00:10:10,790 +ايه قياس غير اللي هو دقيق او بنسميه inaccurate + +111 +00:10:10,790 --> 00:10:14,530 +اللي هو measurement او هو مسميه اللي هو not + +112 +00:10:14,530 --> 00:10:17,890 +entirely exact يعني القيمة ليست بالضبط اللي هو + +113 +00:10:17,890 --> 00:10:23,240 +دقيقةفي انا جبتلكم صورة للموضوع هذا هاي شايفين + +114 +00:10:23,240 --> 00:10:26,620 +عندنا + +115 +00:10:26,620 --> 00:10:34,700 +هنا الان الصلبة او ال sclera مبينة لأ ليش لان كل + +116 +00:10:34,700 --> 00:10:39,080 +العين عاملة ايش دخول للداخل هذا النوع بنسميه اللي + +117 +00:10:39,080 --> 00:10:44,830 +هو ال pseudoSudo الهو ابي كانثا أو الهو سودو + +118 +00:10:44,830 --> 00:10:49,850 +سكوينت انه هو بظهر للناس ان هو عبارة عن حول لكن + +119 +00:10:49,850 --> 00:10:53,810 +يما بتقدم بيه اللي هو العمر بروح اللي هو ايش او + +120 +00:10:53,810 --> 00:10:58,590 +بتم اللي هو إزالته مع اللي هو تقدم العمر طبعا + +121 +00:10:58,590 --> 00:11:03,490 +انقرش further across the sclera يعني ال sclera مش + +122 +00:11:03,490 --> 00:11:08,350 +ظاهرةانه بتختفي كل هيتها فانا مابقدر احد تجديش + +123 +00:11:08,350 --> 00:11:13,070 +القيمة المناسبة لمين لل IPD هذا ايش بيعمل ليه يا + +124 +00:11:13,070 --> 00:11:20,830 +سمية؟ Inaccurate measurement of اللي هو IPD تمام؟ + +125 +00:11:20,830 --> 00:11:26,350 +انه ما بيكون اللي هو دقيقة قيمة ال IPDيعني الآن + +126 +00:11:26,350 --> 00:11:29,910 +يما يكون عندنا طفل عنده الـ pseudosquint زي في + +127 +00:11:29,910 --> 00:11:33,850 +الحالة هذه، من الصعب انا اعمل ايش؟ monocular PD + +128 +00:11:33,850 --> 00:11:41,610 +لأنه هان هيديني تعبير ان قيمة ال PD غير صحيحة خاصة + +129 +00:11:41,610 --> 00:11:45,850 +لو احنا استخدمنا ايش؟ المصطرة اللي هي ال manual + +130 +00:11:45,850 --> 00:11:46,650 +rule + +131 +00:11:52,480 --> 00:11:57,400 +steps in measuring the binocular distance BD هذه + +132 +00:11:57,400 --> 00:12:01,940 +مربط معناه اللي هي الخطوات في عملية اللي هو قياس + +133 +00:12:01,940 --> 00:12:08,660 +ال IBD لاللي هو ال binocular number one dispenser + +134 +00:12:08,660 --> 00:12:14,600 +positions at 40 cm انه لازم يكون ع مسافة جداش 40 + +135 +00:12:14,600 --> 00:12:20,020 +سانتي المسافة ما بين المريض و الفاحص او اللي هو 16 + +136 +00:12:20,020 --> 00:12:25,770 +انشOkay يعني زي المسافة بالضبط اللي بتعملوها + +137 +00:12:25,770 --> 00:12:30,350 +تقريبا تعتمد ال written scope okay تقريبا + +138 +00:12:30,350 --> 00:12:36,950 +Dispenser closes right eye إذا هيغلق اللي هو العين + +139 +00:12:36,950 --> 00:12:45,590 +اليمنى Subject fixes on dispensers left eye إذا + +140 +00:12:45,590 --> 00:12:50,950 +المريض هو هيثبت مين؟العين اللي هو ال open eye أو + +141 +00:12:50,950 --> 00:12:57,390 +اللي هو ال left eye تمام؟ dispenser lines up zero + +142 +00:12:57,390 --> 00:13:01,910 +point الآن انت بدك تحط حفة المصدرة أو قيمة ال zero + +143 +00:13:01,910 --> 00:13:08,170 +على وين؟ على اللي هو ال center of a pupil okay؟ on + +144 +00:13:08,170 --> 00:13:12,820 +subjects right eye at the pupil centerLeft + +145 +00:13:12,820 --> 00:13:18,020 +Pupillary Border أو Left Limbus طيب الصطر اللي .. + +146 +00:13:18,020 --> 00:13:22,660 +العفوان اللي هو الاتجاه التاني للمصطرة بدك تحطيه + +147 +00:13:22,660 --> 00:13:28,880 +على حفة مين؟ الليمبس تمام؟ إذا عندنا أول حاجة + +148 +00:13:28,880 --> 00:13:31,940 +الحفة الأولى بدنا نحطها بال center لاللي هو ال + +149 +00:13:31,940 --> 00:13:36,560 +pupil استوعبين؟ الآن الحفة التانية أين بدنا نحطها؟ + +150 +00:13:36,560 --> 00:13:43,510 +على أطراف الليمبسDispenser closes left eye, opens + +151 +00:13:43,510 --> 00:13:50,650 +right eye، الآن هيغير العكس، مين هيسكر؟ ايوة و + +152 +00:13:50,650 --> 00:13:56,490 +هيفتح مين؟ ال right eye Subject fixates right eye، + +153 +00:13:56,490 --> 00:14:02,450 +إذا الآن المريض هيثبت مين؟ العين اليمين Dispenser + +154 +00:14:02,450 --> 00:14:07,970 +reads of scale، يعني مباشرة أنه هيقرأ مين، اللي هو + +155 +00:14:07,970 --> 00:14:12,870 +القراءةdirectly aligned with left pupil center, + +156 +00:14:13,530 --> 00:14:16,350 +left pupillary border or left limbus + +157 +00:14:24,620 --> 00:14:28,880 +Dispenser encloses right eye of left subject + +158 +00:14:28,880 --> 00:14:31,720 +fixate left eye اللي أنا بدي أعمل عملية + +159 +00:14:31,720 --> 00:14:36,260 +verification كيف ممكن أؤكد أنه نفس الفكرة الأولى + +160 +00:14:36,260 --> 00:14:41,040 +أنه بدنا نغلق اللي هو مين و نفتح اللي هو الشمال + +161 +00:14:42,870 --> 00:14:47,110 +Dispenser checks to make sure zero point is still + +162 +00:14:47,110 --> 00:14:51,470 +correct يعني لازم اتأكد انه قيمة اللي هو ال zero + +163 +00:14:51,470 --> 00:14:55,810 +جاية بالضبط على مين ال center of a pupil عشان انا + +164 +00:14:55,810 --> 00:14:59,690 +امشي في الخطوة التانية او اللي هو قد القراءة + +165 +00:14:59,690 --> 00:15:08,310 +الصحيحة لقيمة اللي هو ال IBD ايضا + +166 +00:15:08,310 --> 00:15:14,080 +عندنا common causes of errorsيعني بمعنى الأسباب + +167 +00:15:14,080 --> 00:15:20,860 +الشائعة لا اللي هو الخطأ There are several common + +168 +00:15:20,860 --> 00:15:27,300 +causes of errors inherent in using a PD rule يعني + +169 +00:15:27,300 --> 00:15:31,120 +في هناك مجموعة من اللي هو الأخطاء اللي يمكن + +170 +00:15:31,120 --> 00:15:36,360 +التعبير عنها خلال إجراء عملية الفحث number one + +171 +00:15:37,320 --> 00:15:41,640 +There will be an error in measurement if the + +172 +00:15:41,640 --> 00:15:47,940 +measures BD differ or differs significantly from + +173 +00:15:47,940 --> 00:15:53,460 +the subjects because the lines of sight are not + +174 +00:15:53,460 --> 00:15:59,120 +parallel الآن يا جماعة أنا ك examiner نفترض كان + +175 +00:15:59,120 --> 00:16:04,440 +عندى ال IBD 70وال patient كان عنده ال IBD كده ايش؟ + +176 +00:16:04,440 --> 00:16:09,380 +خمسين، اذا فيه هناك اختلاف واضح بقيمة ال IBD ما + +177 +00:16:09,380 --> 00:16:12,380 +بين ال examiner و ال patient، هذا ممكن يؤدي إلى + +178 +00:16:12,380 --> 00:16:18,610 +الخطأليش؟ لأن الـ face مش اللي هو face to face، + +179 +00:16:18,610 --> 00:16:21,790 +تمام؟ يعني بمعنى آخر، لما أنا بدي أغلق ال right + +180 +00:16:21,790 --> 00:16:26,350 +eye و أطلع فيه اللي هو الشمال أو العكس، أنه هيكون + +181 +00:16:26,350 --> 00:16:31,510 +فيه نسبة خطأ، تمام؟ طبعا، قداش قيمة الخطأ هذا ربما + +182 +00:16:31,510 --> 00:16:36,070 +تكون درجة، واحد ملي، يعني مش اختلاف اللي هو كبير، + +183 +00:16:36,070 --> 00:16:39,910 +okay؟ بس أيضا تعتبر من ضمن اللي هو ال errors + +184 +00:16:39,910 --> 00:16:50,720 +الأخطاءناخد هان مثال if the measurer bd is 16 mm + +185 +00:16:50,720 --> 00:16:55,560 +larger than the subjects زي ما اتفقنا ان الفرق ما + +186 +00:16:55,560 --> 00:17:00,700 +بين ال IBD بتاع المريض و IBD بتاع ال examiner في + +187 +00:17:00,700 --> 00:17:06,080 +فرق بينهم 16 ملي the reading will be one + +188 +00:17:06,080 --> 00:17:10,740 +millimeter too highيعني هيكون فيه زيادة عن القيمة + +189 +00:17:10,740 --> 00:17:15,960 +الصحيحة لل IPD 1 مليل طيب إيه سببها؟ الـ + +190 +00:17:15,960 --> 00:17:21,500 +Parallactic Error يعني بمعنى إنه ال visual axis أو + +191 +00:17:21,500 --> 00:17:26,480 +ال angle of vision هتكون مختلفة ما بين ال patient + +192 +00:17:26,480 --> 00:17:31,080 +I و اللي هو main examiner I هذي number one + +193 +00:17:34,530 --> 00:17:40,170 +The above error will be increased if the BD rule + +194 +00:17:40,170 --> 00:17:46,990 +is entitled on the subject's nose, so that the + +195 +00:17:46,990 --> 00:17:51,770 +scale is in the most recessed area لو فكرين في + +196 +00:17:51,770 --> 00:17:58,770 +المحاضرة السابقةاتفقنا إنه المريض لازم تكون + +197 +00:17:58,770 --> 00:18:03,550 +المصطرة على أريح مكان بالنسبة له، تمام؟ طيب أنا + +198 +00:18:03,550 --> 00:18:08,730 +مثلا روحت حطيت المصطرة محاذية له اللي هو ال bridge + +199 +00:18:08,730 --> 00:18:13,010 +صار فيه نسبة خطأ، ممكن اتحركت معي، ممكن مثلا لو + +200 +00:18:13,010 --> 00:18:16,770 +كنت اللي هو beginner، أيدي مثلا رجفت، هتعمل اللي + +201 +00:18:16,770 --> 00:18:21,000 +هو تغيير من حيث اللي هو إيه القراءةمستوعبين معايا؟ + +202 +00:18:21,000 --> 00:18:24,560 +وهذا ايش بيعمل اللي هو error في اللي هو ال scale + +203 +00:18:24,560 --> 00:18:30,920 +طيب if the dispenser is too close to the subject + +204 +00:18:30,920 --> 00:18:35,300 +احنا اتفقنا الآن المسافة ما بين المريض و الفاحص + +205 +00:18:35,300 --> 00:18:39,880 +أربعين صانطة تمام؟ طيب الآن مثلا المسافة هذه كانت + +206 +00:18:39,880 --> 00:18:45,250 +أقل كانت عشرين صانطة او عشرة صانطة هتعمل خطأTwo + +207 +00:18:45,250 --> 00:18:51,970 +clothes is closer than the normal 40 cm or 16 inch + +208 +00:18:51,970 --> 00:19:00,450 +distance A significant error will be induced اذا + +209 +00:19:00,450 --> 00:19:05,030 +هذا الخطأ اللي هو الواضح هيكون ايش ماله؟ induced + +210 +00:19:05,030 --> 00:19:11,850 +بمعنى مؤثر متى؟ اذا المريض كان عنده حول اي نوع من + +211 +00:19:11,850 --> 00:19:17,420 +انواع الحولor if the subject doesn't fixate + +212 +00:19:17,420 --> 00:19:20,820 +binocularly يعني ماعندهوش اللي هو ال binocular + +213 +00:19:20,820 --> 00:19:24,720 +single vision يعني عدم قدرة العنتين على الرؤية + +214 +00:19:24,720 --> 00:19:29,680 +بالوضوح في وقت واحد تمام؟ during the BD + +215 +00:19:29,680 --> 00:19:34,710 +measurementإذا إذا كان المريض عنده أي نوع من أنواع + +216 +00:19:34,710 --> 00:19:40,190 +الحول أو كان عنده عدم القدرة على الرؤية اللي هو + +217 +00:19:40,190 --> 00:19:44,490 +بوضوح بين العنتين، هذا بسبب اللي هو اختلاف أو عدم + +218 +00:19:44,490 --> 00:19:47,110 +اللي هو صحة بقيمة الـ IBD + +219 +00:19:50,010 --> 00:19:55,250 +An error can result if the subject's head moves + +220 +00:19:55,250 --> 00:20:00,770 +الان برضه الأخطاء ممكن اثناء عملية الفحص راح مثلا + +221 +00:20:00,770 --> 00:20:05,530 +المريض حرك راسه يمين او شمال او فوق او تحت هيعمل + +222 +00:20:05,530 --> 00:20:10,990 +خطأ في ايش؟ في قيمة القراءة تمام؟ممكن an error can + +223 +00:20:10,990 --> 00:20:15,170 +result if the person measuring أو بمعنى ال + +224 +00:20:15,170 --> 00:20:20,010 +examiner الشخص نفسه انا الفاحس روحت مثلا غيرت اللي + +225 +00:20:20,010 --> 00:20:24,510 +هو اتجاه العين تعتي او اللي هو لفت وجهي يمين او + +226 +00:20:24,510 --> 00:20:29,750 +شمال برضه هيعمل خطأ في القراءة an error will + +227 +00:20:29,750 --> 00:20:34,810 +result if the person measuring doesn't close or + +228 +00:20:34,810 --> 00:20:40,320 +include one eyeالان وانت بتفحصي نفترض ان الفاحص + +229 +00:20:40,320 --> 00:20:45,980 +مغطاش عين تمام اثناء الفحص يعني الان مش انا لازم + +230 +00:20:45,980 --> 00:20:50,900 +اول حاجة اعمل close for الهو one eye و اعمل الهو + +231 +00:20:50,900 --> 00:20:54,820 +open for another eye الان ماعملتش الطريقة هذه روحت + +232 +00:20:54,820 --> 00:20:58,660 +مباشرة حطيت المصدر و العينتين مفتوحات هذا ايضا + +233 +00:20:58,660 --> 00:21:05,250 +هيعمل ايش نسبة خطأ عند الهو او في إجراء الفحصAt a + +234 +00:21:05,250 --> 00:21:11,610 +time to ensure sighting from directly in front of + +235 +00:21:11,610 --> 00:21:15,810 +the subject's eye under observation هذا هيضمن أن + +236 +00:21:15,810 --> 00:21:24,110 +النظر سيكون مباشرة أمام العين من المريض أو العين + +237 +00:21:24,110 --> 00:21:31,790 +اللى بده يتم إجراء عملية الفحصThe subject may not + +238 +00:21:31,790 --> 00:21:36,530 +look directly at the major's pupil الان انا عملت + +239 +00:21:36,530 --> 00:21:41,150 +اللي هو عملية الفحص وكنت straight لكن المريض اثناء + +240 +00:21:41,150 --> 00:21:45,590 +الفحص ماكنش بتطلع اللي هو في المنطقة هذه او مثلا + +241 +00:21:45,590 --> 00:21:50,410 +ال attention بتاعه لفوق او لتحت okay during the + +242 +00:21:50,410 --> 00:21:54,690 +test which will result in an error ايضا هذا هيعمل + +243 +00:21:54,690 --> 00:21:58,510 +اللي هو نسبة خطأ في اللي هو النتيجة النهائية + +244 +00:22:03,370 --> 00:22:10,190 +نعود الآن لـ monocular BD أو الـ monocular IBD + +245 +00:22:10,190 --> 00:22:17,990 +since faces are not always symmetrical دائما يعني + +246 +00:22:17,990 --> 00:22:24,130 +الوجه بيكونش متماثل يعني في بعض الأحيان انه بيكون + +247 +00:22:24,130 --> 00:22:28,730 +هنا غالبا الوجه غير متماثل تمام بين اللي هو الانت + +248 +00:22:28,730 --> 00:22:34,180 +بين اللي هو ال two eyesIt's often necessary to + +249 +00:22:34,180 --> 00:22:40,500 +specify the BD for each I independently فعشان هيك + +250 +00:22:40,500 --> 00:22:45,040 +أو بالسبب اللي هو عدم التماثل لازم انا اعمل قياس + +251 +00:22:45,040 --> 00:22:50,220 +لقيمة ال BD لكل عين على حده يعني independently أي + +252 +00:22:50,220 --> 00:22:56,660 +بمعنى اللي هو بشكل مستقل الهدف + +253 +00:22:56,660 --> 00:23:03,640 +الأساسي in taking في أخد ال BDis to eventually + +254 +00:23:03,640 --> 00:23:08,920 +place the optical centers of the lenses إذن عندنا + +255 +00:23:08,920 --> 00:23:14,000 +الهدف الأساسي إنه أخد الـ monocular BD إن أصل في + +256 +00:23:14,000 --> 00:23:18,320 +المرحلة النهائية إن يكون ال pupil أو ال center of + +257 +00:23:18,320 --> 00:23:23,100 +pupil جاي في منتصف من ال optical center of a lens، + +258 +00:23:23,100 --> 00:23:26,620 +هي الهدف الأساسي Directly + +259 +00:23:28,400 --> 00:23:33,860 +in front of the subject's eyes طب إيش الهدف؟ to + +260 +00:23:33,860 --> 00:23:39,500 +prevent any undesired prismatic effect يعني حتى + +261 +00:23:39,500 --> 00:23:45,760 +اللي يتم منع أو تجنب أي تأثير منشوري غير مرغوف فيه + +262 +00:23:48,790 --> 00:23:55,010 +إذا قمت أحد العيون بإقلاج لعينة شخصية لشخصية + +263 +00:23:55,010 --> 00:24:02,070 +شخصية، فإن الجانب و مركز العيون الموجودة فيه + +264 +00:24:02,070 --> 00:24:05,770 +مواجهة مكان و مكان مواجهة مكان، بشكل مرتبط في + +265 +00:24:05,770 --> 00:24:14,570 +الصورة، لن تتجه من مركز العيون الموجودة فيه مكان + +266 +00:24:14,610 --> 00:24:19,470 +الان لو انا مثلا حطيت المسطرة في منطقة غير مريحة + +267 +00:24:19,470 --> 00:24:24,470 +لمن؟ للمريضالان المريض لو انا بدي اعمله binocular + +268 +00:24:24,470 --> 00:24:29,550 +BD هيكون نظره بشكل غير سليم، يعني بمعنى اخر هيكون + +269 +00:24:29,550 --> 00:24:34,650 +هناك انه ازاحة لاللي هو العين، سواء كانت لليمين او + +270 +00:24:34,650 --> 00:24:39,530 +للشمال، وهذا هيأثر في قيمة مين؟ الفحص تمام؟ + +271 +00:24:39,530 --> 00:24:44,750 +فالطريقة الأسلم والطريقة الأمثل والطريقة الأصح انه + +272 +00:24:44,750 --> 00:24:49,160 +اعمل ايش؟ binocular BD لكل عينبحيث ان انا اعمل + +273 +00:24:49,160 --> 00:24:53,240 +fixation للعين الاولى وبعد ذلك اعمل fixation للعين + +274 +00:24:53,240 --> 00:24:57,560 +التانية واجيب اللي هو قيمة ال monocular بدي ل ال + +275 +00:24:57,560 --> 00:25:04,260 +both eyesهي مثلا عندنا هذا عبارة عن اللي هو مصطرة + +276 +00:25:04,260 --> 00:25:10,120 +تمام اخد اللي هو ال IPD قيمتها جداش 64 اذا كان في + +277 +00:25:10,120 --> 00:25:15,380 +عندنا symmetrical تماثل هيكون هان 32 32 حتى انتوا + +278 +00:25:15,380 --> 00:25:18,680 +عندكم في ال trial frame الآن يما انا بيكون عند + +279 +00:25:18,680 --> 00:25:22,760 +مثلا طلع على جهاز ال Autoref kratometer او جسده + +280 +00:25:22,760 --> 00:25:27,740 +بالمصطرة قيمة ال IPD 64 ايش بعمل بحط من هان مثلا + +281 +00:25:27,740 --> 00:25:32,620 +32 و من هان 32فبتكون لال right و لل left بشكل اللي + +282 +00:25:32,620 --> 00:25:36,760 +هو ايه separate اللي هو منفصل ما بينهم + +283 +00:25:41,120 --> 00:25:45,680 +The error هذه مهمة is not too serious if the + +284 +00:25:45,680 --> 00:25:50,760 +lenses are of the same power الآن لو كانت العين + +285 +00:25:50,760 --> 00:25:56,320 +اليمين minus 3 والعين الشمال minus 3 هذا الأمر غير + +286 +00:25:56,320 --> 00:26:02,220 +مؤثر أو غير اللي هو serious يعني غير فعال أو غير + +287 +00:26:02,220 --> 00:26:04,160 +اللي هو حادث تأثير + +288 +00:26:07,470 --> 00:26:11,650 +and are not strong أو بمعنى انه مايكونش عنده + +289 +00:26:11,650 --> 00:26:14,410 +المريض high refractive error يعني مايكونش فيه عين + +290 +00:26:14,410 --> 00:26:18,970 +عنده minus عشرة والتانية مثلا minus اتناش okay + +291 +00:26:18,970 --> 00:26:26,470 +اللي هو high refractive error if however one lens + +292 +00:26:26,470 --> 00:26:31,410 +is very different from the otherOkay the center + +293 +00:26:31,410 --> 00:26:36,270 +must be placed accurately to prevent unwanted + +294 +00:26:36,270 --> 00:26:40,370 +binocular aprismatic effects نفترض الآن المريض + +295 +00:26:40,370 --> 00:26:45,270 +عنده anisometropia إيش مانعت anisometropia يا + +296 +00:26:45,270 --> 00:26:45,830 +رشاد؟ + +297 +00:26:49,550 --> 00:26:53,770 +مية في المية ان في هناك اختلاف ما بين اللي هو ال + +298 +00:26:53,770 --> 00:26:58,550 +both eyes قيمة الاختلاف هذا مثلا اكتر من اربع هان + +299 +00:26:58,550 --> 00:27:03,130 +بيحكيلي انه لازم قيمة ال BD تكون very accurate لان + +300 +00:27:03,130 --> 00:27:08,090 +اي اختلاف في هذه القيمة ايش هيقده؟لا اللي هو موضوع + +301 +00:27:08,090 --> 00:27:12,030 +عندنا unwanted binocular aprismatic effects اللي + +302 +00:27:12,030 --> 00:27:16,930 +هو تأثير منشوري أو عدم القدرة، عدم قدرة العنتين + +303 +00:27:16,930 --> 00:27:23,350 +على رؤية بوضوح at the same time تمام؟ monocular PD + +304 +00:27:23,350 --> 00:27:28,590 +are also important when using aspheric lenses or + +305 +00:27:28,590 --> 00:27:34,450 +high index lenses included polycarbonate lensesفيه + +306 +00:27:34,450 --> 00:27:38,630 +هناك بعض العدسات زي مثلا الـ high index material + +307 +00:27:38,630 --> 00:27:42,930 +أو مثلا عندنا ال polycarbonate هذا النوع من + +308 +00:27:42,930 --> 00:27:47,210 +العدسات فيها يا جماعة ال chromatic aberration أو + +309 +00:27:47,210 --> 00:27:51,230 +ال spherical aberration عالية عارفين ايش معناها؟ + +310 +00:27:51,230 --> 00:27:53,350 +ايش معنات ال chromatic aberration او ال spherical + +311 +00:27:53,350 --> 00:27:57,670 +aberration؟يعني المريض يما بتطلع من ال center + +312 +00:27:57,670 --> 00:28:01,650 +بتكون الرؤية واضح، يما بتطلع من ال peripheral + +313 +00:28:01,650 --> 00:28:06,200 +بيكون هناك فيه distortionواضحة الفكرة؟ هذه معناها + +314 +00:28:06,200 --> 00:28:10,500 +الـ spherical aberration أو اللي هو ما يسمى باللي + +315 +00:28:10,500 --> 00:28:16,740 +هو ال chromatic aberration هان هو ضايف أيضا، high + +316 +00:28:16,740 --> 00:28:21,520 +index lenses have more chromatic aberration وضيفه + +317 +00:28:21,520 --> 00:28:25,660 +كمان spherical aberration than crown glasses or + +318 +00:28:25,660 --> 00:28:35,840 +regular CR 39 plastic lensesالـ Negative effect of + +319 +00:28:35,840 --> 00:28:40,440 +achromatic aberration or spherical aberration on + +320 +00:28:40,440 --> 00:28:46,120 +vision is increased if the eye is not looking + +321 +00:28:46,120 --> 00:28:49,040 +through the optical center of the lens + +322 +00:29:10,150 --> 00:29:18,010 +بالنسبة لـ procedure أو التكنيك for measuring + +323 +00:29:18,010 --> 00:29:25,510 +monocular BD using a ruler يعني ايش الخطوات اللي + +324 +00:29:25,510 --> 00:29:32,240 +بتتم اجراءها لقياس قيمة ال monocular BDMonocular + +325 +00:29:32,240 --> 00:29:39,100 +PD are taken by measuring from the center of the + +326 +00:29:39,100 --> 00:29:43,240 +nose to the center of the pupil يعني من ال center + +327 +00:29:43,240 --> 00:29:47,820 +of the nose تمام لل center لل pupil يعني بدك كل + +328 +00:29:47,820 --> 00:29:49,000 +عين تاخديها على حدة + +329 +00:30:16,380 --> 00:30:25,140 +أول حاجة بدنا نقيص مين؟اللي هو ال IBD للبينوكيلر + +330 +00:30:25,140 --> 00:30:29,960 +لكن هذه مش دايما احنا بنستخدمها الصحيح ليش؟ لو كان + +331 +00:30:29,960 --> 00:30:34,560 +المريض عنده astrabismic I هيكون فيه هناك ايش؟ + +332 +00:30:34,560 --> 00:30:38,920 +false اللي هو reading صح ولا لأ؟ لو مثلا المريض + +333 +00:30:38,920 --> 00:30:45,930 +عندهLoss of fixation في one eye برضه هيكون هناك + +334 +00:30:45,930 --> 00:30:50,770 +ايش؟ يعني false reading كقيمة، هذه مش دايما انه + +335 +00:30:50,770 --> 00:30:55,970 +بنعمل قياس لمين، لا اللي هو ال IPD لل both eyes أو + +336 +00:30:55,970 --> 00:31:01,630 +ال binocular IBD Use the center of the pupil as + +337 +00:31:01,630 --> 00:31:04,590 +the reference point، دايما ال reference point + +338 +00:31:04,590 --> 00:31:09,260 +بتاعتى هي عبارة عن مركز اللي هو ال pupilسواء لو + +339 +00:31:09,260 --> 00:31:13,880 +الـ right أو الـ left eye before moving the ruler + +340 +00:31:13,880 --> 00:31:19,320 +note the scale reading on the ruler at the center + +341 +00:31:19,320 --> 00:31:24,400 +of the nose يعني قبل ما انا بدي احرك المسكرة لازم + +342 +00:31:24,400 --> 00:31:28,780 +الاحظ ان التدريج تاحه وين هيكون في مركز اللي هو ال + +343 +00:31:28,780 --> 00:31:35,960 +nose طبعا انا بتكلم هنا ايه مونوكيلر بي ديThis is + +344 +00:31:35,960 --> 00:31:40,080 +the right monocular PD يعني هذه بالضبط اللي هو ال + +345 +00:31:40,080 --> 00:31:45,020 +exact او ال accurate PD measurement ايضا بدنا نعمل + +346 +00:31:45,020 --> 00:31:49,600 +ايه سبتراكت بدنا نطرح الآن القيمة اللي احنا حصلنا + +347 +00:31:49,600 --> 00:31:54,300 +عليها يعني اجيب مثال لو كان عندنا مثلا ال IBD + +348 +00:31:54,300 --> 00:32:02,680 +كبينوكيلر مثلا ستة و ستين ملي هذه both I او + +349 +00:32:02,680 --> 00:32:07,960 +binocular Iوالان عملنا monocular تمام للعين اليمين + +350 +00:32:07,960 --> 00:32:15,660 +مثلا انه كانت ال IBD للمونوكيلر اتنين و تلاتين + +351 +00:32:15,660 --> 00:32:22,660 +ميلي لل right eye كدش قيمة اللي هو ال left اربعة و + +352 +00:32:22,660 --> 00:32:29,660 +تلاتين اذا هتكون قيمة اربعة و تلاتين تمام هي قيمة + +353 +00:32:29,660 --> 00:32:34,950 +اللي هو ال IBD لمين لل left eye واضح الفكرةإذا + +354 +00:32:34,950 --> 00:32:38,750 +قيمة الـ IBD للـ left eye هي عبارة عن أربعة + +355 +00:32:38,750 --> 00:32:45,850 +وتلاتين ملي متر من خلال + +356 +00:32:45,850 --> 00:32:51,490 +اللي هو الطرح ما بين قيمة ال IBD اللى ال binocular + +357 +00:32:51,490 --> 00:32:56,510 +لل both eyes بدنا نترحى من قيمة اللي هو ال IBD + +358 +00:32:56,510 --> 00:32:59,530 +اللى تم الحصول عليها من one eye + +359 +00:33:02,540 --> 00:33:08,920 +في عندنا هنا example the binocular bd is sixty six + +360 +00:33:08,920 --> 00:33:13,980 +the scale reading at the center of the nose is + +361 +00:33:13,980 --> 00:33:18,000 +thirty two طبعا هذه اما لل right او لل left or + +362 +00:33:18,000 --> 00:33:24,140 +what everالـ Monocular BD للعين الآية الثالثة و32 + +363 +00:33:45,860 --> 00:33:49,380 +طيب الان فى عندنا بعض الأسئلة بدنا نحلهم اللى هو + +364 +00:33:49,380 --> 00:33:54,420 +سويا تمام بتشمل + +365 +00:33:54,420 --> 00:34:01,060 +المحاضرة هذه ومحاضرات سابقة اول حاجة عندنا السؤال + +366 +00:34:01,060 --> 00:34:07,040 +الاول the distance between lenses ايش المسمى + +367 +00:34:07,040 --> 00:34:12,200 +التانى له ال another name ال + +368 +00:34:12,200 --> 00:34:16,540 +distance between lensesممتازة ال frame PD او ال + +369 +00:34:16,540 --> 00:34:21,960 +geometric center lenses صح او ال bridge size ايش + +370 +00:34:21,960 --> 00:34:27,820 +هي ال bridge size؟ ايوة اللي هي ال northwest area + +371 +00:34:27,820 --> 00:34:32,500 +ما بين ال two lenses it's the distance between the + +372 +00:34:32,500 --> 00:34:39,160 +two boxes when both lenses in a frame are boxed + +373 +00:34:39,160 --> 00:34:44,980 +offIt measured from the inside diesel highway + +374 +00:34:44,980 --> 00:34:50,180 +grooves across the bridge at يعني الآن هو بده + +375 +00:34:50,180 --> 00:34:55,580 +السؤال قداش قيمة اللي هو ال bridge size او ما هو + +376 +00:34:55,580 --> 00:34:59,940 +مفهوم ال bridge size ايش هي من الخيارات الأربع؟ + +377 +00:35:02,610 --> 00:35:06,930 +إن هل هي تعتبر ال highest point of the bridge ولا + +378 +00:35:06,930 --> 00:35:11,150 +ال horizontal midline أو ال datum اللي هو line of + +379 +00:35:11,150 --> 00:35:16,410 +the frame ولا ال norwest point of the bridge ولا + +380 +00:35:16,410 --> 00:35:20,230 +ال geometric center or boxing center line of the + +381 +00:35:20,230 --> 00:35:26,310 +frameهي عبارة عن اللي هو ال point of the bridge + +382 +00:35:26,310 --> 00:35:29,490 +الان انا النضارة لما بمسكها بدي قيمة ال bridge + +383 +00:35:29,490 --> 00:35:33,930 +size هي اضيق مسافة تحت ال bridge صح ولا لا من + +384 +00:35:33,930 --> 00:35:38,510 +حفتها للحفة التانية اذا هي تعتبر اللي هو C هذه + +385 +00:35:38,510 --> 00:35:46,690 +بتمثل مين ال bridge size تمام حدّيكم + +386 +00:35:46,690 --> 00:35:52,280 +اياهم الأسئلةسؤال التاني الـ geometric center + +387 +00:35:52,280 --> 00:35:58,040 +distance of a frame can also be termed of the + +388 +00:35:58,040 --> 00:36:03,520 +following except يعني كل المصطلحات هذه أسماء تانية + +389 +00:36:03,520 --> 00:36:07,400 +لمين للـ geometric center distance مع ده واحدة + +390 +00:36:07,400 --> 00:36:12,160 +عندنا a frame center distance distance between + +391 +00:36:12,160 --> 00:36:17,520 +center a frame bd or a frame differenceإذا هي دي + +392 +00:36:17,520 --> 00:36:23,880 +frame difference مية في المية السؤال التالت a + +393 +00:36:23,880 --> 00:36:31,420 +frame has the following manufacturers marking اه + +394 +00:36:31,420 --> 00:36:35,760 +بس هو فيه له تكمل السؤال انه بدنا نحسب قداش قيمة + +395 +00:36:35,760 --> 00:36:41,640 +اللي هو ال IBD يعني الآن لو انا مثلا قلتلك انه + +396 +00:36:41,640 --> 00:36:51,100 +اطار عندناأربعين مثلا خمسة + +397 +00:36:51,100 --> 00:36:58,180 +و عشرين تمام إذا عندنا بالشكل هذا كده قيمة ال + +398 +00:36:58,180 --> 00:37:03,220 +frame بي دي مية في المية أربعين زيادة خمسة و عشرين + +399 +00:37:03,220 --> 00:37:08,140 +إذا هتكون خمسة و ستين استوعبين هذه قيمة اللي هو ال + +400 +00:37:08,140 --> 00:37:15,240 +frame بي دياللي هي بتكون خمسة وستين يعني بمعنى اخر + +401 +00:37:15,240 --> 00:37:18,980 +انه انا جمعت قيمة ال bridge size مع ال a dimension + +402 +00:37:25,420 --> 00:37:29,680 +طيب the overall length إذا مدان بتكلم overall + +403 +00:37:29,680 --> 00:37:34,520 +length of the temple إذا أنا بتكلم على مين؟ ال + +404 +00:37:34,520 --> 00:37:39,340 +total يعني بما فيهم ال bend أو بما فيهم اللي هو + +405 +00:37:39,340 --> 00:37:44,660 +المنطقة اللي بتكون over the ear the overall length + +406 +00:37:44,660 --> 00:37:49,700 +of a spectacle frame temple is measured between + +407 +00:37:49,700 --> 00:37:55,670 +the posterior of the temple and endback surface of + +408 +00:37:55,670 --> 00:38:00,810 +the frame front ولا ال bottom of the temple ولا ال + +409 +00:38:00,810 --> 00:38:04,850 +in piece of the frame front ولا ال center of the + +410 +00:38:04,850 --> 00:38:11,440 +screw holeدى مية في المية ال center of the screw + +411 +00:38:11,440 --> 00:38:15,260 +hole يعني الآن يما انا بدي اقيص اللى هو ال total + +412 +00:38:15,260 --> 00:38:19,540 +او ال overall timber length باجي من ال center اللى + +413 +00:38:19,540 --> 00:38:25,160 +هو ال screw لحدى اللى هو مين نهاية اللى هو ال bend + +414 +00:38:25,160 --> 00:38:30,580 +okay the + +415 +00:38:30,580 --> 00:38:35,640 +optical center of an ophthalmic lens اذا انا بتكلم + +416 +00:38:35,640 --> 00:38:37,240 +ايش optical center + +417 +00:38:50,590 --> 00:38:57,390 +واللي هتكون مقابلة للجيومتريكسينتر of the frames + +418 +00:38:57,390 --> 00:39:02,610 +eyewire ولا that has no prismatic effect ولا that + +419 +00:39:02,610 --> 00:39:05,830 +has the desired diopteric power + +420 +00:39:08,710 --> 00:39:13,290 +C ليش انه that lines up with the patient view بل + +421 +00:39:13,290 --> 00:39:17,610 +لأ هي مش اعلى هي لازم تكون محاذية طب هنقع ايش قال + +422 +00:39:17,610 --> 00:39:21,230 +ليه؟ Corresponds اي بمعنى مقابلة لل geometric + +423 +00:39:21,230 --> 00:39:25,730 +center لأ 100% مش دايما انه بيكون متبقين لل + +424 +00:39:25,730 --> 00:39:28,930 +geometric يعني ال geometric center مع اللي هو مين + +425 +00:39:28,930 --> 00:39:32,850 +مع ال boxing اللي هو ال system اذا هي النقطة اللي + +426 +00:39:32,850 --> 00:39:36,830 +ما بيكون فيها اي تتأثير منشوري اذا هي تعتبر C + +427 +00:39:40,450 --> 00:39:46,890 +طيب سؤال اللي هو ستة an easy way يعني طريقة مبسطة + +428 +00:39:46,890 --> 00:39:52,090 +أو بسيطة لحساب ال distance between center او + +429 +00:39:52,090 --> 00:39:56,110 +بنسميها ايش ال geometric center distance او ال + +430 +00:39:56,110 --> 00:40:01,250 +frame BD هو ال frame BD of a given frame is to add + +431 +00:40:01,250 --> 00:40:07,220 +a dimension or I size to the B dimensionالـ C + +432 +00:40:07,220 --> 00:40:11,420 +dimension, the distance between lenses or bridge + +433 +00:40:11,420 --> 00:40:16,600 +size أو الديامتر الأفكتر هو كده كتبت لكم إياها ال + +434 +00:40:16,600 --> 00:40:19,880 +A dimension مع ال bridge اللي هو ال size إذا هتكون + +435 +00:40:19,880 --> 00:40:26,020 +أيش؟ اللي هو C تمام هديكم إياهم الأسئلة يعطيكم + +436 +00:40:26,020 --> 00:40:26,540 +العافية + diff --git 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عنده اي نوع من الحوال سواء كان حوال للداخل ايزوترابيا او كان حوال للخارج اكزوترابيا اما هو بيزود او بيقلل من قيمة مين الـ Intrapibular distance لان لو كان العنتين للداخل ايش هيصير في قيمة ال IBD؟", "tokens": [3215, 16373, 15042, 35186, 10874, 15042, 27884, 9673, 16572, 11242, 43242, 15042, 7251, 30544, 43242, 3224, 1975, 1829, 8717, 45367, 9154, 21542, 2407, 6027, 8608, 2407, 16606, 25961, 11331, 2407, 6027, 24976, 3215, 47283, 1211, 1975, 1829, 11622, 35473, 2288, 16758, 25528, 1975, 2407, 25961, 11331, 2407, 6027, 24976, 9778, 9640, 7435, 1975, 4117, 11622, 35473, 2288, 16758, 25528, 1975, 15042, 31439, 4724, 1829, 11622, 23328, 1975, 2407, 4724, 1829, 4587, 1211, 1211, 9154, 12174, 32640, 3660, 3714, 9957, 2423, 39184, 5681, 4007, 897, 1040, 4560, 5296, 7649, 45164, 25961, 18863, 29399, 9957, 24976, 3215, 47283, 1211, 1975, 1829, 8592, 8032, 1829, 9381, 13546, 8978, 12174, 32640, 3660, 2423, 40385, 35, 22807], "avg_logprob": -0.18625553308335024, "compression_ratio": 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0.87255859375}, {"start": 201.09, "end": 201.35, "word": " اللي", "probability": 0.7734375}, {"start": 201.35, "end": 201.51, "word": " هو", "probability": 0.98388671875}, {"start": 201.51, "end": 202.05, "word": " تغطية", "probability": 0.980224609375}, {"start": 202.05, "end": 202.45, "word": " او", "probability": 0.6766357421875}, {"start": 202.45, "end": 202.63, "word": " اللي", "probability": 0.9609375}, {"start": 202.63, "end": 202.83, "word": " هو", "probability": 0.99462890625}, {"start": 202.83, "end": 203.19, "word": " cover", "probability": 0.9931640625}, {"start": 203.19, "end": 204.19, "word": " فاهمين", "probability": 0.890625}, {"start": 204.19, "end": 204.33, "word": " علي", "probability": 0.60986328125}, {"start": 204.33, "end": 205.15, "word": " كيف؟", "probability": 0.7540690104166666}, {"start": 205.15, "end": 205.35, "word": " يعني", "probability": 0.872314453125}, {"start": 205.35, "end": 205.75, "word": " بمعنى", "probability": 0.99052734375}, {"start": 205.75, "end": 206.09, "word": " اخر", "probability": 0.784912109375}, {"start": 206.09, "end": 206.53, "word": " انه", "probability": 0.627685546875}, {"start": 206.53, "end": 207.03, "word": " المريض", "probability": 0.9794921875}, {"start": 207.03, "end": 207.79, "word": " بيصبح", "probability": 0.7818603515625}, {"start": 207.79, "end": 208.21, "word": " for", "probability": 0.94677734375}, {"start": 208.21, "end": 208.53, "word": " one", "probability": 0.95361328125}, {"start": 208.53, "end": 208.89, "word": " eye", "probability": 0.90185546875}, {"start": 208.89, "end": 209.49, "word": " بعين", "probability": 0.707763671875}, {"start": 209.49, "end": 209.93, "word": " واحدة", "probability": 0.95947265625}], "temperature": 1.0}, {"id": 9, "seek": 23430, "start": 212.32, "end": 234.3, "text": "this ensures that the subject is fixating with the eye under observation هذا بيضطر ضمانة ان المريض ايش هيظله عامل اللي هو fixation for one eye يعني في العين اللي هي under observation يعني العين اللي هي تحت الفحص اللي احنا بنشتغل فيها", "tokens": [11176, 28111, 300, 264, 3983, 307, 3191, 990, 365, 264, 3313, 833, 14816, 23758, 4724, 1829, 11242, 9566, 2288, 48812, 2304, 7649, 3660, 16472, 9673, 16572, 11242, 1975, 1829, 8592, 39896, 19913, 43761, 6225, 10943, 1211, 13672, 1829, 31439, 3191, 399, 337, 472, 3313, 37495, 22653, 8978, 18863, 9957, 13672, 1829, 39896, 833, 14816, 37495, 22653, 18863, 9957, 13672, 1829, 39896, 6055, 33753, 27188, 5016, 9381, 13672, 1829, 1975, 5016, 8315, 44945, 8592, 2655, 17082, 1211, 8978, 11296], "avg_logprob": -0.18700553533397143, "compression_ratio": 1.7098445595854923, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 212.32, "end": 212.78, "word": "this", "probability": 0.2242431640625}, {"start": 212.78, "end": 213.82, "word": " ensures", "probability": 0.85888671875}, {"start": 213.82, "end": 214.64, "word": " that", "probability": 0.94189453125}, {"start": 214.64, "end": 215.02, "word": " the", "probability": 0.818359375}, {"start": 215.02, "end": 215.6, "word": " subject", "probability": 0.9560546875}, {"start": 215.6, "end": 216.04, "word": " is", "probability": 0.9599609375}, {"start": 216.04, "end": 217.06, "word": " fixating", "probability": 0.9287109375}, {"start": 217.06, "end": 217.3, "word": " with", "probability": 0.92236328125}, {"start": 217.3, "end": 217.5, "word": " the", "probability": 0.8134765625}, {"start": 217.5, "end": 217.72, "word": " eye", "probability": 0.89111328125}, {"start": 217.72, "end": 218.28, "word": " under", "probability": 0.69677734375}, {"start": 218.28, "end": 219.16, "word": " observation", "probability": 0.93017578125}, {"start": 219.16, "end": 219.9, "word": " هذا", "probability": 0.68310546875}, {"start": 219.9, "end": 220.34, "word": " بيضطر", "probability": 0.684228515625}, {"start": 220.34, "end": 220.92, "word": " ضمانة", "probability": 0.9290771484375}, {"start": 220.92, "end": 221.82, "word": " ان", "probability": 0.41259765625}, {"start": 221.82, "end": 222.32, "word": " المريض", "probability": 0.9365234375}, {"start": 222.32, "end": 222.52, "word": " ايش", "probability": 0.7037760416666666}, {"start": 222.52, "end": 223.14, "word": " هيظله", "probability": 0.7265625}, {"start": 223.14, "end": 224.74, "word": " عامل", "probability": 0.9200846354166666}, {"start": 224.74, "end": 224.94, "word": " اللي", "probability": 0.680419921875}, {"start": 224.94, "end": 225.14, "word": " هو", "probability": 0.97021484375}, {"start": 225.14, "end": 225.88, "word": " fixation", "probability": 0.90771484375}, {"start": 225.88, "end": 226.32, "word": " for", "probability": 0.8916015625}, {"start": 226.32, "end": 226.56, "word": " one", "probability": 0.9541015625}, {"start": 226.56, "end": 226.9, "word": " eye", "probability": 0.91845703125}, {"start": 226.9, "end": 228.18, "word": " يعني", "probability": 0.58123779296875}, {"start": 228.18, "end": 228.3, "word": " في", "probability": 0.8759765625}, {"start": 228.3, "end": 228.68, "word": " العين", "probability": 0.98876953125}, {"start": 228.68, "end": 228.9, "word": " اللي", "probability": 0.94970703125}, {"start": 228.9, "end": 229.1, "word": " هي", "probability": 0.740234375}, {"start": 229.1, "end": 229.48, "word": " under", "probability": 0.8515625}, {"start": 229.48, "end": 230.4, "word": " observation", "probability": 0.9375}, {"start": 230.4, "end": 230.88, "word": " يعني", "probability": 0.9306640625}, {"start": 230.88, "end": 231.18, "word": " العين", "probability": 0.987060546875}, {"start": 231.18, "end": 231.3, "word": " اللي", "probability": 0.96044921875}, {"start": 231.3, "end": 231.48, "word": " هي", "probability": 0.841796875}, {"start": 231.48, "end": 231.78, "word": " تحت", "probability": 0.994140625}, {"start": 231.78, "end": 232.44, "word": " الفحص", "probability": 0.9534505208333334}, {"start": 232.44, "end": 233.36, "word": " اللي", "probability": 0.971923828125}, {"start": 233.36, "end": 233.5, "word": " احنا", "probability": 0.9069010416666666}, {"start": 233.5, "end": 233.92, "word": " بنشتغل", "probability": 0.96962890625}, {"start": 233.92, "end": 234.3, "word": " فيها", "probability": 0.982177734375}], "temperature": 1.0}, {"id": 10, "seek": 24563, "start": 238.71, "end": 245.63, "text": "و هاد العين مش هيصير لها اي تنحراف لداخل او الخارج او الأعلى او الأسفل", "tokens": [2407, 8032, 18513, 18863, 9957, 37893, 39896, 9381, 13546, 5296, 11296, 1975, 1829, 6055, 1863, 5016, 23557, 5172, 5296, 3215, 47283, 1211, 1975, 2407, 33962, 9640, 7435, 1975, 2407, 16247, 3615, 23942, 1975, 2407, 16247, 3794, 5172, 1211], "avg_logprob": -0.31189902470662045, "compression_ratio": 1.4, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 238.70999999999998, "end": 239.51, "word": "و", "probability": 0.76953125}, {"start": 239.51, "end": 240.31, "word": " هاد", "probability": 0.1890869140625}, {"start": 240.31, "end": 240.59, "word": " العين", "probability": 0.984130859375}, {"start": 240.59, "end": 240.73, "word": " مش", "probability": 0.87353515625}, {"start": 240.73, "end": 241.13, "word": " هيصير", "probability": 0.6331380208333334}, {"start": 241.13, "end": 241.33, "word": " لها", "probability": 0.815673828125}, {"start": 241.33, "end": 241.59, "word": " اي", "probability": 0.5968017578125}, {"start": 241.59, "end": 242.35, "word": " تنحراف", "probability": 0.91318359375}, {"start": 242.35, "end": 243.09, "word": " لداخل", "probability": 0.7728271484375}, {"start": 243.09, "end": 243.27, "word": " او", "probability": 0.795166015625}, {"start": 243.27, "end": 243.83, "word": " الخارج", "probability": 0.806396484375}, {"start": 243.83, "end": 244.05, "word": " او", "probability": 0.8837890625}, {"start": 244.05, "end": 244.49, "word": " الأعلى", "probability": 0.7377115885416666}, {"start": 244.49, "end": 244.71, "word": " او", "probability": 0.925537109375}, {"start": 244.71, "end": 245.63, "word": " الأسفل", "probability": 0.9876708984375}], "temperature": 1.0}, {"id": 11, "seek": 27133, "start": 249.53, "end": 271.33, "text": "instances يعني في بعض الحالات أو في بعض اللي هو المرضى where one eye turns out constantly يعني في بعض الحالات أن زاوية الحول أو الحول دايما بيكون باتجاه معين يعني ثابت constantly لا يتغير أو غير متقطع", "tokens": [13911, 2676, 37495, 22653, 8978, 45030, 11242, 21542, 6027, 9307, 34051, 8978, 45030, 11242, 13672, 1829, 31439, 9673, 43042, 7578, 689, 472, 3313, 4523, 484, 6460, 37495, 22653, 8978, 45030, 11242, 21542, 6027, 9307, 14739, 30767, 995, 2407, 10632, 21542, 12610, 34051, 21542, 12610, 11778, 47302, 15042, 4724, 1829, 30544, 4724, 9307, 7435, 40294, 20449, 9957, 37495, 22653, 38637, 16758, 2655, 6460, 20193, 7251, 2655, 17082, 13546, 34051, 32771, 13546, 44650, 47432, 3615], "avg_logprob": -0.14104730313694155, "compression_ratio": 1.7897727272727273, "no_speech_prob": 1.1920928955078125e-06, "words": [{"start": 249.53, "end": 250.59, "word": "instances", "probability": 0.671875}, {"start": 250.59, "end": 251.01, "word": " يعني", "probability": 0.870849609375}, {"start": 251.01, "end": 251.17, "word": " في", "probability": 0.95654296875}, {"start": 251.17, "end": 251.47, "word": " بعض", "probability": 0.994140625}, {"start": 251.47, "end": 252.15, "word": " الحالات", "probability": 0.8992513020833334}, {"start": 252.15, "end": 252.63, "word": " أو", "probability": 0.61083984375}, {"start": 252.63, "end": 252.81, "word": " في", "probability": 0.9736328125}, {"start": 252.81, "end": 253.15, "word": " بعض", "probability": 0.99365234375}, {"start": 253.15, "end": 253.41, "word": " اللي", "probability": 0.9345703125}, {"start": 253.41, "end": 253.65, "word": " هو", "probability": 0.98876953125}, {"start": 253.65, "end": 254.37, "word": " المرضى", "probability": 0.9835611979166666}, {"start": 254.37, "end": 255.43, "word": " where", "probability": 0.892578125}, {"start": 255.43, "end": 256.01, "word": " one", "probability": 0.95361328125}, {"start": 256.01, "end": 256.45, "word": " eye", "probability": 0.916015625}, {"start": 256.45, "end": 257.67, "word": " turns", "probability": 0.828125}, {"start": 257.67, "end": 258.33, "word": " out", "probability": 0.86279296875}, {"start": 258.33, "end": 259.57, "word": " constantly", "probability": 0.59716796875}, {"start": 259.57, "end": 260.35, "word": " يعني", "probability": 0.871826171875}, {"start": 260.35, "end": 260.47, "word": " في", "probability": 0.97607421875}, {"start": 260.47, "end": 260.73, "word": " بعض", "probability": 0.99560546875}, {"start": 260.73, "end": 261.31, "word": " الحالات", "probability": 0.9480794270833334}, {"start": 261.31, "end": 261.55, "word": " أن", "probability": 0.319091796875}, {"start": 261.55, "end": 262.85, "word": " زاوية", "probability": 0.939453125}, {"start": 262.85, "end": 263.41, "word": " الحول", "probability": 0.83984375}, {"start": 263.41, "end": 263.91, "word": " أو", "probability": 0.86181640625}, {"start": 263.91, "end": 264.37, "word": " الحول", "probability": 0.96875}, {"start": 264.37, "end": 264.77, "word": " دايما", "probability": 0.88525390625}, {"start": 264.77, "end": 265.13, "word": " بيكون", "probability": 0.7861328125}, {"start": 265.13, "end": 265.69, "word": " باتجاه", "probability": 0.9468994140625}, {"start": 265.69, "end": 266.23, "word": " معين", "probability": 0.9873046875}, {"start": 266.23, "end": 267.11, "word": " يعني", "probability": 0.83154296875}, {"start": 267.11, "end": 267.93, "word": " ثابت", "probability": 0.9949544270833334}, {"start": 267.93, "end": 268.63, "word": " constantly", "probability": 0.46923828125}, {"start": 268.63, "end": 268.83, "word": " لا", "probability": 0.93701171875}, {"start": 268.83, "end": 269.51, "word": " يتغير", "probability": 0.910888671875}, {"start": 269.51, "end": 270.31, "word": " أو", "probability": 0.8134765625}, {"start": 270.31, "end": 270.53, "word": " غير", "probability": 0.9970703125}, {"start": 270.53, "end": 271.33, "word": " متقطع", "probability": 0.9886067708333334}], "temperature": 1.0}, {"id": 12, "seek": 28744, "start": 276.26, "end": 287.44, "text": "Okay إذا in some instances where one eye turns out constantly، إذا زاوية الحول هتظلها باتجاه معين", "tokens": [8297, 11933, 15730, 294, 512, 14519, 689, 472, 3313, 4523, 484, 6460, 12399, 11933, 15730, 30767, 995, 2407, 10632, 21542, 12610, 8032, 2655, 19913, 1211, 11296, 4724, 9307, 7435, 40294, 20449, 9957], "avg_logprob": -0.19791666666666666, "compression_ratio": 1.1016949152542372, "no_speech_prob": 0.0, "words": [{"start": 276.26, "end": 276.62, "word": "Okay", "probability": 0.59423828125}, {"start": 276.62, "end": 277.84, "word": " إذا", "probability": 0.6431884765625}, {"start": 277.84, "end": 278.24, "word": " in", "probability": 0.7783203125}, {"start": 278.24, "end": 278.62, "word": " some", "probability": 0.92822265625}, {"start": 278.62, "end": 279.76, "word": " instances", "probability": 0.9853515625}, {"start": 279.76, "end": 280.52, "word": " where", "probability": 0.943359375}, {"start": 280.52, "end": 281.1, "word": " one", "probability": 0.9541015625}, {"start": 281.1, "end": 281.54, "word": " eye", "probability": 0.7724609375}, {"start": 281.54, "end": 282.5, "word": " turns", "probability": 0.9072265625}, {"start": 282.5, "end": 283.08, "word": " out", "probability": 0.876953125}, {"start": 283.08, "end": 284.24, "word": " constantly،", "probability": 0.597412109375}, {"start": 284.24, "end": 284.44, "word": " إذا", "probability": 0.931396484375}, {"start": 284.44, "end": 284.98, "word": " زاوية", "probability": 0.974365234375}, {"start": 284.98, "end": 285.52, "word": " الحول", "probability": 0.740966796875}, {"start": 285.52, "end": 286.36, "word": " هتظلها", "probability": 0.802001953125}, {"start": 286.36, "end": 286.94, "word": " باتجاه", "probability": 0.9517822265625}, {"start": 286.94, "end": 287.44, "word": " معين", "probability": 0.983642578125}], "temperature": 1.0}, {"id": 13, "seek": 31279, "start": 288.49, "end": 312.79, "text": "The prescribing doctor may determine or the prescribing 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0.95361328125}, {"start": 484.25, "end": 484.89, "word": " eyes", "probability": 0.7802734375}, {"start": 484.89, "end": 486.17, "word": " تمام؟", "probability": 0.90087890625}], "temperature": 1.0}, {"id": 22, "seek": 51729, "start": 488.95, "end": 517.29, "text": "طيب subject is an uncooperative child الآن لو كان الطفل غير متعاون و دايما الأطفال في مجتمعنا غير متعاونين يعني في صعوبة في أخد اللي هو قيمة ال IBD if the subject is young or uncooperative making normal BD measurements impossible إذا هنا هيكون قياس قيمة", "tokens": [9566, 1829, 3555, 3983, 307, 364, 6219, 78, 7192, 1166, 1440, 6024, 48506, 45164, 25961, 41950, 5172, 1211, 32771, 13546, 44650, 3615, 995, 11536, 4032, 11778, 47302, 15042, 16247, 9566, 5172, 6027, 8978, 3714, 7435, 39237, 3615, 8315, 32771, 13546, 44650, 3615, 995, 11536, 9957, 37495, 22653, 8978, 20328, 3615, 37746, 3660, 8978, 5551, 9778, 3215, 13672, 1829, 31439, 12174, 32640, 3660, 2423, 40385, 35, 498, 264, 3983, 307, 2037, 420, 6219, 78, 7192, 1166, 1455, 2710, 363, 35, 15383, 6243, 11933, 15730, 34105, 39896, 30544, 12174, 25528, 3794, 12174, 32640, 3660], "avg_logprob": -0.1493615520897732, "compression_ratio": 1.5276595744680852, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 488.95, "end": 489.39, "word": "طيب", "probability": 0.8497721354166666}, {"start": 489.39, "end": 490.21, "word": " subject", "probability": 0.767578125}, {"start": 490.21, "end": 490.81, "word": " is", "probability": 0.9365234375}, {"start": 490.81, "end": 491.23, "word": " an", "probability": 0.87548828125}, {"start": 491.23, "end": 492.23, "word": " uncooperative", "probability": 0.7647705078125}, {"start": 492.23, "end": 492.99, "word": " child", "probability": 0.90380859375}, {"start": 492.99, "end": 493.91, "word": " الآن", "probability": 0.58941650390625}, {"start": 493.91, "end": 494.11, "word": " لو", "probability": 0.93359375}, {"start": 494.11, "end": 494.35, "word": " كان", "probability": 0.9892578125}, {"start": 494.35, "end": 494.73, "word": " الطفل", "probability": 0.986328125}, {"start": 494.73, "end": 494.95, "word": " غير", "probability": 0.996826171875}, {"start": 494.95, "end": 495.55, "word": " متعاون", "probability": 0.984375}, {"start": 495.55, "end": 495.97, "word": " و", "probability": 0.8681640625}, {"start": 495.97, "end": 496.37, "word": " دايما", "probability": 0.6710611979166666}, {"start": 496.37, "end": 497.11, "word": " الأطفال", "probability": 0.9525146484375}, {"start": 497.11, "end": 497.55, "word": " في", "probability": 0.892578125}, {"start": 497.55, "end": 498.25, "word": " مجتمعنا", "probability": 0.96083984375}, {"start": 498.25, "end": 498.91, "word": " غير", "probability": 0.996337890625}, {"start": 498.91, "end": 499.71, "word": " متعاونين", "probability": 0.990625}, {"start": 499.71, "end": 500.59, "word": " يعني", "probability": 0.859619140625}, {"start": 500.59, "end": 500.75, "word": " في", "probability": 0.83447265625}, {"start": 500.75, "end": 501.41, "word": " صعوبة", "probability": 0.979248046875}, {"start": 501.41, "end": 501.55, "word": " في", "probability": 0.9521484375}, {"start": 501.55, "end": 501.93, "word": " أخد", "probability": 0.88916015625}, {"start": 501.93, "end": 502.15, "word": " اللي", "probability": 0.86376953125}, {"start": 502.15, "end": 502.35, "word": " هو", "probability": 0.98095703125}, {"start": 502.35, "end": 502.83, "word": " قيمة", "probability": 0.99609375}, {"start": 502.83, "end": 502.97, "word": " ال", "probability": 0.94677734375}, {"start": 502.97, "end": 503.53, "word": " IBD", "probability": 0.6436767578125}, {"start": 503.53, "end": 505.07, "word": " if", "probability": 0.6689453125}, {"start": 505.07, "end": 505.39, "word": " the", "probability": 0.86279296875}, {"start": 505.39, "end": 506.23, "word": " subject", "probability": 0.97216796875}, {"start": 506.23, "end": 506.89, "word": " is", "probability": 0.96826171875}, {"start": 506.89, "end": 507.25, "word": " young", "probability": 0.9150390625}, {"start": 507.25, "end": 507.75, "word": " or", "probability": 0.9501953125}, {"start": 507.75, "end": 508.75, "word": " uncooperative", "probability": 0.888427734375}, {"start": 508.75, "end": 509.97, "word": " making", "probability": 0.7109375}, {"start": 509.97, "end": 511.03, "word": " normal", "probability": 0.8154296875}, {"start": 511.03, "end": 511.51, "word": " BD", "probability": 0.75390625}, {"start": 511.51, "end": 512.63, "word": " measurements", "probability": 0.85791015625}, {"start": 512.63, "end": 513.65, "word": " impossible", "probability": 0.81591796875}, {"start": 513.65, "end": 514.89, "word": " إذا", "probability": 0.4722900390625}, {"start": 514.89, "end": 515.21, "word": " هنا", "probability": 0.962890625}, {"start": 515.21, "end": 515.79, "word": " هيكون", "probability": 0.903564453125}, {"start": 515.79, "end": 516.55, "word": " قياس", "probability": 0.9747721354166666}, {"start": 516.55, "end": 517.29, "word": " قيمة", "probability": 0.9949544270833334}], "temperature": 1.0}, {"id": 23, "seek": 54083, "start": 518.13, "end": 540.83, "text": "الـ IBD إيش مالها؟ صعب جدا أو مستحيل The dispenser may have to take a canvass to canvass measurement يعني بياخد من ال lateral canvass ل ال media canvass قيمة مين؟ ال IBD إتبعتوا عليا؟ بياخد من ال lateral canvass ل ال media canvass", "tokens": [6027, 39184, 40385, 35, 11933, 1829, 8592, 3714, 6027, 11296, 22807, 20328, 3615, 3555, 10874, 28259, 34051, 3714, 14851, 5016, 26895, 440, 4920, 30041, 815, 362, 281, 747, 257, 393, 85, 640, 281, 393, 85, 640, 13160, 37495, 22653, 4724, 1829, 47283, 3215, 9154, 2423, 1780, 304, 393, 85, 640, 5296, 2423, 3021, 393, 85, 640, 12174, 32640, 3660, 3714, 9957, 22807, 2423, 40385, 35, 11933, 2655, 3555, 34268, 14407, 11203, 25528, 22807, 4724, 1829, 47283, 3215, 9154, 2423, 25128, 393, 85, 640, 5296, 2423, 3021, 393, 85, 640], "avg_logprob": -0.24791668123669094, "compression_ratio": 1.627659574468085, "no_speech_prob": 0.0, "words": [{"start": 518.13, "end": 518.51, "word": "الـ", "probability": 0.602294921875}, {"start": 518.51, "end": 519.09, "word": " IBD", "probability": 0.90869140625}, {"start": 519.09, "end": 519.65, "word": " إيش", "probability": 0.6995442708333334}, {"start": 519.65, "end": 520.09, "word": " مالها؟", "probability": 0.7213134765625}, {"start": 520.09, "end": 520.31, "word": " صعب", "probability": 0.974609375}, {"start": 520.31, "end": 520.71, "word": " جدا", "probability": 0.96240234375}, {"start": 520.71, "end": 521.05, "word": " أو", "probability": 0.8447265625}, {"start": 521.05, "end": 521.75, "word": " مستحيل", "probability": 0.984375}, {"start": 521.75, "end": 523.57, "word": " The", "probability": 0.298095703125}, {"start": 523.57, "end": 524.31, "word": " dispenser", "probability": 0.840576171875}, {"start": 524.31, "end": 524.85, "word": " may", "probability": 0.94873046875}, {"start": 524.85, "end": 525.25, "word": " have", "probability": 0.96533203125}, {"start": 525.25, "end": 525.75, "word": " to", "probability": 0.9833984375}, {"start": 525.75, "end": 526.19, "word": " take", "probability": 0.88525390625}, {"start": 526.19, "end": 526.67, "word": " a", "probability": 0.978515625}, {"start": 526.67, "end": 527.29, "word": " canvass", "probability": 0.445068359375}, {"start": 527.29, "end": 527.63, "word": " to", "probability": 0.982421875}, {"start": 527.63, "end": 528.21, "word": " canvass", "probability": 0.86962890625}, {"start": 528.21, "end": 528.71, "word": " measurement", "probability": 0.90966796875}, {"start": 528.71, "end": 529.29, "word": " يعني", "probability": 0.822998046875}, {"start": 529.29, "end": 529.75, "word": " بياخد", "probability": 0.9580078125}, {"start": 529.75, "end": 529.91, "word": " من", "probability": 0.9892578125}, {"start": 529.91, "end": 530.07, "word": " ال", "probability": 0.921875}, {"start": 530.07, "end": 530.51, "word": " lateral", "probability": 0.6033935546875}, {"start": 530.51, "end": 531.25, "word": " canvass", "probability": 0.8043619791666666}, {"start": 531.25, "end": 531.67, "word": " ل", "probability": 0.94287109375}, {"start": 531.67, "end": 531.99, "word": " ال", "probability": 0.1507568359375}, {"start": 531.99, "end": 532.65, "word": " media", "probability": 0.73974609375}, {"start": 532.65, "end": 533.39, "word": " canvass", "probability": 0.810546875}, {"start": 533.39, "end": 534.27, "word": " قيمة", "probability": 0.9430338541666666}, {"start": 534.27, "end": 534.99, "word": " مين؟", "probability": 0.8650716145833334}, {"start": 534.99, "end": 535.17, "word": " ال", "probability": 0.931640625}, {"start": 535.17, "end": 535.69, "word": " IBD", "probability": 0.97802734375}, {"start": 535.69, "end": 536.19, "word": " إتبعتوا", "probability": 0.721337890625}, {"start": 536.19, "end": 536.81, "word": " عليا؟", "probability": 0.6958821614583334}, {"start": 536.81, "end": 537.77, "word": " بياخد", "probability": 0.8240966796875}, {"start": 537.77, "end": 537.89, "word": " من", "probability": 0.9892578125}, {"start": 537.89, "end": 538.03, "word": " ال", "probability": 0.99072265625}, {"start": 538.03, "end": 538.35, "word": " lateral", "probability": 0.5224609375}, {"start": 538.35, "end": 539.15, "word": " canvass", "probability": 0.95849609375}, {"start": 539.15, "end": 539.55, "word": " ل", "probability": 0.98974609375}, {"start": 539.55, "end": 539.83, "word": " ال", "probability": 0.94140625}, {"start": 539.83, "end": 540.09, "word": " media", "probability": 0.93896484375}, {"start": 540.09, "end": 540.83, "word": " canvass", "probability": 0.9581705729166666}], "temperature": 1.0}, {"id": 24, "seek": 57009, "start": 543.27, "end": 570.09, "text": "this is done by measuring from the outer canthus نفترض مثلا لل right eye تمام to the inner canthus of the other eye أي بمعنى ال left eye لكن وين المشكلة unfortunately لسوء الحظ", "tokens": [11176, 307, 1096, 538, 13389, 490, 264, 10847, 393, 392, 301, 8717, 5172, 2655, 43042, 50113, 15040, 24976, 558, 3313, 46811, 10943, 281, 264, 7284, 393, 392, 301, 295, 264, 661, 3313, 36632, 4724, 2304, 3615, 1863, 7578, 2423, 1411, 3313, 44381, 4032, 9957, 9673, 8592, 28820, 3660, 7015, 5296, 3794, 2407, 38207, 21542, 19913], "avg_logprob": -0.13434709448899543, "compression_ratio": 1.3154761904761905, "no_speech_prob": 0.0, "words": [{"start": 543.27, "end": 543.67, "word": "this", "probability": 0.205810546875}, {"start": 543.67, "end": 544.03, "word": " is", "probability": 0.955078125}, {"start": 544.03, "end": 544.57, "word": " done", "probability": 0.826171875}, {"start": 544.57, "end": 545.19, "word": " by", "probability": 0.9736328125}, {"start": 545.19, "end": 545.73, "word": " measuring", "probability": 0.8779296875}, {"start": 545.73, "end": 546.27, "word": " from", "probability": 0.90185546875}, {"start": 546.27, "end": 546.83, "word": " the", "probability": 0.91455078125}, {"start": 546.83, "end": 547.45, "word": " outer", "probability": 0.81689453125}, {"start": 547.45, "end": 548.19, "word": " canthus", "probability": 0.9176432291666666}, {"start": 548.19, "end": 548.89, "word": " نفترض", "probability": 0.9287109375}, {"start": 548.89, "end": 549.39, "word": " مثلا", "probability": 0.9775390625}, {"start": 549.39, "end": 550.41, "word": " لل", "probability": 0.92236328125}, {"start": 550.41, "end": 551.15, "word": " right", "probability": 0.322265625}, {"start": 551.15, "end": 552.11, "word": " eye", "probability": 0.93115234375}, {"start": 552.11, "end": 553.95, "word": " تمام", "probability": 0.950927734375}, {"start": 553.95, "end": 556.25, "word": " to", "probability": 0.6669921875}, {"start": 556.25, "end": 556.77, "word": " the", "probability": 0.89794921875}, {"start": 556.77, "end": 558.01, "word": " inner", "probability": 0.9296875}, {"start": 558.01, "end": 559.01, "word": " canthus", "probability": 0.9534505208333334}, {"start": 559.01, "end": 559.35, "word": " of", "probability": 0.97900390625}, {"start": 559.35, "end": 559.51, "word": " the", "probability": 0.92529296875}, {"start": 559.51, "end": 559.79, "word": " other", "probability": 0.900390625}, {"start": 559.79, "end": 560.27, "word": " eye", "probability": 0.93017578125}, {"start": 560.27, "end": 560.59, "word": " أي", "probability": 0.7197265625}, {"start": 560.59, "end": 561.23, "word": " بمعنى", "probability": 0.97607421875}, {"start": 561.23, "end": 561.45, "word": " ال", "probability": 0.62060546875}, {"start": 561.45, "end": 561.69, "word": " left", "probability": 0.95361328125}, {"start": 561.69, "end": 562.67, "word": " eye", "probability": 0.93017578125}, {"start": 562.67, "end": 566.61, "word": " لكن", "probability": 0.9453125}, {"start": 566.61, "end": 566.81, "word": " وين", "probability": 0.97119140625}, {"start": 566.81, "end": 567.53, "word": " المشكلة", "probability": 0.995849609375}, {"start": 567.53, "end": 568.79, "word": " unfortunately", "probability": 0.470458984375}, {"start": 568.79, "end": 569.67, "word": " لسوء", "probability": 0.9691162109375}, {"start": 569.67, "end": 570.09, "word": " الحظ", "probability": 0.9892578125}], "temperature": 1.0}, {"id": 25, "seek": 59173, "start": 571.27, "end": 591.73, "text": "This measurement is not entirely exact يعني ليس بالضبط انه يكون دقيق اللي هو جدا تمام؟ Since the inner canthi of the eyes encroach farther across the sclera with younger children بنعرف الأطفال دايما", "tokens": [5723, 13160, 307, 406, 7696, 1900, 37495, 22653, 32239, 3794, 20666, 11242, 3555, 9566, 16472, 3224, 7251, 30544, 11778, 38436, 4587, 13672, 1829, 31439, 10874, 28259, 46811, 10943, 22807, 4162, 264, 7284, 393, 392, 72, 295, 264, 2575, 2058, 340, 608, 20344, 2108, 264, 795, 75, 1663, 365, 7037, 2227, 44945, 3615, 28480, 16247, 9566, 5172, 6027, 11778, 47302, 15042], "avg_logprob": -0.16086064889782764, "compression_ratio": 1.310880829015544, "no_speech_prob": 0.0, "words": [{"start": 571.27, "end": 571.77, "word": "This", "probability": 0.4951171875}, {"start": 571.77, "end": 572.67, "word": " measurement", "probability": 0.79296875}, {"start": 572.67, "end": 573.41, "word": " is", "probability": 0.96826171875}, {"start": 573.41, "end": 573.75, "word": " not", "probability": 0.9609375}, {"start": 573.75, "end": 574.79, "word": " entirely", "probability": 0.9169921875}, {"start": 574.79, "end": 575.61, "word": " exact", "probability": 0.974609375}, {"start": 575.61, "end": 575.95, "word": " يعني", "probability": 0.83740234375}, {"start": 575.95, "end": 576.31, "word": " ليس", "probability": 0.985595703125}, {"start": 576.31, "end": 576.81, "word": " بالضبط", "probability": 0.9615478515625}, {"start": 576.81, "end": 577.09, "word": " انه", "probability": 0.524658203125}, {"start": 577.09, "end": 577.33, "word": " يكون", "probability": 0.990478515625}, {"start": 577.33, "end": 577.93, "word": " دقيق", "probability": 0.994140625}, {"start": 577.93, "end": 578.15, "word": " اللي", "probability": 0.8935546875}, {"start": 578.15, "end": 578.37, "word": " هو", "probability": 0.99462890625}, {"start": 578.37, "end": 578.81, "word": " جدا", "probability": 0.990966796875}, {"start": 578.81, "end": 580.39, "word": " تمام؟", "probability": 0.7314453125}, {"start": 580.39, "end": 580.87, "word": " Since", "probability": 0.56689453125}, {"start": 580.87, "end": 581.91, "word": " the", "probability": 0.9208984375}, {"start": 581.91, "end": 582.31, "word": " inner", "probability": 0.9052734375}, {"start": 582.31, "end": 583.07, "word": " canthi", "probability": 0.7867838541666666}, {"start": 583.07, "end": 583.51, "word": " of", "probability": 0.9736328125}, {"start": 583.51, "end": 583.75, "word": " the", "probability": 0.9091796875}, {"start": 583.75, "end": 584.29, "word": " eyes", "probability": 0.86376953125}, {"start": 584.29, "end": 585.35, "word": " encroach", "probability": 0.9230143229166666}, {"start": 585.35, "end": 585.93, "word": " farther", "probability": 0.681640625}, {"start": 585.93, "end": 586.55, "word": " across", "probability": 0.85546875}, {"start": 586.55, "end": 586.95, "word": " the", "probability": 0.90625}, {"start": 586.95, "end": 587.43, "word": " sclera", "probability": 0.97216796875}, {"start": 587.43, "end": 588.27, "word": " with", "probability": 0.876953125}, {"start": 588.27, "end": 588.69, "word": " younger", "probability": 0.87255859375}, {"start": 588.69, "end": 589.47, "word": " children", "probability": 0.86474609375}, {"start": 589.47, "end": 590.67, "word": " بنعرف", "probability": 0.7674153645833334}, {"start": 590.67, "end": 591.25, "word": " الأطفال", "probability": 0.9940185546875}, {"start": 591.25, "end": 591.73, "word": " دايما", "probability": 0.8616536458333334}], "temperature": 1.0}, {"id": 26, "seek": 61847, "start": 592.51, "end": 618.47, "text": "انه بيكونوا زي مين .. زي ال chinese انه بتلاقي كل اللي هو ال sclera او الصلبة داخلة لجوا بحيث انت مش قادر تشوفي مين اللي هو ال canthus فهنا بدي اللي هو ايه قياس غير اللي هو دقيق او بنسميه inaccurate اللي هو measurement او هو مسميه اللي هو not entirely exact يعني القيمة ليست 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هنا الان الصلبة او ال sclera مبينة لأ ليش لان كل العين عاملة ايش دخول للداخل هذا النوع بنسميه اللي هو ال pseudo", "tokens": [41185, 1975, 8315, 10874, 3555, 2655, 23275, 2304, 20328, 13063, 3660, 5296, 19528, 2407, 11242, 45367, 23758, 8032, 47302, 13412, 995, 33911, 9957, 43242, 8315, 34105, 2423, 7649, 31767, 46152, 3660, 1975, 2407, 2423, 795, 1918, 64, 3714, 3555, 9957, 3660, 5296, 10721, 32239, 8592, 5296, 7649, 28242, 18863, 9957, 6225, 10943, 37977, 1975, 1829, 8592, 11778, 9778, 12610, 24976, 3215, 47283, 1211, 23758, 28239, 45367, 44945, 38251, 1829, 3224, 13672, 1829, 31439, 2423, 35899], "avg_logprob": -0.21689967007229202, "compression_ratio": 1.6272189349112427, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 619.48, "end": 619.74, "word": "في", "probability": 0.64794921875}, {"start": 619.74, "end": 620.1, "word": " انا", "probability": 0.6864013671875}, {"start": 620.1, "end": 620.66, "word": " جبتلكم", "probability": 0.9546875}, {"start": 620.66, "end": 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written scope okay تقريبا Dispenser closes right eye إذا هيغلق اللي هو العين اليمنى Subject fixes on dispensers left eye إذا المريض هو هيثبت مين؟", "tokens": [8297, 37495, 22653, 30767, 1829, 9673, 3794, 31845, 3660, 20666, 11242, 3555, 9566, 13672, 1829, 39894, 25957, 1211, 2407, 11296, 6055, 4587, 16572, 3555, 995, 6055, 34268, 2304, 3215, 2423, 3720, 11923, 1392, 6055, 4587, 16572, 3555, 995, 4208, 79, 30041, 24157, 558, 3313, 11933, 15730, 39896, 17082, 1211, 4587, 13672, 1829, 31439, 18863, 9957, 45595, 27842, 7578, 8511, 1020, 32539, 322, 4920, 694, 433, 1411, 3313, 11933, 15730, 9673, 16572, 11242, 31439, 39896, 12984, 3555, 2655, 3714, 9957, 22807], "avg_logprob": -0.1867284009486069, "compression_ratio": 1.49, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 741.71, "end": 742.03, "word": "Okay", "probability": 0.33984375}, {"start": 742.03, "end": 743.45, "word": " يعني", "probability": 0.814453125}, {"start": 743.45, "end": 743.69, "word": " زي", "probability": 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1211, 4587, 13672, 1829, 31439, 3714, 9957, 4032, 8717, 5172, 2655, 5016, 13672, 1829, 31439, 25124, 2304, 6027], "avg_logprob": -0.2045969263367031, "compression_ratio": 1.4777777777777779, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 864.62, "end": 865.48, "word": "Dispenser", "probability": 0.66796875}, {"start": 865.48, "end": 866.34, "word": " encloses", "probability": 0.7020263671875}, {"start": 866.34, "end": 866.88, "word": " right", "probability": 0.8505859375}, {"start": 866.88, "end": 867.3, "word": " eye", "probability": 0.90283203125}, {"start": 867.3, "end": 867.66, "word": " of", "probability": 0.64208984375}, {"start": 867.66, "end": 868.08, "word": " left", "probability": 0.85791015625}, {"start": 868.08, "end": 868.88, "word": " subject", "probability": 0.9580078125}, {"start": 868.88, "end": 869.68, "word": " fixate", "probability": 0.61669921875}, {"start": 869.68, "end": 869.98, "word": " left", "probability": 0.923828125}, {"start": 869.98, "end": 870.3, "word": " eye", "probability": 0.9208984375}, {"start": 870.3, "end": 870.58, "word": " اللي", "probability": 0.6240234375}, {"start": 870.58, "end": 870.74, "word": " أنا", "probability": 0.72509765625}, {"start": 870.74, "end": 871.04, "word": " بدي", "probability": 0.6217041015625}, {"start": 871.04, "end": 871.26, "word": " أعمل", "probability": 0.8047688802083334}, {"start": 871.26, "end": 871.72, "word": " عملية", "probability": 0.9798177083333334}, {"start": 871.72, "end": 872.5, "word": " verification", "probability": 0.9716796875}, {"start": 872.5, "end": 873.24, "word": " كيف", "probability": 0.852294921875}, {"start": 873.24, "end": 873.54, "word": " ممكن", "probability": 0.989501953125}, {"start": 873.54, "end": 874.14, "word": " أؤكد", "probability": 0.904296875}, {"start": 874.14, "end": 874.84, "word": " أنه", "probability": 0.700439453125}, {"start": 874.84, "end": 875.06, "word": " نفس", "probability": 0.99072265625}, {"start": 875.06, "end": 875.54, "word": " الفكرة", "probability": 0.9944661458333334}, {"start": 875.54, "end": 876.26, "word": " الأولى", "probability": 0.9881184895833334}, {"start": 876.26, "end": 876.76, "word": " أنه", "probability": 0.70166015625}, {"start": 876.76, "end": 876.96, "word": " بدنا", "probability": 0.943359375}, {"start": 876.96, "end": 877.4, "word": " نغلق", "probability": 0.9854736328125}, {"start": 877.4, "end": 877.62, "word": " اللي", "probability": 0.841796875}, {"start": 877.62, "end": 877.86, "word": " هو", "probability": 0.990234375}, {"start": 877.86, "end": 878.22, "word": " مين", "probability": 0.927978515625}, {"start": 878.22, "end": 879.46, "word": " و", "probability": 0.400634765625}, {"start": 879.46, "end": 880.12, "word": " نفتح", "probability": 0.8985595703125}, {"start": 880.12, "end": 880.34, "word": " اللي", "probability": 0.9794921875}, {"start": 880.34, "end": 880.52, "word": " هو", "probability": 0.986328125}, {"start": 880.52, "end": 881.04, "word": " الشمال", "probability": 0.9622395833333334}], "temperature": 1.0}, {"id": 38, "seek": 91149, "start": 882.87, "end": 911.49, "text": "Dispenser checks to make sure zero point is still correct يعني لازم اتأكد انه قيمة اللي هو ال zero جاية بالضبط على مين ال center of a pupil عشان انا امشي في الخطوة التانية او اللي هو قد القراءة الصحيحة لقيمة اللي هو ال IBD ايضا عندنا common causes of errors", "tokens": [35, 7631, 30041, 13834, 281, 652, 988, 4018, 935, 307, 920, 3006, 37495, 22653, 5296, 31377, 2304, 1975, 2655, 10721, 4117, 3215, 16472, 3224, 12174, 32640, 3660, 13672, 1829, 31439, 2423, 4018, 10874, 995, 10632, 20666, 11242, 3555, 9566, 15844, 3714, 9957, 2423, 3056, 295, 257, 44533, 6225, 8592, 7649, 1975, 8315, 1975, 2304, 8592, 1829, 8978, 33962, 9566, 2407, 3660, 16712, 7649, 10632, 1975, 2407, 13672, 1829, 31439, 12174, 3215, 25062, 2288, 16606, 3660, 31767, 5016, 1829, 5016, 3660, 5296, 4587, 32640, 3660, 13672, 1829, 31439, 2423, 40385, 35, 1975, 1829, 11242, 995, 43242, 8315, 2689, 7700, 295, 13603], "avg_logprob": -0.1520730186216902, "compression_ratio": 1.5560165975103735, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 882.8700000000001, "end": 883.6700000000001, "word": "Dispenser", "probability": 0.60467529296875}, {"start": 883.6700000000001, "end": 884.47, "word": " checks", "probability": 0.85498046875}, {"start": 884.47, "end": 884.93, "word": " to", "probability": 0.98095703125}, {"start": 884.93, "end": 885.27, "word": " make", "probability": 0.9501953125}, {"start": 885.27, "end": 885.73, "word": " sure", "probability": 0.92724609375}, {"start": 885.73, "end": 886.09, "word": " zero", "probability": 0.61474609375}, {"start": 886.09, "end": 886.49, "word": " point", "probability": 0.9130859375}, {"start": 886.49, "end": 886.73, "word": " is", "probability": 0.9560546875}, {"start": 886.73, "end": 887.11, "word": " still", "probability": 0.94921875}, {"start": 887.11, "end": 887.53, "word": " correct", "probability": 0.90869140625}, {"start": 887.53, "end": 887.93, "word": " يعني", "probability": 0.765380859375}, {"start": 887.93, "end": 888.31, "word": " لازم", "probability": 0.98876953125}, {"start": 888.31, "end": 889.07, "word": " اتأكد", "probability": 0.844091796875}, {"start": 889.07, "end": 889.73, "word": " انه", "probability": 0.5614013671875}, {"start": 889.73, "end": 890.53, "word": " قيمة", "probability": 0.9949544270833334}, {"start": 890.53, "end": 890.73, "word": " اللي", "probability": 0.854248046875}, {"start": 890.73, "end": 890.99, "word": " هو", "probability": 0.97607421875}, {"start": 890.99, "end": 891.15, "word": " ال", "probability": 0.779296875}, {"start": 891.15, "end": 891.47, "word": " zero", "probability": 0.364501953125}, {"start": 891.47, "end": 892.21, "word": " جاية", "probability": 0.9352213541666666}, {"start": 892.21, "end": 892.69, "word": " بالضبط", "probability": 0.9605712890625}, {"start": 892.69, "end": 892.89, "word": " على", "probability": 0.72802734375}, {"start": 892.89, "end": 893.21, "word": " مين", "probability": 0.824951171875}, {"start": 893.21, "end": 893.53, "word": " ال", "probability": 0.89892578125}, {"start": 893.53, "end": 893.91, "word": " center", "probability": 0.77294921875}, {"start": 893.91, "end": 894.17, "word": " of", "probability": 0.98046875}, {"start": 894.17, "end": 894.31, "word": " a", "probability": 0.599609375}, {"start": 894.31, "end": 894.65, "word": " pupil", "probability": 0.9921875}, {"start": 894.65, "end": 895.59, "word": " عشان", "probability": 0.9724934895833334}, {"start": 895.59, "end": 895.81, "word": " انا", "probability": 0.850341796875}, {"start": 895.81, "end": 896.27, "word": " امشي", "probability": 0.909423828125}, {"start": 896.27, "end": 896.39, "word": " في", "probability": 0.87353515625}, {"start": 896.39, "end": 896.99, "word": " الخطوة", "probability": 0.9691162109375}, {"start": 896.99, "end": 897.71, "word": " التانية", "probability": 0.9894205729166666}, {"start": 897.71, "end": 898.45, "word": " او", "probability": 0.88916015625}, {"start": 898.45, "end": 898.63, "word": " اللي", "probability": 0.9658203125}, {"start": 898.63, "end": 898.85, "word": " هو", "probability": 0.96240234375}, {"start": 898.85, "end": 899.13, "word": " قد", "probability": 0.80322265625}, {"start": 899.13, "end": 899.69, "word": " القراءة", "probability": 0.882568359375}, {"start": 899.69, "end": 900.41, "word": " الصحيحة", "probability": 0.98642578125}, {"start": 900.41, "end": 901.33, "word": " لقيمة", "probability": 0.97705078125}, {"start": 901.33, "end": 901.51, "word": " اللي", "probability": 0.982421875}, {"start": 901.51, "end": 901.73, "word": " هو", "probability": 0.98583984375}, {"start": 901.73, "end": 901.85, "word": " ال", "probability": 0.927734375}, {"start": 901.85, "end": 902.49, "word": " IBD", "probability": 0.84619140625}, {"start": 902.49, "end": 908.31, "word": " ايضا", "probability": 0.8441162109375}, {"start": 908.31, "end": 908.77, "word": " عندنا", "probability": 0.843505859375}, {"start": 908.77, "end": 909.43, "word": " common", "probability": 0.96337890625}, {"start": 909.43, "end": 910.53, "word": " causes", "probability": 0.876953125}, {"start": 910.53, "end": 911.01, "word": " of", "probability": 0.978515625}, {"start": 911.01, "end": 911.49, "word": " errors", "probability": 0.85302734375}], "temperature": 1.0}, {"id": 39, "seek": 93636, "start": 912.26, "end": 936.36, "text": "يعني بمعنى الأسباب الشائعة لا اللي هو الخطأ There are several common causes of errors inherent in using a PD rule يعني في هناك مجموعة من اللي هو الأخطاء اللي يمكن التعبير عنها خلال إجراء عملية الفحث number one", "tokens": [40228, 22653, 4724, 2304, 3615, 1863, 7578, 16247, 35457, 16758, 25124, 16373, 27884, 20193, 13672, 1829, 31439, 33962, 9566, 10721, 821, 366, 2940, 2689, 7700, 295, 13603, 26387, 294, 1228, 257, 10464, 4978, 37495, 22653, 8978, 34105, 4117, 3714, 7435, 2304, 2407, 27884, 9154, 13672, 1829, 31439, 16247, 9778, 9566, 16606, 13672, 1829, 7251, 43020, 16712, 3615, 3555, 13546, 18871, 11296, 16490, 1211, 6027, 11933, 7435, 2288, 16606, 6225, 42213, 10632, 27188, 5016, 12984, 1230, 472], "avg_logprob": -0.12571022572455468, "compression_ratio": 1.4811320754716981, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 912.26, "end": 912.64, "word": "يعني", "probability": 0.79296875}, {"start": 912.64, "end": 913.26, "word": " بمعنى", "probability": 0.9841796875}, {"start": 913.26, "end": 914.08, "word": " الأسباب", "probability": 0.9861653645833334}, {"start": 914.08, "end": 914.84, "word": " الشائعة", "probability": 0.9853515625}, {"start": 914.84, "end": 915.4, "word": " لا", "probability": 0.337158203125}, {"start": 915.4, "end": 915.6, "word": " اللي", "probability": 0.805419921875}, {"start": 915.6, "end": 915.82, "word": " هو", "probability": 0.9951171875}, {"start": 915.82, "end": 916.34, "word": " الخطأ", "probability": 0.9933268229166666}, {"start": 916.34, "end": 918.42, "word": " There", "probability": 0.285400390625}, {"start": 918.42, "end": 918.9, "word": " are", "probability": 0.95654296875}, {"start": 918.9, "end": 920.12, "word": " several", "probability": 0.91943359375}, {"start": 920.12, "end": 920.86, "word": " common", "probability": 0.89599609375}, {"start": 920.86, "end": 921.52, "word": " causes", "probability": 0.85400390625}, {"start": 921.52, "end": 922.28, "word": " of", "probability": 0.978515625}, {"start": 922.28, "end": 923.0, "word": " errors", "probability": 0.88037109375}, {"start": 923.0, "end": 924.12, "word": " inherent", "probability": 0.2919921875}, {"start": 924.12, "end": 924.46, "word": " in", "probability": 0.96142578125}, {"start": 924.46, "end": 924.96, "word": " using", "probability": 0.9501953125}, {"start": 924.96, "end": 925.42, "word": " a", "probability": 0.9560546875}, {"start": 925.42, "end": 925.66, "word": " PD", "probability": 0.533203125}, {"start": 925.66, "end": 926.04, "word": " rule", "probability": 0.63525390625}, {"start": 926.04, "end": 927.3, "word": " يعني", "probability": 0.84814453125}, {"start": 927.3, "end": 927.46, "word": " في", "probability": 0.904296875}, {"start": 927.46, "end": 927.9, "word": " هناك", "probability": 0.88671875}, {"start": 927.9, "end": 928.42, "word": " مجموعة", "probability": 0.950390625}, {"start": 928.42, "end": 928.66, "word": " من", "probability": 0.9833984375}, {"start": 928.66, "end": 928.92, "word": " اللي", "probability": 0.96630859375}, {"start": 928.92, "end": 929.12, "word": " هو", "probability": 0.99072265625}, {"start": 929.12, "end": 930.1, "word": " الأخطاء", "probability": 0.9873046875}, {"start": 930.1, "end": 930.72, "word": " اللي", "probability": 0.941650390625}, {"start": 930.72, "end": 931.12, "word": " يمكن", "probability": 0.984130859375}, {"start": 931.12, "end": 931.84, "word": " التعبير", "probability": 0.9881591796875}, {"start": 931.84, "end": 932.32, "word": " عنها", "probability": 0.996826171875}, {"start": 932.32, "end": 933.12, "word": " خلال", "probability": 0.9920247395833334}, {"start": 933.12, "end": 933.56, "word": " إجراء", "probability": 0.9185791015625}, {"start": 933.56, "end": 934.1, "word": " عملية", "probability": 0.98681640625}, {"start": 934.1, "end": 934.74, "word": " الفحث", "probability": 0.8929036458333334}, {"start": 934.74, "end": 936.0, "word": " number", "probability": 0.38427734375}, {"start": 936.0, "end": 936.36, "word": " one", "probability": 0.88720703125}], "temperature": 1.0}, {"id": 40, "seek": 96082, "start": 937.32, "end": 960.82, "text": "There will be an error in measurement if the measures BD differ or differs significantly from the subjects because the lines of sight are not parallel الآن يا جماعة أنا ك examiner نفترض كان عندى ال IBD 70", "tokens": [51, 511, 68, 486, 312, 364, 6713, 294, 13160, 498, 264, 8000, 363, 35, 743, 420, 37761, 10591, 490, 264, 13066, 570, 264, 3876, 295, 7860, 366, 406, 8952, 6024, 48506, 35186, 10874, 15042, 27884, 41850, 9122, 1139, 4564, 8717, 5172, 2655, 43042, 25961, 43242, 7578, 2423, 40385, 35, 5285], "avg_logprob": -0.23161764530574575, "compression_ratio": 1.2328042328042328, "no_speech_prob": 0.0, "words": [{"start": 937.32, "end": 937.72, "word": "There", "probability": 0.5777587890625}, {"start": 937.72, "end": 937.92, "word": " will", "probability": 0.9111328125}, {"start": 937.92, "end": 938.24, "word": " be", "probability": 0.9638671875}, {"start": 938.24, "end": 938.92, "word": " an", "probability": 0.869140625}, {"start": 938.92, "end": 939.3, "word": " error", "probability": 0.900390625}, {"start": 939.3, "end": 939.72, "word": " in", "probability": 0.95849609375}, {"start": 939.72, "end": 940.32, "word": " measurement", "probability": 0.73291015625}, {"start": 940.32, "end": 940.88, "word": " if", "probability": 0.96044921875}, {"start": 940.88, "end": 941.64, "word": " the", "probability": 0.92138671875}, {"start": 941.64, "end": 942.68, "word": " measures", "probability": 0.85791015625}, {"start": 942.68, "end": 943.5, "word": " BD", "probability": 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directly in front of the subject's eye under observation هذا هيضمن أن النظر سيكون مباشرة أمام العين من المريض أو العين اللى بده يتم إجراء عملية الفحص", "tokens": [18684, 257, 565, 281, 5586, 7860, 278, 490, 3838, 294, 1868, 295, 264, 3983, 311, 3313, 833, 14816, 23758, 39896, 11242, 27842, 14739, 28239, 19913, 2288, 8608, 1829, 30544, 3714, 3555, 33599, 25720, 5551, 2304, 10943, 18863, 9957, 9154, 9673, 16572, 11242, 34051, 18863, 9957, 13672, 7578, 47525, 3224, 7251, 39237, 11933, 7435, 2288, 16606, 6225, 42213, 10632, 27188, 5016, 9381], "avg_logprob": -0.19695061012621848, "compression_ratio": 1.3298969072164948, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1264.75, "end": 1265.03, "word": "At", "probability": 0.58203125}, {"start": 1265.03, "end": 1265.25, "word": " a", "probability": 0.9736328125}, {"start": 1265.25, "end": 1265.69, "word": " time", "probability": 0.900390625}, {"start": 1265.69, "end": 1266.05, "word": " to", "probability": 0.974609375}, 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"word": " هيعمل", "probability": 0.94091796875}, {"start": 1314.69, "end": 1314.91, "word": " اللي", "probability": 0.87646484375}, {"start": 1314.91, "end": 1315.13, "word": " هو", "probability": 0.986328125}, {"start": 1315.13, "end": 1315.57, "word": " نسبة", "probability": 0.9772135416666666}, {"start": 1315.57, "end": 1315.99, "word": " خطأ", "probability": 0.9962565104166666}, {"start": 1315.99, "end": 1316.31, "word": " في", "probability": 0.89208984375}, {"start": 1316.31, "end": 1316.57, "word": " اللي", "probability": 0.984130859375}, {"start": 1316.57, "end": 1316.77, "word": " هو", "probability": 0.9853515625}, {"start": 1316.77, "end": 1317.85, "word": " النتيجة", "probability": 0.9615478515625}, {"start": 1317.85, "end": 1318.51, "word": " النهائية", "probability": 0.9879150390625}], "temperature": 1.0}, {"id": 56, "seek": 135045, "start": 1323.37, "end": 1350.45, "text": "نعود الآن لـ monocular BD أو الـ monocular IBD since faces are not always symmetrical دائما يعني الوجه بيكونش متماثل يعني في بعض الأحيان انه بيكون هنا غالبا الوجه غير متماثل تمام بين اللي هو الانت بين اللي هو ال two eyes", "tokens": [1863, 3615, 23328, 6024, 48506, 5296, 39184, 1108, 905, 1040, 363, 35, 34051, 2423, 39184, 1108, 905, 1040, 40385, 35, 1670, 8475, 366, 406, 1009, 40360, 11778, 16373, 15042, 37495, 22653, 2423, 29245, 3224, 4724, 1829, 30544, 8592, 44650, 2304, 5718, 104, 1211, 37495, 22653, 8978, 45030, 11242, 16247, 5016, 1829, 7649, 16472, 3224, 4724, 1829, 30544, 34105, 32771, 6027, 3555, 995, 2423, 29245, 3224, 32771, 13546, 44650, 2304, 5718, 104, 1211, 46811, 10943, 49374, 13672, 1829, 31439, 2423, 7649, 2655, 49374, 13672, 1829, 31439, 2423, 732, 2575], "avg_logprob": -0.26369382290357957, "compression_ratio": 1.6470588235294117, "no_speech_prob": 0.0, "words": [{"start": 1323.37, "end": 1324.31, "word": "نعود", "probability": 0.3304850260416667}, {"start": 1324.31, "end": 1324.71, "word": " الآن", "probability": 0.59356689453125}, {"start": 1324.71, "end": 1325.83, "word": " لـ", "probability": 0.707763671875}, {"start": 1325.83, "end": 1326.49, "word": " monocular", "probability": 0.760009765625}, {"start": 1326.49, "end": 1327.27, "word": " BD", "probability": 0.69384765625}, {"start": 1327.27, "end": 1328.35, "word": " أو", "probability": 0.59375}, {"start": 1328.35, "end": 1328.53, "word": " الـ", "probability": 0.488525390625}, {"start": 1328.53, "end": 1329.11, "word": " monocular", "probability": 0.9308268229166666}, {"start": 1329.11, "end": 1330.19, "word": " IBD", "probability": 0.938232421875}, {"start": 1330.19, "end": 1332.39, "word": " since", "probability": 0.18603515625}, {"start": 1332.39, "end": 1333.29, "word": " faces", "probability": 0.8115234375}, {"start": 1333.29, "end": 1333.99, "word": " are", "probability": 0.935546875}, {"start": 1333.99, "end": 1334.27, "word": " not", "probability": 0.9619140625}, {"start": 1334.27, "end": 1334.99, "word": " always", "probability": 0.91064453125}, {"start": 1334.99, "end": 1335.87, "word": " symmetrical", "probability": 0.85009765625}, {"start": 1335.87, "end": 1336.97, "word": " دائما", "probability": 0.5895182291666666}, {"start": 1336.97, "end": 1337.99, "word": " يعني", "probability": 0.827392578125}, {"start": 1337.99, "end": 1338.57, "word": " الوجه", "probability": 0.9801432291666666}, {"start": 1338.57, "end": 1339.13, "word": " بيكونش", "probability": 0.75439453125}, {"start": 1339.13, "end": 1339.99, "word": " متماثل", "probability": 0.8912109375}, {"start": 1339.99, "end": 1340.89, "word": " يعني", "probability": 0.817138671875}, {"start": 1340.89, "end": 1342.19, "word": " في", "probability": 0.94384765625}, {"start": 1342.19, "end": 1342.49, "word": " بعض", "probability": 0.992919921875}, {"start": 1342.49, "end": 1343.15, "word": " الأحيان", "probability": 0.9901123046875}, {"start": 1343.15, "end": 1343.79, "word": " انه", "probability": 0.6680908203125}, {"start": 1343.79, "end": 1344.13, "word": " بيكون", "probability": 0.9228515625}, {"start": 1344.13, "end": 1344.43, "word": " هنا", "probability": 0.98046875}, {"start": 1344.43, "end": 1345.13, "word": " غالبا", "probability": 0.973388671875}, {"start": 1345.13, "end": 1346.01, "word": " الوجه", "probability": 0.9869791666666666}, {"start": 1346.01, "end": 1346.29, "word": " غير", "probability": 0.996337890625}, {"start": 1346.29, "end": 1347.07, "word": " متماثل", "probability": 0.91611328125}, {"start": 1347.07, "end": 1347.59, "word": " تمام", "probability": 0.88671875}, {"start": 1347.59, "end": 1347.91, "word": " بين", "probability": 0.55419921875}, {"start": 1347.91, "end": 1348.13, "word": " اللي", "probability": 0.89501953125}, {"start": 1348.13, "end": 1348.31, "word": " هو", "probability": 0.97998046875}, {"start": 1348.31, "end": 1348.73, "word": " الانت", "probability": 0.71728515625}, {"start": 1348.73, "end": 1349.27, "word": " بين", "probability": 0.248291015625}, {"start": 1349.27, "end": 1349.59, "word": " اللي", "probability": 0.964111328125}, {"start": 1349.59, "end": 1349.77, "word": " هو", "probability": 0.98974609375}, {"start": 1349.77, "end": 1349.87, "word": " ال", "probability": 0.8857421875}, {"start": 1349.87, "end": 1350.05, "word": " two", "probability": 0.794921875}, {"start": 1350.05, "end": 1350.45, "word": " eyes", "probability": 0.8291015625}], "temperature": 1.0}, {"id": 57, "seek": 138092, "start": 1351.7, "end": 1380.92, "text": "It's often necessary to specify the BD for each I independently فعشان هيك أو بالسبب اللي هو عدم التماثل لازم انا اعمل قياس لقيمة ال BD لكل عين على حده يعني independently أي بمعنى اللي هو بشكل مستقل الهدف الأساسي in taking في أخد ال BD", "tokens": [3522, 311, 2049, 4818, 281, 16500, 264, 363, 35, 337, 1184, 286, 21761, 6156, 3615, 8592, 7649, 39896, 4117, 34051, 20666, 35457, 3555, 13672, 1829, 31439, 6225, 40448, 16712, 15042, 12984, 1211, 5296, 31377, 2304, 1975, 8315, 1975, 25957, 1211, 12174, 25528, 3794, 5296, 4587, 32640, 3660, 2423, 363, 35, 5296, 28820, 6225, 9957, 15844, 11331, 3215, 3224, 37495, 22653, 21761, 36632, 4724, 2304, 3615, 1863, 7578, 13672, 1829, 31439, 4724, 8592, 28820, 3714, 14851, 4587, 1211, 2423, 3224, 3215, 5172, 16247, 3794, 32277, 1829, 294, 1940, 8978, 5551, 9778, 3215, 2423, 363, 35], "avg_logprob": -0.1431743411641372, "compression_ratio": 1.5, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1351.7, "end": 1352.16, "word": "It's", "probability": 0.53564453125}, {"start": 1352.16, "end": 1352.8, "word": " often", "probability": 0.8232421875}, {"start": 1352.8, "end": 1353.64, "word": " necessary", "probability": 0.9599609375}, {"start": 1353.64, "end": 1354.18, "word": " to", "probability": 0.9833984375}, {"start": 1354.18, "end": 1355.3, "word": " specify", "probability": 0.96533203125}, {"start": 1355.3, "end": 1355.7, "word": " the", "probability": 0.90380859375}, {"start": 1355.7, "end": 1356.04, "word": " BD", "probability": 0.76904296875}, {"start": 1356.04, "end": 1356.42, "word": " for", "probability": 0.923828125}, {"start": 1356.42, "end": 1356.84, "word": " each", "probability": 0.9599609375}, {"start": 1356.84, "end": 1357.26, "word": " I", "probability": 0.58984375}, {"start": 1357.26, "end": 1358.54, "word": " independently", "probability": 0.7587890625}, {"start": 1358.54, "end": 1359.78, "word": " فعشان", "probability": 0.8546142578125}, {"start": 1359.78, "end": 1360.5, "word": " هيك", "probability": 0.923095703125}, {"start": 1360.5, "end": 1360.8, "word": " أو", "probability": 0.6064453125}, {"start": 1360.8, "end": 1361.3, "word": " بالسبب", "probability": 0.9495442708333334}, {"start": 1361.3, "end": 1361.52, "word": " اللي", "probability": 0.938232421875}, {"start": 1361.52, "end": 1361.76, "word": " هو", "probability": 0.98095703125}, {"start": 1361.76, "end": 1362.04, "word": " عدم", "probability": 0.98681640625}, {"start": 1362.04, "end": 1362.78, "word": " التماثل", "probability": 0.8701171875}, {"start": 1362.78, "end": 1363.66, "word": " لازم", "probability": 0.9376627604166666}, {"start": 1363.66, "end": 1363.94, "word": " انا", "probability": 0.77294921875}, {"start": 1363.94, "end": 1364.46, "word": " اعمل", "probability": 0.9552408854166666}, {"start": 1364.46, "end": 1365.04, "word": " قياس", "probability": 0.9671223958333334}, {"start": 1365.04, "end": 1365.68, "word": " لقيمة", "probability": 0.9610595703125}, {"start": 1365.68, "end": 1365.96, "word": " ال", "probability": 0.96923828125}, {"start": 1365.96, "end": 1366.52, "word": " BD", "probability": 0.90185546875}, {"start": 1366.52, "end": 1367.12, "word": " لكل", "probability": 0.981689453125}, {"start": 1367.12, "end": 1367.36, "word": " عين", "probability": 0.976318359375}, {"start": 1367.36, "end": 1367.52, "word": " على", "probability": 0.87548828125}, {"start": 1367.52, "end": 1368.2, "word": " حده", "probability": 0.6621907552083334}, {"start": 1368.2, "end": 1369.02, "word": " يعني", "probability": 0.85205078125}, {"start": 1369.02, "end": 1369.6, "word": " 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أخد", "probability": 0.8779296875}, {"start": 1380.06, "end": 1380.46, "word": " ال", "probability": 0.6357421875}, {"start": 1380.46, "end": 1380.92, "word": " BD", "probability": 0.94677734375}], "temperature": 1.0}, {"id": 58, "seek": 140662, "start": 1381.94, "end": 1406.62, "text": "is to eventually place the optical centers of the lenses إذن عندنا الهدف الأساسي إنه أخد الـ monocular BD إن أصل في المرحلة النهائية إن يكون ال pupil أو ال center of pupil جاي في منتصف من ال optical center of a lens، هي الهدف الأساسي Directly", "tokens": [271, 281, 4728, 1081, 264, 20674, 10898, 295, 264, 18059, 11933, 8848, 1863, 43242, 8315, 2423, 3224, 3215, 5172, 16247, 3794, 32277, 1829, 36145, 3224, 5551, 9778, 3215, 2423, 39184, 1108, 905, 1040, 363, 35, 36145, 5551, 36520, 8978, 9673, 2288, 5016, 37977, 28239, 3224, 16373, 10632, 36145, 7251, 30544, 2423, 44533, 34051, 2423, 3056, 295, 44533, 10874, 47302, 8978, 9154, 2655, 9381, 5172, 9154, 2423, 20674, 3056, 295, 257, 6765, 12399, 39896, 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" عين", "probability": 0.990478515625}], "temperature": 1.0}, {"id": 63, "seek": 149848, "start": 1487.88, "end": 1498.48, "text": "بحيث ان انا اعمل fixation للعين الاولى وبعد ذلك اعمل fixation للعين التانية واجيب اللي هو قيمة ال monocular بدي ل ال both eyes", "tokens": [49628, 1829, 12984, 16472, 1975, 8315, 1975, 25957, 1211, 3191, 399, 24976, 3615, 9957, 42963, 12610, 7578, 46599, 22488, 29910, 23275, 1975, 25957, 1211, 3191, 399, 24976, 3615, 9957, 16712, 7649, 10632, 4032, 26108, 1829, 3555, 13672, 1829, 31439, 12174, 32640, 3660, 2423, 1108, 905, 1040, 4724, 16254, 5296, 2423, 1293, 2575], "avg_logprob": -0.15713443396226415, "compression_ratio": 1.5076923076923077, "no_speech_prob": 0.0, "words": [{"start": 1487.88, "end": 1488.38, "word": "بحيث", "probability": 0.95458984375}, {"start": 1488.38, "end": 1488.54, "word": " ان", "probability": 0.6337890625}, {"start": 1488.54, "end": 1488.8, "word": " انا", "probability": 0.828857421875}, {"start": 1488.8, "end": 1489.16, "word": 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"probability": 0.8232421875}, {"start": 1516.7, "end": 1517.54, "word": " الآن", "probability": 0.6683349609375}, {"start": 1517.54, "end": 1517.74, "word": " يما", "probability": 0.6474609375}, {"start": 1517.74, "end": 1517.98, "word": " انا", "probability": 0.902587890625}, {"start": 1517.98, "end": 1518.42, "word": " بيكون", "probability": 0.9353841145833334}, {"start": 1518.42, "end": 1518.68, "word": " عند", "probability": 0.7216796875}, {"start": 1518.68, "end": 1519.22, "word": " مثلا", "probability": 0.68798828125}, {"start": 1519.22, "end": 1519.68, "word": " طلع", "probability": 0.8992513020833334}, {"start": 1519.68, "end": 1519.86, "word": " على", "probability": 0.84619140625}, {"start": 1519.86, "end": 1520.3, "word": " جهاز", "probability": 0.9677734375}, {"start": 1520.3, "end": 1520.48, "word": " ال", "probability": 0.92822265625}, {"start": 1520.48, "end": 1520.96, "word": " Autoref", "probability": 0.6642252604166666}, {"start": 1520.96, "end": 1521.7, "word": " kratometer", "probability": 0.5519205729166666}, {"start": 1521.7, "end": 1522.4, "word": " او", "probability": 0.9033203125}, {"start": 1522.4, "end": 1522.76, "word": " جسده", "probability": 0.7086181640625}, {"start": 1522.76, "end": 1523.34, "word": " بالمصطرة", "probability": 0.9744140625}, {"start": 1523.34, "end": 1524.24, "word": " قيمة", "probability": 0.9895833333333334}, {"start": 1524.24, "end": 1524.46, "word": " ال", "probability": 0.96630859375}, {"start": 1524.46, "end": 1524.92, "word": " IPD", "probability": 0.961669921875}, {"start": 1524.92, "end": 1525.68, "word": " 64", "probability": 0.9384765625}, {"start": 1525.68, "end": 1526.0, "word": " ايش", "probability": 0.8369140625}, {"start": 1526.0, "end": 1526.66, "word": " بعمل", "probability": 0.97412109375}, {"start": 1526.66, "end": 1527.06, "word": " بحط", "probability": 0.8955078125}, {"start": 1527.06, "end": 1527.26, "word": " من", "probability": 0.98486328125}, {"start": 1527.26, "end": 1527.44, "word": " هان", "probability": 0.823974609375}, {"start": 1527.44, "end": 1527.74, "word": " مثلا", "probability": 0.9765625}, {"start": 1527.74, "end": 1528.46, "word": " 32", "probability": 0.94189453125}, {"start": 1528.46, "end": 1528.86, "word": " و", "probability": 0.9775390625}, {"start": 1528.86, "end": 1528.98, "word": " من", "probability": 0.57421875}, {"start": 1528.98, "end": 1529.16, "word": " هان", "probability": 0.929931640625}, {"start": 1529.16, "end": 1529.6, "word": " 32", "probability": 0.97705078125}], "temperature": 1.0}, {"id": 65, "seek": 153676, "start": 1530.04, "end": 1536.76, "text": "فبتكون لال right و لل left بشكل اللي هو ايه separate اللي هو منفصل ما بينهم", "tokens": [5172, 3555, 2655, 30544, 5296, 6027, 558, 4032, 24976, 1411, 4724, 8592, 28820, 13672, 1829, 31439, 1975, 1829, 3224, 4994, 13672, 1829, 31439, 9154, 5172, 36520, 19446, 49374, 16095], "avg_logprob": -0.35624999304612476, "compression_ratio": 1.2421052631578948, "no_speech_prob": 0.0, "words": 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هو ال both eyes قيمة الاختلاف هذا مثلا اكتر من اربع هان بيحكيلي انه لازم قيمة ال BD تكون very accurate لان اي اختلاف في هذه القيمة ايش هيقده؟", "tokens": [2304, 10632, 8978, 9673, 10632, 16472, 8978, 34105, 4117, 1975, 46456, 15040, 5172, 19446, 49374, 13672, 1829, 31439, 2423, 1293, 2575, 12174, 32640, 3660, 2423, 47283, 2655, 15040, 5172, 23758, 50113, 15040, 1975, 4117, 2655, 2288, 9154, 1975, 25513, 3615, 8032, 7649, 4724, 1829, 5016, 4117, 1829, 20292, 16472, 3224, 5296, 31377, 2304, 12174, 32640, 3660, 2423, 363, 35, 6055, 30544, 588, 8559, 5296, 7649, 1975, 1829, 1975, 46456, 15040, 5172, 8978, 29538, 25062, 32640, 3660, 1975, 1829, 8592, 39896, 28543, 3224, 22807], "avg_logprob": -0.17699033234800612, "compression_ratio": 1.701657458563536, "no_speech_prob": 1.1920928955078125e-06, "words": [{"start": 1609.55, "end": 1609.89, "word": "مية", "probability": 0.64453125}, {"start": 1609.89, "end": 1610.03, "word": " في", "probability": 0.556640625}, {"start": 1610.03, "end": 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بتطلع من ال center بتكون الرؤية واضح، يما بتطلع من ال peripheral بيكون هناك فيه distortion", "tokens": [41185, 3224, 34105, 4117, 45030, 11242, 18863, 3215, 3794, 9307, 30767, 1829, 50113, 15040, 2423, 39184, 1090, 8186, 2527, 34051, 50113, 15040, 43242, 8315, 2423, 6754, 39294, 473, 23758, 28239, 45367, 9154, 18863, 3215, 3794, 9307, 8978, 11296, 35186, 10874, 15042, 27884, 2423, 16209, 2399, 4340, 2405, 34051, 2423, 37300, 4340, 2405, 6225, 6027, 10632, 6225, 9640, 5172, 9957, 1975, 1829, 8592, 20449, 8315, 11296, 22807, 1975, 1829, 8592, 20449, 8315, 2655, 2423, 16209, 2399, 4340, 2405, 1975, 2407, 2423, 37300, 4340, 2405, 22807, 40228, 22653, 9673, 16572, 11242, 7251, 15042, 39894, 9566, 1211, 3615, 9154, 2423, 3056, 39894, 30544, 34892, 33604, 10632, 4032, 46958, 5016, 12399, 7251, 15042, 39894, 9566, 1211, 3615, 9154, 2423, 40235, 4724, 1829, 30544, 34105, 4117, 8978, 3224, 28426], "avg_logprob": -0.1518750066757202, "compression_ratio": 1.966789667896679, "no_speech_prob": 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"end": 1705.66, "word": " or", "probability": 0.86474609375}, {"start": 1705.66, "end": 1706.52, "word": " regular", "probability": 0.9541015625}, {"start": 1706.52, "end": 1707.66, "word": " CR", "probability": 0.5439453125}, {"start": 1707.66, "end": 1708.6, "word": " 39", "probability": 0.70556640625}, {"start": 1708.6, "end": 1709.38, "word": " plastic", "probability": 0.89208984375}, {"start": 1709.38, "end": 1710.14, "word": " lenses", "probability": 0.85888671875}], "temperature": 1.0}, {"id": 73, "seek": 172904, "start": 1712.32, "end": 1729.04, "text": "الـ Negative effect of achromatic aberration or spherical aberration on vision is increased if the eye is not looking through the optical center of the lens", "tokens": [6027, 39184, 43230, 1802, 295, 2800, 4397, 2399, 4340, 2405, 420, 37300, 4340, 2405, 322, 5201, 307, 6505, 498, 264, 3313, 307, 406, 1237, 807, 264, 20674, 3056, 295, 264, 6765], "avg_logprob": -0.29003907460719347, "compression_ratio": 1.325, "no_speech_prob": 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note the scale reading on the ruler at the center of the nose يعني قبل ما انا بدي احرك المسكرة لازم الاحظ ان التدريج تاحه وين هيكون في مركز اللي هو ال nose طبعا انا بتكلم هنا ايه مونوكيلر بي دي", "tokens": [3794, 2407, 16606, 45164, 2423, 39184, 558, 34051, 2423, 39184, 1411, 3313, 949, 2684, 264, 19661, 3637, 264, 4373, 3760, 322, 264, 19661, 412, 264, 3056, 295, 264, 6690, 37495, 22653, 12174, 36150, 19446, 1975, 8315, 4724, 16254, 1975, 5016, 31747, 9673, 3794, 4117, 25720, 5296, 31377, 2304, 1975, 15040, 5016, 19913, 16472, 16712, 3215, 16572, 7435, 6055, 39319, 3224, 4032, 9957, 39896, 30544, 8978, 3714, 31747, 11622, 13672, 1829, 31439, 2423, 6690, 23032, 3555, 3615, 995, 1975, 8315, 39894, 4117, 19528, 34105, 1975, 1829, 3224, 3714, 11536, 2407, 4117, 26895, 2288, 4724, 1829, 11778, 1829], "avg_logprob": -0.25950386597938147, "compression_ratio": 1.5938864628820961, "no_speech_prob": 0.0, "words": [{"start": 1868.62, "end": 1869.06, "word": "سواء", "probability": 0.79736328125}, 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"word": " يعني", "probability": 0.8173828125}, {"start": 1881.38, "end": 1881.66, "word": " قبل", "probability": 0.857177734375}, {"start": 1881.66, "end": 1881.82, "word": " ما", "probability": 0.85400390625}, {"start": 1881.82, "end": 1881.98, "word": " انا", "probability": 0.7666015625}, {"start": 1881.98, "end": 1882.24, "word": " بدي", "probability": 0.784912109375}, {"start": 1882.24, "end": 1882.72, "word": " احرك", "probability": 0.9012044270833334}, {"start": 1882.72, "end": 1883.46, "word": " المسكرة", "probability": 0.7293701171875}, {"start": 1883.46, "end": 1884.4, "word": " لازم", "probability": 0.9466145833333334}, {"start": 1884.4, "end": 1885.08, "word": " الاحظ", "probability": 0.82958984375}, {"start": 1885.08, "end": 1885.36, "word": " ان", "probability": 0.84765625}, {"start": 1885.36, "end": 1886.04, "word": " التدريج", "probability": 0.9107666015625}, {"start": 1886.04, "end": 1886.52, "word": " تاحه", "probability": 0.408203125}, {"start": 1886.52, "end": 1886.7, "word": " وين", "probability": 0.808349609375}, {"start": 1886.7, "end": 1887.26, "word": " هيكون", "probability": 0.941650390625}, {"start": 1887.26, "end": 1887.66, "word": " في", "probability": 0.72412109375}, {"start": 1887.66, "end": 1888.22, "word": " مركز", "probability": 0.9791666666666666}, {"start": 1888.22, "end": 1888.46, "word": " اللي", "probability": 0.92578125}, {"start": 1888.46, "end": 1888.66, "word": " هو", "probability": 0.99609375}, {"start": 1888.66, "end": 1888.78, "word": " ال", "probability": 0.93701171875}, {"start": 1888.78, "end": 1889.1, "word": " nose", "probability": 0.52392578125}, {"start": 1889.1, "end": 1890.54, "word": " طبعا", "probability": 0.95361328125}, {"start": 1890.54, "end": 1890.66, "word": " انا", "probability": 0.855712890625}, {"start": 1890.66, "end": 1891.08, "word": " بتكلم", "probability": 0.9217122395833334}, {"start": 1891.08, "end": 1891.32, "word": " هنا", "probability": 0.53857421875}, {"start": 1891.32, "end": 1891.7, "word": " ايه", "probability": 0.8331705729166666}, {"start": 1891.7, "end": 1892.44, "word": " مونوكيلر", "probability": 0.6314697265625}, {"start": 1892.44, "end": 1892.7, "word": " بي", "probability": 0.5904541015625}, {"start": 1892.7, "end": 1892.86, "word": " دي", "probability": 0.845458984375}], "temperature": 1.0}, {"id": 80, "seek": 192360, "start": 1895.2, "end": 1923.6, "text": "This is the right monocular PD يعني هذه بالضبط اللي هو ال exact او ال accurate PD measurement ايضا بدنا نعمل ايه سبتراكت بدنا نطرح الآن القيمة اللي احنا حصلنا عليها يعني اجيب مثال لو كان عندنا مثلا ال IBD كبينوكيلر مثلا ستة و ستين ملي هذه both I او binocular I", "tokens": [5723, 307, 264, 558, 1108, 905, 1040, 10464, 37495, 22653, 29538, 20666, 11242, 3555, 9566, 13672, 1829, 31439, 2423, 1900, 1975, 2407, 2423, 8559, 10464, 13160, 1975, 1829, 11242, 995, 47525, 8315, 8717, 25957, 1211, 1975, 1829, 3224, 8608, 3555, 2655, 23557, 4117, 2655, 47525, 8315, 8717, 9566, 2288, 5016, 6024, 48506, 25062, 32640, 3660, 13672, 1829, 1975, 5016, 8315, 11331, 36520, 8315, 25894, 11296, 37495, 22653, 1975, 7435, 1829, 3555, 50113, 6027, 45164, 25961, 43242, 8315, 50113, 15040, 2423, 40385, 35, 9122, 3555, 9957, 2407, 4117, 26895, 2288, 50113, 15040, 8608, 2655, 3660, 4032, 8608, 2655, 9957, 3714, 20292, 29538, 1293, 286, 1975, 2407, 5171, 905, 1040, 286], "avg_logprob": -0.2142045504667542, "compression_ratio": 1.6326530612244898, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1895.2, "end": 1895.54, "word": "This", "probability": 0.390380859375}, {"start": 1895.54, "end": 1895.96, "word": " is", "probability": 0.95458984375}, {"start": 1895.96, "end": 1896.42, "word": " the", "probability": 0.88427734375}, {"start": 1896.42, "end": 1896.84, "word": " right", "probability": 0.88427734375}, {"start": 1896.84, "end": 1897.58, "word": " monocular", "probability": 0.8614908854166666}, {"start": 1897.58, "end": 1897.98, "word": " PD", "probability": 0.61181640625}, {"start": 1897.98, "end": 1898.62, "word": " يعني", "probability": 0.75390625}, {"start": 1898.62, "end": 1898.86, "word": " هذه", "probability": 0.349853515625}, {"start": 1898.86, "end": 1899.4, "word": " بالضبط", "probability": 0.956298828125}, {"start": 1899.4, "end": 1899.62, "word": " اللي", "probability": 0.869384765625}, {"start": 1899.62, "end": 1899.8, "word": " هو", "probability": 0.857421875}, {"start": 1899.8, "end": 1900.08, "word": " ال", "probability": 0.7119140625}, {"start": 1900.08, "end": 1900.64, "word": " exact", "probability": 0.34619140625}, {"start": 1900.64, "end": 1901.1, "word": " او", "probability": 0.807373046875}, {"start": 1901.1, "end": 1901.28, "word": " ال", "probability": 0.87548828125}, {"start": 1901.28, "end": 1901.78, "word": " accurate", "probability": 0.87841796875}, {"start": 1901.78, "end": 1902.38, "word": " PD", "probability": 0.8828125}, {"start": 1902.38, "end": 1903.04, "word": " measurement", "probability": 0.568359375}, {"start": 1903.04, "end": 1904.46, "word": " ايضا", "probability": 0.8922119140625}, {"start": 1904.46, "end": 1904.68, "word": " بدنا", "probability": 0.7354736328125}, {"start": 1904.68, "end": 1905.02, "word": " نعمل", "probability": 0.9962565104166666}, {"start": 1905.02, "end": 1905.42, "word": " ايه", "probability": 0.8953450520833334}, {"start": 1905.42, "end": 1906.5, "word": " سبتراكت", "probability": 0.67523193359375}, {"start": 1906.5, "end": 1906.84, "word": " بدنا", "probability": 0.859375}, {"start": 1906.84, "end": 1907.34, "word": " نطرح", "probability": 0.9779052734375}, {"start": 1907.34, "end": 1907.9, "word": " الآن", "probability": 0.6282958984375}, {"start": 1907.9, "end": 1908.84, "word": " القيمة", "probability": 0.966796875}, {"start": 1908.84, "end": 1908.92, "word": " اللي", "probability": 0.96435546875}, {"start": 1908.92, "end": 1909.12, "word": " احنا", "probability": 0.9560546875}, {"start": 1909.12, "end": 1909.6, "word": " حصلنا", "probability": 0.9715169270833334}, {"start": 1909.6, "end": 1910.04, "word": " عليها", "probability": 0.993408203125}, {"start": 1910.04, "end": 1910.52, "word": " يعني", "probability": 0.899169921875}, {"start": 1910.52, "end": 1911.18, "word": " اجيب", "probability": 0.9627685546875}, {"start": 1911.18, "end": 1911.58, "word": " مثال", "probability": 0.986572265625}, {"start": 1911.58, "end": 1912.18, "word": " لو", "probability": 0.94287109375}, {"start": 1912.18, "end": 1912.46, "word": " كان", "probability": 0.9951171875}, {"start": 1912.46, "end": 1912.76, "word": " عندنا", "probability": 0.948974609375}, {"start": 1912.76, "end": 1913.16, "word": " مثلا", "probability": 0.985107421875}, {"start": 1913.16, "end": 1913.56, "word": " ال", "probability": 0.8330078125}, {"start": 1913.56, "end": 1914.3, "word": " IBD", "probability": 0.6771240234375}, {"start": 1914.3, "end": 1916.84, "word": " كبينوكيلر", "probability": 0.7394670758928571}, {"start": 1916.84, "end": 1917.18, "word": " مثلا", "probability": 0.924560546875}, {"start": 1917.18, "end": 1917.6, "word": " ستة", "probability": 0.8294270833333334}, {"start": 1917.6, "end": 1917.7, "word": " و", "probability": 0.95654296875}, {"start": 1917.7, "end": 1918.24, "word": " ستين", "probability": 0.8855794270833334}, {"start": 1918.24, "end": 1919.84, "word": " ملي", "probability": 0.72705078125}, {"start": 1919.84, "end": 1921.5, "word": " هذه", "probability": 0.295654296875}, {"start": 1921.5, "end": 1921.88, "word": " both", "probability": 0.73974609375}, {"start": 1921.88, "end": 1922.22, "word": " I", "probability": 0.5}, {"start": 1922.22, "end": 1922.68, "word": " او", "probability": 0.85888671875}, {"start": 1922.68, "end": 1923.3, "word": " binocular", "probability": 0.8284505208333334}, {"start": 1923.3, "end": 1923.6, "word": " I", "probability": 0.97119140625}], "temperature": 1.0}, {"id": 81, "seek": 195358, "start": 1924.52, "end": 1953.58, "text": "والان عملنا monocular تمام للعين اليمين مثلا انه كانت ال IBD للمونوكيلر اتنين و تلاتين ميلي لل right eye كدش قيمة اللي هو ال left اربعة و تلاتين اذا هتكون قيمة اربعة و تلاتين تمام هي قيمة اللي هو ال IBD لمين لل left eye واضح الفكرة", "tokens": [2407, 6027, 7649, 6225, 42213, 8315, 1108, 905, 1040, 46811, 10943, 24976, 3615, 9957, 2423, 32640, 9957, 50113, 15040, 16472, 3224, 25961, 2655, 2423, 40385, 35, 5296, 19528, 11536, 2407, 4117, 26895, 2288, 1975, 2655, 1863, 9957, 4032, 6055, 1211, 9307, 9957, 3714, 1829, 20292, 24976, 558, 3313, 9122, 3215, 8592, 12174, 32640, 3660, 13672, 1829, 31439, 2423, 1411, 1975, 25513, 27884, 4032, 6055, 1211, 9307, 9957, 1975, 15730, 8032, 2655, 30544, 12174, 32640, 3660, 1975, 25513, 27884, 4032, 6055, 1211, 9307, 9957, 46811, 10943, 39896, 12174, 32640, 3660, 13672, 1829, 31439, 2423, 40385, 35, 32767, 9957, 24976, 1411, 3313, 4032, 46958, 5016, 27188, 4117, 25720], "avg_logprob": -0.20151868490415198, "compression_ratio": 1.91, "no_speech_prob": 0.0, "words": [{"start": 1924.52, "end": 1925.0, "word": "والان", "probability": 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1935.1, "word": " اتنين", "probability": 0.801025390625}, {"start": 1935.1, "end": 1935.2, "word": " و", "probability": 0.56298828125}, {"start": 1935.2, "end": 1935.66, "word": " تلاتين", "probability": 0.95703125}, {"start": 1935.66, "end": 1936.06, "word": " ميلي", "probability": 0.7313639322916666}, {"start": 1936.06, "end": 1938.06, "word": " لل", "probability": 0.70166015625}, {"start": 1938.06, "end": 1938.4, "word": " right", "probability": 0.724609375}, {"start": 1938.4, "end": 1938.78, "word": " eye", "probability": 0.9189453125}, {"start": 1938.78, "end": 1940.38, "word": " كدش", "probability": 0.4204915364583333}, {"start": 1940.38, "end": 1940.8, "word": " قيمة", "probability": 0.9925130208333334}, {"start": 1940.8, "end": 1941.02, "word": " اللي", "probability": 0.913330078125}, {"start": 1941.02, "end": 1941.22, "word": " هو", "probability": 0.98046875}, {"start": 1941.22, "end": 1941.36, "word": " ال", "probability": 0.66650390625}, {"start": 1941.36, "end": 1941.66, "word": " left", "probability": 0.94482421875}, {"start": 1941.66, "end": 1942.54, "word": " اربعة", "probability": 0.7157389322916666}, {"start": 1942.54, "end": 1942.66, "word": " و", "probability": 0.662109375}, {"start": 1942.66, "end": 1943.08, "word": " تلاتين", "probability": 0.964111328125}, {"start": 1943.08, "end": 1943.48, "word": " اذا", "probability": 0.851318359375}, {"start": 1943.48, "end": 1943.96, "word": " هتكون", "probability": 0.8119303385416666}, {"start": 1943.96, "end": 1944.62, "word": " قيمة", "probability": 0.9837239583333334}, {"start": 1944.62, "end": 1945.32, "word": " اربعة", "probability": 0.9443359375}, {"start": 1945.32, "end": 1946.36, "word": " و", "probability": 0.9658203125}, {"start": 1946.36, "end": 1946.92, "word": " تلاتين", "probability": 0.929443359375}, {"start": 1946.92, "end": 1948.9, "word": " تمام", "probability": 0.972412109375}, {"start": 1948.9, "end": 1949.12, "word": " هي", "probability": 0.90478515625}, {"start": 1949.12, "end": 1949.66, "word": " قيمة", "probability": 0.9913736979166666}, {"start": 1949.66, "end": 1949.88, "word": " اللي", "probability": 0.975830078125}, {"start": 1949.88, "end": 1950.04, "word": " هو", "probability": 0.98876953125}, {"start": 1950.04, "end": 1950.18, "word": " ال", "probability": 0.7841796875}, {"start": 1950.18, "end": 1950.72, "word": " IBD", "probability": 0.962890625}, {"start": 1950.72, "end": 1951.12, "word": " لمين", "probability": 0.681884765625}, {"start": 1951.12, "end": 1951.48, "word": " لل", "probability": 0.75634765625}, {"start": 1951.48, "end": 1951.76, "word": " left", "probability": 0.92041015625}, {"start": 1951.76, "end": 1952.1, "word": " eye", "probability": 0.95654296875}, {"start": 1952.1, "end": 1953.14, "word": " واضح", "probability": 0.96875}, {"start": 1953.14, "end": 1953.58, "word": " الفكرة", "probability": 0.9274088541666666}], "temperature": 1.0}, {"id": 82, "seek": 197953, "start": 1954.65, "end": 1979.53, "text": "إذا قيمة الـ IBD للـ left eye هي عبارة عن أربعة وتلاتين ملي متر من خلال اللي هو الطرح ما بين قيمة ال IBD اللى ال binocular لل both eyes بدنا نترحى من قيمة اللي هو ال IBD اللى تم الحصول عليها من one eye", "tokens": [28814, 15730, 12174, 32640, 3660, 2423, 39184, 40385, 35, 24976, 39184, 1411, 3313, 39896, 6225, 3555, 9640, 3660, 18871, 5551, 25513, 27884, 34683, 1211, 9307, 9957, 3714, 20292, 44650, 2288, 9154, 16490, 1211, 6027, 13672, 1829, 31439, 41950, 2288, 5016, 19446, 49374, 12174, 32640, 3660, 2423, 40385, 35, 13672, 7578, 2423, 5171, 905, 1040, 24976, 1293, 2575, 47525, 8315, 8717, 2655, 2288, 5016, 7578, 9154, 12174, 32640, 3660, 13672, 1829, 31439, 2423, 40385, 35, 13672, 7578, 46811, 21542, 9381, 12610, 25894, 11296, 9154, 472, 3313], "avg_logprob": -0.20748546563608702, "compression_ratio": 1.6789473684210525, "no_speech_prob": 0.0, "words": [{"start": 1954.65, "end": 1954.95, "word": "إذا", "probability": 0.5618896484375}, {"start": 1954.95, "end": 1955.61, "word": " قيمة", "probability": 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distance distance between center a frame bd or a frame difference", "tokens": [3794, 33604, 6027, 16712, 7649, 1829, 2423, 39184, 33246, 3056, 4560, 295, 257, 3920, 393, 611, 312, 1433, 292, 295, 264, 3480, 3993, 37495, 22653, 28242, 9673, 9381, 9566, 1211, 5016, 9307, 29538, 5551, 38251, 16606, 6055, 7649, 10632, 32767, 9957, 24976, 39184, 33246, 3056, 4560, 20449, 11778, 3224, 36764, 24401, 3660, 43242, 8315, 257, 3920, 3056, 4560, 4560, 1296, 3056, 257, 3920, 272, 67, 420, 257, 3920, 2649], "avg_logprob": -0.18973214903048108, "compression_ratio": 1.649746192893401, "no_speech_prob": 0.0, "words": [{"start": 2148.62, "end": 2149.02, "word": "سؤال", "probability": 0.9342447916666666}, {"start": 2149.02, "end": 2149.58, "word": " التاني", "probability": 0.9244791666666666}, {"start": 2149.58, "end": 2150.66, "word": " الـ", "probability": 0.530609130859375}, {"start": 2150.66, "end": 2151.56, "word": " geometric", "probability": 0.66455078125}, {"start": 2151.56, "end": 2152.28, 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a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/WdKMboPcyvo_raw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/WdKMboPcyvo_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..949ca5273075a7137f894a35654432aeb2babf48 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/WdKMboPcyvo_raw.srt @@ -0,0 +1,1744 @@ +1 +00:00:21,530 --> 00:00:24,530 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:24,530 --> 00:00:28,390 +وبركاته and a very good morning to all of you في + +3 +00:00:28,390 --> 00:00:34,350 +المحاضرة السابقة اتناولنا مفهوم ال intra pupillary + +4 +00:00:34,350 --> 00:00:41,830 +distance وعرفنا ان ال IPD is defined as the + +5 +00:00:41,830 --> 00:00:47,810 +distance between from one pupil to another pupil + +6 +00:00:47,810 --> 00:00:53,970 +from another eyeوانتهينا من موضوع ال common + +7 +00:00:53,970 --> 00:01:00,630 +difficulties and their solution أخدنا المشكلة + +8 +00:01:00,630 --> 00:01:06,150 +الأولى إذا كان المريض أو عفوا ال examiner ماعندهوش + +9 +00:01:06,150 --> 00:01:11,350 +قدرة على إغلاق one eye المشكلة اللي هو التانية + +10 +00:01:11,350 --> 00:01:18,600 +أيضا، إيش هي المشكلة التانية؟انه قضية اللي هو ان + +11 +00:01:18,600 --> 00:01:23,540 +ال patient can not close for one اللي هو I بينما + +12 +00:01:23,540 --> 00:01:27,360 +number two لو كان ال examiner في عنده impair ل ال + +13 +00:01:27,360 --> 00:01:32,500 +visual acuity او اللي هو تعطيل بحدة الإبصار الخاصة + +14 +00:01:32,500 --> 00:01:38,520 +للمريض اليوم هنبدأ subject is a strabismic يعني + +15 +00:01:38,520 --> 00:01:46,150 +بمعنى انه ال examiner في عندهأو فيه هناك اللي هو + +16 +00:01:46,150 --> 00:01:48,650 +حول موجود اللي هو في العين + +17 +00:02:02,610 --> 00:02:07,130 +دائما يا جماعة المريض عندما يكون عنده اي نوع من + +18 +00:02:07,130 --> 00:02:12,350 +الحوال سواء كان حوال للداخل ايزوترابيا او كان حوال + +19 +00:02:12,350 --> 00:02:17,230 +للخارج اكزوترابيا اما هو بيزود او بيقلل من قيمة + +20 +00:02:17,230 --> 00:02:21,170 +مين الـ Intrapibular distance لان لو كان العنتين + +21 +00:02:21,170 --> 00:02:27,500 +للداخل ايش هيصير في قيمة ال IBD؟قل صح ولا لا؟ لو + +22 +00:02:27,500 --> 00:02:31,600 +كانت الـ Intel للخارج، هزيد اللي هو قيمة ال IPD + +23 +00:02:31,600 --> 00:02:37,600 +فإما هتكون اللي هو Artificial أي بمعنى مصطنعة سواء + +24 +00:02:37,600 --> 00:02:42,580 +اللي هو كانت high أو كانت ايه low degrees أو low + +25 +00:02:42,580 --> 00:02:47,820 +اللي هو readingto determine a true reading طب احنا + +26 +00:02:47,820 --> 00:02:54,080 +الآن بدنا القيمة الصحيحة لل IPD لهذا الشخص كيف انا + +27 +00:02:54,080 --> 00:02:59,860 +ممكن اللي هو احسبها simply cover the subjects eye + +28 +00:02:59,860 --> 00:03:05,480 +not being observed ببساطة ايش احنا بدنا نغطي العين + +29 +00:03:05,480 --> 00:03:10,220 +اللي احنا مابنفحصها يعني الآن العين اللي مفحوصة + +30 +00:03:10,220 --> 00:03:16,090 +بدها تظلها اللي هوهي اللي عاملة fixation مع اللي + +31 +00:03:16,090 --> 00:03:20,030 +هو ال examiner والعين الغير مفحوظة بدنا نعمل لها + +32 +00:03:20,030 --> 00:03:23,190 +اللي هو occluder اللي هو تغطية او اللي هو cover + +33 +00:03:23,190 --> 00:03:27,790 +فاهمين علي كيف؟ يعني بمعنى اخر انه المريض بيصبح + +34 +00:03:27,790 --> 00:03:35,020 +for one eye بعين واحدةthis ensures that the + +35 +00:03:35,020 --> 00:03:39,160 +subject is fixating with the eye under observation + +36 +00:03:39,160 --> 00:03:45,140 +هذا بيضطر ضمانة ان المريض ايش هيظله عامل اللي هو + +37 +00:03:45,140 --> 00:03:49,480 +fixation for one eye يعني في العين اللي هي under + +38 +00:03:49,480 --> 00:03:53,500 +observation يعني العين اللي هي تحت الفحص اللي احنا + +39 +00:03:53,500 --> 00:03:54,300 +بنشتغل فيها + +40 +00:03:58,710 --> 00:04:03,830 +و هاد العين مش هيصير لها اي تنحراف لداخل او الخارج + +41 +00:04:03,830 --> 00:04:05,630 +او الأعلى او الأسفل + +42 +00:04:09,530 --> 00:04:13,650 +instances يعني في بعض الحالات أو في بعض اللي هو + +43 +00:04:13,650 --> 00:04:20,470 +المرضى where one eye turns out constantly يعني في + +44 +00:04:20,470 --> 00:04:25,130 +بعض الحالات أن زاوية الحول أو الحول دايما بيكون + +45 +00:04:25,130 --> 00:04:30,530 +باتجاه معين يعني ثابت constantly لا يتغير أو غير + +46 +00:04:30,530 --> 00:04:31,330 +متقطع + +47 +00:04:36,260 --> 00:04:43,080 +Okay إذا in some instances where one eye turns out + +48 +00:04:43,080 --> 00:04:48,890 +constantly، إذا زاوية الحول هتظلها باتجاه معينThe + +49 +00:04:48,890 --> 00:04:52,730 +prescribing doctor may determine or the + +50 +00:04:52,730 --> 00:04:56,730 +prescribing optometrist may determine that the + +51 +00:04:56,730 --> 00:05:02,170 +wearer is better served if the lenses are centered + +52 +00:05:02,170 --> 00:05:07,430 +in front of the pupils الآن أخصاء البصريات إيش بده + +53 +00:05:07,430 --> 00:05:14,470 +يعمل؟ بده يعمل إزاحة لهذه العين بحيث أنه تصبحالعين + +54 +00:05:14,470 --> 00:05:18,630 +يعني عاملة Decentration وبتطلع من مين؟ من ال + +55 +00:05:18,630 --> 00:05:23,990 +optical center of a lens مرة تانية، إذا كانت العين + +56 +00:05:23,990 --> 00:05:30,650 +فيها حول دائم للداخل أو للخارج، الآن وظيفة أخصاء + +57 +00:05:30,650 --> 00:05:35,250 +البصريات إيش يعمل؟ Decentration إزاحة، لمين؟ لل + +58 +00:05:35,250 --> 00:05:39,670 +optical center of a lens، بحيث أنه تصبح العين اللي + +59 +00:05:39,670 --> 00:05:45,020 +هو straightيعني انه دون أي اللي هو حواله أو اذا + +60 +00:05:45,020 --> 00:05:49,860 +كانت ال angle of deviation عالية كتير انه بده يعمل + +61 +00:05:49,860 --> 00:05:52,060 +اللي هو تقليل لهذه الزاوية + +62 +00:05:55,010 --> 00:06:00,590 +This will require that a separate measure be taken + +63 +00:06:00,590 --> 00:06:06,090 +for each I كيف يمكن إجراء هذا العمل؟ من خلال أنه + +64 +00:06:06,090 --> 00:06:11,770 +أنا باخد قيمة ال IBD لكل عين على حده، يعني بنعملش + +65 +00:06:11,770 --> 00:06:16,510 +اللي هو binocular IBD، بعمل حاجة بنسميها monocular + +66 +00:06:16,510 --> 00:06:17,250 +BD + +67 +00:06:22,940 --> 00:06:30,240 +تمام او monocular IBD one measurement will then be + +68 +00:06:30,240 --> 00:06:34,600 +considerably larger than the other اكيد الان اما + +69 +00:06:34,600 --> 00:06:41,000 +انا بدي اعمل قياس monocular BD هيكون في عندى قيمة + +70 +00:06:41,000 --> 00:06:46,530 +اللي هو ال IBDلا، اللي هو العين اليمين مختلفة + +71 +00:06:46,530 --> 00:06:50,030 +اختلاف كبير عن العين الشمال، صح ولا لا؟ لو كان + +72 +00:06:50,030 --> 00:06:53,930 +المريض عنده الزاوية اللي حول للداخل في العين + +73 +00:06:53,930 --> 00:06:58,170 +اليمين، إذاً هيكون الـ IBD تعها أيش؟ صغير، مقارنة + +74 +00:06:58,170 --> 00:07:02,010 +في العين الأخرى، فهذا هيعمل اللي هو considerably + +75 +00:07:02,010 --> 00:07:06,470 +اللي هو larger من ناحية اللي هو الـmeasurement، + +76 +00:07:06,470 --> 00:07:11,000 +القياس لكل عينأحنا نتكلم قاعدين اللي هو ال + +77 +00:07:11,000 --> 00:07:19,380 +استرابيزميك اللي هو subject الحالة التالتة، تمام؟ + +78 +00:07:19,380 --> 00:07:25,860 +هي مثلا عندنا الآن، اسمها turn off light، okay، + +79 +00:07:25,860 --> 00:07:29,090 +هال gate هي عندنا في العين اليمينإيش العين؟ + +80 +00:07:29,090 --> 00:07:34,790 +إكزاتروبيا يعني out اللي هو word العين للخارج الآن + +81 +00:07:34,790 --> 00:07:39,550 +احنا بدنا نحاول نستخدم نضارة عشان تعمل اللي هو + +82 +00:07:39,550 --> 00:07:43,870 +ايه؟ Decentration إزاحة بحيث انه تعدل العين في + +83 +00:07:43,870 --> 00:07:49,390 +المنتصف okay لبسة الطفلة الآن نضارة صار اللي هو + +84 +00:07:49,390 --> 00:07:53,350 +تقريبا إيش في عندها؟ اللي هو straightلأ اللي هو + +85 +00:07:53,350 --> 00:07:57,190 +الـ I مين اللي عمل هذا ال issue؟ الـ Decentration + +86 +00:07:57,190 --> 00:08:01,730 +هو أخصاء البصريات من خلال اللي هو التغيير إيش الـ + +87 +00:08:01,730 --> 00:08:04,890 +intra pupillary distance between the two eyes + +88 +00:08:04,890 --> 00:08:06,170 +تمام؟ + +89 +00:08:08,950 --> 00:08:14,350 +طيب subject is an uncooperative child الآن لو كان + +90 +00:08:14,350 --> 00:08:18,910 +الطفل غير متعاون و دايما الأطفال في مجتمعنا غير + +91 +00:08:18,910 --> 00:08:23,530 +متعاونين يعني في صعوبة في أخد اللي هو قيمة ال IBD + +92 +00:08:23,530 --> 00:08:29,970 +if the subject is young or uncooperative making + +93 +00:08:29,970 --> 00:08:35,790 +normal BD measurements impossible إذا هنا هيكون + +94 +00:08:35,790 --> 00:08:43,570 +قياس قيمةالـ IBD إيش مالها؟ صعب جدا أو مستحيل The + +95 +00:08:43,570 --> 00:08:48,210 +dispenser may have to take a canvass to canvass + +96 +00:08:48,210 --> 00:08:51,990 +measurement يعني بياخد من ال lateral canvass ل ال + +97 +00:08:51,990 --> 00:08:57,770 +media canvass قيمة مين؟ ال IBD إتبعتوا عليا؟ بياخد + +98 +00:08:57,770 --> 00:09:00,830 +من ال lateral canvass ل ال media canvass + +99 +00:09:03,270 --> 00:09:08,190 +this is done by measuring from the outer canthus + +100 +00:09:08,190 --> 00:09:19,010 +نفترض مثلا لل right eye تمام to the inner canthus + +101 +00:09:19,010 --> 00:09:26,610 +of the other eye أي بمعنى ال left eye لكن + +102 +00:09:26,610 --> 00:09:31,770 +وين المشكلة unfortunately لسوء الحظThis + +103 +00:09:31,770 --> 00:09:36,810 +measurement is not entirely exact يعني ليس بالضبط + +104 +00:09:36,810 --> 00:09:42,310 +انه يكون دقيق اللي هو جدا تمام؟ Since the inner + +105 +00:09:42,310 --> 00:09:46,950 +canthi of the eyes encroach farther across the + +106 +00:09:46,950 --> 00:09:51,730 +sclera with younger children بنعرف الأطفال دايما + +107 +00:09:52,510 --> 00:09:57,390 +انه بيكونوا زي مين .. زي ال chinese انه بتلاقي كل + +108 +00:09:57,390 --> 00:10:01,490 +اللي هو ال sclera او الصلبة داخلة لجوا بحيث انت مش + +109 +00:10:01,490 --> 00:10:06,390 +قادر تشوفي مين اللي هو ال canthus فهنا بدي اللي هو + +110 +00:10:06,390 --> 00:10:10,790 +ايه قياس غير اللي هو دقيق او بنسميه inaccurate + +111 +00:10:10,790 --> 00:10:14,530 +اللي هو measurement او هو مسميه اللي هو not + +112 +00:10:14,530 --> 00:10:17,890 +entirely exact يعني القيمة ليست بالضبط اللي هو + +113 +00:10:17,890 --> 00:10:23,240 +دقيقةفي انا جبتلكم صورة للموضوع هذا هاي شايفين + +114 +00:10:23,240 --> 00:10:26,620 +عندنا + +115 +00:10:26,620 --> 00:10:34,700 +هنا الان الصلبة او ال sclera مبينة لأ ليش لان كل + +116 +00:10:34,700 --> 00:10:39,080 +العين عاملة ايش دخول للداخل هذا النوع بنسميه اللي + +117 +00:10:39,080 --> 00:10:44,830 +هو ال pseudoSudo الهو ابي كانثا أو الهو سودو + +118 +00:10:44,830 --> 00:10:49,850 +سكوينت انه هو بظهر للناس ان هو عبارة عن حول لكن + +119 +00:10:49,850 --> 00:10:53,810 +يما بتقدم بيه اللي هو العمر بروح اللي هو ايش او + +120 +00:10:53,810 --> 00:10:58,590 +بتم اللي هو إزالته مع اللي هو تقدم العمر طبعا + +121 +00:10:58,590 --> 00:11:03,490 +انقرش further across the sclera يعني ال sclera مش + +122 +00:11:03,490 --> 00:11:08,350 +ظاهرةانه بتختفي كل هيتها فانا مابقدر احد تجديش + +123 +00:11:08,350 --> 00:11:13,070 +القيمة المناسبة لمين لل IPD هذا ايش بيعمل ليه يا + +124 +00:11:13,070 --> 00:11:20,830 +سمية؟ Inaccurate measurement of اللي هو IPD تمام؟ + +125 +00:11:20,830 --> 00:11:26,350 +انه ما بيكون اللي هو دقيقة قيمة ال IPDيعني الآن + +126 +00:11:26,350 --> 00:11:29,910 +يما يكون عندنا طفل عنده الـ pseudosquint زي في + +127 +00:11:29,910 --> 00:11:33,850 +الحالة هذه، من الصعب انا اعمل ايش؟ monocular PD + +128 +00:11:33,850 --> 00:11:41,610 +لأنه هان هيديني تعبير ان قيمة ال PD غير صحيحة خاصة + +129 +00:11:41,610 --> 00:11:45,850 +لو احنا استخدمنا ايش؟ المصطرة اللي هي ال manual + +130 +00:11:45,850 --> 00:11:46,650 +rule + +131 +00:11:52,480 --> 00:11:57,400 +steps in measuring the binocular distance BD هذه + +132 +00:11:57,400 --> 00:12:01,940 +مربط معناه اللي هي الخطوات في عملية اللي هو قياس + +133 +00:12:01,940 --> 00:12:08,660 +ال IBD لاللي هو ال binocular number one dispenser + +134 +00:12:08,660 --> 00:12:14,600 +positions at 40 cm انه لازم يكون ع مسافة جداش 40 + +135 +00:12:14,600 --> 00:12:20,020 +سانتي المسافة ما بين المريض و الفاحص او اللي هو 16 + +136 +00:12:20,020 --> 00:12:25,770 +انشOkay يعني زي المسافة بالضبط اللي بتعملوها + +137 +00:12:25,770 --> 00:12:30,350 +تقريبا تعتمد ال written scope okay تقريبا + +138 +00:12:30,350 --> 00:12:36,950 +Dispenser closes right eye إذا هيغلق اللي هو العين + +139 +00:12:36,950 --> 00:12:45,590 +اليمنى Subject fixes on dispensers left eye إذا + +140 +00:12:45,590 --> 00:12:50,950 +المريض هو هيثبت مين؟العين اللي هو ال open eye أو + +141 +00:12:50,950 --> 00:12:57,390 +اللي هو ال left eye تمام؟ dispenser lines up zero + +142 +00:12:57,390 --> 00:13:01,910 +point الآن انت بدك تحط حفة المصدرة أو قيمة ال zero + +143 +00:13:01,910 --> 00:13:08,170 +على وين؟ على اللي هو ال center of a pupil okay؟ on + +144 +00:13:08,170 --> 00:13:12,820 +subjects right eye at the pupil centerLeft + +145 +00:13:12,820 --> 00:13:18,020 +Pupillary Border أو Left Limbus طيب الصطر اللي .. + +146 +00:13:18,020 --> 00:13:22,660 +العفوان اللي هو الاتجاه التاني للمصطرة بدك تحطيه + +147 +00:13:22,660 --> 00:13:28,880 +على حفة مين؟ الليمبس تمام؟ إذا عندنا أول حاجة + +148 +00:13:28,880 --> 00:13:31,940 +الحفة الأولى بدنا نحطها بال center لاللي هو ال + +149 +00:13:31,940 --> 00:13:36,560 +pupil استوعبين؟ الآن الحفة التانية أين بدنا نحطها؟ + +150 +00:13:36,560 --> 00:13:43,510 +على أطراف الليمبسDispenser closes left eye, opens + +151 +00:13:43,510 --> 00:13:50,650 +right eye، الآن هيغير العكس، مين هيسكر؟ ايوة و + +152 +00:13:50,650 --> 00:13:56,490 +هيفتح مين؟ ال right eye Subject fixates right eye، + +153 +00:13:56,490 --> 00:14:02,450 +إذا الآن المريض هيثبت مين؟ العين اليمين Dispenser + +154 +00:14:02,450 --> 00:14:07,970 +reads of scale، يعني مباشرة أنه هيقرأ مين، اللي هو + +155 +00:14:07,970 --> 00:14:12,870 +القراءةdirectly aligned with left pupil center, + +156 +00:14:13,530 --> 00:14:16,350 +left pupillary border or left limbus + +157 +00:14:24,620 --> 00:14:28,880 +Dispenser encloses right eye of left subject + +158 +00:14:28,880 --> 00:14:31,720 +fixate left eye اللي أنا بدي أعمل عملية + +159 +00:14:31,720 --> 00:14:36,260 +verification كيف ممكن أؤكد أنه نفس الفكرة الأولى + +160 +00:14:36,260 --> 00:14:41,040 +أنه بدنا نغلق اللي هو مين و نفتح اللي هو الشمال + +161 +00:14:42,870 --> 00:14:47,110 +Dispenser checks to make sure zero point is still + +162 +00:14:47,110 --> 00:14:51,470 +correct يعني لازم اتأكد انه قيمة اللي هو ال zero + +163 +00:14:51,470 --> 00:14:55,810 +جاية بالضبط على مين ال center of a pupil عشان انا + +164 +00:14:55,810 --> 00:14:59,690 +امشي في الخطوة التانية او اللي هو قد القراءة + +165 +00:14:59,690 --> 00:15:08,310 +الصحيحة لقيمة اللي هو ال IBD ايضا + +166 +00:15:08,310 --> 00:15:14,080 +عندنا common causes of errorsيعني بمعنى الأسباب + +167 +00:15:14,080 --> 00:15:20,860 +الشائعة لا اللي هو الخطأ There are several common + +168 +00:15:20,860 --> 00:15:27,300 +causes of errors inherent in using a PD rule يعني + +169 +00:15:27,300 --> 00:15:31,120 +في هناك مجموعة من اللي هو الأخطاء اللي يمكن + +170 +00:15:31,120 --> 00:15:36,360 +التعبير عنها خلال إجراء عملية الفحث number one + +171 +00:15:37,320 --> 00:15:41,640 +There will be an error in measurement if the + +172 +00:15:41,640 --> 00:15:47,940 +measures BD differ or differs significantly from + +173 +00:15:47,940 --> 00:15:53,460 +the subjects because the lines of sight are not + +174 +00:15:53,460 --> 00:15:59,120 +parallel الآن يا جماعة أنا ك examiner نفترض كان + +175 +00:15:59,120 --> 00:16:04,440 +عندى ال IBD 70وال patient كان عنده ال IBD كده ايش؟ + +176 +00:16:04,440 --> 00:16:09,380 +خمسين، اذا فيه هناك اختلاف واضح بقيمة ال IBD ما + +177 +00:16:09,380 --> 00:16:12,380 +بين ال examiner و ال patient، هذا ممكن يؤدي إلى + +178 +00:16:12,380 --> 00:16:18,610 +الخطأليش؟ لأن الـ face مش اللي هو face to face، + +179 +00:16:18,610 --> 00:16:21,790 +تمام؟ يعني بمعنى آخر، لما أنا بدي أغلق ال right + +180 +00:16:21,790 --> 00:16:26,350 +eye و أطلع فيه اللي هو الشمال أو العكس، أنه هيكون + +181 +00:16:26,350 --> 00:16:31,510 +فيه نسبة خطأ، تمام؟ طبعا، قداش قيمة الخطأ هذا ربما + +182 +00:16:31,510 --> 00:16:36,070 +تكون درجة، واحد ملي، يعني مش اختلاف اللي هو كبير، + +183 +00:16:36,070 --> 00:16:39,910 +okay؟ بس أيضا تعتبر من ضمن اللي هو ال errors + +184 +00:16:39,910 --> 00:16:50,720 +الأخطاءناخد هان مثال if the measurer bd is 16 mm + +185 +00:16:50,720 --> 00:16:55,560 +larger than the subjects زي ما اتفقنا ان الفرق ما + +186 +00:16:55,560 --> 00:17:00,700 +بين ال IBD بتاع المريض و IBD بتاع ال examiner في + +187 +00:17:00,700 --> 00:17:06,080 +فرق بينهم 16 ملي the reading will be one + +188 +00:17:06,080 --> 00:17:10,740 +millimeter too highيعني هيكون فيه زيادة عن القيمة + +189 +00:17:10,740 --> 00:17:15,960 +الصحيحة لل IPD 1 مليل طيب إيه سببها؟ الـ + +190 +00:17:15,960 --> 00:17:21,500 +Parallactic Error يعني بمعنى إنه ال visual axis أو + +191 +00:17:21,500 --> 00:17:26,480 +ال angle of vision هتكون مختلفة ما بين ال patient + +192 +00:17:26,480 --> 00:17:31,080 +I و اللي هو main examiner I هذي number one + +193 +00:17:34,530 --> 00:17:40,170 +The above error will be increased if the BD rule + +194 +00:17:40,170 --> 00:17:46,990 +is entitled on the subject's nose, so that the + +195 +00:17:46,990 --> 00:17:51,770 +scale is in the most recessed area لو فكرين في + +196 +00:17:51,770 --> 00:17:58,770 +المحاضرة السابقةاتفقنا إنه المريض لازم تكون + +197 +00:17:58,770 --> 00:18:03,550 +المصطرة على أريح مكان بالنسبة له، تمام؟ طيب أنا + +198 +00:18:03,550 --> 00:18:08,730 +مثلا روحت حطيت المصطرة محاذية له اللي هو ال bridge + +199 +00:18:08,730 --> 00:18:13,010 +صار فيه نسبة خطأ، ممكن اتحركت معي، ممكن مثلا لو + +200 +00:18:13,010 --> 00:18:16,770 +كنت اللي هو beginner، أيدي مثلا رجفت، هتعمل اللي + +201 +00:18:16,770 --> 00:18:21,000 +هو تغيير من حيث اللي هو إيه القراءةمستوعبين معايا؟ + +202 +00:18:21,000 --> 00:18:24,560 +وهذا ايش بيعمل اللي هو error في اللي هو ال scale + +203 +00:18:24,560 --> 00:18:30,920 +طيب if the dispenser is too close to the subject + +204 +00:18:30,920 --> 00:18:35,300 +احنا اتفقنا الآن المسافة ما بين المريض و الفاحص + +205 +00:18:35,300 --> 00:18:39,880 +أربعين صانطة تمام؟ طيب الآن مثلا المسافة هذه كانت + +206 +00:18:39,880 --> 00:18:45,250 +أقل كانت عشرين صانطة او عشرة صانطة هتعمل خطأTwo + +207 +00:18:45,250 --> 00:18:51,970 +clothes is closer than the normal 40 cm or 16 inch + +208 +00:18:51,970 --> 00:19:00,450 +distance A significant error will be induced اذا + +209 +00:19:00,450 --> 00:19:05,030 +هذا الخطأ اللي هو الواضح هيكون ايش ماله؟ induced + +210 +00:19:05,030 --> 00:19:11,850 +بمعنى مؤثر متى؟ اذا المريض كان عنده حول اي نوع من + +211 +00:19:11,850 --> 00:19:17,420 +انواع الحولor if the subject doesn't fixate + +212 +00:19:17,420 --> 00:19:20,820 +binocularly يعني ماعندهوش اللي هو ال binocular + +213 +00:19:20,820 --> 00:19:24,720 +single vision يعني عدم قدرة العنتين على الرؤية + +214 +00:19:24,720 --> 00:19:29,680 +بالوضوح في وقت واحد تمام؟ during the BD + +215 +00:19:29,680 --> 00:19:34,710 +measurementإذا إذا كان المريض عنده أي نوع من أنواع + +216 +00:19:34,710 --> 00:19:40,190 +الحول أو كان عنده عدم القدرة على الرؤية اللي هو + +217 +00:19:40,190 --> 00:19:44,490 +بوضوح بين العنتين، هذا بسبب اللي هو اختلاف أو عدم + +218 +00:19:44,490 --> 00:19:47,110 +اللي هو صحة بقيمة الـ IBD + +219 +00:19:50,010 --> 00:19:55,250 +An error can result if the subject's head moves + +220 +00:19:55,250 --> 00:20:00,770 +الان برضه الأخطاء ممكن اثناء عملية الفحص راح مثلا + +221 +00:20:00,770 --> 00:20:05,530 +المريض حرك راسه يمين او شمال او فوق او تحت هيعمل + +222 +00:20:05,530 --> 00:20:10,990 +خطأ في ايش؟ في قيمة القراءة تمام؟ممكن an error can + +223 +00:20:10,990 --> 00:20:15,170 +result if the person measuring أو بمعنى ال + +224 +00:20:15,170 --> 00:20:20,010 +examiner الشخص نفسه انا الفاحس روحت مثلا غيرت اللي + +225 +00:20:20,010 --> 00:20:24,510 +هو اتجاه العين تعتي او اللي هو لفت وجهي يمين او + +226 +00:20:24,510 --> 00:20:29,750 +شمال برضه هيعمل خطأ في القراءة an error will + +227 +00:20:29,750 --> 00:20:34,810 +result if the person measuring doesn't close or + +228 +00:20:34,810 --> 00:20:40,320 +include one eyeالان وانت بتفحصي نفترض ان الفاحص + +229 +00:20:40,320 --> 00:20:45,980 +مغطاش عين تمام اثناء الفحص يعني الان مش انا لازم + +230 +00:20:45,980 --> 00:20:50,900 +اول حاجة اعمل close for الهو one eye و اعمل الهو + +231 +00:20:50,900 --> 00:20:54,820 +open for another eye الان ماعملتش الطريقة هذه روحت + +232 +00:20:54,820 --> 00:20:58,660 +مباشرة حطيت المصدر و العينتين مفتوحات هذا ايضا + +233 +00:20:58,660 --> 00:21:05,250 +هيعمل ايش نسبة خطأ عند الهو او في إجراء الفحصAt a + +234 +00:21:05,250 --> 00:21:11,610 +time to ensure sighting from directly in front of + +235 +00:21:11,610 --> 00:21:15,810 +the subject's eye under observation هذا هيضمن أن + +236 +00:21:15,810 --> 00:21:24,110 +النظر سيكون مباشرة أمام العين من المريض أو العين + +237 +00:21:24,110 --> 00:21:31,790 +اللى بده يتم إجراء عملية الفحصThe subject may not + +238 +00:21:31,790 --> 00:21:36,530 +look directly at the major's pupil الان انا عملت + +239 +00:21:36,530 --> 00:21:41,150 +اللي هو عملية الفحص وكنت straight لكن المريض اثناء + +240 +00:21:41,150 --> 00:21:45,590 +الفحص ماكنش بتطلع اللي هو في المنطقة هذه او مثلا + +241 +00:21:45,590 --> 00:21:50,410 +ال attention بتاعه لفوق او لتحت okay during the + +242 +00:21:50,410 --> 00:21:54,690 +test which will result in an error ايضا هذا هيعمل + +243 +00:21:54,690 --> 00:21:58,510 +اللي هو نسبة خطأ في اللي هو النتيجة النهائية + +244 +00:22:03,370 --> 00:22:10,190 +نعود الآن لـ monocular BD أو الـ monocular IBD + +245 +00:22:10,190 --> 00:22:17,990 +since faces are not always symmetrical دائما يعني + +246 +00:22:17,990 --> 00:22:24,130 +الوجه بيكونش متماثل يعني في بعض الأحيان انه بيكون + +247 +00:22:24,130 --> 00:22:28,730 +هنا غالبا الوجه غير متماثل تمام بين اللي هو الانت + +248 +00:22:28,730 --> 00:22:34,180 +بين اللي هو ال two eyesIt's often necessary to + +249 +00:22:34,180 --> 00:22:40,500 +specify the BD for each I independently فعشان هيك + +250 +00:22:40,500 --> 00:22:45,040 +أو بالسبب اللي هو عدم التماثل لازم انا اعمل قياس + +251 +00:22:45,040 --> 00:22:50,220 +لقيمة ال BD لكل عين على حده يعني independently أي + +252 +00:22:50,220 --> 00:22:56,660 +بمعنى اللي هو بشكل مستقل الهدف + +253 +00:22:56,660 --> 00:23:03,640 +الأساسي in taking في أخد ال BDis to eventually + +254 +00:23:03,640 --> 00:23:08,920 +place the optical centers of the lenses إذن عندنا + +255 +00:23:08,920 --> 00:23:14,000 +الهدف الأساسي إنه أخد الـ monocular BD إن أصل في + +256 +00:23:14,000 --> 00:23:18,320 +المرحلة النهائية إن يكون ال pupil أو ال center of + +257 +00:23:18,320 --> 00:23:23,100 +pupil جاي في منتصف من ال optical center of a lens، + +258 +00:23:23,100 --> 00:23:26,620 +هي الهدف الأساسي Directly + +259 +00:23:28,400 --> 00:23:33,860 +in front of the subject's eyes طب إيش الهدف؟ to + +260 +00:23:33,860 --> 00:23:39,500 +prevent any undesired prismatic effect يعني حتى + +261 +00:23:39,500 --> 00:23:45,760 +اللي يتم منع أو تجنب أي تأثير منشوري غير مرغوف فيه + +262 +00:23:48,790 --> 00:23:55,010 +إذا قمت أحد العيون بإقلاج لعينة شخصية لشخصية + +263 +00:23:55,010 --> 00:24:02,070 +شخصية، فإن الجانب و مركز العيون الموجودة فيه + +264 +00:24:02,070 --> 00:24:05,770 +مواجهة مكان و مكان مواجهة مكان، بشكل مرتبط في + +265 +00:24:05,770 --> 00:24:14,570 +الصورة، لن تتجه من مركز العيون الموجودة فيه مكان + +266 +00:24:14,610 --> 00:24:19,470 +الان لو انا مثلا حطيت المسطرة في منطقة غير مريحة + +267 +00:24:19,470 --> 00:24:24,470 +لمن؟ للمريضالان المريض لو انا بدي اعمله binocular + +268 +00:24:24,470 --> 00:24:29,550 +BD هيكون نظره بشكل غير سليم، يعني بمعنى اخر هيكون + +269 +00:24:29,550 --> 00:24:34,650 +هناك انه ازاحة لاللي هو العين، سواء كانت لليمين او + +270 +00:24:34,650 --> 00:24:39,530 +للشمال، وهذا هيأثر في قيمة مين؟ الفحص تمام؟ + +271 +00:24:39,530 --> 00:24:44,750 +فالطريقة الأسلم والطريقة الأمثل والطريقة الأصح انه + +272 +00:24:44,750 --> 00:24:49,160 +اعمل ايش؟ binocular BD لكل عينبحيث ان انا اعمل + +273 +00:24:49,160 --> 00:24:53,240 +fixation للعين الاولى وبعد ذلك اعمل fixation للعين + +274 +00:24:53,240 --> 00:24:57,560 +التانية واجيب اللي هو قيمة ال monocular بدي ل ال + +275 +00:24:57,560 --> 00:25:04,260 +both eyesهي مثلا عندنا هذا عبارة عن اللي هو مصطرة + +276 +00:25:04,260 --> 00:25:10,120 +تمام اخد اللي هو ال IPD قيمتها جداش 64 اذا كان في + +277 +00:25:10,120 --> 00:25:15,380 +عندنا symmetrical تماثل هيكون هان 32 32 حتى انتوا + +278 +00:25:15,380 --> 00:25:18,680 +عندكم في ال trial frame الآن يما انا بيكون عند + +279 +00:25:18,680 --> 00:25:22,760 +مثلا طلع على جهاز ال Autoref kratometer او جسده + +280 +00:25:22,760 --> 00:25:27,740 +بالمصطرة قيمة ال IPD 64 ايش بعمل بحط من هان مثلا + +281 +00:25:27,740 --> 00:25:32,620 +32 و من هان 32فبتكون لال right و لل left بشكل اللي + +282 +00:25:32,620 --> 00:25:36,760 +هو ايه separate اللي هو منفصل ما بينهم + +283 +00:25:41,120 --> 00:25:45,680 +The error هذه مهمة is not too serious if the + +284 +00:25:45,680 --> 00:25:50,760 +lenses are of the same power الآن لو كانت العين + +285 +00:25:50,760 --> 00:25:56,320 +اليمين minus 3 والعين الشمال minus 3 هذا الأمر غير + +286 +00:25:56,320 --> 00:26:02,220 +مؤثر أو غير اللي هو serious يعني غير فعال أو غير + +287 +00:26:02,220 --> 00:26:04,160 +اللي هو حادث تأثير + +288 +00:26:07,470 --> 00:26:11,650 +and are not strong أو بمعنى انه مايكونش عنده + +289 +00:26:11,650 --> 00:26:14,410 +المريض high refractive error يعني مايكونش فيه عين + +290 +00:26:14,410 --> 00:26:18,970 +عنده minus عشرة والتانية مثلا minus اتناش okay + +291 +00:26:18,970 --> 00:26:26,470 +اللي هو high refractive error if however one lens + +292 +00:26:26,470 --> 00:26:31,410 +is very different from the otherOkay the center + +293 +00:26:31,410 --> 00:26:36,270 +must be placed accurately to prevent unwanted + +294 +00:26:36,270 --> 00:26:40,370 +binocular aprismatic effects نفترض الآن المريض + +295 +00:26:40,370 --> 00:26:45,270 +عنده anisometropia إيش مانعت anisometropia يا + +296 +00:26:45,270 --> 00:26:45,830 +رشاد؟ + +297 +00:26:49,550 --> 00:26:53,770 +مية في المية ان في هناك اختلاف ما بين اللي هو ال + +298 +00:26:53,770 --> 00:26:58,550 +both eyes قيمة الاختلاف هذا مثلا اكتر من اربع هان + +299 +00:26:58,550 --> 00:27:03,130 +بيحكيلي انه لازم قيمة ال BD تكون very accurate لان + +300 +00:27:03,130 --> 00:27:08,090 +اي اختلاف في هذه القيمة ايش هيقده؟لا اللي هو موضوع + +301 +00:27:08,090 --> 00:27:12,030 +عندنا unwanted binocular aprismatic effects اللي + +302 +00:27:12,030 --> 00:27:16,930 +هو تأثير منشوري أو عدم القدرة، عدم قدرة العنتين + +303 +00:27:16,930 --> 00:27:23,350 +على رؤية بوضوح at the same time تمام؟ monocular PD + +304 +00:27:23,350 --> 00:27:28,590 +are also important when using aspheric lenses or + +305 +00:27:28,590 --> 00:27:34,450 +high index lenses included polycarbonate lensesفيه + +306 +00:27:34,450 --> 00:27:38,630 +هناك بعض العدسات زي مثلا الـ high index material + +307 +00:27:38,630 --> 00:27:42,930 +أو مثلا عندنا ال polycarbonate هذا النوع من + +308 +00:27:42,930 --> 00:27:47,210 +العدسات فيها يا جماعة ال chromatic aberration أو + +309 +00:27:47,210 --> 00:27:51,230 +ال spherical aberration عالية عارفين ايش معناها؟ + +310 +00:27:51,230 --> 00:27:53,350 +ايش معنات ال chromatic aberration او ال spherical + +311 +00:27:53,350 --> 00:27:57,670 +aberration؟يعني المريض يما بتطلع من ال center + +312 +00:27:57,670 --> 00:28:01,650 +بتكون الرؤية واضح، يما بتطلع من ال peripheral + +313 +00:28:01,650 --> 00:28:06,200 +بيكون هناك فيه distortionواضحة الفكرة؟ هذه معناها + +314 +00:28:06,200 --> 00:28:10,500 +الـ spherical aberration أو اللي هو ما يسمى باللي + +315 +00:28:10,500 --> 00:28:16,740 +هو ال chromatic aberration هان هو ضايف أيضا، high + +316 +00:28:16,740 --> 00:28:21,520 +index lenses have more chromatic aberration وضيفه + +317 +00:28:21,520 --> 00:28:25,660 +كمان spherical aberration than crown glasses or + +318 +00:28:25,660 --> 00:28:35,840 +regular CR 39 plastic lensesالـ Negative effect of + +319 +00:28:35,840 --> 00:28:40,440 +achromatic aberration or spherical aberration on + +320 +00:28:40,440 --> 00:28:46,120 +vision is increased if the eye is not looking + +321 +00:28:46,120 --> 00:28:49,040 +through the optical center of the lens + +322 +00:29:10,150 --> 00:29:18,010 +بالنسبة لـ procedure أو التكنيك for measuring + +323 +00:29:18,010 --> 00:29:25,510 +monocular BD using a ruler يعني ايش الخطوات اللي + +324 +00:29:25,510 --> 00:29:32,240 +بتتم اجراءها لقياس قيمة ال monocular BDMonocular + +325 +00:29:32,240 --> 00:29:39,100 +PD are taken by measuring from the center of the + +326 +00:29:39,100 --> 00:29:43,240 +nose to the center of the pupil يعني من ال center + +327 +00:29:43,240 --> 00:29:47,820 +of the nose تمام لل center لل pupil يعني بدك كل + +328 +00:29:47,820 --> 00:29:49,000 +عين تاخديها على حدة + +329 +00:30:16,380 --> 00:30:25,140 +أول حاجة بدنا نقيص مين؟اللي هو ال IBD للبينوكيلر + +330 +00:30:25,140 --> 00:30:29,960 +لكن هذه مش دايما احنا بنستخدمها الصحيح ليش؟ لو كان + +331 +00:30:29,960 --> 00:30:34,560 +المريض عنده astrabismic I هيكون فيه هناك ايش؟ + +332 +00:30:34,560 --> 00:30:38,920 +false اللي هو reading صح ولا لأ؟ لو مثلا المريض + +333 +00:30:38,920 --> 00:30:45,930 +عندهLoss of fixation في one eye برضه هيكون هناك + +334 +00:30:45,930 --> 00:30:50,770 +ايش؟ يعني false reading كقيمة، هذه مش دايما انه + +335 +00:30:50,770 --> 00:30:55,970 +بنعمل قياس لمين، لا اللي هو ال IPD لل both eyes أو + +336 +00:30:55,970 --> 00:31:01,630 +ال binocular IBD Use the center of the pupil as + +337 +00:31:01,630 --> 00:31:04,590 +the reference point، دايما ال reference point + +338 +00:31:04,590 --> 00:31:09,260 +بتاعتى هي عبارة عن مركز اللي هو ال pupilسواء لو + +339 +00:31:09,260 --> 00:31:13,880 +الـ right أو الـ left eye before moving the ruler + +340 +00:31:13,880 --> 00:31:19,320 +note the scale reading on the ruler at the center + +341 +00:31:19,320 --> 00:31:24,400 +of the nose يعني قبل ما انا بدي احرك المسكرة لازم + +342 +00:31:24,400 --> 00:31:28,780 +الاحظ ان التدريج تاحه وين هيكون في مركز اللي هو ال + +343 +00:31:28,780 --> 00:31:35,960 +nose طبعا انا بتكلم هنا ايه مونوكيلر بي ديThis is + +344 +00:31:35,960 --> 00:31:40,080 +the right monocular PD يعني هذه بالضبط اللي هو ال + +345 +00:31:40,080 --> 00:31:45,020 +exact او ال accurate PD measurement ايضا بدنا نعمل + +346 +00:31:45,020 --> 00:31:49,600 +ايه سبتراكت بدنا نطرح الآن القيمة اللي احنا حصلنا + +347 +00:31:49,600 --> 00:31:54,300 +عليها يعني اجيب مثال لو كان عندنا مثلا ال IBD + +348 +00:31:54,300 --> 00:32:02,680 +كبينوكيلر مثلا ستة و ستين ملي هذه both I او + +349 +00:32:02,680 --> 00:32:07,960 +binocular Iوالان عملنا monocular تمام للعين اليمين + +350 +00:32:07,960 --> 00:32:15,660 +مثلا انه كانت ال IBD للمونوكيلر اتنين و تلاتين + +351 +00:32:15,660 --> 00:32:22,660 +ميلي لل right eye كدش قيمة اللي هو ال left اربعة و + +352 +00:32:22,660 --> 00:32:29,660 +تلاتين اذا هتكون قيمة اربعة و تلاتين تمام هي قيمة + +353 +00:32:29,660 --> 00:32:34,950 +اللي هو ال IBD لمين لل left eye واضح الفكرةإذا + +354 +00:32:34,950 --> 00:32:38,750 +قيمة الـ IBD للـ left eye هي عبارة عن أربعة + +355 +00:32:38,750 --> 00:32:45,850 +وتلاتين ملي متر من خلال + +356 +00:32:45,850 --> 00:32:51,490 +اللي هو الطرح ما بين قيمة ال IBD اللى ال binocular + +357 +00:32:51,490 --> 00:32:56,510 +لل both eyes بدنا نترحى من قيمة اللي هو ال IBD + +358 +00:32:56,510 --> 00:32:59,530 +اللى تم الحصول عليها من one eye + +359 +00:33:02,540 --> 00:33:08,920 +في عندنا هنا example the binocular bd is sixty six + +360 +00:33:08,920 --> 00:33:13,980 +the scale reading at the center of the nose is + +361 +00:33:13,980 --> 00:33:18,000 +thirty two طبعا هذه اما لل right او لل left or + +362 +00:33:18,000 --> 00:33:24,140 +what everالـ Monocular BD للعين الآية الثالثة و32 + +363 +00:33:45,860 --> 00:33:49,380 +طيب الان فى عندنا بعض الأسئلة بدنا نحلهم اللى هو + +364 +00:33:49,380 --> 00:33:54,420 +سويا تمام بتشمل + +365 +00:33:54,420 --> 00:34:01,060 +المحاضرة هذه ومحاضرات سابقة اول حاجة عندنا السؤال + +366 +00:34:01,060 --> 00:34:07,040 +الاول the distance between lenses ايش المسمى + +367 +00:34:07,040 --> 00:34:12,200 +التانى له ال another name ال + +368 +00:34:12,200 --> 00:34:16,540 +distance between lensesممتازة ال frame PD او ال + +369 +00:34:16,540 --> 00:34:21,960 +geometric center lenses صح او ال bridge size ايش + +370 +00:34:21,960 --> 00:34:27,820 +هي ال bridge size؟ ايوة اللي هي ال northwest area + +371 +00:34:27,820 --> 00:34:32,500 +ما بين ال two lenses it's the distance between the + +372 +00:34:32,500 --> 00:34:39,160 +two boxes when both lenses in a frame are boxed + +373 +00:34:39,160 --> 00:34:44,980 +offIt measured from the inside diesel highway + +374 +00:34:44,980 --> 00:34:50,180 +grooves across the bridge at يعني الآن هو بده + +375 +00:34:50,180 --> 00:34:55,580 +السؤال قداش قيمة اللي هو ال bridge size او ما هو + +376 +00:34:55,580 --> 00:34:59,940 +مفهوم ال bridge size ايش هي من الخيارات الأربع؟ + +377 +00:35:02,610 --> 00:35:06,930 +إن هل هي تعتبر ال highest point of the bridge ولا + +378 +00:35:06,930 --> 00:35:11,150 +ال horizontal midline أو ال datum اللي هو line of + +379 +00:35:11,150 --> 00:35:16,410 +the frame ولا ال norwest point of the bridge ولا + +380 +00:35:16,410 --> 00:35:20,230 +ال geometric center or boxing center line of the + +381 +00:35:20,230 --> 00:35:26,310 +frameهي عبارة عن اللي هو ال point of the bridge + +382 +00:35:26,310 --> 00:35:29,490 +الان انا النضارة لما بمسكها بدي قيمة ال bridge + +383 +00:35:29,490 --> 00:35:33,930 +size هي اضيق مسافة تحت ال bridge صح ولا لا من + +384 +00:35:33,930 --> 00:35:38,510 +حفتها للحفة التانية اذا هي تعتبر اللي هو C هذه + +385 +00:35:38,510 --> 00:35:46,690 +بتمثل مين ال bridge size تمام حدّيكم + +386 +00:35:46,690 --> 00:35:52,280 +اياهم الأسئلةسؤال التاني الـ geometric center + +387 +00:35:52,280 --> 00:35:58,040 +distance of a frame can also be termed of the + +388 +00:35:58,040 --> 00:36:03,520 +following except يعني كل المصطلحات هذه أسماء تانية + +389 +00:36:03,520 --> 00:36:07,400 +لمين للـ geometric center distance مع ده واحدة + +390 +00:36:07,400 --> 00:36:12,160 +عندنا a frame center distance distance between + +391 +00:36:12,160 --> 00:36:17,520 +center a frame bd or a frame differenceإذا هي دي + +392 +00:36:17,520 --> 00:36:23,880 +frame difference مية في المية السؤال التالت a + +393 +00:36:23,880 --> 00:36:31,420 +frame has the following manufacturers marking اه + +394 +00:36:31,420 --> 00:36:35,760 +بس هو فيه له تكمل السؤال انه بدنا نحسب قداش قيمة + +395 +00:36:35,760 --> 00:36:41,640 +اللي هو ال IBD يعني الآن لو انا مثلا قلتلك انه + +396 +00:36:41,640 --> 00:36:51,100 +اطار عندناأربعين مثلا خمسة + +397 +00:36:51,100 --> 00:36:58,180 +و عشرين تمام إذا عندنا بالشكل هذا كده قيمة ال + +398 +00:36:58,180 --> 00:37:03,220 +frame بي دي مية في المية أربعين زيادة خمسة و عشرين + +399 +00:37:03,220 --> 00:37:08,140 +إذا هتكون خمسة و ستين استوعبين هذه قيمة اللي هو ال + +400 +00:37:08,140 --> 00:37:15,240 +frame بي دياللي هي بتكون خمسة وستين يعني بمعنى اخر + +401 +00:37:15,240 --> 00:37:18,980 +انه انا جمعت قيمة ال bridge size مع ال a dimension + +402 +00:37:25,420 --> 00:37:29,680 +طيب the overall length إذا مدان بتكلم overall + +403 +00:37:29,680 --> 00:37:34,520 +length of the temple إذا أنا بتكلم على مين؟ ال + +404 +00:37:34,520 --> 00:37:39,340 +total يعني بما فيهم ال bend أو بما فيهم اللي هو + +405 +00:37:39,340 --> 00:37:44,660 +المنطقة اللي بتكون over the ear the overall length + +406 +00:37:44,660 --> 00:37:49,700 +of a spectacle frame temple is measured between + +407 +00:37:49,700 --> 00:37:55,670 +the posterior of the temple and endback surface of + +408 +00:37:55,670 --> 00:38:00,810 +the frame front ولا ال bottom of the temple ولا ال + +409 +00:38:00,810 --> 00:38:04,850 +in piece of the frame front ولا ال center of the + +410 +00:38:04,850 --> 00:38:11,440 +screw holeدى مية في المية ال center of the screw + +411 +00:38:11,440 --> 00:38:15,260 +hole يعني الآن يما انا بدي اقيص اللى هو ال total + +412 +00:38:15,260 --> 00:38:19,540 +او ال overall timber length باجي من ال center اللى + +413 +00:38:19,540 --> 00:38:25,160 +هو ال screw لحدى اللى هو مين نهاية اللى هو ال bend + +414 +00:38:25,160 --> 00:38:30,580 +okay the + +415 +00:38:30,580 --> 00:38:35,640 +optical center of an ophthalmic lens اذا انا بتكلم + +416 +00:38:35,640 --> 00:38:37,240 +ايش optical center + +417 +00:38:50,590 --> 00:38:57,390 +واللي هتكون مقابلة للجيومتريكسينتر of the frames + +418 +00:38:57,390 --> 00:39:02,610 +eyewire ولا that has no prismatic effect ولا that + +419 +00:39:02,610 --> 00:39:05,830 +has the desired diopteric power + +420 +00:39:08,710 --> 00:39:13,290 +C ليش انه that lines up with the patient view بل + +421 +00:39:13,290 --> 00:39:17,610 +لأ هي مش اعلى هي لازم تكون محاذية طب هنقع ايش قال + +422 +00:39:17,610 --> 00:39:21,230 +ليه؟ Corresponds اي بمعنى مقابلة لل geometric + +423 +00:39:21,230 --> 00:39:25,730 +center لأ 100% مش دايما انه بيكون متبقين لل + +424 +00:39:25,730 --> 00:39:28,930 +geometric يعني ال geometric center مع اللي هو مين + +425 +00:39:28,930 --> 00:39:32,850 +مع ال boxing اللي هو ال system اذا هي النقطة اللي + +426 +00:39:32,850 --> 00:39:36,830 +ما بيكون فيها اي تتأثير منشوري اذا هي تعتبر C + +427 +00:39:40,450 --> 00:39:46,890 +طيب سؤال اللي هو ستة an easy way يعني طريقة مبسطة + +428 +00:39:46,890 --> 00:39:52,090 +أو بسيطة لحساب ال distance between center او + +429 +00:39:52,090 --> 00:39:56,110 +بنسميها ايش ال geometric center distance او ال + +430 +00:39:56,110 --> 00:40:01,250 +frame BD هو ال frame BD of a given frame is to add + +431 +00:40:01,250 --> 00:40:07,220 +a dimension or I size to the B dimensionالـ C + +432 +00:40:07,220 --> 00:40:11,420 +dimension, the distance between lenses or bridge + +433 +00:40:11,420 --> 00:40:16,600 +size أو الديامتر الأفكتر هو كده كتبت لكم إياها ال + +434 +00:40:16,600 --> 00:40:19,880 +A dimension مع ال bridge اللي هو ال size إذا هتكون + +435 +00:40:19,880 --> 00:40:26,020 +أيش؟ اللي هو C تمام هديكم إياهم الأسئلة يعطيكم + +436 +00:40:26,020 --> 00:40:26,540 +العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/XUp7148xZ2k.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/XUp7148xZ2k.srt new file mode 100644 index 0000000000000000000000000000000000000000..9915d5dc00ca7c34d89ae225c6ed77ebf9f86a89 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/XUp7148xZ2k.srt @@ -0,0 +1,1573 @@ +1 +00:00:20,890 --> 00:00:23,950 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,950 --> 00:00:29,690 +وبركاته هنكمل إن شاء الله اليوم في موضوع ال frame + +3 +00:00:29,690 --> 00:00:36,290 +measurements and marking في المحاضرة السابقة بدأنا + +4 +00:00:36,290 --> 00:00:42,660 +في موضوع الـ Datum System والـ Boxing System + +5 +00:00:42,660 --> 00:00:48,260 +واتعرفنا على مصطلح الـ A Dimension والـ B + +6 +00:00:48,260 --> 00:00:54,360 +Dimension والـ C Dimension. The difference between + +7 +00:00:54,360 --> 00:00:58,800 +the horizontal، إذا، أما أتكلم horizontal، إذا بمعنى + +8 +00:00:58,800 --> 00:01:04,120 +الـ A Dimension والـ vertical measurements اللي + +9 +00:01:04,120 --> 00:01:09,660 +هي عبارة عن الـ B Dimension is known as the frame + +10 +00:01:09,660 --> 00:01:15,040 +difference. إن الاختلاف ما بين الإطار. طيب كيف ممكن + +11 +00:01:15,040 --> 00:01:21,580 +أن نقيسها من خلال وحدة المليمتر. يعني لو شوفنا هنا + +12 +00:01:21,580 --> 00:01:28,480 +مثال، هاي عندنا مثلاً التمانية وأربعين، هاد بتمثل + +13 +00:01:28,480 --> 00:01:35,910 +إيه؟ الـ A dimension، تمام، والـ 28 بتمثل الـ B + +14 +00:01:35,910 --> 00:01:43,130 +dimension. الآن الـ A ناقص الـ B هي عبارة عن إيه؟ الـ + +15 +00:01:43,130 --> 00:01:47,030 +difference ما بين الـ horizontal والـ vertical + +16 +00:01:47,030 --> 00:01:56,810 +measurement. يعني عندنا 48 ناقص 28، بالساوي كده 20 + +17 +00:01:56,810 --> 00:02:03,840 +مليمتر. هذا الفرق ما بين اللي هو الـ two meridians. + +18 +00:02:03,840 --> 00:02:10,400 +The larger the difference, the more rectangular + +19 +00:02:10,400 --> 00:02:17,320 +the enclosing box appears. الآن يا جماعة، كل ما كان + +20 +00:02:17,320 --> 00:02:22,580 +الشكل اللي هو مستطيل أكثر، كل ما كان الاختلاف ما بين + +21 +00:02:22,580 --> 00:02:27,910 +الـ A والـ B أكثر. يعني الآن، اتطلعوا هنا مثلاً هنا + +22 +00:02:27,910 --> 00:02:32,230 +ثمانية وأربعين وثمانية وعشرين. الآن وإحنا إيش + +23 +00:02:32,230 --> 00:02:36,890 +ضغطناه شوية، صار ثمانية وأربعين، أو عفواً اللي هو + +24 +00:02:36,890 --> 00:02:40,470 +كبرناه شوية، فأصبح ثمانية وأربعين وثمانية و + +25 +00:02:40,470 --> 00:02:45,130 +ثلاثين. فصارت إيش قيمة الـ A والـ B؟ إيش مالها؟ أكبر + +26 +00:02:45,130 --> 00:02:49,610 +فكل ما كان مستطيل أكثر، كل ما كان اللي هو الفرق في + +27 +00:02:49,610 --> 00:02:55,010 +القيم أكثر. frame difference is sometimes + +28 +00:02:55,010 --> 00:03:00,390 +referred to as lens difference. إذا الاختلاف ما بين + +29 +00:03:00,390 --> 00:03:04,990 +اللي هو الـ A dimension والـ B dimension، أيضاً في + +30 +00:03:04,990 --> 00:03:09,990 +بعض الأحيان بيشار له بالـ lens difference، اختلاف + +31 +00:03:09,990 --> 00:03:15,810 +اللي هو الـ dimension، اللي هو أبعاد من العدسة + +32 +00:03:15,810 --> 00:03:20,330 +المستطيل. + +33 +00:03:22,420 --> 00:03:26,180 +rectangular، اللي هو مستطيل، كل ما كان اللي هو + +34 +00:03:26,180 --> 00:03:30,620 +المستطيل أكبر، كل ما كان الاختلاف أكبر ما بين الـ A + +35 +00:03:30,620 --> 00:03:32,560 +وما بين اللي هو الـ B. + +36 +00:03:37,180 --> 00:03:42,640 +The boxing system also makes it possible to define + +37 +00:03:42,640 --> 00:03:47,960 +the distance between lenses. الآن لو إحنا عملنا + +38 +00:03:47,960 --> 00:03:52,500 +geometric center من المنتصف، و geometric center من + +39 +00:03:52,500 --> 00:03:56,900 +المنتصف، المسافة ما بينهم هذه إيش بتمثل؟ اللي + +40 +00:03:56,900 --> 00:04:01,840 +هي عبارة عن الـ distance between lenses، تمام؟ الـ + +41 +00:04:01,840 --> 00:04:06,570 +distance between lenses is the distance between the + +42 +00:04:06,570 --> 00:04:11,310 +two boxes. يعني المسافة ما بين الـ two lenses أو الـ + +43 +00:04:11,310 --> 00:04:17,550 +two boxes when both lenses are boxed off in the + +44 +00:04:17,550 --> 00:04:21,770 +frame. يعني ما يتم اللي هو وضع العدسة في داخل مين؟ + +45 +00:04:21,770 --> 00:04:28,550 +الإطار. أيوة، بس في حالة ما يتم اللي هو وضع العدسة + +46 +00:04:28,550 --> 00:04:32,130 +في داخل اللي هو الإطار، بيصبح المسافة من الـ center + +47 +00:04:32,130 --> 00:04:37,750 +لـ center لمين؟ للعدسة. الآن، ياما أنا بكون الـ frame + +48 +00:04:37,750 --> 00:04:42,490 +بدون اللي هو عدسات، هذا بنسميه اللي هو blank size. + +49 +00:04:42,490 --> 00:04:46,730 +تمام؟ ياما بأخذ من الـ center للـ center، هذا بدون + +50 +00:04:46,730 --> 00:04:50,150 +عدسة، مافيش أي عدسة، فبنقول اللي هو distance between + +51 +00:04:50,150 --> 00:04:55,640 +boxing. طيب، في حالة وجود العدسات، يعني يكون العدسة + +52 +00:04:55,640 --> 00:04:58,980 +موجودة في داخل الـ frame، بأخذ من الـ + +53 +00:04:58,980 --> 00:05:03,400 +center للـ center للعدسة، اللي هو إيه؟ فمديني اللي + +54 +00:05:03,400 --> 00:05:08,020 +هو distance between، distance، أو اللي هو بنسميه الـ + +55 +00:05:08,020 --> 00:05:13,280 +frame BD ما بينهم. okay. الآن إحنا جاي نقيس الـ + +56 +00:05:13,280 --> 00:05:18,180 +bridge size، اللي هي مسافة، بس وين؟ هام، المنطقة هذه + +57 +00:05:18,180 --> 00:05:23,980 +الـ bridge اللي هي size أو الـ distance between lenses. + +58 +00:05:24,720 --> 00:05:30,820 +is measured on the frame. يمكن قياسه على الإطار، as + +59 +00:05:30,820 --> 00:05:36,660 +the distance from the inside nasal eye wire. يعني + +60 +00:05:36,660 --> 00:05:40,620 +الآن من منطقة اللي هي الـ nasal للـ eye wire الأول + +61 +00:05:40,620 --> 00:05:49,000 +تمام، بالشكل هذا، من المنطقة هذه، تمام، لوين؟ المنطقة + +62 +00:05:49,000 --> 00:05:55,000 +التانية. across the bridge area at the + +63 +00:05:55,000 --> 00:06:01,480 +narrowest point. المنطقة الضيقة هذه اللي بتمثل الـ + +64 +00:06:01,480 --> 00:06:05,740 +bridge area، هذه بنسميها bridge size أو الـ + +65 +00:06:05,740 --> 00:06:09,940 +distance between lenses ما بين اللي هو العدستين. + +66 +00:06:13,070 --> 00:06:17,890 +طبعاً الـ bridge size أو الـ distance between lenses + +67 +00:06:17,890 --> 00:06:22,290 +هي وين بتكون موجودة؟ على الإطار نفسه، يعني لازم على + +68 +00:06:22,290 --> 00:06:26,910 +الـ temple بتاع الإطار. والآن هنشوفها، إن لازم يكون + +69 +00:06:26,910 --> 00:06:32,850 +مكتوب عليها، بيديك اللي هو القيمة الخاصة فيها. شايفين؟ + +70 +00:06:32,850 --> 00:06:41,060 +هي عندنا الآن المسافة ما بين اللي هو الـ two lenses + +71 +00:06:41,060 --> 00:06:45,380 +اللي هي بتمثل في الـ bridge size. عندنا من اللي هو + +72 +00:06:45,380 --> 00:06:49,920 +الـ nasal للنقطة، طبعاً هذه اللي هو الـ nasal لـ اللي هو + +73 +00:06:49,920 --> 00:06:54,740 +الـ nasal هنا. قد إيش القيمة؟ اتنين وعشرين. قرأها + +74 +00:06:54,740 --> 00:06:58,580 +اللي هي في الـ measurement. okay. الآن الاتنين و + +75 +00:06:58,580 --> 00:07:03,280 +عشرين، أنتو عارفين العدسة inside the، mean the frame + +76 +00:07:03,280 --> 00:07:06,940 +يعني فيه لها جروف، يعني بمعنى آخر، لما إحنا بنجيب + +77 +00:07:06,940 --> 00:07:10,800 +العدسة، بعد ذلك بنعمل لها جروف، أو اللي هو bevel. + +78 +00:07:10,800 --> 00:07:15,120 +يعني بتكون داخل العدسة. فالآن هذه القيمة قد إيش؟ واحد + +79 +00:07:15,120 --> 00:07:19,960 +ملي. فبعد ما أنا بقيس، بطرح من القيمة واحد ملي، يعني + +80 +00:07:19,960 --> 00:07:29,500 +بمعنى نص ملي من هنا، minus نص ومن هنا minus نص. هنجد + +81 +00:07:29,500 --> 00:07:36,320 +على الـ ruler اللي هي المصدر، قد إيش كانت القيمة؟ اتنين + +82 +00:07:36,320 --> 00:07:39,920 +وعشرين. طرحنا من هنا نص ومن هنا نص، اللي هو عبارة عن + +83 +00:07:39,920 --> 00:07:44,860 +واحد. إذا القيمة قد إيش؟ واحد وعشرين ملي. هذه الـ + +84 +00:07:44,860 --> 00:07:49,040 +bridge size. هتلاقيها مكتوبة وين؟ على الـ temple بتاع + +85 +00:07:49,040 --> 00:07:54,470 +الإطار. هي عندنا القيمة هي عبارة عن واحد ملي، الـ + +86 +00:07:54,470 --> 00:08:06,850 +bridge size أو الـ distance between lenses. okay. the + +87 +00:08:06,850 --> 00:08:12,630 +distance between the two geometric centers of the + +88 +00:08:12,630 --> 00:08:18,010 +lenses of the lenses is known as the geometric + +89 +00:08:18,010 --> 00:08:19,790 +center distance. + +90 +00:08:22,370 --> 00:08:26,230 +الآن لو أخذنا منتصف العدسة من هنا، من الـ right، و + +91 +00:08:26,230 --> 00:08:30,610 +منتصف العدسة من الـ left، المسافة ما بينهم هذه بتمثل + +92 +00:08:30,610 --> 00:08:35,690 +الـ geometric center distance أو الـ frame BD أو الـ + +93 +00:08:35,690 --> 00:08:40,750 +boxing اللي هو center distance. okay. It can be + +94 +00:08:40,750 --> 00:08:46,640 +measured. It can be measured more easily as the + +95 +00:08:46,640 --> 00:08:51,040 +distance from the far left side of one lens + +96 +00:08:51,040 --> 00:08:56,000 +opening to the far right side of the other. ممكن + +97 +00:08:56,000 --> 00:09:00,980 +الآن هاي الإطار أمامي، من اليمين، تمام، المنطقة + +98 +00:09:00,980 --> 00:09:07,260 +الأخيرة لحد دي، إيش؟ الـ rim اللي هو الأول للعنصر + +99 +00:09:07,260 --> 00:09:09,620 +الثاني، يعني الشكل + +100 +00:09:12,920 --> 00:09:18,020 +هذه. هنجيب مش هنا، فيه ممكن آخذها من هنا، الـ rim هذا + +101 +00:09:18,020 --> 00:09:22,420 +لحد دي، الـ rim هذا. هذه بتمثل عبارة عن مين؟ اللي هو + +102 +00:09:22,420 --> 00:09:26,100 +الـ boxing center distance أو الـ geometric center + +103 +00:09:26,100 --> 00:09:30,060 +distance. طبعاً أنا لو ما أخذتش من وين؟ من الـ center لـ + +104 +00:09:30,060 --> 00:09:34,740 +الـ center. okay. يعني هذه بتعتبر اللي هو أسهل، وين؟ + +105 +00:09:34,740 --> 00:09:39,860 +أسهل لو كان أنا ما عنديش عدسات بالشكل هذا، مافيش عدسة + +106 +00:09:39,860 --> 00:09:45,800 +في داخل الإطار، بأخذ من الـ rim الخارجي للـ rim الداخلي + +107 +00:09:45,800 --> 00:09:51,040 +من الـ right للـ left أو من الـ left للـ right. هنطبق + +108 +00:09:51,040 --> 00:09:59,740 +هذه الشيء بشكل عملي اليوم إن شاء الله في المعمل. Or + +109 +00:09:59,740 --> 00:10:06,180 +adding the I size to the distance between lenses، أو + +110 +00:10:06,180 --> 00:10:10,040 +بدنا نضيف اللي هو، قلنا الـ I size عبارة عن إيش؟ + +111 +00:10:10,040 --> 00:10:16,400 +بالضبط اللي هو الـ A dimension. بدنا نعمل إضافة لها + +112 +00:10:16,400 --> 00:10:21,340 +لمين؟ للـ distance اللي هي between lenses اللي هي + +113 +00:10:21,340 --> 00:10:23,000 +عبارة عن الـ frame BD. + +114 +00:10:25,540 --> 00:10:32,880 +طيب، الآن الـ geometric center distance فيه مسميات + +115 +00:10:32,880 --> 00:10:37,800 +أخرى. هي عبارة عن الـ distance between lenses، + +116 +00:10:37,800 --> 00:10:42,320 +المسافة ما بين اللي هو العدستين، أو بنسميها الـ + +117 +00:10:42,320 --> 00:10:47,760 +frame BD، أو بنسميها الـ frame center distance. كل + +118 +00:10:47,760 --> 00:10:51,640 +هذه عبارة عن another name لمين؟ لـ geometric center + +119 +00:10:51,640 --> 00:10:56,160 +distance أو الـ boxing اللي هو center distance. Okay. + +120 +00:10:56,160 --> 00:11:01,720 +The + +121 +00:11:01,720 --> 00:11:07,320 +term frame PD is commonly used in dispensing. دائماً + +122 +00:11:07,320 --> 00:11:12,000 +الـ frame PD، تع العدسة، أو تع الإطار، إحنا وين + +123 +00:11:12,000 --> 00:11:15,220 +بنستخدمه؟ في عملية قص النضارة. + +124 +00:11:28,100 --> 00:11:33,000 +وهو ما بيقولش علاقة في مين؟ في الـ IBD بتاع المريض، + +125 +00:11:33,000 --> 00:11:36,220 +لكن وقت إيش بيصير؟ التنين في بينهم relationship، + +126 +00:11:36,220 --> 00:11:40,660 +يعني مثلاً المريض عنده، زي ما أخذنا المثال السابق، + +127 +00:11:42,270 --> 00:11:47,690 +مثال، إنه بيكون عنده الـ IBD 62 والـ frame PD 72، + +128 +00:11:47,690 --> 00:11:51,090 +الفرق ما بينهم عشان نعمل إيه؟ الـ Decentration، + +129 +00:11:51,090 --> 00:11:56,170 +تمام؟ لكن في الوضع الطبيعي، مافيش فيه أي علاقة ما + +130 +00:11:56,170 --> 00:12:00,130 +بين قيمة الـ frame PD والـ IBD، لأن هذا بيكون + +131 +00:12:00,130 --> 00:12:04,390 +للإطار، وهذا متعلق في مين؟ في اللي هو الـ IBD بتاع + +132 +00:12:04,390 --> 00:12:04,790 +المريض. + +133 +00:12:11,190 --> 00:12:16,230 +هي عندنا الشكل هذا، طبعاً اللي حكيت لكم عنه اللي هو + +134 +00:12:16,230 --> 00:12:19,490 +الـ Geometric Center Distance أو الـ Frame PD، + +135 +00:12:19,490 --> 00:12:25,950 +بأخذ من الطرف هذا لطرف هذا، اللي هو الـ Frame، يعني + +136 +00:12:25,950 --> 00:12:32,550 +من الـ outside هنا للـ outside هنا، أو مثلاً من الـ + +137 +00:12:32,550 --> 00:12:39,110 +outside هذا للـ outside بتاع الإطار الآخر، أو مثلاً من + +138 +00:12:39,110 --> 00:12:42,330 +الـ center للـ center، اللي هو عبارة عن الـ geometric + +139 +00:12:42,330 --> 00:12:46,730 +center distance أو الـ frame PD أو الـ distance + +140 +00:12:46,730 --> 00:12:48,290 +between centers. + +141 +00:12:53,180 --> 00:12:58,120 +طيب، الآن هنتقل لموضوع الـ temple اللي هو length، + +142 +00:12:58,120 --> 00:13:04,980 +طول اللي هو مين؟ الـ temple أو الـ side. Most temples + +143 +00:13:04,980 --> 00:13:09,840 +are currently marked with the total or overall + +144 +00:13:09,840 --> 00:13:16,860 +temple length. يعني الآن إحنا بنشير لكل اللي هو طول + +145 +00:13:16,860 --> 00:13:20,700 +الـ side أو الـ temple، هو عبارة عن الـ temple length، + +146 +00:13:21,760 --> 00:13:25,320 +الـ total اللي هو temple length أو الـ overall + +147 +00:13:25,320 --> 00:13:31,480 +temple اللي هو length. okay؟ Temple length may be + +148 +00:13:31,480 --> 00:13:35,340 +measured in one of the following ways. يعني يمكن + +149 +00:13:35,340 --> 00:13:40,800 +اللي هو قياسه بإحدى اللي هو الطرق. كيف؟ طيب؟ The + +150 +00:13:40,800 --> 00:13:46,960 +overall temple length is the distance from the + +151 +00:13:46,960 --> 00:13:47,720 +center + +152 +00:13:51,820 --> 00:13:56,980 +of the center of the center barrel screw. شايفين؟ هي + +153 +00:13:56,980 --> 00:14:03,200 +منتصف اللي هو مين؟ الـ screw هذا، لنهاية اللي هو مين؟ + +154 +00:14:03,200 --> 00:14:08,500 +الـ bend، الميلان الخاص في الـ temple. هذه المسافة كل + +155 +00:14:08,500 --> 00:14:12,600 +هذي إيش بتمثل؟ اللي هي الـ overall temple اللي هو + +156 +00:14:12,600 --> 00:14:18,100 +length. إذا من منتصف اللي هو الـ screw هذا لنهاية + +157 +00:14:18,100 --> 00:14:19,080 +اللي هو الميلان. + +158 +00:14:34,670 --> 00:14:41,310 +النهاية، مين؟ الميلان؟ طيب. major along the center of + +159 +00:14:41,310 --> 00:14:46,550 +the temple، أو بنسمي اللي هو الـ total length of + +160 +00:14:46,550 --> 00:14:58,610 +temple، أو بنسمي الـ overall length of temple. كان + +161 +00:14:58,610 --> 00:15:04,400 +فيه طريقة، يعني اللي هي قديمة، أو اللي هو older system، + +162 +00:15:04,400 --> 00:15:09,260 +أو older اللي هو method، من خلالها بتم اللي هو قياس + +163 +00:15:09,260 --> 00:15:15,280 +الـ length to bend، يعني بس اللي هو المنطقة المائلة، + +164 +00:15:15,280 --> 00:15:18,880 +تمام؟ + +165 +00:15:18,880 --> 00:15:23,000 +An old… an older method of measuring temple + +166 +00:15:23,000 --> 00:15:27,620 +length is in terms of the length to bend. + +167 +00:15:30,490 --> 00:15:35,690 +length، اللي هو temple bend، يعني فقط اللي هو من منطقة + +168 +00:15:35,690 --> 00:15:40,410 +الميلان هذه لحد دي، اللي هو النهاية هذه، عبارة عن + +169 +00:15:40,410 --> 00:15:52,370 +مين؟ الـ length temple اللي هو bend، temple bend. + +170 +00:15:52,370 --> 00:15:56,250 +bend. + +171 +00:15:57,870 --> 00:16:04,950 +هذه كانت طريقة قديمة لقياس من اللي هو فقط المسافة + +172 +00:16:04,950 --> 00:16:11,550 +هذه، دون اللي هو الجزء الآخر. لكن اللي بيكون مكتوب + +173 +00:16:11,550 --> 00:16:15,330 +على الإطار الآن كله اللي هو الـ temple length كامل، + +174 +00:16:15,330 --> 00:16:19,190 +بتلاقي رقم مثلاً مية وخمسة وعشرين، أو مية وثلاثين، + +175 +00:16:19,190 --> 00:16:23,010 +أي واحدة فيكم لابسة نضارة، تطلع على الرقم، بتلاقي الـ + +176 +00:16:23,010 --> 00:16:26,430 +code مكتوب مية وكذا، هذا بمعنى اللي هو الـ total + +177 +00:16:26,780 --> 00:16:34,400 +length، اللي هو إيه؟ temple، تمام، أو + +178 +00:16:34,400 --> 00:16:44,400 +بياخدها من اللي هو الـ screw لنهاية من الـ bend، طبعاً + +179 +00:16:44,400 --> 00:16:48,680 +فيه هناك اللي هو مسطرة خاصة لعملية اللي هو القياس، + +180 +00:16:48,6 + +223 +00:20:56,010 --> 00:21:01,430 +عندنا measuring the intra-pupillary distance قياس + +224 +00:21:01,430 --> 00:21:07,670 +المسافة ما بين اللي هو إيه العين والأخرى بالنسبة + +225 +00:21:07,670 --> 00:21:16,890 +للمريض، يعني بمعنى الـ IPD، The anatomic PD، or + +226 +00:21:16,890 --> 00:21:22,130 +pupillary distance is the distance from the center + +227 +00:21:22,130 --> 00:21:28,210 +of one pupil to the center of the other pupil، يعني + +228 +00:21:28,210 --> 00:21:33,230 +المسافة ما بين منتصف اللي هو العين اليمنى لمنتصف + +229 +00:21:33,230 --> 00:21:38,630 +اللي هو العين اليسرى، كيف بيقاس بالـ millimeters؟ + +230 +00:21:41,830 --> 00:21:45,530 +before ordering + +231 +00:21:45,530 --> 00:21:50,330 +a prescription glasses، يعني قبل ما أنا بدي أوصف + +232 +00:21:50,330 --> 00:21:57,410 +اللي هو وصفة النظارة، or even before doing a visual + +233 +00:21:57,410 --> 00:22:01,530 +examination، أو قبل ما أنا بدي أعمل اللي هو فحص طبي + +234 +00:22:01,530 --> 00:22:06,090 +طبعاً هان الـ visual examination ممكن مثلاً من خلال + +235 +00:22:06,090 --> 00:22:14,710 +الـ trial frame، صح ولا لأ؟ زي ما إحنا بنعمل، أو من + +236 +00:22:14,710 --> 00:22:16,090 +خلال الـphoropter + +237 +00:22:19,940 --> 00:22:24,260 +أي visual examination، بواحدة من هدول الطرق، يعني + +238 +00:22:24,260 --> 00:22:28,320 +سواء كان objective أو subjective method، the + +239 +00:22:28,320 --> 00:22:32,680 +distance between the pupils must be determined + +240 +00:22:32,680 --> 00:22:40,680 +لازم أنا أحدد قد إيش قيمة مين الـ IPD بتاعة المريض، إذا + +241 +00:22:40,680 --> 00:22:47,540 +الخطوة الأولى قبل ما يتم وصف أي نظارة للمريض، لابد + +242 +00:22:47,540 --> 00:22:54,540 +من تحديد الـ IPD أو الـ PD لهذا الشخص + +243 +00:22:54,540 --> 00:23:01,860 +it can be measured in a variety of ways، هناك طرق + +244 +00:23:01,860 --> 00:23:09,330 +مختلفة لقياس مين الـ IPD، إما عن طريق اللي هو + +245 +00:23:09,330 --> 00:23:13,270 +المسطرة، تمام؟ أو مثلاً عن طريق الـ autorefractor + +246 +00:23:13,270 --> 00:23:20,090 +keratometer، أو ممكن مثلاً عن طريق اللي هو... نعم؟ أو + +247 +00:23:20,090 --> 00:23:23,890 +اللي هو ممكن جهاز البابلوميتر، اللي هناخده في اللي + +248 +00:23:23,890 --> 00:23:26,570 +هو معمل الـ dispensing، إن شاء الله فيما بعد + +249 +00:23:30,780 --> 00:23:36,400 +طيب، failure to accurately determine the intra- + +250 +00:23:36,400 --> 00:23:41,560 +pupillary distance، أنا قصدي الـ IPD، لكن كان غير + +251 +00:23:41,560 --> 00:23:47,420 +صحيح، أو كان قياس الـ IPD غير اللي هو واقعي أو غير + +252 +00:23:47,420 --> 00:23:54,060 +دقيق، تمام؟ إيش هذا بينتج؟ Misplacement of the + +253 +00:23:54,060 --> 00:23:58,460 +optical center of the lenses، المريض مش هيطلع من + +254 +00:23:58,460 --> 00:24:04,370 +وين؟ من الـ optical center of a lens، يعني هان + +255 +00:24:04,370 --> 00:24:09,450 +النتيجة إن لو أنا مثلاً ما كانش في هناك تواؤم ما بين + +256 +00:24:09,450 --> 00:24:15,490 +الـ IPD بتاع الـ patient والـ frame PD، إذا هيصبح هناك + +257 +00:24:15,490 --> 00:24:19,330 +عدم القدرة على الرؤية من خلال الـ optical center of + +258 +00:24:19,330 --> 00:24:26,660 +a lens، بالإضافة إلى ذلك، this induces، أي بمعنى إنه this + +259 +00:24:26,660 --> 00:24:32,780 +impacts، أي بيؤثر، okay، unwanted prismatic effect + +260 +00:24:32,780 --> 00:24:38,860 +إذا هذا بيعمل تأثير منشور، تمام؟ requiring the + +261 +00:24:38,860 --> 00:24:45,760 +wearer to turn his eyes inward or even outward to + +262 +00:24:45,760 --> 00:24:51,640 +keep from experiencing double vision، غير التأثير + +263 +00:24:51,640 --> 00:24:55,760 +المنشور، أيضاً بيصير عند المريض اللي هي مصطلح إيه؟ + +264 +00:24:55,760 --> 00:25:02,400 +الدبلوبيا، أي + +265 +00:25:02,400 --> 00:25:07,080 +بمعنى الرؤية المزدوجة، أو ما يسمى بالـ double vision + +266 +00:25:12,760 --> 00:25:18,440 +إذا عدم الدقة في قياس الـ IPD بيؤدي إلى الـ + +267 +00:25:18,440 --> 00:25:24,320 +Prismatic Effect، بالإضافة لموضوع اللي هو الدبلوبيا + +268 +00:25:24,320 --> 00:25:32,840 +أو الـ double vision، over + +269 +00:25:32,840 --> 00:25:41,130 +time this effort causes visual discomfort، يعني مع + +270 +00:25:41,130 --> 00:25:46,550 +اللي هو الوقت، بيصبح الرؤية غير مريحة مع مرور الوقت + +271 +00:25:46,550 --> 00:25:51,730 +and can result in a decreased ability of the eyes + +272 +00:25:51,730 --> 00:25:56,130 +to work together in binocular vision، أيضاً بتصبح + +273 +00:25:56,130 --> 00:26:02,510 +العيون غير قادرة على العمل مع بعض من خلال اللي هو + +274 +00:26:02,510 --> 00:26:07,130 +ليه؟ إن السبب في ذلك اللي هو عدم التوافق ما بين الـ + +275 +00:26:07,130 --> 00:26:09,690 +IPD والـ frame PD للشخص + +276 +00:26:13,370 --> 00:26:19,850 +إذا عدم القدرة على العمل مع بعض الـ two eyes + +277 +00:26:19,850 --> 00:26:28,200 +distance IPD، عندنا binocular PD، بداية إحنا إما + +278 +00:26:28,200 --> 00:26:34,380 +بنفحص binocular أو monocular IPD، هناخد إحنا الـ + +279 +00:26:34,380 --> 00:26:38,280 +binocular، دايماً الـ binocular، ليه بنحتاجها الأكثر؟ + +280 +00:26:38,280 --> 00:26:42,540 +للـ distance، صح ولا لأ؟ يعني هنا binocular PD for + +281 +00:26:42,540 --> 00:26:48,480 +distance correction، okay، binocular + +282 +00:26:48,480 --> 00:26:55,280 +PD، the most common method used to measure the PD + +283 +00:26:56,400 --> 00:27:02,180 +with the least amount of equipment، uses a simple + +284 +00:27:02,180 --> 00:27:07,480 +millimeter ruler، commonly referred to as a PD rule + +285 +00:27:07,480 --> 00:27:15,820 +يعني بأداة أو اللي هو أداة بسيطة، تمام؟ يمكن قياس الـ + +286 +00:27:15,820 --> 00:27:21,330 +IPD من خلال اللي هو المسطرة، هذه الـ ruler المسطرة + +287 +00:27:21,330 --> 00:27:26,630 +هي فقط اللي هو معدّة لهذا الأمر، لقياس الـ IPD + +288 +00:27:26,630 --> 00:27:31,310 +للأشخاص، طيب + +289 +00:27:31,310 --> 00:27:36,830 +كيف التكنيك أو الـ method، الطريقة؟ number one، the + +290 +00:27:36,830 --> 00:27:42,850 +dispenser should be positioned at a distance of 40 + +291 +00:27:42,850 --> 00:27:50,120 +cm from subject، إذا لازم المسافة ما بين المريض و + +292 +00:27:50,120 --> 00:27:54,720 +الفاحص أو الأخصائي تكون قد إيش؟ أربعين سنتيمتر، هذه + +293 +00:27:54,720 --> 00:28:02,900 +واحدة، تمام؟ both at the same vertical level، الاثنين + +294 +00:28:02,900 --> 00:28:06,560 +يكونوا على مستوى واحد، بمعنى مش واحد قاعد على كرسي + +295 +00:28:06,560 --> 00:28:10,480 +أعلى من الثاني أو العكس، لأن ممكن اختلاف الـ degree + +296 +00:28:10,480 --> 00:28:14,740 +يؤدي إلى اختلاف في القيم الخاصة في الـ IPD + +297 +00:28:18,750 --> 00:28:24,950 +The PD rule is positioned across the subject's + +298 +00:28:24,950 --> 00:28:31,570 +nose. It tilted back rests on the most recessed + +299 +00:28:31,570 --> 00:28:36,750 +part of the nose، دايماً بدنا نتعود إحنا كفاحصين، إنما + +300 +00:28:36,750 --> 00:28:41,980 +نحط المسطرة، نحطها في أريح مكان للمريض، طبعاً إما + +301 +00:28:41,980 --> 00:28:45,820 +بنحطها في الـ nose part، تمام؟ أو اللي هو في الـ + +302 +00:28:45,820 --> 00:28:49,400 +bridge area، بس بدها تكون مريحة بالنسبة لمن؟ + +303 +00:28:49,400 --> 00:28:58,120 +للمريض، هذه أهم شيء نضمنه، عشان يتعاون معنا، The + +304 +00:28:58,120 --> 00:29:03,920 +dispenser closes the right eye and sides with the + +305 +00:29:03,920 --> 00:29:10,230 +left، الآن بالنسبة له الفاحص، okay، بده يغلق اللي هو + +306 +00:29:10,230 --> 00:29:14,910 +العين مين؟ اليمين، الـ right، ويفتح in sight، يعني + +307 +00:29:14,910 --> 00:29:20,010 +ينظر بالعين اللي هو اليسرى، يعني الآن مش هو أمامي، + +308 +00:29:20,010 --> 00:29:23,730 +بدي أغلق اللي هو اليمين، وأطلع في مين؟ في اليسرى + +309 +00:29:23,730 --> 00:29:27,170 +okay، باليسرى + +310 +00:29:28,430 --> 00:29:32,830 +عشان أعمل تمركز بالضبط للقيمة، يعني قيمة المسطرة + +311 +00:29:32,830 --> 00:29:36,650 +تكون صفر المسطرة أو الـ score تاعها بالضبط + +312 +00:29:36,650 --> 00:29:40,690 +جاية على مين؟ الـ center of اللي هو pupil، هذا الهدف + +313 +00:29:40,690 --> 00:29:45,730 +من ذلك، The + +314 +00:29:45,730 --> 00:29:50,710 +subject is instructed to look at the dispenser's + +315 +00:29:50,710 --> 00:29:57,030 +open eye while the dispenser lines up the zero mark + +316 +00:29:57,030 --> 00:30:00,790 +of the rule with the center of the subject's pupil + +317 +00:30:00,790 --> 00:30:04,950 +الآن أنا بدي أفتح عيني، بعد ما أحط اللي هو الصفر + +318 +00:30:04,950 --> 00:30:09,610 +أو التدريج بتاع المسطرة، وين؟ موازٍ للـ center بتاع + +319 +00:30:09,610 --> 00:30:16,590 +الـ pupil الخاصة في عين المريض، بفتح اللي هو العين و + +320 +00:30:16,590 --> 00:30:21,640 +نفس العملية، وين هأعملها؟ في الـ another eye، عندما + +321 +00:30:21,640 --> 00:30:28,860 +يكون الـ Zero Mark مرتبط بشكل صحيح، يغلق العين + +322 +00:30:28,860 --> 00:30:34,720 +اليسرى، ويفتح العين + +323 +00:30:34,720 --> 00:30:36,080 +اليمنى + +324 +00:30:50,160 --> 00:30:54,700 +طبعاً على الـ center of اللي هو pupil، وبعد ذلك اللي + +325 +00:30:54,700 --> 00:31:01,580 +هو فتح العين الأولى، ومن ثم أغلق الثانية، وبعد ذلك + +326 +00:31:01,580 --> 00:31:05,340 +فتح الثانية، وأغلق اللي هو الأولى، لحد ما صار اللي + +327 +00:31:05,340 --> 00:31:10,340 +هو الـ ruler، وين؟ على اللي هو القيمة 60، إذا أدى + +328 +00:31:10,340 --> 00:31:16,080 +اللي هو قيمة الـ IPD عند اللي هو 60 ملي متر، طبعاً + +329 +00:31:16,080 --> 00:31:19,460 +أه أه، طبعاً + +330 +00:31:22,940 --> 00:31:26,560 +زي بالضبط إنت ما بتعملي retinoscope، الصح إنك تعملي + +331 +00:31:26,560 --> 00:31:29,920 +right، right، left، left، صح ولا لأ؟ إيش بتعمليه؟ a + +332 +00:31:29,920 --> 00:31:36,300 +close of one eye، مش هيك بنعمله؟ طيب، الـ subject is + +333 +00:31:36,300 --> 00:31:42,160 +instructed to look at the dispenser's open eye + +334 +00:31:42,160 --> 00:31:48,840 +دايماً إحنا بدنا نرشد المريض إنه ينظر بعين الفاحص + +335 +00:31:48,840 --> 00:31:55,630 +اللي هي مفتوحة، okay، لأن ممكن إنت بتعمل الفحص، هو + +336 +00:31:55,630 --> 00:31:59,910 +يكون عامل إيه؟ deviation، انحراف، أو بمعنى آخر هو ما + +337 +00:31:59,910 --> 00:32:04,690 +بتطلع عليها، فهيك الفحص هيكون في عندنا visual angle + +338 +00:32:04,690 --> 00:32:10,670 +زاوية اللي هو هتغير فيه القيمة، الـ PD for the + +339 +00:32:10,670 --> 00:32:15,740 +distance، a prescription is read of، يعني قيمة اللي + +340 +00:32:15,740 --> 00:32:22,060 +هو الـ PD بتقرأ، read of، بمعنى تقرأ، as that mark + +341 +00:32:22,060 --> 00:32:26,320 +falling in the center of the subject's left pupil + +342 +00:32:26,320 --> 00:32:31,180 +يعني القيمة هتقرأ لما تكون المسطرة في الطرف الآخر + +343 +00:32:31,180 --> 00:32:35,000 +أو في العين الثانية في الـ center للـ pupil الخاص + +344 +00:32:35,000 --> 00:32:35,340 +ةبيها + +345 +00:32:40,060 --> 00:32:46,080 +The dispenser now closes the right eye and opens + +346 +00:32:46,080 --> 00:32:50,360 +the left، طب ليه بده يعكس ما بين العينين؟ يعني بده + +347 +00:32:50,360 --> 00:32:54,280 +يعمل alternative، تبادل، عشان يقرأ القيمة، صح ولا لأ؟ + +348 +00:32:54,280 --> 00:32:59,540 +بالضبط، زي ما عملنا هان، بتضبط القيمة على الصفر، بدي + +349 +00:32:59,540 --> 00:33:03,100 +أعمل إغلاق هناك عشان يقرأ القيمة بالضبط، زي الآن + +350 +00:33:03,100 --> 00:33:07,420 +إنت الـ red reflex، إنما تفتح العينين من الـ hall، أو + +351 +00:33:07,420 --> 00:33:11,060 +الـ aperture تاع الـ written scope بيكونش واضح، لكن + +352 +00:33:11,060 --> 00:33:14,860 +أعمل close of one eye، بيصير أكثر وضوح اللي هو كرؤية + +353 +00:33:14,860 --> 00:33:16,780 +تمام؟ وهنا نفس الفكرة + +354 +00:33:20,280 --> 00:33:24,120 +The subject is again instructed to look at the + +355 +00:33:24,120 --> 00:33:29,180 +dispenser's open eye. Recheck. الآن هو لما فتح مثلاً + +356 +00:33:29,180 --> 00:33:34,440 +الفاحص العين اليمين، بدي أرشد اللي هو إيه المريض + +357 +00:33:34,440 --> 00:33:37,540 +إنه يطلع بالعين اليمين اللي هي المفتوحة، ما يطلعش + +358 +00:33:37,540 --> 00:33:41,140 +في العين إيش؟ اللي مغلقة، تمام؟ عشان يتم اللي هو + +359 +00:33:41,140 --> 00:33:44,480 +الفحص بسهولة ويكون accurate + +360 +00:33:48,690 --> 00:33:52,170 +طيب، بعض الأحيان بيكون الأمر هذا صعب، خاصة عند + +361 +00:33:52,170 --> 00:33:57,410 +الأطفال، يعني الطفل دايماً الـ attention عنده بيكون + +362 +00:33:57,410 --> 00:34:03,810 +الأمر فيه صعب، طب إيش بدنا نعمل؟ when difficulty is + +363 +00:34:03,810 --> 00:34:08,390 +experienced in determining the exact center of the + +364 +00:34:08,390 --> 00:34:12,590 +pupil، إنه بيكون من الصعب تحديد مركز اللي هو الـ + +365 +00:34:12,590 --> 00:34:18,790 +pupil، الـ center of a pupil، بناخد الـ edge، طرف الـ + +366 +00:34:18,790 --> 00:34:24,250 +pupil للعين مثلاً اليسرى، تمام؟ الـ edge of the pupil + +367 +00:34:24,250 --> 00:34:30,350 +may be used as a measuring point if both pupils + +368 +00:34:30,350 --> 00:34:31,890 +are the same size + +369 +00:34:34,900 --> 00:34:39,780 +الآن أول حاجة بتطلع إن هل الـ pupil size للعينين + +370 +00:34:39,780 --> 00:34:44,220 +متساوي ولا لأ؟ إذا كان متساوي، إيش بعمل؟ باجي من + +371 +00:34:44,220 --> 00:34:48,660 +الطرف الخارجي للـ pupil، تمام؟ بحط اللي هو الـ + +372 +00:34:48,660 --> 00:34:55,870 +marker الأول لحديت وين؟ للداخلي للعين الثانية، + +373 +00:34:55,870 --> 00:34:59,510 +يا جماعة خليكم شوية، معناه، بعدين بتكتبوا، الآن هي + +374 +00:34:59,510 --> 00:35:04,530 +من الخارجي للعين اللي هو الـ right للداخلي لمين؟ + +375 +00:35:04,530 --> 00:35:09,490 +للعين الـ left، فهان بيدينا قيمة مين؟ الـ IPD، بس هان شرط + +376 +00:35:09,490 --> 00:35:14,790 +إنه يكون إيش؟ الـ pupil size متساوي، يعني افرض واحد + +377 +00:35:14,790 --> 00:35:19,910 +عنده meiosis في مثلاً الـ right eye، مش هينفع الأمر + +378 +00:35:19,910 --> 00:35:24,190 +هذا، ليه؟ إنه هيكون حجم الـ pupil في الـ right مختلف + +379 +00:35:24,190 --> 00:35:30,650 +عن حجم الـ pupil في الـ left، إذا measurement is read + +380 +00:35:30,650 --> 00:35:34,950 +from the left side of one pupil to the left side + +381 +00:35:34,950 --> 00:35:41,430 +of the other، أو إحنا بنقول outward للـ right، لـ + +382 +00:35:41,430 --> 00:35:46,270 +inward لمين؟ للـ left، برضه نفس القيمة إذا كانت الاثنين + +383 +00:35:46,270 --> 00:35:52,290 +متساويات، measuring from the inside edge of one + +384 +00:35:52,290 --> 00:35:56,450 +pupil to the inside edge of the other would give + +385 +00:35:56,450 --> 00:36:01,530 +an artificially low reading، لكن هتكون أقل اللي هو + +386 +00:36:01,530 --> 00:36:06,190 +دقة، from the outside edge of one pupil to the + +387 +00:36:06,190 --> 00:36:09,910 +outside edge of the other، an artificially high + +388 +00:36:09,910 --> 00:36:15,150 +reading، يعني البعض إيش بيعمل؟ بياخد من هنا لهنا، بس + +389 +00:36:15,150 --> 00:36:19,270 +الموضوع إن الـ outward للـ inward هيكون أكثر، أو الـ + +390 +00:36:19,270 --> 00:36:23,470 +high اللي هو reading، أو high quality reading، يعني + +391 +00:36:23,470 --> 00:36:28,070 +القراءة هتكون أعلى اللي هي من ناحية الجودة، ومن + +392 +00:36:28,070 --> 00:36:34,890 +ناحية اللي هو الدقة، ما قلنا من الـ outward، تمام؟ للـ + +393 +00:36:34,890 --> 00:36:40,710 +inward في another eye، هي، تمام؟ هي عندنا مثلاً القراءة + +394 +00:36:40,710 --> 00:36:44,610 +نفس الحاجة، قد إيش عندنا؟ 60، نفس ما أخذنا من الـ + +395 +00:36:44,610 --> 00:36:48,330 +center للـ center، هذه أخذنا من الـ outward لمين؟ هذه + +396 +00:36:48,330 --> 00:36:52,290 +الصفر وين؟ على الـ outward للـ right لحدية الـ inward + +397 +00:36:52,290 --> 00:36:59,070 +لمين؟ للـ left، بس هان الشرط إنه الاثنين نفس الحجم، الـ + +398 +00:36:59,070 --> 00:37:03,150 +two pupils للـ right وللـ left، لكن لو هذا مثلاً في + +399 +00:37:03,150 --> 0 + +445 +00:41:16,050 --> 00:41:19,650 +to be read accurately, then the technique is + +446 +00:41:19,650 --> 00:41:23,710 +modified. لازم احنا نعمل عملية تغيير أو تبديل أو + +447 +00:41:23,710 --> 00:41:27,970 +تعديل في اللي هو الطريقة لأن هذا القياس مش هيديني + +448 +00:41:27,970 --> 00:41:31,650 +أي accurate result لقياس الـ IPD. + +449 +00:41:36,100 --> 00:41:41,140 +The dispenser places the good eye directly in + +450 +00:41:41,140 --> 00:41:46,400 +front of the subject's right eye and at the normal + +451 +00:41:46,400 --> 00:41:53,120 +distance. The zero mark is lined up as usual. + +452 +00:41:57,680 --> 00:42:01,740 +بتكون اللي هو يعني أنا دائماً بدي أعتمد كاللي هو + +453 +00:42:01,740 --> 00:42:06,000 +examiner أو كـ dispenser على العين إيش اللي هي الـ + +454 +00:42:06,000 --> 00:42:10,860 +good سواء كانت يمين، أحط الـ zero mark أو أحط اللي هو + +455 +00:42:10,860 --> 00:42:16,380 +الـ another mark، القراءة الثانية لأن أي عدم دقة في + +456 +00:42:16,380 --> 00:42:21,120 +الفحص بديني نتيجة خاطئة، يعني بمعنى آخر المحصلة + +457 +00:42:21,120 --> 00:42:22,800 +هتكون إيش فيها مشكلة. + +458 +00:42:26,840 --> 00:42:31,860 +The dispenser then moves sideways until the good + +459 +00:42:31,860 --> 00:42:35,840 +eye is positioned in front of the subject's left + +460 +00:42:35,840 --> 00:42:40,300 +eye and the measurement is read. الآن لو كان مثلاً + +461 +00:42:40,300 --> 00:42:44,880 +أحد الفاحصين عنده right eye بس هي الـ good. الآن أول + +462 +00:42:44,880 --> 00:42:50,040 +حاجة بغط مين؟ الـ left eye، وبيشوف اللي هو على الـ + +463 +00:42:50,040 --> 00:42:53,940 +zero mark، وبعد ذلك بنتقل للعين الثانية وهو فاتح من + +464 +00:42:53,940 --> 00:42:57,800 +الـ good eye أو الـ right eye، يعني بيحافظ على + +465 +00:42:57,800 --> 00:43:02,080 +استخدام الـ right eye في كلا العينتين بالنسبة لمين؟ + +466 +00:43:02,080 --> 00:43:05,360 +للـ dispenser أو عفواً بالنسبة للـ patient. + +467 +00:43:08,510 --> 00:43:13,130 +Unfortunately, this method can easily lead to + +468 +00:43:13,130 --> 00:43:18,630 +parallax errors. يعني هذا مع الأسف أنه ممكن هذا + +469 +00:43:18,630 --> 00:43:23,290 +الفحص يؤدي إلى إيش؟ إلى خطأ اللي هو بشكل سريع، + +470 +00:43:23,290 --> 00:43:28,370 +ليش؟ لأن أي اختلاف في الـ angle أو الـ visual angle + +471 +00:43:28,370 --> 00:43:31,790 +هيؤدي لاختلاف في مين؟ في قيمة اللي هو القراءة + +472 +00:43:31,790 --> 00:43:32,650 +المطلوبة. + +473 +00:43:35,440 --> 00:43:40,560 +The most desirable solution for someone with this + +474 +00:43:40,560 --> 00:43:44,620 +difficulty is to use another type of instrument + +475 +00:43:44,620 --> 00:43:48,640 +that only requires the use of one eye. طيب لو + +476 +00:43:48,640 --> 00:43:52,260 +ما قدرناش نحقق هذه الفكرة، بدنا نشوف أجهزة ثانية + +477 +00:43:52,260 --> 00:43:56,660 +ممكن من خلالها الشخص يعتمد على one eye للي هو + +478 +00:43:56,660 --> 00:43:59,920 +فحص قيمة الـ IPD بالنسبة للـ patient. + +479 +00:44:02,790 --> 00:44:06,610 +ونقف إن شاء الله لعند اللي هو subject is a + +480 +00:44:06,610 --> 00:44:11,070 +strabismus أو اللي هو squint في الأشخاص اللي بيكون + +481 +00:44:11,070 --> 00:44:14,750 +عندهم. ننتقل للمحاضرة القادمة إن شاء الله. diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/XUp7148xZ2k_raw.json b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/XUp7148xZ2k_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..5b83f63196c3deab075a51c9c7c6f4387f40eb08 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/XUp7148xZ2k_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3767, "start": 20.89, "end": 37.67, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته هنكمل ان شاء الله اليوم في موضوع ال frame measurements and marking في المحاضرة السابقة بدأنا في موضوع", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 8032, 1863, 24793, 1211, 16472, 13412, 16606, 21984, 45595, 20498, 8978, 3714, 2407, 11242, 45367, 2423, 3920, 15383, 293, 25482, 8978, 9673, 5016, 46958, 25720, 21136, 16758, 28671, 47525, 10721, 8315, 8978, 3714, 2407, 11242, 45367], "avg_logprob": -0.08697916654249033, "compression_ratio": 1.5889570552147239, "no_speech_prob": 8.344650268554688e-07, "words": [{"start": 20.89, "end": 21.19, "word": "بسم", "probability": 0.787353515625}, {"start": 21.19, "end": 21.33, "word": " الله", "probability": 0.95703125}, {"start": 21.33, "end": 21.69, "word": " الرحمن", "probability": 0.97998046875}, {"start": 21.69, "end": 22.21, "word": " الرحيم", "probability": 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"probability": 0.83056640625}, {"start": 29.21, "end": 29.69, "word": " frame", "probability": 0.6591796875}, {"start": 29.69, "end": 30.75, "word": " measurements", "probability": 0.705078125}, {"start": 30.75, "end": 31.55, "word": " and", "probability": 0.83056640625}, {"start": 31.55, "end": 32.39, "word": " marking", "probability": 0.90673828125}, {"start": 32.39, "end": 34.11, "word": " في", "probability": 0.85693359375}, {"start": 34.11, "end": 34.67, "word": " المحاضرة", "probability": 0.9766845703125}, {"start": 34.67, "end": 35.37, "word": " السابقة", "probability": 0.98876953125}, {"start": 35.37, "end": 36.29, "word": " بدأنا", "probability": 0.9814453125}, {"start": 36.29, "end": 36.87, "word": " في", "probability": 0.97607421875}, {"start": 36.87, "end": 37.67, "word": " موضوع", "probability": 0.9952392578125}], "temperature": 1.0}, {"id": 2, "seek": 6623, "start": 38.32, "end": 66.24, "text": "الـ Datum System والـ Boxing System واتعرفنا على مصطلح الـ A Dimension والـ B Dimension والـ C Dimension The difference between the horizontal اذا اما اتكلم horizontal اذا بمعنى ال A Dimension and the vertical measurements اللي هي عبارة عن ال B Dimension", "tokens": [6027, 39184, 9315, 449, 8910, 16070, 39184, 15112, 278, 8910, 4032, 9307, 3615, 28480, 8315, 15844, 3714, 9381, 9566, 1211, 5016, 2423, 39184, 316, 20975, 3378, 16070, 39184, 363, 20975, 3378, 16070, 39184, 383, 20975, 3378, 440, 2649, 1296, 264, 12750, 1975, 15730, 1975, 15042, 1975, 2655, 4117, 19528, 12750, 1975, 15730, 4724, 2304, 3615, 1863, 7578, 2423, 316, 20975, 3378, 293, 264, 9429, 15383, 13672, 1829, 39896, 6225, 3555, 9640, 3660, 18871, 2423, 363, 20975, 3378], "avg_logprob": -0.2299679500552324, "compression_ratio": 1.6281407035175879, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 38.32, "end": 38.96, "word": "الـ", "probability": 0.681884765625}, {"start": 38.96, "end": 39.62, "word": " Datum", "probability": 0.6778564453125}, {"start": 39.62, "end": 40.44, "word": " System", "probability": 0.7744140625}, {"start": 40.44, "end": 41.4, "word": " والـ", "probability": 0.62158203125}, {"start": 41.4, "end": 41.94, "word": " Boxing", "probability": 0.967041015625}, {"start": 41.94, "end": 42.66, "word": " System", "probability": 0.9140625}, {"start": 42.66, "end": 44.38, "word": " واتعرفنا", "probability": 0.9125}, {"start": 44.38, "end": 44.76, "word": " على", "probability": 0.91943359375}, {"start": 44.76, "end": 45.98, "word": " مصطلح", "probability": 0.980859375}, {"start": 45.98, "end": 46.28, "word": " الـ", "probability": 0.791259765625}, {"start": 46.28, "end": 46.5, "word": " A", "probability": 0.720703125}, {"start": 46.5, "end": 47.44, "word": " Dimension", "probability": 0.749755859375}, {"start": 47.44, "end": 48.12, "word": " والـ", "probability": 0.750244140625}, {"start": 48.12, "end": 48.26, "word": " B", "probability": 0.93359375}, {"start": 48.26, "end": 48.96, "word": " Dimension", "probability": 0.9755859375}, {"start": 48.96, "end": 49.74, "word": " والـ", "probability": 0.883056640625}, {"start": 49.74, "end": 50.0, "word": " C", "probability": 0.8505859375}, {"start": 50.0, "end": 50.86, "word": " Dimension", "probability": 0.9765625}, {"start": 50.86, "end": 52.58, "word": " The", "probability": 0.498046875}, {"start": 52.58, "end": 53.54, "word": " difference", "probability": 0.765625}, {"start": 53.54, "end": 54.36, "word": " between", "probability": 0.9365234375}, {"start": 54.36, "end": 54.96, "word": " the", "probability": 0.90771484375}, {"start": 54.96, "end": 55.56, "word": " horizontal", "probability": 0.71728515625}, {"start": 55.56, "end": 56.7, "word": " اذا", "probability": 0.51513671875}, {"start": 56.7, "end": 56.86, "word": " اما", "probability": 0.39599609375}, {"start": 56.86, "end": 57.28, "word": " اتكلم", "probability": 0.83135986328125}, {"start": 57.28, "end": 57.96, "word": " horizontal", "probability": 0.5263671875}, {"start": 57.96, "end": 58.38, "word": " اذا", "probability": 0.80126953125}, {"start": 58.38, "end": 58.8, "word": " بمعنى", "probability": 0.99306640625}, {"start": 58.8, "end": 58.94, "word": " ال", "probability": 0.9638671875}, {"start": 58.94, "end": 59.1, "word": " A", "probability": 0.6328125}, {"start": 59.1, "end": 59.78, "word": " Dimension", "probability": 0.903076171875}, {"start": 59.78, "end": 60.52, "word": " and", "probability": 0.2215576171875}, {"start": 60.52, "end": 61.9, "word": " the", "probability": 0.88916015625}, {"start": 61.9, "end": 62.46, "word": " vertical", "probability": 0.84521484375}, {"start": 62.46, "end": 63.8, "word": " measurements", "probability": 0.87060546875}, {"start": 63.8, "end": 64.12, "word": " اللي", "probability": 0.88232421875}, {"start": 64.12, "end": 64.3, "word": " هي", "probability": 0.88525390625}, {"start": 64.3, "end": 64.74, "word": " عبارة", "probability": 0.992919921875}, {"start": 64.74, "end": 65.0, "word": " عن", "probability": 0.99755859375}, {"start": 65.0, "end": 65.46, "word": " ال", "probability": 0.94384765625}, {"start": 65.46, "end": 65.6, "word": " B", "probability": 0.8564453125}, {"start": 65.6, "end": 66.24, "word": " Dimension", "probability": 0.96533203125}], "temperature": 1.0}, {"id": 3, "seek": 8888, "start": 67.36, "end": 88.88, "text": "is known as the frame difference انه الاختلاف ما بين الإطار طيب كيف ممكن أنه نقيسها من خلال وحدة المليمتر يعني لو شوفنا هنا مثال هاي عندنا مثلا التمانية وأربعين هاد بتمثل إيه؟", "tokens": [271, 2570, 382, 264, 3920, 2649, 16472, 3224, 2423, 47283, 2655, 15040, 5172, 19446, 49374, 33688, 9566, 9640, 23032, 1829, 3555, 9122, 33911, 3714, 43020, 14739, 3224, 8717, 38436, 3794, 11296, 9154, 16490, 1211, 6027, 4032, 24401, 3660, 9673, 20292, 2304, 2655, 2288, 37495, 22653, 45164, 13412, 38688, 8315, 34105, 50113, 6027, 8032, 47302, 43242, 8315, 50113, 15040, 16712, 2304, 7649, 10632, 36725, 25513, 3615, 9957, 8032, 18513, 39894, 2304, 12984, 1211, 11933, 1829, 3224, 22807], "avg_logprob": -0.29545453616550993, "compression_ratio": 1.5235602094240839, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 67.36, "end": 67.62, "word": "is", "probability": 0.28466796875}, {"start": 67.62, "end": 68.04, "word": " known", "probability": 0.65771484375}, {"start": 68.04, "end": 68.72, "word": " as", "probability": 0.98193359375}, {"start": 68.72, "end": 69.2, "word": " the", "probability": 0.64892578125}, {"start": 69.2, "end": 69.66, "word": " frame", "probability": 0.90283203125}, {"start": 69.66, "end": 70.66, "word": " difference", "probability": 0.84912109375}, {"start": 70.66, "end": 71.52, "word": " انه", "probability": 0.41302490234375}, {"start": 71.52, "end": 72.1, "word": " الاختلاف", "probability": 0.874560546875}, {"start": 72.1, "end": 72.3, "word": " ما", "probability": 0.916015625}, {"start": 72.3, "end": 72.5, "word": " بين", "probability": 0.9931640625}, {"start": 72.5, "end": 73.08, "word": " الإطار", "probability": 0.9324544270833334}, {"start": 73.08, "end": 74.28, "word": " طيب", "probability": 0.9444986979166666}, {"start": 74.28, "end": 74.66, "word": " كيف", "probability": 0.9345703125}, {"start": 74.66, "end": 75.04, "word": " ممكن", "probability": 0.982177734375}, {"start": 75.04, "end": 75.4, "word": " أنه", "probability": 0.505126953125}, {"start": 75.4, "end": 76.08, "word": " نقيسها", "probability": 0.8359375}, {"start": 76.08, "end": 76.5, "word": " من", "probability": 0.98974609375}, {"start": 76.5, "end": 76.9, "word": " خلال", "probability": 0.9910481770833334}, {"start": 76.9, "end": 77.44, "word": " وحدة", "probability": 0.9288736979166666}, {"start": 77.44, "end": 78.4, "word": " المليمتر", "probability": 0.604638671875}, {"start": 78.4, "end": 80.78, "word": " يعني", "probability": 0.6622314453125}, {"start": 80.78, "end": 80.92, "word": " لو", "probability": 0.97119140625}, {"start": 80.92, "end": 81.3, "word": " شوفنا", "probability": 0.8196614583333334}, {"start": 81.3, "end": 81.58, "word": " هنا", "probability": 0.29345703125}, {"start": 81.58, "end": 83.02, "word": " مثال", "probability": 0.926025390625}, {"start": 83.02, "end": 83.82, "word": " هاي", "probability": 0.3917236328125}, {"start": 83.82, "end": 84.14, "word": " عندنا", "probability": 0.8173828125}, {"start": 84.14, "end": 84.52, "word": " مثلا", "probability": 0.955810546875}, {"start": 84.52, "end": 87.12, "word": " التمانية", "probability": 0.78448486328125}, {"start": 87.12, "end": 87.66, "word": " وأربعين", "probability": 0.85162353515625}, {"start": 87.66, "end": 87.88, "word": " هاد", "probability": 0.39794921875}, {"start": 87.88, "end": 88.48, "word": " بتمثل", "probability": 0.918212890625}, {"start": 88.48, "end": 88.88, "word": " إيه؟", "probability": 0.822509765625}], "temperature": 1.0}, {"id": 4, "seek": 11799, "start": 89.89, "end": 117.99, "text": "الـ A dimension تمام والـ 28 بتمثل الـ B dimension الآن الـ A ناقص الـ B هي عبارة عن ايه ال difference ما بين ال horizontal و ال vertical measurement يعني عندنا 48 ناقص 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"word": " عبارة", "probability": 0.9951171875}, {"start": 102.31, "end": 102.55, "word": " عن", "probability": 0.99462890625}, {"start": 102.55, "end": 102.85, "word": " ايه", "probability": 0.8395182291666666}, {"start": 102.85, "end": 103.13, "word": " ال", "probability": 0.58056640625}, {"start": 103.13, "end": 103.55, "word": " difference", "probability": 0.48583984375}, {"start": 103.55, "end": 103.87, "word": " ما", "probability": 0.78271484375}, {"start": 103.87, "end": 104.13, "word": " بين", "probability": 0.98681640625}, {"start": 104.13, "end": 104.77, "word": " ال", "probability": 0.96923828125}, {"start": 104.77, "end": 105.31, "word": " horizontal", "probability": 0.489990234375}, {"start": 105.31, "end": 105.97, "word": " و", "probability": 0.6552734375}, {"start": 105.97, "end": 106.27, "word": " ال", "probability": 0.572265625}, {"start": 106.27, "end": 107.03, "word": " vertical", "probability": 0.494873046875}, {"start": 107.03, "end": 107.63, "word": " measurement", "probability": 0.76025390625}, {"start": 107.63, "end": 108.19, "word": " يعني", "probability": 0.893310546875}, {"start": 108.19, "end": 108.63, "word": " عندنا", "probability": 0.6676025390625}, {"start": 108.63, "end": 110.15, "word": " 48", "probability": 0.9267578125}, {"start": 110.15, "end": 111.83, "word": " ناقص", "probability": 0.8878173828125}, {"start": 111.83, "end": 113.43, "word": " 28", "probability": 0.935546875}, {"start": 113.43, "end": 115.35, "word": " بالساوية", "probability": 0.69814453125}, {"start": 115.35, "end": 115.75, "word": " كده", "probability": 0.6568196614583334}, {"start": 115.75, "end": 116.81, "word": " 20", "probability": 0.5556640625}, {"start": 116.81, "end": 117.49, "word": " ملي", "probability": 0.542236328125}, {"start": 117.49, "end": 117.99, "word": " متر", "probability": 0.77685546875}], "temperature": 1.0}, {"id": 5, "seek": 14422, "start": 118.68, "end": 144.22, "text": "هذا الفرق ما بين اللي هو ال two meridian The larger the difference, the more rectangular the enclosing box appears الآن يا جماعة، كل مكان الشكل اللي هو مستطيل أكتر، كل مكان الاختلاف ما بين ال A والB أكتر", "tokens": [3224, 15730, 27188, 2288, 4587, 19446, 49374, 13672, 1829, 31439, 2423, 732, 3551, 34681, 440, 4833, 264, 2649, 11, 264, 544, 31167, 264, 20987, 6110, 2424, 7038, 6024, 48506, 35186, 10874, 15042, 27884, 12399, 28242, 3714, 41361, 25124, 28820, 13672, 1829, 31439, 3714, 14851, 9566, 26895, 5551, 4117, 2655, 2288, 12399, 28242, 3714, 41361, 2423, 47283, 2655, 15040, 5172, 19446, 49374, 2423, 316, 16070, 33, 5551, 4117, 2655, 2288], "avg_logprob": -0.15491071407284054, "compression_ratio": 1.5129533678756477, "no_speech_prob": 0.0, "words": [{"start": 118.68, "end": 119.14, "word": "هذا", "probability": 0.959228515625}, {"start": 119.14, "end": 119.74, "word": " الفرق", "probability": 0.9881184895833334}, {"start": 119.74, "end": 119.98, "word": " ما", "probability": 0.91796875}, {"start": 119.98, "end": 120.2, "word": " بين", "probability": 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ال", "probability": 0.833984375}, {"start": 797.06, "end": 797.46, "word": " side", "probability": 0.93603515625}, {"start": 797.46, "end": 797.74, "word": " أو", "probability": 0.56396484375}, {"start": 797.74, "end": 797.9, "word": " ال", "probability": 0.8876953125}, {"start": 797.9, "end": 798.32, "word": " timble", "probability": 0.972900390625}, {"start": 798.32, "end": 798.84, "word": " هو", "probability": 0.8837890625}, {"start": 798.84, "end": 799.32, "word": " عبارة", "probability": 0.9947509765625}, {"start": 799.32, "end": 799.5, "word": " عن", "probability": 0.99755859375}, {"start": 799.5, "end": 799.64, "word": " ال", "probability": 0.84228515625}, {"start": 799.64, "end": 800.08, "word": " timble", "probability": 0.975830078125}, {"start": 800.08, "end": 800.7, "word": " length", "probability": 0.8671875}], "temperature": 1.0}, {"id": 32, "seek": 82772, "start": 801.76, "end": 827.72, "text": "الـ total اللي هو timbre length أو ال overall timbre اللي هو length okay? timbre length may be measured in one of the following ways يعني يمكن اللي هو قياسه بإحدى اللي هو الطرق كيف طيب؟ the overall timbre length is the distance from the center", "tokens": [6027, 39184, 3217, 13672, 1829, 31439, 524, 2672, 4641, 34051, 2423, 4787, 524, 2672, 13672, 1829, 31439, 4641, 1392, 30, 524, 2672, 4641, 815, 312, 12690, 294, 472, 295, 264, 3480, 2098, 37495, 22653, 7251, 43020, 13672, 1829, 31439, 12174, 25528, 3794, 3224, 4724, 28814, 24401, 7578, 13672, 1829, 31439, 41950, 2288, 4587, 9122, 33911, 23032, 1829, 3555, 22807, 264, 4787, 524, 2672, 4641, 307, 264, 4560, 490, 264, 3056], "avg_logprob": -0.21060739604520126, "compression_ratio": 1.6084656084656084, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 801.76, "end": 802.14, "word": "الـ", "probability": 0.6962890625}, {"start": 802.14, "end": 802.52, "word": " total", "probability": 0.5380859375}, {"start": 802.52, "end": 802.82, "word": " اللي", "probability": 0.918701171875}, {"start": 802.82, "end": 803.06, "word": " هو", "probability": 0.9931640625}, {"start": 803.06, "end": 803.54, "word": " timbre", "probability": 0.26287841796875}, {"start": 803.54, "end": 804.22, "word": " length", "probability": 0.78515625}, {"start": 804.22, "end": 804.56, "word": " أو", "probability": 0.828125}, {"start": 804.56, "end": 804.76, "word": " ال", "probability": 0.9638671875}, {"start": 804.76, "end": 805.32, "word": " overall", "probability": 0.477294921875}, {"start": 805.32, "end": 805.98, "word": " timbre", "probability": 0.95166015625}, {"start": 805.98, "end": 806.24, "word": " اللي", "probability": 0.98828125}, {"start": 806.24, "end": 806.46, "word": " هو", "probability": 0.99462890625}, {"start": 806.46, "end": 806.84, "word": " length", "probability": 0.469970703125}, {"start": 806.84, "end": 807.42, "word": " okay?", "probability": 0.29638671875}, {"start": 809.18, "end": 809.62, "word": " timbre", "probability": 0.6573486328125}, {"start": 809.62, "end": 810.32, "word": " length", "probability": 0.85693359375}, {"start": 810.32, "end": 811.32, "word": " may", "probability": 0.61669921875}, {"start": 811.32, "end": 811.48, "word": " be", "probability": 0.9580078125}, {"start": 811.48, "end": 811.88, "word": " measured", "probability": 0.8349609375}, {"start": 811.88, "end": 812.28, "word": " in", "probability": 0.95166015625}, {"start": 812.28, "end": 812.6, "word": " one", "probability": 0.93798828125}, {"start": 812.6, "end": 812.88, "word": " of", "probability": 0.98046875}, {"start": 812.88, "end": 813.06, "word": " the", "probability": 0.92138671875}, {"start": 813.06, "end": 813.48, "word": " following", "probability": 0.88330078125}, {"start": 813.48, "end": 814.22, "word": " ways", "probability": 0.94580078125}, {"start": 814.22, "end": 814.9, "word": " يعني", "probability": 0.927734375}, {"start": 814.9, "end": 815.34, "word": " يمكن", "probability": 0.98681640625}, {"start": 815.34, "end": 815.66, "word": " اللي", "probability": 0.983154296875}, {"start": 815.66, "end": 815.84, "word": " هو", "probability": 0.99560546875}, {"start": 815.84, "end": 816.58, "word": " قياسه", "probability": 0.937744140625}, {"start": 816.58, "end": 817.42, "word": " بإحدى", "probability": 0.8724365234375}, {"start": 817.42, "end": 817.66, "word": " اللي", "probability": 0.992919921875}, {"start": 817.66, "end": 817.86, "word": " هو", "probability": 0.99609375}, {"start": 817.86, "end": 818.32, "word": " الطرق", "probability": 0.9638671875}, {"start": 818.32, "end": 818.76, "word": " كيف", "probability": 0.817138671875}, {"start": 818.76, "end": 820.66, "word": " طيب؟", "probability": 0.877197265625}, {"start": 820.66, "end": 820.8, "word": " the", "probability": 0.52099609375}, {"start": 820.8, "end": 821.46, "word": " overall", "probability": 0.8466796875}, {"start": 821.46, "end": 822.64, "word": " timbre", "probability": 0.977783203125}, {"start": 822.64, "end": 823.58, "word": " length", "probability": 0.85205078125}, {"start": 823.58, "end": 825.02, "word": " is", "probability": 0.939453125}, {"start": 825.02, "end": 825.2, "word": " the", "probability": 0.90380859375}, {"start": 825.2, "end": 825.82, "word": " distance", "probability": 0.9462890625}, {"start": 825.82, "end": 826.4, "word": " from", "probability": 0.89453125}, {"start": 826.4, "end": 826.96, "word": " the", "probability": 0.9375}, {"start": 826.96, "end": 827.72, "word": " center", "probability": 0.76220703125}], "temperature": 1.0}, {"id": 33, "seek": 85908, "start": 831.82, "end": 859.08, "text": "of the center of the center barrel screw شايفين هي منتصف اللي هو مين ال screw هذا لنهاية اللي هو مين ال bend الميلان الخاص في ال timble هذه المسافة كل هيتا ايش بتمثل ليه ال overall timble اللي هو length اذا من منتصف اللي هو ال screw هذا لنهاية اللي هو الميلان", "tokens": [2670, 264, 3056, 295, 264, 3056, 13257, 5630, 13412, 995, 33911, 9957, 39896, 9154, 2655, 9381, 5172, 13672, 1829, 31439, 3714, 9957, 2423, 5630, 23758, 5296, 1863, 11296, 10632, 13672, 1829, 31439, 3714, 9957, 2423, 11229, 9673, 26895, 7649, 33962, 33546, 8978, 2423, 524, 638, 29538, 9673, 3794, 31845, 3660, 28242, 8032, 36081, 995, 1975, 1829, 8592, 39894, 2304, 12984, 1211, 32239, 3224, 2423, 4787, 524, 638, 13672, 1829, 31439, 4641, 1975, 15730, 9154, 9154, 2655, 9381, 5172, 13672, 1829, 31439, 2423, 5630, 23758, 5296, 1863, 11296, 10632, 13672, 1829, 31439, 9673, 26895, 7649], "avg_logprob": -0.20723683583109, "compression_ratio": 2.118279569892473, "no_speech_prob": 7.748603820800781e-07, "words": [{"start": 831.82, "end": 832.14, "word": "of", "probability": 0.242431640625}, {"start": 832.14, "end": 832.36, "word": " the", "probability": 0.93505859375}, {"start": 832.36, "end": 832.86, "word": " center", "probability": 0.783203125}, {"start": 832.86, "end": 833.78, "word": " of", "probability": 0.28271484375}, {"start": 833.78, "end": 834.02, "word": " the", "probability": 0.91357421875}, {"start": 834.02, "end": 834.5, "word": " center", "probability": 0.7734375}, {"start": 834.5, "end": 835.22, "word": " barrel", "probability": 0.78955078125}, {"start": 835.22, "end": 835.98, "word": " screw", "probability": 0.9501953125}, {"start": 835.98, "end": 836.82, "word": " شايفين", "probability": 0.80340576171875}, {"start": 836.82, "end": 836.98, "word": " هي", "probability": 0.243896484375}, {"start": 836.98, "end": 837.7, "word": " منتصف", "probability": 0.9822998046875}, {"start": 837.7, "end": 837.94, "word": " اللي", "probability": 0.72705078125}, {"start": 837.94, "end": 838.16, "word": " هو", "probability": 0.97119140625}, {"start": 838.16, "end": 838.46, "word": " مين", "probability": 0.870361328125}, {"start": 838.46, "end": 839.48, "word": " ال", "probability": 0.74560546875}, {"start": 839.48, "end": 839.86, "word": " screw", "probability": 0.65234375}, {"start": 839.86, "end": 840.36, "word": " هذا", "probability": 0.74267578125}, {"start": 840.36, "end": 841.72, "word": " لنهاية", "probability": 0.943359375}, {"start": 841.72, "end": 842.0, "word": " اللي", "probability": 0.98193359375}, {"start": 842.0, "end": 842.24, "word": " هو", "probability": 0.984375}, {"start": 842.24, "end": 843.2, "word": " مين", "probability": 0.946533203125}, {"start": 843.2, "end": 843.62, "word": " ال", "probability": 0.9248046875}, {"start": 843.62, "end": 844.02, "word": " bend", "probability": 0.6728515625}, {"start": 844.02, "end": 844.9, "word": " الميلان", "probability": 0.7568359375}, {"start": 844.9, "end": 845.5, "word": " الخاص", "probability": 0.960693359375}, {"start": 845.5, "end": 845.66, "word": " في", "probability": 0.8671875}, {"start": 845.66, "end": 846.04, "word": " ال", "probability": 0.93408203125}, {"start": 846.04, "end": 846.44, "word": " timble", "probability": 0.50439453125}, {"start": 846.44, "end": 847.62, "word": " هذه", "probability": 0.7626953125}, {"start": 847.62, "end": 848.22, "word": " المسافة", "probability": 0.9892578125}, {"start": 848.22, "end": 848.5, "word": " كل", "probability": 0.9765625}, {"start": 848.5, "end": 849.06, "word": " هيتا", "probability": 0.6969401041666666}, {"start": 849.06, "end": 849.6, "word": " ايش", "probability": 0.7471516927083334}, {"start": 849.6, "end": 850.28, "word": " بتمثل", "probability": 0.892333984375}, {"start": 850.28, "end": 850.5, "word": " ليه", "probability": 0.5443115234375}, {"start": 850.5, "end": 850.88, "word": " ال", "probability": 0.92919921875}, {"start": 850.88, "end": 851.5, "word": " overall", "probability": 0.79638671875}, {"start": 851.5, "end": 852.14, "word": " timble", "probability": 0.872314453125}, {"start": 852.14, "end": 852.38, "word": " اللي", "probability": 0.9833984375}, {"start": 852.38, "end": 852.6, "word": " هو", "probability": 0.98876953125}, {"start": 852.6, "end": 852.92, "word": " length", "probability": 0.354736328125}, {"start": 852.92, "end": 853.48, "word": " اذا", "probability": 0.71533203125}, {"start": 853.48, "end": 853.78, "word": " من", "probability": 0.99365234375}, {"start": 853.78, "end": 855.52, "word": " منتصف", "probability": 0.9765625}, {"start": 855.52, "end": 855.78, "word": " اللي", "probability": 0.98583984375}, {"start": 855.78, "end": 855.98, "word": " هو", "probability": 0.98974609375}, {"start": 855.98, "end": 856.12, "word": " ال", "probability": 0.90966796875}, {"start": 856.12, "end": 856.46, "word": " screw", "probability": 0.8623046875}, {"start": 856.46, "end": 856.94, "word": " هذا", "probability": 0.95751953125}, {"start": 856.94, "end": 858.1, "word": " لنهاية", "probability": 0.96337890625}, {"start": 858.1, "end": 858.36, "word": " اللي", "probability": 0.992431640625}, {"start": 858.36, "end": 858.56, "word": " هو", "probability": 0.9931640625}, {"start": 858.56, "end": 859.08, "word": " الميلان", "probability": 0.9498697916666666}], "temperature": 1.0}, {"id": 34, "seek": 87727, "start": 874.67, "end": 877.27, "text": "النهاية مين الميلان؟", "tokens": [6027, 1863, 11296, 10632, 3714, 9957, 9673, 26895, 7649, 22807], "avg_logprob": -0.546875, "compression_ratio": 0.9047619047619048, "no_speech_prob": 0.0, "words": [{"start": 874.6700000000001, "end": 876.07, "word": "النهاية", "probability": 0.67022705078125}, {"start": 876.07, "end": 876.39, "word": " مين", "probability": 0.375244140625}, {"start": 876.39, "end": 877.27, "word": " الميلان؟", "probability": 0.81982421875}], "temperature": 1.0}, {"id": 35, "seek": 89939, "start": 878.43, "end": 899.39, "text": "طيب major along the center of the temple أو بنسمي اللي هو ال total length of temple أو بنسمي ال overall length of temple كان في طريقة", "tokens": [9566, 1829, 3555, 2563, 2051, 264, 3056, 295, 264, 10184, 34051, 44945, 38251, 1829, 13672, 1829, 31439, 2423, 3217, 4641, 295, 10184, 34051, 44945, 38251, 1829, 2423, 4787, 4641, 295, 10184, 25961, 8978, 23032, 16572, 28671], "avg_logprob": -0.26351352317913157, "compression_ratio": 1.452991452991453, "no_speech_prob": 0.0, "words": [{"start": 878.43, "end": 878.91, "word": "طيب", "probability": 0.6943766276041666}, {"start": 878.91, "end": 879.19, "word": " major", "probability": 0.18115234375}, {"start": 879.19, "end": 879.95, "word": " along", "probability": 0.5234375}, {"start": 879.95, "end": 880.59, "word": " the", "probability": 0.9267578125}, {"start": 880.59, "end": 880.99, "word": " center", "probability": 0.72607421875}, {"start": 880.99, "end": 881.31, "word": " of", "probability": 0.98388671875}, {"start": 881.31, "end": 881.73, "word": " the", "probability": 0.90234375}, {"start": 881.73, "end": 882.19, "word": " temple", "probability": 0.7802734375}, {"start": 882.19, "end": 882.79, "word": " أو", "probability": 0.65673828125}, {"start": 882.79, "end": 883.39, "word": " بنسمي", "probability": 0.9554036458333334}, {"start": 883.39, "end": 883.67, "word": " اللي", "probability": 0.651611328125}, {"start": 883.67, "end": 884.07, "word": " هو", "probability": 0.99658203125}, {"start": 884.07, "end": 884.49, "word": " ال", "probability": 0.8720703125}, {"start": 884.49, "end": 884.89, "word": " total", "probability": 0.7607421875}, {"start": 884.89, "end": 885.79, "word": " length", "probability": 0.85986328125}, {"start": 885.79, "end": 886.55, "word": " of", "probability": 0.9775390625}, {"start": 886.55, "end": 887.23, "word": " temple", "probability": 0.53369140625}, {"start": 887.23, "end": 887.83, "word": " أو", "probability": 0.78515625}, {"start": 887.83, "end": 888.53, "word": " بنسمي", "probability": 0.9794921875}, {"start": 888.53, "end": 888.73, "word": " ال", "probability": 0.96337890625}, {"start": 888.73, "end": 889.35, "word": " overall", "probability": 0.86572265625}, {"start": 889.35, "end": 890.19, "word": " length", "probability": 0.86279296875}, {"start": 890.19, "end": 890.69, "word": " of", "probability": 0.978515625}, {"start": 890.69, "end": 891.23, "word": " temple", "probability": 0.8388671875}, {"start": 891.23, "end": 898.61, "word": " كان", "probability": 0.7109375}, {"start": 898.61, "end": 898.79, 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dimension اللي هي الخمسين أو ال eye size", "tokens": [6027, 20292, 31439, 4724, 3794, 995, 45865, 8608, 3555, 3615, 9957, 3714, 20292, 3714, 36081, 2288, 23758, 4724, 32640, 12984, 1211, 2423, 3920, 363, 35, 13672, 1829, 31439, 6225, 3555, 9640, 3660, 18871, 2423, 4560, 1296, 18059, 309, 1355, 300, 264, 3313, 2744, 2423, 3313, 2744, 37495, 22653, 11933, 1829, 8592, 9673, 4587, 9381, 23328, 8978, 11296, 2423, 257, 10139, 46811, 10943, 10874, 3215, 11703, 1829, 8592, 2423, 257, 10139, 13672, 1829, 39896, 33962, 2304, 3794, 9957, 34051, 2423, 3313, 2744], "avg_logprob": -0.19550305368696771, "compression_ratio": 1.5625, "no_speech_prob": 0.0, "words": [{"start": 1110.07, "end": 1110.33, "word": "اللي", "probability": 0.46044921875}, {"start": 1110.33, "end": 1110.45, "word": " هو", "probability": 0.9072265625}, {"start": 1110.45, "end": 1110.87, "word": " بساوي", "probability": 0.7401123046875}, {"start": 1110.87, "end": 1111.51, "word": " سبعين", "probability": 0.9271240234375}, 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0.9573567708333334}, {"start": 1149.98, "end": 1150.18, "word": " صفر", "probability": 0.7931315104166666}, {"start": 1150.18, "end": 1154.3, "word": " الانزلات", "probability": 0.812451171875}, {"start": 1154.3, "end": 1157.96, "word": " البرج", "probability": 0.9677734375}, {"start": 1157.96, "end": 1160.28, "word": " صفر", "probability": 0.8816731770833334}], "temperature": 1.0}, {"id": 45, "seek": 117858, "start": 1162.04, "end": 1178.58, "text": "و أي تأيطار لابد ان انت تشريه لازم ان يكون مكتوب عليه عندنا واحد ال distance اللي هو between lenses ال eye size او ال a dimension بالاضافة ل ال bridge size", "tokens": [2407, 36632, 6055, 10721, 1829, 9566, 9640, 5296, 16758, 3215, 16472, 16472, 2655, 6055, 8592, 16572, 3224, 5296, 31377, 2304, 16472, 7251, 30544, 3714, 4117, 2655, 37746, 47356, 43242, 8315, 36764, 24401, 2423, 4560, 13672, 1829, 31439, 1296, 18059, 2423, 3313, 2744, 1975, 2407, 2423, 257, 10139, 20666, 46958, 31845, 3660, 5296, 2423, 7283, 2744], "avg_logprob": 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dimension بالإضافة لل distance between lenses و ال frame bd", "tokens": [6027, 39184, 3313, 2744, 293, 4560, 1296, 18059, 366, 2171, 2935, 12658, 2625, 12, 2009, 420, 2625, 670, 945, 37495, 22653, 8978, 5551, 4117, 2655, 2288, 9154, 13672, 1829, 31439, 2423, 3758, 7251, 43020, 13672, 1829, 31439, 47356, 9122, 2655, 16758, 3660, 11933, 1829, 8592, 2423, 3313, 2744, 2423, 257, 10139, 34051, 2423, 257, 10139, 20666, 28814, 11242, 31845, 3660, 24976, 4560, 1296, 18059, 4032, 2423, 3920, 272, 67], "avg_logprob": -0.17890624957425252, "compression_ratio": 1.597938144329897, "no_speech_prob": 0.0, "words": [{"start": 1187.61, "end": 1187.89, "word": "الـ", "probability": 0.619873046875}, {"start": 1187.89, "end": 1188.13, "word": " eye", "probability": 0.2161865234375}, {"start": 1188.13, "end": 1188.75, "word": " size", "probability": 0.68896484375}, {"start": 1188.75, "end": 1189.27, "word": " and", "probability": 0.693359375}, {"start": 1189.27, "end": 1189.97, "word": " distance", 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تمبل length عندنا هيهان خمسين تمام الخمسين هذه ايش بتمثل؟", "tokens": [40228, 22653, 1975, 1829, 23032, 16572, 28671, 9154, 8032, 3215, 12610, 13412, 995, 33911, 9957, 22807, 29538, 2423, 39184, 49258, 1975, 1829, 8592, 39894, 2304, 12984, 1211, 22807, 2423, 670, 439, 46811, 36150, 13672, 1829, 31439, 4641, 39896, 4117, 47525, 8315, 8717, 5016, 5172, 19913, 16095, 670, 439, 46811, 10943, 46811, 36150, 13672, 1829, 31439, 4641, 1975, 2407, 2423, 3217, 46811, 36150, 4641, 43242, 8315, 39896, 3224, 7649, 16490, 2304, 3794, 9957, 46811, 10943, 33962, 2304, 3794, 9957, 29538, 1975, 1829, 8592, 39894, 2304, 12984, 1211, 22807], "avg_logprob": -0.25745737654241646, "compression_ratio": 1.8579545454545454, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 1216.65, "end": 1216.91, "word": "يعني", "probability": 0.599853515625}, {"start": 1216.91, "end": 1217.11, "word": " اي", "probability": 0.6522216796875}, {"start": 1217.11, "end": 1217.51, "word": " طريقة", "probability": 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فحص طبي طبعا هان ال visual examination ممكن مثلا من خلال ال trial a frame صح ولا لأ زي ما احنا بنعمل او من خلال الفوربتر", "tokens": [284, 754, 949, 884, 257, 5056, 23874, 34051, 12174, 36150, 19446, 1975, 8315, 4724, 16254, 1975, 25957, 1211, 13672, 1829, 31439, 6156, 5016, 9381, 23032, 21292, 23032, 3555, 3615, 995, 8032, 7649, 2423, 5056, 23874, 3714, 43020, 50113, 15040, 9154, 16490, 1211, 6027, 2423, 7308, 257, 3920, 20328, 5016, 49429, 5296, 10721, 30767, 1829, 19446, 1975, 5016, 8315, 44945, 25957, 1211, 1975, 2407, 9154, 16490, 1211, 6027, 27188, 13063, 3555, 2655, 2288], "avg_logprob": -0.1902825358795793, "compression_ratio": 1.5722222222222222, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1314.05, "end": 1314.41, "word": "or", "probability": 0.2322998046875}, {"start": 1314.41, "end": 1314.99, "word": " even", "probability": 0.88720703125}, {"start": 1314.99, "end": 1315.93, "word": " before", "probability": 0.92138671875}, {"start": 1315.93, "end": 1316.65, 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" فحص", "probability": 0.9853515625}, {"start": 1321.15, "end": 1321.53, "word": " طبي", "probability": 0.902099609375}, {"start": 1321.53, "end": 1322.27, "word": " طبعا", "probability": 0.9644775390625}, {"start": 1322.27, "end": 1322.51, "word": " هان", "probability": 0.648193359375}, {"start": 1322.51, "end": 1322.63, "word": " ال", "probability": 0.96142578125}, {"start": 1322.63, "end": 1322.93, "word": " visual", "probability": 0.84814453125}, {"start": 1322.93, "end": 1323.91, "word": " examination", "probability": 0.92041015625}, {"start": 1323.91, "end": 1324.75, "word": " ممكن", "probability": 0.98046875}, {"start": 1324.75, "end": 1325.21, "word": " مثلا", "probability": 0.993896484375}, {"start": 1325.21, "end": 1325.63, "word": " من", "probability": 0.98828125}, {"start": 1325.63, "end": 1326.09, "word": " خلال", "probability": 0.9944661458333334}, {"start": 1326.09, "end": 1326.39, "word": " ال", "probability": 0.5009765625}, {"start": 1326.39, "end": 1328.33, "word": " trial", "probability": 0.67138671875}, {"start": 1328.33, "end": 1330.79, "word": " a", "probability": 0.1907958984375}, {"start": 1330.79, "end": 1331.13, "word": " frame", "probability": 0.95458984375}, {"start": 1331.13, "end": 1331.53, "word": " صح", "probability": 0.96875}, {"start": 1331.53, "end": 1331.69, "word": " ولا", "probability": 0.9521484375}, {"start": 1331.69, "end": 1331.95, "word": " لأ", "probability": 0.7437744140625}, {"start": 1331.95, "end": 1332.17, "word": " زي", "probability": 0.836181640625}, {"start": 1332.17, "end": 1332.25, "word": " ما", "probability": 0.9541015625}, {"start": 1332.25, "end": 1332.37, "word": " احنا", "probability": 0.8430989583333334}, {"start": 1332.37, "end": 1332.95, "word": " بنعمل", "probability": 0.96142578125}, {"start": 1332.95, "end": 1334.53, "word": " او", "probability": 0.812255859375}, {"start": 1334.53, "end": 1334.71, "word": " من", "probability": 0.99658203125}, {"start": 1334.71, "end": 1335.23, "word": " خلال", "probability": 0.9954427083333334}, {"start": 1335.23, "end": 1336.09, "word": " الفوربتر", "probability": 0.74150390625}], "temperature": 1.0}, {"id": 52, "seek": 135830, "start": 1339.94, "end": 1358.3, "text": "أي visual examination بواحدة من هدول الطرق، يعني سواء كان objective أو subjective method، the distance between the pupils must be determined لازم أنا أحدد قداش قيمة مين ال IBD بتاعة المريض", "tokens": [10721, 1829, 5056, 23874, 4724, 14407, 24401, 3660, 9154, 8032, 3215, 12610, 41950, 2288, 4587, 12399, 37495, 22653, 8608, 2407, 16606, 25961, 10024, 34051, 25972, 3170, 12399, 264, 4560, 1296, 264, 38404, 1633, 312, 9540, 5296, 31377, 2304, 41850, 5551, 24401, 3215, 12174, 3215, 33599, 12174, 32640, 3660, 3714, 9957, 2423, 40385, 35, 39894, 995, 27884, 9673, 16572, 11242], "avg_logprob": -0.18372396106521288, "compression_ratio": 1.2660098522167487, "no_speech_prob": 0.0, "words": [{"start": 1339.94, "end": 1340.34, "word": "أي", "probability": 0.753173828125}, {"start": 1340.34, "end": 1340.96, "word": " visual", "probability": 0.6064453125}, {"start": 1340.96, "end": 1341.9, "word": " examination", "probability": 0.92138671875}, {"start": 1341.9, "end": 1342.54, "word": " بواحدة", "probability": 0.9825439453125}, {"start": 1342.54, "end": 1342.68, "word": " من", "probability": 0.9951171875}, {"start": 1342.68, "end": 1343.06, "word": " هدول", "probability": 0.7965494791666666}, {"start": 1343.06, "end": 1344.0, "word": " الطرق،", "probability": 0.83056640625}, {"start": 1344.0, "end": 1344.26, "word": " يعني", "probability": 0.807861328125}, {"start": 1344.26, "end": 1344.74, "word": " سواء", "probability": 0.9539388020833334}, {"start": 1344.74, "end": 1345.0, "word": " كان", "probability": 0.99609375}, {"start": 1345.0, "end": 1345.56, "word": " objective", "probability": 0.87744140625}, {"start": 1345.56, "end": 1345.92, "word": " أو", "probability": 0.7236328125}, {"start": 1345.92, "end": 1346.4, "word": " subjective", "probability": 0.962890625}, {"start": 1346.4, "end": 1347.86, "word": " method،", "probability": 0.667236328125}, {"start": 1347.86, "end": 1348.32, "word": " the", "probability": 0.517578125}, {"start": 1348.32, "end": 1349.0, "word": " distance", "probability": 0.94873046875}, {"start": 1349.0, "end": 1349.78, "word": " between", "probability": 0.93115234375}, {"start": 1349.78, "end": 1350.26, "word": " the", "probability": 0.91748046875}, {"start": 1350.26, "end": 1350.72, "word": " pupils", "probability": 0.9287109375}, {"start": 1350.72, "end": 1351.4, "word": " must", "probability": 0.8759765625}, {"start": 1351.4, "end": 1351.64, "word": " be", "probability": 0.95703125}, {"start": 1351.64, "end": 1352.68, "word": " determined", "probability": 0.93701171875}, {"start": 1352.68, "end": 1353.86, "word": " لازم", "probability": 0.8213704427083334}, {"start": 1353.86, "end": 1354.1, "word": " أنا", "probability": 0.458984375}, {"start": 1354.1, "end": 1354.92, "word": " أحدد", "probability": 0.94873046875}, {"start": 1354.92, "end": 1355.66, "word": " قداش", "probability": 0.6573893229166666}, {"start": 1355.66, "end": 1356.22, "word": " قيمة", "probability": 0.9905598958333334}, {"start": 1356.22, "end": 1356.48, "word": " مين", "probability": 0.912353515625}, {"start": 1356.48, "end": 1356.96, "word": " ال", "probability": 0.9384765625}, {"start": 1356.96, "end": 1357.56, "word": " IBD", "probability": 0.771484375}, {"start": 1357.56, "end": 1357.8, "word": " بتاعة", "probability": 0.8173828125}, {"start": 1357.8, "end": 1358.3, "word": " المريض", "probability": 0.990234375}], "temperature": 1.0}, {"id": 53, "seek": 138406, "start": 1360.38, "end": 1384.06, "text": "إذا الخطوة الأولى قبل ما يتم وصف أي نضارة للمريض لابد من تحديد ال IBD أو ال BD لهذا الشخص it can be measured in variety of ways هناك طرق مختلفة لقياس مين", "tokens": [28814, 15730, 33962, 9566, 2407, 3660, 16247, 12610, 7578, 12174, 36150, 19446, 7251, 39237, 4032, 9381, 5172, 36632, 8717, 11242, 9640, 3660, 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1364.54, "word": " أي", "probability": 0.75146484375}, {"start": 1364.54, "end": 1365.86, "word": " نضارة", "probability": 0.945556640625}, {"start": 1365.86, "end": 1366.64, "word": " للمريض", "probability": 0.962646484375}, {"start": 1366.64, "end": 1367.54, "word": " لابد", "probability": 0.8870442708333334}, {"start": 1367.54, "end": 1367.74, "word": " من", "probability": 0.97802734375}, {"start": 1367.74, "end": 1368.54, "word": " تحديد", "probability": 0.9783935546875}, {"start": 1368.54, "end": 1368.78, "word": " ال", "probability": 0.75048828125}, {"start": 1368.78, "end": 1369.5, "word": " IBD", "probability": 0.7015380859375}, {"start": 1369.5, "end": 1369.98, "word": " أو", "probability": 0.625}, {"start": 1369.98, "end": 1370.14, "word": " ال", "probability": 0.92236328125}, {"start": 1370.14, "end": 1370.58, "word": " BD", "probability": 0.72900390625}, {"start": 1370.58, "end": 1371.5, "word": " لهذا", "probability": 0.897705078125}, {"start": 1371.5, "end": 1374.54, "word": " الشخص", "probability": 0.99365234375}, {"start": 1374.54, "end": 1377.38, "word": " it", "probability": 0.3720703125}, {"start": 1377.38, "end": 1377.7, "word": " can", "probability": 0.97021484375}, {"start": 1377.7, "end": 1378.0, "word": " be", "probability": 0.95849609375}, {"start": 1378.0, "end": 1378.8, "word": " measured", "probability": 0.8271484375}, {"start": 1378.8, "end": 1379.44, "word": " in", "probability": 0.9443359375}, {"start": 1379.44, "end": 1379.96, "word": " variety", "probability": 0.576171875}, {"start": 1379.96, "end": 1380.42, "word": " of", "probability": 0.96484375}, {"start": 1380.42, "end": 1380.84, "word": " ways", "probability": 0.94091796875}, {"start": 1380.84, "end": 1381.54, "word": " هناك", "probability": 0.707763671875}, {"start": 1381.54, "end": 1381.86, "word": " طرق", "probability": 0.9874674479166666}, {"start": 1381.86, "end": 1382.84, "word": " مختلفة", "probability": 0.9942626953125}, {"start": 1382.84, "end": 1383.72, "word": " لقياس", "probability": 0.8583984375}, {"start": 1383.72, "end": 1384.06, "word": " مين", "probability": 0.6942138671875}], "temperature": 1.0}, {"id": 54, "seek": 140657, "start": 1384.81, "end": 1406.57, "text": "الـ IBD اما عن طريق اللي هو المصطرة تمام او مثلا عن طريق الـ autorif keratometer او ممكن مثلا عن طريق اللي هو .. نعم او اللي هو ممكن جهاز البابلوميتر اللي هناخده في اللي هو معمل الـ dispensing ان شاء الله فيما بعد", "tokens": [6027, 39184, 40385, 35, 1975, 15042, 18871, 23032, 16572, 4587, 13672, 1829, 31439, 9673, 9381, 9566, 25720, 46811, 10943, 1975, 2407, 50113, 15040, 18871, 23032, 16572, 4587, 2423, 39184, 19510, 351, 19377, 267, 13606, 1975, 2407, 3714, 43020, 50113, 15040, 18871, 23032, 16572, 4587, 13672, 1829, 31439, 4386, 8717, 25957, 1975, 2407, 13672, 1829, 31439, 3714, 43020, 10874, 3224, 31377, 29739, 16758, 1211, 20498, 36081, 2288, 13672, 1829, 8032, 1863, 47283, 3215, 3224, 8978, 13672, 1829, 31439, 20449, 42213, 2423, 39184, 4920, 22481, 16472, 13412, 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IBD لكن كان غير صحيح او كان قياس ال IBD غير اللي هو واقعي او غير دقيق تمام ايش هذا بينتج? Misplacement of the optical center of the lenses المريض مش هيطلع من وين؟", "tokens": [9566, 1829, 3555, 7763, 281, 20095, 6997, 264, 43358, 19784, 46367, 4560, 2423, 7649, 1975, 8315, 12174, 9381, 3215, 2423, 40385, 35, 44381, 25961, 32771, 13546, 20328, 5016, 1829, 5016, 1975, 2407, 25961, 12174, 25528, 3794, 2423, 40385, 35, 32771, 13546, 13672, 1829, 31439, 36764, 4587, 3615, 1829, 1975, 2407, 32771, 13546, 11778, 38436, 4587, 46811, 10943, 1975, 1829, 8592, 23758, 4724, 9957, 2655, 7435, 30, 23240, 564, 7621, 295, 264, 20674, 3056, 295, 264, 18059, 9673, 16572, 11242, 37893, 39896, 9566, 1211, 3615, 9154, 4032, 9957, 22807], "avg_logprob": -0.15712781568591513, "compression_ratio": 1.480349344978166, "no_speech_prob": 0.0, "words": [{"start": 1410.78, "end": 1411.22, "word": "طيب", "probability": 0.9099934895833334}, {"start": 1411.22, "end": 1411.96, "word": " failure", "probability": 0.462890625}, {"start": 1411.96, "end": 1412.74, "word": " to", "probability": 0.98291015625}, 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"word": " of", "probability": 0.9765625}, {"start": 1459.33, "end": 1459.55, "word": " a", "probability": 0.9599609375}, {"start": 1459.55, "end": 1459.87, "word": " lens", "probability": 0.93310546875}, {"start": 1459.87, "end": 1460.99, "word": " اضافة", "probability": 0.9173583984375}, {"start": 1460.99, "end": 1461.15, "word": " إلى", "probability": 0.5791015625}, {"start": 1461.15, "end": 1461.59, "word": " ذلك", "probability": 0.993896484375}], "temperature": 1.0}, {"id": 57, "seek": 148486, "start": 1463.36, "end": 1484.86, "text": "this induces أي بمعنى انه this impacts اي بيؤثر okay unwanted prismatic effect اذا هذا بيعمل تأثير منشور تمام requiring the wearer to turn his eyes inward or even outward", "tokens": [11176, 13716, 887, 36632, 4724, 2304, 3615, 1863, 7578, 16472, 3224, 341, 11606, 1975, 1829, 4724, 1829, 33604, 49115, 1392, 33745, 582, 34088, 1802, 1975, 15730, 23758, 4724, 1829, 25957, 1211, 6055, 10721, 12984, 13546, 9154, 8592, 13063, 46811, 10943, 24165, 264, 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هو الدبلوبيا أو ال double vision over time this effort causes visual discomfort", "tokens": [28814, 15730, 6225, 40448, 32748, 28671, 8978, 12174, 25528, 3794, 2423, 8671, 35, 4724, 1829, 33604, 16254, 30731, 2423, 39184, 2114, 34088, 17764, 20666, 28814, 11242, 31845, 3660, 32767, 2407, 11242, 45367, 13672, 1829, 31439, 32748, 36150, 2407, 21292, 995, 34051, 2423, 3834, 5201, 670, 565, 341, 4630, 7700, 5056, 28552], "avg_logprob": -0.28951321714199507, "compression_ratio": 1.2816091954022988, "no_speech_prob": 0.0, "words": [{"start": 1512.76, "end": 1513.1, "word": "إذا", "probability": 0.688720703125}, {"start": 1513.1, "end": 1513.54, "word": " عدم", "probability": 0.94287109375}, {"start": 1513.54, "end": 1514.56, "word": " الدقة", "probability": 0.882568359375}, {"start": 1514.56, "end": 1514.8, "word": " في", "probability": 0.9765625}, {"start": 1514.8, "end": 1515.56, "word": " قياس", "probability": 0.9708658854166666}, {"start": 1515.56, "end": 1516.04, "word": " ال", 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{"start": 1564.71, "end": 1565.05, "word": " هو", "probability": 0.99462890625}, {"start": 1565.05, "end": 1565.77, "word": " عدم", "probability": 0.981201171875}, {"start": 1565.77, "end": 1566.57, "word": " التواؤم", "probability": 0.805859375}, {"start": 1566.57, "end": 1566.77, "word": " ما", "probability": 0.88525390625}, {"start": 1566.77, "end": 1566.97, "word": " بين", "probability": 0.994140625}, {"start": 1566.97, "end": 1567.13, "word": " ال", "probability": 0.861328125}, {"start": 1567.13, "end": 1567.65, "word": " IPD", "probability": 0.49609375}, {"start": 1567.65, "end": 1568.07, "word": " و", "probability": 0.469482421875}, {"start": 1568.07, "end": 1568.19, "word": " ال", "probability": 0.5859375}, {"start": 1568.19, "end": 1568.45, "word": " frame", "probability": 0.896484375}, {"start": 1568.45, "end": 1568.83, "word": " PD", "probability": 0.53759765625}, {"start": 1568.83, "end": 1569.69, "word": " للشخص", "probability": 0.9786376953125}], "temperature": 1.0}, {"id": 61, "seek": 158581, "start": 1573.37, "end": 1585.81, "text": "إذا عدم القدرة على العمل مع بعض الـ two eyes distance IBD عندنا binocular BD", "tokens": [28814, 15730, 6225, 40448, 25062, 3215, 25720, 15844, 18863, 42213, 20449, 45030, 11242, 2423, 39184, 732, 2575, 4560, 40385, 35, 43242, 8315, 5171, 905, 1040, 363, 35], "avg_logprob": -0.2534877189568111, "compression_ratio": 1.0380952380952382, "no_speech_prob": 0.0, "words": [{"start": 1573.37, "end": 1573.65, "word": "إذا", "probability": 0.5113525390625}, {"start": 1573.65, "end": 1573.95, "word": " عدم", "probability": 0.900634765625}, {"start": 1573.95, "end": 1574.41, "word": " القدرة", "probability": 0.9641927083333334}, {"start": 1574.41, "end": 1574.73, "word": " على", "probability": 0.84521484375}, {"start": 1574.73, "end": 1575.39, "word": " العمل", "probability": 0.984375}, {"start": 1575.39, "end": 1575.73, "word": " مع", "probability": 0.99267578125}, {"start": 1575.73, "end": 1576.53, "word": " بعض", 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method used to measure the BD", "tokens": [3555, 28259, 10632, 1975, 5016, 8315, 1975, 15042, 44945, 5172, 5016, 9381, 5171, 905, 1040, 1975, 2407, 1108, 905, 1040, 40385, 35, 8032, 1863, 47283, 3215, 1975, 5016, 8315, 2423, 5171, 905, 1040, 11778, 47302, 15042, 2423, 5171, 905, 1040, 32239, 8592, 44945, 33753, 26108, 11296, 42963, 4117, 2655, 2288, 24976, 4560, 20328, 5016, 49429, 5296, 10721, 37495, 22653, 34105, 5171, 905, 1040, 363, 35, 337, 4560, 19984, 1392, 5171, 905, 1040, 363, 35, 264, 881, 2689, 3170, 1143, 281, 3481, 264, 363, 35], "avg_logprob": -0.19448528850779814, "compression_ratio": 1.625, "no_speech_prob": 0.0, "words": [{"start": 1586.74, "end": 1587.34, "word": "بداية", "probability": 0.9251302083333334}, {"start": 1587.34, "end": 1587.9, "word": " احنا", "probability": 0.7032063802083334}, {"start": 1587.9, "end": 1588.2, "word": " اما", "probability": 0.84033203125}, {"start": 1588.2, "end": 1588.96, "word": " بنفحص", "probability": 0.922119140625}, {"start": 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"probability": 0.923828125}, {"start": 1614.52, "end": 1614.9, "word": " the", "probability": 0.83740234375}, {"start": 1614.9, "end": 1615.28, "word": " BD", "probability": 0.968505859375}], "temperature": 1.0}, {"id": 63, "seek": 163860, "start": 1616.4, "end": 1638.6, "text": "with the least amount of equipment uses a simple millimeter ruler commonly referred to as a BD rule يعني بقضية أو اللي هو أداء بسيطة تمام يمكن قياس ال IBD من خلال اللي هو المصطرة", "tokens": [11820, 264, 1935, 2372, 295, 5927, 4960, 257, 2199, 17942, 19661, 12719, 10839, 281, 382, 257, 363, 35, 4978, 37495, 22653, 4724, 4587, 11242, 10632, 34051, 13672, 1829, 31439, 5551, 3215, 16606, 4724, 3794, 1829, 9566, 3660, 46811, 10943, 7251, 43020, 12174, 25528, 3794, 2423, 40385, 35, 9154, 16490, 1211, 6027, 13672, 1829, 31439, 9673, 9381, 9566, 25720], "avg_logprob": -0.19570975232932528, "compression_ratio": 1.3093922651933703, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1616.4, "end": 1616.76, "word": "with", "probability": 0.09307861328125}, {"start": 1616.76, "end": 1617.2, "word": " the", "probability": 0.90771484375}, {"start": 1617.2, "end": 1617.94, "word": " least", "probability": 0.9599609375}, {"start": 1617.94, "end": 1618.7, "word": " amount", "probability": 0.91845703125}, {"start": 1618.7, "end": 1619.22, "word": " of", "probability": 0.962890625}, {"start": 1619.22, "end": 1620.1, "word": " equipment", "probability": 0.89208984375}, {"start": 1620.1, "end": 1621.18, "word": " uses", "probability": 0.7666015625}, {"start": 1621.18, "end": 1621.84, "word": " a", "probability": 0.9921875}, {"start": 1621.84, "end": 1622.18, "word": " simple", "probability": 0.896484375}, {"start": 1622.18, "end": 1622.84, "word": " millimeter", "probability": 0.70556640625}, {"start": 1622.84, "end": 1623.88, "word": " ruler", "probability": 0.853515625}, {"start": 1623.88, "end": 1624.88, "word": " commonly", "probability": 0.68603515625}, {"start": 1624.88, "end": 1625.46, "word": " referred", "probability": 0.896484375}, {"start": 1625.46, "end": 1625.72, "word": " to", "probability": 0.96728515625}, {"start": 1625.72, "end": 1626.18, "word": " as", "probability": 0.97216796875}, {"start": 1626.18, "end": 1626.8, "word": " a", "probability": 0.86328125}, {"start": 1626.8, "end": 1627.14, "word": " BD", "probability": 0.6522216796875}, {"start": 1627.14, "end": 1627.48, "word": " rule", "probability": 0.63623046875}, {"start": 1627.48, "end": 1628.8, "word": " يعني", "probability": 0.8544921875}, {"start": 1628.8, "end": 1630.72, "word": " بقضية", "probability": 0.8212890625}, {"start": 1630.72, "end": 1631.54, "word": " أو", "probability": 0.56640625}, {"start": 1631.54, "end": 1631.82, "word": " اللي", "probability": 0.6915283203125}, {"start": 1631.82, "end": 1632.1, "word": " هو", "probability": 0.83349609375}, {"start": 1632.1, "end": 1632.66, "word": " أداء", "probability": 0.7501627604166666}, {"start": 1632.66, "end": 1633.94, "word": " بسيطة", 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لقياس ال IBD للأشخاص طيب كيف التكنيك أو ال method الطريقة number one the dispenser should be positioned at a distance of 40 cm from subject إذا لازم المسافة ما بين", "tokens": [3224, 15730, 2423, 39184, 19661, 9673, 9381, 3215, 25720, 39896, 6156, 47432, 13672, 1829, 31439, 20449, 3215, 11703, 7578, 46740, 15730, 16247, 29973, 5296, 4587, 25528, 3794, 2423, 40385, 35, 24976, 10721, 8592, 9778, 33546, 23032, 1829, 3555, 9122, 33911, 16712, 19452, 1829, 4117, 34051, 2423, 3170, 41950, 16572, 28671, 1230, 472, 264, 4920, 30041, 820, 312, 24889, 412, 257, 4560, 295, 3356, 14668, 490, 3983, 11933, 15730, 5296, 31377, 2304, 9673, 3794, 31845, 3660, 19446, 49374], "avg_logprob": -0.18760015471623495, "compression_ratio": 1.3624454148471616, "no_speech_prob": 0.0, "words": [{"start": 1639.47, "end": 1639.97, "word": "هذا", "probability": 0.72021484375}, {"start": 1639.97, "end": 1640.09, "word": " الـ", "probability": 0.62451171875}, {"start": 1640.09, "end": 1640.43, "word": " ruler", 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" should", "probability": 0.9736328125}, {"start": 1658.57, "end": 1658.93, "word": " be", "probability": 0.923828125}, {"start": 1658.93, "end": 1660.03, "word": " positioned", "probability": 0.78076171875}, {"start": 1660.03, "end": 1660.97, "word": " at", "probability": 0.92626953125}, {"start": 1660.97, "end": 1661.23, "word": " a", "probability": 0.94091796875}, {"start": 1661.23, "end": 1661.87, "word": " distance", "probability": 0.9306640625}, {"start": 1661.87, "end": 1662.41, "word": " of", "probability": 0.95556640625}, {"start": 1662.41, "end": 1662.85, "word": " 40", "probability": 0.8037109375}, {"start": 1662.85, "end": 1663.61, "word": " cm", "probability": 0.424560546875}, {"start": 1663.61, "end": 1664.23, "word": " from", "probability": 0.92431640625}, {"start": 1664.23, "end": 1664.89, "word": " subject", "probability": 0.85205078125}, {"start": 1664.89, "end": 1665.95, "word": " إذا", "probability": 0.839111328125}, {"start": 1665.95, "end": 1666.39, "word": " لازم", "probability": 0.9884440104166666}, {"start": 1666.39, "end": 1667.19, "word": " المسافة", "probability": 0.9901123046875}, {"start": 1667.19, "end": 1667.69, "word": " ما", "probability": 0.80322265625}, {"start": 1667.69, "end": 1668.03, "word": " بين", "probability": 0.98876953125}], "temperature": 1.0}, {"id": 65, "seek": 169474, "start": 1668.78, "end": 1694.74, "text": "المريض و الفاحص او الأخصائي تكون جداش اربعين صانتي، هذي واحد تمام؟ both at the same vertical level التنين يكونوا على مستوى واحد، بمعنى مش واحد جاعد على كرسي أعلى من التاني أو العكس لأن ممكن اختلاف ال degree يؤدي إلى اختلاف في القيم الخاصة في ال IBD", "tokens": [45340, 16572, 11242, 4032, 27188, 39319, 9381, 1975, 2407, 16247, 9778, 9381, 16373, 1829, 6055, 30544, 10874, 3215, 33599, 1975, 25513, 3615, 9957, 20328, 7649, 31371, 12399, 8032, 8848, 1829, 36764, 24401, 46811, 10943, 22807, 1293, 412, 264, 912, 9429, 1496, 16712, 1863, 9957, 7251, 30544, 14407, 15844, 3714, 14851, 2407, 7578, 36764, 24401, 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It tilted back rests on the most recessed part of the nose دايما بدنا نتعود احنا كفاحصين يما نحط المصدرة نحطها في أريح مكان للمريض", "tokens": [2278, 10464, 4978, 307, 24889, 2108, 264, 3983, 311, 6690, 13, 467, 43229, 646, 39755, 322, 264, 881, 16417, 292, 644, 295, 264, 6690, 11778, 47302, 15042, 47525, 8315, 8717, 2655, 3615, 23328, 1975, 5016, 8315, 9122, 5172, 39319, 9381, 9957, 7251, 15042, 8717, 5016, 9566, 9673, 9381, 3215, 25720, 8717, 5016, 9566, 11296, 8978, 5551, 16572, 5016, 3714, 41361, 5296, 19528, 16572, 11242], "avg_logprob": -0.19891826923076922, "compression_ratio": 1.315217391304348, "no_speech_prob": 0.0, "words": [{"start": 1698.75, "end": 1699.01, "word": "The", "probability": 0.198486328125}, {"start": 1699.01, "end": 1699.41, "word": " PD", "probability": 0.666015625}, {"start": 1699.41, "end": 1700.17, "word": " rule", "probability": 0.87060546875}, {"start": 1700.17, "end": 1701.77, "word": " is", "probability": 0.95166015625}, {"start": 1701.77, "end": 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اغلاق", "probability": 0.92236328125}, {"start": 2368.8, "end": 2369.2, "word": " العين", "probability": 0.993408203125}, {"start": 2369.2, "end": 2369.5, "word": " من", "probability": 0.99853515625}, {"start": 2369.5, "end": 2369.84, "word": " خلال", "probability": 0.9938151041666666}, {"start": 2369.84, "end": 2370.28, "word": " اليد", "probability": 0.818359375}], "temperature": 1.0}, {"id": 93, "seek": 239969, "start": 2371.36, "end": 2399.7, "text": "held if that appears يعني حيظهر بمظهر اللي هو أجمل أو ألطف to be a natural part يعني جزء أشماله طبيعي of the test من اللي هو الاختبار and doesn't reveal appearances in ability to close only one eye ومش هيظهر لمين للمريض ان هو مش قادر يغلق اللي هو العين التانية تمام؟", "tokens": [23504, 498, 300, 7038, 37495, 22653, 11331, 1829, 19913, 3224, 2288, 4724, 2304, 19913, 3224, 2288, 13672, 1829, 31439, 5551, 7435, 42213, 34051, 5551, 1211, 9566, 5172, 281, 312, 257, 3303, 644, 37495, 22653, 10874, 11622, 38207, 5551, 8592, 2304, 6027, 3224, 23032, 21292, 3615, 1829, 295, 264, 1500, 9154, 13672, 1829, 31439, 2423, 47283, 2655, 3555, 9640, 293, 1177, 380, 10658, 29174, 294, 3485, 281, 1998, 787, 472, 3313, 4032, 2304, 8592, 39896, 19913, 3224, 2288, 32767, 9957, 5296, 19528, 16572, 11242, 16472, 31439, 37893, 12174, 18513, 2288, 7251, 17082, 1211, 4587, 13672, 1829, 31439, 18863, 9957, 16712, 7649, 10632, 46811, 10943, 22807], "avg_logprob": -0.15446428457895914, "compression_ratio": 1.5714285714285714, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2371.36, "end": 2371.92, "word": "held", "probability": 0.3369140625}, {"start": 2371.92, "end": 2372.46, "word": " if", "probability": 0.892578125}, {"start": 2372.46, "end": 2372.74, "word": " that", "probability": 0.27734375}, {"start": 2372.74, "end": 2373.46, "word": " appears", "probability": 0.8828125}, {"start": 2373.46, "end": 2375.02, "word": " يعني", "probability": 0.685791015625}, {"start": 2375.02, "end": 2375.74, "word": " حيظهر", "probability": 0.868994140625}, {"start": 2375.74, "end": 2376.6, "word": " بمظهر", "probability": 0.9890625}, {"start": 2376.6, "end": 2376.8, "word": " اللي", "probability": 0.920166015625}, {"start": 2376.8, "end": 2377.0, "word": " هو", "probability": 0.97998046875}, {"start": 2377.0, "end": 2377.44, "word": " أجمل", "probability": 0.9091796875}, {"start": 2377.44, "end": 2377.74, "word": " أو", "probability": 0.90625}, {"start": 2377.74, "end": 2378.3, "word": " ألطف", "probability": 0.94970703125}, {"start": 2378.3, "end": 2379.24, "word": " to", "probability": 0.814453125}, {"start": 2379.24, "end": 2379.52, "word": " be", "probability": 0.96875}, {"start": 2379.52, "end": 2379.74, "word": " a", "probability": 0.97607421875}, {"start": 2379.74, "end": 2380.16, "word": " natural", "probability": 0.90283203125}, {"start": 2380.16, "end": 2380.72, "word": " part", "probability": 0.9365234375}, {"start": 2380.72, "end": 2381.26, "word": " يعني", "probability": 0.8505859375}, {"start": 2381.26, "end": 2381.84, "word": " جزء", "probability": 0.9938151041666666}, {"start": 2381.84, "end": 2382.46, "word": " أشماله", "probability": 0.79833984375}, {"start": 2382.46, "end": 2383.02, "word": " طبيعي", "probability": 0.966796875}, {"start": 2383.02, "end": 2383.54, "word": " of", "probability": 0.87646484375}, {"start": 2383.54, "end": 2383.72, "word": " the", "probability": 0.89306640625}, {"start": 2383.72, "end": 2384.08, "word": " test", "probability": 0.90625}, {"start": 2384.08, "end": 2384.42, "word": " من", "probability": 0.796875}, {"start": 2384.42, "end": 2384.68, "word": " اللي", "probability": 0.9755859375}, {"start": 2384.68, "end": 2384.86, "word": " هو", "probability": 0.99365234375}, {"start": 2384.86, "end": 2385.58, "word": " الاختبار", "probability": 0.9025390625}, {"start": 2385.58, "end": 2387.0, "word": " and", "probability": 0.82421875}, {"start": 2387.0, "end": 2387.64, "word": " doesn't", "probability": 0.84228515625}, {"start": 2387.64, "end": 2388.64, "word": " reveal", "probability": 0.95654296875}, {"start": 2388.64, "end": 2389.64, "word": " appearances", "probability": 0.33984375}, {"start": 2389.64, "end": 2390.34, "word": " in", "probability": 0.59228515625}, {"start": 2390.34, "end": 2390.8, "word": " ability", "probability": 0.806640625}, {"start": 2390.8, "end": 2391.08, "word": " to", "probability": 0.97802734375}, {"start": 2391.08, "end": 2391.52, "word": " close", "probability": 0.892578125}, {"start": 2391.52, "end": 2391.92, "word": " only", "probability": 0.9111328125}, {"start": 2391.92, "end": 2392.16, "word": " one", "probability": 0.94921875}, {"start": 2392.16, "end": 2392.42, "word": " eye", "probability": 0.921875}, {"start": 2392.42, "end": 2393.02, "word": " ومش", "probability": 0.912109375}, {"start": 2393.02, "end": 2393.56, "word": " هيظهر", "probability": 0.9478759765625}, {"start": 2393.56, "end": 2394.0, "word": " لمين", "probability": 0.877685546875}, {"start": 2394.0, "end": 2395.7, "word": " للمريض", "probability": 0.8416748046875}, {"start": 2395.7, "end": 2395.92, "word": " ان", "probability": 0.3193359375}, {"start": 2395.92, "end": 2396.1, "word": " هو", "probability": 0.60107421875}, {"start": 2396.1, "end": 2396.32, "word": " مش", "probability": 0.958984375}, {"start": 2396.32, "end": 2396.74, "word": " قادر", "probability": 0.9694010416666666}, {"start": 2396.74, "end": 2397.68, "word": " يغلق", "probability": 0.9820556640625}, {"start": 2397.68, "end": 2397.88, "word": " اللي", "probability": 0.975341796875}, {"start": 2397.88, "end": 2398.06, "word": " هو", "probability": 0.982421875}, {"start": 2398.06, "end": 2398.36, "word": " العين", "probability": 0.9892578125}, {"start": 2398.36, "end": 2398.92, "word": " التانية", "probability": 0.9781901041666666}, {"start": 2398.92, "end": 2399.7, "word": " تمام؟", "probability": 0.8948567708333334}], "temperature": 1.0}, {"id": 94, "seek": 242863, "start": 2403.43, "end": 2428.63, "text": "النقطة التانية الـ Dispensers are visually impaired in one eye يعني الأن لو مثلا الفاحص نفسه ماعندهش visual acuity 6 ع 6 في العينتين حتى بالنضارة يعني لو عملنا له best corrected visual acuity ماعندهش 6 ع 6، إيش المقصود بال best corrected visual acuity؟", "tokens": [6027, 1863, 47432, 3660, 16712, 7649, 10632, 2423, 39184, 4208, 79, 694, 433, 366, 19622, 36762, 294, 472, 3313, 37495, 22653, 16247, 1863, 45164, 50113, 15040, 27188, 39319, 9381, 8717, 36178, 3224, 19446, 3615, 41260, 3224, 8592, 5056, 696, 21757, 1386, 6225, 1386, 8978, 18863, 9957, 2655, 9957, 11331, 49975, 20666, 1863, 11242, 9640, 3660, 37495, 22653, 45164, 6225, 42213, 8315, 46740, 1151, 31687, 5056, 696, 21757, 19446, 3615, 41260, 3224, 8592, 1386, 6225, 1386, 12399, 11933, 1829, 8592, 9673, 4587, 9381, 23328, 20666, 1151, 31687, 5056, 696, 21757, 22807], "avg_logprob": -0.24570741168745272, "compression_ratio": 1.6153846153846154, "no_speech_prob": 0.0, "words": [{"start": 2403.43, "end": 2404.35, "word": "النقطة", "probability": 0.82073974609375}, {"start": 2404.35, "end": 2404.83, "word": " التانية", "probability": 0.9755859375}, {"start": 2404.83, "end": 2405.53, "word": " الـ", "probability": 0.25347900390625}, {"start": 2405.53, "end": 2406.29, "word": " Dispensers", "probability": 0.7305908203125}, {"start": 2406.29, "end": 2406.57, "word": " are", "probability": 0.54736328125}, {"start": 2406.57, "end": 2407.07, "word": " visually", "probability": 0.7646484375}, {"start": 2407.07, "end": 2407.79, "word": " impaired", "probability": 0.75048828125}, {"start": 2407.79, "end": 2408.11, "word": " in", "probability": 0.953125}, {"start": 2408.11, "end": 2408.33, "word": " one", "probability": 0.9345703125}, {"start": 2408.33, "end": 2408.67, "word": " eye", "probability": 0.90576171875}, {"start": 2408.67, "end": 2409.49, "word": " يعني", "probability": 0.7900390625}, {"start": 2409.49, "end": 2409.83, "word": " الأن", "probability": 0.597412109375}, {"start": 2409.83, "end": 2410.01, "word": " لو", "probability": 0.6826171875}, {"start": 2410.01, "end": 2410.45, "word": " مثلا", "probability": 0.822021484375}, {"start": 2410.45, "end": 2411.43, "word": " الفاحص", "probability": 0.8600260416666666}, {"start": 2411.43, "end": 2412.27, "word": " نفسه", "probability": 0.9874674479166666}, {"start": 2412.27, "end": 2413.43, "word": " ماعندهش", "probability": 0.823583984375}, {"start": 2413.43, "end": 2414.17, "word": " visual", "probability": 0.79296875}, {"start": 2414.17, "end": 2414.89, "word": " acuity", "probability": 0.91552734375}, {"start": 2414.89, "end": 2415.25, "word": " 6", "probability": 0.67041015625}, {"start": 2415.25, "end": 2415.39, "word": " ع", "probability": 0.1796875}, {"start": 2415.39, "end": 2415.63, "word": " 6", "probability": 0.88330078125}, {"start": 2415.63, "end": 2415.87, "word": " في", "probability": 0.86962890625}, {"start": 2415.87, "end": 2416.37, "word": " العينتين", "probability": 0.8529052734375}, {"start": 2416.37, "end": 2416.73, "word": " حتى", "probability": 0.771728515625}, {"start": 2416.73, "end": 2417.63, "word": " بالنضارة", "probability": 0.9560546875}, {"start": 2417.63, "end": 2418.09, "word": " يعني", "probability": 0.893798828125}, {"start": 2418.09, "end": 2418.29, "word": " لو", "probability": 0.9814453125}, {"start": 2418.29, "end": 2418.73, "word": " عملنا", "probability": 0.7849934895833334}, {"start": 2418.73, "end": 2419.03, "word": " له", "probability": 0.62548828125}, {"start": 2419.03, "end": 2420.33, "word": " best", "probability": 0.77685546875}, {"start": 2420.33, "end": 2422.79, "word": " corrected", "probability": 0.775390625}, {"start": 2422.79, "end": 2423.43, "word": " visual", "probability": 0.98388671875}, {"start": 2423.43, "end": 2424.17, "word": " acuity", "probability": 0.944580078125}, {"start": 2424.17, "end": 2425.01, "word": " ماعندهش", "probability": 0.9287109375}, {"start": 2425.01, "end": 2425.27, "word": " 6", "probability": 0.978515625}, {"start": 2425.27, "end": 2425.41, "word": " ع", "probability": 0.8642578125}, {"start": 2425.41, "end": 2425.93, "word": " 6،", "probability": 0.5721435546875}, {"start": 2425.93, "end": 2426.19, "word": " إيش", "probability": 0.7797037760416666}, {"start": 2426.19, "end": 2426.67, "word": " المقصود", "probability": 0.9920654296875}, {"start": 2426.67, "end": 2426.85, "word": " بال", "probability": 0.89404296875}, {"start": 2426.85, "end": 2427.05, "word": " best", "probability": 0.463134765625}, {"start": 2427.05, "end": 2427.51, "word": " corrected", "probability": 0.9140625}, {"start": 2427.51, "end": 2427.87, "word": " visual", "probability": 0.982421875}, {"start": 2427.87, "end": 2428.63, "word": " acuity؟", "probability": 0.9539388020833334}], "temperature": 1.0}, {"id": 95, "seek": 244984, "start": 2430.98, "end": 2449.84, "text": "أفضل رؤية يمكن رؤيتها من خلال الـ Optical Correction، سواء نضارة أو عدسة لاصقة الان هان بصلة 6 ع 6 فهو في عنده إيش؟ إمبير، اللي هو ضعف أو عنده اللي هو تعطيل في ال visual acuity", "tokens": [10721, 5172, 11242, 1211, 12602, 33604, 10632, 7251, 43020, 12602, 33604, 36081, 11296, 9154, 16490, 1211, 6027, 2423, 39184, 21455, 804, 3925, 11417, 12399, 8608, 2407, 16606, 8717, 11242, 9640, 3660, 34051, 6225, 3215, 3794, 3660, 5296, 33546, 28671, 2423, 7649, 8032, 7649, 4724, 9381, 37977, 1386, 6225, 1386, 6156, 3224, 2407, 8978, 43242, 3224, 11933, 1829, 8592, 22807, 11933, 2304, 3555, 13546, 12399, 13672, 1829, 31439, 48812, 3615, 5172, 34051, 43242, 3224, 13672, 1829, 31439, 37279, 9566, 26895, 8978, 2423, 5056, 696, 21757], "avg_logprob": -0.2715073627584121, "compression_ratio": 1.4615384615384615, "no_speech_prob": 0.0, "words": [{"start": 2430.98, "end": 2431.78, "word": "أفضل", "probability": 0.9268798828125}, {"start": 2431.78, "end": 2432.1, "word": " رؤية", "probability": 0.9814453125}, {"start": 2432.1, "end": 2432.48, "word": " يمكن", "probability": 0.7073974609375}, {"start": 2432.48, "end": 2433.16, "word": " رؤيتها", "probability": 0.9857177734375}, {"start": 2433.16, "end": 2433.46, "word": " من", "probability": 0.95166015625}, {"start": 2433.46, "end": 2433.86, "word": " خلال", "probability": 0.98681640625}, {"start": 2433.86, "end": 2434.62, "word": " الـ", "probability": 0.603759765625}, {"start": 2434.62, "end": 2435.24, "word": " Optical", "probability": 0.7464599609375}, {"start": 2435.24, "end": 2436.06, "word": " Correction،", "probability": 0.6549479166666666}, {"start": 2436.06, "end": 2436.9, "word": " سواء", "probability": 0.9259440104166666}, {"start": 2436.9, "end": 2437.36, "word": " نضارة", "probability": 0.9464111328125}, {"start": 2437.36, "end": 2437.5, "word": " أو", "probability": 0.9228515625}, {"start": 2437.5, "end": 2437.88, "word": " عدسة", "probability": 0.9764404296875}, {"start": 2437.88, "end": 2438.32, "word": " لاصقة", "probability": 0.8037923177083334}, {"start": 2438.32, "end": 2439.3, "word": " الان", "probability": 0.51837158203125}, {"start": 2439.3, "end": 2439.58, "word": " هان", "probability": 0.91015625}, {"start": 2439.58, "end": 2439.98, "word": " بصلة", "probability": 0.5826822916666666}, {"start": 2439.98, "end": 2440.3, "word": " 6", "probability": 0.71142578125}, {"start": 2440.3, "end": 2440.44, "word": " ع", "probability": 0.264892578125}, {"start": 2440.44, "end": 2440.8, "word": " 6", "probability": 0.87841796875}, {"start": 2440.8, "end": 2442.86, "word": " فهو", "probability": 0.8028971354166666}, {"start": 2442.86, "end": 2442.98, "word": " في", "probability": 0.701171875}, {"start": 2442.98, "end": 2443.42, "word": " عنده", "probability": 0.98095703125}, {"start": 2443.42, "end": 2443.82, "word": " إيش؟", "probability": 0.605194091796875}, {"start": 2443.82, "end": 2444.5, "word": " إمبير،", "probability": 0.66214599609375}, {"start": 2444.5, "end": 2444.6, "word": " اللي", "probability": 0.739501953125}, {"start": 2444.6, "end": 2444.8, "word": " هو", "probability": 0.921875}, {"start": 2444.8, "end": 2445.32, "word": " ضعف", "probability": 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مثلا ضعف شديد في عين، دون الأخرى", "tokens": [8031, 264, 4920, 30041, 307, 6865, 294, 472, 3313, 12399, 45164, 25961, 5551, 25957, 7578, 50113, 15040, 12399, 37495, 22653, 43242, 3224, 2167, 3313, 12399, 3714, 34268, 2304, 3215, 15844, 6225, 9957, 36764, 24401, 3660, 12399, 1392, 22807, 1610, 575, 19622, 696, 21757, 886, 4716, 12399, 34051, 43242, 3224, 50113, 15040, 48812, 3615, 5172, 13412, 16254, 3215, 8978, 6225, 9957, 12399, 11778, 11536, 16247, 34740, 7578], "avg_logprob": -0.15776585820895522, "compression_ratio": 1.324607329842932, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2454.82, "end": 2455.2, "word": "If", "probability": 0.1502685546875}, {"start": 2455.2, "end": 2455.54, "word": " the", "probability": 0.9033203125}, {"start": 2455.54, "end": 2456.28, "word": " dispenser", "probability": 0.886474609375}, {"start": 2456.28, "end": 2456.86, "word": " is", "probability": 0.97119140625}, {"start": 2456.86, "end": 2457.38, "word": " blind", "probability": 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The zero mark is lined up as usual.", "tokens": [2278, 4920, 30041, 3190, 264, 665, 3313, 3838, 294, 1868, 295, 264, 3983, 311, 558, 3313, 293, 412, 264, 2710, 4560, 13, 440, 4018, 1491, 307, 17189, 493, 382, 7713, 13], "avg_logprob": -0.20983887277543545, "compression_ratio": 1.3027522935779816, "no_speech_prob": 0.0, "words": [{"start": 2496.1, "end": 2496.5, "word": "The", "probability": 0.30712890625}, {"start": 2496.5, "end": 2497.56, "word": " dispenser", "probability": 0.89453125}, {"start": 2497.56, "end": 2498.58, "word": " places", "probability": 0.9140625}, {"start": 2498.58, "end": 2498.98, "word": " the", "probability": 0.9375}, {"start": 2498.98, "end": 2499.2, "word": " good", "probability": 0.9287109375}, {"start": 2499.2, "end": 2499.6, "word": " eye", "probability": 0.87939453125}, {"start": 2499.6, "end": 2500.58, "word": " directly", "probability": 0.93505859375}, {"start": 2500.58, "end": 2501.14, "word": " in", "probability": 0.9541015625}, {"start": 2501.14, 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b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/XUp7148xZ2k_raw.srt @@ -0,0 +1,1924 @@ +1 +00:00:20,890 --> 00:00:23,950 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,950 --> 00:00:29,690 +وبركاته هنكمل ان شاء الله اليوم في موضوع ال frame + +3 +00:00:29,690 --> 00:00:36,290 +measurements and marking في المحاضرة السابقة بدأنا + +4 +00:00:36,290 --> 00:00:42,660 +في موضوعالـ Datum System والـ Boxing System + +5 +00:00:42,660 --> 00:00:48,260 +واتعرفنا على مصطلح الـ A Dimension والـ B + +6 +00:00:48,260 --> 00:00:54,360 +Dimension والـ C Dimension The difference between + +7 +00:00:54,360 --> 00:00:58,800 +the horizontal اذا اما اتكلم horizontal اذا بمعنى + +8 +00:00:58,800 --> 00:01:04,120 +ال A Dimension and the vertical measurements اللي + +9 +00:01:04,120 --> 00:01:09,660 +هي عبارة عن ال B Dimensionis known as the frame + +10 +00:01:09,660 --> 00:01:15,040 +difference انه الاختلاف ما بين الإطار طيب كيف ممكن + +11 +00:01:15,040 --> 00:01:21,580 +أنه نقيسها من خلال وحدة المليمتر يعني لو شوفنا هنا + +12 +00:01:21,580 --> 00:01:28,480 +مثال هاي عندنا مثلا التمانية وأربعين هاد بتمثل + +13 +00:01:28,480 --> 00:01:35,910 +إيه؟الـ A dimension تمام والـ 28 بتمثل الـ B + +14 +00:01:35,910 --> 00:01:43,130 +dimension الآن الـ A ناقص الـ B هي عبارة عن ايه ال + +15 +00:01:43,130 --> 00:01:47,030 +difference ما بين ال horizontal و ال vertical + +16 +00:01:47,030 --> 00:01:56,810 +measurement يعني عندنا 48 ناقص 28 بالساوية كده 20 + +17 +00:01:56,810 --> 00:02:03,840 +ملي مترهذا الفرق ما بين اللي هو ال two meridian + +18 +00:02:03,840 --> 00:02:10,400 +The larger the difference, the more rectangular + +19 +00:02:10,400 --> 00:02:17,320 +the enclosing box appears الآن يا جماعة، كل مكان + +20 +00:02:17,320 --> 00:02:22,580 +الشكل اللي هو مستطيل أكتر، كل مكان الاختلاف ما بين + +21 +00:02:22,580 --> 00:02:27,910 +ال A والB أكتريعني الآن اتطلعوا هان مثلاً هان + +22 +00:02:27,910 --> 00:02:32,230 +تمانية و أربعين و تمانية و عشرين الآن و احنا ايش + +23 +00:02:32,230 --> 00:02:36,890 +ضغطناه شوية صار تمانية و أربعين او عفوا اللي هو + +24 +00:02:36,890 --> 00:02:40,470 +كبرناه شوية فأصبح تمانية و أربعين و تمانية و + +25 +00:02:40,470 --> 00:02:45,130 +تلاتين فصارت ايش قيمة ال A و ال B ايش مالها اكبيرة + +26 +00:02:45,130 --> 00:02:49,610 +فكل مكان مستطيل اكتر كل مكان اللي هو الفرق في + +27 +00:02:49,610 --> 00:02:55,010 +القيم ايش اكترframe difference is sometimes + +28 +00:02:55,010 --> 00:03:00,390 +referred to as lens difference إذا الإختلاف ما بين + +29 +00:03:00,390 --> 00:03:04,990 +اللي هو ال a dimension و ال b dimension أيضا في + +30 +00:03:04,990 --> 00:03:09,990 +بعض الأحيان بيشار له ال lens difference اختلاف + +31 +00:03:09,990 --> 00:03:15,810 +اللي هو ال dimension اللي هو أبعاد من العدسة + +32 +00:03:15,810 --> 00:03:20,330 +مستطيل + +33 +00:03:22,420 --> 00:03:26,180 +rectangular اللي هو مستطيل، كل مكان اللي هو + +34 +00:03:26,180 --> 00:03:30,620 +المستطيل أكبر، كل مكان الإختلاف أكبر ما بين الـA + +35 +00:03:30,620 --> 00:03:32,560 +وما بين اللي هو الـB + +36 +00:03:37,180 --> 00:03:42,640 +الـ boxing system also makes it possible to define + +37 +00:03:42,640 --> 00:03:47,960 +the distance between lenses الان لو احنا عملنا + +38 +00:03:47,960 --> 00:03:52,500 +geometric center من المنتصف و geometric center من + +39 +00:03:52,500 --> 00:03:56,900 +المنتصف المسافة ما بينهم هذي ايش بتمثل ليه؟ اللي + +40 +00:03:56,900 --> 00:04:01,840 +هي عبارة عن ال distance between lenses تمام؟ ال + +41 +00:04:01,840 --> 00:04:06,570 +distance between lensesis the distance between the + +42 +00:04:06,570 --> 00:04:11,310 +two boxes يعني المسافة ما بين ال two lenses او ال + +43 +00:04:11,310 --> 00:04:17,550 +two boxes when both lenses are boxed off in the + +44 +00:04:17,550 --> 00:04:21,770 +frame يعني ما يتم اللي هو تجيل العدسة في داخل مين + +45 +00:04:21,770 --> 00:04:28,550 +الإطار ايوة بس في حالة ما يتم اللي هو وضع العدسة + +46 +00:04:28,550 --> 00:04:32,130 +في داخل اللي هو الإطار بيصبح المسافة من ال center + +47 +00:04:32,130 --> 00:04:37,750 +ل center لمين؟ للعدسةالان يما انا بكون ال frame + +48 +00:04:37,750 --> 00:04:42,490 +بدون اللي هو عدسات هذا بنسمي اللي هو blank size + +49 +00:04:42,490 --> 00:04:46,730 +تمام؟ يما باخد من ال center لل center هذا بدون + +50 +00:04:46,730 --> 00:04:50,150 +عدسة مافيش اي عدسة فبنقول اللي هو distance between + +51 +00:04:50,150 --> 00:04:55,640 +boxing طيب في حالة وجود العدساتيعني يكون العدسة + +52 +00:04:55,640 --> 00:04:58,980 +موجودة في داخل الـ frame باخد بعلم العدسة من الـ + +53 +00:04:58,980 --> 00:05:03,400 +center للـ center لالعدسة اللي هو ايه فمديني اللي + +54 +00:05:03,400 --> 00:05:08,020 +هو distance between distance او اللي هو بنسميه الـ + +55 +00:05:08,020 --> 00:05:13,280 +frame bd ما بينهم okay الان احنا جاي نقله ال + +56 +00:05:13,280 --> 00:05:18,180 +bridge size اللي هي مسافة بس الوين هام المنطقة هذه + +57 +00:05:18,180 --> 00:05:23,980 +ال bridge اللي هي size او ال distance between lens + +58 +00:05:24,720 --> 00:05:30,820 +is measured on the frame يمكن قياسه على الإطار as + +59 +00:05:30,820 --> 00:05:36,660 +the distance from the inside nasal eye wire يعني + +60 +00:05:36,660 --> 00:05:40,620 +الآن من منطقة اللي هي ال nasal لل eye wire الأول + +61 +00:05:40,620 --> 00:05:49,000 +تمام بالشكل هذا من المنطقة هذه تمام لوين المنطقة + +62 +00:05:49,000 --> 00:05:55,000 +التانيةagross across the bridge area at the + +63 +00:05:55,000 --> 00:06:01,480 +norwest point المنطقة الضيقة هذه اللي بتمثل ال + +64 +00:06:01,480 --> 00:06:05,740 +bridge area هالي بنسميها bridge size او ال + +65 +00:06:05,740 --> 00:06:09,940 +distance between lenses ما بين اللي هو العدستين + +66 +00:06:13,070 --> 00:06:17,890 +طبعا ال bridge size او ال distance between lenses + +67 +00:06:17,890 --> 00:06:22,290 +هى وين بتكون موجودة؟ على الإطار نفسه يعني لازم على + +68 +00:06:22,290 --> 00:06:26,910 +ال timble بتاع الإطار و الآن هنشوفها انه لازم يكون + +69 +00:06:26,910 --> 00:06:32,850 +كتب لكياها يديش اللى هو القيمة الخاصة فيها شايفين + +70 +00:06:32,850 --> 00:06:41,060 +هى عندنا الآن المسافة ما بين اللى هوالـ two lenses + +71 +00:06:41,060 --> 00:06:45,380 +اللي هي بتمثل في ال bridge size عندنا من اللي هو + +72 +00:06:45,380 --> 00:06:49,920 +السفر للنقطة طبعا هذه اللي هو ال nasal ل اللي هو + +73 +00:06:49,920 --> 00:06:54,740 +ال nasal here قدشان القيمة؟ اتنين و عشرين قرأها + +74 +00:06:54,740 --> 00:06:58,580 +اللي هي في ال measurement okay الآن الاتنين و + +75 +00:06:58,580 --> 00:07:03,280 +عشرين انتوا عارفين العدسة inside the meanThe frame + +76 +00:07:03,280 --> 00:07:06,940 +يعني فيه لها جروف يعني بمعنى اخر لما احنا بنجس + +77 +00:07:06,940 --> 00:07:10,800 +العدسة بعد ذلك بنعمل لها جروف او اللي هو bevel + +78 +00:07:10,800 --> 00:07:15,120 +يعني بتكون داخل العدسة فالان هذا القيمة جديش واحد + +79 +00:07:15,120 --> 00:07:19,960 +ملي فبعد ما انا بقيس بطرح من القيمة واحد ملي يعني + +80 +00:07:19,960 --> 00:07:29,500 +بمعنى نص ملي من هنا minus نص ومن هنا minus نصهلجد + +81 +00:07:29,500 --> 00:07:36,320 +على ال ruler اللى هى المصدر قداش جانة القيمة اتنين + +82 +00:07:36,320 --> 00:07:39,920 +و عشرين طرحنا من هالنص و من هالنص اللى هو عبارة عن + +83 +00:07:39,920 --> 00:07:44,860 +واحد اذا القيمة جداش واحد و عشرين ملي هدى ال + +84 +00:07:44,860 --> 00:07:49,040 +bridge size هتلاقيها مكتوبة وين على ال temple بتاع + +85 +00:07:49,040 --> 00:07:54,470 +الإطارهي عندنا القيمة هي عبارة عن واحد ملي ال + +86 +00:07:54,470 --> 00:08:06,850 +bridge size او ال distance between lenses okay the + +87 +00:08:06,850 --> 00:08:12,630 +distance between the two geometric centers of the + +88 +00:08:12,630 --> 00:08:18,010 +lens of the lenses is known as the geometric + +89 +00:08:18,010 --> 00:08:19,790 +center distance + +90 +00:08:22,370 --> 00:08:26,230 +الان لو أخدنا منتصف العدسة من هنا من ال right و + +91 +00:08:26,230 --> 00:08:30,610 +منتصف العدسة من ال left المسافة ما بينهم هذه بتمثل + +92 +00:08:30,610 --> 00:08:35,690 +ال geometric center distance او ال frame BD او ال + +93 +00:08:35,690 --> 00:08:40,750 +boxing اللي هو center distance okay it can be + +94 +00:08:40,750 --> 00:08:46,640 +measuredIt can be measured more easily as the + +95 +00:08:46,640 --> 00:08:51,040 +distance from the far left side of one lens + +96 +00:08:51,040 --> 00:08:56,000 +opening to the far left side of the other ممكن + +97 +00:08:56,000 --> 00:09:00,980 +الآن هاي الإطار أمامي من اليمين تمام المنطقة + +98 +00:09:00,980 --> 00:09:07,260 +الأخيرة لحد دي ايش ال rim اللي هو الأول للعنصر + +99 +00:09:07,260 --> 00:09:09,620 +التاني يعني الشكل + +100 +00:09:12,920 --> 00:09:18,020 +هذه هلجيت مش هان فيه ممكن اخدها من هان ال rim هذا + +101 +00:09:18,020 --> 00:09:22,420 +لحد ديت ال rim هذا هذي بتمثل عبارة عن مين اللي هو + +102 +00:09:22,420 --> 00:09:26,100 +ال boxing center distance او ال geometric center + +103 +00:09:26,100 --> 00:09:30,060 +distance طبعا انا لو مااخدتش من وين من ال center ل + +104 +00:09:30,060 --> 00:09:34,740 +ال center okay يعني هذي بتعتبر اللي هو اسهل وين + +105 +00:09:34,740 --> 00:09:39,860 +اسهل لو كان انا ماعنديش عدسات بالشكل هذامافيش عدسة + +106 +00:09:39,860 --> 00:09:45,800 +في داخل الإطار باخد من الرم الخارجي للرم الداخلي + +107 +00:09:45,800 --> 00:09:51,040 +من ال right لل left أو من ال left لل right هنطبق + +108 +00:09:51,040 --> 00:09:59,740 +هذه الشيء بشكل عملي اليوم إن شاء الله في المعمل Or + +109 +00:09:59,740 --> 00:10:06,180 +adding the I size to theDistance between lenses أو + +110 +00:10:06,180 --> 00:10:10,040 +بدنا نضيف اللي هو قولنا ال I size عبارة عن إيش + +111 +00:10:10,040 --> 00:10:16,400 +بالضبط اللي هو ال A dimension بدنا نعمل إضافة لها + +112 +00:10:16,400 --> 00:10:21,340 +لمين لل distance اللي هي between lenses اللي هي + +113 +00:10:21,340 --> 00:10:23,000 +عبارة عن ال frame BD + +114 +00:10:25,540 --> 00:10:32,880 +طيب الآن الـ geometric center distance فيه مسميات + +115 +00:10:32,880 --> 00:10:37,800 +أخرى هي عبارة عن ال distance between lenses + +116 +00:10:37,800 --> 00:10:42,320 +المسافة ما بين اللي هو العدستين أو بنسميها ال + +117 +00:10:42,320 --> 00:10:47,760 +frame BD أو بنسميها ال frame center distance كل + +118 +00:10:47,760 --> 00:10:51,640 +هذه عبارة عن another name لمين لـgeometric center + +119 +00:10:51,640 --> 00:10:56,160 +distance أو ال boxing اللي هو center distanceOkay + +120 +00:10:56,160 --> 00:11:01,720 +The + +121 +00:11:01,720 --> 00:11:07,320 +term frame PD is commonly used in dispensing دايما + +122 +00:11:07,320 --> 00:11:12,000 +ال frame PD تع العدسة أو تع الإطار احنا وين + +123 +00:11:12,000 --> 00:11:15,220 +بنستخدمه؟ في عملية قص النضارة + +124 +00:11:28,100 --> 00:11:33,000 +وهو ما بيقولش علاقة في مين في ال IBD بتاع المريض + +125 +00:11:33,000 --> 00:11:36,220 +لكن وقت إيش بيصير التنين في بينهم relationship + +126 +00:11:36,220 --> 00:11:40,660 +يعني مثلا المريض عنده زي ما أخدنا المثال السابق + +127 +00:11:42,270 --> 00:11:47,690 +مثال انه بيكون عنده الـ IBD 62 والـ frame PD 72 + +128 +00:11:47,690 --> 00:11:51,090 +الفرق ما بينهم عشان نعمل ايه الـ Decentration + +129 +00:11:51,090 --> 00:11:56,170 +تمام؟ لكن في الوضع الطبيعي مافيش فيه اي تعلاقة ما + +130 +00:11:56,170 --> 00:12:00,130 +بين قيمة الـ frame PD والـ IBD لأن هذا هيكون + +131 +00:12:00,130 --> 00:12:04,390 +للإطار وهذا متعلق في مين؟ في اللي هو ال IBD بتاع + +132 +00:12:04,390 --> 00:12:04,790 +ال patient + +133 +00:12:11,190 --> 00:12:16,230 +هي عندنا الشكل هذا طبعا اللي حكيتلكم عنه اللي هو + +134 +00:12:16,230 --> 00:12:19,490 +الـ Geometric Center Distance أو الـ Frame بيدي + +135 +00:12:19,490 --> 00:12:25,950 +باخد من الطرف هذا لطرف هذا اللي هو الـ Frameيعني + +136 +00:12:25,950 --> 00:12:32,550 +من ال outside هنا لل outside هنا أو مثلا من ال + +137 +00:12:32,550 --> 00:12:39,110 +outside هذا لل outside تاع الإطار الآخر أو مثلا من + +138 +00:12:39,110 --> 00:12:42,330 +ال center لل center اللي هو عبارة عن ال geometric + +139 +00:12:42,330 --> 00:12:46,730 +center distance أو ال frame بيدي أو ال distance + +140 +00:12:46,730 --> 00:12:48,290 +between center + +141 +00:12:53,180 --> 00:12:58,120 +طيب، الآن هنتقل لموضوع ال timble اللي هو length + +142 +00:12:58,120 --> 00:13:04,980 +طول اللي هو مين ال timble أو ال side Most timbles + +143 +00:13:04,980 --> 00:13:09,840 +are currently marked with the total or overall + +144 +00:13:09,840 --> 00:13:16,860 +timble length يعني الآن احنا بنشير لكل اللي هو طول + +145 +00:13:16,860 --> 00:13:20,700 +ال side أو ال timble هو عبارة عن ال timble length + +146 +00:13:21,760 --> 00:13:25,320 +الـ total اللي هو timbre length أو ال overall + +147 +00:13:25,320 --> 00:13:31,480 +timbre اللي هو length okay? timbre length may be + +148 +00:13:31,480 --> 00:13:35,340 +measured in one of the following ways يعني يمكن + +149 +00:13:35,340 --> 00:13:40,800 +اللي هو قياسه بإحدى اللي هو الطرق كيف طيب؟ the + +150 +00:13:40,800 --> 00:13:46,960 +overall timbre length is the distance from the + +151 +00:13:46,960 --> 00:13:47,720 +center + +152 +00:13:51,820 --> 00:13:56,980 +of the center of the center barrel screw شايفين هي + +153 +00:13:56,980 --> 00:14:03,200 +منتصف اللي هو مين ال screw هذا لنهاية اللي هو مين + +154 +00:14:03,200 --> 00:14:08,500 +ال bend الميلان الخاص في ال timble هذه المسافة كل + +155 +00:14:08,500 --> 00:14:12,600 +هيتا ايش بتمثل ليه ال overall timble اللي هو + +156 +00:14:12,600 --> 00:14:18,100 +length اذا من منتصف اللي هو ال screw هذا لنهاية + +157 +00:14:18,100 --> 00:14:19,080 +اللي هو الميلان + +158 +00:14:34,670 --> 00:14:41,310 +النهاية مين الميلان؟طيب major along the center of + +159 +00:14:41,310 --> 00:14:46,550 +the temple أو بنسمي اللي هو ال total length of + +160 +00:14:46,550 --> 00:14:58,610 +temple أو بنسمي ال overall length of temple كان + +161 +00:14:58,610 --> 00:15:04,400 +في طريقةيعني اللي هي قديما او اللي هو older system + +162 +00:15:04,400 --> 00:15:09,260 +او older اللي هو method من خلالها بتم اللي هو قياس + +163 +00:15:09,260 --> 00:15:15,280 +ال length to bend يعني بس اللي هو المنطقة المائلة + +164 +00:15:15,280 --> 00:15:18,880 +تمام؟ + +165 +00:15:18,880 --> 00:15:23,000 +an old .. an older method of measuring temple + +166 +00:15:23,000 --> 00:15:27,620 +length is in terms of the length to bend + +167 +00:15:30,490 --> 00:15:35,690 +length الهو timble bend يعني فقط اللي هو من منطقة + +168 +00:15:35,690 --> 00:15:40,410 +الميلان هذه لحد ديت اللي هو النهاية هذه عبارة عن + +169 +00:15:40,410 --> 00:15:52,370 +مين؟ ال length timble اللي هو bend length timble + +170 +00:15:52,370 --> 00:15:56,250 +bend + +171 +00:15:57,870 --> 00:16:04,950 +هذه كانت طريقة قديمة لقياس من اللي هو فقط المسافة + +172 +00:16:04,950 --> 00:16:11,550 +هذه دون اللي هو الجزء الآخر لكن اللي بيكون مكتوب + +173 +00:16:11,550 --> 00:16:15,330 +على الإطار الآن كله اللي هو ال timbre length كامل + +174 +00:16:15,330 --> 00:16:19,190 +بتلاقي رقم مثلا مية و خمسة و عشرين او مية و تلاتين + +175 +00:16:19,190 --> 00:16:23,010 +اي واحدة فيكم لابسة نضارة تطلع على الرقم بتلاقي ال + +176 +00:16:23,010 --> 00:16:26,430 +code مكتوب مية و كذا هذا بمعنى اللي هو ال total + +177 +00:16:26,780 --> 00:16:34,400 +Length الهو ايه تمبل تمام او + +178 +00:16:34,400 --> 00:16:44,400 +بياخدها من اللي هو ال screw لنهاية من ال bend طبعا + +179 +00:16:44,400 --> 00:16:48,680 +في هناك اللي هو مصطرة خاصة لعملية اللي هو القياس + +180 +00:16:48,680 --> 00:16:53,660 +سواء كان ال total اللي هو length تمبل او اللي هو + +181 +00:16:54,150 --> 00:17:01,370 +الـ Timble اللي هو فقط Bend okay + +182 +00:17:01,370 --> 00:17:08,470 +most frames are marked according to size with + +183 +00:17:08,470 --> 00:17:14,290 +three measurements يعني معظم اللي هو الإطارات بتم + +184 +00:17:14,290 --> 00:17:18,690 +اللي هو تعليمها بناء على تلت اللي هو مقاييس + +185 +00:17:18,690 --> 00:17:24,740 +المقياس الأول ال I size اللي هو بيمثلالـ A + +186 +00:17:24,740 --> 00:17:29,420 +dimension تمام النقطة التانية ال distance between + +187 +00:17:29,420 --> 00:17:36,040 +lenses اللي هو بيمثل مين ال frame BD تمام و ال + +188 +00:17:36,040 --> 00:17:40,560 +temple length اللي هو عبارة عن طول إيش ال side + +189 +00:17:40,560 --> 00:17:44,760 +الخاص في اللي هو الإطار التلت معلومات هدول جماعة + +190 +00:17:44,760 --> 00:17:48,520 +بيكونوا مكتوبات وين على ال temple الخاص في اللي هو + +191 +00:17:48,520 --> 00:17:49,660 +ال frame طيب + +192 +00:17:53,770 --> 00:17:59,890 +when a frame marking such as طبعا هذه بتقرأ fifty + +193 +00:17:59,890 --> 00:18:06,330 +مربع اللي هو twenty الان مجموعهم ايش بيكون يعني + +194 +00:18:06,330 --> 00:18:10,550 +الخمسين زائد العشرين بيدين ال frame بيدي او ال + +195 +00:18:10,550 --> 00:18:13,810 +geometric center distance او ال distance between + +196 +00:18:13,810 --> 00:18:19,270 +lenses تمام؟ خلينا نقول ال frame بيدي يعني عندنا + +197 +00:18:19,270 --> 00:18:23,110 +العشرين او الخمسين زائد العشرين + +198 +00:18:30,070 --> 00:18:37,470 +اللي هو بساوي سبعين ملي ميتر هذا بيمثل ال frame BD + +199 +00:18:37,470 --> 00:18:43,070 +اللي هو عبارة عن ال distance between lenses it + +200 +00:18:43,070 --> 00:18:47,810 +means that the eye size ال eye size يعني إيش + +201 +00:18:47,810 --> 00:18:52,390 +المقصود فيها ال a dimension تمام جدّيش ال a + +202 +00:18:52,390 --> 00:19:00,100 +dimension اللي هي الخمسين أو ال eye sizeوالتقارير + +203 +00:19:00,100 --> 00:19:07,820 +بين الانزلات البرج + +204 +00:19:07,820 --> 00:19:14,300 +صفر الانزلات البرج صفر الانزلات البرج صفر الانزلات + +205 +00:19:14,300 --> 00:19:17,960 +البرج + +206 +00:19:17,960 --> 00:19:20,280 +صفر + +207 +00:19:22,040 --> 00:19:26,900 +و أي تأيطار لابد ان انت تشريه لازم ان يكون مكتوب + +208 +00:19:26,900 --> 00:19:32,840 +عليه عندنا واحد ال distance اللي هو between lenses + +209 +00:19:32,840 --> 00:19:37,820 +ال eye size او ال a dimension بالاضافة ل ال bridge + +210 +00:19:37,820 --> 00:19:38,580 +size + +211 +00:19:47,610 --> 00:19:52,350 +الـ eye size and distance between lenses are + +212 +00:19:52,350 --> 00:20:02,170 +sometimes simply marked 50-20 or 50 over 20 يعني + +213 +00:20:02,170 --> 00:20:05,910 +في أكتر من اللي هو ال style يمكن اللي هو عليه + +214 +00:20:05,910 --> 00:20:10,530 +كتابة إيش ال eye size ال a dimension أو ال a + +215 +00:20:10,530 --> 00:20:14,430 +dimension بالإضافة لل distance between lenses و ال + +216 +00:20:14,430 --> 00:20:20,050 +frame bdيعني اي طريقة من هدول شايفين؟ هذه الـ140 + +217 +00:20:20,050 --> 00:20:26,530 +ايش بتمثل؟ ال over all تمبل اللي هو length هيك + +218 +00:20:26,530 --> 00:20:31,970 +بدنا نحفظهم over all تمام تمبل اللي هو length او + +219 +00:20:31,970 --> 00:20:37,070 +ال total تمبل length عندنا هيهان خمسين تمام + +220 +00:20:37,070 --> 00:20:44,190 +الخمسين هذه ايش بتمثل؟الـ I size مربع اللي هو مثلا + +221 +00:20:44,190 --> 00:20:50,090 +16 ايش بتمثل او ال bridge size المجموع بتاعهم ايش + +222 +00:20:50,090 --> 00:20:56,010 +بيمثل ال frame بيدي طيب + +223 +00:20:56,010 --> 00:21:01,430 +عندنا measuring the intra pupillary distance قياس + +224 +00:21:01,430 --> 00:21:07,670 +المسافة ما بين اللي هو ايه العين و الأخرى بالنسبة + +225 +00:21:07,670 --> 00:21:16,890 +للمريضيعني بمعنى ال IPD The anatomic PD or + +226 +00:21:16,890 --> 00:21:22,130 +pupillary distance is the distance from the center + +227 +00:21:22,130 --> 00:21:28,210 +of one pupil to the center of the other pupil يعني + +228 +00:21:28,210 --> 00:21:33,230 +المسافة ما بين منتصف اللي هو العين اليمنى لمنتصف + +229 +00:21:33,230 --> 00:21:38,630 +اللي هو العين اليسرةكيف بيقاس بال millimeters? + +230 +00:21:41,830 --> 00:21:45,530 +before ordering + +231 +00:21:45,530 --> 00:21:50,330 +a prescription glasses يعني قبل ما أنا بدي أوصف + +232 +00:21:50,330 --> 00:21:57,410 +اللي هو وصفة النضارةor even before doing a visual + +233 +00:21:57,410 --> 00:22:01,530 +examination أو قبل ما انا بدي اعمل اللي هو فحص طبي + +234 +00:22:01,530 --> 00:22:06,090 +طبعا هان ال visual examination ممكن مثلا من خلال + +235 +00:22:06,090 --> 00:22:14,710 +ال trial a frame صح ولا لأ زي ما احنا بنعمل او من + +236 +00:22:14,710 --> 00:22:16,090 +خلال الفوربتر + +237 +00:22:19,940 --> 00:22:24,260 +أي visual examination بواحدة من هدول الطرق، يعني + +238 +00:22:24,260 --> 00:22:28,320 +سواء كان objective أو subjective method، the + +239 +00:22:28,320 --> 00:22:32,680 +distance between the pupils must be determined + +240 +00:22:32,680 --> 00:22:40,680 +لازم أنا أحدد قداش قيمة مين ال IBD بتاعة المريضإذا + +241 +00:22:40,680 --> 00:22:47,540 +الخطوة الأولى قبل ما يتم وصف أي نضارة للمريض لابد + +242 +00:22:47,540 --> 00:22:54,540 +من تحديد ال IBD أو ال BD لهذا الشخص + +243 +00:22:54,540 --> 00:23:01,860 +it can be measured in variety of ways هناك طرق + +244 +00:23:01,860 --> 00:23:09,330 +مختلفة لقياس مينالـ IBD اما عن طريق اللي هو + +245 +00:23:09,330 --> 00:23:13,270 +المصطرة تمام او مثلا عن طريق الـ autorif + +246 +00:23:13,270 --> 00:23:20,090 +keratometer او ممكن مثلا عن طريق اللي هو .. نعم او + +247 +00:23:20,090 --> 00:23:23,890 +اللي هو ممكن جهاز البابلوميتر اللي هناخده في اللي + +248 +00:23:23,890 --> 00:23:26,570 +هو معمل الـ dispensing ان شاء الله فيما بعد + +249 +00:23:30,780 --> 00:23:36,400 +طيب failure to accurately determine the intra + +250 +00:23:36,400 --> 00:23:41,560 +pupillary distance الان انا قصد ال IBD لكن كان غير + +251 +00:23:41,560 --> 00:23:47,420 +صحيح او كان قياس ال IBD غير اللي هو واقعي او غير + +252 +00:23:47,420 --> 00:23:54,060 +دقيق تمام ايش هذا بينتج? Misplacement of the + +253 +00:23:54,060 --> 00:23:58,460 +optical center of the lenses المريض مش هيطلع من + +254 +00:23:58,460 --> 00:24:04,370 +وين؟من ال optical center of a lens يعني هان + +255 +00:24:04,370 --> 00:24:09,450 +النتيجة ان لو انا مثلا ماكنش في هناك تواؤم ما بين + +256 +00:24:09,450 --> 00:24:15,490 +ال IBD بتاع ال patient وال frame BD اذا هيصبح هناك + +257 +00:24:15,490 --> 00:24:19,330 +عدم القدرة على الرؤية من خلال ال optical center of + +258 +00:24:19,330 --> 00:24:26,660 +a lens اضافة إلى ذلكthis induces أي بمعنى انه this + +259 +00:24:26,660 --> 00:24:32,780 +impacts اي بيؤثر okay unwanted prismatic effect + +260 +00:24:32,780 --> 00:24:38,860 +اذا هذا بيعمل تأثير منشور تمام requiring the + +261 +00:24:38,860 --> 00:24:45,760 +wearer to turn his eyes inward or even outwardto + +262 +00:24:45,760 --> 00:24:51,640 +keep from experiencing double vision غير التأثير + +263 +00:24:51,640 --> 00:24:55,760 +المنشور أيضا بيصير عند المريض اللي هي مصطلح ايه + +264 +00:24:55,760 --> 00:25:02,400 +الدبلوبيا أي + +265 +00:25:02,400 --> 00:25:07,080 +بمعنى الرؤية المزدوجة او ما يسمى بال double vision + +266 +00:25:12,760 --> 00:25:18,440 +إذا عدم الدقة في قياس ال IPD بيؤدي إلى الـ + +267 +00:25:18,440 --> 00:25:24,320 +Prismatic Effect بالإضافة لموضوع اللي هو الدبلوبيا + +268 +00:25:24,320 --> 00:25:32,840 +أو ال double vision over + +269 +00:25:32,840 --> 00:25:41,130 +time this effort causes visual discomfortيعني مع + +270 +00:25:41,130 --> 00:25:46,550 +اللي هو الوقت بيصبح الرؤية غير مريحة مع مرور الوقت + +271 +00:25:46,550 --> 00:25:51,730 +and can result in a decreased ability of the eyes + +272 +00:25:51,730 --> 00:25:56,130 +to work together in binocular vision أيضًا بتصبح + +273 +00:25:56,130 --> 00:26:02,510 +العنتين غير قادرة على العمل مع بعض من خلال اللي هو + +274 +00:26:02,510 --> 00:26:07,130 +ليش؟ أن السبب في ذلك اللي هو عدم التواؤم ما بين ال + +275 +00:26:07,130 --> 00:26:09,690 +IPD و ال frame PD للشخص + +276 +00:26:13,370 --> 00:26:19,850 +إذا عدم القدرة على العمل مع بعض الـ two eyes + +277 +00:26:19,850 --> 00:26:28,200 +distance IBD عندنا binocular BDبداية احنا اما + +278 +00:26:28,200 --> 00:26:34,380 +بنفحص binocular او monocular IBD هناخد احنا ال + +279 +00:26:34,380 --> 00:26:38,280 +binocular دايما ال binocular ليش بنحتاجها الاكتر + +280 +00:26:38,280 --> 00:26:42,540 +لل distance صح ولا لأ يعني هنا binocular BD for + +281 +00:26:42,540 --> 00:26:48,480 +distance correction okay binocular + +282 +00:26:48,480 --> 00:26:55,280 +BD the most common method used to measure the BD + +283 +00:26:56,400 --> 00:27:02,180 +with the least amount of equipment uses a simple + +284 +00:27:02,180 --> 00:27:07,480 +millimeter ruler commonly referred to as a BD rule + +285 +00:27:07,480 --> 00:27:15,820 +يعني بقضية أو اللي هو أداء بسيطة تمام يمكن قياس ال + +286 +00:27:15,820 --> 00:27:21,330 +IBD من خلال اللي هو المصطرةهذا الـ ruler المصدرة + +287 +00:27:21,330 --> 00:27:26,630 +هي فقط اللي هو معدّى لهذا الأمر لقياس ال IBD + +288 +00:27:26,630 --> 00:27:31,310 +للأشخاص طيب + +289 +00:27:31,310 --> 00:27:36,830 +كيف التكنيك أو ال method الطريقة number one the + +290 +00:27:36,830 --> 00:27:42,850 +dispenser should be positioned at a distance of 40 + +291 +00:27:42,850 --> 00:27:50,120 +cm from subject إذا لازم المسافة ما بينالمريض و + +292 +00:27:50,120 --> 00:27:54,720 +الفاحص او الأخصائي تكون جداش اربعين صانتي، هذي + +293 +00:27:54,720 --> 00:28:02,900 +واحد تمام؟ both at the same vertical level التنين + +294 +00:28:02,900 --> 00:28:06,560 +يكونوا على مستوى واحد، بمعنى مش واحد جاعد على كرسي + +295 +00:28:06,560 --> 00:28:10,480 +أعلى من التاني أو العكس لأن ممكن اختلاف ال degree + +296 +00:28:10,480 --> 00:28:14,740 +يؤدي إلى اختلاف في القيم الخاصة في ال IBD + +297 +00:28:18,750 --> 00:28:24,950 +The PD rule is positioned across the subject's + +298 +00:28:24,950 --> 00:28:31,570 +nose. It tilted back rests on the most recessed + +299 +00:28:31,570 --> 00:28:36,750 +part of the nose دايما بدنا نتعود احنا كفاحصين يما + +300 +00:28:36,750 --> 00:28:41,980 +نحط المصدرة نحطها في أريح مكان للمريضطبعا اما + +301 +00:28:41,980 --> 00:28:45,820 +بنحطها في ال nose part تمام او اللي هو في ال + +302 +00:28:45,820 --> 00:28:49,400 +bridge area بس بدها تكون مريحة بالنسبة لمن؟ + +303 +00:28:49,400 --> 00:28:58,120 +للمريض، هذه أهم شيء نضمنه عشان يتعاون معاه The + +304 +00:28:58,120 --> 00:29:03,920 +dispenser closes the right eye and sides with the + +305 +00:29:03,920 --> 00:29:10,230 +leftالان بالنسبة له الفاحس okay بده يغلق اللي هو + +306 +00:29:10,230 --> 00:29:14,910 +العين مين؟ اليمين ال right ويفتح in sight يعني + +307 +00:29:14,910 --> 00:29:20,010 +ينظر بالعين اللي هو الشمال يعني الان مش هو أمامي، + +308 +00:29:20,010 --> 00:29:23,730 +بدي أغلق اللي هو اليمين و أطلع في مين؟ في الشمال + +309 +00:29:23,730 --> 00:29:27,170 +okay بالسمع + +310 +00:29:28,430 --> 00:29:32,830 +عشان أعمل تمركز بالضبط للقيمة، يعني قيمة المصطرة + +311 +00:29:32,830 --> 00:29:36,650 +تكون السفر تاع المصطرة أو ال score تاحة بالضبط + +312 +00:29:36,650 --> 00:29:40,690 +جاية على مين ال center of اللي هو pupil، هاي الهدف + +313 +00:29:40,690 --> 00:29:45,730 +من ذلك The + +314 +00:29:45,730 --> 00:29:50,710 +subject is instructed to look at the dispenser's + +315 +00:29:50,710 --> 00:29:57,030 +open eye while the dispenser lines up the zeromark + +316 +00:29:57,030 --> 00:30:00,790 +of the rule with the center of the subject's pupil + +317 +00:30:00,790 --> 00:30:04,950 +الان انا بدي افتح عيني بعد ما احط اللي هو ال score + +318 +00:30:04,950 --> 00:30:09,610 +او التدريج بتاع المصطرة وين موازي لل center بتاع + +319 +00:30:09,610 --> 00:30:16,590 +ال pupil الخاصة في عين المريض بفتح اللي هو العين و + +320 +00:30:16,590 --> 00:30:21,640 +نفس العملية وين هعملها؟ في ال another eyeعندما + +321 +00:30:21,640 --> 00:30:28,860 +يكون الـ Zero Mark مرتبط بشكل صحيح، يقفز العين + +322 +00:30:28,860 --> 00:30:34,720 +اليمنى و يفتح العين + +323 +00:30:34,720 --> 00:30:36,080 +اليمنى + +324 +00:30:50,160 --> 00:30:54,700 +طبعا على ال center of اللي هو pupil و بعد ذلك اللي + +325 +00:30:54,700 --> 00:31:01,580 +هو فتح العين الأولى و من ثم أغلق التانية و بعد ذلك + +326 +00:31:01,580 --> 00:31:05,340 +فتح التانية و أغلق اللي هو الأولى لحد ما صار اللي + +327 +00:31:05,340 --> 00:31:10,340 +هو ال ruler win على اللي هو القيمة ستين إذا أدى + +328 +00:31:10,340 --> 00:31:16,080 +اللي هو قيمة ال IBD عند اللي هو ستين ملي متر طبعا + +329 +00:31:16,080 --> 00:31:19,460 +اه اه طبعا + +330 +00:31:22,940 --> 00:31:26,560 +زي بالضبط إنت ماتعملي retinoscope الصح إنك تعملي + +331 +00:31:26,560 --> 00:31:29,920 +right right left left صح ولا لأ؟ إيش بتعمليه؟ a + +332 +00:31:29,920 --> 00:31:36,300 +close of one eye مش هيكي بنعمله طيب ال subject is + +333 +00:31:36,300 --> 00:31:42,160 +instructed to look at the dispensers open eye + +334 +00:31:42,160 --> 00:31:48,840 +دايما احنا بدنا نرشد المريض إنه ينظر بعين الفاحص + +335 +00:31:48,840 --> 00:31:55,630 +اللي هي مفتوحة okayلأن ممكن انت بتعمل الفحص هو + +336 +00:31:55,630 --> 00:31:59,910 +يكون عامل ايه؟ deviation انحراف او بمعنى اخر هو ما + +337 +00:31:59,910 --> 00:32:04,690 +بتطلع عليها فهيك الفحص هيكون في عندنا visual angle + +338 +00:32:04,690 --> 00:32:10,670 +زاوية اللي هو هتغير فيه القيمة ال BD for the + +339 +00:32:10,670 --> 00:32:15,740 +distance a prescription is read ofيعني قيمة اللي + +340 +00:32:15,740 --> 00:32:22,060 +هو الـ BD بتقرأ read of بمعنى تقرأ as that mark + +341 +00:32:22,060 --> 00:32:26,320 +falling in the center of the subjects left pupil + +342 +00:32:26,320 --> 00:32:31,180 +يعني القيمة هتقرأ لما تكون المسطرة في الطرف الآخر + +343 +00:32:31,180 --> 00:32:35,000 +أو في العين التانية في ال center لال pupil الخاص + +344 +00:32:35,000 --> 00:32:35,340 +بيها + +345 +00:32:40,060 --> 00:32:46,080 +The dispenser now closes the right eye and opens + +346 +00:32:46,080 --> 00:32:50,360 +the left طب ليش بده يعكس ما بين العنتين؟ يعني بده + +347 +00:32:50,360 --> 00:32:54,280 +يعمل alternative تبادل عشان يقرأ القيمة صح ولا لأ؟ + +348 +00:32:54,280 --> 00:32:59,540 +بالضبطزي ما عملنا هان بتضبط القيمة على السفر بدي + +349 +00:32:59,540 --> 00:33:03,100 +اعمل اغلاق هناك عشان يقرأ القيمة بالضبط زي الان + +350 +00:33:03,100 --> 00:33:07,420 +انت ال red reflex يما تفتح العنتين من ال hall او + +351 +00:33:07,420 --> 00:33:11,060 +ال aperture تاع ال written scope بيكونش واضح لكن + +352 +00:33:11,060 --> 00:33:14,860 +اعمل close of one eye بصير اكتر وضوح اللي هو كرؤية + +353 +00:33:14,860 --> 00:33:16,780 +تمام؟ وهنا نفس الفكرة + +354 +00:33:20,280 --> 00:33:24,120 +The subject is again instructed to look at the + +355 +00:33:24,120 --> 00:33:29,180 +dispenser's open eye. Recheck.الان هو لما فتح مثلا + +356 +00:33:29,180 --> 00:33:34,440 +الفاحص العين اليمين، بدي ارشد اللي هو ايه المريض + +357 +00:33:34,440 --> 00:33:37,540 +انه يطلع بالعين اليمين اللي هي المفتوحة، مايطلعش + +358 +00:33:37,540 --> 00:33:41,140 +في العين أيش اللي مغلقة، تمام؟ عشان يتم اللي هو + +359 +00:33:41,140 --> 00:33:44,480 +الفحص بلي هو سهولة ويكون accurate + +360 +00:33:48,690 --> 00:33:52,170 +طيب بعض الأحيان بيكون الأمر هذا صعب خاصة عند + +361 +00:33:52,170 --> 00:33:57,410 +الأطفال يعني الطفل دايما ال attention عنده بيكون + +362 +00:33:57,410 --> 00:34:03,810 +الأمر فيه صعب طب ايش بدنا نعمل؟ when difficulty is + +363 +00:34:03,810 --> 00:34:08,390 +experienced in determining the exact center of the + +364 +00:34:08,390 --> 00:34:12,590 +pupil انه بيكون من الصعب تحديد مركز اللي هو ال + +365 +00:34:12,590 --> 00:34:18,790 +pupil ال center of a pupilبناخد ال edge طرف ال + +366 +00:34:18,790 --> 00:34:24,250 +pupil للعين مثلا اليسرة تمام ال edge of the pupil + +367 +00:34:24,250 --> 00:34:30,350 +may be used as a measuring point if both pupils + +368 +00:34:30,350 --> 00:34:31,890 +are the same size + +369 +00:34:34,900 --> 00:34:39,780 +الان اول حاجة بتطلع ان هل الـ pupil size للعنتين + +370 +00:34:39,780 --> 00:34:44,220 +متساوي ولا لا؟ اذا كان متساوي ايش بعمل؟ باجي من + +371 +00:34:44,220 --> 00:34:48,660 +الطرف الخارجي ل ال pupil تمام بحط اللي هو ال + +372 +00:34:48,660 --> 00:34:55,870 +marker الأول لحديت وين؟الـ inward للعين التانية، + +373 +00:34:55,870 --> 00:34:59,510 +يا جماعة خليكم شويه معناه، بعدين بتكتبوا، الآن هيه + +374 +00:34:59,510 --> 00:35:04,530 +من الخارجي للعين اللي هو ال right للداخلي لمين؟ + +375 +00:35:04,530 --> 00:35:09,490 +للعين ال left فهن بيدين قيمة مين ال IBD، بس هن شرط + +376 +00:35:09,490 --> 00:35:14,790 +انه يكون ايش؟ ال pupil size متساوي، يعني افرض واحد + +377 +00:35:14,790 --> 00:35:19,910 +عنده meiosisفي مثلا ال right eye مش هينفع الأمر + +378 +00:35:19,910 --> 00:35:24,190 +هذا ليش انه هيكون حجم ال pupil في ال right مختلف + +379 +00:35:24,190 --> 00:35:30,650 +عن حجم ال pupil في ال leftإذا ميجارمنت is read + +380 +00:35:30,650 --> 00:35:34,950 +from the left side of one pupil to the left side + +381 +00:35:34,950 --> 00:35:41,430 +of the other او احنا بنقول outward ل ال right ل + +382 +00:35:41,430 --> 00:35:46,270 +inward لمين لل left برضه نفس القيمة إذا كانت تنتين + +383 +00:35:46,270 --> 00:35:52,290 +متساوياتmeasuring from the inside edge of one + +384 +00:35:52,290 --> 00:35:56,450 +pupil to the inside edge of the other would give + +385 +00:35:56,450 --> 00:36:01,530 +an artificially low reading لكن هتكون أقل اللي هو + +386 +00:36:01,530 --> 00:36:06,190 +دقة from the outside edge of one pupil to the + +387 +00:36:06,190 --> 00:36:09,910 +outside edge of the other an artificially high + +388 +00:36:09,910 --> 00:36:15,150 +reading يعني البعض إيش بيعمل؟ بياخد من هنا لهنابس + +389 +00:36:15,150 --> 00:36:19,270 +الموضوع ان ال outward لل inward هيكون اكتر او ال + +390 +00:36:19,270 --> 00:36:23,470 +high اللي هو reading او high quality reading يعني + +391 +00:36:23,470 --> 00:36:28,070 +القراءة هتكون اعلى اللي هي من ناحية الجودة و من + +392 +00:36:28,070 --> 00:36:34,890 +ناحية اللي هو الدقة ماقلنا من ال outward تمام لل + +393 +00:36:34,890 --> 00:36:40,710 +inward في another I هى تمام هى عندنا مثلاالقراءة + +394 +00:36:40,710 --> 00:36:44,610 +نفس الحاجة جدّيش عندنا؟ ستين نفس ما أخدنا من ال + +395 +00:36:44,610 --> 00:36:48,330 +center لل center هاي أخدنا من ال outward لمين؟ هاي + +396 +00:36:48,330 --> 00:36:52,290 +الصفر وين؟ على ال outward لل right لحدية ال inward + +397 +00:36:52,290 --> 00:36:59,070 +لمين؟ لل left بس هان الشرط أنه التنين نفس الحجم ال + +398 +00:36:59,070 --> 00:37:03,150 +two pupil لل right و لل left لكن لو هذا مثلا في + +399 +00:37:03,150 --> 00:37:07,390 +عندنا يوزز و هان مثلا عندنا ديلات pupil نفعش نعمل + +400 +00:37:07,390 --> 00:37:15,990 +القصة هذه، مش صحDark irises or unequally sized + +401 +00:37:15,990 --> 00:37:20,950 +pupils حتى لو كان ال color فيه عالي كتير، يعني + +402 +00:37:20,950 --> 00:37:28,630 +مثلا black بشكل كبير أو مثلا اللون، يعني الكتير + +403 +00:37:28,630 --> 00:37:32,450 +اللي هو ال iris فيه color، بنفعش اعمل قضية انه من + +404 +00:37:32,450 --> 00:37:37,120 +ال edge لاللي هو ال edgeأو مثلا عدم تساوي ما بين + +405 +00:37:37,120 --> 00:37:40,700 +ال two pupils ايش بدنا نستخدم ال limbus اللي هو + +406 +00:37:40,700 --> 00:37:44,400 +edge بس هذه بدها مهارة عالية موضوع اللي هو ال + +407 +00:37:44,400 --> 00:37:52,240 +limbus ال edge طيب + +408 +00:37:52,240 --> 00:37:56,880 +عندنا ال common difficulties and their solution + +409 +00:37:56,880 --> 00:38:03,200 +يعني المشاكل الشائعة و كيفية حلها عندما يتم قياس + +410 +00:38:03,200 --> 00:38:11,710 +منمانيوال انترابيوبيلري ديستانس اول حاجة ديسبنسر + +411 +00:38:11,710 --> 00:38:16,650 +كانت نطي close one eye دايما احنا عنا بنقدر ايش + +412 +00:38:16,650 --> 00:38:23,630 +نغطي عين لكن مابنقدرش التنتين فهنا بيكون فيه مشكلة + +413 +00:38:23,630 --> 00:38:29,430 +unable to close one eye independent of the other + +414 +00:38:29,430 --> 00:38:33,370 +يعني عدم القدرة على تغطية عين والاعتماد على العين + +415 +00:38:33,370 --> 00:38:38,690 +التانيةOcluding the eye with the free hand، بتغطي + +416 +00:38:38,690 --> 00:38:45,950 +العين إيش؟ بالـ free hand The practice + +417 +00:38:45,950 --> 00:38:52,150 +of holding the lid down with one finger gives an + +418 +00:38:52,150 --> 00:38:57,110 +unprofessional appearance especially when wearing + +419 +00:38:57,110 --> 00:39:03,880 +glasses الآن لو أنا مثلا كنت لابس نضارةك examiner + +420 +00:39:03,880 --> 00:39:09,160 +و روحت اللي هو غطيت العين بأصبع واحد، هيكون المظهر + +421 +00:39:09,160 --> 00:39:13,860 +غير لاق، صح ولا لا؟ فالأفضل انه ايش اعمل؟ انه اعمل + +422 +00:39:13,860 --> 00:39:17,560 +اللي هو occlusion كامل للعين، و كأنه هو جزء من + +423 +00:39:17,560 --> 00:39:25,700 +مين؟ من قلية الفحص، مستوابين معاه؟ اذا occluding + +424 +00:39:25,700 --> 00:39:30,280 +the eye with the hand، اغلاق العين من خلال اليد + +425 +00:39:31,360 --> 00:39:37,440 +held if that appears يعني حيظهر بمظهر اللي هو أجمل + +426 +00:39:37,440 --> 00:39:43,020 +أو ألطف to be a natural part يعني جزء أشماله طبيعي + +427 +00:39:43,020 --> 00:39:48,640 +of the test من اللي هو الاختبار and doesn't reveal + +428 +00:39:48,640 --> 00:39:53,020 +appearances in ability to close only one eye ومش + +429 +00:39:53,020 --> 00:39:58,360 +هيظهر لمين للمريض ان هو مش قادر يغلق اللي هو العين + +430 +00:39:58,360 --> 00:39:59,700 +التانية تمام؟ + +431 +00:40:03,430 --> 00:40:07,070 +النقطة التانية الـ Dispensers are visually + +432 +00:40:07,070 --> 00:40:12,270 +impaired in one eye يعني الأن لو مثلا الفاحص نفسه + +433 +00:40:12,270 --> 00:40:16,730 +ماعندهش visual acuity 6 ع 6 في العينتين حتى + +434 +00:40:16,730 --> 00:40:23,430 +بالنضارة يعني لو عملنا له best corrected visual + +435 +00:40:23,430 --> 00:40:27,050 +acuity ماعندهش 6 ع 6، إيش المقصود بال best + +436 +00:40:27,050 --> 00:40:28,630 +corrected visual acuity؟ + +437 +00:40:30,980 --> 00:40:35,240 +أفضل رؤية يمكن رؤيتها من خلال الـ Optical + +438 +00:40:35,240 --> 00:40:39,980 +Correction، سواء نضارة أو عدسة لاصقة الان هان بصلة + +439 +00:40:39,980 --> 00:40:46,540 +6 ع 6 فهو في عنده إيش؟ إمبير، اللي هو ضعف أو عنده + +440 +00:40:46,540 --> 00:40:49,840 +اللي هو تعطيل في ال visual acuity + +441 +00:40:54,820 --> 00:40:59,520 +If the dispenser is blind in one eye، لو كان أعمى + +442 +00:40:59,520 --> 00:41:03,920 +مثلا، يعني عنده single eye، معتمد على عين واحدة، + +443 +00:41:03,920 --> 00:41:10,420 +okay؟ Or has visually acuity too poor، أو عنده + +444 +00:41:10,420 --> 00:41:16,050 +مثلا ضعف شديد في عين، دون الأخرىto allow the ruler + +445 +00:41:16,050 --> 00:41:19,650 +to be read accurately then the technique is + +446 +00:41:19,650 --> 00:41:23,710 +modified لازم احنا نعمل عملية تغيير او تبديل او + +447 +00:41:23,710 --> 00:41:27,970 +تعديل في اللي هو الطريقة لان هذا القياس مش هيديني + +448 +00:41:27,970 --> 00:41:31,650 +ايش accurate result لقياس ال IPD + +449 +00:41:36,100 --> 00:41:41,140 +The dispenser places the good eye directly in + +450 +00:41:41,140 --> 00:41:46,400 +front of the subject's right eye and at the normal + +451 +00:41:46,400 --> 00:41:53,120 +distance. The zero mark is lined up as usual. + +452 +00:41:57,680 --> 00:42:01,740 +بتكون اللي هو يعني انا دايما بدي اعتمد كاللي هو + +453 +00:42:01,740 --> 00:42:06,000 +examiner او كـ dispenser على العين ايش اللي هي ال + +454 +00:42:06,000 --> 00:42:10,860 +good سواء كانت يمّا احط السفر mark او احط اللي هو + +455 +00:42:10,860 --> 00:42:16,380 +ال another mark القراءة التانية لأن اي عدم دقة في + +456 +00:42:16,380 --> 00:42:21,120 +الفحص بديني لنتيجة خاطية يعني بمعنى اخر المحصلة + +457 +00:42:21,120 --> 00:42:22,800 +هتكون ايش فيها مشكلة + +458 +00:42:26,840 --> 00:42:31,860 +الـ dispenser then moves sideways until the good + +459 +00:42:31,860 --> 00:42:35,840 +eye is positioned in front of the subjects left + +460 +00:42:35,840 --> 00:42:40,300 +eye and the measurement is read الان لو كان مثلا + +461 +00:42:40,300 --> 00:42:44,880 +أحد الفاحصين عنده right eye بس هي ال good الان أول + +462 +00:42:44,880 --> 00:42:50,040 +حاجة بغط مين؟الـ left eye و بيشوف اللي هو على الـ + +463 +00:42:50,040 --> 00:42:53,940 +zero mark و بعد ذلك بنتقل للعين التانية و هو فاتح + +464 +00:42:53,940 --> 00:42:57,800 +من ال good eye او ال right eye يعني بيحافظ على + +465 +00:42:57,800 --> 00:43:02,080 +استخدام ال right eye في كلا العينتين بالنسبة لمين + +466 +00:43:02,080 --> 00:43:05,360 +لل dispenser او عفوا بالنسبة لل patient + +467 +00:43:08,510 --> 00:43:13,130 +Unfortunately, this method can easily lead to + +468 +00:43:13,130 --> 00:43:18,630 +parallax errors يعني هذا مع الأسف أنه ممكن هذا + +469 +00:43:18,630 --> 00:43:23,290 +الفحص يؤدي إلى إيش؟ إلى خطأ اللي هو بشكل سريع، + +470 +00:43:23,290 --> 00:43:28,370 +ليش؟ لأن أي اختلاف في ال angle أو ال visual angle + +471 +00:43:28,370 --> 00:43:31,790 +هيؤدي لاختلاف في مين؟ في قيمة اللي هو القراءة + +472 +00:43:31,790 --> 00:43:32,650 +المطلوبة + +473 +00:43:35,440 --> 00:43:40,560 +The most desirable solution for someone with this + +474 +00:43:40,560 --> 00:43:44,620 +difficulty is to use another type of instrument + +475 +00:43:44,620 --> 00:43:48,640 +that only requires the use of one eye طيب لو + +476 +00:43:48,640 --> 00:43:52,260 +ماقدرناش نحقق هذه الفكرة بدنا نشوف أجهزة تانية + +477 +00:43:52,260 --> 00:43:56,660 +ممكن من خلالها الشخص يعتمد على one eye لاللي هو + +478 +00:43:56,660 --> 00:43:59,920 +فحص قيمة ال IBD بالنسبة لل patient + +479 +00:44:02,790 --> 00:44:06,610 +وبنقف ان شاء الله لعند اللي هو subject is a + +480 +00:44:06,610 --> 00:44:11,070 +strabism او اللي هو squint في الأشخاص اللي بيكون + +481 +00:44:11,070 --> 00:44:14,750 +عندهم حوال للمحاضرة القادمة ان شاء الله + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/asK7g5sg63Q.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/asK7g5sg63Q.srt new file mode 100644 index 0000000000000000000000000000000000000000..974ce2ff340f410b65cb8b9d677553ec0f7199c7 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/asK7g5sg63Q.srt @@ -0,0 +1,1330 @@ +1 +00:00:21,240 --> 00:00:24,260 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:24,260 --> 00:00:25,440 +وبركاته + +3 +00:00:25,440 --> 00:00:28,100 +ورحمة الله وبركاته + +4 +00:00:28,100 --> 00:00:28,680 +وبركاته + +5 +00:00:28,680 --> 00:00:32,440 +ورحمة الله وبركاته + +6 +00:00:32,440 --> 00:00:37,720 +وبركاته + +7 +00:00:37,720 --> 00:00:39,620 +ورحمة الله وبركاته + +8 +00:00:39,620 --> 00:00:49,200 +وبركاته + +9 +00:00:49,200 --> 00:00:56,800 +The frame is that portion of the spectacles، إذا + +10 +00:00:56,800 --> 00:01:04,160 +الإطار هو جزء من النضارة، تمام؟ That holds the + +11 +00:01:04,160 --> 00:01:09,960 +lenses، بيعمل عملية مسك أو عملية حمل للعدسات + +12 +00:01:11,530 --> 00:01:16,870 +containing the ophthalmic prescription، بيحتوي على + +13 +00:01:16,870 --> 00:01:23,230 +الوصفة العينية أو الوصفة الطبية التي تم إجراءها من + +14 +00:01:23,230 --> 00:01:30,430 +قبل أخصائي البصريات، in their proper position، بحيث + +15 +00:01:30,430 --> 00:01:36,190 +أن تكون بمكان مناسب أو مكان ملائم، in front of the + +16 +00:01:36,190 --> 00:01:38,190 +eyes، أمام العين + +17 +00:01:42,460 --> 00:01:47,840 +A frame generally consists of the frame، بشكل عام + +18 +00:01:47,840 --> 00:01:49,380 +يتكون من + +19 +00:01:55,360 --> 00:02:00,000 +which in one form or another contains the lenses + +20 +00:02:00,000 --> 00:02:03,720 +يعني في عندنا الجزء الأمامي من الإطار + +21 +00:02:03,720 --> 00:02:09,900 +بيكون له شكل معين أو شكل آخر، بمعنى آخر لو + +22 +00:02:09,900 --> 00:02:15,580 +أنا شفت إطار دائري، ممكن أيضاً أن يكون هناك شكل مربع + +23 +00:02:15,580 --> 00:02:20,300 +أو شكل مثلاً مستطيل، إلى آخره، هذا كله ماذا + +24 +00:02:20,300 --> 00:02:23,360 +نسميه؟ يُسمى + +25 +00:02:26,130 --> 00:02:32,130 +Chases، ماذا تعنيه؟ Chases بمعنى الهيكل العام + +26 +00:02:32,130 --> 00:02:37,890 +للإطار، يعني الآن لو أنا أمسكت إطاراً ورفعت منه + +27 +00:02:37,890 --> 00:02:43,410 +العدسات كلها، يبقى عبارة عن هيكل عام أو الـ front + +28 +00:02:43,410 --> 00:02:48,650 +view، أليس كذلك؟ هذا الـ front نسميه Chases أو + +29 +00:02:48,650 --> 00:02:52,290 +نسميه الهيكل العام للإطار، okay؟ + +30 +00:02:55,920 --> 00:03:00,720 +the temples، ماذا يقصد بـ temples؟ أي بمعنى الـ + +31 +00:03:00,720 --> 00:03:06,320 +side، جانبي النضارة، تمام؟ إذا the + +32 +00:03:06,320 --> 00:03:13,860 +temples hook over the ears، يُعلق من هنا، من + +33 +00:03:13,860 --> 00:03:19,470 +الخلف، أليس كذلك؟ to help hold the spectacles in + +34 +00:03:19,470 --> 00:03:23,850 +place، لماذا؟ لأنه يبقى حولهما over the + +35 +00:03:23,850 --> 00:03:28,910 +ear، لكي تبقى النضارة ثابتة أو العدسات ثابتة + +36 +00:03:28,910 --> 00:03:33,430 +أمام عين المريض، فهمتوا معي؟ إذا عندنا الـ + +37 +00:03:33,430 --> 00:03:41,450 +temples، تمام، أو الـ two sides، تجدانهما مُمسكان + +38 +00:03:41,450 --> 00:03:48,330 +بالعدسات الأمامية للعين، الهدف منها أن تبقى العدسات + +39 +00:03:48,330 --> 00:03:50,810 +in front of the patient’s eye + +40 +00:03:55,000 --> 00:03:59,940 +frames occasionally don't have temples، بعض + +41 +00:03:59,940 --> 00:04:05,140 +الإطارات أحياناً لا يكون لها temples أو أي + +42 +00:04:05,140 --> 00:04:10,020 +size، أليس كذلك؟ تجده معتمداً فقط على الـ + +43 +00:04:10,020 --> 00:04:14,540 +nose pad أو فيها hand held، ماذا يعني hand held؟ مثل + +44 +00:04:14,540 --> 00:04:22,430 +المكبر، مثل magnifier، نمسكه لنرى كيف held in a + +45 +00:04:22,430 --> 00:04:27,410 +place by pressure on the sides of the nose، يعني + +46 +00:04:27,410 --> 00:04:34,210 +تجده يعتمد أو يثبت العدسة أمام العين يعتمد + +47 +00:04:34,210 --> 00:04:38,270 +أساساً على الـ nose pad، يعني الـ nose pad + +48 +00:04:38,270 --> 00:04:42,630 +تجده هو الذي يضغط على الأنف ليثبت + +49 +00:04:42,630 --> 00:04:46,590 +النضارة أمام العين، ماذا نسميها؟ + +50 +00:04:49,420 --> 00:04:54,520 +نضارة أنفية، أي بمعنى أنها نضارة + +51 +00:04:54,520 --> 00:05:00,920 +أنفية، تسميتها تكون كالصورة هذه، ترونها؟ في + +52 +00:05:00,920 --> 00:05:06,720 +لها تمبلز، sides؟ لا، فيها ماذا؟ nose pad، الـ nose + +53 +00:05:06,720 --> 00:05:10,840 +pad هي التي تعمل pressure على الـ nose لكي تبقى + +54 +00:05:10,840 --> 00:05:14,640 +العدستان in front of the patient’s eye + +55 +00:05:17,480 --> 00:05:24,020 +النوع الثاني، by attachment to another frame، يمكن + +56 +00:05:24,020 --> 00:05:28,800 +هنا أوضح، أنا جئت لكم بصورة أوضح، ترون الآن هذه + +57 +00:05:28,800 --> 00:05:34,970 +النضارة، تمام؟ هذه الـ clip، تجد مثلاً الآن أنا ألبس + +58 +00:05:34,970 --> 00:05:41,210 +نضارة فيها refractive error، أريد الخروج إلى الشمس، أريد + +59 +00:05:41,210 --> 00:05:45,370 +أن أضع عليها photo brown أو photo grey، أنزل الـ clip + +60 +00:05:45,370 --> 00:05:51,130 +هذا لماذا؟ لكي تقلل من كمية الضوء الداخلة أو + +61 +00:05:51,130 --> 00:05:55,670 +تحجب أشعة الشمس الداخلة إلى العين، فهذه + +62 +00:05:55,670 --> 00:06:03,710 +نسميها clip on، تمام؟ clip-ons، بالضبط، التي هي مثل + +63 +00:06:03,710 --> 00:06:08,290 +القصاصة، نضارة قصاصة، تجد أن + +64 +00:06:08,290 --> 00:06:16,110 +مضاف إليها clip أو بمعنى slide جديد، يعني الآن هذا الـ + +65 +00:06:16,110 --> 00:06:21,310 +frame الأساسي، وهذا الـ clip مضاف إلى ماذا؟ إلى النضارة + +66 +00:06:21,310 --> 00:06:21,930 +الأصلية + +67 +00:06:26,080 --> 00:06:33,220 +Or by being held in the hand، نسميها laryngitis + +68 +00:06:33,220 --> 00:06:38,320 +Laryngitis، أي بمعنى ماذا؟ مثل hand held أو مكبر + +69 +00:06:38,320 --> 00:06:41,840 +تذكرون المكبر الذي كنا نستخدمه و نحن صغار؟ الـ + +70 +00:06:41,840 --> 00:06:45,500 +magnifier، نفس الشيء، لكن هنا ماذا؟ اللي هو both eyes + +71 +00:06:46,060 --> 00:06:50,740 +المكبر هذا تمسكه هكذا وترفع، طبعاً في له + +72 +00:06:50,740 --> 00:06:54,060 +فكرة أخرى، وهي الـ flicker lenses، يمكن أن لسة + +73 +00:06:54,060 --> 00:06:56,820 +أنتم لم تأخذوها، وهي موضوع أن تعمل + +74 +00:06:56,820 --> 00:07:00,740 +stimulation أو relaxation لـ accommodation + +75 +00:07:00,740 --> 00:07:05,700 +من خلالها، هذه نسميها الـ orgnitis، وهي + +76 +00:07:05,700 --> 00:07:11,700 +أجلاسيز، يعني الأنواع الثلاثة هذه لا تحتوي على + +77 +00:07:11,700 --> 00:07:15,160 +temple أو لا تحتوي على الـ side، تمام؟ + +78 +00:07:19,190 --> 00:07:25,930 +طيب، نأتي الآن إلى الـ frame، الـ front الـ + +79 +00:07:25,930 --> 00:07:30,130 +frame، الـ front، تمام + +80 +00:07:30,130 --> 00:07:34,430 +في عندنا أول شيء the bridge، ماذا يقصد بـ + +81 +00:07:34,430 --> 00:07:42,140 +bridge؟ الجسر، يعني الجسر + +82 +00:07:42,140 --> 00:07:47,220 +الذي يصل بين العدستين، تمام؟ هذا نسميه bridge + +83 +00:07:47,220 --> 00:07:52,480 +the area of the frame front between the lenses + +84 +00:07:52,480 --> 00:07:57,280 +that rest on the nose، دائماً حتى تلاحظون بعض الناس + +85 +00:07:57,280 --> 00:08:01,660 +خاصة في النضارات القديمة، يضعون علامة على هذه المنطقة، أليس كذلك؟ + +86 +00:08:01,660 --> 00:08:09,970 +هذه نتيجة الـ bridge، يكون عاملاً مُتساقاً مع + +87 +00:08:09,970 --> 00:08:17,450 +الأنف، ترون هذه المساحة التي وصلت بين + +88 +00:08:17,450 --> 00:08:23,710 +العدستين، الـ right و الـ left eyes، تسمى bridge، طبعاً + +89 +00:08:23,710 --> 00:08:29,190 +هذه ماذا تمثل؟ الـ front view أو المنطقة الأمامية + +90 +00:08:29,190 --> 00:08:29,870 +الأمامية + +91 +00:08:33,720 --> 00:08:38,520 +I wire أو الـ rim، ماذا يقصد بـ rim؟ الحافة + +92 +00:08:38,520 --> 00:08:46,440 +يعني الآن هذه الحافة التي تمسك العدسة، طبعاً الـ + +93 +00:08:46,440 --> 00:08:50,820 +rim، هدفها ألا تترك العدسة تسقط من + +94 +00:08:50,820 --> 00:08:56,340 +الإطار، okay، بمعنى آخر أنها تمسك العدسة + +95 +00:08:56,340 --> 00:08:57,940 +خوفاً من سقوطها + +96 +00:09:00,340 --> 00:09:04,760 +the parts of the frame، هي تعتبر أجزاء من + +97 +00:09:04,760 --> 00:09:10,840 +الإطار الأمامي، التي تكون مُحاطة، and + +98 +00:09:10,840 --> 00:09:16,120 +support the lenses، وتعمل عملية دعم للعدسات، either + +99 +00:09:16,120 --> 00:09:22,380 +partially، تمام، ممكن بشكل جزئي، كثيراً ما في + +100 +00:09:22,380 --> 00:09:25,820 +المئة، نصف إطار، هذا نسميه subra mount + +101 +00:09:31,400 --> 00:09:37,880 +mount، تمام، يكون الجزء السفلي عبارة عن خيط، + +102 +00:09:37,880 --> 00:09:43,520 +الخيط نصنعه شيئاً نسميه groove، تمام، ليُحشر + +103 +00:09:43,520 --> 00:09:47,560 +العدسة، يعني يكون هذا الخيط داخل + +104 +00:09:47,560 --> 00:09:53,900 +العدسة، سنتناوله فيما بعد، ليس موضوعنا الآن، okay، طيب + +105 +00:09:53,900 --> 00:09:57,160 +ممكن أن يكون partially، كما قلنا، الـ super mount + +106 +00:09:57,160 --> 00:10:03,230 +أو entirely، يكون كله بشكل + +107 +00:10:03,230 --> 00:10:08,690 +كامل، يعني بمعنى أن الـ rim مُحاط بالعدسة بشكل + +108 +00:10:08,690 --> 00:10:16,890 +كامل، طيب، عندنا أيضاً الـ end pieces، the + +109 +00:10:16,890 --> 00:10:23,490 +outer area of the frame front to the extreme left + +110 +00:10:23,490 --> 00:10:28,440 +and right where the temples attach، الـ end pieces + +111 +00:10:28,440 --> 00:10:33,360 +تكون المنطقة الخارجية من الـ front الـ + +112 +00:10:33,360 --> 00:10:38,840 +frame، وهذه معناها extreme، مُحاطة من + +113 +00:10:38,840 --> 00:10:44,320 +الـ right والـ left، الآن أنا أتحدث عن ماذا؟ + +114 +00:10:44,320 --> 00:10:51,240 +الأجزاء الأمامية، أو ما يخص الـ chases أو + +115 +00:10:51,240 --> 00:10:59,980 +الـ frame، Some frames have nose pads، بعض الإطارات + +116 +00:10:59,980 --> 00:11:03,680 +يكون لها ماذا؟ مخداتها، أليس كذلك؟ الـ nose pads + +117 +00:11:03,680 --> 00:11:09,640 +لتعمل ماذا؟ راحة على الأنف، which are + +118 +00:11:09,640 --> 00:11:14,300 +plastic، وتكون مصنوعة من مادة الـ plastic pieces + +119 +00:11:14,300 --> 00:11:21,070 +that rest on the nose to support the frame، وتعمل + +120 +00:11:21,070 --> 00:11:25,610 +ضغطاً على الأنف، وتعمل عملية دعم لمن؟ للإطار + +121 +00:11:25,610 --> 00:11:31,570 +طبعاً، كل الهدف لماذا؟ لأحاول الحفاظ على العدسات + +122 +00:11:31,570 --> 00:11:32,310 +أمام العين + +123 +00:11:35,210 --> 00:11:40,410 +This may be directly attached to the frame، يعني + +124 +00:11:40,410 --> 00:11:46,170 +ممكن بعض الإطارات أن يكون الـ nose pad مُرتبطاً + +125 +00:11:46,170 --> 00:11:53,270 +بشكل مباشر مع الـ rim، صحيح؟ طبعاً، هذه + +126 +00:11:53,270 --> 00:11:57,630 +في النضارات القديمة، لكن + +127 +00:11:57,630 --> 00:12:02,010 +الآن في النضارات الحديثة، تلاحظ أن هناك قطعة + +128 +00:12:02,010 --> 00:12:08,140 +معدنية، تكون نقطة الوصل بين الـ nose pad وما + +129 +00:12:08,140 --> 00:12:14,200 +بين الـ rim، إذا، أو to connecting metal + +130 +00:12:14,200 --> 00:12:22,380 +pieces known as guard arms or bar arms، يعني كأنه + +131 +00:12:22,380 --> 00:12:27,400 +قطعة معدنية، هذه تكون حامية أو داعمة أكثر لـ + +132 +00:12:27,400 --> 00:12:34,080 +الـ nose pads الخاصة بالنضارة الطبية، معظم النضارات + +133 +00:12:34,080 --> 00:12:38,800 +الحديثة الآن تلاحظ أن الـ nose pads فيها هذه القطعة + +134 +00:12:38,800 --> 00:12:43,160 +التي هي الـ guard arms أو نسميها الـ bar arms، التي + +135 +00:12:43,160 --> 00:12:47,100 +تعمل connection بين الـ nose pads وما بين + +136 +00:12:47,100 --> 00:12:47,540 +الـ rim + +137 +00:12:52,990 --> 00:12:57,310 +طبعاً هنا عندنا أيضاً الـ shield، ماذا + +138 +00:12:57,310 --> 00:13:03,110 +تعني الـ shield؟ بمعنى الدرع، يعني + +139 +00:13:03,110 --> 00:13:07,450 +بعض النضارات، تجد أن لها + +140 +00:13:07,450 --> 00:13:18,280 +shield، أي النضارة، نعم، تمام، هذه عندنا الـ shield، من + +141 +00:13:18,280 --> 00:13:24,260 +هنا تلاحظ أنها تعمل هنا في شيء اسمه + +142 +00:13:24,260 --> 00:13:31,560 +المفصل، ترونه؟ مفصل النضارة، هذا الـ + +143 +00:13:31,560 --> 00:13:37,940 +shield، الدرع، يُمسك المفصل، تمام، و أيضاً + +144 +00:13:37,940 --> 00:13:41,800 +ماذا تلاحظون؟ شيئاً آخر من ناحية جمالية، لا يعطي + +145 +00:13:41,800 --> 00:13:47,230 +جمالاً للإطار، أن موضوع الـ shield غير + +146 +00:13:47,230 --> 00:13:51,030 +أنه يُمسك المفصل، أنه قد يكون فقط من ناحية + +147 +00:13:51,030 --> 00:13:56,930 +جمالية للنضارة، تحدثنا + +148 +00:13:56,930 --> 00:14:02,970 +عن الـ I wire أو الـ rim، nose pad، end piece، وعندنا الـ + +149 +00:14:02,970 --> 00:14:10,740 +bridge، والـ shield، A few plastic frames may + +150 +00:14:10,740 --> 00:14:18,980 +still have a metal shield، إذا بعض أو عدد قليل + +151 +00:14:18,980 --> 00:14:22,860 +من النضارات البلاستيكية يكون لها metal + +152 +00:14:22,860 --> 00:14:27,340 +shield، الذي رأيناه في النضارة التي أريتكم إياها، On + +153 +00:14:27,340 --> 00:14:32,260 +the front of the end piece، في نهاية الـ end + +154 +00:14:32,260 --> 00:14:35,100 +piece، To which rivets + +155 +00:14:38,090 --> 00:14:42,450 +يكون مثل المسامير، شكله كالمسمار، و + +156 +00:14:42,450 --> 00:14:46,530 +كأنه مكبوس، أليس كذلك؟ يعني هنا كلمة الـ + +157 +00:14:46,530 --> 00:14:51,090 +rivets بمعنى مسمار، يُمسك من + +158 +00:14:51,090 --> 00:14:58,290 +المفصل، are attached to hold the hinge، لكي يحافظ + +159 +00:14:58,290 --> 00:15:02,640 +على المفصل في مكانه، واضحة الفكرة؟ إذا بعض + +160 +00:15:02,640 --> 00:15:08,480 +الإطارات الطبية يكون لها موضوع الـ shield أو الدرع + +161 +00:15:08,480 --> 00:15:13,820 +طبعاً، يكون ماسكاً من المفصل، كيف يُمسكه؟ من خلال + +162 +00:15:13,820 --> 00:15:18,280 +المسامير، لكي يحافظ على مكانه، والشيء الآخر أنه + +163 +00:15:18,280 --> 00:15:27,180 +قد يكون فقط من ناحية جمالية، okay، هنا صورة، يمكن + +164 +00:15:27,180 --> 00:15:34,670 +أوضح، سأُعطيكم إياها إن شاء الله فيما بعد، the frame of France + +165 +00:15:34,670 --> 00:15:40,230 +تمام؟ أجزاؤه: عندنا الـ rim، عندنا الـ nose pads، + +166 +00:15:40,230 --> 00:15:43,970 +عندنا الـ bridge، عندنا الـ temples، عندنا الـ temple + +167 +00:15:43,970 --> 00:15:51,250 +tips، تمام؟ عندنا أيضاً الـ hinge، والذي هو + +168 +00:15:51,250 --> 00:15:59,260 +الذي تحدثنا عنه، what I call، بالإضافة + +169 +00:15:59,260 --> 00:16:03,720 +إلى كل هذا، ماذا نسمي كل هذا؟ الـ + +170 +00:16:03,720 --> 00:16:13,460 +chassis، أي هيكل النضارة، تمام، okay + +171 +00:16:13,460 --> 00:16:21,540 +the hinges، أي المفصل، hold the + +172 +00:16:21,540 --> 00:16:26,870 +temples to the front، يعمل عملية مسك لمن؟ لـ + +173 +00:16:26,870 --> 00:16:33,250 +الـ temples، and consist of، تكون من عدد فردي + +174 +00:16:33,250 --> 00:16:39,630 +odd number، لماذا؟ of interfitting barrels، ماذا + +175 +00:16:39,630 --> 00:16:44,450 +يعني interfitting barrels؟ لكي يكون التركيب + +176 +00:16:44,450 --> 00:16:49,630 +مناسباً، تمام، The total number being + +177 +00:16:49,630 --> 00:16:54,330 +three, five or seven، يعني ثلاثة، خمسة أو سبعة، ترونها في الصورة + +178 +00:16:54,330 --> 00:16:59,170 +هنا، المقصود في ماذا؟ في الـ hinge، الآن كم + +179 +00:16:59,170 --> 00:17:05,770 +واحد؟ واحد، اثنان، ثلاثة، أربعة، خمسة، أليس كذلك؟ إذا هو + +180 +00:17:05,770 --> 00:17:11,050 +دائماً يكون عدده فردياً، إما ثلاثة أو خمسة أو سبعة، + +181 +00:17:11,050 --> 00:17:16,010 +اثنان، بهذه الطريقة، وواحد، okay، واثنان + +182 +00:17:16,010 --> 00:17:17,950 +يُثبتان الـ temple + +183 +00:17:21,050 --> 00:17:25,950 + +223 +00:20:52,800 --> 00:20:57,680 +عن the pinned the place on the temple where it + +224 +00:20:57,680 --> 00:21:04,280 +first bends down to go over the ear الآن لحد دي + +225 +00:21:04,280 --> 00:21:08,620 +المنطقة هذه بصير عبارة عن bend أو بصير زي كأنه + +226 +00:21:08,620 --> 00:21:13,720 +curve منحنى صح ولا لأ، المنحنى هذا بيصير ليش؟ عشان + +227 +00:21:13,720 --> 00:21:20,540 +يصير الـ ال temple tip + +228 +00:21:21,370 --> 00:21:26,070 +when over the ear صح ولا لأ؟ لحد المنطقة هذه + +229 +00:21:26,070 --> 00:21:33,510 +بنسميها اللي هو الـ bend the + +230 +00:21:33,510 --> 00:21:40,690 +shank or shaft اللي هو عبارة عن زي كأنه ساق صح ولا + +231 +00:21:40,690 --> 00:21:46,570 +لأ؟ هذه كلها المنطقة عبارة عن ساق بنسميها shank or + +232 +00:21:46,570 --> 00:21:51,400 +shaft، the portion of the temple أيضا هي جزء من + +233 +00:21:51,400 --> 00:21:56,660 +التمبل between the button and the bend اللي هي + +234 +00:21:56,660 --> 00:22:00,580 +اللي بتكون واصلة ما بين الـ butt portion و الـ bend + +235 +00:22:00,580 --> 00:22:06,140 +أو الـ curve the + +236 +00:22:06,140 --> 00:22:14,040 +ear piece أو بنسميها الـ bent down portion أو + +237 +00:22:14,040 --> 00:22:20,320 +الكوران، the portion beyond the bent and behind the + +238 +00:22:20,320 --> 00:22:24,400 +ear، هلجيت المنطقة هذه اللي هي الـ temple tip أو + +239 +00:22:24,400 --> 00:22:28,140 +بنسميها الـ ear piece، المنطقة اللي بتكون over the + +240 +00:22:28,140 --> 00:22:34,360 +ear، اللي بتكون حوالين من الأذن اللي تمسك اللي هو + +241 +00:22:34,360 --> 00:22:38,400 +الـ glasses أو الـ spectacle عشان تمنع من اللي هو + +242 +00:22:38,400 --> 00:22:44,460 +سقوطها. Okay، يعني الـ another name أو الـ synonyms ل + +243 +00:22:44,460 --> 00:22:50,340 +الـ temple tip إما بتسمى الـ ear piece أو الـ bent + +244 +00:22:50,340 --> 00:22:57,180 +down portion أو الكورل، هاي اللي هو التلت مسميات أو + +245 +00:22:57,180 --> 00:23:05,560 +الأربع مسميات لها، okay، okay. + +246 +00:23:05,560 --> 00:23:13,330 +frame types، أنواع الإطار، الـ frames can be + +247 +00:23:13,330 --> 00:23:18,470 +classified، يمكن تصنيف الإطارات، in a simplified + +248 +00:23:18,470 --> 00:23:25,270 +manner، بطريقة مبسطة، okay، by one of the following + +249 +00:23:25,270 --> 00:23:30,930 +categories of frames or mountings، الآن إيش الفرق + +250 +00:23:30,930 --> 00:23:34,270 +ما بين الـ frame و الـ mounting؟ + +251 +00:23:37,230 --> 00:23:42,090 +إما يكون يا جماعة full rim، هذا بنسميه الـ frame، + +252 +00:23:42,090 --> 00:23:49,350 +تمام؟ إما يكون half rim، يعني مش كله، يعني جزء منه + +253 +00:23:49,350 --> 00:23:53,510 +اللي هو rim half، والجزء الثاني خير، هذا بنسميه + +254 +00:23:53,510 --> 00:23:58,530 +mounting، إما يكون كله عبارة عن بنسميه rimless + +255 +00:23:58,530 --> 00:24:04,080 +lenses، يعني بدون أي إطار، هذا بنسميه mounting. صعبين + +256 +00:24:04,080 --> 00:24:09,380 +معناه، يعني الـ frame هو الأساس اللي هو بيمثل كل الـ + +257 +00:24:09,380 --> 00:24:14,880 +rim، لكن الـ mounting عبارة عن جزء من مين؟ من الـ + +258 +00:24:14,880 --> 00:24:20,220 +frame، بيمثل إما الـ rimless، يعني بيكونش فيه إطار، + +259 +00:24:20,220 --> 00:24:26,560 +تمام؟ ماسكة بالعدسة، أو الـ sub rimless اللي هي بس + +260 +00:24:26,560 --> 00:24:29,880 +بالخيط، جزء من فوق بيكون فيه rim، والجزء الثاني + +261 +00:24:29,880 --> 00:24:36,110 +بيكون عبارة عن خيط. عندنا الإطارات يمكن تصنيفها على + +262 +00:24:36,110 --> 00:24:42,830 +أنها إما frame أو بتكون mountings. طيب عندنا الـ + +263 +00:24:42,830 --> 00:24:47,910 +material اللي مصنعة منها الإطارات، إما الـ plastic، + +264 +00:24:47,910 --> 00:24:53,470 +وهناخد اللي هو تاريخ الـ plastic كيف بعد ذلك، عندنا + +265 +00:24:53,470 --> 00:24:59,430 +الـ metal، تمام، عندنا الـ nylon cord، الـ frames أو + +266 +00:24:59,430 --> 00:25:01,910 +بنسميها الصبرة، + +267 +00:25:06,840 --> 00:25:16,040 +Mount، أو نسميها nylon cord frames، عندنا الـ + +268 +00:25:16,040 --> 00:25:23,870 +combination ما بين مين ومين؟ ما بين الـ plastic و الـ + +269 +00:25:23,870 --> 00:25:29,450 +metal، يعني بعض العدسات بتلاقي أنه الإطار الـ front + +270 +00:25:29,450 --> 00:25:34,890 +كله بلاستيك، لكن الـ temple و الـ temple tip بتلاقي + +271 +00:25:34,890 --> 00:25:39,760 +مثلا الـ metal، أو العكس. Half eye، نص العين، بعض + +272 +00:25:39,760 --> 00:25:44,240 +الإطارات تلاقي نص اللي هو عين rimless أو semi + +273 +00:25:44,240 --> 00:25:49,180 +rimless، and pneumon، أي بمعنى بدون اللي هو rim، مافيش + +274 +00:25:49,180 --> 00:25:55,520 +حواف، للإطار. الـ ball grip، هناخده إن شاء الله فيما + +275 +00:25:55,520 --> 00:26:01,460 +بعد، إنه بيكون حاجة بنسميها notch، بمسك اللي هو + +276 +00:26:01,460 --> 00:26:05,580 +الإطار. طيب ناخد أول حاجة، + +277 +00:26:12,770 --> 00:26:19,030 +البلاستيك، made of some type of plastic material، + +278 +00:26:19,030 --> 00:26:25,010 +يعني مصنوع من بعض أنواع مادة البلاستيك. من اسمه، + +279 +00:26:25,010 --> 00:26:31,490 +occasionally، أحيانا، referred to as shell frames، + +280 +00:26:31,490 --> 00:26:36,510 +يعني في بعض الأحيان أنه بيشار لكل الإطار على أنه + +281 +00:26:36,510 --> 00:26:42,610 +إيش هو؟ plastic. Long time ago we were made of + +282 +00:26:42,610 --> 00:26:49,430 +tortoise shell، لكن إيه صار له اللي هو disuse، عارفين + +283 +00:26:49,430 --> 00:26:58,610 +أول ما تم صناعة إطار الـ plastic من أي مادة، عظم + +284 +00:26:58,610 --> 00:27:04,130 +اللي هو الصلحفة، تخيلوا يعني عظم اللي هو الظهر + +285 +00:27:04,130 --> 00:27:09,680 +الصلحفة. Tortoise، أي بمعنى اللي هو عظم ظهر الصلحفة، + +286 +00:27:09,680 --> 00:27:13,040 +لأنه بتكون أشمالها المادة يابسة، صح ولا لأ؟ + +287 +00:27:13,040 --> 00:27:19,620 +ماتينة، okay، فلكن هذه المادة أثر لها diffuse، أي + +288 +00:27:19,620 --> 00:27:24,320 +بمعنى إنه اختفت، يعني جعلت لفترة زمنية معينة، وبعد + +289 +00:27:24,320 --> 00:27:30,790 +ذلك تم اللي هو اختفاها. Another general term that + +290 +00:27:30,790 --> 00:27:38,130 +many still use for certain elastic frames is Zel + +291 +00:27:39,570 --> 00:27:45,550 +الآن لما الإطار يكون مصنوع من مادة plastic بشكل + +292 +00:27:45,550 --> 00:27:51,670 +عام، بنحكي عنها أن المادة هادي Zel كـ brand name أو + +293 +00:27:51,670 --> 00:27:56,330 +كـ commercial name، يعني اسم اللي هو تجارة، بنعرف هذا + +294 +00:27:56,330 --> 00:28:00,570 +الـ Zel، يعني بيشير أن المادة إيه؟ بلاستيكية، + +295 +00:28:00,570 --> 00:28:05,130 +مستوعبين معي؟ يعني بشكل عام كـ مصطلح اللي هو عام، + +296 +00:28:06,320 --> 00:28:12,500 +Since at one time، منذ فترة زمنية أو وقت، استخدموا + +297 +00:28:12,500 --> 00:28:18,940 +اللي هي مادة زيلونيت أو cellulose nitrate، was a + +298 +00:28:18,940 --> 00:28:23,880 +commonly used material، أصبحت مادة كانت ممتازة + +299 +00:28:23,880 --> 00:28:28,200 +وتستخدم اللي هو بشكل شائع في صناعة اللي هو + +300 +00:28:28,200 --> 00:28:33,400 +الإطارات اللي plastic. لكن وين المشكلة؟ قال لك بعد + +301 +00:28:33,400 --> 00:28:39,040 +فترة أن الـ Zelenite is highly flammable، أنه إيش؟ + +302 +00:28:39,040 --> 00:28:43,680 +صارت أو لاحظوا فيها أن قابلية الاشتعال بتاعتها + +303 +00:28:43,680 --> 00:28:49,440 +بتكون عالية كتير، يعني الإطار ممكن لو في نار قريبة + +304 +00:28:49,440 --> 00:28:54,740 +أن يصير اللي هو اشتعال له بشكل اللي هو كبير. And no + +305 +00:28:54,740 --> 00:28:59,740 +longer used for spectacle frames، أنتو عارفين في + +306 +00:28:59,740 --> 00:29:05,740 +هناك لازم كـ safety للإطار اللي بترتاح من الشخص، من + +307 +00:29:05,740 --> 00:29:10,400 +ضمنها أو من ضمن اللي هو طرق السلامة بتاعتها، أنه + +308 +00:29:10,400 --> 00:29:15,060 +لازم تكون اللي هو غير قابلة للاشتعال، فلما لاحظوا أن + +309 +00:29:15,060 --> 00:29:20,590 +هذه المادة، اللي هي عبارة عن الـ Zelonide، إنه قابل + +310 +00:29:20,590 --> 00:29:27,470 +للإشعال، بطلوا يستخدموا المادة هذه. The name Zel + +311 +00:29:27,470 --> 00:29:32,790 +continues to be used but usually refers to the + +312 +00:29:32,790 --> 00:29:37,750 +most commonly used plastic material, cellulose + +313 +00:29:37,750 --> 00:29:44,850 +acetate. بلد كلمة Zel موجودة، بتستخدم للإطارات اللي + +314 +00:29:44,850 --> 00:29:48,430 +بتصنع من مادة الـ plastic، لكن استخدموا material + +315 +00:29:48,430 --> 00:29:55,570 +جديد، اسمها cellulose acetate. Now، الآن with the + +316 +00:29:55,570 --> 00:30:01,410 +emergence of many new materials، في عندنا يعني مواد + +317 +00:30:01,410 --> 00:30:07,360 +اللي هو إيش مالها؟ متعددة أو كمية كبيرة من اللي هو + +318 +00:30:07,360 --> 00:30:12,180 +المواد الجديدة اللي بتستخدم في صناعة الإطارات، أنا + +319 +00:30:12,180 --> 00:30:17,380 +بتكلمها كـ plastic، okay، either the exact name of + +320 +00:30:17,380 --> 00:30:21,160 +the plastic material is used or the frame is + +321 +00:30:21,160 --> 00:30:26,480 +simply referred to a plastic. مع هذا التنوع، صار + +322 +00:30:26,480 --> 00:30:31,880 +عندنا فيه إيش؟ أنه سهولة في عملية اللي هو تمييز + +323 +00:30:31,880 --> 00:30:36,700 +المسميات، يعني الآن أنتو لو روحتوا لأي شركة أو أي + +324 +00:30:36,700 --> 00:30:42,000 +مركز بصريات، بيقول لك إن هذا الـ plastic قد يكون مثلا + +325 +00:30:42,000 --> 00:30:46,560 +مصنوع من أي مادة، اللي هو سليلوز أو اللي هو أسيتيت، + +326 +00:30:46,970 --> 00:30:52,850 +أو مثلا هذا أنه بتلاقي مادة معينة مصنوعة منها، يعني + +327 +00:30:52,850 --> 00:30:57,430 +بمعنى آخر، أنه أصبح كل شركة بتعرف مجموعة اللي هو + +328 +00:30:57,430 --> 00:31:00,970 +الإطارات الـ plastic، الـ material اللي مصنوعة منها، + +329 +00:31:00,970 --> 00:31:06,810 +okay، هي + +330 +00:31:06,810 --> 00:31:12,550 +عندنا الـ plastic material، okay، + +331 +00:31:12,550 --> 00:31:19,150 +في عندنا الـ metal، are made of all metal parts، يعني + +332 +00:31:19,150 --> 00:31:23,630 +كل أجزاء الإطار بتلاقيها إيش؟ معدنية، except + +333 +00:31:23,630 --> 00:31:28,430 +باستثناء من الـ nose pad، اللي هي المخدات، and the + +334 +00:31:28,430 --> 00:31:32,850 +posterior temple sections، أو بنسميها الـ temple tip، + +335 +00:31:32,850 --> 00:31:36,870 +اللي هتعمل التماس مع مين؟ مع الـ ear، أو هتكون over + +336 +00:31:36,870 --> 00:31:42,570 +the ear، which are plastic covered، طب ليش هتلاقيها + +337 +00:31:42,570 --> 00:31:44,530 +محاطة بـ plastic cover؟ + +338 +00:31:46,960 --> 00:31:54,380 +خوفا من أنه تعمل allergy لجلد المريض، أو خوفا من + +339 +00:31:54,380 --> 00:31:59,660 +أنه كمان ما تجرح اللي هو المريض، أو موضوع اللي هو + +340 +00:31:59,660 --> 00:32:03,960 +الراحة، كل هذا صح، بس بالأساس اللي هو موضوع عدم + +341 +00:32:03,960 --> 00:32:12,200 +الحدوث أي حساسية أو allergy للي هو الـ patient. The + +342 +00:32:12,200 --> 00:32:17,100 +eye wire runs completely around the lens، إيش + +343 +00:32:17,100 --> 00:32:21,020 +المقصود بالـ eye wire؟ اللي هي الـ rim، يعني الحواف، + +344 +00:32:21,020 --> 00:32:26,800 +هتكون محاطة بكل العدسة، هاي زي ما أنتو شايفين، هاي + +345 +00:32:26,800 --> 00:32:31,060 +عبارة عن الـ metal rim، كل أجزاءه عبارة عن metal، + +346 +00:32:31,060 --> 00:32:36,080 +باستثناء الـ nose pad و الـ temple tip، + +347 +00:32:40,280 --> 00:32:51,040 +طيب، nylon called frames، sometimes + +348 +00:32:51,040 --> 00:32:57,410 +called string، إيش معنى كلمة string؟ حبل أو خيط، + +349 +00:32:57,410 --> 00:33:04,610 +تمام؟ mounted frames or nylon subrace، أو بنسميها + +350 +00:33:04,610 --> 00:33:08,650 +اللي هي subra mount، تمام؟ يعني عبارة عن حبل، هذا + +351 +00:33:08,650 --> 00:33:13,010 +الحبل إيش؟ بيشد اللي هو العدسة، حتى أنه يمنع اللي + +352 +00:33:13,010 --> 00:33:19,250 +هو سقوطها. Hold the lenses in a place، أنه هيحافظ على + +353 +00:33:19,250 --> 00:33:24,610 +مكان العدسة، by means of a nylon cord that fits + +354 +00:33:24,610 --> 00:33:29,670 +around the edge of the lens، أنه هتظلها في داخل + +355 +00:33:29,670 --> 00:33:36,170 +اللي هو من الخيط، موجودة العدسة. This gives the + +356 +00:33:36,170 --> 00:33:42,270 +glasses the appearance of being rimless، أنه هذا + +357 +00:33:42,270 --> 00:33:46,650 +هيدّي الشكل أو مظهر على أنه هو إيش؟ rimless، إيش + +358 +00:33:46,650 --> 00:33:52,710 +يعني؟ without rim، بدون حافة. Usually the top of the + +359 +00:33:52,710 --> 00:33:57,430 +limbs، okay، it's fitted into the upper rim of the + +360 +00:33:57,430 --> 00:34:01,150 +frames، المنطقة العلوية إيش فيها؟ rim، هذا بنسميه + +361 +00:34:01,150 --> 00:34:07,300 +top rim، okay. The rest of the limbs has a small + +362 +00:34:07,300 --> 00:34:12,820 +groove، هل بنعمل حاجة بنسميها groove، عشان إيش؟ يدخل + +363 +00:34:12,820 --> 00:34:19,020 +الخيط في داخل مين؟ العدسة، عشان يمسك العدسة أو يمنع + +364 +00:34:19,020 --> 00:34:25,820 +سقوط العدسة. Cut into an otherwise flat edge، طبعا + +365 +00:34:25,820 --> 00:34:29,920 +قبل ما أعمل عملية اللي هو تدخيل للخيط في داخل + +366 +00:34:29,920 --> 00:34:34,910 +الجروف، لازم يكون flat، إيش الهدف يكون flat؟ أنه + +367 +00:34:34,910 --> 00:34:38,330 +ما يجرحش المريض، لأنه مش بيصير أن هو contact ما بين + +368 +00:34:38,330 --> 00:34:43,090 +العدسة وما بين الوجه، فالآن لو هذا كان رف خشن، + +369 +00:34:43,090 --> 00:34:48,910 +بتلاحظ أنه بسهولة إيش بيعمل؟ عملية جرح للمريض. نتوقف + +370 +00:34:48,910 --> 00:34:53,590 +إن شاء الله لهنا، في المحاضرة القادمة بنكمل في + +371 +00:34:53,590 --> 00:34:58,330 +موضوع الـ material اللي بتستخدم في صناعة اللي هو + +372 +00:34:58,330 --> 00:35:00,990 +إطارات النظارات. يعطيكم العافية. diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/asK7g5sg63Q_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/asK7g5sg63Q_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..aebf52ac602033fcff4d9d95675e499c91b29329 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/asK7g5sg63Q_postprocess.srt @@ -0,0 +1,1488 @@ +1 +00:00:21,240 --> 00:00:24,260 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:24,260 --> 00:00:25,440 +وبركاته ورحمة الله وبركاته ورحمة الله وبركاته + +3 +00:00:25,440 --> 00:00:28,100 +ورحمة الله وبركاته ورحمة الله وبركاته ورحمة الله + +4 +00:00:28,100 --> 00:00:28,680 +وبركاته ورحمة الله وبركاته ورحمة الله وبركاته + +5 +00:00:28,680 --> 00:00:32,440 +ورحمة الله وبركاته ورحمة الله وبركاته ورحمة الله + +6 +00:00:32,440 --> 00:00:37,720 +وبركاته ورحمة الله وبركاته ورحمة الله وبركاته + +7 +00:00:37,720 --> 00:00:39,620 +ورحمة الله وبركاته ورحمة الله وبركاته ورحمة الله + +8 +00:00:39,620 --> 00:00:49,200 +وبركاته + +9 +00:00:49,200 --> 00:00:56,800 +وThe frame is that portion of the spectacles، إذا + +10 +00:00:56,800 --> 00:01:04,160 +الإطار هو جزء من النضارة تمام؟ That holds the + +11 +00:01:04,160 --> 00:01:09,960 +lenses، بيعمل عملية مسك أو عملية حمل لمين للعدسات + +12 +00:01:11,530 --> 00:01:16,870 +containing the ophthalmic prescription بيحتوي على + +13 +00:01:16,870 --> 00:01:23,230 +الوصفة العينية أو الوصفة الطبية اللي تم إجراءها من + +14 +00:01:23,230 --> 00:01:30,430 +قبل أخصائي البصريات in their proper position بحيث + +15 +00:01:30,430 --> 00:01:36,190 +إنه تكون بمكان مناسب أو مكان ملائم in front of the + +16 +00:01:36,190 --> 00:01:38,190 +eyes أمام اللي هو العين + +17 +00:01:42,460 --> 00:01:47,840 +A frame generally consists of الـ frame بشكل عام + +18 +00:01:47,840 --> 00:01:49,380 +يتكون من + +19 +00:01:55,360 --> 00:02:00,000 +which in one form or another contains the lenses + +20 +00:02:00,000 --> 00:02:03,720 +يعني في عندنا الجزء الأمامي من اللي هو الإطار + +21 +00:02:03,720 --> 00:02:09,900 +بيكون له شكل معين أو في شكل آخر يعني بمعنى آخر لو + +22 +00:02:09,900 --> 00:02:15,580 +أنا شفت إطار دائر ممكن أيضا يكون في هناك شكل مربع + +23 +00:02:15,580 --> 00:02:20,300 +أو شكل مثلا اللي هو مستطيل إلى آخره هذا كله إيش + +24 +00:02:20,300 --> 00:02:23,360 +بنسميه؟ بيسمى ب + +25 +00:02:26,130 --> 00:02:32,130 +Chases، إيش معناته؟ Chases بمعنى الهيكل العام + +26 +00:02:32,130 --> 00:02:37,890 +للإطار، يعني الآن لو أنا امسكت إطار ورفعت منه + +27 +00:02:37,890 --> 00:02:43,410 +العدسات كلهيتها، بظل عبارة عن هيكل عام أو ال front + +28 +00:02:43,410 --> 00:02:48,650 +view، صح ولا لأ؟ هذا ال front بنسميه Chases أو + +29 +00:02:48,650 --> 00:02:52,290 +بنسميه الهيكل العام للإطار، okay؟ + +30 +00:02:55,920 --> 00:03:00,720 +the temples، إيش المقصود بال temples؟ أي بمعنى ال + +31 +00:03:00,720 --> 00:03:06,320 +side، ال side بتاعون النضارة، تمام؟ إذا the + +32 +00:03:06,320 --> 00:03:13,860 +temples hook over the ears، إنه بنسكه من هنا، من + +33 +00:03:13,860 --> 00:03:19,470 +القدم صح ولا لأ؟to help hold the spectacles in + +34 +00:03:19,470 --> 00:03:23,850 +place طيب ليش هم مابيظلهم حوالين اللي هو over the + +35 +00:03:23,850 --> 00:03:28,910 +ear عشان انه يظل النضارة ثابتة او العدسات ثابتة + +36 +00:03:28,910 --> 00:03:33,430 +امام عين ال patient استقابلين معاك؟ اذا عندنا ال + +37 +00:03:33,430 --> 00:03:41,450 +temples تمام او ال two sidesبتلاقيهم انه مسكين + +38 +00:03:41,450 --> 00:03:48,330 +بالعدسات الأمامية للعين الهدف منها انه تضل العدسات + +39 +00:03:48,330 --> 00:03:50,810 +in front of the patient eye + +40 +00:03:55,000 --> 00:03:59,940 +frames occasionally don't have temples بعض + +41 +00:03:59,940 --> 00:04:05,140 +الإطارات أحيانا بيكونش فيه إلها أية temples أو أية + +42 +00:04:05,140 --> 00:04:10,020 +size صح ولا لأ يعني بتلاقي إنه معتمدة فقط على ال + +43 +00:04:10,020 --> 00:04:14,540 +nose pad أو فيها hand held إيش يعني hand held زي + +44 +00:04:14,540 --> 00:04:22,430 +المكبر زي ال magnifier بنمسكها نشوف كيفheld in a + +45 +00:04:22,430 --> 00:04:27,410 +place by pressure on the sides of the nose يعني + +46 +00:04:27,410 --> 00:04:34,210 +بتلاقي ان اعتماد او ثبات العدسة امام العين بيعتمد + +47 +00:04:34,210 --> 00:04:38,270 +بالاساس عمين على ال nose pad يعني ال nose pad + +48 +00:04:38,270 --> 00:04:42,630 +بتلاقي هي اللي ضاغطة عمين على الأنف عشان تثبت + +49 +00:04:42,630 --> 00:04:46,590 +النضارة امام العين هد شو بنسميها? + +50 +00:04:49,420 --> 00:04:54,520 +بنز نز أي بمعنى اللي هي نضارة أنفية أو نضارة + +51 +00:04:54,520 --> 00:05:00,920 +الأنفيات المسمتها بتكون زي الصورة هذه شايفينها؟ في + +52 +00:05:00,920 --> 00:05:06,720 +لها تمبل، side؟ لأ، في لها إيش؟ nose pad ال nose + +53 +00:05:06,720 --> 00:05:10,840 +pad هي اللي بتعمل pressure على ال nose عشان تظل + +54 +00:05:10,840 --> 00:05:14,640 +العدستين in front of the patient eye + +55 +00:05:17,480 --> 00:05:24,020 +النوع التاني by attachment to another frame يمكن + +56 +00:05:24,020 --> 00:05:28,800 +هنا أوضح أنا جبتلكم صورة أوضح شايفين الآن هذه + +57 +00:05:28,800 --> 00:05:34,970 +النضارة تمام هذه ال clipبتلاقي مثلا الان انا بلبس + +58 +00:05:34,970 --> 00:05:41,210 +نضارة فيها refractive error بدي اطلع في الشمس بدي + +59 +00:05:41,210 --> 00:05:45,370 +اخليها فيها photo brown او photo grey بنزل ال clip + +60 +00:05:45,370 --> 00:05:51,130 +هذا عشان ايش انه تتقلل من كمية الضوء اللي داخلة او + +61 +00:05:51,130 --> 00:05:55,670 +تحجب اللي هو أشعة الشمس اللي داخلة للعين فهذه + +62 +00:05:55,670 --> 00:06:03,710 +بنسميها clip onتمام؟ clip-ons بالضبط اللي هي زي + +63 +00:06:03,710 --> 00:06:08,290 +اللي هو القصاصة نضارة اللي هو قصاصة يعني بتلاقي ان + +64 +00:06:08,290 --> 00:06:16,110 +مضاف لها clip او بمعنى slide جديد يعني الآن هاي ال + +65 +00:06:16,110 --> 00:06:21,310 +frame الأساسي هو هذا ال clip مضاف لمين؟ للنضارة + +66 +00:06:21,310 --> 00:06:21,930 +الأصلية + +67 +00:06:26,080 --> 00:06:33,220 +Or by being held in the hand بنسميها laryngitis + +68 +00:06:33,220 --> 00:06:38,320 +Laryngitis أي بمعنى ايش؟ انه زي hand held او مكبر + +69 +00:06:38,320 --> 00:06:41,840 +فاكرين المكبر اللي كنا نستخدمه و احنا صغار؟ ال + +70 +00:06:41,840 --> 00:06:45,500 +magnifier نفس الحاجة بس هان ايش؟ اللي هو both eyes + +71 +00:06:46,060 --> 00:06:50,740 +المكبر هذا تمسكيه بالشكل هذا و بترفعه طبعا في لها + +72 +00:06:50,740 --> 00:06:54,060 +فكرة تانية اللي هي ال flicker lenses يمكن لسه + +73 +00:06:54,060 --> 00:06:56,820 +انتوا مااخدتوها اللي هي موضوع انه تعملي + +74 +00:06:56,820 --> 00:07:00,740 +stimulation او تعملي relaxation لل accommodation + +75 +00:07:00,740 --> 00:07:05,700 +من خلالها هذه بنسميها عبارة عن ال orgnitis اللي هي + +76 +00:07:05,700 --> 00:07:11,700 +اجلاسيز يعني التلت انواع هدول ما بيحتووا على ال + +77 +00:07:11,700 --> 00:07:15,160 +temple او ما بيحتووا على ال side تمام؟ + +78 +00:07:19,190 --> 00:07:25,930 +طيب نيجي الآن ال frame ال front ال + +79 +00:07:25,930 --> 00:07:30,130 +frame ال front تمام + +80 +00:07:30,130 --> 00:07:34,430 +في عندنا أول حاجة the bridge ايش المقصود بال + +81 +00:07:34,430 --> 00:07:42,140 +bridge؟ ايه؟ لأ ال bridge اللي هو الجسريعني الجسر + +82 +00:07:42,140 --> 00:07:47,220 +اللى واصل ما بين العدساتين تمام هذا بنسميه bridge + +83 +00:07:47,220 --> 00:07:52,480 +the area of the frame a front between the lenses + +84 +00:07:52,480 --> 00:07:57,280 +that rest on the nose دايما حتى بتلاحظوا بعض الناس + +85 +00:07:57,280 --> 00:08:01,660 +خاصة فى النضارات القديمة بتعلمها المنطقة صح ولا لا + +86 +00:08:01,660 --> 00:08:09,970 +هذه نتيجة مين ال bridgeبيكون عامل التساق مع اللي + +87 +00:08:09,970 --> 00:08:17,450 +هو الأنف شايفين هاي المساحة اللي واصلة ما بين + +88 +00:08:17,450 --> 00:08:23,710 +العدستين ال right وال left eyes تسمى bridge طبعا + +89 +00:08:23,710 --> 00:08:29,190 +هذه إيش بتمثل ال front view أو ال front المنطقة + +90 +00:08:29,190 --> 00:08:29,870 +الأمامية + +91 +00:08:33,720 --> 00:08:38,520 +I wire او ال rim ال rim ايش المقصود فيها الحافة + +92 +00:08:38,520 --> 00:08:46,440 +يعني الآن هاي الحافة اللي ماسك مين العدسة طبعا ال + +93 +00:08:46,440 --> 00:08:50,820 +rim ايش الهدف منها انه ماتخليش العدسة تسقط من + +94 +00:08:50,820 --> 00:08:56,340 +الإطار okay يعني بمعنى اخر انه تمسك اللي هو العدسة + +95 +00:08:56,340 --> 00:08:57,940 +خوفا من سقوطها + +96 +00:09:00,340 --> 00:09:04,760 +the parts of the frame هي تعتبر أجزاء من مين من + +97 +00:09:04,760 --> 00:09:10,840 +الإطار front that surround أنه بتكون محاطة and + +98 +00:09:10,840 --> 00:09:16,120 +support the lenses وبتعمل عملية دعم للعدسات either + +99 +00:09:16,120 --> 00:09:22,380 +partially تمام ممكن يكون بشكل جزءي كتير مية في + +100 +00:09:22,380 --> 00:09:25,820 +المية نص إطار هذا إيش بنسميه subra mount + +101 +00:09:31,400 --> 00:09:37,880 +mount تمام انه بيكون الجزء اللي أسفل عبارة عن خيط + +102 +00:09:37,880 --> 00:09:43,520 +الخيط بنعمله حاجة بنسميها groove تمام عشان يحشر + +103 +00:09:43,520 --> 00:09:47,560 +اللي هو العدسة يعني بيصير الخيط هذا في داخل من + +104 +00:09:47,560 --> 00:09:53,900 +العدسة هناخده فيما بعد مش موضوعنا الآن okay طيب + +105 +00:09:53,900 --> 00:09:57,160 +ممكن يكون partially زي ما قلنا ال super mount + +106 +00:09:57,160 --> 00:10:03,230 +صلحوا كلمة oror entirely انه بيكون كله بشكل اللي + +107 +00:10:03,230 --> 00:10:08,690 +هو كامل يعني بمعنى ان ال rim محاط بالعدسة بشكل + +108 +00:10:08,690 --> 00:10:16,890 +اللي هو كامل طيب عندنا ايضا ال end pieces the + +109 +00:10:16,890 --> 00:10:23,490 +outer area of the frame front to the extreme left + +110 +00:10:23,490 --> 00:10:28,440 +and right where the temples attachالـ M pieces + +111 +00:10:28,440 --> 00:10:33,360 +بتكون المنطقة الخارجية من اللي هو ال front ال + +112 +00:10:33,360 --> 00:10:38,840 +frame وهذه بتكون معناها انه extreme محاطة من اللي + +113 +00:10:38,840 --> 00:10:44,320 +هو ال right و ال left الآن انا بتكلم كله على ايش؟ + +114 +00:10:44,320 --> 00:10:51,240 +الأجزاء الأمامية او ما يخص باللي هو ال chases او + +115 +00:10:51,240 --> 00:10:59,980 +ال frameSome frames have nose base بعض من الإطارات + +116 +00:10:59,980 --> 00:11:03,680 +بيكون اللي لها إيش المخدات بتاعتها صح ال nose base + +117 +00:11:03,680 --> 00:11:09,640 +عشان تعمل إيش ارتياح على اللي هو الأنف which are + +118 +00:11:09,640 --> 00:11:14,300 +plastic وبيكون مصنوعة من مادة ال plastic pieces + +119 +00:11:14,300 --> 00:11:21,070 +that rest on the nose to support the frameوبتعمل + +120 +00:11:21,070 --> 00:11:25,610 +اللي هو ضغط على الأنف وبتعمل عملية دعم لمن؟ للإطار + +121 +00:11:25,610 --> 00:11:31,570 +طبعا كل الهدف ليش؟ عشان أحاول الحفاظ على العدسات + +122 +00:11:31,570 --> 00:11:32,310 +أمام العين + +123 +00:11:35,210 --> 00:11:40,410 +This may be directly attached to the frame يعني + +124 +00:11:40,410 --> 00:11:46,170 +ممكن بعض من الإطارات أنه بتكون ال nose pad مرتبطة + +125 +00:11:46,170 --> 00:11:53,270 +بشكل إيش مباشر مع اللي هو مين ال rim صحيح طبعا هذه + +126 +00:11:53,270 --> 00:11:57,630 +في العدسات القديمة أو في النضارات القديمة عفوا لكن + +127 +00:11:57,630 --> 00:12:02,010 +الآن في النضارات الحديثة بتلاحظ أنه في إيش قطعة + +128 +00:12:02,010 --> 00:12:08,140 +معدنيةبتكون هي نقطة الوصل ما بين ال nose pad و ما + +129 +00:12:08,140 --> 00:12:14,200 +بين اللي هو ال rim اذا او to connecting metal + +130 +00:12:14,200 --> 00:12:22,380 +pieces known as guard armsor bad arms يعني و كأنه + +131 +00:12:22,380 --> 00:12:27,400 +قطعة معدنية هذه بتكون حامية لمين او داعمة اكتر ل + +132 +00:12:27,400 --> 00:12:34,080 +ال nose bad الخاصة بالنضارة الطبية معظم النضارات + +133 +00:12:34,080 --> 00:12:38,800 +الحديثة الآن بتلاحظ ان ال nose bad فيه القطعة هذه + +134 +00:12:38,800 --> 00:12:43,160 +اللي هي ال guard arms او بنسميها ال bad arms اللي + +135 +00:12:43,160 --> 00:12:47,100 +بتعمل connection ما بين ال nose bad و ما بين مين + +136 +00:12:47,100 --> 00:12:47,540 +ال rim + +137 +00:12:52,990 --> 00:12:57,310 +طبعا هان في عندنا أيضا اللي هو ال shield ايش + +138 +00:12:57,310 --> 00:13:03,110 +المعناة اللي هو ال shield؟ بمعنى اللي هو درع يعني + +139 +00:13:03,110 --> 00:13:07,450 +بعض من اللي هو النضارات تمام بتلاقي ان فيه لها + +140 +00:13:07,450 --> 00:13:18,280 +shield اي الندبة ايوة تمام هاي عندنا ال shieldمن + +141 +00:13:18,280 --> 00:13:24,260 +هنا بتلاحظ انه ايش هي عاملة هنا في حاجة اسمها اللي + +142 +00:13:24,260 --> 00:13:31,560 +هو المفصل شايفينه مفصل اللي هو النضارة هذا ال + +143 +00:13:31,560 --> 00:13:37,940 +shield الدرع بينسك اللي هو المفصل بتاعه تمام وبرضه + +144 +00:13:37,940 --> 00:13:41,800 +ايش ملاحظين شغل تانية من ناحية جمالية مش ميعطي + +145 +00:13:41,800 --> 00:13:47,230 +جمال للإطارإنه دايما موضوع اللي هو ال shield غير + +146 +00:13:47,230 --> 00:13:51,030 +إنه بيمسك اللي هو المفصل إنه قد يكون فقط من ناحية + +147 +00:13:51,030 --> 00:13:56,930 +جمالية للنطارة حكينا + +148 +00:13:56,930 --> 00:14:02,970 +ال I wire أو ال rim، nose pad، in piece وعنا ال + +149 +00:14:02,970 --> 00:14:10,740 +bridge و اللي هو ال shieldA few plastic frames may + +150 +00:14:10,740 --> 00:14:18,980 +still have a metal shield.إذا بعض من أو عدد قليل + +151 +00:14:18,980 --> 00:14:22,860 +من اللي هو النضارات اللي plastic بيكون لها metal + +152 +00:14:22,860 --> 00:14:27,340 +اللي هو ال shield اللي شفناه في نضارة ازملتكم On + +153 +00:14:27,340 --> 00:14:32,260 +the front of the in-piece في نهاية اللي هو ال in + +154 +00:14:32,260 --> 00:14:35,100 +-piece To which Reeves + +155 +00:14:38,090 --> 00:14:42,450 +بكون زي اللي هو المسامير، زي شكله زي المصمار و + +156 +00:14:42,450 --> 00:14:46,530 +كأنه مكبوس كبس، صح ولا لأ؟ يعني هان كلمة اللي هو + +157 +00:14:46,530 --> 00:14:51,090 +reels بمعنى اللي هو كأنه مصمار، ماسك اللي هو من + +158 +00:14:51,090 --> 00:14:58,290 +المفصل، are attached to hold the hinge عشان يحافظ + +159 +00:14:58,290 --> 00:15:02,640 +على المفصل في مكانهواضح الفكرة؟ اذا بعض من + +160 +00:15:02,640 --> 00:15:08,480 +الإطارات الطبية بيكون لها موضوع ال shield او الدرع + +161 +00:15:08,480 --> 00:15:13,820 +طبعا بيكون ماسك من المفصل كيف ماسكه من خلال اللي + +162 +00:15:13,820 --> 00:15:18,280 +هو المسامير عشان يحافظ على مكانه والشغل التاني انه + +163 +00:15:18,280 --> 00:15:27,180 +قد يكون فقط من ناحية جمالية okay هان عند صورة يمكن + +164 +00:15:27,180 --> 00:15:34,670 +اوضح حديكمي ان شاء الله فيما بعدال frame of France + +165 +00:15:34,670 --> 00:15:40,230 +تمام؟ أجزاءه هي عندنا ال rim هي عندنا ال nose pad + +166 +00:15:40,230 --> 00:15:43,970 +عندنا ال bridge عندنا ال temple عندنا ال temple + +167 +00:15:43,970 --> 00:15:51,250 +tip تمام؟ في عندنا أيضا اللي هو ال hinge و اللي هو + +168 +00:15:51,250 --> 00:15:59,260 +الموضوع اللي حكينا ال what I callتمام و بالاضافة + +169 +00:15:59,260 --> 00:16:03,720 +لالهو كل هيتا إيش بنسميها عبارة عن اللي هو ال + +170 +00:16:03,720 --> 00:16:13,460 +chassis أي بمعنى الهيكل العام لالنطارة تمام okay + +171 +00:16:13,460 --> 00:16:21,540 +the hinges أي بمعنى اللي هو المفصل hold the + +172 +00:16:21,540 --> 00:16:26,870 +temples to the front إذا بيعمل عملية مسك لمين؟لأ + +173 +00:16:26,870 --> 00:16:33,250 +اللي هو timbles and consist of بتكون من عدد فردي + +174 +00:16:33,250 --> 00:16:39,630 +odd number ليش طيب؟ of interfitting barrels إيش + +175 +00:16:39,630 --> 00:16:44,450 +معناه interfitting barrels؟يعني عشان يكون التركيب + +176 +00:16:44,450 --> 00:16:49,630 +بتاعه مناسب او ملائم تمام The total number being + +177 +00:16:49,630 --> 00:16:54,330 +three, five or seven يعني اطلعوا معيهان في الصورة + +178 +00:16:54,330 --> 00:16:59,170 +هلجيت هي المقصود في مين؟ في الهنج الآن في اكم + +179 +00:16:59,170 --> 00:17:05,770 +واحد؟ واحد اتنين تلاتة اربعة خمسةصح ولا لأ؟ إذا هو + +180 +00:17:05,770 --> 00:17:11,050 +دايما بيكون عدده فردي إما تلاتة أو خمسة أو سبعة، + +181 +00:17:11,050 --> 00:17:16,010 +اتنين هيهم بالشكل هذا وإن هي واحد okay واتنين + +182 +00:17:16,010 --> 00:17:17,950 +امثبتين مين ال temple + +183 +00:17:21,050 --> 00:17:25,950 +طيب لو كان تلاتة هتلاحظ انه فقط ايش فيه انا واحد + +184 +00:17:25,950 --> 00:17:29,950 +اتنين والتالت هو المثبت مين ال temple خاصة هذه وين + +185 +00:17:29,950 --> 00:17:32,730 +بتكون موجودة في ال rimless اللي هي ال lenses + +186 +00:17:32,730 --> 00:17:37,230 +العدسات اللي بتكون بدون اطار بدون حثة عفوا بدون + +187 +00:17:37,230 --> 00:17:41,590 +rim طيب + +188 +00:17:41,590 --> 00:17:47,950 +عندنا hinges may vary in construction ربما تكون + +189 +00:17:47,950 --> 00:17:54,380 +مختلفة من ناحية ايش التركيبFour simplicity لكن + +190 +00:17:54,380 --> 00:18:00,240 +اببساطة are usually classified by the total number + +191 +00:18:00,240 --> 00:18:06,880 +of barrels they have when assembled, such as a + +192 +00:18:06,880 --> 00:18:11,980 +three barrel hingeلكن ببساطة انه يمكن اللي هو + +193 +00:18:11,980 --> 00:18:16,760 +استخدامها من خلال عملية اللي هو تصنيف إيش عدد اللي + +194 +00:18:16,760 --> 00:18:20,940 +هي ال barrel ال barrel أي بمعنى tube الانبوب يعني + +195 +00:18:20,940 --> 00:18:26,460 +شايفين شكله كإنه عبارة عن اللي هو ال tube تمام؟ + +196 +00:18:26,460 --> 00:18:32,720 +عشان نقدر نحدد قداش قيمة ال odd number أو قداش عدد + +197 +00:18:32,720 --> 00:18:36,540 +اللي هو الهنج هل هو تلاتة، خمسة أو سبعة + +198 +00:18:39,720 --> 00:18:44,400 +يعني هان لو جبتلكم الصورة هذه إيش بتمثل؟ في عندنا + +199 +00:18:44,400 --> 00:18:50,580 +five hinges تمام وفي عندنا تعتبر اللي هو barrel + +200 +00:18:50,580 --> 00:18:55,620 +free صح ولا لأ يعني بمعنى آخر أنه في عندك اللي هو + +201 +00:18:55,620 --> 00:19:00,240 +ال barrel اللي هي الأنبوب بتلاقيه حر مافيش فيه أية + +202 +00:19:00,240 --> 00:19:06,000 +اللي هو attachment طيب + +203 +00:19:06,000 --> 00:19:07,500 +عندنا temples + +204 +00:19:09,720 --> 00:19:14,640 +Hinged extensions connected to the frame اذا هو + +205 +00:19:14,640 --> 00:19:20,640 +بيكون الهنج او المفصل امتداد لمين؟ لا اللي هو ال + +206 +00:19:20,640 --> 00:19:25,440 +timble صح ولا لا؟ مش الآن ال timble موجود، اذا + +207 +00:19:25,440 --> 00:19:32,580 +الهنج او المفصل هو امتداد له front that extends to + +208 +00:19:32,580 --> 00:19:37,340 +the ears وبعمل عملية اللي هو support او بعمل عملية + +209 +00:19:37,340 --> 00:19:43,310 +اللي هو دعمfor support ending in ear pieces that + +210 +00:19:43,310 --> 00:19:47,910 +counter around the ears اذا بعمل عملية دعم للتمبل + +211 +00:19:47,910 --> 00:19:54,910 +عشان يصلوين للأذن ويكون اللي هو ال تمبل tip أو ال + +212 +00:19:54,910 --> 00:19:59,630 +in pieces حوالين اللي هو مين over the ear حوالين + +213 +00:19:59,630 --> 00:20:05,230 +اللي هو أذن ال patient طيب + +214 +00:20:05,230 --> 00:20:12,520 +عندنا the botأو بنسمي put in the portion of the + +215 +00:20:12,520 --> 00:20:16,220 +temple يعني هو عبارة عن جزء من مين؟ من ال temple + +216 +00:20:16,220 --> 00:20:22,120 +okay that is nearest its attachment to the front + +217 +00:20:22,120 --> 00:20:30,100 +أقرب منطقة لأ ل front chassis هي عبارة عن ال bot + +218 +00:20:30,100 --> 00:20:34,700 +portionيعني مش احنا دايما ال front اللي هي المنطقة + +219 +00:20:34,700 --> 00:20:37,420 +الأمامية، يعني الآن مثلا هي بتبقى بتطلع عليا + +220 +00:20:37,420 --> 00:20:42,180 +المنطقة الأمامية لعينها هلجيت أقرب حاجة للمنطقة + +221 +00:20:42,180 --> 00:20:45,620 +الأمامية هذه هي عبارة عن مين؟ ال bot end أو ال bot + +222 +00:20:45,620 --> 00:20:48,900 +portion اللي بتكون ملتصقة في مين؟ في ال temple + +223 +00:20:52,800 --> 00:20:57,680 +عنا the pinned the place on the temple where it + +224 +00:20:57,680 --> 00:21:04,280 +first bends down to go over the ear الآن لحد دي + +225 +00:21:04,280 --> 00:21:08,620 +المنطقة هذه بصير عبارة عن bend أو بصير زي كأنه + +226 +00:21:08,620 --> 00:21:13,720 +curve منحنى صح ولا لأ المنحنى هذا بيصير ليش؟ عشان + +227 +00:21:13,720 --> 00:21:20,540 +يصير ال .. ال temple tip + +228 +00:21:21,370 --> 00:21:26,070 +when over the ear صح ولا لأ؟ لحد المنطقة هذه + +229 +00:21:26,070 --> 00:21:33,510 +بنسميها اللي هو ال bend the + +230 +00:21:33,510 --> 00:21:40,690 +shank or shaft اللي هو عبارة عن زي كأنه ساق صح ولا + +231 +00:21:40,690 --> 00:21:46,570 +لأ؟ هذه كلها المنطقة عبارة عن ساق بنسميها shank or + +232 +00:21:46,570 --> 00:21:51,400 +shaftthe portion of the temple أيضا هي جزء من + +233 +00:21:51,400 --> 00:21:56,660 +التمبل between the button and the bend اللي هي + +234 +00:21:56,660 --> 00:22:00,580 +اللي بتكون واصلة ما بين ال butt portion و ال bend + +235 +00:22:00,580 --> 00:22:06,140 +أو ال curve the + +236 +00:22:06,140 --> 00:22:14,040 +ear pieceأو بنسميها ال bent down portion أو + +237 +00:22:14,040 --> 00:22:20,320 +الكوران the portion beyond the bent and behind the + +238 +00:22:20,320 --> 00:22:24,400 +ear هلجيت المنطقة هذه اللي هي ال temple tip أو + +239 +00:22:24,400 --> 00:22:28,140 +بنسميها ال ear piece المنطقة اللي بتكون over the + +240 +00:22:28,140 --> 00:22:34,360 +ear اللي بتكون حوالين من الأذن اللي تمسك اللي هو + +241 +00:22:34,360 --> 00:22:38,400 +ال glasses أو ال spectacle عشان تمنع من اللي هو + +242 +00:22:38,400 --> 00:22:44,460 +سقوطهاOkay يعني ال another name أو ال synonyms ل + +243 +00:22:44,460 --> 00:22:50,340 +ال temple tip إما بتسمى ال ear piece أو ال bent + +244 +00:22:50,340 --> 00:22:57,180 +down portion أو الكورل هاي اللي هو التلت مسميات أو + +245 +00:22:57,180 --> 00:23:05,560 +الأربع مسميات لها okay okay + +246 +00:23:05,560 --> 00:23:13,330 +a frame typesأنواع الإطار الـ frames can be + +247 +00:23:13,330 --> 00:23:18,470 +classified يمكن تصنيف الإطارات in a simplified + +248 +00:23:18,470 --> 00:23:25,270 +manner بطريقة مبسطة okay by one of the following + +249 +00:23:25,270 --> 00:23:30,930 +categories of frames or mountings الآن إيش الفرق + +250 +00:23:30,930 --> 00:23:34,270 +ما بين ال frame و ال mounting + +251 +00:23:37,230 --> 00:23:42,090 +يما يكون يا جماعة full rim هذا بنسميه الهو frame + +252 +00:23:42,090 --> 00:23:49,350 +تمام؟ يما يكون half rim يعني مش كله يعني جزء منه + +253 +00:23:49,350 --> 00:23:53,510 +اللي هو rim half و الجزء التاني خير هذا بنسميه + +254 +00:23:53,510 --> 00:23:58,530 +mounting يما يكون كله عبارة عن بنسميه rimless + +255 +00:23:58,530 --> 00:24:04,080 +lenses يعني بدون أي تحفة هذا بنسميه mountingصعبين + +256 +00:24:04,080 --> 00:24:09,380 +معناه يعني ال frame هو الأساس اللى هو بيمثل كل ال + +257 +00:24:09,380 --> 00:24:14,880 +rim لكن ال mounting عبارة عن جزء من مين من ال + +258 +00:24:14,880 --> 00:24:20,220 +frame بيمثل اما ال rimless يعني بيكونش اية حثة + +259 +00:24:20,220 --> 00:24:26,560 +تمام ماسكة بالعدسة أو ال sub rimless اللى هي بس + +260 +00:24:26,560 --> 00:24:29,880 +بالخيط جزء من فوق بيكون فيه rim والجزء التاني + +261 +00:24:29,880 --> 00:24:36,110 +بيكون عبارة عن خيطفعندنا الإطارات يمكن تصنيفها على + +262 +00:24:36,110 --> 00:24:42,830 +إنه هي إما frame أو بتكون mountings طيب عندنا ال + +263 +00:24:42,830 --> 00:24:47,910 +material اللي مصنعة منها الإطارات إما ال plastic + +264 +00:24:47,910 --> 00:24:53,470 +وحناخد اللي هو تاريخ ال plastic كيف بعد ذلك عندنا + +265 +00:24:53,470 --> 00:24:59,430 +ال metal تمام عندنا ال nylon cord ال frames أو + +266 +00:24:59,430 --> 00:25:01,910 +بنسميها الصبرة + +267 +00:25:06,840 --> 00:25:16,040 +Mount أو نسميها نيلون كورد frames عندنا ال + +268 +00:25:16,040 --> 00:25:23,870 +combination ما بين مين و مينمابين ال plastic و ال + +269 +00:25:23,870 --> 00:25:29,450 +metal يعني بعض العدسات بتلاقي انه الإطار ال front + +270 +00:25:29,450 --> 00:25:34,890 +كلها بلاستيك لكن ال temple و ال temple tip بتلاقي + +271 +00:25:34,890 --> 00:25:39,760 +مثلا ال metal او العكسHalf eye نص العين بعض + +272 +00:25:39,760 --> 00:25:44,240 +الإطارات تلاقي نص اللي هو عين rimless أو semi + +273 +00:25:44,240 --> 00:25:49,180 +rimless and pneumon أي بمعنى بدون اللي هو رم مافيش + +274 +00:25:49,180 --> 00:25:55,520 +حواف للإطار ال ball grip هناخده ان شاء الله فيما + +275 +00:25:55,520 --> 00:26:01,460 +بعد انه بيكون حاجة بنسميها notch بمسك اللي هو + +276 +00:26:01,460 --> 00:26:05,580 +الإطار طيب ناخد أول حاجة + +277 +00:26:12,770 --> 00:26:19,030 +البلاستيك made of some type of plastic material + +278 +00:26:19,030 --> 00:26:25,010 +يعني مصنوع من بعض أنواع مادة البلاستيك من اسمه + +279 +00:26:25,010 --> 00:26:31,490 +occasionally أحيانا referred to as shell frames + +280 +00:26:31,490 --> 00:26:36,510 +يعني في بعض الأحيان أنه بيشار لكل الإطار على أنه + +281 +00:26:36,510 --> 00:26:42,610 +إيش هو plasticlong time ago we were made of + +282 +00:26:42,610 --> 00:26:49,430 +tortoise shell لكن ايه صارله اللي هو disuse عارفين + +283 +00:26:49,430 --> 00:26:58,610 +اول ما تم صناعة اطار ال plastic من اي مادة عضم + +284 +00:26:58,610 --> 00:27:04,130 +اللي هو الصلحفة تخيلوا يعني عضم اللي هو الظهر + +285 +00:27:04,130 --> 00:27:09,680 +الصلحفةTortoise أي بمعنى اللي هو عضم ظهر الصلحفة، + +286 +00:27:09,680 --> 00:27:13,040 +لأنه بتكون أشمالها المادة يابسة، صح ولا لا؟ + +287 +00:27:13,040 --> 00:27:19,620 +ماتينة، okay فلكن هذه المادة أثر لها diffuse أي + +288 +00:27:19,620 --> 00:27:24,320 +بمعنى إنه اختفت، يعني جعلت لفترة زمنية معينة، وبعد + +289 +00:27:24,320 --> 00:27:30,790 +ذلك تم اللي هو اختفاهاAnother general term that + +290 +00:27:30,790 --> 00:27:38,130 +many still use for certain elastic frames is زل + +291 +00:27:39,570 --> 00:27:45,550 +الان لما الاطار يكون مصنوع من مادة plastic بشكل + +292 +00:27:45,550 --> 00:27:51,670 +عام بنحكي عنها ان المادة الهادئ زل ك brand name او + +293 +00:27:51,670 --> 00:27:56,330 +ك commercial name يعني اسم اللي هو تجارة بنعرف هذا + +294 +00:27:56,330 --> 00:28:00,570 +الـ zel يعني بيشير ان المادة ايه بلاستيكية، + +295 +00:28:00,570 --> 00:28:05,130 +استقابلين معي؟ يعني بشكل عام كمصطلح اللي هو عام + +296 +00:28:06,320 --> 00:28:12,500 +Since at one time منذ فترة زمنية او وقت استخدموا + +297 +00:28:12,500 --> 00:28:18,940 +اللي هي مادة زينينايت او cellose nitrate was a + +298 +00:28:18,940 --> 00:28:23,880 +commonly used material أصبحت مادة كانت ممتازة + +299 +00:28:23,880 --> 00:28:28,200 +وتستخدم اللي هو بشكل شائع في صناعة اللي هو + +300 +00:28:28,200 --> 00:28:33,400 +الإطارات اللي plasticلكن وين المشكلة؟ قال لك بعد + +301 +00:28:33,400 --> 00:28:39,040 +فترة ان الـ zelenite is highly flammable انه ايش + +302 +00:28:39,040 --> 00:28:43,680 +صارت او لاحظوا فيها ان قابلية الاشتعال بتاعتها + +303 +00:28:43,680 --> 00:28:49,440 +بتكون عالية كتير يعني الإطار ممكن لو في نار جريبة + +304 +00:28:49,440 --> 00:28:54,740 +ان يصير اللي هو اشتعال له بشكل اللي هو كبيرand no + +305 +00:28:54,740 --> 00:28:59,740 +longer used for spectacle frames انتوا عارفين في + +306 +00:28:59,740 --> 00:29:05,740 +هناك لازم ك safety للإطار اللي برتدي من الشخص من + +307 +00:29:05,740 --> 00:29:10,400 +ضمنها او من ضمن اللي هو طرق السلامة بتاعتها انه + +308 +00:29:10,400 --> 00:29:15,060 +لازم تكون اللي هو غير قابل للاشتعال فلما لاحظوا ان + +309 +00:29:15,060 --> 00:29:20,590 +هذه المادةاللي هي عبارة عن الـ xelonide إنه قابل + +310 +00:29:20,590 --> 00:29:27,470 +للإشعال، بطلوا يستخدموا المادة هذه The name xel + +311 +00:29:27,470 --> 00:29:32,790 +continuous to be used but usually refers to the + +312 +00:29:32,790 --> 00:29:37,750 +most commonlyUse the plastic material cellulose + +313 +00:29:37,750 --> 00:29:44,850 +acetate بلد كلمة زل موجودة تستخدم للإطارات اللى + +314 +00:29:44,850 --> 00:29:48,430 +بتصنع من مادة ال plastic لكن استخدموا material + +315 +00:29:48,430 --> 00:29:55,570 +جديد اش اسمها cellulose acetate Now الان with the + +316 +00:29:55,570 --> 00:30:01,410 +emergence of many new materials فى عندنا يعني مواد + +317 +00:30:01,410 --> 00:30:07,360 +اللى هو اش مالهامتعددة او كمية كبيرة من اللي هو + +318 +00:30:07,360 --> 00:30:12,180 +المواد الجديدة اللي بتستخدم في صناعة الإطارات انا + +319 +00:30:12,180 --> 00:30:17,380 +بتكلمها ك plastic okay either the exact name of + +320 +00:30:17,380 --> 00:30:21,160 +the plastic material is used or the frame is + +321 +00:30:21,160 --> 00:30:26,480 +simply referred to a plastic مع هذا التنوع صار + +322 +00:30:26,480 --> 00:30:31,880 +عندنا فيه إيش؟إنه سهولة في عملية اللي هو تمييز + +323 +00:30:31,880 --> 00:30:36,700 +المسميات، يعني الآن إنتوا لو روحتي لأي تشركة أو أي + +324 +00:30:36,700 --> 00:30:42,000 +مركز بصريات بيقولك إن هذا ال plastic قد يكون مثلا + +325 +00:30:42,000 --> 00:30:46,560 +مصنوع من أي مادة، اللي هو سليلوز أو اللي هو أسيتيت + +326 +00:30:46,970 --> 00:30:52,850 +أو مثلا هذا انه بتلاقي مادة معينة مصنوعة منها يعني + +327 +00:30:52,850 --> 00:30:57,430 +بمعنى آخر انه أصبح كل شركة بتعرف مجموعة اللي هو + +328 +00:30:57,430 --> 00:31:00,970 +الإطارات ال plastic ال material اللي مصنوعة منها + +329 +00:31:00,970 --> 00:31:06,810 +okay هي + +330 +00:31:06,810 --> 00:31:12,550 +عندنا ال plastic material okay + +331 +00:31:12,550 --> 00:31:19,150 +في عندنا ال metalare made of all metal parts يعني + +332 +00:31:19,150 --> 00:31:23,630 +كل أجزاء الإطار بتلاقيها إيش معدنية except + +333 +00:31:23,630 --> 00:31:28,430 +باستثناء من ال nose pad اللي هي المخدات and the + +334 +00:31:28,430 --> 00:31:32,850 +posterior temple sections أو بنسميها ال temple tip + +335 +00:31:32,850 --> 00:31:36,870 +اللي هتعمل التساق مع من؟ مع ال ear أو هتكون over + +336 +00:31:36,870 --> 00:31:42,570 +the ear which are plastic covered طب ليش هتلاقيها + +337 +00:31:42,570 --> 00:31:44,530 +محاطة ب plastic cover؟ + +338 +00:31:46,960 --> 00:31:54,380 +خوفا من انه تعمل allergy لجلد المريض أو خوفا من + +339 +00:31:54,380 --> 00:31:59,660 +انه كمان ما تجرح اللي هو المريض أو موضوع اللي هو + +340 +00:31:59,660 --> 00:32:03,960 +الصدق، كل هذا صح، بس بالأساس اللي هو موضوع عدم + +341 +00:32:03,960 --> 00:32:12,200 +الحدوث أي حساسية أو allergy للي هو ال patientThe + +342 +00:32:12,200 --> 00:32:17,100 +eye wire runs completely around the lens ايش + +343 +00:32:17,100 --> 00:32:21,020 +المقصود بال eye wire اللي هي ال rim يعني الحواف + +344 +00:32:21,020 --> 00:32:26,800 +هتكون محاطة بكل العدسة هاي زي ما انتوا شايفين هاي + +345 +00:32:26,800 --> 00:32:31,060 +عبارة عن ال metal rim كل أجزاءه عبارة عن metal + +346 +00:32:31,060 --> 00:32:36,080 +باستثناء ال nose pad و ال timble tip + +347 +00:32:40,280 --> 00:32:51,040 +طيب نيلون called frames sometimes + +348 +00:32:51,040 --> 00:32:57,410 +called string، إيش معناه كلمة string؟حبل او خيط + +349 +00:32:57,410 --> 00:33:04,610 +تمام؟ mounted frames or nylon subrace او بنسميها + +350 +00:33:04,610 --> 00:33:08,650 +اللي هي subra mount تمام؟ يعني عبارة عن حبل، هذا + +351 +00:33:08,650 --> 00:33:13,010 +الحبل ايش؟ بشد اللي هو العدسة، حتى انه تمنع اللي + +352 +00:33:13,010 --> 00:33:19,250 +هو سقوطهاHold the lenses in a place انه هيحافظ على + +353 +00:33:19,250 --> 00:33:24,610 +مكان العدسة by means of a nylon cord that fits + +354 +00:33:24,610 --> 00:33:29,670 +around the edge of the lens انه هتظلها في داخل + +355 +00:33:29,670 --> 00:33:36,170 +اللي هو من الخيط موجودة العدسة This gives the + +356 +00:33:36,170 --> 00:33:42,270 +glasses the appearance of being rimlessانه هذا + +357 +00:33:42,270 --> 00:33:46,650 +هيدين الشكل او مظهر على انه هو ايش rimless ايش + +358 +00:33:46,650 --> 00:33:52,710 +يعني without rim بدون حافة usually the top of the + +359 +00:33:52,710 --> 00:33:57,430 +limbs okay it's fitted into the upper rim of the + +360 +00:33:57,430 --> 00:34:01,150 +frames المنطقة العلوية ايش فيها؟ rim هذا بنسميه + +361 +00:34:01,150 --> 00:34:07,300 +top rim okaythe rest of the limbs has a small + +362 +00:34:07,300 --> 00:34:12,820 +groove هل بنعمل حاجة بنسميها groove عشان إيش؟ يدخل + +363 +00:34:12,820 --> 00:34:19,020 +الخيط في داخل مين؟ العدسة عشان يمسك العدسة أو يمنع + +364 +00:34:19,020 --> 00:34:25,820 +سقوط العدسة cut into an otherwise flat edge طبعا + +365 +00:34:25,820 --> 00:34:29,920 +جبل ما بعمل عملية اللي هو تدخيل للخيط في داخل + +366 +00:34:29,920 --> 00:34:34,910 +الجروف لازم يكون flat إيش الهدف إن يكون flat؟انه + +367 +00:34:34,910 --> 00:34:38,330 +مايجرحش المريض لانه مش بيصير ان هو contact ما بين + +368 +00:34:38,330 --> 00:34:43,090 +العدسة و ما بين الوجه فالان لو هذا كان رف خشم + +369 +00:34:43,090 --> 00:34:48,910 +بتلاحظ انه بسهولة ايش بيعمل عملية جرح للمريض نتوقف + +370 +00:34:48,910 --> 00:34:53,590 +ان شاء الله لهنا في المحاضرة القادمة بنكمل في + +371 +00:34:53,590 --> 00:34:58,330 +موضوع ال material اللي بتستخدم في صناعة اللي هو + +372 +00:34:58,330 --> 00:35:00,990 +إطارات النضارات يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/asK7g5sg63Q_raw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/asK7g5sg63Q_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..e82f34fb55c51ee30d4e66d3df9faf702ace7f51 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/asK7g5sg63Q_raw.srt @@ -0,0 +1,1496 @@ +1 +00:00:21,240 --> 00:00:24,260 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:24,260 --> 00:00:25,440 +وبركاته ورحمة الله وبركاته ورحمة الله وبركاته + +3 +00:00:25,440 --> 00:00:28,100 +ورحمة الله وبركاته ورحمة الله وبركاته ورحمة الله + +4 +00:00:28,100 --> 00:00:28,680 +وبركاته ورحمة الله وبركاته ورحمة الله وبركاته + +5 +00:00:28,680 --> 00:00:32,440 +ورحمة الله وبركاته ورحمة الله وبركاته ورحمة الله + +6 +00:00:32,440 --> 00:00:37,720 +وبركاته ورحمة الله وبركاته ورحمة الله وبركاته + +7 +00:00:37,720 --> 00:00:37,720 +ورحمة الله وبركاته ورحمة الله وبركاته ورحمة الله + +8 +00:00:37,720 --> 00:00:37,720 +وبركاته ورحمة الله وبركاته ورحمة الله وبركاته + +9 +00:00:37,720 --> 00:00:39,620 +ورحمة الله وبركاته ورحمة الله وبركاته ورحمة الله + +10 +00:00:39,620 --> 00:00:49,200 +وبركاته + +11 +00:00:49,200 --> 00:00:56,800 +وThe frame is that portion of the spectacles، إذا + +12 +00:00:56,800 --> 00:01:04,160 +الإطار هو جزء من النضارة تمام؟ That holds the + +13 +00:01:04,160 --> 00:01:09,960 +lenses، بيعمل عملية مسك أو عملية حمل لمين للعدسات + +14 +00:01:11,530 --> 00:01:16,870 +containing the ophthalmic prescription بيحتوي على + +15 +00:01:16,870 --> 00:01:23,230 +الوصفة العينية أو الوصفة الطبية اللي تم إجراءها من + +16 +00:01:23,230 --> 00:01:30,430 +قبل أخصائي البصريات in their proper position بحيث + +17 +00:01:30,430 --> 00:01:36,190 +إنه تكون بمكان مناسب أو مكان ملائم in front of the + +18 +00:01:36,190 --> 00:01:38,190 +eyes أمام اللي هو العين + +19 +00:01:42,460 --> 00:01:47,840 +A frame generally consists of الـ frame بشكل عام + +20 +00:01:47,840 --> 00:01:49,380 +يتكون من + +21 +00:01:55,360 --> 00:02:00,000 +which in one form or another contains the lenses + +22 +00:02:00,000 --> 00:02:03,720 +يعني في عندنا الجزء الأمامي من اللي هو الإطار + +23 +00:02:03,720 --> 00:02:09,900 +بيكون له شكل معين أو في شكل آخر يعني بمعنى آخر لو + +24 +00:02:09,900 --> 00:02:15,580 +أنا شفت إطار دائر ممكن أيضا يكون في هناك شكل مربع + +25 +00:02:15,580 --> 00:02:20,300 +أو شكل مثلا اللي هو مستطيل إلى آخره هذا كله إيش + +26 +00:02:20,300 --> 00:02:23,360 +بنسميه؟ بيسمى ب + +27 +00:02:26,130 --> 00:02:32,130 +Chases، إيش معناته؟ Chases بمعنى الهيكل العام + +28 +00:02:32,130 --> 00:02:37,890 +للإطار، يعني الآن لو أنا امسكت إطار ورفعت منه + +29 +00:02:37,890 --> 00:02:43,410 +العدسات كلهيتها، بظل عبارة عن هيكل عام أو ال front + +30 +00:02:43,410 --> 00:02:48,650 +view، صح ولا لأ؟ هذا ال front بنسميه Chases أو + +31 +00:02:48,650 --> 00:02:52,290 +بنسميه الهيكل العام للإطار، okay؟ + +32 +00:02:55,920 --> 00:03:00,720 +the temples، إيش المقصود بال temples؟ أي بمعنى ال + +33 +00:03:00,720 --> 00:03:06,320 +side، ال side بتاعون النضارة، تمام؟ إذا the + +34 +00:03:06,320 --> 00:03:13,860 +temples hook over the ears، إنه بنسكه من هنا، من + +35 +00:03:13,860 --> 00:03:19,470 +القدم صح ولا لأ؟to help hold the spectacles in + +36 +00:03:19,470 --> 00:03:23,850 +place طيب ليش هم مابيظلهم حوالين اللي هو over the + +37 +00:03:23,850 --> 00:03:28,910 +ear عشان انه يظل النضارة ثابتة او العدسات ثابتة + +38 +00:03:28,910 --> 00:03:33,430 +امام عين ال patient استقابلين معاك؟ اذا عندنا ال + +39 +00:03:33,430 --> 00:03:41,450 +temples تمام او ال two sidesبتلاقيهم انه مسكين + +40 +00:03:41,450 --> 00:03:48,330 +بالعدسات الأمامية للعين الهدف منها انه تضل العدسات + +41 +00:03:48,330 --> 00:03:50,810 +in front of the patient eye + +42 +00:03:55,000 --> 00:03:59,940 +frames occasionally don't have temples بعض + +43 +00:03:59,940 --> 00:04:05,140 +الإطارات أحيانا بيكونش فيه إلها أية temples أو أية + +44 +00:04:05,140 --> 00:04:10,020 +size صح ولا لأ يعني بتلاقي إنه معتمدة فقط على ال + +45 +00:04:10,020 --> 00:04:14,540 +nose pad أو فيها hand held إيش يعني hand held زي + +46 +00:04:14,540 --> 00:04:22,430 +المكبر زي ال magnifier بنمسكها نشوف كيفheld in a + +47 +00:04:22,430 --> 00:04:27,410 +place by pressure on the sides of the nose يعني + +48 +00:04:27,410 --> 00:04:34,210 +بتلاقي ان اعتماد او ثبات العدسة امام العين بيعتمد + +49 +00:04:34,210 --> 00:04:38,270 +بالاساس عمين على ال nose pad يعني ال nose pad + +50 +00:04:38,270 --> 00:04:42,630 +بتلاقي هي اللي ضاغطة عمين على الأنف عشان تثبت + +51 +00:04:42,630 --> 00:04:46,590 +النضارة امام العين هد شو بنسميها? + +52 +00:04:49,420 --> 00:04:54,520 +بنز نز أي بمعنى اللي هي نضارة أنفية أو نضارة + +53 +00:04:54,520 --> 00:05:00,920 +الأنفيات المسمتها بتكون زي الصورة هذه شايفينها؟ في + +54 +00:05:00,920 --> 00:05:06,720 +لها تمبل، side؟ لأ، في لها إيش؟ nose pad ال nose + +55 +00:05:06,720 --> 00:05:10,840 +pad هي اللي بتعمل pressure على ال nose عشان تظل + +56 +00:05:10,840 --> 00:05:14,640 +العدستين in front of the patient eye + +57 +00:05:17,480 --> 00:05:24,020 +النوع التاني by attachment to another frame يمكن + +58 +00:05:24,020 --> 00:05:28,800 +هنا أوضح أنا جبتلكم صورة أوضح شايفين الآن هذه + +59 +00:05:28,800 --> 00:05:34,970 +النضارة تمام هذه ال clipبتلاقي مثلا الان انا بلبس + +60 +00:05:34,970 --> 00:05:41,210 +نضارة فيها refractive error بدي اطلع في الشمس بدي + +61 +00:05:41,210 --> 00:05:45,370 +اخليها فيها photo brown او photo grey بنزل ال clip + +62 +00:05:45,370 --> 00:05:51,130 +هذا عشان ايش انه تتقلل من كمية الضوء اللي داخلة او + +63 +00:05:51,130 --> 00:05:55,670 +تحجب اللي هو أشعة الشمس اللي داخلة للعين فهذه + +64 +00:05:55,670 --> 00:06:03,710 +بنسميها clip onتمام؟ clip-ons بالضبط اللي هي زي + +65 +00:06:03,710 --> 00:06:08,290 +اللي هو القصاصة نضارة اللي هو قصاصة يعني بتلاقي ان + +66 +00:06:08,290 --> 00:06:16,110 +مضاف لها clip او بمعنى slide جديد يعني الآن هاي ال + +67 +00:06:16,110 --> 00:06:21,310 +frame الأساسي هو هذا ال clip مضاف لمين؟ للنضارة + +68 +00:06:21,310 --> 00:06:21,930 +الأصلية + +69 +00:06:26,080 --> 00:06:33,220 +Or by being held in the hand بنسميها laryngitis + +70 +00:06:33,220 --> 00:06:38,320 +Laryngitis أي بمعنى ايش؟ انه زي hand held او مكبر + +71 +00:06:38,320 --> 00:06:41,840 +فاكرين المكبر اللي كنا نستخدمه و احنا صغار؟ ال + +72 +00:06:41,840 --> 00:06:45,500 +magnifier نفس الحاجة بس هان ايش؟ اللي هو both eyes + +73 +00:06:46,060 --> 00:06:50,740 +المكبر هذا تمسكيه بالشكل هذا و بترفعه طبعا في لها + +74 +00:06:50,740 --> 00:06:54,060 +فكرة تانية اللي هي ال flicker lenses يمكن لسه + +75 +00:06:54,060 --> 00:06:56,820 +انتوا مااخدتوها اللي هي موضوع انه تعملي + +76 +00:06:56,820 --> 00:07:00,740 +stimulation او تعملي relaxation لل accommodation + +77 +00:07:00,740 --> 00:07:05,700 +من خلالها هذه بنسميها عبارة عن ال orgnitis اللي هي + +78 +00:07:05,700 --> 00:07:11,700 +اجلاسيز يعني التلت انواع هدول ما بيحتووا على ال + +79 +00:07:11,700 --> 00:07:15,160 +temple او ما بيحتووا على ال side تمام؟ + +80 +00:07:19,190 --> 00:07:25,930 +طيب نيجي الآن ال frame ال front ال + +81 +00:07:25,930 --> 00:07:30,130 +frame ال front تمام + +82 +00:07:30,130 --> 00:07:34,430 +في عندنا أول حاجة the bridge ايش المقصود بال + +83 +00:07:34,430 --> 00:07:42,140 +bridge؟ ايه؟ لأ ال bridge اللي هو الجسريعني الجسر + +84 +00:07:42,140 --> 00:07:47,220 +اللى واصل ما بين العدساتين تمام هذا بنسميه bridge + +85 +00:07:47,220 --> 00:07:52,480 +the area of the frame a front between the lenses + +86 +00:07:52,480 --> 00:07:57,280 +that rest on the nose دايما حتى بتلاحظوا بعض الناس + +87 +00:07:57,280 --> 00:08:01,660 +خاصة فى النضارات القديمة بتعلمها المنطقة صح ولا لا + +88 +00:08:01,660 --> 00:08:09,970 +هذه نتيجة مين ال bridgeبيكون عامل التساق مع اللي + +89 +00:08:09,970 --> 00:08:17,450 +هو الأنف شايفين هاي المساحة اللي واصلة ما بين + +90 +00:08:17,450 --> 00:08:23,710 +العدستين ال right وال left eyes تسمى bridge طبعا + +91 +00:08:23,710 --> 00:08:29,190 +هذه إيش بتمثل ال front view أو ال front المنطقة + +92 +00:08:29,190 --> 00:08:29,870 +الأمامية + +93 +00:08:33,720 --> 00:08:38,520 +I wire او ال rim ال rim ايش المقصود فيها الحافة + +94 +00:08:38,520 --> 00:08:46,440 +يعني الآن هاي الحافة اللي ماسك مين العدسة طبعا ال + +95 +00:08:46,440 --> 00:08:50,820 +rim ايش الهدف منها انه ماتخليش العدسة تسقط من + +96 +00:08:50,820 --> 00:08:56,340 +الإطار okay يعني بمعنى اخر انه تمسك اللي هو العدسة + +97 +00:08:56,340 --> 00:08:57,940 +خوفا من سقوطها + +98 +00:09:00,340 --> 00:09:04,760 +the parts of the frame هي تعتبر أجزاء من مين من + +99 +00:09:04,760 --> 00:09:10,840 +الإطار front that surround أنه بتكون محاطة and + +100 +00:09:10,840 --> 00:09:16,120 +support the lenses وبتعمل عملية دعم للعدسات either + +101 +00:09:16,120 --> 00:09:22,380 +partially تمام ممكن يكون بشكل جزءي كتير مية في + +102 +00:09:22,380 --> 00:09:25,820 +المية نص إطار هذا إيش بنسميه subra mount + +103 +00:09:31,400 --> 00:09:37,880 +mount تمام انه بيكون الجزء اللي أسفل عبارة عن خيط + +104 +00:09:37,880 --> 00:09:43,520 +الخيط بنعمله حاجة بنسميها groove تمام عشان يحشر + +105 +00:09:43,520 --> 00:09:47,560 +اللي هو العدسة يعني بيصير الخيط هذا في داخل من + +106 +00:09:47,560 --> 00:09:53,900 +العدسة هناخده فيما بعد مش موضوعنا الآن okay طيب + +107 +00:09:53,900 --> 00:09:57,160 +ممكن يكون partially زي ما قلنا ال super mount + +108 +00:09:57,160 --> 00:10:03,230 +صلحوا كلمة oror entirely انه بيكون كله بشكل اللي + +109 +00:10:03,230 --> 00:10:08,690 +هو كامل يعني بمعنى ان ال rim محاط بالعدسة بشكل + +110 +00:10:08,690 --> 00:10:16,890 +اللي هو كامل طيب عندنا ايضا ال end pieces the + +111 +00:10:16,890 --> 00:10:23,490 +outer area of the frame front to the extreme left + +112 +00:10:23,490 --> 00:10:28,440 +and right where the temples attachالـ M pieces + +113 +00:10:28,440 --> 00:10:33,360 +بتكون المنطقة الخارجية من اللي هو ال front ال + +114 +00:10:33,360 --> 00:10:38,840 +frame وهذه بتكون معناها انه extreme محاطة من اللي + +115 +00:10:38,840 --> 00:10:44,320 +هو ال right و ال left الآن انا بتكلم كله على ايش؟ + +116 +00:10:44,320 --> 00:10:51,240 +الأجزاء الأمامية او ما يخص باللي هو ال chases او + +117 +00:10:51,240 --> 00:10:59,980 +ال frameSome frames have nose base بعض من الإطارات + +118 +00:10:59,980 --> 00:11:03,680 +بيكون اللي لها إيش المخدات بتاعتها صح ال nose base + +119 +00:11:03,680 --> 00:11:09,640 +عشان تعمل إيش ارتياح على اللي هو الأنف which are + +120 +00:11:09,640 --> 00:11:14,300 +plastic وبيكون مصنوعة من مادة ال plastic pieces + +121 +00:11:14,300 --> 00:11:21,070 +that rest on the nose to support the frameوبتعمل + +122 +00:11:21,070 --> 00:11:25,610 +اللي هو ضغط على الأنف وبتعمل عملية دعم لمن؟ للإطار + +123 +00:11:25,610 --> 00:11:31,570 +طبعا كل الهدف ليش؟ عشان أحاول الحفاظ على العدسات + +124 +00:11:31,570 --> 00:11:32,310 +أمام العين + +125 +00:11:35,210 --> 00:11:40,410 +This may be directly attached to the frame يعني + +126 +00:11:40,410 --> 00:11:46,170 +ممكن بعض من الإطارات أنه بتكون ال nose pad مرتبطة + +127 +00:11:46,170 --> 00:11:53,270 +بشكل إيش مباشر مع اللي هو مين ال rim صحيح طبعا هذه + +128 +00:11:53,270 --> 00:11:57,630 +في العدسات القديمة أو في النضارات القديمة عفوا لكن + +129 +00:11:57,630 --> 00:12:02,010 +الآن في النضارات الحديثة بتلاحظ أنه في إيش قطعة + +130 +00:12:02,010 --> 00:12:08,140 +معدنيةبتكون هي نقطة الوصل ما بين ال nose pad و ما + +131 +00:12:08,140 --> 00:12:14,200 +بين اللي هو ال rim اذا او to connecting metal + +132 +00:12:14,200 --> 00:12:22,380 +pieces known as guard armsor bad arms يعني و كأنه + +133 +00:12:22,380 --> 00:12:27,400 +قطعة معدنية هذه بتكون حامية لمين او داعمة اكتر ل + +134 +00:12:27,400 --> 00:12:34,080 +ال nose bad الخاصة بالنضارة الطبية معظم النضارات + +135 +00:12:34,080 --> 00:12:38,800 +الحديثة الآن بتلاحظ ان ال nose bad فيه القطعة هذه + +136 +00:12:38,800 --> 00:12:43,160 +اللي هي ال guard arms او بنسميها ال bad arms اللي + +137 +00:12:43,160 --> 00:12:47,100 +بتعمل connection ما بين ال nose bad و ما بين مين + +138 +00:12:47,100 --> 00:12:47,540 +ال rim + +139 +00:12:52,990 --> 00:12:57,310 +طبعا هان في عندنا أيضا اللي هو ال shield ايش + +140 +00:12:57,310 --> 00:13:03,110 +المعناة اللي هو ال shield؟ بمعنى اللي هو درع يعني + +141 +00:13:03,110 --> 00:13:07,450 +بعض من اللي هو النضارات تمام بتلاقي ان فيه لها + +142 +00:13:07,450 --> 00:13:18,280 +shield اي الندبة ايوة تمام هاي عندنا ال shieldمن + +143 +00:13:18,280 --> 00:13:24,260 +هنا بتلاحظ انه ايش هي عاملة هنا في حاجة اسمها اللي + +144 +00:13:24,260 --> 00:13:31,560 +هو المفصل شايفينه مفصل اللي هو النضارة هذا ال + +145 +00:13:31,560 --> 00:13:37,940 +shield الدرع بينسك اللي هو المفصل بتاعه تمام وبرضه + +146 +00:13:37,940 --> 00:13:41,800 +ايش ملاحظين شغل تانية من ناحية جمالية مش ميعطي + +147 +00:13:41,800 --> 00:13:47,230 +جمال للإطارإنه دايما موضوع اللي هو ال shield غير + +148 +00:13:47,230 --> 00:13:51,030 +إنه بيمسك اللي هو المفصل إنه قد يكون فقط من ناحية + +149 +00:13:51,030 --> 00:13:56,930 +جمالية للنطارة حكينا + +150 +00:13:56,930 --> 00:14:02,970 +ال I wire أو ال rim، nose pad، in piece وعنا ال + +151 +00:14:02,970 --> 00:14:10,740 +bridge و اللي هو ال shieldA few plastic frames may + +152 +00:14:10,740 --> 00:14:18,980 +still have a metal shield.إذا بعض من أو عدد قليل + +153 +00:14:18,980 --> 00:14:22,860 +من اللي هو النضارات اللي plastic بيكون لها metal + +154 +00:14:22,860 --> 00:14:27,340 +اللي هو ال shield اللي شفناه في نضارة ازملتكم On + +155 +00:14:27,340 --> 00:14:32,260 +the front of the in-piece في نهاية اللي هو ال in + +156 +00:14:32,260 --> 00:14:35,100 +-piece To which Reeves + +157 +00:14:38,090 --> 00:14:42,450 +بكون زي اللي هو المسامير، زي شكله زي المصمار و + +158 +00:14:42,450 --> 00:14:46,530 +كأنه مكبوس كبس، صح ولا لأ؟ يعني هان كلمة اللي هو + +159 +00:14:46,530 --> 00:14:51,090 +reels بمعنى اللي هو كأنه مصمار، ماسك اللي هو من + +160 +00:14:51,090 --> 00:14:58,290 +المفصل، are attached to hold the hinge عشان يحافظ + +161 +00:14:58,290 --> 00:15:02,640 +على المفصل في مكانهواضح الفكرة؟ اذا بعض من + +162 +00:15:02,640 --> 00:15:08,480 +الإطارات الطبية بيكون لها موضوع ال shield او الدرع + +163 +00:15:08,480 --> 00:15:13,820 +طبعا بيكون ماسك من المفصل كيف ماسكه من خلال اللي + +164 +00:15:13,820 --> 00:15:18,280 +هو المسامير عشان يحافظ على مكانه والشغل التاني انه + +165 +00:15:18,280 --> 00:15:27,180 +قد يكون فقط من ناحية جمالية okay هان عند صورة يمكن + +166 +00:15:27,180 --> 00:15:34,670 +اوضح حديكمي ان شاء الله فيما بعدال frame of France + +167 +00:15:34,670 --> 00:15:40,230 +تمام؟ أجزاءه هي عندنا ال rim هي عندنا ال nose pad + +168 +00:15:40,230 --> 00:15:43,970 +عندنا ال bridge عندنا ال temple عندنا ال temple + +169 +00:15:43,970 --> 00:15:51,250 +tip تمام؟ في عندنا أيضا اللي هو ال hinge و اللي هو + +170 +00:15:51,250 --> 00:15:59,260 +الموضوع اللي حكينا ال what I callتمام و بالاضافة + +171 +00:15:59,260 --> 00:16:03,720 +لالهو كل هيتا إيش بنسميها عبارة عن اللي هو ال + +172 +00:16:03,720 --> 00:16:13,460 +chassis أي بمعنى الهيكل العام لالنطارة تمام okay + +173 +00:16:13,460 --> 00:16:21,540 +the hinges أي بمعنى اللي هو المفصل hold the + +174 +00:16:21,540 --> 00:16:26,870 +temples to the front إذا بيعمل عملية مسك لمين؟لأ + +175 +00:16:26,870 --> 00:16:33,250 +اللي هو timbles and consist of بتكون من عدد فردي + +176 +00:16:33,250 --> 00:16:39,630 +odd number ليش طيب؟ of interfitting barrels إيش + +177 +00:16:39,630 --> 00:16:44,450 +معناه interfitting barrels؟يعني عشان يكون التركيب + +178 +00:16:44,450 --> 00:16:49,630 +بتاعه مناسب او ملائم تمام The total number being + +179 +00:16:49,630 --> 00:16:54,330 +three, five or seven يعني اطلعوا معيهان في الصورة + +180 +00:16:54,330 --> 00:16:59,170 +هلجيت هي المقصود في مين؟ في الهنج الآن في اكم + +181 +00:16:59,170 --> 00:17:05,770 +واحد؟ واحد اتنين تلاتة اربعة خمسةصح ولا لأ؟ إذا هو + +182 +00:17:05,770 --> 00:17:11,050 +دايما بيكون عدده فردي إما تلاتة أو خمسة أو سبعة، + +183 +00:17:11,050 --> 00:17:16,010 +اتنين هيهم بالشكل هذا وإن هي واحد okay واتنين + +184 +00:17:16,010 --> 00:17:17,950 +امثبتين مين ال temple + +185 +00:17:21,050 --> 00:17:25,950 +طيب لو كان تلاتة هتلاحظ انه فقط ايش فيه انا واحد + +186 +00:17:25,950 --> 00:17:29,950 +اتنين والتالت هو المثبت مين ال temple خاصة هذه وين + +187 +00:17:29,950 --> 00:17:32,730 +بتكون موجودة في ال rimless اللي هي ال lenses + +188 +00:17:32,730 --> 00:17:37,230 +العدسات اللي بتكون بدون اطار بدون حثة عفوا بدون + +189 +00:17:37,230 --> 00:17:41,590 +rim طيب + +190 +00:17:41,590 --> 00:17:47,950 +عندنا hinges may vary in construction ربما تكون + +191 +00:17:47,950 --> 00:17:54,380 +مختلفة من ناحية ايش التركيبFour simplicity لكن + +192 +00:17:54,380 --> 00:18:00,240 +اببساطة are usually classified by the total number + +193 +00:18:00,240 --> 00:18:06,880 +of barrels they have when assembled, such as a + +194 +00:18:06,880 --> 00:18:11,980 +three barrel hingeلكن ببساطة انه يمكن اللي هو + +195 +00:18:11,980 --> 00:18:16,760 +استخدامها من خلال عملية اللي هو تصنيف إيش عدد اللي + +196 +00:18:16,760 --> 00:18:20,940 +هي ال barrel ال barrel أي بمعنى tube الانبوب يعني + +197 +00:18:20,940 --> 00:18:26,460 +شايفين شكله كإنه عبارة عن اللي هو ال tube تمام؟ + +198 +00:18:26,460 --> 00:18:32,720 +عشان نقدر نحدد قداش قيمة ال odd number أو قداش عدد + +199 +00:18:32,720 --> 00:18:36,540 +اللي هو الهنج هل هو تلاتة، خمسة أو سبعة + +200 +00:18:39,720 --> 00:18:44,400 +يعني هان لو جبتلكم الصورة هذه إيش بتمثل؟ في عندنا + +201 +00:18:44,400 --> 00:18:50,580 +five hinges تمام وفي عندنا تعتبر اللي هو barrel + +202 +00:18:50,580 --> 00:18:55,620 +free صح ولا لأ يعني بمعنى آخر أنه في عندك اللي هو + +203 +00:18:55,620 --> 00:19:00,240 +ال barrel اللي هي الأنبوب بتلاقيه حر مافيش فيه أية + +204 +00:19:00,240 --> 00:19:06,000 +اللي هو attachment طيب + +205 +00:19:06,000 --> 00:19:07,500 +عندنا temples + +206 +00:19:09,720 --> 00:19:14,640 +Hinged extensions connected to the frame اذا هو + +207 +00:19:14,640 --> 00:19:20,640 +بيكون الهنج او المفصل امتداد لمين؟ لا اللي هو ال + +208 +00:19:20,640 --> 00:19:25,440 +timble صح ولا لا؟ مش الآن ال timble موجود، اذا + +209 +00:19:25,440 --> 00:19:32,580 +الهنج او المفصل هو امتداد له front that extends to + +210 +00:19:32,580 --> 00:19:37,340 +the ears وبعمل عملية اللي هو support او بعمل عملية + +211 +00:19:37,340 --> 00:19:43,310 +اللي هو دعمfor support ending in ear pieces that + +212 +00:19:43,310 --> 00:19:47,910 +counter around the ears اذا بعمل عملية دعم للتمبل + +213 +00:19:47,910 --> 00:19:54,910 +عشان يصلوين للأذن ويكون اللي هو ال تمبل tip أو ال + +214 +00:19:54,910 --> 00:19:59,630 +in pieces حوالين اللي هو مين over the ear حوالين + +215 +00:19:59,630 --> 00:20:05,230 +اللي هو أذن ال patient طيب + +216 +00:20:05,230 --> 00:20:12,520 +عندنا the botأو بنسمي put in the portion of the + +217 +00:20:12,520 --> 00:20:16,220 +temple يعني هو عبارة عن جزء من مين؟ من ال temple + +218 +00:20:16,220 --> 00:20:22,120 +okay that is nearest its attachment to the front + +219 +00:20:22,120 --> 00:20:30,100 +أقرب منطقة لأ ل front chassis هي عبارة عن ال bot + +220 +00:20:30,100 --> 00:20:34,700 +portionيعني مش احنا دايما ال front اللي هي المنطقة + +221 +00:20:34,700 --> 00:20:37,420 +الأمامية، يعني الآن مثلا هي بتبقى بتطلع عليا + +222 +00:20:37,420 --> 00:20:42,180 +المنطقة الأمامية لعينها هلجيت أقرب حاجة للمنطقة + +223 +00:20:42,180 --> 00:20:45,620 +الأمامية هذه هي عبارة عن مين؟ ال bot end أو ال bot + +224 +00:20:45,620 --> 00:20:48,900 +portion اللي بتكون ملتصقة في مين؟ في ال temple + +225 +00:20:52,800 --> 00:20:57,680 +عنا the pinned the place on the temple where it + +226 +00:20:57,680 --> 00:21:04,280 +first bends down to go over the ear الآن لحد دي + +227 +00:21:04,280 --> 00:21:08,620 +المنطقة هذه بصير عبارة عن bend أو بصير زي كأنه + +228 +00:21:08,620 --> 00:21:13,720 +curve منحنى صح ولا لأ المنحنى هذا بيصير ليش؟ عشان + +229 +00:21:13,720 --> 00:21:20,540 +يصير ال .. ال temple tip + +230 +00:21:21,370 --> 00:21:26,070 +when over the ear صح ولا لأ؟ لحد المنطقة هذه + +231 +00:21:26,070 --> 00:21:33,510 +بنسميها اللي هو ال bend the + +232 +00:21:33,510 --> 00:21:40,690 +shank or shaft اللي هو عبارة عن زي كأنه ساق صح ولا + +233 +00:21:40,690 --> 00:21:46,570 +لأ؟ هذه كلها المنطقة عبارة عن ساق بنسميها shank or + +234 +00:21:46,570 --> 00:21:51,400 +shaftthe portion of the temple أيضا هي جزء من + +235 +00:21:51,400 --> 00:21:56,660 +التمبل between the button and the bend اللي هي + +236 +00:21:56,660 --> 00:22:00,580 +اللي بتكون واصلة ما بين ال butt portion و ال bend + +237 +00:22:00,580 --> 00:22:06,140 +أو ال curve the + +238 +00:22:06,140 --> 00:22:14,040 +ear pieceأو بنسميها ال bent down portion أو + +239 +00:22:14,040 --> 00:22:20,320 +الكوران the portion beyond the bent and behind the + +240 +00:22:20,320 --> 00:22:24,400 +ear هلجيت المنطقة هذه اللي هي ال temple tip أو + +241 +00:22:24,400 --> 00:22:28,140 +بنسميها ال ear piece المنطقة اللي بتكون over the + +242 +00:22:28,140 --> 00:22:34,360 +ear اللي بتكون حوالين من الأذن اللي تمسك اللي هو + +243 +00:22:34,360 --> 00:22:38,400 +ال glasses أو ال spectacle عشان تمنع من اللي هو + +244 +00:22:38,400 --> 00:22:44,460 +سقوطهاOkay يعني ال another name أو ال synonyms ل + +245 +00:22:44,460 --> 00:22:50,340 +ال temple tip إما بتسمى ال ear piece أو ال bent + +246 +00:22:50,340 --> 00:22:57,180 +down portion أو الكورل هاي اللي هو التلت مسميات أو + +247 +00:22:57,180 --> 00:23:05,560 +الأربع مسميات لها okay okay + +248 +00:23:05,560 --> 00:23:13,330 +a frame typesأنواع الإطار الـ frames can be + +249 +00:23:13,330 --> 00:23:18,470 +classified يمكن تصنيف الإطارات in a simplified + +250 +00:23:18,470 --> 00:23:25,270 +manner بطريقة مبسطة okay by one of the following + +251 +00:23:25,270 --> 00:23:30,930 +categories of frames or mountings الآن إيش الفرق + +252 +00:23:30,930 --> 00:23:34,270 +ما بين ال frame و ال mounting + +253 +00:23:37,230 --> 00:23:42,090 +يما يكون يا جماعة full rim هذا بنسميه الهو frame + +254 +00:23:42,090 --> 00:23:49,350 +تمام؟ يما يكون half rim يعني مش كله يعني جزء منه + +255 +00:23:49,350 --> 00:23:53,510 +اللي هو rim half و الجزء التاني خير هذا بنسميه + +256 +00:23:53,510 --> 00:23:58,530 +mounting يما يكون كله عبارة عن بنسميه rimless + +257 +00:23:58,530 --> 00:24:04,080 +lenses يعني بدون أي تحفة هذا بنسميه mountingصعبين + +258 +00:24:04,080 --> 00:24:09,380 +معناه يعني ال frame هو الأساس اللى هو بيمثل كل ال + +259 +00:24:09,380 --> 00:24:14,880 +rim لكن ال mounting عبارة عن جزء من مين من ال + +260 +00:24:14,880 --> 00:24:20,220 +frame بيمثل اما ال rimless يعني بيكونش اية حثة + +261 +00:24:20,220 --> 00:24:26,560 +تمام ماسكة بالعدسة أو ال sub rimless اللى هي بس + +262 +00:24:26,560 --> 00:24:29,880 +بالخيط جزء من فوق بيكون فيه rim والجزء التاني + +263 +00:24:29,880 --> 00:24:36,110 +بيكون عبارة عن خيطفعندنا الإطارات يمكن تصنيفها على + +264 +00:24:36,110 --> 00:24:42,830 +إنه هي إما frame أو بتكون mountings طيب عندنا ال + +265 +00:24:42,830 --> 00:24:47,910 +material اللي مصنعة منها الإطارات إما ال plastic + +266 +00:24:47,910 --> 00:24:53,470 +وحناخد اللي هو تاريخ ال plastic كيف بعد ذلك عندنا + +267 +00:24:53,470 --> 00:24:59,430 +ال metal تمام عندنا ال nylon cord ال frames أو + +268 +00:24:59,430 --> 00:25:01,910 +بنسميها الصبرة + +269 +00:25:06,840 --> 00:25:16,040 +Mount أو نسميها نيلون كورد frames عندنا ال + +270 +00:25:16,040 --> 00:25:23,870 +combination ما بين مين و مينمابين ال plastic و ال + +271 +00:25:23,870 --> 00:25:29,450 +metal يعني بعض العدسات بتلاقي انه الإطار ال front + +272 +00:25:29,450 --> 00:25:34,890 +كلها بلاستيك لكن ال temple و ال temple tip بتلاقي + +273 +00:25:34,890 --> 00:25:39,760 +مثلا ال metal او العكسHalf eye نص العين بعض + +274 +00:25:39,760 --> 00:25:44,240 +الإطارات تلاقي نص اللي هو عين rimless أو semi + +275 +00:25:44,240 --> 00:25:49,180 +rimless and pneumon أي بمعنى بدون اللي هو رم مافيش + +276 +00:25:49,180 --> 00:25:55,520 +حواف للإطار ال ball grip هناخده ان شاء الله فيما + +277 +00:25:55,520 --> 00:26:01,460 +بعد انه بيكون حاجة بنسميها notch بمسك اللي هو + +278 +00:26:01,460 --> 00:26:05,580 +الإطار طيب ناخد أول حاجة + +279 +00:26:12,770 --> 00:26:19,030 +البلاستيك made of some type of plastic material + +280 +00:26:19,030 --> 00:26:25,010 +يعني مصنوع من بعض أنواع مادة البلاستيك من اسمه + +281 +00:26:25,010 --> 00:26:31,490 +occasionally أحيانا referred to as shell frames + +282 +00:26:31,490 --> 00:26:36,510 +يعني في بعض الأحيان أنه بيشار لكل الإطار على أنه + +283 +00:26:36,510 --> 00:26:42,610 +إيش هو plasticlong time ago we were made of + +284 +00:26:42,610 --> 00:26:49,430 +tortoise shell لكن ايه صارله اللي هو disuse عارفين + +285 +00:26:49,430 --> 00:26:58,610 +اول ما تم صناعة اطار ال plastic من اي مادة عضم + +286 +00:26:58,610 --> 00:27:04,130 +اللي هو الصلحفة تخيلوا يعني عضم اللي هو الظهر + +287 +00:27:04,130 --> 00:27:09,680 +الصلحفةTortoise أي بمعنى اللي هو عضم ظهر الصلحفة، + +288 +00:27:09,680 --> 00:27:13,040 +لأنه بتكون أشمالها المادة يابسة، صح ولا لا؟ + +289 +00:27:13,040 --> 00:27:19,620 +ماتينة، okay فلكن هذه المادة أثر لها diffuse أي + +290 +00:27:19,620 --> 00:27:24,320 +بمعنى إنه اختفت، يعني جعلت لفترة زمنية معينة، وبعد + +291 +00:27:24,320 --> 00:27:30,790 +ذلك تم اللي هو اختفاهاAnother general term that + +292 +00:27:30,790 --> 00:27:38,130 +many still use for certain elastic frames is زل + +293 +00:27:39,570 --> 00:27:45,550 +الان لما الاطار يكون مصنوع من مادة plastic بشكل + +294 +00:27:45,550 --> 00:27:51,670 +عام بنحكي عنها ان المادة الهادئ زل ك brand name او + +295 +00:27:51,670 --> 00:27:56,330 +ك commercial name يعني اسم اللي هو تجارة بنعرف هذا + +296 +00:27:56,330 --> 00:28:00,570 +الـ zel يعني بيشير ان المادة ايه بلاستيكية، + +297 +00:28:00,570 --> 00:28:05,130 +استقابلين معي؟ يعني بشكل عام كمصطلح اللي هو عام + +298 +00:28:06,320 --> 00:28:12,500 +Since at one time منذ فترة زمنية او وقت استخدموا + +299 +00:28:12,500 --> 00:28:18,940 +اللي هي مادة زينينايت او cellose nitrate was a + +300 +00:28:18,940 --> 00:28:23,880 +commonly used material أصبحت مادة كانت ممتازة + +301 +00:28:23,880 --> 00:28:28,200 +وتستخدم اللي هو بشكل شائع في صناعة اللي هو + +302 +00:28:28,200 --> 00:28:33,400 +الإطارات اللي plasticلكن وين المشكلة؟ قال لك بعد + +303 +00:28:33,400 --> 00:28:39,040 +فترة ان الـ zelenite is highly flammable انه ايش + +304 +00:28:39,040 --> 00:28:43,680 +صارت او لاحظوا فيها ان قابلية الاشتعال بتاعتها + +305 +00:28:43,680 --> 00:28:49,440 +بتكون عالية كتير يعني الإطار ممكن لو في نار جريبة + +306 +00:28:49,440 --> 00:28:54,740 +ان يصير اللي هو اشتعال له بشكل اللي هو كبيرand no + +307 +00:28:54,740 --> 00:28:59,740 +longer used for spectacle frames انتوا عارفين في + +308 +00:28:59,740 --> 00:29:05,740 +هناك لازم ك safety للإطار اللي برتدي من الشخص من + +309 +00:29:05,740 --> 00:29:10,400 +ضمنها او من ضمن اللي هو طرق السلامة بتاعتها انه + +310 +00:29:10,400 --> 00:29:15,060 +لازم تكون اللي هو غير قابل للاشتعال فلما لاحظوا ان + +311 +00:29:15,060 --> 00:29:20,590 +هذه المادةاللي هي عبارة عن الـ xelonide إنه قابل + +312 +00:29:20,590 --> 00:29:27,470 +للإشعال، بطلوا يستخدموا المادة هذه The name xel + +313 +00:29:27,470 --> 00:29:32,790 +continuous to be used but usually refers to the + +314 +00:29:32,790 --> 00:29:37,750 +most commonlyUse the plastic material cellulose + +315 +00:29:37,750 --> 00:29:44,850 +acetate بلد كلمة زل موجودة تستخدم للإطارات اللى + +316 +00:29:44,850 --> 00:29:48,430 +بتصنع من مادة ال plastic لكن استخدموا material + +317 +00:29:48,430 --> 00:29:55,570 +جديد اش اسمها cellulose acetate Now الان with the + +318 +00:29:55,570 --> 00:30:01,410 +emergence of many new materials فى عندنا يعني مواد + +319 +00:30:01,410 --> 00:30:07,360 +اللى هو اش مالهامتعددة او كمية كبيرة من اللي هو + +320 +00:30:07,360 --> 00:30:12,180 +المواد الجديدة اللي بتستخدم في صناعة الإطارات انا + +321 +00:30:12,180 --> 00:30:17,380 +بتكلمها ك plastic okay either the exact name of + +322 +00:30:17,380 --> 00:30:21,160 +the plastic material is used or the frame is + +323 +00:30:21,160 --> 00:30:26,480 +simply referred to a plastic مع هذا التنوع صار + +324 +00:30:26,480 --> 00:30:31,880 +عندنا فيه إيش؟إنه سهولة في عملية اللي هو تمييز + +325 +00:30:31,880 --> 00:30:36,700 +المسميات، يعني الآن إنتوا لو روحتي لأي تشركة أو أي + +326 +00:30:36,700 --> 00:30:42,000 +مركز بصريات بيقولك إن هذا ال plastic قد يكون مثلا + +327 +00:30:42,000 --> 00:30:46,560 +مصنوع من أي مادة، اللي هو سليلوز أو اللي هو أسيتيت + +328 +00:30:46,970 --> 00:30:52,850 +أو مثلا هذا انه بتلاقي مادة معينة مصنوعة منها يعني + +329 +00:30:52,850 --> 00:30:57,430 +بمعنى آخر انه أصبح كل شركة بتعرف مجموعة اللي هو + +330 +00:30:57,430 --> 00:31:00,970 +الإطارات ال plastic ال material اللي مصنوعة منها + +331 +00:31:00,970 --> 00:31:06,810 +okay هي + +332 +00:31:06,810 --> 00:31:12,550 +عندنا ال plastic material okay + +333 +00:31:12,550 --> 00:31:19,150 +في عندنا ال metalare made of all metal parts يعني + +334 +00:31:19,150 --> 00:31:23,630 +كل أجزاء الإطار بتلاقيها إيش معدنية except + +335 +00:31:23,630 --> 00:31:28,430 +باستثناء من ال nose pad اللي هي المخدات and the + +336 +00:31:28,430 --> 00:31:32,850 +posterior temple sections أو بنسميها ال temple tip + +337 +00:31:32,850 --> 00:31:36,870 +اللي هتعمل التساق مع من؟ مع ال ear أو هتكون over + +338 +00:31:36,870 --> 00:31:42,570 +the ear which are plastic covered طب ليش هتلاقيها + +339 +00:31:42,570 --> 00:31:44,530 +محاطة ب plastic cover؟ + +340 +00:31:46,960 --> 00:31:54,380 +خوفا من انه تعمل allergy لجلد المريض أو خوفا من + +341 +00:31:54,380 --> 00:31:59,660 +انه كمان ما تجرح اللي هو المريض أو موضوع اللي هو + +342 +00:31:59,660 --> 00:32:03,960 +الصدق، كل هذا صح، بس بالأساس اللي هو موضوع عدم + +343 +00:32:03,960 --> 00:32:12,200 +الحدوث أي حساسية أو allergy للي هو ال patientThe + +344 +00:32:12,200 --> 00:32:17,100 +eye wire runs completely around the lens ايش + +345 +00:32:17,100 --> 00:32:21,020 +المقصود بال eye wire اللي هي ال rim يعني الحواف + +346 +00:32:21,020 --> 00:32:26,800 +هتكون محاطة بكل العدسة هاي زي ما انتوا شايفين هاي + +347 +00:32:26,800 --> 00:32:31,060 +عبارة عن ال metal rim كل أجزاءه عبارة عن metal + +348 +00:32:31,060 --> 00:32:36,080 +باستثناء ال nose pad و ال timble tip + +349 +00:32:40,280 --> 00:32:51,040 +طيب نيلون called frames sometimes + +350 +00:32:51,040 --> 00:32:57,410 +called string، إيش معناه كلمة string؟حبل او خيط + +351 +00:32:57,410 --> 00:33:04,610 +تمام؟ mounted frames or nylon subrace او بنسميها + +352 +00:33:04,610 --> 00:33:08,650 +اللي هي subra mount تمام؟ يعني عبارة عن حبل، هذا + +353 +00:33:08,650 --> 00:33:13,010 +الحبل ايش؟ بشد اللي هو العدسة، حتى انه تمنع اللي + +354 +00:33:13,010 --> 00:33:19,250 +هو سقوطهاHold the lenses in a place انه هيحافظ على + +355 +00:33:19,250 --> 00:33:24,610 +مكان العدسة by means of a nylon cord that fits + +356 +00:33:24,610 --> 00:33:29,670 +around the edge of the lens انه هتظلها في داخل + +357 +00:33:29,670 --> 00:33:36,170 +اللي هو من الخيط موجودة العدسة This gives the + +358 +00:33:36,170 --> 00:33:42,270 +glasses the appearance of being rimlessانه هذا + +359 +00:33:42,270 --> 00:33:46,650 +هيدين الشكل او مظهر على انه هو ايش rimless ايش + +360 +00:33:46,650 --> 00:33:52,710 +يعني without rim بدون حافة usually the top of the + +361 +00:33:52,710 --> 00:33:57,430 +limbs okay it's fitted into the upper rim of the + +362 +00:33:57,430 --> 00:34:01,150 +frames المنطقة العلوية ايش فيها؟ rim هذا بنسميه + +363 +00:34:01,150 --> 00:34:07,300 +top rim okaythe rest of the limbs has a small + +364 +00:34:07,300 --> 00:34:12,820 +groove هل بنعمل حاجة بنسميها groove عشان إيش؟ يدخل + +365 +00:34:12,820 --> 00:34:19,020 +الخيط في داخل مين؟ العدسة عشان يمسك العدسة أو يمنع + +366 +00:34:19,020 --> 00:34:25,820 +سقوط العدسة cut into an otherwise flat edge طبعا + +367 +00:34:25,820 --> 00:34:29,920 +جبل ما بعمل عملية اللي هو تدخيل للخيط في داخل + +368 +00:34:29,920 --> 00:34:34,910 +الجروف لازم يكون flat إيش الهدف إن يكون flat؟انه + +369 +00:34:34,910 --> 00:34:38,330 +مايجرحش المريض لانه مش بيصير ان هو contact ما بين + +370 +00:34:38,330 --> 00:34:43,090 +العدسة و ما بين الوجه فالان لو هذا كان رف خشم + +371 +00:34:43,090 --> 00:34:48,910 +بتلاحظ انه بسهولة ايش بيعمل عملية جرح للمريض نتوقف + +372 +00:34:48,910 --> 00:34:53,590 +ان شاء الله لهنا في المحاضرة القادمة بنكمل في + +373 +00:34:53,590 --> 00:34:58,330 +موضوع ال material اللي بتستخدم في صناعة اللي هو + +374 +00:34:58,330 --> 00:35:00,990 +إطارات النضارات يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dgBhZsNDq1E_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dgBhZsNDq1E_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..67a6ab6bc59ba5989c84e169139bd025b2e4688b --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dgBhZsNDq1E_postprocess.srt @@ -0,0 +1,940 @@ +1 +00:00:20,750 --> 00:00:23,590 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,590 --> 00:00:29,450 +وبركاته هنكمل في محاضرة ال major references points + +3 +00:00:29,450 --> 00:00:34,070 +في المحاضرة السابقة اتناولنا موضوع ال horizontal + +4 +00:00:34,070 --> 00:00:39,350 +centration اليوم هنبدأ في موضوع ال vertical + +5 +00:00:39,350 --> 00:00:48,580 +centration unless otherwise specifiedبمعنى ما لم + +6 +00:00:48,580 --> 00:00:58,440 +ينص على تجاهل ذلك تمام an optical laboratory أية + +7 +00:00:58,440 --> 00:01:04,020 +مصنع بصري will make يعني سوف يصنع + +8 +00:01:06,370 --> 00:01:14,010 +عدسة الها optical center واحد okay so that the + +9 +00:01:14,010 --> 00:01:20,790 +major reference point is centered vertically الآن + +10 +00:01:20,790 --> 00:01:26,970 +احنا بدنا نغير طريقة اللي هو تمركز العدسة بدل ما + +11 +00:01:26,970 --> 00:01:33,870 +كان باعتمد على ال datum line أوالـ horizontal line + +12 +00:01:33,870 --> 00:01:37,450 +اللي في الـ boxing system، الآن احنا بدنا نتعامل + +13 +00:01:37,450 --> 00:01:43,990 +مع الـ vertical line طيب، كيف انا ممكن امركز اللي + +14 +00:01:43,990 --> 00:01:46,990 +هو ال major reference point من خلال الـ vertical + +15 +00:01:46,990 --> 00:01:53,940 +centration؟عن طريق half way between the top and + +16 +00:01:53,940 --> 00:01:58,820 +bottom of the frame اذا بعمل عملية تقسيم ما بين ال + +17 +00:01:58,820 --> 00:02:02,140 +upper part و ال lower part او ال top part و ال + +18 +00:02:02,140 --> 00:02:07,500 +bottom part لل frame خلينا نشوف بالطريقة هذههي + +19 +00:02:07,500 --> 00:02:12,020 +الآن عندنا .. ايش النظام هذا؟ Boxing system .. + +20 +00:02:12,020 --> 00:02:16,420 +okay الآن روحنا اعملنا ال marker بالمنتصف او ال + +21 +00:02:16,420 --> 00:02:20,560 +optical center كيف اعملنا halfway؟ هاي عندنا ال + +22 +00:02:20,560 --> 00:02:25,300 +top part وهي عندنا ال bottom part والخط هذا اجى + +23 +00:02:25,300 --> 00:02:31,340 +اللي هو منصف لمين؟ لل boxing تمام؟ لكن ايه؟ + +24 +00:02:31,340 --> 00:02:34,260 +Vertical line واضح الفكرة؟ + +25 +00:02:40,450 --> 00:02:44,950 +Low powered lenses made from a traditional + +26 +00:02:44,950 --> 00:02:50,870 +materials seldom near an major reference point + +27 +00:02:50,870 --> 00:02:56,410 +height specified الان لو مريض مثلا عنده minus نص + +28 +00:02:56,410 --> 00:03:05,210 +او عنده minus واحد او عنده minus اتنينورحنا + +29 +00:03:05,210 --> 00:03:10,170 +استخدمنا معه الـ traditional material زي مثلا CR + +30 +00:03:10,170 --> 00:03:18,390 +39 تمام قالك ان تغيير ال major reference point هنا + +31 +00:03:18,390 --> 00:03:24,530 +في هذه الحالة مش مهم كتير يعني لا يعتبر ذات أهمية + +32 +00:03:24,530 --> 00:03:32,710 +كبيرة أي بمعنى انه مش هيأثر على المريض بشكل كبير + +33 +00:03:38,700 --> 00:03:45,840 +المشاكل البصرية اللي بتسبب بواسطة a vertical major + +34 +00:03:45,840 --> 00:03:51,640 +reference point placement that might need to be + +35 +00:03:51,640 --> 00:03:59,000 +above or below the vertical frame الان وين هي + +36 +00:03:59,000 --> 00:04:03,640 +المشاكل البصرية اللي بتحدث؟ احنا قلنا هي عندنا ال + +37 +00:04:03,640 --> 00:04:09,430 +opticalcenter تمام ما بين ال top و ال bottom bar + +38 +00:04:09,430 --> 00:04:16,310 +طيب لو اعملنا displacement او displacement ازاحة + +39 +00:04:16,310 --> 00:04:21,110 +لها بحيث انه أصبحت above او below هنجلب الصير + +40 +00:04:21,110 --> 00:04:26,990 +المشكلة طيب هذه المشكلة هل بتعتبر كبيرة في حالة ال + +41 +00:04:26,990 --> 00:04:33,440 +low power lens قال لي لأمش مشكلة كبيرة أو بمعنى + +42 +00:04:33,440 --> 00:04:39,380 +أنه ما بتكونش اللي هو يعني شيء اللي هو فعال كتير + +43 +00:04:39,380 --> 00:04:43,720 +أو مؤثر كتير على المريض لكن وين بيكون فعال أكتر؟ + +44 +00:04:43,720 --> 00:04:47,680 +لما يكون عنده high power lens أو يكون مثلا عندنا + +45 +00:04:47,680 --> 00:04:52,480 +material زي high index material أو عندنا مثلا + +46 +00:04:52,480 --> 00:04:57,280 +aspheric design هان بيكون فيه تأثير واضح على + +47 +00:04:57,280 --> 00:04:57,960 +المريض + +48 +00:05:04,580 --> 00:05:08,580 +أذا are so minimal minimal وين؟ في ال low power + +49 +00:05:08,580 --> 00:05:15,380 +lens okay with low power lenses that few wearers + +50 +00:05:15,380 --> 00:05:21,280 +are ever bothered يعني هيكون تأثيرها قليل و غير + +51 +00:05:21,280 --> 00:05:25,080 +ملحوظ بالنسبة لمين؟ للمريض عارفين اشمالات + +52 +00:05:25,080 --> 00:05:29,240 +bothered؟ يعني بمعنى انه مش هتدايق المريض كتير انه + +53 +00:05:29,240 --> 00:05:31,260 +مش هيشعر ان هو بأي ضيق + +54 +00:05:33,700 --> 00:05:39,840 +طبعا هذه في ال low power however this is not the + +55 +00:05:39,840 --> 00:05:44,960 +case when lens power increase لكن لو جنا مثلا + +56 +00:05:44,960 --> 00:05:52,900 +عندنا minus 6 او عندنا مثلا plus 6 اذا في ال high + +57 +00:05:52,900 --> 00:05:57,600 +powerwhen different lens materials وغيرنا ال + +58 +00:05:57,600 --> 00:06:03,040 +material استخدمنا مثلا ال high index material او + +59 +00:06:03,040 --> 00:06:10,760 +استخدمنا مثلا ال aspheric design + +60 +00:06:10,760 --> 00:06:14,680 +او + +61 +00:06:14,680 --> 00:06:19,160 +when aspheric lens designs are employed انه تم + +62 +00:06:19,160 --> 00:06:22,360 +اللي هو استخدامها قال لي في هذه الحالة هيكون + +63 +00:06:22,360 --> 00:06:27,690 +التأثير واضحكل ما زودت ال power أو غيرت ال + +64 +00:06:27,690 --> 00:06:32,570 +material هيتضايق المريض بشكل ملحوظ و هيكون التأثير + +65 +00:06:32,570 --> 00:06:37,790 +أكبر in + +66 +00:06:37,790 --> 00:06:44,750 +these instances يعني في هذه الحالات vertical major + +67 +00:06:44,750 --> 00:06:50,750 +reference point placement becomes important في + +68 +00:06:50,750 --> 00:06:54,720 +حالات ال high power lensالـ High Index Material + +69 +00:06:54,720 --> 00:07:00,040 +الـ Asperg Design تعتبر هذه النقطة ذات أهمية كبيرة + +70 +00:07:00,040 --> 00:07:07,340 +لا يمكن تجاهلها طيب ما هو الحل؟ كيف أنا بدي أعمل + +71 +00:07:07,340 --> 00:07:12,940 +عملية حل لل Vertical Centration عند المريض؟ + +72 +00:07:30,880 --> 00:07:36,280 +طيب عندنا major reference point height هذه عبارة + +73 +00:07:36,280 --> 00:07:45,340 +عن تعريفها قال لي is the distance المسافة from the + +74 +00:07:45,340 --> 00:07:51,760 +lower line of the box شايفين؟ من أقصى أو أبعد نقطة + +75 +00:07:51,760 --> 00:07:55,800 +موجودة على نهاية مين؟ ال box الصندوق + +76 +00:07:58,460 --> 00:08:05,000 +إذا أبعد نقطة في اللي هو الصندوق in closing the + +77 +00:08:05,000 --> 00:08:11,300 +shape بتعمل عملية إغلاق للشكل of the lens up to + +78 +00:08:11,300 --> 00:08:16,180 +the major reference point location إذا بتظلها + +79 +00:08:16,180 --> 00:08:22,520 +لوين؟ لنقطة رؤية المريض يعني هذه بتمثل ال optical + +80 +00:08:22,520 --> 00:08:28,820 +center للمريضإذا مرة أخرى الـ vertical centration + +81 +00:08:28,820 --> 00:08:36,360 +هي عبارة عن المسافة الواصلة ما بين أبعد نقطة تمام + +82 +00:08:36,360 --> 00:08:42,080 +اللي بتكون محاذالة من لل bottom أو ال lower part + +83 +00:08:42,080 --> 00:08:48,160 +للصندوق لال optical center لهذا المريض اللي هي + +84 +00:08:48,160 --> 00:08:53,620 +بتمثل من ال major reference point في حالة ال + +85 +00:08:53,620 --> 00:08:55,200 +vertical centration + +86 +00:08:59,710 --> 00:09:03,170 +طيب إذا هذه المسافة كلها عبارة عن ال major + +87 +00:09:03,170 --> 00:09:11,810 +reference height طيب + +88 +00:09:11,810 --> 00:09:18,070 +الآن المسافة من هنا لهنا بتمثل B صح؟ طيب نصها + +89 +00:09:18,070 --> 00:09:22,090 +هتكون B ع 2 واضحة يعني ال major reference point + +90 +00:09:22,090 --> 00:09:25,110 +عبارة عن one over two نص + +91 +00:09:28,380 --> 00:09:33,680 +The laboratory must convert المصنع ايش بده يعمل + +92 +00:09:33,680 --> 00:09:39,780 +عملية تحويل from major reference point high to + +93 +00:09:39,780 --> 00:09:45,140 +major reference point raise or drop الآن قال + +94 +00:09:45,140 --> 00:09:49,160 +للمصنع اذا احنا حافظنا على الاسم كما هو ال major + +95 +00:09:49,160 --> 00:09:54,640 +reference pointخلاب العلم أو الأخصائيين اللي + +96 +00:09:54,640 --> 00:09:58,400 +بيشتغلوا في هذا المجال هيخربطوا بين المصطلحين + +97 +00:09:58,400 --> 00:10:02,360 +major reference point و major reference raise او + +98 +00:10:02,360 --> 00:10:06,720 +drop قال بدل ما نقول major reference point هنسمي + +99 +00:10:06,720 --> 00:10:14,880 +ايش النقطة هذه major rise + +100 +00:10:14,880 --> 00:10:19,980 +او بنسميها dropيعني بدل مصطلح الـ major reference + +101 +00:10:19,980 --> 00:10:25,540 +point تمام هذه وين موجودة على ال optical center + +102 +00:10:25,540 --> 00:10:31,820 +للمريض اذا + +103 +00:10:31,820 --> 00:10:36,260 +major reference point raise او major reference + +104 +00:10:36,260 --> 00:10:37,260 +point drop + +105 +00:10:40,730 --> 00:10:45,590 +if the position of the major reference point is + +106 +00:10:45,590 --> 00:10:51,430 +given in terms of height from the lower most + +107 +00:10:51,430 --> 00:10:56,950 +portion of the ship إذا هي مثلت إيش؟ الجزء السفلي + +108 +00:10:56,950 --> 00:11:03,750 +من الصندوق، صح ولا لأ؟ يعني ال lower part drop or + +109 +00:11:03,750 --> 00:11:09,190 +raise can be calculated كيف أنا ممكن أحسبها؟ من + +110 +00:11:09,190 --> 00:11:09,690 +خلال + +111 +00:11:12,320 --> 00:11:19,960 +بعمل عملية طرح one half of the B التي هي عبارة عن + +112 +00:11:19,960 --> 00:11:25,660 +بي اتنين نص اللي هو الـ B dimension from major + +113 +00:11:25,660 --> 00:11:27,200 +reference point height + +114 +00:11:32,840 --> 00:11:36,640 +الـ Vertical Centration ايش بيساوي الـ Major + +115 +00:11:36,640 --> 00:11:40,780 +Reference Point Height ناقص الـ B على 2 هذا عبارة + +116 +00:11:40,780 --> 00:11:45,500 +عن الـ Vertical Decentration طب ليش قلنا B على 2؟ + +117 +00:11:45,500 --> 00:11:50,380 +لأن هو بس أخد ال lower part نرجع مرة تانية للشكل + +118 +00:11:57,510 --> 00:12:01,790 +هن مرة تانية يا جماعة انه احنا مثلنا فقط من ال + +119 +00:12:01,790 --> 00:12:07,050 +lower part ل ال box فالان عندنا ال vertical + +120 +00:12:07,050 --> 00:12:11,010 +centration ايش بيساوي ال major reference height + +121 +00:12:11,010 --> 00:12:18,010 +تمام بترحى من اللي هو نص من ال B قيمة اللي هو ال B + +122 +00:12:18,010 --> 00:12:22,230 +ايش بتمثل ال B هي ال B dimension + +123 +00:12:25,300 --> 00:12:31,400 +الـ Depth العمق 100% صح ولا لأ؟ إذاً هي عبارة عن + +124 +00:12:31,400 --> 00:12:34,880 +العمق مش أخدنا الـ A dimension و الـ B dimension + +125 +00:12:34,880 --> 00:12:38,960 +إنه بتمثل عندنا ال lens size و عندنا ال depth + +126 +00:12:38,960 --> 00:12:46,280 +للإطار أو ال frame ناخد هنا مثلا مثلًا An order + +127 +00:12:46,280 --> 00:12:49,180 +specifies + +128 +00:12:49,950 --> 00:12:55,330 +and major reference height of 25 millimeter إذا + +129 +00:12:55,330 --> 00:13:00,050 +نرجع للشكل هي + +130 +00:13:00,050 --> 00:13:03,430 +عندنا ال major reference point height إيش بساوي + +131 +00:13:03,430 --> 00:13:14,730 +خمسة و عشرين millimeter okay the + +132 +00:13:14,730 --> 00:13:17,290 +frame has a vertical + +133 +00:13:20,500 --> 00:13:26,740 +The frame has a vertical dimension B of 46 + +134 +00:13:26,740 --> 00:13:33,880 +millimeter إذا عندنا قيمة الـ B أو الـ depth 46 + +135 +00:13:33,880 --> 00:13:39,660 +millimeter إذا عندنا قيمة الـ B على 2 تلاتة و + +136 +00:13:39,660 --> 00:13:45,800 +عشرين إذا B على 2 بالساوية تلاتة و عشرين + +137 +00:13:45,800 --> 00:13:46,980 +millimeter + +138 +00:13:55,450 --> 00:14:00,470 +طيب ايش المطلوب؟ بدنا نحسب قداش قيمة ال major + +139 +00:14:00,470 --> 00:14:05,850 +reference point raised او اللي هو drop في السؤال + +140 +00:14:05,850 --> 00:14:10,930 +اذا عندنا بدنا نحسب قيمة ال vertical dimension ايش + +141 +00:14:10,930 --> 00:14:14,670 +القانون؟ vertical dimension بساوي major reference + +142 +00:14:14,670 --> 00:14:20,150 +point ناقص من البيعة 2 طيب قداش عندنا ال major + +143 +00:14:20,150 --> 00:14:24,340 +reference point؟الـ major reference point خمسة و + +144 +00:14:24,340 --> 00:14:28,820 +عشرين تمام okay بده اترحى من مين من التلاتة و + +145 +00:14:28,820 --> 00:14:32,760 +عشرين بطلع اللي هو اتنين من اللي طيب الاتنين هيكون + +146 +00:14:32,760 --> 00:14:38,720 +up ولا down هي جاية من التحت up لفوق صح ولا لا هي + +147 +00:14:38,720 --> 00:14:46,170 +الشكل الآن عندنا قيمةالـ major reference point + +148 +00:14:46,170 --> 00:14:50,730 +خمسة و عشرين وعنا قيمة البيع اتنين تلاتة و عشرين + +149 +00:14:50,730 --> 00:14:55,450 +اذا هي كلها توين واقعة في ال lower position اذا + +150 +00:14:55,450 --> 00:14:58,850 +انا بدي ارفع ال optical center لمن؟ للعدسة لفوق + +151 +00:14:58,850 --> 00:15:06,830 +اذا هتكون اتنين ملي up في شغل مهم برضه يمكن + +152 +00:15:06,830 --> 00:15:13,530 +لاحطوها ان قيمة ال major reference point اكبر من + +153 +00:15:13,530 --> 00:15:20,370 +مين؟من B على 2 يعني أكبر من اللي هو نصف العمق طيب + +154 +00:15:20,370 --> 00:15:26,650 +هل دائما هذا الكلام هو يعتبر غالبا غالبا قيمة ال + +155 +00:15:26,650 --> 00:15:29,590 +major reference point طبعا أنا بتكلم على single + +156 +00:15:29,590 --> 00:15:35,030 +vision lens بيكون أكبر من مين من ال B على 2 + +157 +00:15:44,580 --> 00:15:51,080 +Okay it can be seen that since the major reference + +158 +00:15:51,080 --> 00:15:55,520 +point high is greater than half of the B + +159 +00:15:55,520 --> 00:16:02,500 +dimension, the lens is moved 2 mm up من اللي هو + +160 +00:16:02,500 --> 00:16:05,980 +وين ال major reference point يعني بدنا نعمل ال + +161 +00:16:05,980 --> 00:16:07,940 +decentralization 2 mm لأعلى + +162 +00:16:13,620 --> 00:16:18,580 +المثال التاني عندنا + +163 +00:16:18,580 --> 00:16:22,780 +قيمة الـ A dimension خمسين ملي اذا هذه ايش بتمثل + +164 +00:16:22,780 --> 00:16:28,900 +ال I size او ال length size ال B dimension اللي هي + +165 +00:16:28,900 --> 00:16:33,960 +عبارة عن ال depth العمق تلاتين ملي من هنا ايش بجيب + +166 +00:16:33,960 --> 00:16:41,620 +ال B ع اتنين اذا هي قداش بالساويةخمس عشر صح طيب ال + +167 +00:16:41,620 --> 00:16:46,400 +distance between lens عشرين ملي اذا من هنا بجيب + +168 +00:16:46,400 --> 00:16:50,800 +مين ال frame بي دي جدش قيمة ال frame بي دي عشرين + +169 +00:16:50,800 --> 00:16:56,240 +زياد خمسين سبعين واضحة طيب ال major reference + +170 +00:16:56,240 --> 00:17:01,620 +height جدش بالساوي تمانتاش اول قضية ايش بدنا نحسب + +171 +00:17:08,010 --> 00:17:13,850 +الان هو مدين ال IPD بساوة + +172 +00:17:13,850 --> 00:17:23,370 +اربعة و ستين ملي وعنا ال frame PD سبعين + +173 +00:17:23,370 --> 00:17:28,270 +ملي اذا من هنا انا بحسب مين ال horizontal + +174 +00:17:28,270 --> 00:17:33,070 +decentration صح؟ + +175 +00:17:35,110 --> 00:17:39,310 +الان مين اكبر ال frame bd و لا ال I bd ال frame bd + +176 +00:17:39,310 --> 00:17:44,110 +الفرق بينهم كدهش ستة اذا هيكون ايش تلاتة ملة in + +177 +00:17:44,110 --> 00:17:50,170 +ولا out in بالضبط طيب هذه نقطة حلناها الان بدنا + +178 +00:17:50,170 --> 00:17:54,350 +نجيب ال vertical ايش المطلوب في السؤال ال vertical + +179 +00:17:54,350 --> 00:17:59,800 +decentrationأه الـ Center لأ اللي هو العدسة احنا + +180 +00:17:59,800 --> 00:18:03,540 +حسبنا الآن مين الـ Horizontal بده اجيب الآن الـ + +181 +00:18:03,540 --> 00:18:06,780 +Vertical الان الـ Vertical Decentration ايش + +182 +00:18:06,780 --> 00:18:11,440 +بالساوية Major Reference Point ناقص نص الـ B قداش + +183 +00:18:11,440 --> 00:18:16,280 +ال Major Reference Point؟ 18 ناقص كده؟ 15 كده + +184 +00:18:16,280 --> 00:18:21,060 +بتطلع؟ هتكون باتجاه مين؟ ال Up الملاحظين برضه ايش؟ + +185 +00:18:21,060 --> 00:18:24,160 +قيمة ال Major Reference Point أكبر من نص الـ B + +186 +00:18:32,200 --> 00:18:35,600 +إذا لما انا بحكيلك في السؤال احسب ال total + +187 +00:18:35,600 --> 00:18:40,100 +concentration او ال total decentration بدي احسب لل + +188 +00:18:40,100 --> 00:18:43,960 +horizontal و ال vertical لو اقولك احسب ال vertical + +189 +00:18:43,960 --> 00:18:46,720 +concentration فقط لل vertical و ال horizontal + +190 +00:18:46,720 --> 00:18:54,460 +concentration فقط لل horizontal واضحة؟ اكيد؟ طبعا + +191 +00:18:54,460 --> 00:18:57,600 +هنقل ان العين هي عبارة على ال right فهيكون اللي هو + +192 +00:18:57,600 --> 00:19:03,640 +باتجاه ال front view هذه بتمثلتمام هذه عبارة عن + +193 +00:19:03,640 --> 00:19:08,820 +front + +194 +00:19:08,820 --> 00:19:13,320 +view + +195 +00:19:13,320 --> 00:19:17,880 +فدائما الإزاحة باتجاه إيدي زي ما قلت لكم اليمين + +196 +00:19:21,470 --> 00:19:27,370 +هيعلم وعمل الـ Decentration تلاتة ملي أب وعنا + +197 +00:19:27,370 --> 00:19:33,410 +تلاتة ملي إن ملاحظين كمان في شغلة مهمة إيش هي قيمة + +198 +00:19:33,410 --> 00:19:37,230 +الـ Decentration في الـ horizontal مساوية لقيمة + +199 +00:19:37,230 --> 00:19:43,330 +الـ Decentration في ال vertical حل + +200 +00:19:43,330 --> 00:19:52,930 +السؤال هذا how far fromEach other will the optical + +201 +00:19:52,930 --> 00:19:59,290 +center إذا إتدانى قيمة مين؟ ال optical center and + +202 +00:19:59,290 --> 00:20:04,410 +major reference point for a minus three diopter + +203 +00:20:04,410 --> 00:20:09,310 +إذا ال minus three إيش بتمثل؟ ال power of a lens + +204 +00:20:09,310 --> 00:20:16,570 +صح ولا لأ؟When a 1.5 Prism Diopter Prismatic + +205 +00:20:16,570 --> 00:20:21,650 +Effect is desired يعني بدي احسب قيمة ال optical + +206 +00:20:21,650 --> 00:20:25,290 +center او ال major reference point لعدسة قوتها + +207 +00:20:25,290 --> 00:20:29,410 +minus 3 بتعمل تأثير منشوري قيمة واحد و نص Prism + +208 +00:20:29,410 --> 00:20:35,990 +Diopter طيب + +209 +00:20:35,990 --> 00:20:42,810 +الان نرجع عندنا اول حاجة الدانيالـ F بالساوي قداش + +210 +00:20:42,810 --> 00:20:53,010 +minus 3 ديوبتر ال power of ellens وعنا التأثير + +211 +00:20:53,010 --> 00:21:01,190 +المنشوري واحد و نص ال prism ديوبتر من هان بطلع مين + +212 +00:21:01,190 --> 00:21:06,810 +ال C أو ال H تمام + +213 +00:21:08,860 --> 00:21:13,140 +إذا عندنا التأثير المنشور القانون أو ال prince + +214 +00:21:13,140 --> 00:21:18,700 +rule prince rule بساوي C في F تمام طيب ال C إيش + +215 +00:21:18,700 --> 00:21:23,580 +بالساوي إذا + +216 +00:21:23,580 --> 00:21:31,880 +واحد و نص على تلاتة يديش بالساوي عبارة عن نص لكن + +217 +00:21:31,880 --> 00:21:38,050 +هان إيشcentimeter القانون صح ولا لأ؟ نحاول و احنا + +218 +00:21:38,050 --> 00:21:45,410 +ايش؟ لملة اذا بدي اضرب في عشرة صح؟ اذا بيساوي خمسة + +219 +00:21:45,410 --> 00:21:50,930 +ملة طيب الان احنا كل شغل نجونه وين؟ في ال lower + +220 +00:21:50,930 --> 00:21:56,910 +part الخمسة ملة هد ايش بتمثل؟ ال major reference + +221 +00:21:56,910 --> 00:22:05,000 +point او ال optical center okay اذا هد هتكون upطيب + +222 +00:22:05,000 --> 00:22:10,740 +لو الآن بدي أحسب ال vertical centration القانون ال + +223 +00:22:10,740 --> 00:22:15,220 +vertical centration هل بقدر أحسبه؟ بالضبط قيمة ال + +224 +00:22:15,220 --> 00:22:18,840 +B مش معطلة، إذا هان ال information المعلومات + +225 +00:22:18,840 --> 00:22:23,120 +المتوفرة غير كافية، لو أداني قيمة ال depth أو + +226 +00:22:23,120 --> 00:22:27,800 +أداني قيمة نص ال B ممكن أنا بقدر أحسب اللي هو قيمة + +227 +00:22:27,800 --> 00:22:34,410 +مين؟ ال what I call ال vertical decentrationOkay + +228 +00:22:34,410 --> 00:22:37,970 +إذا هان حسبنا خمسة ملي هي عبارة عن ال major + +229 +00:22:37,970 --> 00:22:43,210 +reference point أو ال optical center للعدسة واضح + +230 +00:22:43,210 --> 00:22:48,910 +السؤال ولا كيف؟ تمام يعطيكم العافية ان شاء الله + +231 +00:22:48,910 --> 00:22:53,190 +المحاضرة الجاية بنبدأ في موضوع ال oral + +232 +00:22:53,190 --> 00:22:57,330 +presentation لحد ما ننتهي منه بعد ذلك ان شاء الله + +233 +00:22:57,330 --> 00:23:02,440 +بنعمل الهو revision كامل للمصادبعد ما انتوا + +234 +00:23:02,440 --> 00:23:05,020 +بتعملوا عملية المراجعة ان شاء الله في البيت ياطيكم + +235 +00:23:05,020 --> 00:23:05,420 +العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dgBhZsNDq1E_raw.json b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dgBhZsNDq1E_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..a56eaac8453f398c10939af4d68274928582e270 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dgBhZsNDq1E_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4565, "start": 20.75, "end": 45.65, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته هنكمل في محاضرة ال major references points في المحاضرة السابقة اتناولنا موضوع ال horizontal centration اليوم هنبدأ في موضوع ال vertical centration unless otherwise specified", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 8032, 1863, 24793, 1211, 8978, 3714, 5016, 46958, 25720, 2423, 2563, 15400, 2793, 8978, 9673, 5016, 46958, 25720, 21136, 16758, 28671, 1975, 2655, 8315, 12610, 8315, 3714, 2407, 11242, 45367, 2423, 12750, 1489, 2405, 45595, 20498, 8032, 1863, 44510, 10721, 8978, 3714, 2407, 11242, 45367, 2423, 9429, 1489, 2405, 5969, 5911, 22206], "avg_logprob": -0.10295024778889983, "compression_ratio": 1.683168316831683, "no_speech_prob": 7.748603820800781e-07, "words": [{"start": 20.75, "end": 21.05, "word": "بسم", "probability": 0.708984375}, {"start": 21.05, "end": 21.17, "word": " الله", "probability": 0.947265625}, {"start": 21.17, "end": 21.49, "word": " الرحمن", "probability": 0.9812825520833334}, {"start": 21.49, "end": 21.99, "word": " الرحيم", "probability": 0.9944661458333334}, {"start": 21.99, "end": 22.35, "word": " السلام", "probability": 0.874755859375}, {"start": 22.35, "end": 22.85, "word": " عليكم", "probability": 0.96484375}, {"start": 22.85, "end": 23.29, "word": " ورحمة", "probability": 0.8929443359375}, {"start": 23.29, "end": 23.59, "word": " الله", "probability": 0.98046875}, {"start": 23.59, "end": 24.35, "word": " وبركاته", "probability": 0.9853515625}, {"start": 24.35, "end": 25.61, "word": " هنكمل", "probability": 0.80328369140625}, {"start": 25.61, "end": 25.87, "word": " في", "probability": 0.94140625}, {"start": 25.87, "end": 26.63, "word": " محاضرة", "probability": 0.98486328125}, {"start": 26.63, "end": 27.03, "word": " ال", "probability": 0.77294921875}, {"start": 27.03, "end": 27.41, "word": " major", "probability": 0.60498046875}, {"start": 27.41, "end": 28.43, "word": " references", "probability": 0.82177734375}, {"start": 28.43, "end": 29.45, "word": " points", "probability": 0.86865234375}, {"start": 29.45, "end": 30.39, "word": " في", "probability": 0.849609375}, {"start": 30.39, "end": 30.89, "word": " المحاضرة", "probability": 0.993408203125}, {"start": 30.89, "end": 31.59, "word": " السابقة", "probability": 0.9912109375}, {"start": 31.59, "end": 32.33, "word": " اتناولنا", "probability": 0.93359375}, {"start": 32.33, "end": 32.83, "word": " موضوع", "probability": 0.977783203125}, {"start": 32.83, "end": 33.49, "word": " ال", "probability": 0.96337890625}, {"start": 33.49, "end": 34.07, "word": " horizontal", "probability": 0.595703125}, {"start": 34.07, "end": 35.73, "word": " centration", "probability": 0.751220703125}, {"start": 35.73, "end": 36.71, "word": " اليوم", "probability": 0.842041015625}, {"start": 36.71, "end": 37.21, "word": " هنبدأ", "probability": 0.988037109375}, {"start": 37.21, "end": 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55.22, "end": 56.58, "word": " laboratory", "probability": 0.91064453125}, {"start": 56.58, "end": 58.44, "word": " أية", "probability": 0.5770263671875}, {"start": 58.44, "end": 59.14, "word": " مصنع", "probability": 0.9879150390625}, {"start": 59.14, "end": 59.92, "word": " بصري", "probability": 0.9912109375}, {"start": 59.92, "end": 60.88, "word": " will", "probability": 0.861328125}, {"start": 60.88, "end": 61.6, "word": " make", "probability": 0.9736328125}, {"start": 61.6, "end": 62.14, "word": " يعني", "probability": 0.881103515625}, {"start": 62.14, "end": 62.64, "word": " سوف", "probability": 0.974853515625}, {"start": 62.64, "end": 64.02, "word": " يصنع", "probability": 0.995361328125}], "temperature": 1.0}, {"id": 3, "seek": 9085, "start": 66.37, "end": 90.85, "text": "عدسة الها optical center واحد okay so that the major reference point is centered vertically الآن احنا بدنا نغير طريقة اللي هو تمركز العدسة بدل ما كان باعتمد على ال datum line أو", "tokens": [3615, 3215, 3794, 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"probability": 0.84716796875}, {"start": 97.89, "end": 98.27, "word": " vertical", "probability": 0.86376953125}, {"start": 98.27, "end": 98.81, "word": " line", "probability": 0.97705078125}, {"start": 98.81, "end": 101.77, "word": " طيب،", "probability": 0.748291015625}, {"start": 101.77, "end": 102.35, "word": " كيف", "probability": 0.988037109375}, {"start": 102.35, "end": 102.55, "word": " انا", "probability": 0.852783203125}, {"start": 102.55, "end": 102.95, "word": " ممكن", "probability": 0.9921875}, {"start": 102.95, "end": 103.71, "word": " امركز", "probability": 0.9002685546875}, {"start": 103.71, "end": 103.99, "word": " اللي", "probability": 0.937744140625}, {"start": 103.99, "end": 104.21, "word": " هو", "probability": 0.99658203125}, {"start": 104.21, "end": 104.35, "word": " ال", "probability": 0.9013671875}, {"start": 104.35, "end": 104.61, "word": " major", "probability": 0.60400390625}, {"start": 104.61, "end": 105.21, "word": " reference", "probability": 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"probability": 0.73486328125}, {"start": 114.42, "end": 114.82, "word": " of", "probability": 0.97021484375}, {"start": 114.82, "end": 115.04, "word": " the", "probability": 0.908203125}, {"start": 115.04, "end": 115.34, "word": " frame", "probability": 0.935546875}, {"start": 115.34, "end": 116.22, "word": " اذا", "probability": 0.6253662109375}, {"start": 116.22, "end": 116.68, "word": " بعمل", "probability": 0.9552408854166666}, {"start": 116.68, "end": 117.2, "word": " عملية", "probability": 0.9822591145833334}, {"start": 117.2, "end": 117.94, "word": " تقسيم", "probability": 0.963623046875}, {"start": 117.94, "end": 118.36, "word": " ما", "probability": 0.8447265625}, {"start": 118.36, "end": 118.64, "word": " بين", "probability": 0.9921875}, {"start": 118.64, "end": 118.82, "word": " ال", "probability": 0.88720703125}, {"start": 118.82, "end": 119.1, "word": " upper", "probability": 0.85107421875}, {"start": 119.1, "end": 119.64, "word": " part", "probability": 0.93310546875}, {"start": 119.64, "end": 119.98, "word": " و", "probability": 0.47509765625}, {"start": 119.98, "end": 120.1, "word": " ال", "probability": 0.63330078125}, {"start": 120.1, "end": 120.36, "word": " lower", "probability": 0.810546875}, {"start": 120.36, "end": 120.9, "word": " part", "probability": 0.96337890625}, {"start": 120.9, "end": 121.12, "word": " او", "probability": 0.7432861328125}, {"start": 121.12, "end": 121.26, "word": " ال", "probability": 0.87939453125}, {"start": 121.26, "end": 121.5, "word": " top", "probability": 0.9521484375}, {"start": 121.5, "end": 121.88, "word": " part", "probability": 0.953125}, {"start": 121.88, "end": 122.04, "word": " و", "probability": 0.9150390625}, {"start": 122.04, "end": 122.14, "word": " ال", "probability": 0.791015625}, {"start": 122.14, "end": 122.42, "word": " bottom", "probability": 0.87109375}, {"start": 122.42, "end": 122.8, "word": " part", "probability": 0.958984375}, {"start": 122.8, "end": 122.96, "word": " لل", "probability": 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B ع 2 واضحة يعني ال major reference point عبارة عن one over two نص", "tokens": [9566, 1829, 3555, 11933, 15730, 29538, 9673, 3794, 31845, 3660, 28242, 11296, 6225, 3555, 9640, 3660, 18871, 2423, 2563, 6408, 6681, 23032, 1829, 3555, 6024, 48506, 9673, 3794, 31845, 3660, 9154, 34105, 46740, 8315, 39894, 2304, 12984, 1211, 363, 20328, 5016, 22807, 23032, 1829, 3555, 8717, 9381, 11296, 8032, 2655, 30544, 363, 6225, 568, 4032, 46958, 5016, 3660, 37495, 22653, 2423, 2563, 6408, 935, 6225, 3555, 9640, 3660, 18871, 472, 670, 732, 8717, 9381], "avg_logprob": -0.14291666785875956, "compression_ratio": 1.5536723163841808, "no_speech_prob": 0.0, "words": [{"start": 539.71, "end": 540.13, "word": "طيب", "probability": 0.9275716145833334}, {"start": 540.13, "end": 540.65, "word": " إذا", "probability": 0.7314453125}, {"start": 540.65, "end": 540.95, "word": " هذه", "probability": 0.86083984375}, {"start": 540.95, "end": 541.49, "word": " المسافة", "probability": 0.986572265625}, {"start": 541.49, 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607.4, "end": 607.8, "word": " هذه", "probability": 0.869140625}, {"start": 607.8, "end": 610.18, "word": " major", "probability": 0.7763671875}, {"start": 610.18, "end": 614.88, "word": " rise", "probability": 0.4296875}, {"start": 614.88, "end": 615.42, "word": " او", "probability": 0.93212890625}, {"start": 615.42, "end": 616.26, "word": " بنسميها", "probability": 0.8607177734375}, {"start": 616.26, "end": 616.88, "word": " drop", "probability": 0.88330078125}], "temperature": 1.0}, {"id": 23, "seek": 63726, "start": 617.84, "end": 637.26, "text": "يعني بدل مصطلح الـ major reference point تمام هذه وين موجودة على ال optical center للمريض اذا major reference point raise او major reference point drop", "tokens": [40228, 22653, 47525, 1211, 3714, 9381, 9566, 1211, 5016, 2423, 39184, 2563, 6408, 935, 46811, 10943, 29538, 4032, 9957, 3714, 29245, 23328, 3660, 15844, 2423, 20674, 3056, 5296, 19528, 16572, 11242, 1975, 15730, 2563, 6408, 935, 5300, 1975, 2407, 2563, 6408, 935, 3270], "avg_logprob": -0.17151988805695015, "compression_ratio": 1.4452554744525548, "no_speech_prob": 0.0, "words": [{"start": 617.84, "end": 618.12, "word": "يعني", "probability": 0.749267578125}, {"start": 618.12, "end": 618.46, "word": " بدل", "probability": 0.977783203125}, {"start": 618.46, "end": 619.04, "word": " مصطلح", "probability": 0.99208984375}, {"start": 619.04, "end": 619.24, "word": " الـ", "probability": 0.732421875}, {"start": 619.24, "end": 619.4, "word": " major", "probability": 0.8017578125}, {"start": 619.4, "end": 619.98, "word": " reference", "probability": 0.8798828125}, {"start": 619.98, "end": 620.48, "word": " point", "probability": 0.9775390625}, {"start": 620.48, "end": 621.24, "word": " تمام", "probability": 0.78564453125}, {"start": 621.24, "end": 622.98, "word": " هذه", "probability": 0.406982421875}, {"start": 622.98, "end": 623.24, "word": " وين", "probability": 0.80029296875}, {"start": 623.24, "end": 623.9, "word": " موجودة", "probability": 0.98193359375}, {"start": 623.9, "end": 624.26, "word": " على", "probability": 0.859375}, {"start": 624.26, "end": 624.44, "word": " ال", "probability": 0.97314453125}, {"start": 624.44, "end": 624.82, "word": " optical", "probability": 0.6552734375}, {"start": 624.82, "end": 625.54, "word": " center", "probability": 0.85302734375}, {"start": 625.54, "end": 627.06, "word": " للمريض", "probability": 0.9583740234375}, {"start": 627.06, "end": 631.82, "word": " اذا", "probability": 0.654296875}, {"start": 631.82, "end": 632.2, "word": " major", "probability": 0.87353515625}, {"start": 632.2, "end": 633.22, "word": " reference", "probability": 0.92822265625}, {"start": 633.22, "end": 634.3, "word": " point", "probability": 0.9755859375}, {"start": 634.3, "end": 634.92, "word": " raise", "probability": 0.5205078125}, {"start": 634.92, "end": 635.36, "word": " او", "probability": 0.7880859375}, {"start": 635.36, "end": 635.72, "word": " major", "probability": 0.92041015625}, {"start": 635.72, "end": 636.26, "word": " reference", "probability": 0.93017578125}, {"start": 636.26, "end": 636.74, "word": " point", "probability": 0.97509765625}, {"start": 636.74, "end": 637.26, "word": " drop", "probability": 0.94091796875}], "temperature": 1.0}, {"id": 24, "seek": 66969, "start": 640.73, "end": 669.69, "text": "if the position of the major reference point is given in terms of height from the lower most portion of the ship إذا هي مثلت إيش؟ الجزء السفلي من الصندوق، صح ولا لأ؟ يعني ال lower part drop or raise can be calculated كيف أنا ممكن أحسبها؟ من خلال", "tokens": [351, 264, 2535, 295, 264, 2563, 6408, 935, 307, 2212, 294, 2115, 295, 6681, 490, 264, 3126, 881, 8044, 295, 264, 5374, 11933, 15730, 39896, 50113, 1211, 2655, 11933, 1829, 8592, 22807, 25724, 11622, 38207, 21136, 5172, 20292, 9154, 31767, 41260, 30543, 12399, 20328, 5016, 49429, 5296, 10721, 22807, 37495, 22653, 2423, 3126, 644, 3270, 420, 5300, 393, 312, 15598, 9122, 33911, 41850, 3714, 43020, 5551, 5016, 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in", "probability": 0.96728515625}, {"start": 646.67, "end": 647.41, "word": " terms", "probability": 0.92822265625}, {"start": 647.41, "end": 647.97, "word": " of", "probability": 0.9833984375}, {"start": 647.97, "end": 648.49, "word": " height", "probability": 0.93359375}, {"start": 648.49, "end": 649.05, "word": " from", "probability": 0.92236328125}, {"start": 649.05, "end": 649.75, "word": " the", "probability": 0.92724609375}, {"start": 649.75, "end": 650.65, "word": " lower", "probability": 0.79248046875}, {"start": 650.65, "end": 651.43, "word": " most", "probability": 0.64599609375}, {"start": 651.43, "end": 652.11, "word": " portion", "probability": 0.9111328125}, {"start": 652.11, "end": 652.59, "word": " of", "probability": 0.97900390625}, {"start": 652.59, "end": 652.79, "word": " the", "probability": 0.92138671875}, {"start": 652.79, "end": 653.07, "word": " ship", "probability": 0.93115234375}, {"start": 653.07, "end": 653.75, "word": " إذا", "probability": 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668.81, "end": 669.19, "word": " من", "probability": 0.98779296875}, {"start": 669.19, "end": 669.69, "word": " خلال", "probability": 0.99560546875}], "temperature": 1.0}, {"id": 25, "seek": 68720, "start": 672.32, "end": 687.2, "text": "بعمل عملية طرح one half of the B التي هي عبارة عن بي اتنين نص اللي هو الـ B dimension from major reference point height", "tokens": [3555, 25957, 1211, 6225, 42213, 10632, 23032, 2288, 5016, 472, 1922, 295, 264, 363, 38392, 39896, 6225, 3555, 9640, 3660, 18871, 4724, 1829, 1975, 2655, 1863, 9957, 8717, 9381, 13672, 1829, 31439, 2423, 39184, 363, 10139, 490, 2563, 6408, 935, 6681], "avg_logprob": -0.4244791546038219, "compression_ratio": 1.208955223880597, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 672.32, "end": 673.32, "word": "بعمل", "probability": 0.7703450520833334}, {"start": 673.32, "end": 673.82, "word": " عملية", "probability": 0.9698893229166666}, {"start": 673.82, "end": 674.36, "word": " طرح", "probability": 0.7996419270833334}, {"start": 674.36, "end": 675.42, "word": " one", "probability": 0.619140625}, {"start": 675.42, "end": 676.2, "word": " half", "probability": 0.56494140625}, {"start": 676.2, "end": 677.04, "word": " of", "probability": 0.90966796875}, {"start": 677.04, "end": 677.32, "word": " the", "probability": 0.324951171875}, {"start": 677.32, "end": 678.48, "word": " B", "probability": 0.4423828125}, {"start": 678.48, "end": 678.98, "word": " التي", "probability": 0.1429443359375}, {"start": 678.98, "end": 679.12, "word": " هي", "probability": 0.6025390625}, {"start": 679.12, "end": 679.72, "word": " عبارة", "probability": 0.790191650390625}, {"start": 679.72, "end": 679.96, "word": " عن", "probability": 0.97705078125}, {"start": 679.96, "end": 680.4, "word": " بي", "probability": 0.54248046875}, {"start": 680.4, "end": 680.9, "word": " اتنين", "probability": 0.76409912109375}, {"start": 680.9, "end": 681.34, "word": " نص", "probability": 0.718505859375}, {"start": 681.34, "end": 681.56, "word": " اللي", "probability": 0.5909423828125}, {"start": 681.56, "end": 681.78, "word": " هو", "probability": 0.9345703125}, {"start": 681.78, "end": 681.94, "word": " الـ", "probability": 0.6533203125}, {"start": 681.94, "end": 682.1, "word": " B", "probability": 0.46484375}, {"start": 682.1, "end": 683.8, "word": " dimension", "probability": 0.55810546875}, {"start": 683.8, "end": 684.98, "word": " from", "probability": 0.69189453125}, {"start": 684.98, "end": 685.66, "word": " major", "probability": 0.8662109375}, {"start": 685.66, "end": 686.18, "word": " reference", "probability": 0.859375}, {"start": 686.18, "end": 686.68, "word": " point", "probability": 0.95654296875}, {"start": 686.68, "end": 687.2, "word": " height", "probability": 0.89013671875}], "temperature": 1.0}, {"id": 26, "seek": 71038, "start": 692.84, "end": 710.38, "text": "الـ Vertical Centration ايش بيساوي الـ Major Reference Point Height ناقص الـ B على 2 هذا عبارة عن الـ Vertical Decentration طب ليش قلنا B على 2؟ لأن هو بس أخد ال lower part نرجع مرة تانية للشكل", "tokens": [6027, 39184, 21044, 804, 3408, 2405, 1975, 1829, 8592, 4724, 1829, 3794, 995, 45865, 2423, 39184, 15581, 1300, 5158, 12387, 634, 397, 8717, 995, 4587, 9381, 2423, 39184, 363, 15844, 568, 23758, 6225, 3555, 9640, 3660, 18871, 2423, 39184, 21044, 804, 1346, 2207, 2405, 23032, 3555, 32239, 8592, 12174, 1211, 8315, 363, 15844, 568, 22807, 5296, 33456, 31439, 4724, 3794, 5551, 9778, 3215, 2423, 3126, 644, 8717, 47341, 3615, 3714, 25720, 6055, 7649, 10632, 24976, 8592, 28820], "avg_logprob": -0.24979967872301737, "compression_ratio": 1.378787878787879, "no_speech_prob": 0.0, "words": [{"start": 692.84, "end": 693.24, "word": "الـ", "probability": 0.83544921875}, {"start": 693.24, "end": 693.86, "word": " Vertical", "probability": 0.6707763671875}, {"start": 693.86, "end": 694.76, "word": " Centration", "probability": 0.747314453125}, {"start": 694.76, "end": 695.02, "word": " ايش", "probability": 0.607421875}, {"start": 695.02, "end": 695.58, "word": " بيساوي", "probability": 0.8609375}, {"start": 695.58, "end": 696.3, "word": " الـ", "probability": 0.6357421875}, {"start": 696.3, "end": 696.64, "word": " Major", "probability": 0.459716796875}, {"start": 696.64, "end": 697.5, "word": " Reference", "probability": 0.6563720703125}, {"start": 697.5, "end": 697.96, "word": " Point", "probability": 0.85205078125}, {"start": 697.96, "end": 698.54, "word": " Height", "probability": 0.61395263671875}, {"start": 698.54, "end": 699.18, "word": " ناقص", "probability": 0.9256591796875}, {"start": 699.18, "end": 699.42, "word": " الـ", "probability": 0.890869140625}, {"start": 699.42, "end": 699.54, "word": " B", "probability": 0.396484375}, {"start": 699.54, "end": 699.68, "word": " على", "probability": 0.163818359375}, {"start": 699.68, "end": 699.96, "word": " 2", "probability": 0.93408203125}, {"start": 699.96, "end": 700.4, "word": " هذا", "probability": 0.327392578125}, {"start": 700.4, "end": 700.78, "word": " عبارة", "probability": 0.994873046875}, {"start": 700.78, "end": 700.92, "word": " عن", "probability": 0.9970703125}, {"start": 700.92, "end": 701.14, "word": " الـ", "probability": 0.6522216796875}, {"start": 701.14, "end": 701.68, "word": " Vertical", "probability": 0.853515625}, {"start": 701.68, "end": 703.22, "word": " Decentration", "probability": 0.9666341145833334}, {"start": 703.22, "end": 703.68, "word": " طب", "probability": 0.6845703125}, {"start": 703.68, "end": 703.86, "word": " ليش", "probability": 0.9521484375}, {"start": 703.86, "end": 704.14, "word": " قلنا", "probability": 0.8689778645833334}, {"start": 704.14, "end": 704.3, "word": " B", "probability": 0.80322265625}, {"start": 704.3, "end": 704.44, "word": " على", "probability": 0.8447265625}, {"start": 704.44, "end": 705.5, "word": " 2؟", "probability": 0.86181640625}, {"start": 705.5, "end": 706.54, "word": " لأن", "probability": 0.907958984375}, {"start": 706.54, "end": 706.74, "word": " هو", "probability": 0.8642578125}, {"start": 706.74, "end": 707.02, "word": " بس", "probability": 0.864013671875}, {"start": 707.02, "end": 707.38, "word": " أخد", "probability": 0.8605143229166666}, {"start": 707.38, "end": 707.52, "word": " ال", "probability": 0.9150390625}, {"start": 707.52, "end": 707.8, "word": " lower", "probability": 0.5341796875}, {"start": 707.8, "end": 708.38, "word": " part", "probability": 0.953125}, {"start": 708.38, "end": 709.42, "word": " نرجع", "probability": 0.8240559895833334}, {"start": 709.42, "end": 709.64, "word": " مرة", "probability": 0.94580078125}, {"start": 709.64, "end": 709.92, "word": " تانية", "probability": 0.9728190104166666}, {"start": 709.92, "end": 710.38, "word": " للشكل", "probability": 0.9586588541666666}], "temperature": 1.0}, {"id": 27, "seek": 74223, "start": 717.51, "end": 742.23, "text": "هن مرة تانية يا جماعة انه احنا مثلنا فقط من ال lower part ل ال box فالان عندنا ال vertical centration ايش بيساوي ال major reference height تمام بترحى من اللي هو نص من ال B قيمة اللي هو ال B ايش بتمثل ال B هي ال B dimension", "tokens": [3224, 1863, 3714, 25720, 6055, 7649, 10632, 35186, 10874, 15042, 27884, 16472, 3224, 1975, 5016, 8315, 50113, 1211, 8315, 6156, 47432, 9154, 2423, 3126, 644, 5296, 2423, 2424, 6156, 6027, 7649, 43242, 8315, 2423, 9429, 1489, 2405, 1975, 1829, 8592, 4724, 1829, 3794, 995, 45865, 2423, 2563, 6408, 6681, 46811, 10943, 39894, 2288, 5016, 7578, 9154, 13672, 1829, 31439, 8717, 9381, 9154, 2423, 363, 12174, 32640, 3660, 13672, 1829, 31439, 2423, 363, 1975, 1829, 8592, 39894, 2304, 12984, 1211, 2423, 363, 39896, 2423, 363, 10139], "avg_logprob": -0.1728742716963901, "compression_ratio": 1.616504854368932, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 717.51, "end": 717.83, "word": "هن", "probability": 0.561279296875}, {"start": 717.83, "end": 718.03, "word": " مرة", "probability": 0.976318359375}, {"start": 718.03, "end": 718.33, "word": " تانية", "probability": 0.9656575520833334}, 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b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dgBhZsNDq1E_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..67a6ab6bc59ba5989c84e169139bd025b2e4688b --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dgBhZsNDq1E_raw.srt @@ -0,0 +1,940 @@ +1 +00:00:20,750 --> 00:00:23,590 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,590 --> 00:00:29,450 +وبركاته هنكمل في محاضرة ال major references points + +3 +00:00:29,450 --> 00:00:34,070 +في المحاضرة السابقة اتناولنا موضوع ال horizontal + +4 +00:00:34,070 --> 00:00:39,350 +centration اليوم هنبدأ في موضوع ال vertical + +5 +00:00:39,350 --> 00:00:48,580 +centration unless otherwise specifiedبمعنى ما لم + +6 +00:00:48,580 --> 00:00:58,440 +ينص على تجاهل ذلك تمام an optical laboratory أية + +7 +00:00:58,440 --> 00:01:04,020 +مصنع بصري will make يعني سوف يصنع + +8 +00:01:06,370 --> 00:01:14,010 +عدسة الها optical center واحد okay so that the + +9 +00:01:14,010 --> 00:01:20,790 +major reference point is centered vertically الآن + +10 +00:01:20,790 --> 00:01:26,970 +احنا بدنا نغير طريقة اللي هو تمركز العدسة بدل ما + +11 +00:01:26,970 --> 00:01:33,870 +كان باعتمد على ال datum line أوالـ horizontal line + +12 +00:01:33,870 --> 00:01:37,450 +اللي في الـ boxing system، الآن احنا بدنا نتعامل + +13 +00:01:37,450 --> 00:01:43,990 +مع الـ vertical line طيب، كيف انا ممكن امركز اللي + +14 +00:01:43,990 --> 00:01:46,990 +هو ال major reference point من خلال الـ vertical + +15 +00:01:46,990 --> 00:01:53,940 +centration؟عن طريق half way between the top and + +16 +00:01:53,940 --> 00:01:58,820 +bottom of the frame اذا بعمل عملية تقسيم ما بين ال + +17 +00:01:58,820 --> 00:02:02,140 +upper part و ال lower part او ال top part و ال + +18 +00:02:02,140 --> 00:02:07,500 +bottom part لل frame خلينا نشوف بالطريقة هذههي + +19 +00:02:07,500 --> 00:02:12,020 +الآن عندنا .. ايش النظام هذا؟ Boxing system .. + +20 +00:02:12,020 --> 00:02:16,420 +okay الآن روحنا اعملنا ال marker بالمنتصف او ال + +21 +00:02:16,420 --> 00:02:20,560 +optical center كيف اعملنا halfway؟ هاي عندنا ال + +22 +00:02:20,560 --> 00:02:25,300 +top part وهي عندنا ال bottom part والخط هذا اجى + +23 +00:02:25,300 --> 00:02:31,340 +اللي هو منصف لمين؟ لل boxing تمام؟ لكن ايه؟ + +24 +00:02:31,340 --> 00:02:34,260 +Vertical line واضح الفكرة؟ + +25 +00:02:40,450 --> 00:02:44,950 +Low powered lenses made from a traditional + +26 +00:02:44,950 --> 00:02:50,870 +materials seldom near an major reference point + +27 +00:02:50,870 --> 00:02:56,410 +height specified الان لو مريض مثلا عنده minus نص + +28 +00:02:56,410 --> 00:03:05,210 +او عنده minus واحد او عنده minus اتنينورحنا + +29 +00:03:05,210 --> 00:03:10,170 +استخدمنا معه الـ traditional material زي مثلا CR + +30 +00:03:10,170 --> 00:03:18,390 +39 تمام قالك ان تغيير ال major reference point هنا + +31 +00:03:18,390 --> 00:03:24,530 +في هذه الحالة مش مهم كتير يعني لا يعتبر ذات أهمية + +32 +00:03:24,530 --> 00:03:32,710 +كبيرة أي بمعنى انه مش هيأثر على المريض بشكل كبير + +33 +00:03:38,700 --> 00:03:45,840 +المشاكل البصرية اللي بتسبب بواسطة a vertical major + +34 +00:03:45,840 --> 00:03:51,640 +reference point placement that might need to be + +35 +00:03:51,640 --> 00:03:59,000 +above or below the vertical frame الان وين هي + +36 +00:03:59,000 --> 00:04:03,640 +المشاكل البصرية اللي بتحدث؟ احنا قلنا هي عندنا ال + +37 +00:04:03,640 --> 00:04:09,430 +opticalcenter تمام ما بين ال top و ال bottom bar + +38 +00:04:09,430 --> 00:04:16,310 +طيب لو اعملنا displacement او displacement ازاحة + +39 +00:04:16,310 --> 00:04:21,110 +لها بحيث انه أصبحت above او below هنجلب الصير + +40 +00:04:21,110 --> 00:04:26,990 +المشكلة طيب هذه المشكلة هل بتعتبر كبيرة في حالة ال + +41 +00:04:26,990 --> 00:04:33,440 +low power lens قال لي لأمش مشكلة كبيرة أو بمعنى + +42 +00:04:33,440 --> 00:04:39,380 +أنه ما بتكونش اللي هو يعني شيء اللي هو فعال كتير + +43 +00:04:39,380 --> 00:04:43,720 +أو مؤثر كتير على المريض لكن وين بيكون فعال أكتر؟ + +44 +00:04:43,720 --> 00:04:47,680 +لما يكون عنده high power lens أو يكون مثلا عندنا + +45 +00:04:47,680 --> 00:04:52,480 +material زي high index material أو عندنا مثلا + +46 +00:04:52,480 --> 00:04:57,280 +aspheric design هان بيكون فيه تأثير واضح على + +47 +00:04:57,280 --> 00:04:57,960 +المريض + +48 +00:05:04,580 --> 00:05:08,580 +أذا are so minimal minimal وين؟ في ال low power + +49 +00:05:08,580 --> 00:05:15,380 +lens okay with low power lenses that few wearers + +50 +00:05:15,380 --> 00:05:21,280 +are ever bothered يعني هيكون تأثيرها قليل و غير + +51 +00:05:21,280 --> 00:05:25,080 +ملحوظ بالنسبة لمين؟ للمريض عارفين اشمالات + +52 +00:05:25,080 --> 00:05:29,240 +bothered؟ يعني بمعنى انه مش هتدايق المريض كتير انه + +53 +00:05:29,240 --> 00:05:31,260 +مش هيشعر ان هو بأي ضيق + +54 +00:05:33,700 --> 00:05:39,840 +طبعا هذه في ال low power however this is not the + +55 +00:05:39,840 --> 00:05:44,960 +case when lens power increase لكن لو جنا مثلا + +56 +00:05:44,960 --> 00:05:52,900 +عندنا minus 6 او عندنا مثلا plus 6 اذا في ال high + +57 +00:05:52,900 --> 00:05:57,600 +powerwhen different lens materials وغيرنا ال + +58 +00:05:57,600 --> 00:06:03,040 +material استخدمنا مثلا ال high index material او + +59 +00:06:03,040 --> 00:06:10,760 +استخدمنا مثلا ال aspheric design + +60 +00:06:10,760 --> 00:06:14,680 +او + +61 +00:06:14,680 --> 00:06:19,160 +when aspheric lens designs are employed انه تم + +62 +00:06:19,160 --> 00:06:22,360 +اللي هو استخدامها قال لي في هذه الحالة هيكون + +63 +00:06:22,360 --> 00:06:27,690 +التأثير واضحكل ما زودت ال power أو غيرت ال + +64 +00:06:27,690 --> 00:06:32,570 +material هيتضايق المريض بشكل ملحوظ و هيكون التأثير + +65 +00:06:32,570 --> 00:06:37,790 +أكبر in + +66 +00:06:37,790 --> 00:06:44,750 +these instances يعني في هذه الحالات vertical major + +67 +00:06:44,750 --> 00:06:50,750 +reference point placement becomes important في + +68 +00:06:50,750 --> 00:06:54,720 +حالات ال high power lensالـ High Index Material + +69 +00:06:54,720 --> 00:07:00,040 +الـ Asperg Design تعتبر هذه النقطة ذات أهمية كبيرة + +70 +00:07:00,040 --> 00:07:07,340 +لا يمكن تجاهلها طيب ما هو الحل؟ كيف أنا بدي أعمل + +71 +00:07:07,340 --> 00:07:12,940 +عملية حل لل Vertical Centration عند المريض؟ + +72 +00:07:30,880 --> 00:07:36,280 +طيب عندنا major reference point height هذه عبارة + +73 +00:07:36,280 --> 00:07:45,340 +عن تعريفها قال لي is the distance المسافة from the + +74 +00:07:45,340 --> 00:07:51,760 +lower line of the box شايفين؟ من أقصى أو أبعد نقطة + +75 +00:07:51,760 --> 00:07:55,800 +موجودة على نهاية مين؟ ال box الصندوق + +76 +00:07:58,460 --> 00:08:05,000 +إذا أبعد نقطة في اللي هو الصندوق in closing the + +77 +00:08:05,000 --> 00:08:11,300 +shape بتعمل عملية إغلاق للشكل of the lens up to + +78 +00:08:11,300 --> 00:08:16,180 +the major reference point location إذا بتظلها + +79 +00:08:16,180 --> 00:08:22,520 +لوين؟ لنقطة رؤية المريض يعني هذه بتمثل ال optical + +80 +00:08:22,520 --> 00:08:28,820 +center للمريضإذا مرة أخرى الـ vertical centration + +81 +00:08:28,820 --> 00:08:36,360 +هي عبارة عن المسافة الواصلة ما بين أبعد نقطة تمام + +82 +00:08:36,360 --> 00:08:42,080 +اللي بتكون محاذالة من لل bottom أو ال lower part + +83 +00:08:42,080 --> 00:08:48,160 +للصندوق لال optical center لهذا المريض اللي هي + +84 +00:08:48,160 --> 00:08:53,620 +بتمثل من ال major reference point في حالة ال + +85 +00:08:53,620 --> 00:08:55,200 +vertical centration + +86 +00:08:59,710 --> 00:09:03,170 +طيب إذا هذه المسافة كلها عبارة عن ال major + +87 +00:09:03,170 --> 00:09:11,810 +reference height طيب + +88 +00:09:11,810 --> 00:09:18,070 +الآن المسافة من هنا لهنا بتمثل B صح؟ طيب نصها + +89 +00:09:18,070 --> 00:09:22,090 +هتكون B ع 2 واضحة يعني ال major reference point + +90 +00:09:22,090 --> 00:09:25,110 +عبارة عن one over two نص + +91 +00:09:28,380 --> 00:09:33,680 +The laboratory must convert المصنع ايش بده يعمل + +92 +00:09:33,680 --> 00:09:39,780 +عملية تحويل from major reference point high to + +93 +00:09:39,780 --> 00:09:45,140 +major reference point raise or drop الآن قال + +94 +00:09:45,140 --> 00:09:49,160 +للمصنع اذا احنا حافظنا على الاسم كما هو ال major + +95 +00:09:49,160 --> 00:09:54,640 +reference pointخلاب العلم أو الأخصائيين اللي + +96 +00:09:54,640 --> 00:09:58,400 +بيشتغلوا في هذا المجال هيخربطوا بين المصطلحين + +97 +00:09:58,400 --> 00:10:02,360 +major reference point و major reference raise او + +98 +00:10:02,360 --> 00:10:06,720 +drop قال بدل ما نقول major reference point هنسمي + +99 +00:10:06,720 --> 00:10:14,880 +ايش النقطة هذه major rise + +100 +00:10:14,880 --> 00:10:19,980 +او بنسميها dropيعني بدل مصطلح الـ major reference + +101 +00:10:19,980 --> 00:10:25,540 +point تمام هذه وين موجودة على ال optical center + +102 +00:10:25,540 --> 00:10:31,820 +للمريض اذا + +103 +00:10:31,820 --> 00:10:36,260 +major reference point raise او major reference + +104 +00:10:36,260 --> 00:10:37,260 +point drop + +105 +00:10:40,730 --> 00:10:45,590 +if the position of the major reference point is + +106 +00:10:45,590 --> 00:10:51,430 +given in terms of height from the lower most + +107 +00:10:51,430 --> 00:10:56,950 +portion of the ship إذا هي مثلت إيش؟ الجزء السفلي + +108 +00:10:56,950 --> 00:11:03,750 +من الصندوق، صح ولا لأ؟ يعني ال lower part drop or + +109 +00:11:03,750 --> 00:11:09,190 +raise can be calculated كيف أنا ممكن أحسبها؟ من + +110 +00:11:09,190 --> 00:11:09,690 +خلال + +111 +00:11:12,320 --> 00:11:19,960 +بعمل عملية طرح one half of the B التي هي عبارة عن + +112 +00:11:19,960 --> 00:11:25,660 +بي اتنين نص اللي هو الـ B dimension from major + +113 +00:11:25,660 --> 00:11:27,200 +reference point height + +114 +00:11:32,840 --> 00:11:36,640 +الـ Vertical Centration ايش بيساوي الـ Major + +115 +00:11:36,640 --> 00:11:40,780 +Reference Point Height ناقص الـ B على 2 هذا عبارة + +116 +00:11:40,780 --> 00:11:45,500 +عن الـ Vertical Decentration طب ليش قلنا B على 2؟ + +117 +00:11:45,500 --> 00:11:50,380 +لأن هو بس أخد ال lower part نرجع مرة تانية للشكل + +118 +00:11:57,510 --> 00:12:01,790 +هن مرة تانية يا جماعة انه احنا مثلنا فقط من ال + +119 +00:12:01,790 --> 00:12:07,050 +lower part ل ال box فالان عندنا ال vertical + +120 +00:12:07,050 --> 00:12:11,010 +centration ايش بيساوي ال major reference height + +121 +00:12:11,010 --> 00:12:18,010 +تمام بترحى من اللي هو نص من ال B قيمة اللي هو ال B + +122 +00:12:18,010 --> 00:12:22,230 +ايش بتمثل ال B هي ال B dimension + +123 +00:12:25,300 --> 00:12:31,400 +الـ Depth العمق 100% صح ولا لأ؟ إذاً هي عبارة عن + +124 +00:12:31,400 --> 00:12:34,880 +العمق مش أخدنا الـ A dimension و الـ B dimension + +125 +00:12:34,880 --> 00:12:38,960 +إنه بتمثل عندنا ال lens size و عندنا ال depth + +126 +00:12:38,960 --> 00:12:46,280 +للإطار أو ال frame ناخد هنا مثلا مثلًا An order + +127 +00:12:46,280 --> 00:12:49,180 +specifies + +128 +00:12:49,950 --> 00:12:55,330 +and major reference height of 25 millimeter إذا + +129 +00:12:55,330 --> 00:13:00,050 +نرجع للشكل هي + +130 +00:13:00,050 --> 00:13:03,430 +عندنا ال major reference point height إيش بساوي + +131 +00:13:03,430 --> 00:13:14,730 +خمسة و عشرين millimeter okay the + +132 +00:13:14,730 --> 00:13:17,290 +frame has a vertical + +133 +00:13:20,500 --> 00:13:26,740 +The frame has a vertical dimension B of 46 + +134 +00:13:26,740 --> 00:13:33,880 +millimeter إذا عندنا قيمة الـ B أو الـ depth 46 + +135 +00:13:33,880 --> 00:13:39,660 +millimeter إذا عندنا قيمة الـ B على 2 تلاتة و + +136 +00:13:39,660 --> 00:13:45,800 +عشرين إذا B على 2 بالساوية تلاتة و عشرين + +137 +00:13:45,800 --> 00:13:46,980 +millimeter + +138 +00:13:55,450 --> 00:14:00,470 +طيب ايش المطلوب؟ بدنا نحسب قداش قيمة ال major + +139 +00:14:00,470 --> 00:14:05,850 +reference point raised او اللي هو drop في السؤال + +140 +00:14:05,850 --> 00:14:10,930 +اذا عندنا بدنا نحسب قيمة ال vertical dimension ايش + +141 +00:14:10,930 --> 00:14:14,670 +القانون؟ vertical dimension بساوي major reference + +142 +00:14:14,670 --> 00:14:20,150 +point ناقص من البيعة 2 طيب قداش عندنا ال major + +143 +00:14:20,150 --> 00:14:24,340 +reference point؟الـ major reference point خمسة و + +144 +00:14:24,340 --> 00:14:28,820 +عشرين تمام okay بده اترحى من مين من التلاتة و + +145 +00:14:28,820 --> 00:14:32,760 +عشرين بطلع اللي هو اتنين من اللي طيب الاتنين هيكون + +146 +00:14:32,760 --> 00:14:38,720 +up ولا down هي جاية من التحت up لفوق صح ولا لا هي + +147 +00:14:38,720 --> 00:14:46,170 +الشكل الآن عندنا قيمةالـ major reference point + +148 +00:14:46,170 --> 00:14:50,730 +خمسة و عشرين وعنا قيمة البيع اتنين تلاتة و عشرين + +149 +00:14:50,730 --> 00:14:55,450 +اذا هي كلها توين واقعة في ال lower position اذا + +150 +00:14:55,450 --> 00:14:58,850 +انا بدي ارفع ال optical center لمن؟ للعدسة لفوق + +151 +00:14:58,850 --> 00:15:06,830 +اذا هتكون اتنين ملي up في شغل مهم برضه يمكن + +152 +00:15:06,830 --> 00:15:13,530 +لاحطوها ان قيمة ال major reference point اكبر من + +153 +00:15:13,530 --> 00:15:20,370 +مين؟من B على 2 يعني أكبر من اللي هو نصف العمق طيب + +154 +00:15:20,370 --> 00:15:26,650 +هل دائما هذا الكلام هو يعتبر غالبا غالبا قيمة ال + +155 +00:15:26,650 --> 00:15:29,590 +major reference point طبعا أنا بتكلم على single + +156 +00:15:29,590 --> 00:15:35,030 +vision lens بيكون أكبر من مين من ال B على 2 + +157 +00:15:44,580 --> 00:15:51,080 +Okay it can be seen that since the major reference + +158 +00:15:51,080 --> 00:15:55,520 +point high is greater than half of the B + +159 +00:15:55,520 --> 00:16:02,500 +dimension, the lens is moved 2 mm up من اللي هو + +160 +00:16:02,500 --> 00:16:05,980 +وين ال major reference point يعني بدنا نعمل ال + +161 +00:16:05,980 --> 00:16:07,940 +decentralization 2 mm لأعلى + +162 +00:16:13,620 --> 00:16:18,580 +المثال التاني عندنا + +163 +00:16:18,580 --> 00:16:22,780 +قيمة الـ A dimension خمسين ملي اذا هذه ايش بتمثل + +164 +00:16:22,780 --> 00:16:28,900 +ال I size او ال length size ال B dimension اللي هي + +165 +00:16:28,900 --> 00:16:33,960 +عبارة عن ال depth العمق تلاتين ملي من هنا ايش بجيب + +166 +00:16:33,960 --> 00:16:41,620 +ال B ع اتنين اذا هي قداش بالساويةخمس عشر صح طيب ال + +167 +00:16:41,620 --> 00:16:46,400 +distance between lens عشرين ملي اذا من هنا بجيب + +168 +00:16:46,400 --> 00:16:50,800 +مين ال frame بي دي جدش قيمة ال frame بي دي عشرين + +169 +00:16:50,800 --> 00:16:56,240 +زياد خمسين سبعين واضحة طيب ال major reference + +170 +00:16:56,240 --> 00:17:01,620 +height جدش بالساوي تمانتاش اول قضية ايش بدنا نحسب + +171 +00:17:08,010 --> 00:17:13,850 +الان هو مدين ال IPD بساوة + +172 +00:17:13,850 --> 00:17:23,370 +اربعة و ستين ملي وعنا ال frame PD سبعين + +173 +00:17:23,370 --> 00:17:28,270 +ملي اذا من هنا انا بحسب مين ال horizontal + +174 +00:17:28,270 --> 00:17:33,070 +decentration صح؟ + +175 +00:17:35,110 --> 00:17:39,310 +الان مين اكبر ال frame bd و لا ال I bd ال frame bd + +176 +00:17:39,310 --> 00:17:44,110 +الفرق بينهم كدهش ستة اذا هيكون ايش تلاتة ملة in + +177 +00:17:44,110 --> 00:17:50,170 +ولا out in بالضبط طيب هذه نقطة حلناها الان بدنا + +178 +00:17:50,170 --> 00:17:54,350 +نجيب ال vertical ايش المطلوب في السؤال ال vertical + +179 +00:17:54,350 --> 00:17:59,800 +decentrationأه الـ Center لأ اللي هو العدسة احنا + +180 +00:17:59,800 --> 00:18:03,540 +حسبنا الآن مين الـ Horizontal بده اجيب الآن الـ + +181 +00:18:03,540 --> 00:18:06,780 +Vertical الان الـ Vertical Decentration ايش + +182 +00:18:06,780 --> 00:18:11,440 +بالساوية Major Reference Point ناقص نص الـ B قداش + +183 +00:18:11,440 --> 00:18:16,280 +ال Major Reference Point؟ 18 ناقص كده؟ 15 كده + +184 +00:18:16,280 --> 00:18:21,060 +بتطلع؟ هتكون باتجاه مين؟ ال Up الملاحظين برضه ايش؟ + +185 +00:18:21,060 --> 00:18:24,160 +قيمة ال Major Reference Point أكبر من نص الـ B + +186 +00:18:32,200 --> 00:18:35,600 +إذا لما انا بحكيلك في السؤال احسب ال total + +187 +00:18:35,600 --> 00:18:40,100 +concentration او ال total decentration بدي احسب لل + +188 +00:18:40,100 --> 00:18:43,960 +horizontal و ال vertical لو اقولك احسب ال vertical + +189 +00:18:43,960 --> 00:18:46,720 +concentration فقط لل vertical و ال horizontal + +190 +00:18:46,720 --> 00:18:54,460 +concentration فقط لل horizontal واضحة؟ اكيد؟ طبعا + +191 +00:18:54,460 --> 00:18:57,600 +هنقل ان العين هي عبارة على ال right فهيكون اللي هو + +192 +00:18:57,600 --> 00:19:03,640 +باتجاه ال front view هذه بتمثلتمام هذه عبارة عن + +193 +00:19:03,640 --> 00:19:08,820 +front + +194 +00:19:08,820 --> 00:19:13,320 +view + +195 +00:19:13,320 --> 00:19:17,880 +فدائما الإزاحة باتجاه إيدي زي ما قلت لكم اليمين + +196 +00:19:21,470 --> 00:19:27,370 +هيعلم وعمل الـ Decentration تلاتة ملي أب وعنا + +197 +00:19:27,370 --> 00:19:33,410 +تلاتة ملي إن ملاحظين كمان في شغلة مهمة إيش هي قيمة + +198 +00:19:33,410 --> 00:19:37,230 +الـ Decentration في الـ horizontal مساوية لقيمة + +199 +00:19:37,230 --> 00:19:43,330 +الـ Decentration في ال vertical حل + +200 +00:19:43,330 --> 00:19:52,930 +السؤال هذا how far fromEach other will the optical + +201 +00:19:52,930 --> 00:19:59,290 +center إذا إتدانى قيمة مين؟ ال optical center and + +202 +00:19:59,290 --> 00:20:04,410 +major reference point for a minus three diopter + +203 +00:20:04,410 --> 00:20:09,310 +إذا ال minus three إيش بتمثل؟ ال power of a lens + +204 +00:20:09,310 --> 00:20:16,570 +صح ولا لأ؟When a 1.5 Prism Diopter Prismatic + +205 +00:20:16,570 --> 00:20:21,650 +Effect is desired يعني بدي احسب قيمة ال optical + +206 +00:20:21,650 --> 00:20:25,290 +center او ال major reference point لعدسة قوتها + +207 +00:20:25,290 --> 00:20:29,410 +minus 3 بتعمل تأثير منشوري قيمة واحد و نص Prism + +208 +00:20:29,410 --> 00:20:35,990 +Diopter طيب + +209 +00:20:35,990 --> 00:20:42,810 +الان نرجع عندنا اول حاجة الدانيالـ F بالساوي قداش + +210 +00:20:42,810 --> 00:20:53,010 +minus 3 ديوبتر ال power of ellens وعنا التأثير + +211 +00:20:53,010 --> 00:21:01,190 +المنشوري واحد و نص ال prism ديوبتر من هان بطلع مين + +212 +00:21:01,190 --> 00:21:06,810 +ال C أو ال H تمام + +213 +00:21:08,860 --> 00:21:13,140 +إذا عندنا التأثير المنشور القانون أو ال prince + +214 +00:21:13,140 --> 00:21:18,700 +rule prince rule بساوي C في F تمام طيب ال C إيش + +215 +00:21:18,700 --> 00:21:23,580 +بالساوي إذا + +216 +00:21:23,580 --> 00:21:31,880 +واحد و نص على تلاتة يديش بالساوي عبارة عن نص لكن + +217 +00:21:31,880 --> 00:21:38,050 +هان إيشcentimeter القانون صح ولا لأ؟ نحاول و احنا + +218 +00:21:38,050 --> 00:21:45,410 +ايش؟ لملة اذا بدي اضرب في عشرة صح؟ اذا بيساوي خمسة + +219 +00:21:45,410 --> 00:21:50,930 +ملة طيب الان احنا كل شغل نجونه وين؟ في ال lower + +220 +00:21:50,930 --> 00:21:56,910 +part الخمسة ملة هد ايش بتمثل؟ ال major reference + +221 +00:21:56,910 --> 00:22:05,000 +point او ال optical center okay اذا هد هتكون upطيب + +222 +00:22:05,000 --> 00:22:10,740 +لو الآن بدي أحسب ال vertical centration القانون ال + +223 +00:22:10,740 --> 00:22:15,220 +vertical centration هل بقدر أحسبه؟ بالضبط قيمة ال + +224 +00:22:15,220 --> 00:22:18,840 +B مش معطلة، إذا هان ال information المعلومات + +225 +00:22:18,840 --> 00:22:23,120 +المتوفرة غير كافية، لو أداني قيمة ال depth أو + +226 +00:22:23,120 --> 00:22:27,800 +أداني قيمة نص ال B ممكن أنا بقدر أحسب اللي هو قيمة + +227 +00:22:27,800 --> 00:22:34,410 +مين؟ ال what I call ال vertical decentrationOkay + +228 +00:22:34,410 --> 00:22:37,970 +إذا هان حسبنا خمسة ملي هي عبارة عن ال major + +229 +00:22:37,970 --> 00:22:43,210 +reference point أو ال optical center للعدسة واضح + +230 +00:22:43,210 --> 00:22:48,910 +السؤال ولا كيف؟ تمام يعطيكم العافية ان شاء الله + +231 +00:22:48,910 --> 00:22:53,190 +المحاضرة الجاية بنبدأ في موضوع ال oral + +232 +00:22:53,190 --> 00:22:57,330 +presentation لحد ما ننتهي منه بعد ذلك ان شاء الله + +233 +00:22:57,330 --> 00:23:02,440 +بنعمل الهو revision كامل للمصادبعد ما انتوا + +234 +00:23:02,440 --> 00:23:05,020 +بتعملوا عملية المراجعة ان شاء الله في البيت ياطيكم + +235 +00:23:05,020 --> 00:23:05,420 +العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dkSSA11WIuU.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dkSSA11WIuU.srt new file mode 100644 index 0000000000000000000000000000000000000000..06a3749383c0a2848832663dfeaf94e1284ec257 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dkSSA11WIuU.srt @@ -0,0 +1,1305 @@ + +1 +00:00:21,110 --> 00:00:23,870 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,870 --> 00:00:30,210 +وبركاته ومرحبا بكم جميعا سنبدأ إن شاء الله اليوم + +3 +00:00:30,210 --> 00:00:37,050 +في آخر محاضرة للطالبات بعنوان frames, parts and + +4 +00:00:37,050 --> 00:00:42,090 +types نتمنى إن شاء الله لكم وقتا ممتعا ومناقشة + +5 +00:00:42,090 --> 00:00:48,130 +مفيدة فيما بعد إن شاء الله فضلا بسم الله الرحمن + +6 +00:00:48,130 --> 00:00:51,190 +الرحيم السلام عليكم ورحمة الله وبركاته اليوم راح + +7 +00:00:51,190 --> 00:00:53,990 +نقدم لكم presentation بعنوان frame parts and + +8 +00:00:53,990 --> 00:00:58,410 +types في مادة ال distancing للدكتور محمد الشروشة بس + +9 +00:00:58,410 --> 00:01:02,570 +قبل ما نحكي عن ال frame parts و types نتعرف على إيش هو + +10 +00:01:02,570 --> 00:01:06,440 +ال frames في اللي هو في علم البصريات أو في علم + +11 +00:01:06,440 --> 00:01:09,400 +dispensing ال frame هو عبارة عن جزء من النظارة + +12 +00:01:09,400 --> 00:01:13,340 +نستخدمه عشان نحط فيه العدسات بحيث أن تأتي في + +13 +00:01:13,340 --> 00:01:15,740 +المكان الصحيح ولندفع عن أن المريض لا يصاب ب + +14 +00:01:15,740 --> 00:01:19,440 +prismatic effect تعريف ال frame حكيته + +15 +00:01:19,440 --> 00:01:22,840 +أوّله هو أنّه part of spectacle that holds the + +16 +00:01:22,840 --> 00:01:25,420 +lenses in a proper position on the front of the eye. + +17 +00:01:25,420 --> 00:01:27,120 +A proper position on the front of the eye + +18 +00:01:30,410 --> 00:01:34,070 +أولا رح نحكي على مكونات ال frame وبعدين رح ننتقل + +19 +00:01:34,070 --> 00:01:38,650 +إلى الأنواع مكونات ال frame بشكل أساسي + +20 +00:01:38,650 --> 00:01:41,650 +اللي هما ال front و ال temples وكل واحد طبعا بتتكون من + +21 +00:01:41,650 --> 00:01:47,790 +مكونات ال front هو الجزء الذي نضع فيه العدسة + +22 +00:01:47,790 --> 00:01:51,870 +بتاعة المريض و ال temples أيضا تساعد على + +23 +00:01:51,870 --> 00:01:54,530 +أنها تتصل بال front وتساعد أيضا على تثبيت + +24 +00:01:54,530 --> 00:02:00,610 +الإطار أمام عين المريض و... أنّها تأتي خلف أذن + +25 +00:02:00,610 --> 00:02:05,270 +المريض بحيث أنها تزيد من تثبيت + +26 +00:02:05,270 --> 00:02:06,190 +النظارة + +27 +00:02:08,590 --> 00:02:11,710 +طيب جيدا سنتعرف على مكونات ال frame و ال front + +28 +00:02:11,710 --> 00:02:16,290 +تقريبا في عندي أربعة أو خمسة مكونات أول حاجة عندي + +29 +00:02:16,290 --> 00:02:19,850 +منطقة ال bridge وهي عبارة عن منطقة تربط بين two + +30 +00:02:19,850 --> 00:02:25,410 +lenses وأهميتها أنها تكون على عظمة الأنف + +31 +00:02:25,410 --> 00:02:30,390 +للتوزيع الأمثل للوزن وكمان عندي + +32 +00:02:30,390 --> 00:02:34,990 +ال eye wire أو ال rim هذه تكون حول العدسة + +33 +00:02:34,990 --> 00:02:39,590 +وتعمل على دعم العدسة وقد تكون جزئيا أو بشكل كامل + +34 +00:02:39,590 --> 00:02:42,890 +كذلك عندي ال L piece أو يمكن أن نسميها ال temple + +35 +00:02:42,890 --> 00:02:48,250 +tip ال L piece موجودة في أطراف ال frame + +36 +00:02:48,250 --> 00:02:53,590 +front وهي مهمتها أن تتوافق مع + +37 +00:02:53,590 --> 00:02:58,250 +ال front و الشيل تقع أيضا في ال MPS وهي + +38 +00:02:58,250 --> 00:03:02,990 +حالياً في السنوات الأخيرة وظيفتها تجميلية فقط + +39 +00:03:02,990 --> 00:03:06,790 +ليس لها علاقة بالتثبيت لكن قبل ذلك كانت لها + +40 +00:03:06,790 --> 00:03:10,530 +علاقة وكان لها دور في التثبيت ال nose pad + +41 +00:03:10,530 --> 00:03:14,590 +ليس كل الإطارات تحتوي على nose pad ال nose pad هي + +42 +00:03:14,590 --> 00:03:18,750 +عبارة عن قطعة بلاستيكية توضع على جانبي الأنف + +43 +00:03:18,750 --> 00:03:25,210 +أيضا لتوزيع وزن الإطار وتتصل بالـ + +44 +00:03:25,210 --> 00:03:29,710 +frame front عن طريق metal arm نسميه + +45 +00:03:29,710 --> 00:03:35,750 +bad arm أو good arm طيب بعد ذلك لدينا مكونات + +46 +00:03:35,750 --> 00:03:39,530 +ال temples الذي هو الجزء الثاني من مكونات ال frame + +47 +00:03:39,530 --> 00:03:42,910 +أول شيء لدينا ال butt portion وهي أقرب + +48 +00:03:42,910 --> 00:03:46,470 +منطقة لل front وفيها يحدث التثبيت مع ال + +49 +00:03:46,470 --> 00:03:50,610 +front بعد ذلك لدينا منطقة الشافت أو الشانك وهي + +50 +00:03:50,610 --> 00:03:54,330 +المنطقة بين ال butt portion و ال bend ال bend هو + +51 +00:03:54,330 --> 00:03:59,340 +أول انحناء لل temple يعني عندما ينثني هذا... هو + +52 +00:03:59,340 --> 00:04:02,800 +ال bend بعد ذلك لدينا ال earpiece أو ال temple + +53 +00:04:02,800 --> 00:04:06,460 +tip أو down portion أو يمكن أن نسميها ال pearl هذه تكون خلف + +54 +00:04:06,460 --> 00:04:10,700 +أذن المريض لكي لا تؤلم... هذا + +55 +00:04:10,700 --> 00:04:16,040 +كي لا تؤلم المريض وعند تركيبها تكون أمام أذن + +56 +00:04:16,040 --> 00:04:20,120 +المريض بعد ذلك لدينا double hole هذه التي تشبه + +57 +00:04:20,120 --> 00:04:23,200 +ال pearl وهكذا يكون التثبيت أختي أرني + +58 +00:04:23,200 --> 00:04:24,220 +نظارتك لو سمحت + +59 +00:04:28,060 --> 00:04:31,600 +هذه ال frame front التي تحدثنا عنها هذه منطقة ال + +60 +00:04:31,600 --> 00:04:38,040 +bridge وهذا ال nose pad وهذه منطقة ال + +61 +00:04:38,040 --> 00:04:40,840 +hinge وهذا ال eye wire نلاحظ هنا ال eye wire + +62 +00:04:40,840 --> 00:04:44,240 +يحيط بالعدسة بشكل كامل في إطارات تكون بشكل جزئي + +63 +00:04:44,240 --> 00:04:48,440 +وليس بشكل كامل وهذا منطقة ال temple وهذه منطقة ال + +64 +00:04:48,440 --> 00:04:51,480 +butt portion بعد ذلك يأتي الشانك بعد ذلك هنا بداية + +65 +00:04:51,480 --> 00:04:54,660 +الانحناء الذي هو ال bend وهذا الذي هو + +66 +00:04:54,660 --> 00:04:56,780 +ال earpiece + +67 +00:05:03,970 --> 00:05:07,910 +هذا يُخبرنا أنّ بعض الإطارات لا تحتوي على + +68 +00:05:07,910 --> 00:05:12,390 +temples فكيف نُثبّت النظارة للعين؟ مثلا يمكن + +69 +00:05:12,390 --> 00:05:16,230 +أن يكون لها يد تمسكها وهذه + +70 +00:05:16,230 --> 00:05:20,710 +نسميها ال learning ten أو يمكن أن نوصلها بإطار آخر + +71 +00:05:20,710 --> 00:05:25,170 +وهي التي نسميها ال clip-ons وكذلك يمكن أن نثبتها + +72 +00:05:25,170 --> 00:05:29,970 +على الأنف وهذه نسميها ال pins + +73 +00:05:29,970 --> 00:05:34,410 +تمام يتم تثبيت القطعة بالضغط على + +74 +00:05:34,410 --> 00:05:37,650 +جانبي الأنف clip on attachment on another frame و ال learning tense + +75 +00:05:37,650 --> 00:05:41,370 +يتم حملها باليد ويضعها + +76 +00:05:41,370 --> 00:05:44,770 +أمام العين بشكل عام الإطارات تتكون من temple + +77 +00:05:44,770 --> 00:05:49,730 +و front طيب ما تحدثنا عنه من temple على ال + +78 +00:05:49,730 --> 00:05:55,560 +front هما مفصلان ببعضهما كيف نوصلهما؟ + +79 +00:05:55,560 --> 00:06:00,180 +عن طريق ال hinge الذي هو المفصل هذا ال hinge holds the + +80 +00:06:00,180 --> 00:06:03,740 +temples to the front ويربطهما مع بعضهما يتكون + +81 +00:06:03,740 --> 00:06:08,120 +من عدد فردي من ال barrels قد يكون ثلاثة وقد يكون + +82 +00:06:08,120 --> 00:06:11,660 +خمسة وقد يكون سبعة بناء ال hinge من + +83 +00:06:11,660 --> 00:06:16,450 +إطار إلى آخر يختلف لكن لتسهيل عملية التصنيف كيف + +84 +00:06:16,450 --> 00:06:21,470 +نصنف ال hinge أقول يمكن أن نصنفه حسب عدد + +85 +00:06:21,470 --> 00:06:26,850 +ال barrels مثلا لو كان لدي ثلاثة نسميه three + +86 +00:06:26,850 --> 00:06:31,450 +barrel hinge لو كان لدي خمسة نسميه five barrel + +87 +00:06:31,450 --> 00:06:35,210 +hinge + +89 +00:06:40,970 --> 00:06:45,950 +طيب هكذا نكون قد أنهينا مكونات ال frame الأساسية + +90 +00:06:45,950 --> 00:06:50,390 +بعد ذلك سنتعرف على أنواع ال frame أولا + +91 +00:06:50,390 --> 00:06:53,570 +سأتحدث عنها بشكل عام ومختصر وبعدين + +92 +00:06:53,570 --> 00:06:58,360 +زملائي سيفصلون فيها أول شيء عندي ال plastic + +93 +00:06:58,360 --> 00:07:02,680 +frames في السنوات الأخيرة أنواع + +94 +00:07:02,680 --> 00:07:04,960 +المواد البلاستيكية المستخدمة في صناعة + +95 +00:07:04,960 --> 00:07:09,040 +الإطارات كثيرة لذلك بشكل عام أقول عنها plastic + +96 +00:07:09,040 --> 00:07:13,700 +ال metal نفس الشيء عندي عدة مواد من ال metal + +97 +00:07:13,700 --> 00:07:16,560 +وحسب كل metal الذي له خصائص لو كان مثلا شخص لديه + +98 +00:07:16,560 --> 00:07:19,780 +حساسية من metal معين نستخدم له metal آخر ال + +99 +00:07:19,780 --> 00:07:24,430 +nylon cord وال combination وهي المزيج بين ال + +100 +00:07:24,430 --> 00:07:28,170 +plastic و ال metal و ال rimless وال rimless + +101 +00:07:28,170 --> 00:07:31,890 +و ال half-eyed والذين لديهم ال breast طيب + +102 +00:07:31,890 --> 00:07:34,810 +شكرا لاستماعكم والآن سنكمل مع ماريا من + +103 +00:07:34,810 --> 00:07:39,880 +أُشْرِفَ Okay we will talk about the types of the + +104 +00:07:39,880 --> 00:07:42,940 +frame, firstly the plastic, also referred to as + +105 +00:07:42,940 --> 00:07:47,500 +shell frame or zell أول ما بدأنا نستخدم الفريمات + +106 +00:07:47,500 --> 00:07:51,700 +بدأوا يستخدمون الإطارات البلاستيكية + +107 +00:07:51,700 --> 00:07:56,580 +تمام؟ الإطارات البلاستيكية قديما كانت + +108 +00:07:56,580 --> 00:08:00,140 +تُعتبر a shell يعني ماذا يعني shell؟ + +109 +00:08:00,140 --> 00:08:04,200 +يعني كإجمال الإطار كله بلاستيك تمام؟ أول ما + +110 +00:08:04,200 --> 00:08:08,120 +بدأوا يصنعون الإطارات كانت تصنع من مادة + +111 +00:08:08,120 --> 00:08:11,140 +ال zellonite الذي هو cellulose nitrate عشان + +112 +00:08:11,140 --> 00:08:13,920 +هكذا أطلقوا على plastic frames اسم + +113 +00:08:13,920 --> 00:08:16,920 +ال zell لأنهم كانوا يستخدمون ال zellonite ال + +114 +00:08:16,920 --> 00:08:21,890 +cellulose nitrate تمام لكن وجدوا أن هذه + +115 +00:08:21,890 --> 00:08:26,410 +cellulose nitrate وجدوها قابلة للاشتعال inflammable okay راحوا واستبدلوها + +116 +00:08:30,490 --> 00:08:35,210 +بمادة أخرى وهي cellulose lignic acetate لكن + +117 +00:08:35,210 --> 00:08:40,790 +المفهوم مازال يُطلق على الإطارات البلاستيكية بشكل + +118 +00:08:40,790 --> 00:08:45,260 +عام Also referred to… plastics also referred to + +119 +00:08:45,260 --> 00:08:47,880 +as shell frames or shell. Firstly it was made + +120 +00:08:47,880 --> 00:08:50,960 +from a tortoise shell كانت مصنوعة من قوقعة + +121 +00:08:50,960 --> 00:08:54,520 +السلحفاة then zellonite cellulose nitrate now + +122 +00:08:54,520 --> 00:08:57,540 +it is made of plastic material, they commonly used + +123 +00:08:57,540 --> 00:08:59,820 +plastic material is cellulose acetate + +124 +00:08:59,820 --> 00:09:08,660 +inexpensive بالتأكيد plastic + +125 +00:09:08,660 --> 00:09:12,400 +frame materials ما هي المواد المصنوعة منها + +126 +00:09:12,400 --> 00:09:14,900 +الإطارات البلاستيكية؟ أول شيء لدينا cellulose + +127 +00:09:14,900 --> 00:09:19,040 +acetate وهذه هي الأكثر شيوعا + +128 +00:09:19,040 --> 00:09:21,940 +في صناعة الإطارات البلاستيكية + +129 +00:09:21,940 --> 00:09:26,180 +لدينا propionate الذي هو ملح حمض + +130 +00:09:26,180 --> 00:09:29,980 +propionic و optyl و polycarbonate لدينا ال + +131 +00:09:29,980 --> 00:09:32,660 +nylon لدينا ال rubber الذي هو المطاط لدينا ال + +132 +00:09:32,660 --> 00:09:35,340 +carbon fibers ومزيج من مواد + +133 +00:09:35,340 --> 00:09:36,260 +بلاستيكية + +135 +00:09:43,840 --> 00:09:48,800 +ال metal frame material حسنًا الآن سننتقل بعد أن أنهينا + +136 +00:09:48,800 --> 00:09:51,900 +ال plastic سننتقل لل metal ما هي + +137 +00:09:51,900 --> 00:09:56,410 +ال metal المعدن الإطارات المعدنية تمام؟ هي + +138 +00:09:56,410 --> 00:09:59,110 +ممكن أن تكون من مواد عديدة ممكن أن يكون ال metal + +139 +00:09:59,110 --> 00:10:01,770 +مصنوعا من الماغنسيوم ممكن البروموس ممكن + +140 +00:10:01,770 --> 00:10:05,270 +التيتانيوم ممكن ال stainless steel ممكن الألمنيوم ممكن + +141 +00:10:05,270 --> 00:10:08,610 +نايكل based material يعني ممكن أن يكون pure + +142 +00:10:08,610 --> 00:10:12,470 +نايكل نايكل خام ممكن نايكل silver يعني + +143 +00:10:12,470 --> 00:10:21,430 +نايكل مع فضة و ال monel هو material metal + +144 +00:10:21,430 --> 00:10:24,570 +frame ما هي ال metal في ال frame؟ أولًا كما + +145 +00:10:24,570 --> 00:10:29,490 +نرى ال metal frame عبارة + +146 +00:10:29,490 --> 00:10:33,610 +عن إطارات تمام؟ الإطارات كلها تكون من metal + +147 +00:10:33,610 --> 00:10:37,950 +إلّا منطقتين ال nose pads و ال temple الذي هو + +148 +00:10:37,950 --> 00:10:41,830 +الطرف لماذا هاتان المنطقتان + +149 +00:10:41,830 --> 00:10:46,730 +ليستا من ال metal؟ لِأنّ أولًا من أجل ال + +150 +00:10:46,730 --> 00:10:49,950 +راحة لأنّ لو كانت لو تخيلنا أنّ ال nose pads من + +151 +00:10:49,950 --> 00:10:54,050 +metal ستجرح المريض فلن يستطيع تحملها، + +152 +00:10:54,050 --> 00:10:58,190 +ستؤذي الوجه و ال temple tips كذلك، ممكن أن + +153 +00:10:58,190 --> 00:11:00,770 +يكون لدى المريض حساسية من ال metal + +154 +00:11:00,770 --> 00:11:06,010 +وكذلك مع كثرة الاستخدام تصبح + +155 +00:11:06,010 --> 00:11:09,150 +تتآكل أي تتآكل ال temple الذي هو + +156 +00:11:09,150 --> 00:11:15,710 +tip لذلك الأفضل أن يكون طلاء بلاستيكي تمام؟ + +157 +00:11:17,090 --> 00:11:20,010 +Metal frames are those made of metal except for + +158 +00:11:20,010 --> 00:11:23,010 +the nose pads and the posterior الذي هو + +159 +00:11:23,010 --> 00:11:25,190 +temple section الذي هو temple tip which are + +160 +00:11:25,190 --> 00:11:28,650 +usually plastic covered The eye wire runs completely + +161 +00:11:28,650 --> 00:11:32,070 +around the lens أنّ ال eye wire هي + +162 +00:11:32,070 --> 00:11:35,250 +wire التي تحيط بالعدسة هذه + +163 +00:11:35,250 --> 00:11:38,890 +نسميها ال eye wire تحيط بالـ + +164 +00:11:38,890 --> 00:11:39,250 +lens + +165 +00:11:53,090 --> 00:11:57,370 +Okay النوع الثاني nylon cord frames ما هو nylon cord + +166 +00:11:57,370 --> 00:12:01,150 +frames؟ له ثلاثة أسماء يُسمّى supra mounts + +167 +00:12:01,150 --> 00:12:04,650 +أو string mounted frames أو + +168 +00:12:04,650 --> 00:12:07,790 +nylon supra ما معنى string mounted frames؟ أنّ هذا + +169 +00:12:07,790 --> 00:12:12,550 +الإطار من الأسفل لا يكون فيه metal أو + +170 +00:12:12,550 --> 00:12:15,530 +plastic يكون لدينا خط خط رفيع الذي هو + +171 +00:12:15,530 --> 00:12:21,780 +بالعدسة كما نرى هنا هذا ال top rim + +172 +00:12:21,780 --> 00:12:25,060 +هذا ال top rim يكون من metal لكن ال lower + +173 +00:12:25,060 --> 00:12:28,400 +rim يكون عبارة عن خيط هذا + +174 +00:12:28,400 --> 00:12:31,760 +الخيط نصنع به groove صغيرة بال lower + +175 +00:12:31,760 --> 00:12:37,740 +rim لإدخالها وثابتة ويجب أن تكون هذه الحافة + +176 +00:12:37,740 --> 00:12:40,920 +مستوية لأنّ لأنّ هناك تلامس بين ال lower + +177 +00:12:40,920 --> 00:12:45,340 +rim و ال eye wire ووجه المريض فهي قد + +178 +00:12:45,340 --> 00:12:49,910 +تجرحه تمام؟ لكن I’m trying to hold the lenses in + +179 +00:12:49,910 --> 00:12:53,410 +place by means of nylon cord that fits around the + +180 +00:12:53,410 --> 00:12:56,190 +edge of the lens this gives glass the appearance + +181 +00:12:56,190 --> 00:13:00,850 +of being rimless هذا يعطيني انطباعًا + +182 +00:13:00,850 --> 00:13:04,310 +أنّ عندما أراها أقول أن هذا الإطار rimless لكن + +183 +00:13:04,310 --> 00:13:08,110 +ليس rimless فهو يحتوي على eye wire لكن ليس + +184 +00:13:08,110 --> 00:13:12,770 +metal عادةً يكون الجزء العلوي للعدسة + +185 +00:13:12,770 --> 00:13:16,610 +مُثبتًا في ال upper rim للإطار وهو + +186 +00:13:16,610 --> 00:13:20,470 +المسؤول عن تثبيت العدسة العلوي في تثبيت العدسة + +187 +00:13:20,470 --> 00:13:26,630 +الذي هو ال top rim رابع + + +223 +00:15:46,630 --> 00:15:50,370 +بتكون مش لها rim بتسمى الـ mounting هي بتكون + +224 +00:15:50,370 --> 00:15:54,830 +محمولة عن طريق دواعم خاصة غير الـ .. الـ eye wire + +225 +00:15:54,830 --> 00:15:56,450 +غير الـ rim راح نتعرف عليهم هلقيتها + +226 +00:16:00,960 --> 00:16:03,980 +أول حاجة راح ناخد الـ rimless mounting also + +227 +00:16:03,980 --> 00:16:06,860 +referred as three pieces mounting لسه منها three + +228 +00:16:06,860 --> 00:16:10,520 +pieces mounting لأنها أصلا بتتكون بس من تلت أجزاء + +229 +00:16:10,520 --> 00:16:15,660 +اللي هم two temple هاي واحد اتنين و bridge hold + +230 +00:16:15,660 --> 00:16:18,540 +the lenses in place by other method than eye wire + +231 +00:16:18,540 --> 00:16:24,300 +or nylon cord العدسات بتكون محمولة بالـ frame بطرق + +232 +00:16:24,300 --> 00:16:27,520 +تانية غير الـ rim و غير الـ nylon cord اللي اتعرفنا + +233 +00:16:27,520 --> 00:16:31,480 +عليهم قبلها. Most rimless mounters have two areas + +234 +00:16:31,480 --> 00:16:34,640 +of attachment per lens nasally and temporally + +235 +00:16:34,640 --> 00:16:38,880 +بيكونوا العدسات محمولين بالـ frame من جهتين temporal + +236 +00:16:38,880 --> 00:16:44,200 +و الـ nasal. قلنا نتعرف على الـ method الطرق اللي + +237 +00:16:44,200 --> 00:16:48,420 +قدروا فيهم يثبتوا العدسات بدون rim. أول حاجة with + +238 +00:16:48,420 --> 00:16:54,560 +screws اللي هم باستعمال البراغي. ممكن في صورة أعتقد + +239 +00:16:54,560 --> 00:16:58,920 +هادي مش واضحة كثير. هي مثبتين بالبرغي بتكون مقوبة + +240 +00:16:58,920 --> 00:17:02,820 +العدسة مثبتة بالبرغي في الـ .. في الـ temple + +241 +00:17:02,820 --> 00:17:06,580 +cemented. ممكن تكون منثقة العدسة ممكن تكون منثقة + +242 +00:17:06,580 --> 00:17:10,180 +بالـ temple. الـ clamps اللي هم الملاقط بتكون ملاقط + +243 +00:17:10,180 --> 00:17:17,280 +خاصة تمسك العدسة. تصل الـ temple بالـ front area + +244 +00:17:17,280 --> 00:17:20,280 +plastic posts اللي هم بيكونوا عبارة عن برضه نفس + +245 +00:17:20,280 --> 00:17:25,040 +الملاقط بس هم بيكونوا زي الكبس. طبعا برضه بيثبتوا + +246 +00:17:25,040 --> 00:17:31,040 +العدسات. + +247 +00:17:31,040 --> 00:17:35,000 +semi rimless. It is similar to rimless except for + +248 +00:17:35,000 --> 00:17:38,620 +metal reinforcing arm which follows the upper surface of + +249 +00:17:38,620 --> 00:17:42,060 +the lens and joins the center piece of the frame to + +250 +00:17:42,060 --> 00:17:46,760 +the end piece. هلقيتها الـ semi rimless بقولك إنهم + +251 +00:17:46,760 --> 00:17:52,420 +بيشبهوا في تركيبتهم الـ rimless لكن الاختلاف إن في عندي + +252 +00:17:52,420 --> 00:17:58,680 +هنا metal .. metal reinforcing arm اللى هي بتكون + +253 +00:17:58,680 --> 00:18:03,460 +بتثبت العدسة من خلالها على عكس الـ rimless اللي بيكونش + +254 +00:18:03,460 --> 00:18:13,380 +أصلا لها ولا أي قطعة فوق العدسات. اه بقولك and + +255 +00:18:13,380 --> 00:18:17,170 +joins the center piece of the frame to the end piece. + +256 +00:18:17,170 --> 00:18:21,510 +الـ centerpiece اللي هم الـ bridge مع الـ bed و الـ + +257 +00:18:21,510 --> 00:18:26,430 +bed arms. يتصل هذا الـ centerpiece مع باقي الـ end + +258 +00:18:26,430 --> 00:18:29,490 +piece مع الـ temple. Centerpiece of mounting + +259 +00:18:29,490 --> 00:18:33,570 +consists of bridge, bed arm and bed. زي ما قلنا اللي + +260 +00:18:33,570 --> 00:18:37,170 +هي الـ centerpiece عبارة عن الـ bridge و الـ bed arms + +261 +00:18:37,170 --> 00:18:38,270 +مع الـ bed طبعا + +262 +00:18:44,230 --> 00:18:47,490 +هلقيتها .. راح نتعرف على منطقة الـ bridge + +263 +00:18:47,490 --> 00:18:50,710 +الـ bridge ينقسم إلى نوعين: plastic bridge أو metal + +264 +00:18:50,710 --> 00:18:55,150 +bridge. البلاستيك فيه منه تلت أنواع: saddle, modified + +265 +00:18:55,150 --> 00:19:03,270 +saddle و K-hole. شايفة فيه هنا صور ولا لأ؟ اه هلقيتها + +266 +00:19:03,270 --> 00:19:04,750 +بداية مع الـ saddle + +267 +00:19:07,790 --> 00:19:11,490 +الـ saddle bridge. It is shaped like a saddle in a + +268 +00:19:11,490 --> 00:19:14,990 +smooth curve and follows the bridge of the nose. هي + +269 +00:19:14,990 --> 00:19:20,110 +بتشبه شكل الصدل اللي هو حِزام الحصان و بتكون smooth + +270 +00:19:20,110 --> 00:19:25,250 +يعني ناعمة جدا و بتكون مريحة للأنف و هي بتقع على الـ + +271 +00:19:25,250 --> 00:19:29,600 +nose. يعني بتكون rest على الـ nose. The weight of the + +272 +00:19:29,600 --> 00:19:32,840 +frame is over the sides and crest of the nose. + +273 +00:19:32,840 --> 00:19:36,640 +بتحمل وزن العدسة و وزن الـ frame بيكون كل وزن الـ frame + +274 +00:19:36,640 --> 00:19:41,170 +بيكون محمول على أطراف القَنفذ، على الـ crest اللي هي + +275 +00:19:41,170 --> 00:19:44,330 +عظمة الأنف، بكل عافية. راح نكمل مع ازمتي مرحلة + +276 +00:19:44,330 --> 00:19:48,670 +السلام عليكم. معاكم Marah القطنانى. اتعرفنا على + +277 +00:19:48,670 --> 00:19:51,890 +أنواع الـ bridge البلاستيك. أول نوع هو الـ saddle + +278 +00:19:51,890 --> 00:19:56,950 +bridge. قد قُدِّم modified saddle. تعديل. عملنا تعديل + +279 +00:19:56,950 --> 00:20:00,650 +عليه. Same as the saddle bridge viewed from the + +280 +00:20:00,650 --> 00:20:05,510 +front. إنه من الـ front بيشبه الـ saddle، من الـ front + +281 +00:20:05,510 --> 00:20:08,950 +يعني ما نقدرش نميز بين الـ modified saddle أو saddle، لكن + +282 +00:20:08,950 --> 00:20:12,670 +the difference is there are nose pads in the back + +283 +00:20:12,670 --> 00:20:19,410 +of the bridge، إنه الإطار ما بيرتكز على الـ crest، + +284 +00:20:19,410 --> 00:20:21,790 +بيرتكز على الـ nose pads، على الـ right ولا على الـ + +285 +00:20:21,790 --> 00:20:25,530 +left. These pads help to carry some of the weight of the + +286 +00:20:25,530 --> 00:20:29,870 +frame. إنه بيساعد على إنه بيحمل بعض الوزن من الـ + +287 +00:20:29,870 --> 00:20:33,570 +frame. إحنا بنقدر نميز الـ modified saddle من جهة الخلف + +288 +00:20:33,570 --> 00:20:41,930 +الـ back surface. بيكون اللي هو بروس بارس الـ + +289 +00:20:41,930 --> 00:20:46,950 +K-hole. بيشبه .. is shaped .. is .. is .. is shaped + +290 +00:20:46,950 --> 00:20:50,950 +like an old-fashioned K-hole. بيشبه شكل المفتاح + +291 +00:20:50,950 --> 00:20:54,500 +القديم. من هيك شكله. إحنا بنشوفه من الـ .. الـ back + +292 +00:20:54,500 --> 00:20:58,540 +surface. بنكون أوضح من الخلف. The bridge rests on + +293 +00:20:58,540 --> 00:21:02,040 +the sides of the nose but not on the crest. يعني + +294 +00:21:02,040 --> 00:21:05,860 +إنه إحنا بنقدر نميزه من الـ back surface. أما في الـ + +295 +00:21:05,860 --> 00:21:09,760 +K-hole. رأينا الـ K-hole إنه ما بيرتكز على الـ crest + +296 +00:21:09,760 --> 00:21:13,820 +بسبب جوانب الأنف من الـ right و الـ left + +297 +00:21:18,090 --> 00:21:20,950 +الـ metal frame bridge. النوع الثاني. الأول قلنا + +298 +00:21:20,950 --> 00:21:24,030 +بلاستيك و هذا النوع metal. الـ bridge commonly used + +299 +00:21:24,030 --> 00:21:28,070 +is the bad bridge. إن الشائع منه الـ metal بيكون له + +300 +00:21:28,070 --> 00:21:31,630 +bad bridge. Metal frame is equipped with a clear + +301 +00:21:31,630 --> 00:21:35,690 +plastic saddle type bridge. The bridge type refers + +302 +00:21:35,690 --> 00:21:40,610 +to as a comfort bridge. إن الإطار كله بيكون من الـ + +303 +00:21:40,610 --> 00:21:43,850 +metal مع هذا الـ bridge بتكون من الـ بلاستيك عشان + +304 +00:21:43,850 --> 00:21:45,290 +يُسمّى comfort bridge + +305 +00:21:49,110 --> 00:21:53,370 +الـ end piece. لها برضه إن الـ end piece + +306 +00:21:53,370 --> 00:21:56,750 +construction: plastic end piece و metal end piece. + +307 +00:21:56,750 --> 00:22:01,170 +البلاستيك end piece. A both type. الـ metal turn + +308 +00:22:01,170 --> 00:22:04,870 +back. الـ both types هو الأكثر شيوعا بينهم هما + +309 +00:22:04,870 --> 00:22:10,730 +الثلاثة. إنه بيكون الـ هذا شكله. إنه بتكون الـ front + +310 +00:22:10,730 --> 00:22:15,430 +straight و الـ temple بيكون flat. أما الـ metal و + +311 +00:22:15,430 --> 00:22:19,240 +الزاوية بينهم بيكونوا تسعين degree. عاملين. أما + +312 +00:22:19,240 --> 00:22:23,900 +الـ metal بيكون الـ .. الـ flat و الـ temple بينهم خمسة + +313 +00:22:23,900 --> 00:22:27,700 +و أربعين degree. و الـ turn back اللي بيكون الـ flat + +314 +00:22:27,700 --> 00:22:35,120 +له انحناء. الـ metal end piece .. the + +315 +00:22:35,120 --> 00:22:40,160 +traditional metal end piece has a construction to + +316 +00:22:40,160 --> 00:22:43,080 +the turn back and piece of that plastic frame. + +317 +00:22:45,680 --> 00:22:50,240 +إن هو أكثر شيوعا من الـ plastic frame temple + +318 +00:22:50,240 --> 00:22:55,000 +construction. + +319 +00:22:55,000 --> 00:23:01,780 +Five major categories: skull temple هو من خمسة أنواع + +320 +00:23:01,780 --> 00:23:05,040 +أول نوع: الـ skull temple. بتكون the bent down + +321 +00:23:05,040 --> 00:23:10,220 +portion is narrower at the top of the ear and + +322 +00:23:10,220 --> 00:23:15,780 +widens towards the end. إنه بتكون في الأول من عند + +323 +00:23:15,780 --> 00:23:20,180 +البنت بيكون رفيع. من عند البنت بيكون أرفع شوية و + +324 +00:23:20,180 --> 00:23:25,460 +بعدين الـ end بيكون أوسع. library temples + +325 +00:23:25,460 --> 00:23:30,940 +straight. له اسم ثاني: straight back temple and + +326 +00:23:30,940 --> 00:23:36,540 +average width at the butt and this is not increase .. + +327 +00:23:36,540 --> 00:23:41,080 +decrease, and while it's posterior. إنه بيكون هو + +328 +00:23:41,080 --> 00:23:46,150 +شكله عريض من فوق و بيبدأ يعني يقل السماكة طول ما هو + +329 +00:23:46,150 --> 00:23:52,710 +تحت. من عند الـ end. convertible temple. إنه بتحول + +330 +00:23:52,710 --> 00:23:57,470 +قبل التبديل و إنه بيغيّر شكله. It may be easily + +331 +00:23:57,470 --> 00:24:02,570 +straightened out and then ribboned to the wearer. + +332 +00:24:02,570 --> 00:24:08,470 +إنه ممكن أول نشأته كانوا بيطلقوا عليه اسم skull + +333 +00:24:08,470 --> 00:24:12,370 +كانوا بيطلقوا عليه skull. أول نوع الـ skull temple + +334 +00:24:12,830 --> 00:24:16,990 +بعدين إحنا بنقدر نحوله من convertible من عند .. + +335 +00:24:16,990 --> 00:24:23,690 +من library temple لـ .. لـ school temple. و لو كان + +336 +00:24:23,690 --> 00:24:28,090 +موقع الـ temple غلط، يعني ما كانش صحيح موقعه، و نقدر + +337 +00:24:28,090 --> 00:24:32,960 +نغيره. إنه نكون كله straight. نعمل انحناء في الآخر. الـ + +338 +00:24:32,960 --> 00:24:36,980 +riding ball. هذا بيكون إنه used in children as + +339 +00:24:36,980 --> 00:24:41,160 +safety frames. بيستخدمه الـ children عشان هو بيكون + +340 +00:24:41,160 --> 00:24:47,140 +فيه انحناء خلف الأذن. بيمتد لعند الـ loop. Air safety + +341 +00:24:47,140 --> 00:24:52,460 +frame. comfort cable. هو بيشبه الـ riding ball لكن + +342 +00:24:52,460 --> 00:24:57,980 +فيه إضافة في الـ end. آخر شئ فيه قطعة معدنية مرنة + +343 +00:25:06,310 --> 00:25:09,610 +الآخر. أشياء. الـ coloration. Plastic frames maybe + +344 +00:25:09,610 --> 00:25:14,130 +partially classified by coloration. إن البلاستيك + +345 +00:25:14,130 --> 00:25:18,990 +ممكن إحنا نصنفه بشكل جزئي حسب الألوان. اللي بنقسمه + +346 +00:25:18,990 --> 00:25:24,580 +إلى أربعة ألوان. نقدر نلونها. solid frame is all one color. الـ + +347 +00:25:24,580 --> 00:25:28,200 +solid بيكون كله نفس اللون. ما فيش يعني تدرج فيه. + +348 +00:25:28,200 --> 00:25:33,980 +vertical gradient. إنه بيكون الـ top rim و الـ bridge + +349 +00:25:33,980 --> 00:25:38,920 +أغمق. يعني أغمق شئ darker than الـ bottom rim. + +350 +00:25:38,920 --> 00:25:45,120 +darker at the top including bridge and brighter at + +351 +00:25:45,120 --> 00:25:49,580 +the bottom. ثالث نوع: horizontally gradient. بيكون الـ + +352 +00:25:49,580 --> 00:25:55,790 +temple darker. و من عند الـ center بيصير أفتح. darker + +353 +00:25:55,790 --> 00:26:01,070 +at temporally and lighter at center area. A clear + +354 +00:26:01,070 --> 00:26:06,830 +bright frame. بيشبه الـ horizontal gradient لكن إنه + +355 +00:26:06,830 --> 00:26:11,170 +بيكون الـ temple darker و الـ pot portion. الـ pot .. + +356 +00:26:11,170 --> 00:26:15,230 +الـ pot ramp بيكون برضه darker. لكن الـ bridge بيختلف + +357 +00:26:15,230 --> 00:26:20,760 +إن الـ bridge بتكون أفتح منهم. Resembles the + +358 +00:26:20,760 --> 00:26:24,500 +horizontal gradient but is darker at the top except + +359 +00:26:24,500 --> 00:26:28,860 +the bridge. Thank + +360 +00:26:28,860 --> 00:26:33,040 +you for your attention. طبعا بنشكر الطلبة على هذا العرض + +361 +00:26:33,040 --> 00:26:38,280 +الجيد. للـ oral presentation. و بننهي إن شاء الله في + +362 +00:26:38,280 --> 00:26:42,280 +موضوع الـ oral presentation. في آخر موضوع كان عندنا + +363 +00:26:42,280 --> 00:26:46,180 +الـ frames types and parts. يعطيكم العافية و شكراً. diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dkSSA11WIuU_raw.json b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dkSSA11WIuU_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..b8431441059894757645105f09b7f70d17effcb2 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/dkSSA11WIuU_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4545, "start": 21.11, "end": 45.45, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته ومرحبا لكم جميعا سنبدأ ان شاء الله اليوم في آخر محاضرة للطالبات بعنوان frames, parts and types بنتمنى ان شاء الله لكم وقت ممتع ومناقشة مفيدة فيما بعد ان شاء الله 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"اه انها بتيجي ورا أذن ال .. المريض بحيث انها يعني اتزيد من ال .. تثبيت المضارة", "tokens": [40294, 16472, 11296, 39894, 1829, 7435, 1829, 4032, 23557, 5551, 8848, 1863, 2423, 4386, 9673, 16572, 11242, 4724, 5016, 1829, 12984, 16472, 11296, 37495, 22653, 1975, 2655, 11622, 25708, 9154, 2423, 4386, 6055, 12984, 21292, 2655, 9673, 11242, 9640, 3660], "avg_logprob": -0.21665395759954686, "compression_ratio": 1.4166666666666667, "no_speech_prob": 0.0, "words": [{"start": 118.51, "end": 118.77, "word": "اه", "probability": 0.6787109375}, {"start": 118.77, "end": 118.97, "word": " انها", "probability": 0.722900390625}, {"start": 118.97, "end": 119.37, "word": " بتيجي", "probability": 0.846435546875}, {"start": 119.37, "end": 119.63, "word": " ورا", "probability": 0.98974609375}, {"start": 119.63, "end": 120.15, "word": " أذن", "probability": 0.8972981770833334}, {"start": 120.15, "end": 120.61, "word": " ال", "probability": 0.483154296875}, {"start": 120.61, "end": 121.11, "word": " ..", 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هيك بيكون خلصنا احنا مكونات ال frame الأساسية بعدين رح نتعرف على ال types of ال frame أول حاجة انا هحكيهم هيك بشكل عام واشي مختصر عنهم و بعدين أزملاتي رح يفصلوا فيهم", "tokens": [9566, 1829, 3555, 39896, 4117, 4724, 1829, 30544, 16490, 1211, 9381, 8315, 1975, 5016, 8315, 3714, 4117, 2407, 8315, 2655, 2423, 3920, 16247, 3794, 32277, 10632, 39182, 9957, 12602, 5016, 8717, 2655, 3615, 28480, 15844, 2423, 3467, 295, 2423, 3920, 5551, 12610, 11331, 26108, 3660, 1975, 8315, 8032, 5016, 4117, 1829, 16095, 39896, 4117, 4724, 8592, 28820, 6225, 10943, 4032, 33599, 1829, 3714, 46456, 9381, 2288, 18871, 16095, 4032, 39182, 9957, 5551, 11622, 42213, 9307, 1829, 12602, 5016, 7251, 5172, 36520, 14407, 8978, 16095], "avg_logprob": -0.15340073178796207, "compression_ratio": 1.6089385474860336, "no_speech_prob": 2.0265579223632812e-06, "words": [{"start": 400.97, "end": 401.67, "word": "طيب", "probability": 0.99560546875}, {"start": 401.67, "end": 402.23, "word": " هيك", "probability": 0.781005859375}, 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و رحمة الله و بركاته اليوم راح + +7 +00:00:51,190 --> 00:00:53,990 +نقدملكم presentation بعنوان ال frame parts and + +8 +00:00:53,990 --> 00:00:58,410 +type في مصادف ال distancing لدكتور محمد الشروشة بس + +9 +00:00:58,410 --> 00:01:02,570 +قبل ما نحكي عن ال frame parts و type نتعرف إيش هو + +10 +00:01:02,570 --> 00:01:06,440 +ال frames في اللي هوفي علم البصريات او في علم ال + +11 +00:01:06,440 --> 00:01:09,400 +dispensing ال frame هو عبارة عن جزء من النضارة + +12 +00:01:09,400 --> 00:01:13,340 +بستخدمه عشان احط فيه العدسات بحيث انها تيجي في + +13 +00:01:13,340 --> 00:01:15,740 +المكان الصحيح بالدهن عن ان المريض ماتعملش عنده + +14 +00:01:15,740 --> 00:01:19,440 +prismatic effect ال definition of ال frame حكيته + +15 +00:01:19,440 --> 00:01:22,840 +تاوله هو ان ال part of spectacle that holds the + +16 +00:01:22,840 --> 00:01:25,420 +lenses containing authentic description and a + +17 +00:01:25,420 --> 00:01:27,120 +proper position on the front of the eye + +18 +00:01:30,410 --> 00:01:34,070 +أولاش رح نحكي على مكونات ال frame و بعدين رح ننتقل + +19 +00:01:34,070 --> 00:01:38,650 +بالعزيز على الأنواع المكونات ال frame بشكل أساسي + +20 +00:01:38,650 --> 00:01:41,650 +اللي هم ال front بالتمبل و كل واحد طبعا بتتكون من + +21 +00:01:41,650 --> 00:01:47,790 +مكونات ال front هي الجزء اللي بأوضع فيه العدسة + +22 +00:01:47,790 --> 00:01:51,870 +بتاعة المريض و ال temples برضه هي بتساعد أنها + +23 +00:01:51,870 --> 00:01:54,530 +بتكون بتتصل بال front و بتساعد كمان أنها تثبتلي + +24 +00:01:54,530 --> 00:02:00,610 +إياها قدام عين المريض و ..اه انها بتيجي ورا أذن ال + +25 +00:02:00,610 --> 00:02:05,270 +.. المريض بحيث انها يعني اتزيد من ال .. تثبيت + +26 +00:02:05,270 --> 00:02:06,190 +المضارة + +27 +00:02:08,590 --> 00:02:11,710 +طيب بالجدأ هنتعرف على مكونات ال frame و ال front + +28 +00:02:11,710 --> 00:02:16,290 +تقريبا في عندي أربع أو خمس مكونات أول حاجة عندي + +29 +00:02:16,290 --> 00:02:19,850 +منطقة ال bridge هي عبارة عن منطقة بتربط بين two + +30 +00:02:19,850 --> 00:02:25,410 +lenses و أهم إنها هي بت .. بتكون على العضمة القنف + +31 +00:02:25,410 --> 00:02:30,390 +عشان الوزن الإيطاري الخفو عشان توزع الوزنوكمان عند + +32 +00:02:30,390 --> 00:02:34,990 +ال eye mirror او ال rim هذه بتكون حوالين العدسة + +33 +00:02:34,990 --> 00:02:39,590 +بتعمل دعم للعدسة و قد تكون partially او بشكل كامل + +34 +00:02:39,590 --> 00:02:42,890 +كذلك كمان عند ال L piece او ممكن نسميها ال temple + +35 +00:02:42,890 --> 00:02:48,250 +tip ال L piece طبعا موجودة في أطرا في ال frame + +36 +00:02:48,250 --> 00:02:53,590 +front و هي أهميتها ان هذا المنطقة تتفاق مع ال + +37 +00:02:53,590 --> 00:02:58,250 +frontو الشيل طبعا الشيل بتتقع برضه في ال MPS و هي + +38 +00:02:58,250 --> 00:03:02,990 +حاليا في ال recent years هي بس cosmetic يعني + +39 +00:03:02,990 --> 00:03:06,790 +مايلها علاقة في ال attachment بس قبل كان يعني إلها + +40 +00:03:06,790 --> 00:03:10,530 +علاقة و كان إلها دور في ال attachment ال nose pad + +41 +00:03:10,530 --> 00:03:14,590 +مش كل الإطارات بيكون فيها nose pad ال nose pad هي + +42 +00:03:14,590 --> 00:03:18,750 +عبارة عن قطعة بلاستيكية بتكون هنا على جوانب الأنف + +43 +00:03:18,750 --> 00:03:25,210 +برضه عشان وزن ال ..الاطار و طبعا بتتصل بالعدسة .. + +44 +00:03:25,210 --> 00:03:29,710 +بتتصل بال frame front عن طريق metal arm بسميه ال + +45 +00:03:29,710 --> 00:03:35,750 +bad arm او ال god armطيب بعدين هنا عندى المكونات + +46 +00:03:35,750 --> 00:03:39,530 +التنبل اللى هو الجزء التانى من المكونات ال frame + +47 +00:03:39,530 --> 00:03:42,910 +أول حاجة عندى ال both portion هي عبارة عن أقرب + +48 +00:03:42,910 --> 00:03:46,470 +منطقة لل front و فيها بيصير ال attachment مع ال + +49 +00:03:46,470 --> 00:03:50,610 +front بعدين عند اللى هو منطقة الشافت أو الشانك هي + +50 +00:03:50,610 --> 00:03:54,330 +المنطقة بين ال both portion و ال bend ال bend هو + +51 +00:03:54,330 --> 00:03:59,340 +أول انحناء لل تنبل يعني لما تنهنىهذا ال .. هو ان + +52 +00:03:59,340 --> 00:04:02,800 +ال bell بعدين عندي اللي هو ال earpiece او ال bell + +53 +00:04:02,800 --> 00:04:06,460 +down portion او ممكن اسميها ال pearl هذي بتكون ورا + +54 +00:04:06,460 --> 00:04:10,700 +أدن المريض عشان انا ال .. ال .. ال .. ال .. هذا + +55 +00:04:10,700 --> 00:04:16,040 +ماتوجعش عشان .. عشان عملتي التطبيق بتكون قدام عنا + +56 +00:04:16,040 --> 00:04:20,120 +المريض بعدين عندي double hole هذي اللي كنت فيها زي + +57 +00:04:20,120 --> 00:04:23,200 +ال pearl و هيك عشان ال attachment اختي بيعملني + +58 +00:04:23,200 --> 00:04:24,220 +نظرتك لو سمحت + +59 +00:04:28,060 --> 00:04:31,600 +هذه ال frame front اللى حكينا عنها هذا منطقة ال + +60 +00:04:31,600 --> 00:04:38,040 +bridge و هذا ال nose pad تبعه وهذا منطقة ال in + +61 +00:04:38,040 --> 00:04:40,840 +base وهذا ال eye wear بلاحظة هنا ال eye wear + +62 +00:04:40,840 --> 00:04:44,240 +حوالين العدسة بشكل كامل فى إطارات بتكون بشكل جزء + +63 +00:04:44,240 --> 00:04:48,440 +مش بشكل كامل و هذا منطقة ال temple هى هنا منطقة ال + +64 +00:04:48,440 --> 00:04:51,480 +butt portion بعدين تيجي عند الشان بعدين هنا بداية + +65 +00:04:51,480 --> 00:04:54,660 +الانحناء هذا اللى هى ال bend و هذا اللى هى عبارة + +66 +00:04:54,660 --> 00:04:56,780 +عن ال air base + +67 +00:05:03,970 --> 00:05:07,910 +هذا بيحكي لي ان في بعض الإطارات مابيكونش فيها + +68 +00:05:07,910 --> 00:05:12,390 +temples ب .. كيف .. بنجأ لطرق تانية ان احطها جدا + +69 +00:05:12,390 --> 00:05:16,230 +للعين مثلا ان يكون إليها إيد بمسكها منها وهذه + +70 +00:05:16,230 --> 00:05:20,710 +بسميها ال learning ten أو ممكن أوصلها مع إطار تاني + +71 +00:05:20,710 --> 00:05:25,170 +اللي هي بسميها ال clip-ons وكمان ممكن ان اثبتها + +72 +00:05:25,170 --> 00:05:29,970 +على ال nose هنا و بسميها اللي هو ال .. ال pinsنزل + +73 +00:05:29,970 --> 00:05:34,410 +تمام هي hold in piece by ال pressure on the + +74 +00:05:34,410 --> 00:05:37,650 +southern nose يعني بتكون تلغط على جوانب الآن ال + +75 +00:05:37,650 --> 00:05:41,370 +clip on attachment on another frame و lyric tense + +76 +00:05:41,370 --> 00:05:44,770 +being held in the hand يعني بيمسكها بإيده و بيحطها + +77 +00:05:44,770 --> 00:05:49,730 +قدام العين بس هو بشكل عام الإطارات اتكون من temple + +78 +00:05:49,730 --> 00:05:55,560 +و frontطيب احنا اللي حكينا عن ال temple على ال + +79 +00:05:55,560 --> 00:06:00,180 +front هم بكونوا مفصلين عن بعض بس انا كيف بوصلهم عن + +80 +00:06:00,180 --> 00:06:03,740 +طريق ال hang اللي هو المفصل هاي ال hang hold the + +81 +00:06:03,740 --> 00:06:08,120 +temples to the front و بتربط ليهم مع بعضهم تتكون + +82 +00:06:08,120 --> 00:06:11,660 +من عدد فردي من ال barrels قد يكون تلاتة و قد يكون + +83 +00:06:11,660 --> 00:06:16,450 +خمسة و قد يكون سبعةطبعا ال construction لل hing من + +84 +00:06:16,450 --> 00:06:21,470 +frame لآخر بختلفة بس عشان أسهل عملية التصنيف كيف + +85 +00:06:21,470 --> 00:06:26,850 +أصنف ال hing بحكي لممكن أصنفها حسب اللي هو العدد + +86 +00:06:26,850 --> 00:06:31,450 +لل barrels مثلا ممكن لو كان عندى ثلاثة أسميه three + +87 +00:06:31,450 --> 00:06:35,210 +barrel hing لو كان عندى خمسة هسميه five barrel + +88 +00:06:35,210 --> 00:06:35,730 +hing + +89 +00:06:40,970 --> 00:06:45,950 +طيب هيك بيكون خلصنا احنا مكونات ال frame الأساسية + +90 +00:06:45,950 --> 00:06:50,390 +بعدين رح نتعرف على ال types of ال frame أول حاجة + +91 +00:06:50,390 --> 00:06:53,570 +انا هحكيهم هيك بشكل عام واشي مختصر عنهم و بعدين + +92 +00:06:53,570 --> 00:06:58,360 +أزملاتي رح يفصلوا فيهمأول حاجة عندي ال plastic + +93 +00:06:58,360 --> 00:07:02,680 +frames طبعا ال .. في ال recent years النوع .. + +94 +00:07:02,680 --> 00:07:04,960 +الأنواع المواد البلاستيكية بيستخدمها في صناعة + +95 +00:07:04,960 --> 00:07:09,040 +الإطارات كتيرة عشان هيك بشكل عام بحكي عنها plastic + +96 +00:07:09,040 --> 00:07:13,700 +ال metal نفس الشغلة عندي عدة مواد من ال metal و + +97 +00:07:13,700 --> 00:07:16,560 +حسب كل meter اللي له خصائص لو كان مثلا شخص عنده + +98 +00:07:16,560 --> 00:07:19,780 +حساسين من ال metal معين بيستخدمله metal آخر ال + +99 +00:07:19,780 --> 00:07:24,430 +nylon cordو ال combination بتكون المزيش بين ال + +100 +00:07:24,430 --> 00:07:28,170 +plastic و ال metal و ال rimless و السيمة rimless و + +101 +00:07:28,170 --> 00:07:31,890 +ال half-ahed و ال ناس اللي عندهم ال breast طياب و + +102 +00:07:31,890 --> 00:07:34,810 +شكرا لاستماعكم و اللي جاتة راح نكمل مع ماريا من + +103 +00:07:34,810 --> 00:07:39,880 +أشجارOkay we will talk about the types of the + +104 +00:07:39,880 --> 00:07:42,940 +frame, in the first the plastic, also referred as + +105 +00:07:42,940 --> 00:07:47,500 +shell frame or ruazel, اول ما بدنا نستخدم الفريمات + +106 +00:07:47,500 --> 00:07:51,700 +بدوا يستخدموا إطارة الإطارات اللي هو البلاستيكية + +107 +00:07:51,700 --> 00:07:56,580 +تمام؟الاطارات هو البلاستيكية قديما هو كانوا + +108 +00:07:56,580 --> 00:08:00,140 +يعتبروها اللي هو a shell يعني ..شو يعني shell؟ + +109 +00:08:00,140 --> 00:08:04,200 +يعني كإجمال الإطار كله plastic تمام؟ أول هو شغلة + +110 +00:08:04,200 --> 00:08:08,120 +لما بلشوا يصنعوا الإطارات كانت بتصنع من مادة اللي + +111 +00:08:08,120 --> 00:08:11,140 +هو ال zelonite اللي هو ال cellulose nitrate عشان + +112 +00:08:11,140 --> 00:08:13,920 +هيك أطلقوا على ال .. ال plastic friends اسم اللي + +113 +00:08:13,920 --> 00:08:16,920 +هو andexel لإنهم كانوا يستخدموا ال zelonite ال + +114 +00:08:16,920 --> 00:08:21,890 +cellulose nitrateتمام لكن وجدوا انه هاي ال .. ال + +115 +00:08:21,890 --> 00:08:26,410 +cellulose nitrate وجدوها انه ايش .. هاي المادة + +116 +00:08:26,410 --> 00:08:30,490 +قابلة للاجتعال inflammable okay راحوا استبدلوها + +117 +00:08:30,490 --> 00:08:35,210 +بمادة أخرى اللي هي ال cellulose lignic acetate لكن + +118 +00:08:35,210 --> 00:08:40,790 +مفهوم ذال مازال يطلب على الإطارات البلاستيكية بشكل + +119 +00:08:40,790 --> 00:08:45,260 +اللي هو عامAlso referred .. plastics also referred + +120 +00:08:45,260 --> 00:08:47,880 +as a shell frame or a shell firstly it was made + +121 +00:08:47,880 --> 00:08:50,960 +from a tertoisal shell كانت مصنوعة من أظام + +122 +00:08:50,960 --> 00:08:54,520 +السلحفاة then formed zeolite cellulose nitrate now + +123 +00:08:54,520 --> 00:08:57,540 +it's made of a plastic material they commonly used + +124 +00:08:57,540 --> 00:08:59,820 +plastic material is a cellulose acetate + +125 +00:08:59,820 --> 00:09:08,660 +inexpensive أكيد plastic + +126 +00:09:08,660 --> 00:09:12,400 +frame materialsمش هو المواد اللي بيصنعوا منها + +127 +00:09:12,400 --> 00:09:14,900 +الإيطارات البلاستيكية؟ أول شيء اللي عندك cellulose + +128 +00:09:14,900 --> 00:09:19,040 +acetate تمام؟ و هاي اللي هجيت أنا بستخدمها الشائعة + +129 +00:09:19,040 --> 00:09:21,940 +في استخدام ال .. في صناعة الإيطارات البلاستيكية + +130 +00:09:21,940 --> 00:09:26,180 +عندك ال probionate okay اللي هو الملح الحامض ال + +131 +00:09:26,180 --> 00:09:29,980 +probionate الoptile ال polycarbonate في عندك ال + +132 +00:09:29,980 --> 00:09:32,660 +nylon في عندك ال rubber اللي هو المطاط في عندك ال + +133 +00:09:32,660 --> 00:09:35,340 +carbon fibers و ال combination of ال plastic + +134 +00:09:35,340 --> 00:09:36,260 +materials okay + +135 +00:09:43,840 --> 00:09:48,800 +الـ metal frame material okay هلجيت روح نحكي خلصنا + +136 +00:09:48,800 --> 00:09:51,900 +ال plastic روح نحكي عن اللي هو ال metal شو هي ال + +137 +00:09:51,900 --> 00:09:56,410 +metal المعدن الإطارات اللي هو المعدنية تمام؟هي + +138 +00:09:56,410 --> 00:09:59,110 +ممكن اكتر اللي هو عندك من مادة ممكن هي ال metal + +139 +00:09:59,110 --> 00:10:01,770 +تكون مصنوعة من مكنيسيوم ممكن ال bronos ممكن + +140 +00:10:01,770 --> 00:10:05,270 +تيتانيوم ممكن stainless steel ممكن ألمونيوم ممكن + +141 +00:10:05,270 --> 00:10:08,610 +نايكل based material يعني ممكن تكون مثلا pure + +142 +00:10:08,610 --> 00:10:12,470 +نايكل نايكل هو عندك خام ممكن نايكل silver يعني + +143 +00:10:12,470 --> 00:10:21,430 +نايكل مع فضة و ال monal هو material metal + +144 +00:10:21,430 --> 00:10:24,570 +frame شو هي ال metal عندك في ال frameأول شغلة زى + +145 +00:10:24,570 --> 00:10:29,490 +ما احنا اللى هو عندك شايفين ال metal frame عبارة + +146 +00:10:29,490 --> 00:10:33,610 +عن إطارات تمام؟ الإطارات كلها بتكون عبارة عن metal + +147 +00:10:33,610 --> 00:10:37,950 +except two areas ال nose pads و ال temple اللى هو + +148 +00:10:37,950 --> 00:10:41,830 +تاج ليش هاي ال .. هاي المواد .. هاي الأماكن ال + +149 +00:10:41,830 --> 00:10:46,730 +areas ما صنعت من ال metal؟ لإن أول شغلةهنا عشان ال + +150 +00:10:46,730 --> 00:10:49,950 +comfort لإنه لو كانت .. لو تخيلنا إن ال nose بدا + +151 +00:10:49,950 --> 00:10:54,050 +عندى metal رح تجرح ال patient فما رح يقدر يتحملها، + +152 +00:10:54,050 --> 00:10:58,190 +هتأذى للوجه و .. و ال temple tip كذلك، ممكن أنك + +153 +00:10:58,190 --> 00:11:00,770 +بعد ال patient عندهم allergic، حساسية من ال metal + +154 +00:11:00,770 --> 00:11:06,010 +وكمان إنه ممكن هي .. مع كثرة الاستعمال تصير .. + +155 +00:11:06,010 --> 00:11:09,150 +تصير صدق يعنى، تصد ال .. ال temple اللي هو عندك هو + +156 +00:11:09,150 --> 00:11:15,710 +tip فالأفضل هو إنه قاش تكون plastic coating، تمام؟ + +157 +00:11:17,090 --> 00:11:20,010 +Metal frame are those made of old metal bark + +158 +00:11:20,010 --> 00:11:23,010 +except for the nose pad و ال posterior هو عندك + +159 +00:11:23,010 --> 00:11:25,190 +timbal section اللي هو ال timbal tip which are + +160 +00:11:25,190 --> 00:11:28,650 +بتكون بلاستيك cover The eye wire run completely + +161 +00:11:28,650 --> 00:11:32,070 +around the lens انه هاي ال eye wire هاي عبارة عن + +162 +00:11:32,070 --> 00:11:35,250 +eye اللي هو wire اللي بتحيط هو عندك بالعدسة هاي + +163 +00:11:35,250 --> 00:11:38,890 +بنسميها ال eye هو wire بتكون completely بتحيط بال + +164 +00:11:38,890 --> 00:11:39,250 +lens + +165 +00:11:53,090 --> 00:11:57,370 +Okay تالك نوع نايلون كارد فرامز شو هو نايلون كارد + +166 +00:11:57,370 --> 00:12:01,150 +فرامز هو عنده تلت أسماء أما بحكي عنه supra mounts + +167 +00:12:01,150 --> 00:12:04,650 +أما بحكي عنه اللي هو string mounted frames أو + +168 +00:12:04,650 --> 00:12:07,790 +نايلون سوبرا شو يعني string mounted frames أنه هذا + +169 +00:12:07,790 --> 00:12:12,550 +الإطار بيكون من الأسفل ما بيكون فيه عندك metal أو + +170 +00:12:12,550 --> 00:12:15,530 +plastic بيكون عندك خط خط مزدود اللي هو عندك + +171 +00:12:15,530 --> 00:12:21,780 +بالعدسة شايفين هنا هوهي ال top اللي هو عندك هو rim + +172 +00:12:21,780 --> 00:12:25,060 +هي ال top rim أمارة عن metal لكن ال lower اللي هو + +173 +00:12:25,060 --> 00:12:28,400 +عندك rim عبارة عن إيش بتكون اللي هو عبارة عن خات + +174 +00:12:28,400 --> 00:12:31,760 +هذا اللي هو الخات بنعمله small groove بال lower + +175 +00:12:31,760 --> 00:12:37,740 +rim عشان ندخله ثابته و كمان بدنا ان تكون هذه الحفة + +176 +00:12:37,740 --> 00:12:40,920 +flat لإنه عشان .. لإنه في تلامس عندي بين ال lower + +177 +00:12:40,920 --> 00:12:45,340 +rim لل eye wire و عندك الوجه ال patient فهي ممكن + +178 +00:12:45,340 --> 00:12:49,910 +تجربها فتمام؟بس I'm trying to hold the lenses in + +179 +00:12:49,910 --> 00:12:53,410 +place by means of nylon cord that fits around the + +180 +00:12:53,410 --> 00:12:56,190 +edge of the lens this gives glass the appearance + +181 +00:12:56,190 --> 00:13:00,850 +of being rimless هذا بيعطيني يعني ظهور او انطباع + +182 +00:13:00,850 --> 00:13:04,310 +انا لما اشوفها بحكي انه هذا الإطار هو rimless بس + +183 +00:13:04,310 --> 00:13:08,110 +هو مش rimless هو فيه تحت تكمل ال eye wire بس مش + +184 +00:13:08,110 --> 00:13:12,770 +يعني metal تمام usually the top of the lens is + +185 +00:13:12,770 --> 00:13:16,610 +fitted into the other who are rim of the frameهو + +186 +00:13:16,610 --> 00:13:20,470 +المسئول عن تثبيت العدسة العظمى في تثبيت العدسة + +187 +00:13:20,470 --> 00:13:26,630 +اللى هو ال top rim رابع + +188 +00:13:26,630 --> 00:13:28,950 +نوع ال combination شو هو ال combination ال + +189 +00:13:28,950 --> 00:13:33,390 +combination بيكون عبارة عن يعني الإطار مصنوع من ال + +190 +00:13:33,390 --> 00:13:37,750 +metal و ال plastic تمام هى عندك الإطار اللى هو + +191 +00:13:37,750 --> 00:13:42,890 +عندك هذا هلجيت طلعه هى ال eyewear تمام شوفوا اللى + +192 +00:13:42,890 --> 00:13:47,360 +رم هى ال rimمن تحت مصنوعة من ash من ال metal لكن + +193 +00:13:47,360 --> 00:13:52,060 +من فوق بانتصار ال temples هاي اللي هو عندك ال + +194 +00:13:52,060 --> 00:13:55,560 +plastic okay يعني ال metal ال chases اللي هو الشكل + +195 +00:13:55,560 --> 00:13:59,420 +العام يكون لها اللي عندك هو metal ولكن ال top rim + +196 +00:13:59,420 --> 00:14:03,080 +و ال temples بتكون ash و plastic okay و ممكن تكون + +197 +00:14:03,080 --> 00:14:09,240 +يكون عندك ال bridge و ال temples يكون metal و ال + +198 +00:14:09,240 --> 00:14:12,950 +chases بتكون plasticany frame with a combination + +199 +00:14:12,950 --> 00:14:15,790 +of metal and plastic include this categories يعني + +200 +00:14:15,790 --> 00:14:19,850 +أي frame فيه مزيج من ال .. ال plastic و ال metal + +201 +00:14:19,850 --> 00:14:26,110 +بحكي عنه combination of frame we + +202 +00:14:26,110 --> 00:14:28,970 +will continue with my classmate هي حبوش thanks for + +203 +00:14:28,970 --> 00:14:33,330 +attention السلام عليكم اسمي هي حبوش هلقيت نحن نكمل + +204 +00:14:33,330 --> 00:14:36,890 +التعرف على باقي أنواع الفريمات عندك ال half eye + +205 +00:14:37,680 --> 00:14:40,020 +made specially for those who need a reading + +206 +00:14:40,020 --> 00:14:42,880 +correction هم مصنوعين للناس اللي بيحتاجوا نضارات + +207 +00:14:42,880 --> 00:14:47,940 +للقراقة ان هي أصلا مصنوعة ل near vision they only + +208 +00:14:47,940 --> 00:14:51,160 +have as high as normal glasses and sit lower on + +209 +00:14:51,160 --> 00:14:54,540 +the nose than normal زي ما احنا شايفين بالصورة هم + +210 +00:14:54,540 --> 00:14:58,420 +بيكونوا نصف العدسات العادية بيكونوا مش جايين + +211 +00:14:58,420 --> 00:15:02,560 +كاملين بيكونوا نصف العدسة العادية بيكونوا موضوعين + +212 +00:15:02,560 --> 00:15:03,920 +على الأنف بشكل + +213 +00:15:06,410 --> 00:15:11,350 +لأسفل القنف بشكل أكتر من العديسات العادية عشان + +214 +00:15:11,350 --> 00:15:16,290 +يسمح للقراقة they made .. they made by plastic .. + +215 +00:15:16,290 --> 00:15:19,610 +they may be plastic, metal or nylon cord ممكن + +216 +00:15:19,610 --> 00:15:22,830 +يكونوا مصنوع من ال plastic أو ال metal أو ال nylon + +217 +00:15:22,830 --> 00:15:23,190 +cord + +218 +00:15:29,190 --> 00:15:33,250 +بعد ما اتعرفنا عن العدساء عن ال .. الفريمات اللي + +219 +00:15:33,250 --> 00:15:36,730 +.. اللي .. اللي إلها rim هلقيتها راح نتعرف على نوع + +220 +00:15:36,730 --> 00:15:39,830 +تاني اللي هم ال mountaining ال frame without any + +221 +00:15:39,830 --> 00:15:43,310 +eye wire اللي هو rim going completely around the + +222 +00:15:43,310 --> 00:15:46,630 +lens are called mountaining يعني العدسات اللي + +223 +00:15:46,630 --> 00:15:50,370 +بتكون مش إلها rim بتسمى ال mountaining هي بتكون + +224 +00:15:50,370 --> 00:15:54,830 +محمولة عن طريق دواعم خاصة غير ال .. ال eye wire + +225 +00:15:54,830 --> 00:15:56,450 +غير ال rim راح نتعرف عليهم هلقيتها + +226 +00:16:00,960 --> 00:16:03,980 +أول حاجة راح ناخد ال rimless mounting also + +227 +00:16:03,980 --> 00:16:06,860 +referred as three pieces mounting لسه منها three + +228 +00:16:06,860 --> 00:16:10,520 +pieces mounting لأنها أصلا بتتكون بس من تلت أجزاء + +229 +00:16:10,520 --> 00:16:15,660 +اللي هم two timble هاي واحد اتنين و bridge hold + +230 +00:16:15,660 --> 00:16:18,540 +the lenses in place by other method than eye wire + +231 +00:16:18,540 --> 00:16:24,300 +or nylon cord العدسات بتكون محمولة بالframe بطرق + +232 +00:16:24,300 --> 00:16:27,520 +تانية غير ال rim و غير ال nylon cord اللي اتعرفنا + +233 +00:16:27,520 --> 00:16:31,480 +عليهم قبلmost remless mountainers have two areas + +234 +00:16:31,480 --> 00:16:34,640 +of attachment per lens nasally and temporally + +235 +00:16:34,640 --> 00:16:38,880 +بيكونوا العدسات محمولين بالفرام من جهتين temporal + +236 +00:16:38,880 --> 00:16:44,200 +و ال nasal قلقتنا نتعرف على ال method الطرق اللي + +237 +00:16:44,200 --> 00:16:48,420 +قدروا فيهم يثبتوا العدسات بدون رمل أول حاجة with + +238 +00:16:48,420 --> 00:16:54,560 +screws اللي هم باستعمال البراغيممكن في صورة اعتقد + +239 +00:16:54,560 --> 00:16:58,920 +هادي مش واضحة كثير هي مثبتين بالبرغي بتكون مقوبة + +240 +00:16:58,920 --> 00:17:02,820 +العدسة مثبتة بالبرغي في ال .. في ال temple ال + +241 +00:17:02,820 --> 00:17:06,580 +cemented ممكن تكون منثقة العدسة ممكن تكون منثقة + +242 +00:17:06,580 --> 00:17:10,180 +بال temple ال clamps اللي هم الملاقت بتكون ملاقت + +243 +00:17:10,180 --> 00:17:17,280 +خاصة تمسك العدسة تصل ال temple بال front areaال + +244 +00:17:17,280 --> 00:17:20,280 +plastic posts اللي هم بيكونوا عبارة عن برضه نفس + +245 +00:17:20,280 --> 00:17:25,040 +الملاقت بس هم بيكونوا زي الكبس طبعا برضه بيثبتوا + +246 +00:17:25,040 --> 00:17:31,040 +العدسات ال + +247 +00:17:31,040 --> 00:17:35,000 +semi rimless it is similar to rimless except for + +248 +00:17:35,000 --> 00:17:38,620 +metal reinforces arm which follow upper surface of + +249 +00:17:38,620 --> 00:17:42,060 +the lens and join the center piece of the frame to + +250 +00:17:42,060 --> 00:17:46,760 +the end piece هلقيتها ال semi rimlessبقولك انهم + +251 +00:17:46,760 --> 00:17:52,420 +بيشبهوا في تركيبتهم الرملس لكن الاختلاف ان في عندى + +252 +00:17:52,420 --> 00:17:58,680 +هنا metal .. metal reinforces arm اللى هى بتكون + +253 +00:17:58,680 --> 00:18:03,460 +بتثبت العدسة من خلالها على عكس الرملس اللى بيكونش + +254 +00:18:03,460 --> 00:18:13,380 +أصلا إلها ولا أي قطعة فوق العدسات اه بقولك and + +255 +00:18:13,380 --> 00:18:17,170 +join the center piece of theframe to the end piece + +256 +00:18:17,170 --> 00:18:21,510 +ال centerpiece اللي هم ال bridge مع ال bed و ال + +257 +00:18:21,510 --> 00:18:26,430 +bed arms اتصل هذا ال centerpiece مع باقي ال end + +258 +00:18:26,430 --> 00:18:29,490 +piece مع ال temple centerpiece of mountain + +259 +00:18:29,490 --> 00:18:33,570 +consists of bridge bed arm and bed زي ما قلنا اللي + +260 +00:18:33,570 --> 00:18:37,170 +هى ال centerpiece عبارة عن ال bridge و ال bed arms + +261 +00:18:37,170 --> 00:18:38,270 +مع ال bed طبعا + +262 +00:18:44,230 --> 00:18:47,490 +هلاقيتها .. راح نتعرف على منطقة ال bridge ال + +263 +00:18:47,490 --> 00:18:50,710 +bridge ينقسم إلى نوعين plastic bridge أو metal + +264 +00:18:50,710 --> 00:18:55,150 +bridge البلاستيك فيه منه تلت أنواع صدل modified + +265 +00:18:55,150 --> 00:19:03,270 +صدل و K-hole شايفة فيه هنا صور ولا لأ؟ اه هلاقيتها + +266 +00:19:03,270 --> 00:19:04,750 +بداية مع الصدل + +267 +00:19:07,790 --> 00:19:11,490 +الصدل bridge it is shaped like a saddle in a + +268 +00:19:11,490 --> 00:19:14,990 +smooth curve and follow the bridge of nose هي + +269 +00:19:14,990 --> 00:19:20,110 +بتشبه شكل الصدل اللي هي حجمة الحصان و بتكون smooth + +270 +00:19:20,110 --> 00:19:25,250 +يعني نعمة جدا و بتكون مريحة للأنف و هي بتقع على ال + +271 +00:19:25,250 --> 00:19:29,600 +nose يعني بتكون rest ال nosethe weight of the + +272 +00:19:29,600 --> 00:19:32,840 +frames being over the sides and crest of the nose + +273 +00:19:32,840 --> 00:19:36,640 +بتحمل العدسة وزم العدسة بيكون كل وزم ال frame + +274 +00:19:36,640 --> 00:19:41,170 +بيكون محمول على أطراف القنفوعلى ال crest اللى هى + +275 +00:19:41,170 --> 00:19:44,330 +عضمة الأمر، بكل عافية راح نكمل معازمتي مرحلة + +276 +00:19:44,330 --> 00:19:48,670 +السلام عليكم معاكم Marah القطنانى اتعرفنا على + +277 +00:19:48,670 --> 00:19:51,890 +أنواع ال bridge بلاي بلاستيك أول نوع هو ال saddle + +278 +00:19:51,890 --> 00:19:56,950 +bridge قد قيت modified saddle تعديل عملنا تعديل + +279 +00:19:56,950 --> 00:20:00,650 +عليه same as the saddle bridgea viewed from the + +280 +00:20:00,650 --> 00:20:05,510 +front انه من ال front بيشبه الصدر، من ال front + +281 +00:20:05,510 --> 00:20:08,950 +يعني نقدرش نميز بين ال modified صدر او صدر، لكن + +282 +00:20:08,950 --> 00:20:12,670 +the difference is there are nose pad in the back + +283 +00:20:12,670 --> 00:20:19,410 +of bridge، انه الإطار مابيرتكزش على ال crest، + +284 +00:20:19,410 --> 00:20:21,790 +بيرتكز على ال nose pad، على ال right ولا على ال + +285 +00:20:21,790 --> 00:20:25,530 +leftthis beds help to carry some of weight of the + +286 +00:20:25,530 --> 00:20:29,870 +frame انه بيساعد على انه بيحمل بعض الوزن من ال + +287 +00:20:29,870 --> 00:20:33,570 +frame احنا بنقدر الميزن modified صدر من جهة الخلف + +288 +00:20:33,570 --> 00:20:41,930 +ال back surface بيكون اللي هو بروس بارس ال + +289 +00:20:41,930 --> 00:20:46,950 +K-hall بيشبه .. is shaped .. is .. is .. is shaped + +290 +00:20:46,950 --> 00:20:50,950 +like an old fashioned K-hall بيشبه شكل المفتاح + +291 +00:20:50,950 --> 00:20:54,500 +القديممن هيك شكله احنا بنشوفه من ال .. ال back + +292 +00:20:54,500 --> 00:20:58,540 +surface بنكون اوضح من الخلف the bridge rests on + +293 +00:20:58,540 --> 00:21:02,040 +the sides of the nose but not on the crest يعني + +294 +00:21:02,040 --> 00:21:05,860 +انه احنا بنقدر نميزه من ال back surface اما في ال + +295 +00:21:05,860 --> 00:21:09,760 +k hole رأيت ال k hole انه مابيرتكزش على ال crest + +296 +00:21:09,760 --> 00:21:13,820 +بسبب الجوانب الأنف من ال right و ال left + +297 +00:21:18,090 --> 00:21:20,950 +الـ metal frame bridge النوع التاني الأول قلنا + +298 +00:21:20,950 --> 00:21:24,030 +بلاستيك و هذا النوع metal ال bridge commonly used + +299 +00:21:24,030 --> 00:21:28,070 +is the bad bridge إن الشائع منه ال meter بيكون له + +300 +00:21:28,070 --> 00:21:31,630 +bad bridge metal frame is equipped with a clear + +301 +00:21:31,630 --> 00:21:35,690 +plastic saddle type bridge the bridge type refers + +302 +00:21:35,690 --> 00:21:40,610 +as a comfort bridge إن الإطار كله بيكون من ال + +303 +00:21:40,610 --> 00:21:43,850 +metal مع هذا ال bridge بتكون من اللي بلاستيك عشان + +304 +00:21:43,850 --> 00:21:45,290 +يكسمه comfort bridge + +305 +00:21:49,110 --> 00:21:53,370 +ال end piece الها برضه ان ال end piece + +306 +00:21:53,370 --> 00:21:56,750 +construction plastic end piece و metal end piece + +307 +00:21:56,750 --> 00:22:01,170 +البلاستيك end piece a both type الميتر ال turn + +308 +00:22:01,170 --> 00:22:04,870 +back ال both types هو الأكثر شيوعا بينهم هما + +309 +00:22:04,870 --> 00:22:10,730 +التلاتة انه بيكون ال هذا شكله انه بتكون ال front + +310 +00:22:10,730 --> 00:22:15,430 +straight و ال temple بيكون flat اما الميتر و + +311 +00:22:15,430 --> 00:22:19,240 +الزاوية بينهم بيكونوا تسعين degree عاملينأما + +312 +00:22:19,240 --> 00:22:23,900 +الميتر بيكون ال .. ال flat و ال timber بينهم خمسة + +313 +00:22:23,900 --> 00:22:27,700 +و أربعين degree و ال turn back اللي بيكون ال flat + +314 +00:22:27,700 --> 00:22:35,120 +له انحناء الميتر ايه؟ ال metal and piece .. the + +315 +00:22:35,120 --> 00:22:40,160 +traditional metal and piece has construction to + +316 +00:22:40,160 --> 00:22:43,080 +the turn back and piece of that plastic frame + +317 +00:22:45,680 --> 00:22:50,240 +إن هو أكثر شيوعا من ال plastic frame تمبل + +318 +00:22:50,240 --> 00:22:55,000 +construction + +319 +00:22:55,000 --> 00:23:01,780 +five major categories scull timbel هو من خمس ألوان + +320 +00:23:01,780 --> 00:23:05,040 +أول نوع ال scull timbel بتكون the bent down + +321 +00:23:05,040 --> 00:23:10,220 +portion is narrower at the top of the ear and + +322 +00:23:10,220 --> 00:23:15,780 +wideness towards the end إنه بتكون في الأولمن عند + +323 +00:23:15,780 --> 00:23:20,180 +البنت بيكون انا خاف من عند البنت بيكون ارفع اشهر و + +324 +00:23:20,180 --> 00:23:25,460 +بعدين ال end بيكون ا smile library temples + +325 +00:23:25,460 --> 00:23:30,940 +straight له اسم تاني straight back temple and + +326 +00:23:30,940 --> 00:23:36,540 +average width at the butt and هذي مش increase .. + +327 +00:23:36,540 --> 00:23:41,080 +decrease and while it's posterior انه بيكون هو + +328 +00:23:41,080 --> 00:23:46,150 +شكله عريضعريض من فوق و بيبدأ يعني يقل السماك طولها + +329 +00:23:46,150 --> 00:23:52,710 +تحت من عند ال end convertible timbel انه بتتحول + +330 +00:23:52,710 --> 00:23:57,470 +قبل التبديل و انه بتغير شكله it may be easily + +331 +00:23:57,470 --> 00:24:02,570 +straightened out and then ribboned to the wearer + +332 +00:24:02,570 --> 00:24:08,470 +انه ممكن اول نشأته كانوا بيطلقوا عليه اسم skull + +333 +00:24:08,470 --> 00:24:12,370 +كانوا بيطلقوا عليه skull اول نوع ال skull timbel + +334 +00:24:12,830 --> 00:24:16,990 +بعدين احنا بنقدر نحاوله من convertible من عند .. + +335 +00:24:16,990 --> 00:24:23,690 +من library timble ل .. ل school timble و لو كان + +336 +00:24:23,690 --> 00:24:28,090 +موقع ال timble غلط يعني ماكانش صحيح موقع و نقدر + +337 +00:24:28,090 --> 00:24:32,960 +نغيره إنه نكون كله straight نعمل انحناء في الآخرال + +338 +00:24:32,960 --> 00:24:36,980 +riding ball هذا بيكون انه used in children as + +339 +00:24:36,980 --> 00:24:41,160 +safety frame بيستخدمه ال children عشان هو بيكون + +340 +00:24:41,160 --> 00:24:47,140 +فيه انحناء خلف الأدن بيمتد لعند ال loop air safety + +341 +00:24:47,140 --> 00:24:52,460 +frame comfort cable هو بيشبه ال riding ball لكن + +342 +00:24:52,460 --> 00:24:57,980 +فيه إضافة في ال end أخر إشي فيه قطعة معدنية مرنة + +343 +00:25:06,310 --> 00:25:09,610 +الاخر اشي ال coloration plastic frame maybe + +344 +00:25:09,610 --> 00:25:14,130 +partially classified by coloration انه البلاستيك + +345 +00:25:14,130 --> 00:25:18,990 +ممكن احنا نصنفه بشكل جزء حسب الألوان اللي بنقسم + +346 +00:25:18,990 --> 00:25:24,580 +إلى أربع نقدر نلونهsolid frame is all one color ال + +347 +00:25:24,580 --> 00:25:28,200 +solid بيكون كله نفس اللون مافيش يعني تدريج فيه + +348 +00:25:28,200 --> 00:25:33,980 +vertical gradient انه بيكون ال top rim و ال bridge + +349 +00:25:33,980 --> 00:25:38,920 +أغمق يعني أغمق اشي darker than ال bottom rim + +350 +00:25:38,920 --> 00:25:45,120 +darker at the top include bridge and bright at + +351 +00:25:45,120 --> 00:25:49,580 +bottom تالت نوع horizontally gradient بيكون ال + +352 +00:25:49,580 --> 00:25:55,790 +timbledarker ومن عند ال center بيصير أفتح darker + +353 +00:25:55,790 --> 00:26:01,070 +at temporally and lighter at center area a clear + +354 +00:26:01,070 --> 00:26:06,830 +bright frame بيشبه ال horizontal gradient لكن انه + +355 +00:26:06,830 --> 00:26:11,170 +بيكون ال temple darker و ال pot portion ال pot .. + +356 +00:26:11,170 --> 00:26:15,230 +ال pot ramp بيكون برضه darker لكن ال bridge بيختلف + +357 +00:26:15,230 --> 00:26:20,760 +ان ال bridge بتكون أفتح منهمresemble the + +358 +00:26:20,760 --> 00:26:24,500 +horizontal gradient but are darker at top except + +359 +00:26:24,500 --> 00:26:28,860 +bridge thank + +360 +00:26:28,860 --> 00:26:33,040 +you for attention طبعا بنشكر الطلبات على هذا العرض + +361 +00:26:33,040 --> 00:26:38,280 +الجيد لل oral presentation و بننهي ان شاء الله في + +362 +00:26:38,280 --> 00:26:42,280 +موضوع ال oral presentation في آخر موضوع كان عندنا + +363 +00:26:42,280 --> 00:26:46,180 +ال frames types and parts يعطيكم العافية و شكرا + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/e26MxmuyGME_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/e26MxmuyGME_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..a10e3a9f492b30a31c081777f9063a19cd3cd503 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/e26MxmuyGME_postprocess.srt @@ -0,0 +1,1808 @@ +1 +00:00:21,190 --> 00:00:24,210 +بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و + +2 +00:00:24,210 --> 00:00:30,810 +بركاته و أهلا و أهلا بكم جميعا سنبدأ اليوم في + +3 +00:00:30,810 --> 00:00:35,470 +موضوع references points and lens centration + +4 +00:00:35,470 --> 00:00:42,470 +references points أي بمعنى النقاط المرجعية في داخل + +5 +00:00:42,470 --> 00:00:48,190 +العدسة بينما ال lens centration تمركز العدسة + +6 +00:00:52,880 --> 00:00:58,880 +An optical laboratory may consist of two separate + +7 +00:00:58,880 --> 00:01:09,140 +areas جماعة أي نظام بصري يتم تجهيزه في داخل المعمل + +8 +00:01:09,140 --> 00:01:17,060 +تمام بتكون من z area او x area او y area تمام + +9 +00:01:19,380 --> 00:01:28,640 +بتكون من منطقتين منفصلات عن بعضهما البعض one area + +10 +00:01:28,640 --> 00:01:34,860 +it creates the needed lens power المنطقة الأولى + +11 +00:01:34,860 --> 00:01:40,040 +area number one بتمثل قوة العدسة ال lens power + +12 +00:01:40,040 --> 00:01:45,720 +للعدسة okay this + +13 +00:01:45,720 --> 00:01:51,300 +is usually doneor this is usually carried out or + +14 +00:01:51,300 --> 00:01:57,140 +this is usually performed يعني هذه عادة بتعملها او + +15 +00:01:57,140 --> 00:02:04,220 +اجراءها by a process called lens surfacing اذا + +16 +00:02:04,220 --> 00:02:12,220 +تحديد قوة العدسة بتتم اجراءها في مكان تصطيح العدسة + +17 +00:02:12,220 --> 00:02:19,720 +okay يعني ال area هذه بنسميها lens surfacingوالعمل + +18 +00:02:19,720 --> 00:02:23,620 +المنشئة هذه اللي بتعمل ال lens power + +19 +00:02:26,710 --> 00:02:31,310 +It's referred to as a surfacing laboratory إذا + +20 +00:02:31,310 --> 00:02:37,510 +المنشئة أو المكان اللي بتتم وضع فيه قوة العدسة على + +21 +00:02:37,510 --> 00:02:42,250 +سطحها بنسميه a surfacing laboratory وين هذي بتكون + +22 +00:02:42,250 --> 00:02:47,810 +غالبا؟ في المصانع المتخصصة في ال optics أو ال + +23 +00:02:47,810 --> 00:02:48,210 +optical + +24 +00:02:53,270 --> 00:02:57,990 +بينما ال second area takes the correctly powered + +25 +00:02:57,990 --> 00:03:05,110 +lens and finished it المنطقة التانية بناخد جداش + +26 +00:03:05,110 --> 00:03:10,450 +القوة الصحيحة للعدسة وبنعمل عملية قص لها يعني + +27 +00:03:10,450 --> 00:03:15,250 +بالضبط هي اللي بتمثل من ال uncut lens العدسة اللي + +28 +00:03:15,250 --> 00:03:19,510 +لسه غير جاهزة لوضعها في داخل الإطار + +29 +00:03:23,970 --> 00:03:30,830 +This is done by optically positioning the lens اذا + +30 +00:03:30,830 --> 00:03:37,350 +اول حاجة بدنا نعمل لها عملية positioning طيب ال + +31 +00:03:37,350 --> 00:03:41,850 +positioning هذه لمين؟ لل lens centration و ال + +32 +00:03:41,850 --> 00:03:46,590 +references points يعني بدنا نعمل عملية spotting او + +33 +00:03:46,590 --> 00:03:53,960 +عملية marker تعليم للعدسةand grinding the edges + +34 +00:03:53,960 --> 00:04:00,300 +بدنا نعمل عملية أيضا قص للعدسة ال uncut lens so + +35 +00:04:00,300 --> 00:04:06,300 +that the lens fits the shape of the chosen frame + +36 +00:04:06,300 --> 00:04:13,680 +الآن المريض اختار او عمل selection للاطار لازم نقص + +37 +00:04:13,680 --> 00:04:21,080 +العدسة على نفس شكل الاطار اللى تم اختياره okayإذا + +38 +00:04:21,080 --> 00:04:27,180 +أول حاجة حددنا ال spotting points أو علمنا العدسة + +39 +00:04:27,180 --> 00:04:33,660 +النقطة التانية اعملنا قص للعدسة و خلناها تكون + +40 +00:04:33,660 --> 00:04:38,920 +مناسبة لمين للإطار اللي اختاره المريض و مين هذا + +41 +00:04:38,920 --> 00:04:44,660 +اللي بيقوم فيه ال optician اذا هذه المهام كلها + +42 +00:04:44,660 --> 00:04:49,460 +هيتها لoptician + +43 +00:04:53,910 --> 00:04:59,090 +The area where this occurs is known as the + +44 +00:04:59,090 --> 00:05:05,850 +finishing laboratory هذه العملية بتتم إجراءها في + +45 +00:05:05,850 --> 00:05:10,030 +داخل معمل إعداد النضارات اللي احنا بنسميه + +46 +00:05:10,030 --> 00:05:15,330 +finishing laboratory أو dispensing laboratory أو + +47 +00:05:15,330 --> 00:05:17,770 +dispensing lab + +48 +00:05:22,770 --> 00:05:29,350 +A finishing laboratory is also referred to as an + +49 +00:05:29,350 --> 00:05:34,650 +edging laboratory يعني أيضا هذا المعمل بيسمى معنى + +50 +00:05:34,650 --> 00:05:41,070 +القص العدسة okay ليه؟ because it's here that + +51 +00:05:41,070 --> 00:05:46,950 +lenses are edged ان العدسة هنا إيش بيصيرلها؟ عملية + +52 +00:05:46,950 --> 00:05:53,150 +قصto the proper shape to fit the spectacle frame + +53 +00:05:53,150 --> 00:06:00,330 +بحيث انه يكون شكلها مناسب او ملائم للإطار اللى تم + +54 +00:06:00,330 --> 00:06:10,490 +اختياره من قبل المريض في + +55 +00:06:10,490 --> 00:06:16,150 +عندنا spotting of single vision lenses يعني عملية + +56 +00:06:16,150 --> 00:06:23,070 +تعليمللعدسات اللي بتستخدم اما لل distance + +57 +00:06:23,070 --> 00:06:27,690 +correction او لل near correction يعني اللي بيكون + +58 +00:06:27,690 --> 00:06:37,090 +لها one optical center او one focal point first a + +59 +00:06:37,090 --> 00:06:41,330 +lens is made ready for edging so that the + +60 +00:06:41,330 --> 00:06:45,270 +refractive power and optical centration will be + +61 +00:06:45,270 --> 00:06:51,110 +correctفي الأول احنا بنعمل عملية تجهيز للعدسة من + +62 +00:06:51,110 --> 00:06:56,650 +خلال اللي هو القص وهذا يتم من خلال ايش تحديد القوة + +63 +00:06:56,650 --> 00:07:01,190 +المناسبة للعدسة يعني كيف مثلا مريض عنده plus 2 اول + +64 +00:07:01,190 --> 00:07:07,550 +حاجة بنبعت انه نوفر العدسة اللي هي plus 2 ديوبتر + +65 +00:07:07,550 --> 00:07:12,940 +السفيروبعد ذلك إيش بنعمل؟ optical centration أو + +66 +00:07:12,940 --> 00:07:17,480 +بنعمل marker للعدسة أو spotting للعدسة تعليم ومن + +67 +00:07:17,480 --> 00:07:22,420 +ثم بنبدأ عملية قصها بحيث أنه تكون ملائمة للشكل أو + +68 +00:07:22,420 --> 00:07:27,760 +للإطار اللي تم اختياره for edging we should always + +69 +00:07:27,760 --> 00:07:33,040 +be starting with a lens of known power لايمكن أن + +70 +00:07:33,040 --> 00:07:37,900 +تجرى عملية قص العدسة دون ما نعرف إحنا قداش القوة + +71 +00:07:37,900 --> 00:07:43,620 +اللي بدنا نقصهاتمام؟ يعني الان انت في المعمل بتاع + +72 +00:07:43,620 --> 00:07:47,400 +العدسات، اي عدسة بدك تعملي لها marker لازم تعرفي + +73 +00:07:47,400 --> 00:07:52,100 +جداش قوتها، صح؟ وبعد ذلك بتعرفي تعملي ال marker او + +74 +00:07:52,100 --> 00:07:53,080 +ال spotting لها + +75 +00:07:56,750 --> 00:08:00,910 +النظام يركز على مركز الوضع في الوضع الوضع الوضع + +76 +00:08:00,910 --> 00:08:06,970 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +77 +00:08:06,970 --> 00:08:09,090 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +78 +00:08:09,090 --> 00:08:10,470 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +79 +00:08:10,470 --> 00:08:14,290 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +80 +00:08:14,290 --> 00:08:18,460 +الوضع الوضع الوضع الوضع الوضع الوضعالانما بيكون + +81 +00:08:18,460 --> 00:08:22,500 +احنا عندنا فيه عدسة تمام عشان نحدد اللي هو ال + +82 +00:08:22,500 --> 00:08:28,440 +three marker لازم انه احنا نجيبها في منتصف من؟ في + +83 +00:08:28,440 --> 00:08:33,920 +المنتصف الخاص بال cross hairs اللي خاص في ال + +84 +00:08:33,920 --> 00:08:37,580 +lensmeter او ال illumination الإضاءة طبعا حسب نوع + +85 +00:08:37,580 --> 00:08:41,480 +من ال lensmeter اذا كان dot او كان اللي هو cross + +86 +00:08:41,480 --> 00:08:42,440 +shape + +87 +00:08:49,400 --> 00:08:55,140 +The marking device الأداة هذه اللى بنعلم فيها + +88 +00:08:55,140 --> 00:09:02,020 +العدسات is then swing into position يعني بتتحرك فى + +89 +00:09:02,020 --> 00:09:06,100 +المكان الآن مش العدسة اللى بنحطها على الجهاز تمام + +90 +00:09:06,100 --> 00:09:10,800 +ممكن نحركها right و left و ممكن نحركها up و down + +91 +00:09:10,800 --> 00:09:17,640 +لحد ما تصبح في منتصف ال crosshair of the lensmeter + +92 +00:09:18,880 --> 00:09:22,880 +And the front surface of the lens is spotted، الان + +93 +00:09:22,880 --> 00:09:26,060 +احنا مابنمسك العدسة، مابنمسكهاش من ال back + +94 +00:09:26,060 --> 00:09:29,680 +surface، من وين؟ ال front surface، يعني مابنضعها + +95 +00:09:29,680 --> 00:09:33,280 +على الجهاز، فدائما التعليم وين هيكون؟ على ال front + +96 +00:09:33,280 --> 00:09:33,800 +surface + +97 +00:09:37,060 --> 00:09:43,160 +هي مثلا عندنا الـ dot لنز ميتر عندنا العدسة سفير + +98 +00:09:43,160 --> 00:09:49,340 +تمام حددنا اللي هو قوتها مثلا plus two ديوبتر اللي + +99 +00:09:49,340 --> 00:09:53,580 +هو السفير هى عبارة عن ال three marker تمام هذا + +100 +00:09:53,580 --> 00:09:57,200 +عبارة عن ال optical center of a لنز وهدول يعتبروا + +101 +00:09:57,200 --> 00:10:02,900 +reference points او references اللي هي points + +102 +00:10:02,900 --> 00:10:08,190 +الخاصة بالعدسةطيب هل جيت العدسة هذه هل هي تعتبر + +103 +00:10:08,190 --> 00:10:13,130 +ready made للإطار بعد ما انا عملت لها لأ بدي اعمل + +104 +00:10:13,130 --> 00:10:18,450 +ايش edging لها بحيث تكون proper fit to the frame + +105 +00:10:18,450 --> 00:10:21,570 +نفس + +106 +00:10:21,570 --> 00:10:25,890 +الحاجة بس انه من ناحية اللي هو ال cylinder تمام + +107 +00:10:25,890 --> 00:10:29,210 +كيف بنعمل اختيار للقراءة الأولى وبعدين القراءة + +108 +00:10:29,210 --> 00:10:34,030 +التانية وبعدين اللي هو بناخد قيمة ال axis الطويل + +109 +00:10:37,050 --> 00:10:43,770 +Marking the lens for right or left الان كيف يتم + +110 +00:10:43,770 --> 00:10:49,930 +تعليم العدسة إذا كانت للعين اليمين أو كانت للعين + +111 +00:10:49,930 --> 00:10:55,150 +الشمال As + +112 +00:10:55,150 --> 00:11:00,650 +soon as the lens is spotted يعني طالما العدسة تم + +113 +00:11:00,650 --> 00:11:07,520 +التعليمهاit should be removed from the lens meter + +114 +00:11:07,520 --> 00:11:13,520 +اذا احنا بدنا نزيلها من وين؟ عن الجهاز and marked + +115 +00:11:13,520 --> 00:11:17,840 +for the right or left eye وبدنا نحدد انه هل احنا + +116 +00:11:17,840 --> 00:11:21,740 +بدنا نستخدم هذه العدسة للعين اليمين او للعين + +117 +00:11:21,740 --> 00:11:27,040 +الشمال lenses + +118 +00:11:27,040 --> 00:11:33,670 +are marked on the front surface with a markerوهذه + +119 +00:11:33,670 --> 00:11:38,310 +حكيناها انه دايما ال spotting او ال marker هيكون + +120 +00:11:38,310 --> 00:11:44,610 +في السطح الأمامي للعدسة okay the + +121 +00:11:44,610 --> 00:11:49,210 +letter right طبعا هذا ال right بنسميه letter او + +122 +00:11:49,210 --> 00:11:55,070 +symbol او + +123 +00:11:55,070 --> 00:11:57,890 +بنسميه abbreviation يعني اختصار + +124 +00:12:03,500 --> 00:12:07,120 +تمام؟ إذا ال abbreviation لو ال right أو ال left + +125 +00:12:07,120 --> 00:12:11,700 +ما بنكتب right eye أو left eye فقط بنكتب قيمة اللي + +126 +00:12:11,700 --> 00:12:17,460 +هو ال letter in upper case دايما أنا بحط وين؟ في + +127 +00:12:17,460 --> 00:12:21,860 +ال upper case أيوة في الجزء العلوي أو النصف الأعلى + +128 +00:12:21,860 --> 00:12:26,720 +من من العدسة is written in the upper half of the + +129 +00:12:26,720 --> 00:12:31,240 +lens above the three spots فوق اللي هو من ال three + +130 +00:12:31,240 --> 00:12:31,700 +spots + +131 +00:12:36,430 --> 00:12:43,710 +هي عندنا حددنا ال reference points و حددنا ال + +132 +00:12:43,710 --> 00:12:49,590 +optical center of a lens تمام و بعد ذلك حدد ان هذه + +133 +00:12:49,590 --> 00:12:53,710 +لل right eye دايما يا جماعة يما انتوا بتشتغلوا + +134 +00:12:53,710 --> 00:12:57,590 +..الان انا مسك العدسة صح؟ الان هي لل right اتجاه + +135 +00:12:57,590 --> 00:13:02,090 +السهم دايما مع اتجاه ايديتفاهمين عليها؟ يعني انا + +136 +00:13:02,090 --> 00:13:05,770 +انا ماسك العدسة بالشكل هذا حددت ل three points و + +137 +00:13:05,770 --> 00:13:11,150 +كتبت هذه right و دايما السهم باتجاه إيدي بالنسبة + +138 +00:13:11,150 --> 00:13:15,330 +ليه؟ لو حطيتها هي هتكون بالشكل هذا تتضبط باتجاه + +139 +00:13:15,330 --> 00:13:19,590 +النصب بس الأسهل دايما و أنت بتشتغل مش معقولة كل + +140 +00:13:19,590 --> 00:13:24,010 +شوية هتحطيها على عينك و الشوفة دايما ال right + +141 +00:13:24,010 --> 00:13:27,490 +باتجاه إيدي ال right ال left دايما السهم باتجاه + +142 +00:13:27,490 --> 00:13:28,170 +إيدي ال left + +143 +00:13:32,240 --> 00:13:35,840 +هي عندنا ال right تمام الان لو انا لفت زي هيك هي + +144 +00:13:35,840 --> 00:13:44,260 +باتجاه من الهو ايدي ال right طيب + +145 +00:13:44,260 --> 00:13:54,520 +the optical center of a lens اللي + +146 +00:13:54,520 --> 00:14:02,950 +هي احنا النقطة اللي في المنتصف okayIt's of major + +147 +00:14:02,950 --> 00:14:10,770 +importance، إذن هي تعتبر إيه؟ يعني إلها أهمية مهمة + +148 +00:14:10,770 --> 00:14:17,870 +كتير، major يعني أهمية رئيسية in aligning the lens + +149 +00:14:17,870 --> 00:14:22,770 +في اللي هو استقامة العدسة أو بحيث أن تكون محاذاة + +150 +00:14:22,770 --> 00:14:28,660 +للعدسةيعني بمعنى اخر يما انا بمسك العدسة بالشكل + +151 +00:14:28,660 --> 00:14:33,240 +هذا انه لازم ال optical center of a lens تكون + +152 +00:14:33,240 --> 00:14:40,300 +محاذالمين لل center of a pupil okay therefore it's + +153 +00:14:40,300 --> 00:14:46,220 +known as the major reference point اذا هي بتعرف + +154 +00:14:46,220 --> 00:14:51,700 +باسم ال major reference point او بنديها اختصار MRP + +155 +00:14:53,880 --> 00:14:59,400 +So when there is no prism in the prescription, the + +156 +00:14:59,400 --> 00:15:03,980 +optical center يعني الآن أنا مدام علمت العدسة في + +157 +00:15:03,980 --> 00:15:08,460 +ال optical center، إذا في هذه المنطقة لا يوجد أي + +158 +00:15:08,460 --> 00:15:14,300 +تأثير منشوري طيب، الآن التأثير المنشوري دايما وين + +159 +00:15:14,300 --> 00:15:18,600 +بيكون أو وين بيكون أكتر اللي هو تأثير + +160 +00:15:21,220 --> 00:15:25,940 +تمام؟ لأ يعني وين بيكون more effect أكتر تأثير + +161 +00:15:25,940 --> 00:15:31,220 +للأشخاص اللي بيكون عندهم high refractive error + +162 +00:15:31,220 --> 00:15:37,060 +يعني مثلا شخص عنده في ال right و عنده مثلا في ال + +163 +00:15:37,060 --> 00:15:43,040 +left minus عشرة تمام؟ وهنا minus عشرة في هذه + +164 +00:15:43,040 --> 00:15:50,190 +الحالةهيكون كتير مهم انه لازم هنا احافظ على الـ + +165 +00:15:50,190 --> 00:15:55,070 +optical center of a lens ايضا لو كان مثلا هنا عند + +166 +00:15:55,070 --> 00:16:00,890 +minus واحدونفترض هان minus أربعة يعني اختلاف في + +167 +00:16:00,890 --> 00:16:04,610 +مين في ال refractive error أو ال state of + +168 +00:16:04,610 --> 00:16:07,170 +refractive error between the two eyes يعني + +169 +00:16:07,170 --> 00:16:11,910 +anisometropia okay برضه هان لازم أنه يكون شغلي + +170 +00:16:11,910 --> 00:16:15,390 +دقيق في موضوع ال optical center of elements في هذه + +171 +00:16:15,390 --> 00:16:19,370 +الحالات لكن لو كان مثلا عندي small refractive + +172 +00:16:19,370 --> 00:16:24,020 +error هيكون مؤثر لكن مش كتيرلو عندي مثلا تساوي في + +173 +00:16:24,020 --> 00:16:27,000 +الـ refractive error يعني مثلا واحد عنده minus 2 + +174 +00:16:27,000 --> 00:16:31,760 +في العنتين، هيكون هناك تأثير لكن مش كبير مقارنة في + +175 +00:16:31,760 --> 00:16:34,760 +الـhigh refractive error أو الـanisometropic + +176 +00:16:34,760 --> 00:16:42,160 +patients تمام؟ إذا + +177 +00:16:42,160 --> 00:16:46,940 +عندنا الـframe reference point هذا النظام إيش + +178 +00:16:46,940 --> 00:16:54,600 +بنسميه؟عبارة عن boxing system تمام طيب الان + +179 +00:16:54,600 --> 00:17:02,000 +المسافة ما بين ال center to center ايش بنسميها ال + +180 +00:17:02,000 --> 00:17:08,280 +frame بي دي او ال distance between center طيب ال a + +181 +00:17:08,280 --> 00:17:13,520 +dimension ايش بنسميها ال eye size او ال lens size + +182 +00:17:13,520 --> 00:17:19,050 +طيب ال Norwegian areaالـ narrowest area ما بين + +183 +00:17:19,050 --> 00:17:24,830 +اللي هو الـ two lenses ايش بنسميها بالضبط او ال + +184 +00:17:24,830 --> 00:17:33,610 +bridge اللي هي size طبعا هو يعتبر update لمين لل + +185 +00:17:33,610 --> 00:17:38,010 +datum اللي هو system اللي هو عبارة عن ال boxing + +186 +00:17:38,010 --> 00:17:41,990 +system والان اللي احنا بنستخدمه في عملية اللي هو + +187 +00:17:41,990 --> 00:17:43,210 +قص العدسات + +188 +00:17:47,610 --> 00:17:57,590 +Lens Centration in the Frame دايما + +189 +00:17:57,590 --> 00:18:01,490 +انا باخد ال marker وين هيكون على ال front surface + +190 +00:18:01,490 --> 00:18:07,930 +of a lens بحدد right دايما باتجاه ايد السهم طيب + +191 +00:18:07,930 --> 00:18:12,920 +الآن لو جلبناها ال back surface هيكون العكسبس احنا + +192 +00:18:12,920 --> 00:18:16,100 +غالبا ما بنستخدم ال back surface دايما انا بحط على + +193 +00:18:16,100 --> 00:18:20,460 +ال front surface هاي + +194 +00:18:20,460 --> 00:18:25,060 +ال front view تمام اللي هي بتكون مشاهدة من قبل + +195 +00:18:25,060 --> 00:18:25,580 +الناس + +196 +00:18:32,040 --> 00:18:36,780 +هي نفس الحاجة لـ Lens Centration in the Frame بحيث + +197 +00:18:36,780 --> 00:18:40,860 +أنه تكون الـ optical center of a lens ومحافظ على + +198 +00:18:40,860 --> 00:18:45,220 +الـ major references اللي هو الـ points وبحددها + +199 +00:18:45,220 --> 00:18:50,560 +مقداش قيمة الـ frame BD وقيمة اللي هو الـ IBD للـ + +200 +00:18:50,560 --> 00:18:56,380 +patients حتى أنه ما نسبب الـ prismatic effect لمن؟ + +201 +00:18:56,380 --> 00:18:57,000 +للمريض + +202 +00:19:03,330 --> 00:19:10,510 +Centration of Single Vision Lenses او ما يسمى بالـ + +203 +00:19:10,510 --> 00:19:13,890 +Decentration يعني هان كلمة Centration او + +204 +00:19:13,890 --> 00:19:15,510 +Decentration واحدة + +205 +00:19:20,630 --> 00:19:25,070 +مش قولنا اختصارها؟ major reference point of the + +206 +00:19:25,070 --> 00:19:30,310 +lens to be centered before the wearer pupil, the + +207 +00:19:30,310 --> 00:19:35,010 +lens must be moved or de-centered away from the + +208 +00:19:35,010 --> 00:19:39,710 +boxing center of the lensحتى نحافظ على ان ال + +209 +00:19:39,710 --> 00:19:45,590 +optical center للعدسة يجي بالضبط fit او proper fit + +210 +00:19:45,590 --> 00:19:51,710 +على ال pub للمريض لازم احنا نعمل عملية centration + +211 +00:19:51,710 --> 00:19:56,570 +او decentralization للعدسة اذا لزم الأمرلأنه غالبا + +212 +00:19:56,570 --> 00:20:01,310 +احنا لما بنشتري إطار هلف ال frame BD بتاع الإطار + +213 +00:20:01,310 --> 00:20:07,090 +مشابه لل IPD بتاعي فالغالب لأ فهذه العملية أنه + +214 +00:20:07,090 --> 00:20:11,830 +بنعمل decentralization حتى نحاول نضع ال optical + +215 +00:20:11,830 --> 00:20:16,570 +center of a lens بمحاذاة ال pupil center of the + +216 +00:20:16,570 --> 00:20:20,130 +patient four + +217 +00:20:20,130 --> 00:20:26,400 +frames that conformإذا في الإطارات عشان يكون هناك + +218 +00:20:26,400 --> 00:20:32,340 +توافق conform بمعنى التوافق to the boxing system + +219 +00:20:32,340 --> 00:20:36,880 +of measurement the distance between centers اللي + +220 +00:20:36,880 --> 00:20:42,640 +هي عبارة عن ال frame BD اللي هي إيش بالساوية؟ + +221 +00:20:42,640 --> 00:20:46,860 +عندنا ال eye size اللي هو ال a dimension تمام + +222 +00:20:46,860 --> 00:20:52,100 +بالإضافة لل distance between lenses أو ال bridge + +223 +00:20:52,100 --> 00:20:57,620 +sizeيعني الآن القانون عندنا ال frame أخدناها سابقا + +224 +00:20:57,620 --> 00:21:08,940 +بي دي إيش بساوي ال a dimension زائد ال + +225 +00:21:08,940 --> 00:21:13,160 +bridge size + +226 +00:21:17,660 --> 00:21:21,600 +وقلنا بيكون مكتوب بالضبط وين هذا الأمر؟ على ال + +227 +00:21:21,600 --> 00:21:27,660 +timble تمام؟ بيكون مثلا مكتوب عندنا خمسين اما مربع + +228 +00:21:27,660 --> 00:21:33,760 +او اللي هو dash مثلا سبعتاش مجموعهم ايش بيمثل؟ ال + +229 +00:21:33,760 --> 00:21:36,840 +frame PD تمام؟ + +230 +00:21:43,610 --> 00:21:49,250 +most commonly the mirrors bd will be less than the + +231 +00:21:49,250 --> 00:21:54,370 +distance between center يعني الأكتر شيوع دايما + +232 +00:21:54,370 --> 00:21:59,150 +قيمة ال IBD للمريض أقل من قيمة مين ال frame bd + +233 +00:21:59,150 --> 00:22:04,330 +this + +234 +00:22:04,330 --> 00:22:09,630 +will require that the lenses be decentered inward + +235 +00:22:11,420 --> 00:22:15,480 +إذا ما يكون عندنا قيمة الـ frame BD أكبر من الـ + +236 +00:22:15,480 --> 00:22:22,020 +IBD أنا بدي أعمل Decentration للداخل حتى أجعل الـ + +237 +00:22:22,020 --> 00:22:27,420 +optical center للعدسة بمحاذاة ال pupil center + +238 +00:22:27,420 --> 00:22:35,440 +towards the center of the frame okay the amount of + +239 +00:22:35,440 --> 00:22:42,660 +Decentrationالان كمية الإزاحة لكل عدسة يمكن + +240 +00:22:42,660 --> 00:22:50,680 +تحديدها can be determined by subtracting بواسطة + +241 +00:22:50,680 --> 00:22:58,020 +اللي هو طرح قيمة ال BD تمام من ال frame BD بس + +242 +00:22:58,020 --> 00:23:01,920 +دايما احنا إيش بنعمل ال frame BD الأكبر ناطس ال + +243 +00:23:01,920 --> 00:23:05,180 +IBD اللي هو غالبا بيكون أصغر حتى تكون القيمة + +244 +00:23:05,180 --> 00:23:10,820 +بالموجبوالان ايش بنعمللها؟ dividing اي بمعنى تقسيم + +245 +00:23:10,820 --> 00:23:16,600 +لكل عين خينا اخد مثال الان لو جينا مثلا عندنا ال + +246 +00:23:16,600 --> 00:23:23,240 +IBD للمريض اتنين و ستين تمام؟ وعندنا ل frame BD + +247 +00:23:23,240 --> 00:23:27,160 +تمانية + +248 +00:23:27,160 --> 00:23:34,100 +و ستين مثلاالان ايش بعمل قيمة ال frame بي دي من ال + +249 +00:23:34,100 --> 00:23:42,440 +IPD قداش بالساوي ستة الان عندنا تلاتة ملي مثلا لل + +250 +00:23:42,440 --> 00:23:48,700 +right و تلاتة ملي لمن لل left الان هدول ايش + +251 +00:23:48,700 --> 00:23:53,220 +هيكونوا inward للداخل صح ولا لأ حتى نساوي ما بين + +252 +00:23:53,220 --> 00:23:56,380 +ال optical center وقيمة ال pupil center + +253 +00:24:02,520 --> 00:24:09,600 +هي عندنا ال distance between center ناقص او + +254 +00:24:09,600 --> 00:24:15,900 +subtract بنطرحها من الويرر PD على 2 بساوي ال + +255 +00:24:15,900 --> 00:24:29,200 +decentralization لكل عدسة okay + +256 +00:24:29,200 --> 00:24:30,240 +واضح يا جماعة + +257 +00:24:36,580 --> 00:24:41,800 +هي مثلا اعملنا الآن تلاتة ملي او مثلا اتنين ملي او + +258 +00:24:41,800 --> 00:24:50,720 +واحد ملي inward لا اللي هو الداخل okay هى + +259 +00:24:50,720 --> 00:24:56,280 +مثلا عندنا مثال a wheelers bd ال sixty two + +260 +00:24:56,280 --> 00:25:03,880 +millimeter اذا هذه ايش بتمثل ال IBDالـ frame size + +261 +00:25:03,880 --> 00:25:12,180 +has an a dimension of 48 mm اذا القيمة مين؟ ال + +262 +00:25:12,180 --> 00:25:16,900 +lens size او ال frame size 48 ملي اللي هي عبارة عن + +263 +00:25:16,900 --> 00:25:22,260 +ال a dimension and distance between lens او ما + +264 +00:25:22,260 --> 00:25:29,370 +تسمى بال bridge size20 ملي ميتر اذا عشرين ملي ميتر + +265 +00:25:29,370 --> 00:25:36,450 +بدنا نحسب قداش قيمة الـ Decentration لكل عدسة for + +266 +00:25:36,450 --> 00:25:43,170 +right and left eye يلا حسبوها عندكم 100% نفس + +267 +00:25:43,170 --> 00:25:47,550 +القيمة هتكون بس ماتقوليش تلاتة ملي تلاتة ملي متر + +268 +00:25:47,550 --> 00:25:54,700 +inward ولا outward تمام هذه هم إشياذا هان تلاتة + +269 +00:25:54,700 --> 00:26:07,300 +ملي ايش هتكون لداخل inward مين + +270 +00:26:07,300 --> 00:26:11,280 +تحللنا اياه؟ + +271 +00:26:11,280 --> 00:26:17,000 +يلا يا بسم اياه اول مرة تعطيني اياه هو حكيلي ان + +272 +00:26:17,000 --> 00:26:19,180 +قيمة ال IPD 62 ميلي متر + +273 +00:26:28,910 --> 00:26:33,610 +بتانى شغل اعطينا قيمة الـ A dimension 48 و ال + +274 +00:26:33,610 --> 00:26:40,450 +bridge 20 فهي طلع قيمة ال frame BD اللى + +275 +00:26:40,450 --> 00:26:43,790 +هى + +276 +00:26:43,790 --> 00:26:55,250 +قيمة ال A dimension زي قيمة ال bridge تمام + +277 +00:26:55,250 --> 00:27:01,480 +مين الأن أكبر ال frame BD و لا ال I BDو هي الأكتر + +278 +00:27:01,480 --> 00:27:06,320 +شيوعان اه تمام تمام هده هطلع عند القيمة هترحق قيمة + +279 +00:27:06,320 --> 00:27:10,500 +ال frame BD هدى قيمة ال decentralization قيمة ال + +280 +00:27:10,500 --> 00:27:19,140 +IBD 62 + +281 +00:27:19,140 --> 00:27:27,340 +هده + +282 +00:27:27,340 --> 00:27:31,390 +عندى ستة مليمترالستة هي هتكون مقسمة على العين تاني + +283 +00:27:31,390 --> 00:27:41,590 +ال right و ال left هقسمها على اتنين و + +284 +00:27:41,590 --> 00:27:44,810 +بما ان قيمة ال film BD أكبر من قيمة ال IPD فهيكون + +285 +00:27:44,810 --> 00:27:51,590 +التلاتة للداخل inward تمام + +286 +00:27:51,590 --> 00:27:54,150 +100% okay + +287 +00:27:59,990 --> 00:28:04,370 +هذه قيمة الـ Decentration لكل عين So for the + +288 +00:28:04,370 --> 00:28:08,950 +example the Decentration needed per lens is 3 mm + +289 +00:28:08,950 --> 00:28:18,930 +in or inward طيب + +290 +00:28:18,930 --> 00:28:29,760 +نحل السؤال هذا If a patient has a BD of 64 mmand + +291 +00:28:29,760 --> 00:28:35,540 +chooses راح على مركز بصريات واختار إطار الإطار + +292 +00:28:35,540 --> 00:28:41,240 +اللي اختاره كان عنده ال eye size خمسين ملي متر و + +293 +00:28:41,240 --> 00:28:46,480 +ال bridge size كان عنده تمانتاشر ملي بدنا نحسب + +294 +00:28:46,480 --> 00:28:51,980 +قداش قيمة ال total decentration للعدسة ككل لل + +295 +00:28:51,980 --> 00:28:55,560 +right وال left مدام قال لي total decentration إذا + +296 +00:28:55,560 --> 00:28:57,360 +بتشمل ال both eyes + +297 +00:29:09,830 --> 00:29:28,190 +طبعا هو مديني اتنين ملة، اربع ملة، تمانية ملة طيب + +298 +00:29:28,190 --> 00:29:34,310 +اربع ملة هتكون inward ولا outward؟ inward تمام مية + +299 +00:29:34,310 --> 00:29:37,990 +في المية، ليش؟ اكبر من اللي هو ال IPD + +300 +00:29:42,220 --> 00:29:47,460 +الكل حلوه ايه + +301 +00:29:47,460 --> 00:29:49,940 +كتبوه؟ ده حبين + +302 +00:30:47,030 --> 00:30:57,310 +تمامطب السؤال الآخر a patient with a BD of 62 + +303 +00:30:57,310 --> 00:31:04,310 +millimeter chooses a frame برضه راعى مركز بصريات + +304 +00:31:04,310 --> 00:31:13,230 +واختار إطار with the following dimensions 54 to 16 + +305 +00:31:13,230 --> 00:31:15,450 +140 + +306 +00:31:16,800 --> 00:31:23,400 +What is the decentration per lenses؟ إذا بدنا قيمة + +307 +00:31:23,400 --> 00:31:27,120 +الـ Decentration لكل عدسة في هذه الحالة يعني + +308 +00:31:27,120 --> 00:31:46,500 +للRight و للLeft يعني بدناش الـ Total تمام + +309 +00:31:51,600 --> 00:31:56,420 +Inward ولا outward؟ inward ليه؟ عشان قيمة ال frame + +310 +00:31:56,420 --> 00:32:04,060 +بيدي أكبر من ال IPD طبعا هان هو مديني معطق ايه ال + +311 +00:32:04,060 --> 00:32:09,080 +a dimension مع ال bridge size بس مديني اياهم بشكل + +312 +00:32:09,080 --> 00:32:14,220 +formula بالاضافة لتمبل length اللي هي مية و أربعين + +313 +00:32:14,220 --> 00:32:14,860 +ملي متر + +314 +00:32:19,190 --> 00:32:22,970 +طب لو قلنا ال total concentration كداش القيمة؟ + +315 +00:32:22,970 --> 00:32:31,990 +هتكون تمانية، مية في المية طبعا هذه كلها اتها in + +316 +00:32:31,990 --> 00:32:35,330 +symmetrical + +317 +00:32:35,330 --> 00:32:42,470 +Fisher + +318 +00:32:42,470 --> 00:32:46,570 +cases + +319 +00:32:48,110 --> 00:32:53,330 +يعني في الحالات اللي بيكون قيمة الـ Decentration + +320 +00:32:53,330 --> 00:32:57,150 +للـ Right و لل Left متساوية، يعني لو هنأزحنا تلاتة + +321 +00:32:57,150 --> 00:33:00,370 +ملي، هن تلاتة ملي، هن اتنين ملي، هن اتنين ملي، هن + +322 +00:33:00,370 --> 00:33:03,570 +واحد ملي، هن واحد ملي، هدى إيش بنسميها؟ + +323 +00:33:03,570 --> 00:33:08,890 +Symmetrical Fisher Cases، يعني إن الوجه بتاع الشخص + +324 +00:33:08,890 --> 00:33:12,650 +بيكون إيش ماله متساوي أو اللي هو متشابه + +325 +00:33:31,110 --> 00:33:37,090 +طيب في عندنا determining decentration from + +326 +00:33:37,090 --> 00:33:44,410 +monocular PD تحديد قيمة الإزاحة لكل عين على حده + +327 +00:33:44,410 --> 00:33:49,410 +for a monocular PD كيف احنا حسبنا ال monocular PD + +328 +00:33:49,410 --> 00:33:54,990 +من ال center of a pupil لل center of a bridge او + +329 +00:33:54,990 --> 00:34:01,240 +ال center of nose تمام؟ لو الشخص مابلبسش نضارةإذاً + +330 +00:34:01,240 --> 00:34:06,120 +for a monocular PD the reference is basically يعني + +331 +00:34:06,120 --> 00:34:10,740 +أساساً from the center of the bridge of the nose + +332 +00:34:10,740 --> 00:34:15,560 +to the center of the pupil بهذه الطريقة بنحسب الـ + +333 +00:34:15,560 --> 00:34:19,440 +monocular PD for + +334 +00:34:19,440 --> 00:34:25,800 +example if we have a more conventionally measured + +335 +00:34:25,800 --> 00:34:31,100 +يعني بمعنى قياس تقليديبينوكيلر بي دي كان عنده + +336 +00:34:31,100 --> 00:34:36,300 +قيمته اربعة و ستين ملي ميتر We may have a right + +337 +00:34:36,300 --> 00:34:41,820 +monocular BD of thirty one اذا للعين اليمين كان + +338 +00:34:41,820 --> 00:34:46,880 +جداش واحد و تلاتين And a left monocular BD of + +339 +00:34:46,880 --> 00:34:51,060 +thirty three اما بالنسبة للـ left eye، ثirty three + +340 +00:34:51,060 --> 00:34:55,620 +اذا هنا على طول ايش بعرف؟ انه عنده asymmetrical a + +341 +00:34:55,620 --> 00:35:04,130 +clinical fissureOkay this + +342 +00:35:04,130 --> 00:35:08,290 +difference between left and right PD is + +343 +00:35:08,290 --> 00:35:13,890 +considering انه بيعتبر the asymmetry of facial + +344 +00:35:13,890 --> 00:35:20,380 +fissures or fissures of many normal individualsو + +345 +00:35:20,380 --> 00:35:24,360 +هذه بتكون لكتير من اللي هو الأشخاص الطبيعيين انه + +346 +00:35:24,360 --> 00:35:28,660 +اختلاف في خصائص او في ملامح اللي هو الوجه ما بين + +347 +00:35:28,660 --> 00:35:35,760 +ال right side و ال left side for a molecular PD, + +348 +00:35:36,440 --> 00:35:41,760 +Decentration is determined by first dividing the + +349 +00:35:41,760 --> 00:35:45,980 +distance between centers of the frame by two يعني + +350 +00:35:45,980 --> 00:35:52,670 +بده اقسم قيمةالـ PD على او ال frame PD على العنتين + +351 +00:35:52,670 --> 00:35:57,430 +ال right و ال left و بعد ذلك بدي اطرح يعني بمعنى + +352 +00:35:57,430 --> 00:36:01,350 +اخر اذا كان عندي معطين بقدر اجيب التالت يعني لو + +353 +00:36:01,350 --> 00:36:06,290 +مديني مثلا ال monocular PD لل right و مديني ال + +354 +00:36:06,290 --> 00:36:10,510 +total ال frame PD بقدر اجيب لل left و العكس صحيح + +355 +00:36:10,510 --> 00:36:16,850 +okayThus or So Decentration بساوي distance between + +356 +00:36:16,850 --> 00:36:21,410 +center على اتنين ناقص اللي هو monocular BD أو الـ + +357 +00:36:21,410 --> 00:36:25,850 +A dimension تمام اللي هي ال bridge size زائد ال + +358 +00:36:25,850 --> 00:36:29,330 +distance between lens على اتنين ناقص ال monocular + +359 +00:36:29,330 --> 00:36:36,290 +حسب المعطى اللي مدينيه في السؤال هان مثلا عندنا + +360 +00:36:36,290 --> 00:36:46,070 +مثالA patient with a BD of 60 mm إذا هذي إيش + +361 +00:36:46,070 --> 00:36:57,630 +بتمثل؟ ال IBD A frame with an eye size of 52 mm + +362 +00:36:57,630 --> 00:37:01,890 +إذا هذي إيش بتمثل ال A dimension أو ال bridge size + +363 +00:37:01,890 --> 00:37:06,670 +أو عفوا ال A dimension اللي هي بتمثل ال lens size + +364 +00:37:06,670 --> 00:37:11,930 +أو ال eye sizeand a bridge size of sixteen + +365 +00:37:11,930 --> 00:37:18,770 +millimeters أو بنسميها ال minimum distance between + +366 +00:37:18,770 --> 00:37:24,010 +the two lenses with an effective diameter جداش + +367 +00:37:24,010 --> 00:37:27,370 +قمتها ستة و خمسين مليمتر فاكرين ال effective + +368 +00:37:27,370 --> 00:37:33,270 +diameter صح؟بدنا نحسب قداش ال minimum a blank size + +369 +00:37:33,270 --> 00:37:39,490 +of a single visual lens that can be used to + +370 +00:37:39,490 --> 00:37:45,310 +fabricate these spectacles يعني يكون ملائم لهذه + +371 +00:37:45,310 --> 00:37:56,010 +النضارة إذا مين المجهول عندنا؟ ال minimum تمام + +372 +00:37:56,010 --> 00:38:01,650 +كيف بدنا نحسبها؟هذا يعتبر اللي هو الـ X حلوها + +373 +00:38:01,650 --> 00:38:03,410 +عندكم عشان نتناقش فيها + +374 +00:38:45,830 --> 00:38:49,650 +كننا في قانون ال minimum blank size ايش بالساوي + +375 +00:38:49,650 --> 00:38:57,410 +effective diameter زائد الهو اتنين decentration + +376 +00:38:57,410 --> 00:39:02,370 +زائد اتنين ملي صح ولا لأ اول حاجة احسب كم قيمة ال + +377 +00:39:02,370 --> 00:39:08,270 +IBD و كم قيمة ال frame BD كم ان قيمة ال IBD + +378 +00:39:08,270 --> 00:39:13,160 +مدينياهاستين ملي طيب ال frame BD تمانية و ستين + +379 +00:39:13,160 --> 00:39:17,860 +تمانية و ستين الان استخرجي جداش قيمة ال + +380 +00:39:17,860 --> 00:39:22,360 +decentralization اربع + +381 +00:39:22,360 --> 00:39:27,260 +اربع لكل عين ولا للعين تان احنا بدنا للكل تمانية + +382 +00:39:27,260 --> 00:39:34,340 +تمانية اذا تمانية في اتنين بستاش زائد اتنين + +383 +00:39:34,340 --> 00:39:40,060 +تمانتاش جداش ال effective diameterاجمعهم ستة و + +384 +00:39:40,060 --> 00:39:49,060 +خمسين و طمانتاش اربع + +385 +00:39:49,060 --> 00:39:54,920 +و ستين اربع + +386 +00:39:54,920 --> 00:39:59,620 +و ستين ولا اربع و سبعين؟ كيف؟ + +387 +00:40:02,810 --> 00:40:07,150 +الان طبقتوا القانون عندنا ال minimum blank size + +388 +00:40:07,150 --> 00:40:12,510 +ايش بتساوي؟ effective diameter تمام اللي هي ستة و + +389 +00:40:12,510 --> 00:40:18,350 +خمسين زائد لحظة + +390 +00:40:18,350 --> 00:40:25,090 +بس جدش عندنا ال concentration حكينا طيب تمانية في + +391 +00:40:25,090 --> 00:40:28,730 +اتنين ستاشر طيب + +392 +00:40:30,620 --> 00:40:34,880 +هو القانون هيك effective diameter زائد الهو اتنين + +393 +00:40:34,880 --> 00:40:40,360 +concentration زائد + +394 +00:40:40,360 --> 00:40:45,020 +اتنين ملي الجماعة مش هيك القانون اخدناها minimum + +395 +00:40:45,020 --> 00:40:54,400 +ال blank size بالساوي effective diameter زائد + +396 +00:40:54,400 --> 00:41:02,560 +اتنين concentration زائد اتنين مليتمام؟ الآن عندنا + +397 +00:41:02,560 --> 00:41:08,980 +ال effective diameter جداش؟ سبتة و خمسين اه + +398 +00:41:08,980 --> 00:41:16,680 +عفوا زائد + +399 +00:41:16,680 --> 00:41:24,200 +اتنين في تمانية زايد اتنين صح؟ مجموعة مجدش هيك + +400 +00:41:29,360 --> 00:41:33,700 +أربعة و سبعين تمام في اختيار اربعة و سبعين لأ اذا + +401 +00:41:33,700 --> 00:41:37,880 +هيك انا بفهم ايش بدي اعمل لكل عين هيك احنا حزبنا + +402 +00:41:37,880 --> 00:41:42,600 +اللي هو ال total طيب الآن يعني كدش بدنا نقول اتنين + +403 +00:41:42,600 --> 00:41:53,220 +في اربع زائد اتنين وعنا هان زائد كدش تطلع66 مليمتر + +404 +00:41:53,220 --> 00:41:58,420 +اذا في ال 66 اللي هو دي طبعا انا في الامتحان + +405 +00:41:58,420 --> 00:42:02,740 +هحددلك انه هل هو monocular ولا total لما اقولك + +406 +00:42:02,740 --> 00:42:07,320 +total يعني right و left لما اقولك مثلا for right + +407 +00:42:07,320 --> 00:42:12,360 +eye او left eye تمام بتكون محددة يعني بكون محددة + +408 +00:42:12,360 --> 00:42:17,420 +ان شاء الله اثناء الامتحان ها + +409 +00:42:17,420 --> 00:42:24,940 +نفس الفكرةبس في فكرة جديدة هذه امسحه ولا كيف + +410 +00:42:24,940 --> 00:42:35,200 +القانون عندكم موجود في الكتاب طيب + +411 +00:42:35,200 --> 00:42:42,790 +a patient with a BD of 66 millimeterالذي يختار + +412 +00:42:42,790 --> 00:42:53,030 +صورة بدرجة من 50 إلى 16 ميلي متر 135 ميلي متر + +413 +00:42:53,030 --> 00:43:02,530 +ودرجة افعالة من 54 ميلي متر، ماذا سيكون أقل الصورة + +414 +00:43:02,530 --> 00:43:09,660 +المحتاجة أو صورة رؤية واحدة لتحفظthis a + +415 +00:43:09,660 --> 00:43:17,960 +prescription مادام نعم احضر شوية صح كلامك اذا لكل + +416 +00:43:17,960 --> 00:43:22,180 +fill اللي هو لكل الوصفة بدنا نحسب قيمة ال minimum + +417 +00:43:22,180 --> 00:43:28,780 +plant size كلامك سليم الان اول حاجة احسب يقدش قيمة + +418 +00:43:28,780 --> 00:43:33,380 +ال IBD مديني اياها 66 ملي طيب ال frame BD + +419 +00:43:36,380 --> 00:43:43,600 +66 صح هي مجموع ال a dimension زائد ال bridge size + +420 +00:43:43,600 --> 00:43:49,540 +صح؟ اذا عندنا 66 اذا في ازاحة هنا لأ ال optical + +421 +00:43:49,540 --> 00:43:55,320 +center للعدسة مساوية لمين لل pupil center اذا + +422 +00:43:55,320 --> 00:44:02,000 +عندنا الاتنين هتكون في السفر okay 100% زائد 2 ملي + +423 +00:44:02,000 --> 00:44:06,520 +وقيمة عندنا مين؟الايفكتف ديامتر اربعة و خمسين اذا + +424 +00:44:06,520 --> 00:44:14,020 +ستة و خمسين واضح ولا مش واضح يا جماعة اكيد هي + +425 +00:44:14,020 --> 00:44:19,660 +عندنا ال minimum blank size بالساوي + +426 +00:44:58,260 --> 00:45:10,580 +بس الفكرة طيب + +427 +00:45:10,580 --> 00:45:19,080 +عندنا سؤالHow much decentration peer lens is + +428 +00:45:19,080 --> 00:45:22,380 +required + +429 +00:45:22,380 --> 00:45:26,040 +for an .. هذه اختصار prescription يعني وصفة + +430 +00:45:26,040 --> 00:45:30,180 +النضارة بدل ما يكتب prescription for glasses بحط + +431 +00:45:30,180 --> 00:45:31,060 +الرمز هذا + +432 +00:45:35,790 --> 00:45:39,970 +Specifications يعني مديني المعطيات المعطى الأول ال + +433 +00:45:39,970 --> 00:45:45,270 +a dimension او ال eye size او ال lens size المعطى + +434 +00:45:45,270 --> 00:45:48,530 +التاني ال bridge size او ال distance between + +435 +00:45:48,530 --> 00:45:54,650 +lenses اللي هي 18 من هنا ايه جبنا ال frame bd + +436 +00:45:54,650 --> 00:46:00,780 +ممتازة اذا عندنا قداش قيمة ال right و ال leftعنا + +437 +00:46:00,780 --> 00:46:04,240 +إذا مديني ال right بقدر أجيب ال left و إذا مديني + +438 +00:46:04,240 --> 00:46:07,100 +ال left بقدر أجيب اللي هو ال right، إذا هذه إيش + +439 +00:46:07,100 --> 00:46:11,740 +تعتبر الحالة؟ Asymmetrical Clinical Features + +440 +00:46:18,890 --> 00:46:25,110 +الان هو جمع قيمة ال handle a dimension مع ال + +441 +00:46:25,110 --> 00:46:29,190 +distance between lens عشان يحسب ال frame بيدي طيب + +442 +00:46:29,190 --> 00:46:34,870 +جداش عندنا ال IBD بتاع الشخص مش موجود صح كيف بدنا + +443 +00:46:34,870 --> 00:46:37,930 +نحسب لل right و كيف بدنا نحسب لل left عندنا + +444 +00:46:37,930 --> 00:46:41,770 +السبعين على اتنين ناقص اللي هو ال 32 القانون اللي + +445 +00:46:41,770 --> 00:46:46,530 +أخدنا بطلع تلاتة ملي طيب ليش hand inلأن قيمة ال + +446 +00:46:46,530 --> 00:46:55,310 +frame PD أكبر من ال IPD واضحة لكل + +447 +00:46:55,310 --> 00:47:01,530 +عين ستظهر 1.5 نعم + +448 +00:47:06,320 --> 00:47:10,340 +هي عندنا ال distance between lens حسب اللى هو ال a + +449 +00:47:10,340 --> 00:47:15,860 +dimension وحسب ال bridge size استطعنا ان نعرف قداش + +450 +00:47:15,860 --> 00:47:20,220 +قيمة ال decentralization لكل عين نجف ان شاء الله + +451 +00:47:20,220 --> 00:47:25,520 +لنقطة ال vertical decentralization او ال vertical + +452 +00:47:25,520 --> 00:47:28,100 +centralization للمحاضرة القادمة + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/e26MxmuyGME_raw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/e26MxmuyGME_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..8121bce195fad0c878ff62f538ca79d2100340ac --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/e26MxmuyGME_raw.srt @@ -0,0 +1,1812 @@ +1 +00:00:21,190 --> 00:00:24,210 +بسم الله الرحمن الرحيم السلام عليكم و رحمة الله و + +2 +00:00:24,210 --> 00:00:30,810 +بركاته و أهلا و أهلا بكم جميعا سنبدأ اليوم في + +3 +00:00:30,810 --> 00:00:35,470 +موضوع references points and lens centration + +4 +00:00:35,470 --> 00:00:42,470 +references points أي بمعنى النقاط المرجعية في داخل + +5 +00:00:42,470 --> 00:00:48,190 +العدسة بينما ال lens centration تمركز العدسة + +6 +00:00:52,880 --> 00:00:58,880 +An optical laboratory may consist of two separate + +7 +00:00:58,880 --> 00:01:09,140 +areas جماعة أي نظام بصري يتم تجهيزه في داخل المعمل + +8 +00:01:09,140 --> 00:01:17,060 +تمام بتكون من z area او x area او y area تمام + +9 +00:01:19,380 --> 00:01:28,640 +بتكون من منطقتين منفصلات عن بعضهما البعض one area + +10 +00:01:28,640 --> 00:01:34,860 +it creates the needed lens power المنطقة الأولى + +11 +00:01:34,860 --> 00:01:40,040 +area number one بتمثل قوة العدسة ال lens power + +12 +00:01:40,040 --> 00:01:45,720 +للعدسة okay this + +13 +00:01:45,720 --> 00:01:51,300 +is usually doneor this is usually carried out or + +14 +00:01:51,300 --> 00:01:57,140 +this is usually performed يعني هذه عادة بتعملها او + +15 +00:01:57,140 --> 00:02:04,220 +اجراءها by a process called lens surfacing اذا + +16 +00:02:04,220 --> 00:02:12,220 +تحديد قوة العدسة بتتم اجراءها في مكان تصطيح العدسة + +17 +00:02:12,220 --> 00:02:19,720 +okay يعني ال area هذه بنسميها lens surfacingوالعمل + +18 +00:02:19,720 --> 00:02:23,620 +المنشئة هذه اللي بتعمل ال lens power + +19 +00:02:26,710 --> 00:02:31,310 +It's referred to as a surfacing laboratory إذا + +20 +00:02:31,310 --> 00:02:37,510 +المنشئة أو المكان اللي بتتم وضع فيه قوة العدسة على + +21 +00:02:37,510 --> 00:02:42,250 +سطحها بنسميه a surfacing laboratory وين هذي بتكون + +22 +00:02:42,250 --> 00:02:47,810 +غالبا؟ في المصانع المتخصصة في ال optics أو ال + +23 +00:02:47,810 --> 00:02:48,210 +optical + +24 +00:02:53,270 --> 00:02:57,990 +بينما ال second area takes the correctly powered + +25 +00:02:57,990 --> 00:03:05,110 +lens and finished it المنطقة التانية بناخد جداش + +26 +00:03:05,110 --> 00:03:10,450 +القوة الصحيحة للعدسة وبنعمل عملية قص لها يعني + +27 +00:03:10,450 --> 00:03:15,250 +بالضبط هي اللي بتمثل من ال uncut lens العدسة اللي + +28 +00:03:15,250 --> 00:03:19,510 +لسه غير جاهزة لوضعها في داخل الإطار + +29 +00:03:23,970 --> 00:03:30,830 +This is done by optically positioning the lens اذا + +30 +00:03:30,830 --> 00:03:37,350 +اول حاجة بدنا نعمل لها عملية positioning طيب ال + +31 +00:03:37,350 --> 00:03:41,850 +positioning هذه لمين؟ لل lens centration و ال + +32 +00:03:41,850 --> 00:03:46,590 +references points يعني بدنا نعمل عملية spotting او + +33 +00:03:46,590 --> 00:03:53,960 +عملية marker تعليم للعدسةand grinding the edges + +34 +00:03:53,960 --> 00:04:00,300 +بدنا نعمل عملية أيضا قص للعدسة ال uncut lens so + +35 +00:04:00,300 --> 00:04:06,300 +that the lens fits the shape of the chosen frame + +36 +00:04:06,300 --> 00:04:13,680 +الآن المريض اختار او عمل selection للاطار لازم نقص + +37 +00:04:13,680 --> 00:04:21,080 +العدسة على نفس شكل الاطار اللى تم اختياره okayإذا + +38 +00:04:21,080 --> 00:04:27,180 +أول حاجة حددنا ال spotting points أو علمنا العدسة + +39 +00:04:27,180 --> 00:04:33,660 +النقطة التانية اعملنا قص للعدسة و خلناها تكون + +40 +00:04:33,660 --> 00:04:38,920 +مناسبة لمين للإطار اللي اختاره المريض و مين هذا + +41 +00:04:38,920 --> 00:04:44,660 +اللي بيقوم فيه ال optician اذا هذه المهام كلها + +42 +00:04:44,660 --> 00:04:49,460 +هيتها لoptician + +43 +00:04:53,910 --> 00:04:59,090 +The area where this occurs is known as the + +44 +00:04:59,090 --> 00:05:05,850 +finishing laboratory هذه العملية بتتم إجراءها في + +45 +00:05:05,850 --> 00:05:10,030 +داخل معمل إعداد النضارات اللي احنا بنسميه + +46 +00:05:10,030 --> 00:05:15,330 +finishing laboratory أو dispensing laboratory أو + +47 +00:05:15,330 --> 00:05:17,770 +dispensing lab + +48 +00:05:22,770 --> 00:05:29,350 +A finishing laboratory is also referred to as an + +49 +00:05:29,350 --> 00:05:34,650 +edging laboratory يعني أيضا هذا المعمل بيسمى معنى + +50 +00:05:34,650 --> 00:05:41,070 +القص العدسة okay ليه؟ because it's here that + +51 +00:05:41,070 --> 00:05:46,950 +lenses are edged ان العدسة هنا إيش بيصيرلها؟ عملية + +52 +00:05:46,950 --> 00:05:53,150 +قصto the proper shape to fit the spectacle frame + +53 +00:05:53,150 --> 00:06:00,330 +بحيث انه يكون شكلها مناسب او ملائم للإطار اللى تم + +54 +00:06:00,330 --> 00:06:10,490 +اختياره من قبل المريض في + +55 +00:06:10,490 --> 00:06:16,150 +عندنا spotting of single vision lenses يعني عملية + +56 +00:06:16,150 --> 00:06:23,070 +تعليمللعدسات اللي بتستخدم اما لل distance + +57 +00:06:23,070 --> 00:06:27,690 +correction او لل near correction يعني اللي بيكون + +58 +00:06:27,690 --> 00:06:37,090 +لها one optical center او one focal point first a + +59 +00:06:37,090 --> 00:06:41,330 +lens is made ready for edging so that the + +60 +00:06:41,330 --> 00:06:45,270 +refractive power and optical centration will be + +61 +00:06:45,270 --> 00:06:51,110 +correctفي الأول احنا بنعمل عملية تجهيز للعدسة من + +62 +00:06:51,110 --> 00:06:56,650 +خلال اللي هو القص وهذا يتم من خلال ايش تحديد القوة + +63 +00:06:56,650 --> 00:07:01,190 +المناسبة للعدسة يعني كيف مثلا مريض عنده plus 2 اول + +64 +00:07:01,190 --> 00:07:07,550 +حاجة بنبعت انه نوفر العدسة اللي هي plus 2 ديوبتر + +65 +00:07:07,550 --> 00:07:12,940 +السفيروبعد ذلك إيش بنعمل؟ optical centration أو + +66 +00:07:12,940 --> 00:07:17,480 +بنعمل marker للعدسة أو spotting للعدسة تعليم ومن + +67 +00:07:17,480 --> 00:07:22,420 +ثم بنبدأ عملية قصها بحيث أنه تكون ملائمة للشكل أو + +68 +00:07:22,420 --> 00:07:27,760 +للإطار اللي تم اختياره for edging we should always + +69 +00:07:27,760 --> 00:07:33,040 +be starting with a lens of known power لايمكن أن + +70 +00:07:33,040 --> 00:07:37,900 +تجرى عملية قص العدسة دون ما نعرف إحنا قداش القوة + +71 +00:07:37,900 --> 00:07:43,620 +اللي بدنا نقصهاتمام؟ يعني الان انت في المعمل بتاع + +72 +00:07:43,620 --> 00:07:47,400 +العدسات، اي عدسة بدك تعملي لها marker لازم تعرفي + +73 +00:07:47,400 --> 00:07:52,100 +جداش قوتها، صح؟ وبعد ذلك بتعرفي تعملي ال marker او + +74 +00:07:52,100 --> 00:07:53,080 +ال spotting لها + +75 +00:07:56,750 --> 00:08:00,910 +النظام يركز على مركز الوضع في الوضع الوضع الوضع + +76 +00:08:00,910 --> 00:08:06,970 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +77 +00:08:06,970 --> 00:08:09,090 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +78 +00:08:09,090 --> 00:08:10,470 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +79 +00:08:10,470 --> 00:08:14,290 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +80 +00:08:14,290 --> 00:08:14,290 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +81 +00:08:14,290 --> 00:08:18,460 +الوضع الوضع الوضع الوضع الوضع الوضعالانما بيكون + +82 +00:08:18,460 --> 00:08:22,500 +احنا عندنا فيه عدسة تمام عشان نحدد اللي هو ال + +83 +00:08:22,500 --> 00:08:28,440 +three marker لازم انه احنا نجيبها في منتصف من؟ في + +84 +00:08:28,440 --> 00:08:33,920 +المنتصف الخاص بال cross hairs اللي خاص في ال + +85 +00:08:33,920 --> 00:08:37,580 +lensmeter او ال illumination الإضاءة طبعا حسب نوع + +86 +00:08:37,580 --> 00:08:41,480 +من ال lensmeter اذا كان dot او كان اللي هو cross + +87 +00:08:41,480 --> 00:08:42,440 +shape + +88 +00:08:49,400 --> 00:08:55,140 +The marking device الأداة هذه اللى بنعلم فيها + +89 +00:08:55,140 --> 00:09:02,020 +العدسات is then swing into position يعني بتتحرك فى + +90 +00:09:02,020 --> 00:09:06,100 +المكان الآن مش العدسة اللى بنحطها على الجهاز تمام + +91 +00:09:06,100 --> 00:09:10,800 +ممكن نحركها right و left و ممكن نحركها up و down + +92 +00:09:10,800 --> 00:09:17,640 +لحد ما تصبح في منتصف ال crosshair of the lensmeter + +93 +00:09:18,880 --> 00:09:22,880 +And the front surface of the lens is spotted، الان + +94 +00:09:22,880 --> 00:09:26,060 +احنا مابنمسك العدسة، مابنمسكهاش من ال back + +95 +00:09:26,060 --> 00:09:29,680 +surface، من وين؟ ال front surface، يعني مابنضعها + +96 +00:09:29,680 --> 00:09:33,280 +على الجهاز، فدائما التعليم وين هيكون؟ على ال front + +97 +00:09:33,280 --> 00:09:33,800 +surface + +98 +00:09:37,060 --> 00:09:43,160 +هي مثلا عندنا الـ dot لنز ميتر عندنا العدسة سفير + +99 +00:09:43,160 --> 00:09:49,340 +تمام حددنا اللي هو قوتها مثلا plus two ديوبتر اللي + +100 +00:09:49,340 --> 00:09:53,580 +هو السفير هى عبارة عن ال three marker تمام هذا + +101 +00:09:53,580 --> 00:09:57,200 +عبارة عن ال optical center of a لنز وهدول يعتبروا + +102 +00:09:57,200 --> 00:10:02,900 +reference points او references اللي هي points + +103 +00:10:02,900 --> 00:10:08,190 +الخاصة بالعدسةطيب هل جيت العدسة هذه هل هي تعتبر + +104 +00:10:08,190 --> 00:10:13,130 +ready made للإطار بعد ما انا عملت لها لأ بدي اعمل + +105 +00:10:13,130 --> 00:10:18,450 +ايش edging لها بحيث تكون proper fit to the frame + +106 +00:10:18,450 --> 00:10:21,570 +نفس + +107 +00:10:21,570 --> 00:10:25,890 +الحاجة بس انه من ناحية اللي هو ال cylinder تمام + +108 +00:10:25,890 --> 00:10:29,210 +كيف بنعمل اختيار للقراءة الأولى وبعدين القراءة + +109 +00:10:29,210 --> 00:10:34,030 +التانية وبعدين اللي هو بناخد قيمة ال axis الطويل + +110 +00:10:37,050 --> 00:10:43,770 +Marking the lens for right or left الان كيف يتم + +111 +00:10:43,770 --> 00:10:49,930 +تعليم العدسة إذا كانت للعين اليمين أو كانت للعين + +112 +00:10:49,930 --> 00:10:55,150 +الشمال As + +113 +00:10:55,150 --> 00:11:00,650 +soon as the lens is spotted يعني طالما العدسة تم + +114 +00:11:00,650 --> 00:11:07,520 +التعليمهاit should be removed from the lens meter + +115 +00:11:07,520 --> 00:11:13,520 +اذا احنا بدنا نزيلها من وين؟ عن الجهاز and marked + +116 +00:11:13,520 --> 00:11:17,840 +for the right or left eye وبدنا نحدد انه هل احنا + +117 +00:11:17,840 --> 00:11:21,740 +بدنا نستخدم هذه العدسة للعين اليمين او للعين + +118 +00:11:21,740 --> 00:11:27,040 +الشمال lenses + +119 +00:11:27,040 --> 00:11:33,670 +are marked on the front surface with a markerوهذه + +120 +00:11:33,670 --> 00:11:38,310 +حكيناها انه دايما ال spotting او ال marker هيكون + +121 +00:11:38,310 --> 00:11:44,610 +في السطح الأمامي للعدسة okay the + +122 +00:11:44,610 --> 00:11:49,210 +letter right طبعا هذا ال right بنسميه letter او + +123 +00:11:49,210 --> 00:11:55,070 +symbol او + +124 +00:11:55,070 --> 00:11:57,890 +بنسميه abbreviation يعني اختصار + +125 +00:12:03,500 --> 00:12:07,120 +تمام؟ إذا ال abbreviation لو ال right أو ال left + +126 +00:12:07,120 --> 00:12:11,700 +ما بنكتب right eye أو left eye فقط بنكتب قيمة اللي + +127 +00:12:11,700 --> 00:12:17,460 +هو ال letter in upper case دايما أنا بحط وين؟ في + +128 +00:12:17,460 --> 00:12:21,860 +ال upper case أيوة في الجزء العلوي أو النصف الأعلى + +129 +00:12:21,860 --> 00:12:26,720 +من من العدسة is written in the upper half of the + +130 +00:12:26,720 --> 00:12:31,240 +lens above the three spots فوق اللي هو من ال three + +131 +00:12:31,240 --> 00:12:31,700 +spots + +132 +00:12:36,430 --> 00:12:43,710 +هي عندنا حددنا ال reference points و حددنا ال + +133 +00:12:43,710 --> 00:12:49,590 +optical center of a lens تمام و بعد ذلك حدد ان هذه + +134 +00:12:49,590 --> 00:12:53,710 +لل right eye دايما يا جماعة يما انتوا بتشتغلوا + +135 +00:12:53,710 --> 00:12:57,590 +..الان انا مسك العدسة صح؟ الان هي لل right اتجاه + +136 +00:12:57,590 --> 00:13:02,090 +السهم دايما مع اتجاه ايديتفاهمين عليها؟ يعني انا + +137 +00:13:02,090 --> 00:13:05,770 +انا ماسك العدسة بالشكل هذا حددت ل three points و + +138 +00:13:05,770 --> 00:13:11,150 +كتبت هذه right و دايما السهم باتجاه إيدي بالنسبة + +139 +00:13:11,150 --> 00:13:15,330 +ليه؟ لو حطيتها هي هتكون بالشكل هذا تتضبط باتجاه + +140 +00:13:15,330 --> 00:13:19,590 +النصب بس الأسهل دايما و أنت بتشتغل مش معقولة كل + +141 +00:13:19,590 --> 00:13:24,010 +شوية هتحطيها على عينك و الشوفة دايما ال right + +142 +00:13:24,010 --> 00:13:27,490 +باتجاه إيدي ال right ال left دايما السهم باتجاه + +143 +00:13:27,490 --> 00:13:28,170 +إيدي ال left + +144 +00:13:32,240 --> 00:13:35,840 +هي عندنا ال right تمام الان لو انا لفت زي هيك هي + +145 +00:13:35,840 --> 00:13:44,260 +باتجاه من الهو ايدي ال right طيب + +146 +00:13:44,260 --> 00:13:54,520 +the optical center of a lens اللي + +147 +00:13:54,520 --> 00:14:02,950 +هي احنا النقطة اللي في المنتصف okayIt's of major + +148 +00:14:02,950 --> 00:14:10,770 +importance، إذن هي تعتبر إيه؟ يعني إلها أهمية مهمة + +149 +00:14:10,770 --> 00:14:17,870 +كتير، major يعني أهمية رئيسية in aligning the lens + +150 +00:14:17,870 --> 00:14:22,770 +في اللي هو استقامة العدسة أو بحيث أن تكون محاذاة + +151 +00:14:22,770 --> 00:14:28,660 +للعدسةيعني بمعنى اخر يما انا بمسك العدسة بالشكل + +152 +00:14:28,660 --> 00:14:33,240 +هذا انه لازم ال optical center of a lens تكون + +153 +00:14:33,240 --> 00:14:40,300 +محاذالمين لل center of a pupil okay therefore it's + +154 +00:14:40,300 --> 00:14:46,220 +known as the major reference point اذا هي بتعرف + +155 +00:14:46,220 --> 00:14:51,700 +باسم ال major reference point او بنديها اختصار MRP + +156 +00:14:53,880 --> 00:14:59,400 +So when there is no prism in the prescription, the + +157 +00:14:59,400 --> 00:15:03,980 +optical center يعني الآن أنا مدام علمت العدسة في + +158 +00:15:03,980 --> 00:15:08,460 +ال optical center، إذا في هذه المنطقة لا يوجد أي + +159 +00:15:08,460 --> 00:15:14,300 +تأثير منشوري طيب، الآن التأثير المنشوري دايما وين + +160 +00:15:14,300 --> 00:15:18,600 +بيكون أو وين بيكون أكتر اللي هو تأثير + +161 +00:15:21,220 --> 00:15:25,940 +تمام؟ لأ يعني وين بيكون more effect أكتر تأثير + +162 +00:15:25,940 --> 00:15:31,220 +للأشخاص اللي بيكون عندهم high refractive error + +163 +00:15:31,220 --> 00:15:37,060 +يعني مثلا شخص عنده في ال right و عنده مثلا في ال + +164 +00:15:37,060 --> 00:15:43,040 +left minus عشرة تمام؟ وهنا minus عشرة في هذه + +165 +00:15:43,040 --> 00:15:50,190 +الحالةهيكون كتير مهم انه لازم هنا احافظ على الـ + +166 +00:15:50,190 --> 00:15:55,070 +optical center of a lens ايضا لو كان مثلا هنا عند + +167 +00:15:55,070 --> 00:16:00,890 +minus واحدونفترض هان minus أربعة يعني اختلاف في + +168 +00:16:00,890 --> 00:16:04,610 +مين في ال refractive error أو ال state of + +169 +00:16:04,610 --> 00:16:07,170 +refractive error between the two eyes يعني + +170 +00:16:07,170 --> 00:16:11,910 +anisometropia okay برضه هان لازم أنه يكون شغلي + +171 +00:16:11,910 --> 00:16:15,390 +دقيق في موضوع ال optical center of elements في هذه + +172 +00:16:15,390 --> 00:16:19,370 +الحالات لكن لو كان مثلا عندي small refractive + +173 +00:16:19,370 --> 00:16:24,020 +error هيكون مؤثر لكن مش كتيرلو عندي مثلا تساوي في + +174 +00:16:24,020 --> 00:16:27,000 +الـ refractive error يعني مثلا واحد عنده minus 2 + +175 +00:16:27,000 --> 00:16:31,760 +في العنتين، هيكون هناك تأثير لكن مش كبير مقارنة في + +176 +00:16:31,760 --> 00:16:34,760 +الـhigh refractive error أو الـanisometropic + +177 +00:16:34,760 --> 00:16:42,160 +patients تمام؟ إذا + +178 +00:16:42,160 --> 00:16:46,940 +عندنا الـframe reference point هذا النظام إيش + +179 +00:16:46,940 --> 00:16:54,600 +بنسميه؟عبارة عن boxing system تمام طيب الان + +180 +00:16:54,600 --> 00:17:02,000 +المسافة ما بين ال center to center ايش بنسميها ال + +181 +00:17:02,000 --> 00:17:08,280 +frame بي دي او ال distance between center طيب ال a + +182 +00:17:08,280 --> 00:17:13,520 +dimension ايش بنسميها ال eye size او ال lens size + +183 +00:17:13,520 --> 00:17:19,050 +طيب ال Norwegian areaالـ narrowest area ما بين + +184 +00:17:19,050 --> 00:17:24,830 +اللي هو الـ two lenses ايش بنسميها بالضبط او ال + +185 +00:17:24,830 --> 00:17:33,610 +bridge اللي هي size طبعا هو يعتبر update لمين لل + +186 +00:17:33,610 --> 00:17:38,010 +datum اللي هو system اللي هو عبارة عن ال boxing + +187 +00:17:38,010 --> 00:17:41,990 +system والان اللي احنا بنستخدمه في عملية اللي هو + +188 +00:17:41,990 --> 00:17:43,210 +قص العدسات + +189 +00:17:47,610 --> 00:17:57,590 +Lens Centration in the Frame دايما + +190 +00:17:57,590 --> 00:18:01,490 +انا باخد ال marker وين هيكون على ال front surface + +191 +00:18:01,490 --> 00:18:07,930 +of a lens بحدد right دايما باتجاه ايد السهم طيب + +192 +00:18:07,930 --> 00:18:12,920 +الآن لو جلبناها ال back surface هيكون العكسبس احنا + +193 +00:18:12,920 --> 00:18:16,100 +غالبا ما بنستخدم ال back surface دايما انا بحط على + +194 +00:18:16,100 --> 00:18:20,460 +ال front surface هاي + +195 +00:18:20,460 --> 00:18:25,060 +ال front view تمام اللي هي بتكون مشاهدة من قبل + +196 +00:18:25,060 --> 00:18:25,580 +الناس + +197 +00:18:32,040 --> 00:18:36,780 +هي نفس الحاجة لـ Lens Centration in the Frame بحيث + +198 +00:18:36,780 --> 00:18:40,860 +أنه تكون الـ optical center of a lens ومحافظ على + +199 +00:18:40,860 --> 00:18:45,220 +الـ major references اللي هو الـ points وبحددها + +200 +00:18:45,220 --> 00:18:50,560 +مقداش قيمة الـ frame BD وقيمة اللي هو الـ IBD للـ + +201 +00:18:50,560 --> 00:18:56,380 +patients حتى أنه ما نسبب الـ prismatic effect لمن؟ + +202 +00:18:56,380 --> 00:18:57,000 +للمريض + +203 +00:19:03,330 --> 00:19:10,510 +Centration of Single Vision Lenses او ما يسمى بالـ + +204 +00:19:10,510 --> 00:19:13,890 +Decentration يعني هان كلمة Centration او + +205 +00:19:13,890 --> 00:19:15,510 +Decentration واحدة + +206 +00:19:20,630 --> 00:19:25,070 +مش قولنا اختصارها؟ major reference point of the + +207 +00:19:25,070 --> 00:19:30,310 +lens to be centered before the wearer pupil, the + +208 +00:19:30,310 --> 00:19:35,010 +lens must be moved or de-centered away from the + +209 +00:19:35,010 --> 00:19:39,710 +boxing center of the lensحتى نحافظ على ان ال + +210 +00:19:39,710 --> 00:19:45,590 +optical center للعدسة يجي بالضبط fit او proper fit + +211 +00:19:45,590 --> 00:19:51,710 +على ال pub للمريض لازم احنا نعمل عملية centration + +212 +00:19:51,710 --> 00:19:56,570 +او decentralization للعدسة اذا لزم الأمرلأنه غالبا + +213 +00:19:56,570 --> 00:20:01,310 +احنا لما بنشتري إطار هلف ال frame BD بتاع الإطار + +214 +00:20:01,310 --> 00:20:07,090 +مشابه لل IPD بتاعي فالغالب لأ فهذه العملية أنه + +215 +00:20:07,090 --> 00:20:11,830 +بنعمل decentralization حتى نحاول نضع ال optical + +216 +00:20:11,830 --> 00:20:16,570 +center of a lens بمحاذاة ال pupil center of the + +217 +00:20:16,570 --> 00:20:20,130 +patient four + +218 +00:20:20,130 --> 00:20:26,400 +frames that conformإذا في الإطارات عشان يكون هناك + +219 +00:20:26,400 --> 00:20:32,340 +توافق conform بمعنى التوافق to the boxing system + +220 +00:20:32,340 --> 00:20:36,880 +of measurement the distance between centers اللي + +221 +00:20:36,880 --> 00:20:42,640 +هي عبارة عن ال frame BD اللي هي إيش بالساوية؟ + +222 +00:20:42,640 --> 00:20:46,860 +عندنا ال eye size اللي هو ال a dimension تمام + +223 +00:20:46,860 --> 00:20:52,100 +بالإضافة لل distance between lenses أو ال bridge + +224 +00:20:52,100 --> 00:20:57,620 +sizeيعني الآن القانون عندنا ال frame أخدناها سابقا + +225 +00:20:57,620 --> 00:21:08,940 +بي دي إيش بساوي ال a dimension زائد ال + +226 +00:21:08,940 --> 00:21:13,160 +bridge size + +227 +00:21:17,660 --> 00:21:21,600 +وقلنا بيكون مكتوب بالضبط وين هذا الأمر؟ على ال + +228 +00:21:21,600 --> 00:21:27,660 +timble تمام؟ بيكون مثلا مكتوب عندنا خمسين اما مربع + +229 +00:21:27,660 --> 00:21:33,760 +او اللي هو dash مثلا سبعتاش مجموعهم ايش بيمثل؟ ال + +230 +00:21:33,760 --> 00:21:36,840 +frame PD تمام؟ + +231 +00:21:43,610 --> 00:21:49,250 +most commonly the mirrors bd will be less than the + +232 +00:21:49,250 --> 00:21:54,370 +distance between center يعني الأكتر شيوع دايما + +233 +00:21:54,370 --> 00:21:59,150 +قيمة ال IBD للمريض أقل من قيمة مين ال frame bd + +234 +00:21:59,150 --> 00:22:04,330 +this + +235 +00:22:04,330 --> 00:22:09,630 +will require that the lenses be decentered inward + +236 +00:22:11,420 --> 00:22:15,480 +إذا ما يكون عندنا قيمة الـ frame BD أكبر من الـ + +237 +00:22:15,480 --> 00:22:22,020 +IBD أنا بدي أعمل Decentration للداخل حتى أجعل الـ + +238 +00:22:22,020 --> 00:22:27,420 +optical center للعدسة بمحاذاة ال pupil center + +239 +00:22:27,420 --> 00:22:35,440 +towards the center of the frame okay the amount of + +240 +00:22:35,440 --> 00:22:42,660 +Decentrationالان كمية الإزاحة لكل عدسة يمكن + +241 +00:22:42,660 --> 00:22:50,680 +تحديدها can be determined by subtracting بواسطة + +242 +00:22:50,680 --> 00:22:58,020 +اللي هو طرح قيمة ال BD تمام من ال frame BD بس + +243 +00:22:58,020 --> 00:23:01,920 +دايما احنا إيش بنعمل ال frame BD الأكبر ناطس ال + +244 +00:23:01,920 --> 00:23:05,180 +IBD اللي هو غالبا بيكون أصغر حتى تكون القيمة + +245 +00:23:05,180 --> 00:23:10,820 +بالموجبوالان ايش بنعمللها؟ dividing اي بمعنى تقسيم + +246 +00:23:10,820 --> 00:23:16,600 +لكل عين خينا اخد مثال الان لو جينا مثلا عندنا ال + +247 +00:23:16,600 --> 00:23:23,240 +IBD للمريض اتنين و ستين تمام؟ وعندنا ل frame BD + +248 +00:23:23,240 --> 00:23:27,160 +تمانية + +249 +00:23:27,160 --> 00:23:34,100 +و ستين مثلاالان ايش بعمل قيمة ال frame بي دي من ال + +250 +00:23:34,100 --> 00:23:42,440 +IPD قداش بالساوي ستة الان عندنا تلاتة ملي مثلا لل + +251 +00:23:42,440 --> 00:23:48,700 +right و تلاتة ملي لمن لل left الان هدول ايش + +252 +00:23:48,700 --> 00:23:53,220 +هيكونوا inward للداخل صح ولا لأ حتى نساوي ما بين + +253 +00:23:53,220 --> 00:23:56,380 +ال optical center وقيمة ال pupil center + +254 +00:24:02,520 --> 00:24:09,600 +هي عندنا ال distance between center ناقص او + +255 +00:24:09,600 --> 00:24:15,900 +subtract بنطرحها من الويرر PD على 2 بساوي ال + +256 +00:24:15,900 --> 00:24:29,200 +decentralization لكل عدسة okay + +257 +00:24:29,200 --> 00:24:30,240 +واضح يا جماعة + +258 +00:24:36,580 --> 00:24:41,800 +هي مثلا اعملنا الآن تلاتة ملي او مثلا اتنين ملي او + +259 +00:24:41,800 --> 00:24:50,720 +واحد ملي inward لا اللي هو الداخل okay هى + +260 +00:24:50,720 --> 00:24:56,280 +مثلا عندنا مثال a wheelers bd ال sixty two + +261 +00:24:56,280 --> 00:25:03,880 +millimeter اذا هذه ايش بتمثل ال IBDالـ frame size + +262 +00:25:03,880 --> 00:25:12,180 +has an a dimension of 48 mm اذا القيمة مين؟ ال + +263 +00:25:12,180 --> 00:25:16,900 +lens size او ال frame size 48 ملي اللي هي عبارة عن + +264 +00:25:16,900 --> 00:25:22,260 +ال a dimension and distance between lens او ما + +265 +00:25:22,260 --> 00:25:29,370 +تسمى بال bridge size20 ملي ميتر اذا عشرين ملي ميتر + +266 +00:25:29,370 --> 00:25:36,450 +بدنا نحسب قداش قيمة الـ Decentration لكل عدسة for + +267 +00:25:36,450 --> 00:25:43,170 +right and left eye يلا حسبوها عندكم 100% نفس + +268 +00:25:43,170 --> 00:25:47,550 +القيمة هتكون بس ماتقوليش تلاتة ملي تلاتة ملي متر + +269 +00:25:47,550 --> 00:25:54,700 +inward ولا outward تمام هذه هم إشياذا هان تلاتة + +270 +00:25:54,700 --> 00:26:07,300 +ملي ايش هتكون لداخل inward مين + +271 +00:26:07,300 --> 00:26:11,280 +تحللنا اياه؟ + +272 +00:26:11,280 --> 00:26:17,000 +يلا يا بسم اياه اول مرة تعطيني اياه هو حكيلي ان + +273 +00:26:17,000 --> 00:26:19,180 +قيمة ال IPD 62 ميلي متر + +274 +00:26:28,910 --> 00:26:33,610 +بتانى شغل اعطينا قيمة الـ A dimension 48 و ال + +275 +00:26:33,610 --> 00:26:40,450 +bridge 20 فهي طلع قيمة ال frame BD اللى + +276 +00:26:40,450 --> 00:26:43,790 +هى + +277 +00:26:43,790 --> 00:26:55,250 +قيمة ال A dimension زي قيمة ال bridge تمام + +278 +00:26:55,250 --> 00:27:01,480 +مين الأن أكبر ال frame BD و لا ال I BDو هي الأكتر + +279 +00:27:01,480 --> 00:27:06,320 +شيوعان اه تمام تمام هده هطلع عند القيمة هترحق قيمة + +280 +00:27:06,320 --> 00:27:10,500 +ال frame BD هدى قيمة ال decentralization قيمة ال + +281 +00:27:10,500 --> 00:27:19,140 +IBD 62 + +282 +00:27:19,140 --> 00:27:27,340 +هده + +283 +00:27:27,340 --> 00:27:31,390 +عندى ستة مليمترالستة هي هتكون مقسمة على العين تاني + +284 +00:27:31,390 --> 00:27:41,590 +ال right و ال left هقسمها على اتنين و + +285 +00:27:41,590 --> 00:27:44,810 +بما ان قيمة ال film BD أكبر من قيمة ال IPD فهيكون + +286 +00:27:44,810 --> 00:27:51,590 +التلاتة للداخل inward تمام + +287 +00:27:51,590 --> 00:27:54,150 +100% okay + +288 +00:27:59,990 --> 00:28:04,370 +هذه قيمة الـ Decentration لكل عين So for the + +289 +00:28:04,370 --> 00:28:08,950 +example the Decentration needed per lens is 3 mm + +290 +00:28:08,950 --> 00:28:18,930 +in or inward طيب + +291 +00:28:18,930 --> 00:28:29,760 +نحل السؤال هذا If a patient has a BD of 64 mmand + +292 +00:28:29,760 --> 00:28:35,540 +chooses راح على مركز بصريات واختار إطار الإطار + +293 +00:28:35,540 --> 00:28:41,240 +اللي اختاره كان عنده ال eye size خمسين ملي متر و + +294 +00:28:41,240 --> 00:28:46,480 +ال bridge size كان عنده تمانتاشر ملي بدنا نحسب + +295 +00:28:46,480 --> 00:28:51,980 +قداش قيمة ال total decentration للعدسة ككل لل + +296 +00:28:51,980 --> 00:28:55,560 +right وال left مدام قال لي total decentration إذا + +297 +00:28:55,560 --> 00:28:57,360 +بتشمل ال both eyes + +298 +00:29:09,830 --> 00:29:28,190 +طبعا هو مديني اتنين ملة، اربع ملة، تمانية ملة طيب + +299 +00:29:28,190 --> 00:29:34,310 +اربع ملة هتكون inward ولا outward؟ inward تمام مية + +300 +00:29:34,310 --> 00:29:37,990 +في المية، ليش؟ اكبر من اللي هو ال IPD + +301 +00:29:42,220 --> 00:29:47,460 +الكل حلوه ايه + +302 +00:29:47,460 --> 00:29:49,940 +كتبوه؟ ده حبين + +303 +00:30:47,030 --> 00:30:57,310 +تمامطب السؤال الآخر a patient with a BD of 62 + +304 +00:30:57,310 --> 00:31:04,310 +millimeter chooses a frame برضه راعى مركز بصريات + +305 +00:31:04,310 --> 00:31:13,230 +واختار إطار with the following dimensions 54 to 16 + +306 +00:31:13,230 --> 00:31:15,450 +140 + +307 +00:31:16,800 --> 00:31:23,400 +What is the decentration per lenses؟ إذا بدنا قيمة + +308 +00:31:23,400 --> 00:31:27,120 +الـ Decentration لكل عدسة في هذه الحالة يعني + +309 +00:31:27,120 --> 00:31:46,500 +للRight و للLeft يعني بدناش الـ Total تمام + +310 +00:31:51,600 --> 00:31:56,420 +Inward ولا outward؟ inward ليه؟ عشان قيمة ال frame + +311 +00:31:56,420 --> 00:32:04,060 +بيدي أكبر من ال IPD طبعا هان هو مديني معطق ايه ال + +312 +00:32:04,060 --> 00:32:09,080 +a dimension مع ال bridge size بس مديني اياهم بشكل + +313 +00:32:09,080 --> 00:32:14,220 +formula بالاضافة لتمبل length اللي هي مية و أربعين + +314 +00:32:14,220 --> 00:32:14,860 +ملي متر + +315 +00:32:19,190 --> 00:32:22,970 +طب لو قلنا ال total concentration كداش القيمة؟ + +316 +00:32:22,970 --> 00:32:31,990 +هتكون تمانية، مية في المية طبعا هذه كلها اتها in + +317 +00:32:31,990 --> 00:32:35,330 +symmetrical + +318 +00:32:35,330 --> 00:32:42,470 +Fisher + +319 +00:32:42,470 --> 00:32:46,570 +cases + +320 +00:32:48,110 --> 00:32:53,330 +يعني في الحالات اللي بيكون قيمة الـ Decentration + +321 +00:32:53,330 --> 00:32:57,150 +للـ Right و لل Left متساوية، يعني لو هنأزحنا تلاتة + +322 +00:32:57,150 --> 00:33:00,370 +ملي، هن تلاتة ملي، هن اتنين ملي، هن اتنين ملي، هن + +323 +00:33:00,370 --> 00:33:03,570 +واحد ملي، هن واحد ملي، هدى إيش بنسميها؟ + +324 +00:33:03,570 --> 00:33:08,890 +Symmetrical Fisher Cases، يعني إن الوجه بتاع الشخص + +325 +00:33:08,890 --> 00:33:12,650 +بيكون إيش ماله متساوي أو اللي هو متشابه + +326 +00:33:31,110 --> 00:33:37,090 +طيب في عندنا determining decentration from + +327 +00:33:37,090 --> 00:33:44,410 +monocular PD تحديد قيمة الإزاحة لكل عين على حده + +328 +00:33:44,410 --> 00:33:49,410 +for a monocular PD كيف احنا حسبنا ال monocular PD + +329 +00:33:49,410 --> 00:33:54,990 +من ال center of a pupil لل center of a bridge او + +330 +00:33:54,990 --> 00:34:01,240 +ال center of nose تمام؟ لو الشخص مابلبسش نضارةإذاً + +331 +00:34:01,240 --> 00:34:06,120 +for a monocular PD the reference is basically يعني + +332 +00:34:06,120 --> 00:34:10,740 +أساساً from the center of the bridge of the nose + +333 +00:34:10,740 --> 00:34:15,560 +to the center of the pupil بهذه الطريقة بنحسب الـ + +334 +00:34:15,560 --> 00:34:19,440 +monocular PD for + +335 +00:34:19,440 --> 00:34:25,800 +example if we have a more conventionally measured + +336 +00:34:25,800 --> 00:34:31,100 +يعني بمعنى قياس تقليديبينوكيلر بي دي كان عنده + +337 +00:34:31,100 --> 00:34:36,300 +قيمته اربعة و ستين ملي ميتر We may have a right + +338 +00:34:36,300 --> 00:34:41,820 +monocular BD of thirty one اذا للعين اليمين كان + +339 +00:34:41,820 --> 00:34:46,880 +جداش واحد و تلاتين And a left monocular BD of + +340 +00:34:46,880 --> 00:34:51,060 +thirty three اما بالنسبة للـ left eye، ثirty three + +341 +00:34:51,060 --> 00:34:55,620 +اذا هنا على طول ايش بعرف؟ انه عنده asymmetrical a + +342 +00:34:55,620 --> 00:35:04,130 +clinical fissureOkay this + +343 +00:35:04,130 --> 00:35:08,290 +difference between left and right PD is + +344 +00:35:08,290 --> 00:35:13,890 +considering انه بيعتبر the asymmetry of facial + +345 +00:35:13,890 --> 00:35:20,380 +fissures or fissures of many normal individualsو + +346 +00:35:20,380 --> 00:35:24,360 +هذه بتكون لكتير من اللي هو الأشخاص الطبيعيين انه + +347 +00:35:24,360 --> 00:35:28,660 +اختلاف في خصائص او في ملامح اللي هو الوجه ما بين + +348 +00:35:28,660 --> 00:35:35,760 +ال right side و ال left side for a molecular PD, + +349 +00:35:36,440 --> 00:35:41,760 +Decentration is determined by first dividing the + +350 +00:35:41,760 --> 00:35:45,980 +distance between centers of the frame by two يعني + +351 +00:35:45,980 --> 00:35:52,670 +بده اقسم قيمةالـ PD على او ال frame PD على العنتين + +352 +00:35:52,670 --> 00:35:57,430 +ال right و ال left و بعد ذلك بدي اطرح يعني بمعنى + +353 +00:35:57,430 --> 00:36:01,350 +اخر اذا كان عندي معطين بقدر اجيب التالت يعني لو + +354 +00:36:01,350 --> 00:36:06,290 +مديني مثلا ال monocular PD لل right و مديني ال + +355 +00:36:06,290 --> 00:36:10,510 +total ال frame PD بقدر اجيب لل left و العكس صحيح + +356 +00:36:10,510 --> 00:36:16,850 +okayThus or So Decentration بساوي distance between + +357 +00:36:16,850 --> 00:36:21,410 +center على اتنين ناقص اللي هو monocular BD أو الـ + +358 +00:36:21,410 --> 00:36:25,850 +A dimension تمام اللي هي ال bridge size زائد ال + +359 +00:36:25,850 --> 00:36:29,330 +distance between lens على اتنين ناقص ال monocular + +360 +00:36:29,330 --> 00:36:36,290 +حسب المعطى اللي مدينيه في السؤال هان مثلا عندنا + +361 +00:36:36,290 --> 00:36:46,070 +مثالA patient with a BD of 60 mm إذا هذي إيش + +362 +00:36:46,070 --> 00:36:57,630 +بتمثل؟ ال IBD A frame with an eye size of 52 mm + +363 +00:36:57,630 --> 00:37:01,890 +إذا هذي إيش بتمثل ال A dimension أو ال bridge size + +364 +00:37:01,890 --> 00:37:06,670 +أو عفوا ال A dimension اللي هي بتمثل ال lens size + +365 +00:37:06,670 --> 00:37:11,930 +أو ال eye sizeand a bridge size of sixteen + +366 +00:37:11,930 --> 00:37:18,770 +millimeters أو بنسميها ال minimum distance between + +367 +00:37:18,770 --> 00:37:24,010 +the two lenses with an effective diameter جداش + +368 +00:37:24,010 --> 00:37:27,370 +قمتها ستة و خمسين مليمتر فاكرين ال effective + +369 +00:37:27,370 --> 00:37:33,270 +diameter صح؟بدنا نحسب قداش ال minimum a blank size + +370 +00:37:33,270 --> 00:37:39,490 +of a single visual lens that can be used to + +371 +00:37:39,490 --> 00:37:45,310 +fabricate these spectacles يعني يكون ملائم لهذه + +372 +00:37:45,310 --> 00:37:56,010 +النضارة إذا مين المجهول عندنا؟ ال minimum تمام + +373 +00:37:56,010 --> 00:38:01,650 +كيف بدنا نحسبها؟هذا يعتبر اللي هو الـ X حلوها + +374 +00:38:01,650 --> 00:38:03,410 +عندكم عشان نتناقش فيها + +375 +00:38:45,830 --> 00:38:49,650 +كننا في قانون ال minimum blank size ايش بالساوي + +376 +00:38:49,650 --> 00:38:57,410 +effective diameter زائد الهو اتنين decentration + +377 +00:38:57,410 --> 00:39:02,370 +زائد اتنين ملي صح ولا لأ اول حاجة احسب كم قيمة ال + +378 +00:39:02,370 --> 00:39:08,270 +IBD و كم قيمة ال frame BD كم ان قيمة ال IBD + +379 +00:39:08,270 --> 00:39:13,160 +مدينياهاستين ملي طيب ال frame BD تمانية و ستين + +380 +00:39:13,160 --> 00:39:17,860 +تمانية و ستين الان استخرجي جداش قيمة ال + +381 +00:39:17,860 --> 00:39:22,360 +decentralization اربع + +382 +00:39:22,360 --> 00:39:27,260 +اربع لكل عين ولا للعين تان احنا بدنا للكل تمانية + +383 +00:39:27,260 --> 00:39:34,340 +تمانية اذا تمانية في اتنين بستاش زائد اتنين + +384 +00:39:34,340 --> 00:39:40,060 +تمانتاش جداش ال effective diameterاجمعهم ستة و + +385 +00:39:40,060 --> 00:39:49,060 +خمسين و طمانتاش اربع + +386 +00:39:49,060 --> 00:39:54,920 +و ستين اربع + +387 +00:39:54,920 --> 00:39:59,620 +و ستين ولا اربع و سبعين؟ كيف؟ + +388 +00:40:02,810 --> 00:40:07,150 +الان طبقتوا القانون عندنا ال minimum blank size + +389 +00:40:07,150 --> 00:40:12,510 +ايش بتساوي؟ effective diameter تمام اللي هي ستة و + +390 +00:40:12,510 --> 00:40:18,350 +خمسين زائد لحظة + +391 +00:40:18,350 --> 00:40:25,090 +بس جدش عندنا ال concentration حكينا طيب تمانية في + +392 +00:40:25,090 --> 00:40:28,730 +اتنين ستاشر طيب + +393 +00:40:30,620 --> 00:40:34,880 +هو القانون هيك effective diameter زائد الهو اتنين + +394 +00:40:34,880 --> 00:40:40,360 +concentration زائد + +395 +00:40:40,360 --> 00:40:45,020 +اتنين ملي الجماعة مش هيك القانون اخدناها minimum + +396 +00:40:45,020 --> 00:40:54,400 +ال blank size بالساوي effective diameter زائد + +397 +00:40:54,400 --> 00:41:02,560 +اتنين concentration زائد اتنين مليتمام؟ الآن عندنا + +398 +00:41:02,560 --> 00:41:08,980 +ال effective diameter جداش؟ سبتة و خمسين اه + +399 +00:41:08,980 --> 00:41:16,680 +عفوا زائد + +400 +00:41:16,680 --> 00:41:24,200 +اتنين في تمانية زايد اتنين صح؟ مجموعة مجدش هيك + +401 +00:41:29,360 --> 00:41:33,700 +أربعة و سبعين تمام في اختيار اربعة و سبعين لأ اذا + +402 +00:41:33,700 --> 00:41:37,880 +هيك انا بفهم ايش بدي اعمل لكل عين هيك احنا حزبنا + +403 +00:41:37,880 --> 00:41:42,600 +اللي هو ال total طيب الآن يعني كدش بدنا نقول اتنين + +404 +00:41:42,600 --> 00:41:53,220 +في اربع زائد اتنين وعنا هان زائد كدش تطلع66 مليمتر + +405 +00:41:53,220 --> 00:41:58,420 +اذا في ال 66 اللي هو دي طبعا انا في الامتحان + +406 +00:41:58,420 --> 00:42:02,740 +هحددلك انه هل هو monocular ولا total لما اقولك + +407 +00:42:02,740 --> 00:42:07,320 +total يعني right و left لما اقولك مثلا for right + +408 +00:42:07,320 --> 00:42:12,360 +eye او left eye تمام بتكون محددة يعني بكون محددة + +409 +00:42:12,360 --> 00:42:17,420 +ان شاء الله اثناء الامتحان ها + +410 +00:42:17,420 --> 00:42:24,940 +نفس الفكرةبس في فكرة جديدة هذه امسحه ولا كيف + +411 +00:42:24,940 --> 00:42:35,200 +القانون عندكم موجود في الكتاب طيب + +412 +00:42:35,200 --> 00:42:42,790 +a patient with a BD of 66 millimeterالذي يختار + +413 +00:42:42,790 --> 00:42:53,030 +صورة بدرجة من 50 إلى 16 ميلي متر 135 ميلي متر + +414 +00:42:53,030 --> 00:43:02,530 +ودرجة افعالة من 54 ميلي متر، ماذا سيكون أقل الصورة + +415 +00:43:02,530 --> 00:43:09,660 +المحتاجة أو صورة رؤية واحدة لتحفظthis a + +416 +00:43:09,660 --> 00:43:17,960 +prescription مادام نعم احضر شوية صح كلامك اذا لكل + +417 +00:43:17,960 --> 00:43:22,180 +fill اللي هو لكل الوصفة بدنا نحسب قيمة ال minimum + +418 +00:43:22,180 --> 00:43:28,780 +plant size كلامك سليم الان اول حاجة احسب يقدش قيمة + +419 +00:43:28,780 --> 00:43:33,380 +ال IBD مديني اياها 66 ملي طيب ال frame BD + +420 +00:43:36,380 --> 00:43:43,600 +66 صح هي مجموع ال a dimension زائد ال bridge size + +421 +00:43:43,600 --> 00:43:49,540 +صح؟ اذا عندنا 66 اذا في ازاحة هنا لأ ال optical + +422 +00:43:49,540 --> 00:43:55,320 +center للعدسة مساوية لمين لل pupil center اذا + +423 +00:43:55,320 --> 00:44:02,000 +عندنا الاتنين هتكون في السفر okay 100% زائد 2 ملي + +424 +00:44:02,000 --> 00:44:06,520 +وقيمة عندنا مين؟الايفكتف ديامتر اربعة و خمسين اذا + +425 +00:44:06,520 --> 00:44:14,020 +ستة و خمسين واضح ولا مش واضح يا جماعة اكيد هي + +426 +00:44:14,020 --> 00:44:19,660 +عندنا ال minimum blank size بالساوي + +427 +00:44:58,260 --> 00:45:10,580 +بس الفكرة طيب + +428 +00:45:10,580 --> 00:45:19,080 +عندنا سؤالHow much decentration peer lens is + +429 +00:45:19,080 --> 00:45:22,380 +required + +430 +00:45:22,380 --> 00:45:26,040 +for an .. هذه اختصار prescription يعني وصفة + +431 +00:45:26,040 --> 00:45:30,180 +النضارة بدل ما يكتب prescription for glasses بحط + +432 +00:45:30,180 --> 00:45:31,060 +الرمز هذا + +433 +00:45:35,790 --> 00:45:39,970 +Specifications يعني مديني المعطيات المعطى الأول ال + +434 +00:45:39,970 --> 00:45:45,270 +a dimension او ال eye size او ال lens size المعطى + +435 +00:45:45,270 --> 00:45:48,530 +التاني ال bridge size او ال distance between + +436 +00:45:48,530 --> 00:45:54,650 +lenses اللي هي 18 من هنا ايه جبنا ال frame bd + +437 +00:45:54,650 --> 00:46:00,780 +ممتازة اذا عندنا قداش قيمة ال right و ال leftعنا + +438 +00:46:00,780 --> 00:46:04,240 +إذا مديني ال right بقدر أجيب ال left و إذا مديني + +439 +00:46:04,240 --> 00:46:07,100 +ال left بقدر أجيب اللي هو ال right، إذا هذه إيش + +440 +00:46:07,100 --> 00:46:11,740 +تعتبر الحالة؟ Asymmetrical Clinical Features + +441 +00:46:18,890 --> 00:46:25,110 +الان هو جمع قيمة ال handle a dimension مع ال + +442 +00:46:25,110 --> 00:46:29,190 +distance between lens عشان يحسب ال frame بيدي طيب + +443 +00:46:29,190 --> 00:46:34,870 +جداش عندنا ال IBD بتاع الشخص مش موجود صح كيف بدنا + +444 +00:46:34,870 --> 00:46:37,930 +نحسب لل right و كيف بدنا نحسب لل left عندنا + +445 +00:46:37,930 --> 00:46:41,770 +السبعين على اتنين ناقص اللي هو ال 32 القانون اللي + +446 +00:46:41,770 --> 00:46:46,530 +أخدنا بطلع تلاتة ملي طيب ليش hand inلأن قيمة ال + +447 +00:46:46,530 --> 00:46:55,310 +frame PD أكبر من ال IPD واضحة لكل + +448 +00:46:55,310 --> 00:47:01,530 +عين ستظهر 1.5 نعم + +449 +00:47:06,320 --> 00:47:10,340 +هي عندنا ال distance between lens حسب اللى هو ال a + +450 +00:47:10,340 --> 00:47:15,860 +dimension وحسب ال bridge size استطعنا ان نعرف قداش + +451 +00:47:15,860 --> 00:47:20,220 +قيمة ال decentralization لكل عين نجف ان شاء الله + +452 +00:47:20,220 --> 00:47:25,520 +لنقطة ال vertical decentralization او ال vertical + +453 +00:47:25,520 --> 00:47:28,100 +centralization للمحاضرة القادمة + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/h6NcAPX9rCo.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/h6NcAPX9rCo.srt new file mode 100644 index 0000000000000000000000000000000000000000..8fe29c322b3c6b0dca2f0a8d78bcbda13eed6cfa --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/h6NcAPX9rCo.srt @@ -0,0 +1,1754 @@ +1 +00:00:21,240 --> 00:00:23,720 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,720 --> 00:00:25,040 +ورحمة الله + +3 +00:00:25,040 --> 00:00:26,240 +الله + +4 +00:00:26,240 --> 00:00:26,640 +ورحمة الله + +5 +00:00:26,640 --> 00:00:29,100 +الله + +6 +00:00:29,100 --> 00:00:33,740 +ورحمة الله + +7 +00:00:33,740 --> 00:00:37,500 +الله + +8 +00:00:37,500 --> 00:00:39,680 +ورحمة الله + +9 +00:00:39,680 --> 00:00:46,100 +ورحمة الله + +10 +00:00:46,100 --> 00:00:52,910 +الله ولأي اقتراح ممكن أن يتم عرضه بسم الله الرحمن + +11 +00:00:52,910 --> 00:00:56,550 +الرحيم معكم Lama البرقوني اليوم سنتحدث عن موقع + +12 +00:00:56,550 --> 00:01:01,470 +الوصفة والوصفة الواضحة + +13 +00:01:01,470 --> 00:01:02,530 +الواضحة + +14 +00:01:02,530 --> 00:01:02,850 +الواضحة + +15 +00:01:02,850 --> 00:01:02,970 +الواضحة + +16 +00:01:02,970 --> 00:01:04,070 +الواضحة + +17 +00:01:04,070 --> 00:01:09,430 +الواضحة + +18 +00:01:09,430 --> 00:01:13,850 +الواضحة، الـfirst area هي الـlens power by + +19 +00:01:13,850 --> 00:01:17,350 +a process called lens surfacing. تحديد قوة العدسة + +20 +00:01:17,350 --> 00:01:20,830 +بتم إجراؤها من خلال عملية تسطيح العدسة، and the facility + +21 +00:01:20,830 --> 00:01:22,790 +that does it is referred to as a surfacing + +22 +00:01:22,790 --> 00:01:25,910 +laboratory. والمكان الذي تتم فيه عملية وضع قوة العدسة في + +23 +00:01:25,910 --> 00:01:29,750 +سطحها نسميه surfacing laboratory. الـsecond area + +24 +00:01:29,750 --> 00:01:34,370 +is correctly powered lens. بناخذ القوة الصحيحة للعدسة، + +25 +00:01:34,370 --> 00:01:38,310 +ونعمل عملية أصلؤلها وهي بتندرج تحت العدسات الـ + +26 +00:01:38,310 --> 00:01:44,830 +uncut. Okay, this is done by optically positioning + +27 +00:01:44,830 --> 00:01:49,170 +the lens and grinding the edges. يعني أول شيء عملناه + +28 +00:01:49,170 --> 00:01:52,950 +هو تحديد قوة العدسة، وبعدين عملنا عملية قص، وطبعا لازم + +29 +00:01:52,950 --> 00:01:56,330 +عملية القص تكون حسب الإطار الذي اختاره المريض، و هذه + +30 +00:01:56,330 --> 00:02:00,870 +بتكون شغل الـopticians. A finishing laboratory is + +31 +00:02:00,870 --> 00:02:05,490 +also referred to as an edging laboratory. الآن راح + +32 +00:02:05,490 --> 00:02:09,470 +نحكي على الـlens marking، وخاصة لعدسات الـsingle + +33 +00:02:09,470 --> 00:02:12,670 +vision. أول شيء، الـoptical center of the lens and + +34 +00:02:12,670 --> 00:02:15,130 +the lens meter. يعني بدنا نحاول أن نعمل + +35 +00:02:15,130 --> 00:02:18,290 +تركيز للعدسة في الـlens meter، وبعدين the + +36 +00:02:18,290 --> 00:02:20,870 +marking device is then swung into position and the + +37 +00:02:20,870 --> 00:02:22,770 +front surface of the lens is pointed to indicate + +38 +00:02:22,770 --> 00:02:27,630 +the optical center of the lens. يعني بدنا نُعلم + +39 +00:02:27,630 --> 00:02:31,630 +العدسة طبعا في السطح الأمامي لها، وراح يطلع + +40 +00:02:31,630 --> 00:02:33,690 +لنا three spots زي ما هو موجود هنا. + +41 +00:02:37,140 --> 00:02:39,680 +و... و الـspherical cylindrical lenses، the + +42 +00:02:39,680 --> 00:02:42,160 +marking should be according to the axis specified + +43 +00:02:42,160 --> 00:02:44,660 +in the prescription. يعني في عدسات الـspherical + +44 +00:02:44,660 --> 00:02:48,160 +cylindrical، الـmarking لازم يكون حسب الـaxis الذي + +45 +00:02:48,160 --> 00:02:52,620 +موجود في الوصفة الخاصة بالمريض. The letter R or L in + +46 +00:02:52,620 --> 00:02:55,340 +uppercase letters is written in the upper half of + +47 +00:02:55,340 --> 00:02:59,020 +the lens above the three spots. طبعا الأحرف R و + +48 +00:02:59,020 --> 00:03:02,440 +الـL هما اختصارا R لـright وL لـ + +49 +00:03:02,440 --> 00:03:07,620 +left، ولازم نكتبهما في الجزء أو النصف العلوي للعدسة + +50 +00:03:07,620 --> 00:03:13,720 +مثل + +51 +00:03:13,720 --> 00:03:17,700 +ما هو موجود هنا. الآن، النقطة التي في المنتصف هي الـ + +52 +00:03:17,700 --> 00:03:21,950 +optical center. النقطتان اللتان على الأطراف هما + +53 +00:03:21,950 --> 00:03:26,030 +reference point. لما نيجي بدنا نعمل علامة على هاي العدسة، عملية الـ + +54 +00:03:26,030 --> 00:03:38,270 +marking بس + +55 +00:03:38,270 --> 00:03:42,390 +أن يعني بمعنى أننا نعمل الـdiamond، لازم السهم + +56 +00:03:42,390 --> 00:03:45,550 +يكون باتجاه الـlaws. يعني مثلا إذا كانت right، راح + +57 +00:03:45,550 --> 00:03:50,130 +نعمل هيك، وراح يكون الاتجاه عند الـlaws. هاي طبعا + +58 +00:03:50,130 --> 00:03:58,050 +لعدسة غير مقطعة. وهاي كانت هي، كتير مضحك فيها، و + +59 +00:03:58,050 --> 00:04:02,690 +and now she will explain الـoptical center. معكم + +60 +00:04:02,690 --> 00:04:04,970 +الطالبة Sarah Abou Kambas. نشرح اليوم عن الـoptical + +61 +00:04:04,970 --> 00:04:08,550 +center of the lens. Therefore, it is known as the + +62 +00:04:08,550 --> 00:04:12,010 +major reference point or MRP. يعني هي التي موجودة + +63 +00:04:12,010 --> 00:04:16,020 +في الـoptical center. من هنا نطلق عليها، ممكن، الـ + +64 +00:04:16,020 --> 00:04:22,900 +major reference point. هي بتحدد، بتعمل، تتلاشى major + +65 +00:04:22,900 --> 00:04:27,060 +reference point. هي تعمل استقامة للعدسة بالـcenter + +66 +00:04:27,060 --> 00:04:30,860 +of the pupil. الـpupil center of the lens + +67 +00:04:30,860 --> 00:04:34,740 +للمريض. So when there is no prism in the + +68 +00:04:34,740 --> 00:04:38,060 +prescription, the optical center is the major + +69 +00:04:38,060 --> 00:04:40,500 +reference point. وهاي النقطة بتلاشي أي + +70 +00:04:40,500 --> 00:04:43,580 +prismatic effect. وممكن يحدث لأن بالـhigh + +71 +00:04:43,580 --> 00:04:47,620 +refractive error، و الـanisometropia، لازم نكون + +72 +00:04:47,620 --> 00:04:51,880 +دقيقين في تحديد الـoptical center لأنه بيكون الـ + +73 +00:04:51,880 --> 00:04:54,060 +prismatic effect عالي في هذه اللحظة. + +74 +00:05:03,310 --> 00:05:10,470 +الشعاع الموجود في الوضع + +75 +00:05:10,470 --> 00:05:16,990 +الوضع + +76 +00:05:16,990 --> 00:05:20,290 +الوضع + +77 +00:05:20,290 --> 00:05:21,550 +الوضع + +78 +00:05:21,550 --> 00:05:21,810 +الوضع + +79 +00:05:21,810 --> 00:05:21,830 +الوضع + +80 +00:05:21,830 --> 00:05:24,790 +الوضع. لازم يكون الـoptical center مقابل الـcenter + +81 +00:05:24,790 --> 00:05:30,370 +of equilibrium للمريض، عشان يحصل... يحصل أفضل رؤية من + +82 +00:05:30,370 --> 00:05:34,910 +خلاله. The patient PD and the optical center of the lens + +83 +00:05:34,910 --> 00:05:38,210 +will determine the placement of the lens within the + +84 +00:05:38,210 --> 00:05:42,410 +frame. يعني لازم يبقى في قيمة frame PD للإطار وقيمة + +85 +00:05:42,410 --> 00:05:47,670 +IPD للمريض، عشان في حال كان في تطابق بينهما يكون + +86 +00:05:47,670 --> 00:05:53,190 +يعني التطابق بينهما هيكون عندي، ما يكونش... مايكونش فيه عنده أي prismatic effect. ولما يكون... + +87 +00:05:53,190 --> 00:05:55,630 +لما يكون في... ما فيش تطابق بينهما لازم نعمل الـ + +88 +00:05:55,630 --> 00:05:58,070 +decentration للعدسة عشان نتلاشى الـprismatic + +89 +00:05:58,070 --> 00:06:00,710 +effect. هي + +90 +00:06:00,710 --> 00:06:04,330 +عندنا بال... الـcenter of pupil للمريض مع الـ + +91 +00:06:04,330 --> 00:06:11,580 +optical center للـlens. الـoptical + +92 +00:06:11,580 --> 00:06:14,280 +center للـlens والـcenter of pupil للمريض يجب أن + +93 +00:06:14,280 --> 00:06:17,780 +يكونوا متطابقين على بعض عشان مايحدث أي خلل في الـ + +94 +00:06:17,780 --> 00:06:22,100 +effect. و + +95 +00:06:22,100 --> 00:06:27,100 +هنا، هنا الـboxing system هو ال... هو النظام الـ + +96 +00:06:27,100 --> 00:06:32,640 +حديث للـdatum system. نفس الشيء، عندنا ال... ال... + +97 +00:06:32,640 --> 00:06:35,420 +الـcenter between pupil، الـdistance between + +98 +00:06:35,420 --> 00:06:39,640 +the center of pupil، هي الـframe BD. وعندنا هنا + +99 +00:06:39,640 --> 00:06:44,000 +الـA dimension أو الـlens size أو I size. وعندنا + +100 +00:06:44,000 --> 00:06:49,560 +هنا، الـlargest distance between lenses، التي هي الـ + +101 +00:06:49,560 --> 00:06:53,320 +bridge، الـbridge size. ممكن نجيب الـframe BD برضه + +102 +00:06:53,320 --> 00:06:58,900 +بطريقة ثانية، التي هي الـA dimension زي الـbridge + +103 +00:06:58,900 --> 00:07:04,400 +size نفسها. + +104 +00:07:04,400 --> 00:07:14,080 +الـframe BD. What we continue with Razan is lens + +105 +00:07:14,080 --> 00:07:19,200 +oscillation. هذه + +106 +00:07:19,200 --> 00:07:23,340 +الصورة تبين أنّه لازم الـpupil center يتطابق + +107 +00:07:23,340 --> 00:07:26,480 +يعني يصير فيه تطابق بين الـpupil center مع الـ + +108 +00:07:26,480 --> 00:07:29,020 +optical center للعدسة. + +109 +00:07:36,730 --> 00:07:45,950 +سلامة. هنشوف فيديو. هذه + +110 +00:07:45,950 --> 00:07:48,490 +الفيديو بيعمل decentralization. لكن هنا + +111 +00:07:48,490 --> 00:07:51,650 +الـdecentralization. موضوع الـslides التي سأشتغل بها + +112 +00:07:51,650 --> 00:07:54,350 +أن الـdecentralization سيكون عندي horizontal and + +113 +00:07:54,350 --> 00:07:56,650 +vertical decentralization. أحياناً بيصير الـ + +114 +00:07:56,650 --> 00:08:00,650 +decentralization، لأن عند الـoptician المريض اختار + +115 +00:08:00,650 --> 00:08:05,290 +إطاراً. تمام. عند هذا الإطار، ما بعملش... ما عنديش تناسب بين + +116 +00:08:05,290 --> 00:08:09,630 +الـIPD للإطار مع الـframe PD، فبالتالي، يصير عنده a + +117 +00:08:09,630 --> 00:08:12,450 +prismatic effect. لازم الـoptician يعمل + +118 +00:08:12,450 --> 00:08:17,690 +decentralization لل... للعدسة، عشان يعمل تطابق للـ + +119 +00:08:17,690 --> 00:08:21,170 +pupil center مع الـoptical center للإطار. + +120 +00:08:23,080 --> 00:08:25,880 +Centration of the single vision lens. هي كلّ العمل + +121 +00:08:25,880 --> 00:08:28,680 +على single vision lens. هي عبارة عن single vision lens + +122 +00:08:28,680 --> 00:08:32,960 +عدسات لها optical center واحد و one focal + +123 +00:08:32,960 --> 00:08:36,620 +point. وباللي هنا four، and the major reference + +124 +00:08:36,620 --> 00:08:40,220 +point of the lens to be centered before the wearer's + +125 +00:08:40,220 --> 00:08:45,330 +pupil. الصورة يجب أن تتحرك أو تبتعد عن مركز + +126 +00:08:45,330 --> 00:08:49,770 +التجربة. للصورة. عملية الإزاحة والتجربة تتم بناءً على + +127 +00:08:49,770 --> 00:08:54,050 +نظام الـboxing system الذي معمول به حالياً. تمام. + +128 +00:08:54,050 --> 00:08:57,370 +بحيث ينطبق أن الـoptical center للعدسة مع الـpupil + +129 +00:08:57,370 --> 00:09:02,070 +center. بقول، for frames that comfort the boxing + +130 +00:09:02,070 --> 00:09:04,770 +system of measurement، the distance between + +131 +00:09:04,770 --> 00:09:11,790 +centers (DBC) is equal to the eye size dimension + +132 +00:09:11,790 --> 00:09:15,590 +plus the distance between lenses. إنّ الـ + +133 +00:09:15,590 --> 00:09:18,730 +formula بيقول إنّ distance between centers يساوي أن + +134 +00:09:18,730 --> 00:09:21,250 +الـA زائد الـdistance between lenses التي هي الـ + +135 +00:09:21,250 --> 00:09:25,430 +bridge size. Most commonly, the wearer's BD will be less + +136 +00:09:25,430 --> 00:09:30,720 +than the distance between centers. في معظم الحالات، + +137 +00:09:30,720 --> 00:09:33,840 +لازم يكون عندي الـIPD أقل من الـdistance between + +138 +00:09:33,840 --> 00:09:38,160 +centers. This will result in lenses with + +139 +00:09:38,160 --> 00:09:41,420 +decentration inward (nasal), toward the center of + +140 +00:09:41,420 --> 00:09:45,380 +the frame. تمام. بناءً على أنّ... بناءً على أنّ الـIPD أقل من + +141 +00:09:45,380 --> 00:09:47,960 +الـdistance between centers، حتكون دائماً الـ + +142 +00:09:47,960 --> 00:09:50,860 +decentration inward (nasal). هنا horizontal + +143 +00:09:50,860 --> 00:09:55,230 +decentralization. Formula بتقول أنّ الـdistance + +144 +00:09:55,230 --> 00:09:58,750 +between centers ناقص الـwearer's IPD على اثنين، تعطينا + +145 +00:09:58,750 --> 00:10:02,590 +الـdecentration للـboth lenses. التي هي الـframe BD + +146 +00:10:02,590 --> 00:10:05,510 +ناقص الـIPD على اثنين. طبعاً لازم يكون عندي + +147 +00:10:05,510 --> 00:10:12,810 +تناسق في الوجه عند المريض. example بيقول إنّ + +148 +00:10:12,810 --> 00:10:22,540 +الـwearer's BD ستون، يعني عندي الـIPD ستين مليمتر. The + +149 +00:10:22,540 --> 00:10:28,400 +frame size has the dimensions 46 A، التي هي eye + +150 +00:10:28,400 --> 00:10:37,000 +size، 64mm، والـ + +151 +00:10:37,000 --> 00:10:40,160 +distance between lenses، التي هي الـbridge size، 18 + +152 +00:10:40,160 --> 00:10:47,940 +mm. What is the + +153 +00:10:47,940 --> 00:10:50,620 +decentralization for both lenses required? بدي أعمل + +154 +00:10:50,620 --> 00:11:00,870 +decentralization. عندنا الـDBC 64، التي هي الـ + +155 +00:11:00,870 --> 00:11:12,450 +frame PD، ناقص الـIPD على 2. الـframe PD + +156 +00:11:12,450 --> 00:11:15,170 +أو الـdistance between centers، هي عبارة عن الـA + +157 +00:11:15,170 --> 00:11:21,470 +زائد distance between lenses التي هي 18. زي 46 + +158 +00:11:24,230 --> 00:11:31,450 +زائد 18 = 64. 64 ناقص 60 على + +159 +00:11:31,450 --> 00:11:35,450 +اثنين. هيكون عندي 4 على 2. للـboth lenses + +160 +00:11:35,450 --> 00:11:41,950 +حتكون 2 مليمتر نازلة أو inward. + +162 +00:12:02,700 --> 00:12:05,480 +الشغل الثاني، بيبدأ أعمل determine decentration + +163 +00:12:05,480 --> 00:12:09,060 +from the monocular BD. بيبدأ أحدد monocular لكل عين + +164 +00:12:09,060 --> 00:12:12,540 +على حدة. بيبدأ أعمل BD. الـreference point للقياس الـ + +165 +00:12:12,540 --> 00:12:14,900 +monocular BD. إنّ الـreference point basically + +166 +00:12:14,900 --> 00:12:18,500 +from the center of the bridge of the nose to the + +167 +00:12:18,500 --> 00:12:23,230 +center of the pupil. يعني من الـcenter للـbridge للـ + +168 +00:12:23,230 --> 00:12:28,190 +frame للـcenter للـpupil. القياس monocular PD. + +169 +00:12:28,190 --> 00:12:31,130 +The difference between the left and the right PD + +170 +00:12:31,130 --> 00:12:35,810 +considering the asymmetry of the facial features of + +171 +00:12:35,810 --> 00:12:39,410 +many normal individuals. الاختلاف في الـPD للعين + +172 +00:12:39,410 --> 00:12:44,670 +الـright والـleft، يرجع لاختلاف ملامح وجه كل + +173 +00:12:44,670 --> 00:12:48,620 +إنسان. الـdecentration بيكون distance between + +174 +00:12:48,620 --> 00:12:53,580 +centers على 2، ناقص monocular BD. أو A زائد distance + +175 +00:12:53,580 --> 00:12:58,520 +between lenses على 2، ناقص monocular BD. example بيقولي how + +176 +00:12:58,520 --> 00:13:01,640 +much decentration for a pair of lenses in a frame + +177 +00:13:01,640 --> 00:13:06,060 +from the RX having the following. مديني إنّ الـA، التي هي + +178 +00:13:06,060 --> 00:13:08,860 +I size، عبارة عن 50. distance between lenses التي هي + +179 +00:13:08,860 --> 00:13:12,190 +الـbridge size، 18. للعين الـright، monocular + +180 +00:13:12,190 --> 00:13:15,930 +BD عبارة عن 30، والـlens monocular BD + +181 +00:13:15,930 --> 00:13:21,270 +32. تمام. هجيب الـdistance between + +182 +00:13:21,270 --> 00:13:25,750 +centers عند الـA وعند الـdistance between lenses + +183 +00:13:25,750 --> 00:13:34,370 +50 زائد 18 = 68. + +184 +00:13:34,370 --> 00:13:38,150 +عشان + +185 +00:13:38,150 --> 00:13:48,330 +both lenses. هنقسمها على اثنين، حتعطيني 34. + +186 +00:13:48,330 --> 00:13:57,090 +و30. 34 من هنا. لكن في عندنا monocular + +187 +00:13:57,090 --> 00:14:01,250 +BD التي هي asymmetry في الـface للمريض. + +188 +00:14:01,250 --> 00:14:09,890 +فعمل 34 ناقص 30 للـright، + +223 +00:17:52,540 --> 00:18:06,300 +زائد اتنين ملي زائد اتنين في ال decent ration ال + +224 +00:18:06,300 --> 00:18:11,160 +effect ال diameter مدينيها عبارة عن ستة و خمسين + +225 +00:18:11,160 --> 00:18:18,320 +زائد اتنين ملي اتنين في ال decent ration كان أربعة + +226 +00:18:18,320 --> 00:18:26,970 +اتنين في أربعة، المجموع اللي هي إيه؟ بطلع ستة و ستين + +227 +00:18:26,970 --> 00:18:47,590 +ملي، بسم + +228 +00:18:47,590 --> 00:18:52,580 +الله معاكم، سمية أنور، بول بول، إن شاء الله اليوم هكون + +229 +00:18:52,580 --> 00:18:56,700 +بشرح موضوع ال vertical decentration، أول شيء هبدأ + +230 +00:18:56,700 --> 00:18:59,300 +بنبدأ بمختصر عن ال horizontal and vertical + +231 +00:18:59,300 --> 00:19:02,400 +decentration، قبل ما أبلش في الموضوع ال horizontal + +232 +00:19:02,400 --> 00:19:05,860 +and vertical decentration of lens when a sphere + +233 +00:19:05,860 --> 00:19:08,640 +lens is decentrated both horizontally and + +234 +00:19:08,640 --> 00:19:12,000 +vertically. The most straightforward solution for + +235 +00:19:12,000 --> 00:19:15,620 +finding the prismatic effect is to consider each + +236 +00:19:15,620 --> 00:19:20,190 +component by itself. حاكينها أنا في عدسات ال sphere + +237 +00:19:20,190 --> 00:19:22,870 +لما بدي أعمل decentralization horizontal أو + +238 +00:19:22,870 --> 00:19:28,450 +vertical، أفضل أو أنسب خطوة أبدأ فيها أني أوجد + +239 +00:19:28,450 --> 00:19:31,490 +عشان أتجنب أي prismatic effect وأستطيع إيجاده + +240 +00:19:31,490 --> 00:19:35,750 +بالمكان الصحيح والدقيق. أول شيء لازم أجيب كل مكوّن + +241 +00:19:35,750 --> 00:19:39,130 +على حدّه. كيف يعني؟ بدي أجيب أول شيء مثلاً قيمة ال + +242 +00:19:39,130 --> 00:19:42,990 +frame PD للإطار، قيمة ال A dimension، أو قيمة ال + +243 +00:19:42,990 --> 00:19:47,030 +bridge. بدي كمان أقيس قيمة ال IBD الخاصة بال patient + +244 +00:19:47,370 --> 00:19:51,190 +وأشوف حالة توافق قيمة ال frame BD للإطار وقيمة + +245 +00:19:51,190 --> 00:19:54,070 +ال I BD لل patient عشان أجنب أي prismatic effect + +246 +00:19:54,070 --> 00:19:57,530 +لأن في حال كان في عندي اختلاف بين قيمة ال frame BD + +247 +00:19:57,530 --> 00:20:01,430 +لل frame وقيمة ال I BD لل patient، هيكون عندي + +248 +00:20:01,430 --> 00:20:05,230 +prismatic effect، فحتطلب أعمل horizontal أو + +249 +00:20:05,230 --> 00:20:08,130 +vertical decentration عشان أجنب هذا ال prismatic + +250 +00:20:08,130 --> 00:20:13,310 +effect. طبعاً نشوف هذه الصورة اللي عندي، الصورة اللي + +251 +00:20:13,310 --> 00:20:16,180 +عندي هنا الأولى، اللي فيها ال optical center لل + +252 +00:20:16,180 --> 00:20:20,600 +lens مطابق لل center of pupil لل patient، فهنا ما كان + +253 +00:20:20,600 --> 00:20:24,420 +عندي، ما كانش عندي أي prismatic effect، وهان حالة + +254 +00:20:24,420 --> 00:20:27,700 +طبيعية، وهيستطيع ال patient يشوف بأفضل وأوضح + +255 +00:20:27,700 --> 00:20:31,080 +رؤية. ننتقل للصورة الثانية اللي عندي، هان عندي هاي + +256 +00:20:31,080 --> 00:20:34,300 +ال optical center لل lens، وهاي ال center of pupil، + +257 +00:20:34,300 --> 00:20:38,530 +في اختلاف بينهم. فهنا لو أنا أعطيت ال patient هذه + +258 +00:20:38,530 --> 00:20:41,890 +النضارة بهذه القياسات، هيعمل له prismatic effect، ومش + +259 +00:20:41,890 --> 00:20:45,370 +هيستطيع يشوف بالرؤية الواضحة والمناسبة. لهذا + +260 +00:20:45,370 --> 00:20:48,430 +أنا هضطر أعمل horizontal decentralization عشان + +261 +00:20:48,430 --> 00:20:52,290 +أخلي ال optical center لل lens متطابق لل center of + +262 +00:20:52,290 --> 00:20:56,950 +view لل patient، عشان يشوف بأفضل رؤية ويكون مرتاح + +263 +00:20:56,950 --> 00:21:01,340 +بهذه النضارة اللي أنا حاططها. هان نبدأ في موضوعنا اليوم + +264 +00:21:01,340 --> 00:21:04,520 +اللي هو ال vertical centration a single vision + +265 +00:21:04,520 --> 00:21:08,180 +lens, so that the major reference point is centered + +266 +00:21:08,180 --> 00:21:12,000 +vertically halfway between the top and the bottom + +267 +00:21:12,000 --> 00:21:15,140 +of the frame. زي ما حكينا، موضوعنا اليوم كان بخص + +268 +00:21:15,140 --> 00:21:18,240 +single vision lens اللي هي بتحتوي على optical + +269 +00:21:18,240 --> 00:21:22,470 +center واحد. في حالة ال major reference point اللي + +270 +00:21:22,470 --> 00:21:26,110 +هي ال optical center ما كانتش مناسبة لل IPD لل + +271 +00:21:26,110 --> 00:21:29,330 +patient أو لل center of pupil لل patient، أنا هعمل + +272 +00:21:29,330 --> 00:21:34,950 +vertical centration اللي هي بتكون up أو down عن ال + +273 +00:21:34,950 --> 00:21:38,290 +major reference point. زي هذه الصورة اللي احنا + +274 +00:21:38,290 --> 00:21:42,850 +شايفينها، هي عند ال optical center لل frame أو لل + +275 +00:21:42,850 --> 00:21:47,010 +lens وهي عند ال center of pupil، فأنا هقرر أن أعمل + +276 +00:21:47,010 --> 00:21:50,840 +decentration up. بعد هيك، هعمل كمان مرة decentration + +277 +00:21:50,840 --> 00:21:54,840 +inward عشان أقدر أخلي ال optical center لل lens + +278 +00:21:54,840 --> 00:22:02,880 +متطابق لل center of pupil. Optical problems caused + +279 +00:22:02,880 --> 00:22:06,240 +by a vertical major reference point placement. The + +280 +00:22:06,240 --> 00:22:10,660 +amount needed to be above or below the vertical frame + +281 +00:22:10,660 --> 00:22:15,120 +center are so minimal with low powered lenses that + +282 +00:22:15,120 --> 00:22:20,320 +few wearers are ever bothered. تمام، عندي مشكلتين + +283 +00:22:20,320 --> 00:22:23,720 +ممكن أواجههم في حالة ال… أعمل vertical measure + +284 +00:22:23,720 --> 00:22:27,300 +reference point. عند الحالة الأولى، لما يكون عندي… + +285 +00:22:27,520 --> 00:22:30,880 +low refractive error، أو عندما أستخدم ال + +286 +00:22:30,880 --> 00:22:34,520 +traditional material. في حالة ال… هيطلب يكون عندي + +287 +00:22:34,520 --> 00:22:37,860 +low power. في هذه الحالة، ال vertical major + +288 +00:22:37,860 --> 00:22:41,100 +reference point هيكون قليل جداً، فمش هيأثر على ال + +289 +00:22:41,100 --> 00:22:44,660 +patient. هيكون تأثيرها قليل جداً أو بالكاد مش ملاحظ، + +290 +00:22:44,660 --> 00:22:48,460 +وال patient مش هيصير عنده أي ضيق أو أي تعب من ال + +291 +00:22:48,460 --> 00:22:51,560 +… من النضارة اللي هو هيكون لابسها. أما الحالة + +292 +00:22:51,560 --> 00:22:54,340 +الثانية اللي هي الحالة الأهم والحالة الأصعب، لما + +293 +00:22:54,340 --> 00:22:57,990 +يكون عندي high power أو لما أكون عندي… أو لما + +294 +00:22:57,990 --> 00:23:01,730 +أستخدم different material. في هذه الحالة، ال vertical + +295 +00:23:01,730 --> 00:23:03,730 +major reference point، أو بشكل عام ال major + +296 +00:23:03,730 --> 00:23:07,110 +reference point، كتير مهمة أنها تكون في ال center + +297 +00:23:07,110 --> 00:23:11,990 +بشكل دقيق، لأنه في حالة ال high powered، هيكون… + +298 +00:23:11,990 --> 00:23:15,590 +هيكون في عندي prismatic effect عالي جداً، فهيكون + +299 +00:23:15,590 --> 00:23:18,090 +عندي تأثير كبير جداً على ال patient. فأنا عشان + +300 +00:23:18,090 --> 00:23:22,810 +أتجنب هذه الحالة، لازم أعمل vertical أو horizontal + +301 +00:23:22,810 --> 00:23:25,730 +decentration، يعني أخلي ال optical center لل lens + +302 +00:23:25,730 --> 00:23:29,710 +متطابق لل center of pupil عشان أجنب هاي الحالة، لأن + +303 +00:23:29,710 --> 00:23:32,990 +هاي الحالة تأثيرها بيكون كبير جداً، أو نفس ال issue + +304 +00:23:32,990 --> 00:23:36,630 +لما يكون عندي… لما يكون عندي anisometropia، اللي + +305 +00:23:36,630 --> 00:23:39,510 +هي ال difference between refractive error in both + +306 +00:23:39,510 --> 00:23:43,130 +eyes. في هاي الحالة برضه ال decentralization بيكون + +307 +00:23:43,130 --> 00:23:45,850 +كتير مهم لل patient عشان أجنب ال prismatic + +308 +00:23:45,850 --> 00:23:50,070 +effect اللي ممكن يواجهه. تمام. + +309 +00:23:50,580 --> 00:23:53,860 +نيجي نشوف هذه الصورة، عندي مصطلح جديد هيمر علينا + +310 +00:23:53,860 --> 00:23:58,620 +اللي هو ال major reference point height. هاي عندي ال… + +311 +00:23:58,620 --> 00:24:01,680 +… نيجي نأخذ تعريفه، اللي هو distance from the lower + +312 +00:24:01,680 --> 00:24:07,150 +line of the box including the shape of the lens up + +313 +00:24:07,150 --> 00:24:10,470 +to the major reference point location. هنيجي نشوفه + +314 +00:24:10,470 --> 00:24:14,730 +على الشكل. هي عندي، حكينا ال distance، المسافة بين ال + +315 +00:24:14,730 --> 00:24:18,490 +lower line في ال boxing system مع ال point of the + +316 +00:24:18,490 --> 00:24:21,450 +top of the major reference point location. يعني + +317 +00:24:21,450 --> 00:24:29,220 +المسافة بين الخط السفلي في نظام ال boxing system مع + +318 +00:24:29,220 --> 00:24:32,220 +النقطة اللي هتكون top ال major reference point. هذه + +319 +00:24:32,220 --> 00:24:35,640 +المسافة بسميها ال major reference point height، + +320 +00:24:35,640 --> 00:24:39,800 +أو لها مصطلحات أخرى ممكن أحكي عنها، ال major + +321 +00:24:39,800 --> 00:24:43,980 +reference point rise أو ال drop، وزي ما احنا + +322 +00:24:43,980 --> 00:24:46,600 +شايفينها. أنا أخذنا في نظام ال boxing system عندي + +323 +00:24:46,600 --> 00:24:51,570 +ال decks عبارة عن ال B dimension. افعال هيهمنانجيب + +324 +00:24:51,570 --> 00:24:55,890 +ال B على 2، اللي هي نصف المسافة، اللي هي تقريباً هو + +325 +00:24:55,890 --> 00:24:57,970 +هيكون ال horizontal line زي ما أخذنا احنا في ال + +326 +00:24:57,970 --> 00:25:01,490 +marking اللي كنا نرسمه، اللي هو عبارة عن بيمثل + +327 +00:25:01,490 --> 00:25:05,570 +ال B على 2. هنا في حالة لما تكون ال major reference + +328 +00:25:05,570 --> 00:25:10,350 +point height أكبر من قيمة ال B على 2، هتكون ال + +329 +00:25:10,350 --> 00:25:15,170 +centration up، لأنه هتكون القيمة أكبر. هنا نجي + +330 +00:25:15,170 --> 00:25:19,300 +نشوف هلأ بالقانون والمثال. عندي القانون بيحكي لل + +331 +00:25:19,300 --> 00:25:22,480 +vertical decentration بيساوي ال major reference + +332 +00:25:22,480 --> 00:25:27,620 +point height ناقص ال B على 2. زي ما شفنا، تنتجنا + +333 +00:25:27,620 --> 00:25:30,500 +لما تكون قيمة ال major reference point height + +334 +00:25:30,500 --> 00:25:34,360 +أكبر من قيمة ال B على 2، فهتكون الناتج في ال plus، + +335 +00:25:34,360 --> 00:25:37,860 +يعني ال decentration هتكون up. أما في حال لو كانت + +336 +00:25:37,860 --> 00:25:41,280 +ال measure… وهي قريبة، هذه الحالة… أكثر. أما لو + +337 +00:25:41,280 --> 00:25:44,600 +كان ال major reference point height أقل من قيمة ال B على + +338 +00:25:44,600 --> 00:25:47,840 +2، هتكون القيمة بال minus، فهيكون ال centration + +339 +00:25:47,840 --> 00:25:52,700 +down. نيجي نأخذ example، نطبق ونحله، ونشوف + +340 +00:25:54,490 --> 00:25:57,910 +An order specified a major reference point height + +341 +00:25:57,910 --> 00:26:02,650 +of 30 mm. The frame has a vertical dimension B of + +342 +00:26:02,650 --> 00:26:07,530 +54 mm. What will the major reference point rise be? + +343 +00:26:07,530 --> 00:26:11,550 +تمام، هنتطبق مباشر على القانون. أعطاني قيمة ال major + +344 +00:26:11,550 --> 00:26:17,170 +reference point height، أعطاني قيمة ال B + +345 +00:26:17,170 --> 00:26:21,550 +dimension، وبده ال vertical decentration. تمام، + +346 +00:26:21,550 --> 00:26:23,250 +هنكتب ال vertical decentration… + +347 +00:26:29,000 --> 00:26:34,540 +تمام، نكتب القانون. عندي major reference point height + +348 +00:26:34,540 --> 00:26:38,780 +ناقص + +349 +00:26:38,780 --> 00:26:44,360 +ال B على 2. نيجي نطبق. عطيني قيمة ال major reference + +350 +00:26:44,360 --> 00:26:51,340 +point 30، ناقص قيمة ال B، عطيني إياها 54، بس أنا بدي نص + +351 +00:26:51,340 --> 00:26:58,180 +المسافة، فهقسمها على 2. أربعة وخمسين على اثنين، تمام، + +352 +00:26:58,720 --> 00:27:06,580 +ثلاثين ناقص هذه القيمة، هتعطيني سبعة وعشرين. فهتكون + +353 +00:27:06,580 --> 00:27:11,160 +القيمة تقريباً ثلاثة ملي متر. نيجي نلاحظ هان، طلعت + +354 +00:27:11,160 --> 00:27:14,600 +القيمة plus، فلازم أطلع كمان، ال centration up ولا + +355 +00:27:14,600 --> 00:27:17,840 +down؟ نيجي، هنلاحظ قيمة ال major reference point + +356 +00:27:17,840 --> 00:27:23,300 +ثلاثين، قيمة ال B على اثنين، سبعة وعشرين. فقيمة ال + +357 +00:27:23,300 --> 00:27:26,040 +major reference point أعلى، فهتكون ال centration + +358 +00:27:26,040 --> 00:27:26,560 +up. + +359 +00:27:31,270 --> 00:27:36,710 +هي بيكون أنا طلعت القيمة، تمام. + +360 +00:27:36,710 --> 00:27:49,370 +ناخذ example جديد، فكرة ثانية. عطيني + +361 +00:27:49,370 --> 00:27:54,390 +ال A dimension 54 millimeter، ال B dimension 32 + +362 +00:27:54,390 --> 00:27:58,190 +millimeter، distance between lenses اللي هي 20 + +363 +00:27:58,190 --> 00:28:04,340 +millimeter، ال major reference point height 18 mm، و + +364 +00:28:04,340 --> 00:28:09,140 +ال IPD 62 mm. طالب مني ال center the lens. هان مش + +365 +00:28:09,140 --> 00:28:12,320 +محدد، سواء بده ال vertical أو ال horizontal ال + +366 +00:28:12,320 --> 00:28:15,660 +centration. حكالي بس بده ال center، فهيك أنا هجيب + +367 +00:28:15,660 --> 00:28:18,760 +ال horizontal وهجيب ال vertical، عشان أعرف موقع ال + +368 +00:28:18,760 --> 00:28:23,320 +center بالضبط والمكان. قبل ما نبلش، عطيني + +369 +00:28:23,320 --> 00:28:25,600 +ال A dimension، و أعطيني ال distance between ال + +370 +00:28:25,600 --> 00:28:28,760 +lenses اللي هو ال bridge. أول حاجة، هجيب ال frame PD + +371 +00:28:28,760 --> 00:28:32,520 +لأنه تلقائي هيلزم دي في الحل. حكى لي ال frame BD + +372 +00:28:32,520 --> 00:28:35,940 +قيمته + +373 +00:28:35,940 --> 00:28:42,200 +ال A dimension زائد قيمة ال bridge، طبعاً + +374 +00:28:42,200 --> 00:28:47,940 +ال A dimension عطيني إياها 54، قيمة ال bridge عطيني إياها ال + +375 +00:28:47,940 --> 00:28:55,560 +distance between lenses 20، فهيكون الناتج 74 mm. + +376 +00:28:55,560 --> 00:29:00,110 +طبعاً هاي طلعت القيمة، وهبدأ ألاقي حل، لأنها هتُلزم + +377 +00:29:00,110 --> 00:29:02,730 +نتلقاه في الحل. نيجي نجيب هلاقي ال horizontal + +378 +00:29:02,730 --> 00:29:12,210 +decentration زي + +379 +00:29:12,210 --> 00:29:14,990 +ما شرحت قبل. أخذنا قانون ال horizontal + +380 +00:29:14,990 --> 00:29:20,430 +decentration، حكينا اللي هو قيمة ال frame BD ناقص + +381 +00:29:20,430 --> 00:29:23,730 +قيمة ال IBD على 2. + +382 +00:29:29,680 --> 00:29:35,180 +قيمة ال frame PD أنا طلعتها 74، قيمة + +383 +00:29:35,180 --> 00:29:45,040 +ال IPD عطيني إياها بالسؤال 62، على 2، هيعطيني + +384 +00:29:45,040 --> 00:29:50,440 +النتيجة 12. على 2 يساوي 6 ملي متر. هيك أنا طلعت + +385 +00:29:50,440 --> 00:29:53,940 +القيمة. أضطر أطلع عندي horizontal، سواء كان inward + +386 +00:29:53,940 --> 00:29:59,610 +ولا outward. نيجي، حكى أن عندي قانون بيحكي أنه لما + +387 +00:29:59,610 --> 00:30:03,930 +تكون قيمة ال frame BD أكبر من قيمة ال IBD، تلقائياً ال + +388 +00:30:03,930 --> 00:30:07,150 +decentralization هيكون inward. أما في حال العكس، لو + +389 +00:30:07,150 --> 00:30:11,010 +كانت قيمة ال frame BD أقل من قيمة ال IBD، ال + +390 +00:30:11,010 --> 00:30:13,810 +decentralization هيكون outward. بالمثال اللي هنا + +391 +00:30:13,810 --> 00:30:17,670 +عندي مين؟ عندي قيمة الأكبر، ال frame BD أكبر من قيمة + +392 +00:30:17,670 --> 00:30:20,670 +ال IBD، تلقائياً ال decentralization منه هيكون inward. + +393 +00:30:20,670 --> 00:30:21,110 +تمام. + +394 +00:30:27,340 --> 00:30:30,900 +طبعاً، نيجي نطلع هلقيت ال vertical decentration + +395 +00:30:30,900 --> 00:30:39,840 +قانون + +396 +00:30:39,840 --> 00:30:42,980 +ال vertical decentration هو، أخذنا وحكينا، ال major + +397 +00:30:42,980 --> 00:30:49,100 +reference point height ناقص + +398 +00:30:49,100 --> 00:30:49,960 +ال B على 2. + +399 +00:30:54,210 --> 00:30:57,310 +major reference point height، بالسؤال قد ايش؟ عطيني إياها 18، + +400 +00:30:57,310 --> 00:31:00,770 +ناقص + +401 +00:31:00,770 --> 00:31:09,750 +ال B dimension، عطيني إياها 32، هقسمها على 2 طبعاً، + +402 +00:31:09,750 --> 00:3 + +445 +00:34:49,200 --> 00:34:53,280 +فيكم على الـ presentation يعني حقيقة كان رائع جداً + +446 +00:34:54,820 --> 00:34:59,080 +وَأعطيتونا معلومات كثيرة مهمة، وأعتقد يعني الجميع + +447 +00:34:59,080 --> 00:35:04,320 +ستستفيد منها، وعملتوا حالة من الـ refreshment، و + +448 +00:35:04,320 --> 00:35:07,820 +بالإضافة لحالة من الـ competition بينكم وبين الـ + +449 +00:35:07,820 --> 00:35:14,140 +group الأول، ولا شو عايزكم، الـ group الأول تمام، ف + +450 +00:35:14,140 --> 00:35:19,140 +.. فنفتح إن شاء الله باب الأسئلة، الـ questions لأي + +451 +00:35:19,140 --> 00:35:24,730 +مهاردة، حدّ بيتسأل يطلع مهاردة، تمام. بعد ذلك أنا في + +452 +00:35:24,730 --> 00:35:34,630 +عندي بعض الاستفسارات، فضلاً، جماعة، فضلاً فضلاً فضلاً + +453 +00:35:34,630 --> 00:35:44,270 +فضلاً فضلاً فضلاً فضلاً فضلاً فضلاً فضلاً فضلاً فضلاً فضلاً + +454 +00:35:51,760 --> 00:35:56,480 +إحنا أخذنا من قبل في الـ .. الـ geometric أنه الـ .. + +455 +00:35:56,480 --> 00:36:02,440 +الـ horizontal بيحمل تقريباً، يعني بيتحمل حدود من + +456 +00:36:02,440 --> 00:36:06,040 +عشرين لخمسة وعشرين تقريباً، أما الـ vertical بيتحمل + +457 +00:36:06,040 --> 00:36:10,210 +تقريباً من ثلاثة لأربعة، من اثنين لأربعة تقريباً يعني + +458 +00:36:10,210 --> 00:36:12,970 +في هذا الـ range، فعشان هيك الـ horizontal بتحمل أكثر + +459 +00:36:12,970 --> 00:36:15,950 +من الـ vertical، فهيكون تأثير الـ vertical أعلى على + +460 +00:36:15,950 --> 00:36:18,030 +الـ patient من الـ horizontal، والدليل على هذا + +461 +00:36:18,030 --> 00:36:21,870 +الموضوع أنه في موضوع الـ taxation test لما تعمل فحص + +462 +00:36:21,870 --> 00:36:25,850 +الـ visual acuity تاخده في الـ attraction، أن إحنا + +463 +00:36:25,850 --> 00:36:31,710 +بنختار الـ prism، team top 15-16 prism، ده يبقى طبعاً + +464 +00:36:31,710 --> 00:36:37,200 +base up أو base down حسب اللي هو الهدف منه، + +465 +00:36:37,200 --> 00:36:42,260 +أنه إحنا نعمل يعني إلغاء لكل الـ vertical imbalance + +466 +00:36:42,260 --> 00:36:49,560 +بتاعة العين حتى تعمل suppression، كام، خلوني + +467 +00:36:49,560 --> 00:36:52,700 +أدوّنك عن الـ suppression، كان أن الـ IBP يجب أن ينقص + +468 +00:36:52,700 --> 00:36:58,900 +الـ IBP على اثنين، ليه قُسِمَت على اثنين؟ ولما قسمتوا + +469 +00:36:58,900 --> 00:36:59,860 +كل الـ ورع على اثنين؟ + +470 +00:37:03,630 --> 00:37:07,830 +السؤال اللي لما رسمتي، سماية، اه اه، لما حكيت ستة + +471 +00:37:07,830 --> 00:37:11,570 +millimeter، ولما رسمتيها حكيت ثلاثة، مبدلش من الأول + +472 +00:37:11,570 --> 00:37:22,370 +بس تبقى ثلاثة، بالقانون نفسه كانت تبقى ثلاثة + +473 +00:37:22,370 --> 00:37:23,290 +بالقانون نفسه كانت تبقى + +474 +00:37:34,570 --> 00:37:38,550 +الشغل، لما اشتغلوا العلماء من قبل، اتوصلوا لقانون + +475 +00:37:38,550 --> 00:37:41,630 +واحد، وإحنا أخذنا واحد الأساس، فأخذنا واحد + +476 +00:37:41,630 --> 00:37:42,110 +الأساس + +477 +00:37:44,940 --> 00:37:49,980 +الـ bus، هذه الـ bus هي قُسِمَت بالقادة على اثنين عشان + +478 +00:37:49,980 --> 00:37:51,800 +تعمل الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ + +479 +00:37:51,800 --> 00:37:52,880 +.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. + +480 +00:37:52,880 --> 00:37:53,320 +الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ + +481 +00:37:53,320 --> 00:37:54,040 +.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ + +482 +00:37:54,040 --> 00:37:55,180 +.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ + +483 +00:37:55,180 --> 00:37:56,340 +.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ + +484 +00:37:56,340 --> 00:37:58,560 +.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ + +485 +00:37:58,560 --> 00:38:00,280 +.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ + +486 +00:38:00,280 --> 00:38:00,300 +الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ + +487 +00:38:00,300 --> 00:38:00,360 +.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. + +488 +00:38:00,360 --> 00:38:05,620 +.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. + +489 +00:38:11,810 --> 00:38:14,630 +أي حد عنده سؤال أو استفسار؟ طبعاً بالنسبة + +490 +00:38:14,630 --> 00:38:18,410 +للإستنتاج وتغيراتي، الكتاب اللي هو الـ essential of + +491 +00:38:18,410 --> 00:38:21,950 +planning and research موجودة تماماً، تفتحيه بقى و + +492 +00:38:21,950 --> 00:38:30,790 +بتشوفيه، هي أي سؤال آخر؟ طيب أنا في عندي سؤال، رزاقاً + +493 +00:38:30,790 --> 00:38:34,550 +بس راجع على السؤال اللي كان في الـ frame دي، إيه 79 + +494 +00:38:34,550 --> 00:38:40,170 +و الـ ID دي 62، أكراً؟ + +495 +00:38:40,170 --> 00:38:41,070 +إيه أكراً؟ + +496 +00:38:55,380 --> 00:38:58,380 +بالنسبة للمجموعة الأولى اللي قدموا، إيش رأيكم في + +497 +00:38:58,380 --> 00:38:58,780 +السؤال؟ + +498 +00:39:11,720 --> 00:39:16,740 +هي تجيبين الـ uncut depth، صح؟ لأن أنتِ قلتي لكل عين + +499 +00:39:16,740 --> 00:39:20,640 +أربعة ونصف ملي متر، شفتي خطر العدسة؟ + +500 +00:39:22,850 --> 00:39:27,770 +أربعة ونصف، عشان كبيرة يعني + +501 +00:39:27,770 --> 00:39:31,710 +بمعنى، لو إحنا عملنا simulation أو محاكاة + +502 +00:39:31,710 --> 00:39:38,070 +العدسة، هيكون الأمر غير مناسب أو غير مجدٍ، وهذا + +503 +00:39:38,070 --> 00:39:42,070 +إحنا دائماً بنعانيها، أنه بتلاقي مريض عنده الـ frame + +504 +00:39:42,070 --> 00:39:48,750 +PD مثلاً، أو عفواً الـ IBD 60، ولاابس إطار، الـ frame PD + +505 +00:39:48,750 --> 00:39:54,510 +فيه مثلاً 70، فبتناجح عدسة واجعة، بتناجح أنه النظارة + +506 +00:39:54,510 --> 00:39:59,250 +طالعة من الـ base بتاعه، هذه النقطة لازم إحنا نكون + +507 +00:39:59,250 --> 00:40:03,630 +متبنين لها، فقضيت إن أنا أكون قاعد في المركز و + +508 +00:40:03,630 --> 00:40:07,630 +يديني أحد الـ patient ويقول لي أنا بدي أختار إطار بـ + +509 +00:40:07,630 --> 00:40:12,630 +criteria معينة، أو يكون مناسب للـ base بتاعي، فأنا + +510 +00:40:12,630 --> 00:40:17,130 +بدي أختار الإطار بناءً على مين؟ على الـ IBD الخاص بهذا + +511 +00:40:17,130 --> 00:40:17,910 +المريض + +512 +00:40:32,740 --> 00:40:37,700 +طبعاً بنشكر زميلاتكم على هذا العرض الرائع، و + +513 +00:40:37,700 --> 00:40:42,630 +المحاضرة المثمرة، وإن شاء الله ننتظر الأسبوع القادم + +514 +00:40:42,630 --> 00:40:46,990 +مع مجموعتين أو مجموعة جديدة، إن شاء الله، لكي + +515 +00:40:46,990 --> 00:40:50,750 +يستمر عرض الـ oral presentation، إن شاء الله + +516 +00:40:50,750 --> 00:40:51,830 +يعطيكم العافية diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/h6NcAPX9rCo_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/h6NcAPX9rCo_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..d05297919f56b5d60f937d5e15aea1b908978681 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/h6NcAPX9rCo_postprocess.srt @@ -0,0 +1,2064 @@ +1 +00:00:21,240 --> 00:00:23,720 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,720 --> 00:00:25,040 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +3 +00:00:25,040 --> 00:00:26,240 +الله ورحمة الله ورحمة الله ورحمة الله ورحمة الله + +4 +00:00:26,240 --> 00:00:26,640 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +5 +00:00:26,640 --> 00:00:29,100 +الله ورحمة الله ورحمة الله ورحمة الله ورحمة الله + +6 +00:00:29,100 --> 00:00:33,740 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +7 +00:00:33,740 --> 00:00:37,500 +الله ورحمة الله ورحمة الله ورحمة الله ورحمة الله + +8 +00:00:37,500 --> 00:00:39,680 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +9 +00:00:39,680 --> 00:00:46,100 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +10 +00:00:46,100 --> 00:00:52,910 +الله ولأي اقتراح ممكن أنه يتم عرضه بسم الله الرحمن + +11 +00:00:52,910 --> 00:00:56,550 +الرحيم معاكم lama البرقوني اليوم سنتحدث عن موقع + +12 +00:00:56,550 --> 00:01:01,470 +الوصفة و الوصفة الواضحة الواضحة + +13 +00:01:01,470 --> 00:01:02,530 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +14 +00:01:02,530 --> 00:01:02,850 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +15 +00:01:02,850 --> 00:01:02,970 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +16 +00:01:02,970 --> 00:01:04,070 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +17 +00:01:04,070 --> 00:01:09,430 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +18 +00:01:09,430 --> 00:01:13,850 +الواضحة الواضحو ال first area هي ال lens power by + +19 +00:01:13,850 --> 00:01:17,350 +a process called lens surfacing تحديط قوة العدسة + +20 +00:01:17,350 --> 00:01:20,830 +بتم إجراءها من مكان تسطيح العدسة and the facility + +21 +00:01:20,830 --> 00:01:22,790 +that does it is referred to as a surfacing + +22 +00:01:22,790 --> 00:01:25,910 +laboratory و المكان اللي بتم فيه وضع قوة العدسة في + +23 +00:01:25,910 --> 00:01:29,750 +سطحها بنسميه surfacing laboratory ال second area + +24 +00:01:29,750 --> 00:01:34,370 +correctly powered lens بناخد قد قوة العدسة الصحيحة + +25 +00:01:34,370 --> 00:01:38,310 +و بنعمل عملية أصلؤلها و هي بتندرج تحت العدسات ال + +26 +00:01:38,310 --> 00:01:44,830 +uncut و okaythis is done by optically positioning + +27 +00:01:44,830 --> 00:01:49,170 +the lens and grinding the edges يعني أول اش عملنا + +28 +00:01:49,170 --> 00:01:52,950 +تعليم للعدسة و بعدين عملنا عملية قص و طبعا لازم + +29 +00:01:52,950 --> 00:01:56,330 +عملية القص حسب الإطار اللي اختاره المريض و هاي + +30 +00:01:56,330 --> 00:02:00,870 +بتكون شغل لل opticians a finishing laboratory is + +31 +00:02:00,870 --> 00:02:05,490 +also referred to as an edging laboratoryالان راح + +32 +00:02:05,490 --> 00:02:09,470 +نحكي على ال lens marking و خصيصا لعدسات ال single + +33 +00:02:09,470 --> 00:02:12,670 +vision اول اشي ال optical center of the lens and + +34 +00:02:12,670 --> 00:02:15,130 +the lens meter يعني بدنا نحاول انه نعمل + +35 +00:02:15,130 --> 00:02:18,290 +concentration للعدسة في ال lens meter و بعدين the + +36 +00:02:18,290 --> 00:02:20,870 +marking device is then swung into position and the + +37 +00:02:20,870 --> 00:02:22,770 +front surface of the lens is pointed to indicate + +38 +00:02:22,770 --> 00:02:27,630 +the optical center of the lens يعني بدنا نعلم + +39 +00:02:27,630 --> 00:02:31,630 +العدسة طبعا في ال front surface لإلها و راح يطلع + +40 +00:02:31,630 --> 00:02:33,690 +لنا three spots زي ما هو موجود هان + +41 +00:02:37,140 --> 00:02:39,680 +و .. و الـ spherical cylindrical lenses the + +42 +00:02:39,680 --> 00:02:42,160 +marking should be according to the axis specified + +43 +00:02:42,160 --> 00:02:44,660 +in the prescription يعني في عدسات ال spherical + +44 +00:02:44,660 --> 00:02:48,160 +cylinder ال marking لازم يكون حسب ال axis اللي + +45 +00:02:48,160 --> 00:02:52,620 +موجود بالوصفة بتاعة المريضthe letter R or L in + +46 +00:02:52,620 --> 00:02:55,340 +uppercase letters is written in the upper half of + +47 +00:02:55,340 --> 00:02:59,020 +the lens above the free spots طبعا الأحرف ال R و + +48 +00:02:59,020 --> 00:03:02,440 +ال L هم عبارة عن افتصارات ال R لل right و L لل + +49 +00:03:02,440 --> 00:03:07,620 +left و لازم نكتبهم في الجزء أو النصف العلوي للعدسة + +50 +00:03:07,620 --> 00:03:13,720 +زي + +51 +00:03:13,720 --> 00:03:17,700 +ما هو موجود هنا هلأ النقطة اللي في المنتصف هي ال + +52 +00:03:17,700 --> 00:03:21,950 +optical centerالنقطتين اللي على الأطراف هم ال + +53 +00:03:21,950 --> 00:03:26,030 +reference point لما نيجي بدنا نعلم هاي عدسة معمولة + +54 +00:03:26,030 --> 00:03:38,270 +اللي هي marking بس + +55 +00:03:38,270 --> 00:03:42,390 +انه يعني بمعنى انه بدنا نعمل ال diamond لازم السهم + +56 +00:03:42,390 --> 00:03:45,550 +يكون باتجاه ال laws يعني مثلا اذا كانت right راح + +57 +00:03:45,550 --> 00:03:50,130 +نفتر هيك و رح يكون الاتجاهعند ال laws هاي طبعا + +58 +00:03:50,130 --> 00:03:58,050 +untapped lens و هاي كانت هي كتير مضحكت فيها و + +59 +00:03:58,050 --> 00:04:02,690 +and now she will explain ال optical center معاكم + +60 +00:04:02,690 --> 00:04:04,970 +الطالبة Sarah Abou Kambas نشرح اليوم عن ال optical + +61 +00:04:04,970 --> 00:04:08,550 +center of the lens therefore it is known as the + +62 +00:04:08,550 --> 00:04:12,010 +major reference point or MRP يعني هي اللي موجودة + +63 +00:04:12,010 --> 00:04:16,020 +في ال optical centerمن هنا نطلق عليها ممكن ال + +64 +00:04:16,020 --> 00:04:22,900 +major reference point هي بتحدد بتعمل تتلاشق major + +65 +00:04:22,900 --> 00:04:27,060 +reference point هي بتعمل استقامة لعدسة بال center + +66 +00:04:27,060 --> 00:04:30,860 +pupil of the lens ال pupil center of the lens + +67 +00:04:30,860 --> 00:04:34,740 +للمريد so when there is no prism in the + +68 +00:04:34,740 --> 00:04:38,060 +prescription the optical center is the major + +69 +00:04:38,060 --> 00:04:40,500 +result of the responseو هاي النقطة بتلاعش اي + +70 +00:04:40,500 --> 00:04:43,580 +prismatic effect و ممكن يحدث لأن بال high + +71 +00:04:43,580 --> 00:04:47,620 +refractive error و ال anisometrabia لازم نكون + +72 +00:04:47,620 --> 00:04:51,880 +دقيقين في تحديد ال optical center لإنه بيكون ال + +73 +00:04:51,880 --> 00:04:54,060 +prismatic effect عالي في هاي اللحظة + +74 +00:05:03,310 --> 00:05:10,470 +الشعاع الموجود في الوضع الوضع الوضع + +75 +00:05:10,470 --> 00:05:16,990 +الوضع + +76 +00:05:16,990 --> 00:05:20,290 +الوضع + +77 +00:05:20,290 --> 00:05:21,550 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +78 +00:05:21,550 --> 00:05:21,810 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +79 +00:05:21,810 --> 00:05:21,830 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +80 +00:05:21,830 --> 00:05:24,790 +الوضعلازم يكون ال optical center مقابل ال center + +81 +00:05:24,790 --> 00:05:30,370 +equilibrium للمريض عشان يحظر .. يحظر أفضل رؤية من + +82 +00:05:30,370 --> 00:05:34,910 +خلاله the patient PD and the optical center head + +83 +00:05:34,910 --> 00:05:38,210 +will determine the placement of a lens within the + +84 +00:05:38,210 --> 00:05:42,410 +frame يعني لازم يبقى قيمة frame PD للإطار وقيمة + +85 +00:05:42,410 --> 00:05:47,670 +IBD للpatient عشان في حال كان في ضوافق بينهمهيكون + +86 +00:05:47,670 --> 00:05:53,190 +يعني التوافق بينهم هيكون عندى اي لا يكون .. + +87 +00:05:53,190 --> 00:05:55,630 +مايكونش فيه عنده اي prismatic effect و لما يكون .. + +88 +00:05:55,630 --> 00:05:58,070 +لما يكون في .. مافيش توافق بينهم لازم نعمل ال + +89 +00:05:58,070 --> 00:06:00,710 +decentration للعدسة عشان نتلاشى ال prismatic + +90 +00:06:00,710 --> 00:06:04,330 +effect هي + +91 +00:06:04,330 --> 00:06:07,630 +عندنا بال .. ال center of pupil للمريض مع ال + +92 +00:06:07,630 --> 00:06:11,580 +optical center لل patient .. لل lensالـ optical + +93 +00:06:11,580 --> 00:06:14,280 +center للـ lens و الـ center of pupil للمريضة اللي + +94 +00:06:14,280 --> 00:06:17,780 +يكونوا متطابقين على بعض عشان مايحدث اي بزمة في ال + +95 +00:06:17,780 --> 00:06:22,100 +effect و + +96 +00:06:22,100 --> 00:06:27,100 +هنا هنا ال boxing system هو ال .. هو النظام ال + +97 +00:06:27,100 --> 00:06:32,640 +update لل datum system نفس الشيء عندنا ال .. ال .. + +98 +00:06:32,640 --> 00:06:35,420 +ال center between pupil ال between distance + +99 +00:06:35,420 --> 00:06:39,640 +between center of pupil هي ال frame BDوعندنا هنا + +100 +00:06:39,640 --> 00:06:44,000 +ال a dimension او ال lens size او I size وعندنا + +101 +00:06:44,000 --> 00:06:49,560 +هنا ال largest distance between lenses اللي هي ال + +102 +00:06:49,560 --> 00:06:53,320 +bridge ال bridge size ممكن نجيب ال frame BD برضه + +103 +00:06:53,320 --> 00:06:58,900 +في طريقة تانية اللي هي ال A dimension زي ال bridge + +104 +00:06:58,900 --> 00:07:04,400 +size نفسها + +105 +00:07:04,400 --> 00:07:14,080 +ال frame BDو what we continue with Razan is lens + +106 +00:07:14,080 --> 00:07:19,200 +oscillation هذه + +107 +00:07:19,200 --> 00:07:23,340 +الصورة بتبيني أنه لازم ال ال pupil center بنتبق + +108 +00:07:23,340 --> 00:07:26,480 +يعني يصير عنده تطابق بين ال pupil center مع ال + +109 +00:07:26,480 --> 00:07:29,020 +optical center للعدسة + +110 +00:07:36,730 --> 00:07:45,950 +سلامة هنشوف فيديو هاي + +111 +00:07:45,950 --> 00:07:48,490 +الفيديو بعمله decentralization لكن هنا + +112 +00:07:48,490 --> 00:07:51,650 +decentralization موضوع ال slides اللى هشتغل فيها + +113 +00:07:51,650 --> 00:07:54,350 +انه ال decentralization هيكون عندى horizontal and + +114 +00:07:54,350 --> 00:07:56,650 +vertical decentralization أحيانا بيصير ال + +115 +00:07:56,650 --> 00:08:00,650 +decentralization لإنه عند ال optician المريض اختار + +116 +00:08:00,650 --> 00:08:05,290 +إطارتمام عند هذا الإطار مابعملش ماعنديش تناسب بين + +117 +00:08:05,290 --> 00:08:09,630 +ال IBD للإطار مع ال frame BD فبالتالي هيصير عنده a + +118 +00:08:09,630 --> 00:08:12,450 +prismatic effect لازم ال optional يعمل + +119 +00:08:12,450 --> 00:08:17,690 +decentralization لل .. للعدسة عشان يعمل انطباق لل + +120 +00:08:17,690 --> 00:08:21,170 +pupil center مع ال optical center لل frame + +121 +00:08:23,080 --> 00:08:25,880 +centration of the single vision lens هي العمل كله + +122 +00:08:25,880 --> 00:08:28,680 +على single vision lens هي عبارة single vision lens + +123 +00:08:28,680 --> 00:08:32,960 +عدسات اللي لها optical center واحد و one focal + +124 +00:08:32,960 --> 00:08:36,620 +point و باللي هنا four and the major reference + +125 +00:08:36,620 --> 00:08:40,220 +point of the lens to be centered before the wearer + +126 +00:08:40,220 --> 00:08:45,330 +pupilالصورة يجب أن تتحرك او تتحرك بعيدا من مركز + +127 +00:08:45,330 --> 00:08:49,770 +التجارب للصورة عملية الإزاحة والتجارب تتم بناء على + +128 +00:08:49,770 --> 00:08:54,050 +نظام الـ boxing system اللي معمول فيه حاليا تمام + +129 +00:08:54,050 --> 00:08:57,370 +بحيث ينطبق أن ال optical center للعدسة مع ال pupil + +130 +00:08:57,370 --> 00:09:02,070 +center بقول لـ for frames that comfort the boxing + +131 +00:09:02,070 --> 00:09:04,770 +system of the measurement the distance between + +132 +00:09:04,770 --> 00:09:11,790 +center DBC and the equal to the eye sizedimension + +133 +00:09:11,790 --> 00:09:15,590 +plus the distance between lens bridge انه ال + +134 +00:09:15,590 --> 00:09:18,730 +formula بيقول انه distance between lens ساوى انه + +135 +00:09:18,730 --> 00:09:21,250 +ال a زاد ال distance between lens اللي هي ال + +136 +00:09:21,250 --> 00:09:25,430 +bridge size most commonly the wearers bd will pay + +137 +00:09:25,430 --> 00:09:30,720 +lens thandistance between center في معظم الحلقات + +138 +00:09:30,720 --> 00:09:33,840 +لازم يكون عندي ال IBD أقل من ال distance between + +139 +00:09:33,840 --> 00:09:38,160 +center this will regular that lenses فيه + +140 +00:09:38,160 --> 00:09:41,420 +decentralization inward nasal toward the center of + +141 +00:09:41,420 --> 00:09:45,380 +the frame تمام بناء انه بناء على انه ال IBD أقل من + +142 +00:09:45,380 --> 00:09:47,960 +ال distance between center هتكون دايما ال + +143 +00:09:47,960 --> 00:09:50,860 +decentralization inward nasal هنا horizontal + +144 +00:09:50,860 --> 00:09:55,230 +decentralizationFormula بتقول ان ال distance + +145 +00:09:55,230 --> 00:09:58,750 +between centers ناقص ال wearer BYD على اتنين تدين + +146 +00:09:58,750 --> 00:10:02,590 +ال decentration للbear lengths اللي هي ال frame BD + +147 +00:10:02,590 --> 00:10:05,510 +ناقص ال IBD على اتنين طبعا لازم يكون عندى + +148 +00:10:05,510 --> 00:10:12,810 +symmetrical لل face في ال patient example بيقول ان + +149 +00:10:12,810 --> 00:10:22,540 +ال wearers BD ستين يعني عند ال IBD ستين ملي مترthe + +150 +00:10:22,540 --> 00:10:28,400 +firm size has in the dimensions 46A اللي هي eye + +151 +00:10:28,400 --> 00:10:37,000 +size أقارع 64mm and the + +152 +00:10:37,000 --> 00:10:40,160 +distance between lens اللي هي ال bridge size 18 + +153 +00:10:40,160 --> 00:10:47,940 +distance between lens 18mm what is the + +154 +00:10:47,940 --> 00:10:50,620 +decentralization للبير لينز ريجوريت بدي أعمل + +155 +00:10:50,620 --> 00:11:00,870 +decentralizationبنا عند ال D سنة عشر تسعة بنا اللي + +156 +00:11:00,870 --> 00:11:12,450 +هي ال frame frame PD ناقص ال IPD على 2 ال frame PD + +157 +00:11:12,450 --> 00:11:15,170 +او ال distance between center هي عبارة عن ال A + +158 +00:11:15,170 --> 00:11:21,470 +زائد distance between lens اللي هي 18 زي 46 + +159 +00:11:24,230 --> 00:11:31,450 +حطت تيني اربعة و ستين اربع و ستين ناقص ستين على + +160 +00:11:31,450 --> 00:11:35,450 +اتنين هيكون عنده اربع على اتنين ل ال beer lens + +161 +00:11:35,450 --> 00:11:41,950 +هتكون اتنين ميلي متر نازلي او انو + +162 +00:12:02,700 --> 00:12:05,480 +الشغل التانى بيبدأ أعمله determine decentration + +163 +00:12:05,480 --> 00:12:09,060 +from the manicular BD بيبدأ أحدد manicular لكل عين + +164 +00:12:09,060 --> 00:12:12,540 +على حده بيبدأ أعمل BD ال reference قلية القياس ال + +165 +00:12:12,540 --> 00:12:14,900 +manicular BD انه ال reference in the basically + +166 +00:12:14,900 --> 00:12:18,500 +from the center of the bridge of the noise to the + +167 +00:12:18,500 --> 00:12:23,230 +center of the pupilيعني من الـ Center لـ Bridge لـ + +168 +00:12:23,230 --> 00:12:28,190 +Frame لـ Center لـ Pupil قلية قياسي منيكولار PD + +169 +00:12:28,190 --> 00:12:31,130 +The difference between the left and the right PD + +170 +00:12:31,130 --> 00:12:35,810 +considering asymmetrical of the face features of + +171 +00:12:35,810 --> 00:12:39,410 +the many normal individual الاختلاع في ال PD للعين + +172 +00:12:39,410 --> 00:12:44,670 +ال right و ال left تبع للاختلاع في ملامح وجه وجه + +173 +00:12:44,670 --> 00:12:48,620 +كل إنسانالـ Decentration بيكون ال distance between + +174 +00:12:48,620 --> 00:12:53,580 +center على 2 ميكولار BD او A زاد ال distance + +175 +00:12:53,580 --> 00:12:58,520 +between lens على 2 ميكولار BD example بقولي how + +176 +00:12:58,520 --> 00:13:01,640 +much decentration be a pair lens in the radiate + +177 +00:13:01,640 --> 00:13:06,060 +from the RX having the following مديني انه A اللي + +178 +00:13:06,060 --> 00:13:08,860 +هي I size عبارة عن 50 distance between lens اللي + +179 +00:13:08,860 --> 00:13:12,190 +هي ال bridge size 18للعين ال right molecular + +180 +00:13:12,190 --> 00:13:15,930 +beauty عبارة عن تلاتين و ال lens molecular beauty + +181 +00:13:15,930 --> 00:13:21,270 +اتنين و تلاتين تمام هجيب ال distance between + +182 +00:13:21,270 --> 00:13:25,750 +center عند ال a و عند ال distance between lens + +183 +00:13:25,750 --> 00:13:34,370 +خمسين زي تمانتاش هتجدينه تمان + +184 +00:13:34,370 --> 00:13:38,150 +و ستين عشان + +185 +00:13:38,150 --> 00:13:48,330 +peer بدوها peer lensهكسبها على اتنين هتديني اربعة + +186 +00:13:48,330 --> 00:13:57,090 +وتلاتين اربعة تلاتين من هنا لكن في عندنا molecular + +187 +00:13:57,090 --> 00:14:01,250 +beauty اللي هي asymmetrical في ال face لل patient + +188 +00:14:01,250 --> 00:14:09,890 +فعمل اربعة تلاتين ناقص تلاتين بال right هتديني + +189 +00:14:10,580 --> 00:14:19,860 +اربع ميلي متر inward والاف عبارة اربعة و تلاتين + +190 +00:14:19,860 --> 00:14:27,120 +اللي طلعناها هنا ناقص لتان و تلاتين تديني اتنين + +191 +00:14:27,120 --> 00:14:36,740 +ميلي متر inward partion + +192 +00:14:36,740 --> 00:14:40,020 +مين + +193 +00:14:40,020 --> 00:14:40,360 +اتحد + +194 +00:14:56,710 --> 00:15:01,530 +بالأول اوير بيدي از نان و سبتين مليمتر the a + +195 +00:15:01,530 --> 00:15:05,210 +dimension is ساعة و خمسين مليمتر هاد ال a + +196 +00:15:05,210 --> 00:15:09,870 +dimension I understand between lenses ازرق مش ليه + +197 +00:15:09,870 --> 00:15:11,430 +هاد هي ال bridge + +198 +00:15:16,140 --> 00:15:20,340 +Size What is the decentration beer length required + +199 +00:15:20,340 --> 00:15:32,840 +قالنا مقدار ال decentration بساوي ال frame BD ماقص + +200 +00:15:32,840 --> 00:15:39,740 +I BD على 2 ال frame BD مش موجود عنده ال frame BD + +201 +00:15:39,740 --> 00:15:41,640 +بساوي + +202 +00:15:51,440 --> 00:15:54,640 +Limited و ال IPD موجود عندي اللي هو نانو شتنين + +203 +00:15:54,640 --> 00:16:03,420 +نانو شتنين نانو + +204 +00:16:03,420 --> 00:16:07,180 +شتنين نانو شتنين نانو شتنين نانو شتنين نانو شتنين + +205 +00:16:07,180 --> 00:16:12,400 +نانو شتنين نانو شتنين نانو شتنين نانو شتنين نانو + +206 +00:16:12,400 --> 00:16:14,420 +شتنين نانو شتنين + +207 +00:16:30,670 --> 00:16:33,930 +تمام السؤال التاني بيقول إيه how much decentration + +208 +00:16:33,930 --> 00:16:37,790 +beer lens regulate for the RX having the following + +209 +00:16:37,790 --> 00:16:42,470 +مدينة إنه ال IPD عبارة عن ستين A 52 ال bridge ال + +210 +00:16:42,470 --> 00:16:45,090 +bridge الستاشر وال A دي اللي هي affected diameter + +211 +00:16:45,090 --> 00:16:50,510 +ستة و حمسين و بده أول أشياء المطلوب الأول هنا ال + +212 +00:16:50,510 --> 00:16:54,790 +distance beer lens ال decentration و بدهminimum + +213 +00:16:54,790 --> 00:16:59,370 +plank size distance distance between lens انه a + +214 +00:16:59,370 --> 00:17:04,450 +اللي هي ال frame bd ل a زاد ال distance between + +215 +00:17:04,450 --> 00:17:11,450 +lens تمانية + +216 +00:17:11,450 --> 00:17:15,710 +و ستين + +217 +00:17:15,710 --> 00:17:21,390 +تمانية و ستين ليه دي is a notation لل beer lens + +218 +00:17:21,390 --> 00:17:31,640 +انهتمانية ستين مانوس ستين على اتنين تمانية ستين + +219 +00:17:31,640 --> 00:17:38,780 +على اتنين تسوى اربع ملي متر and one ال + +220 +00:17:38,780 --> 00:17:41,320 +decentralization للveer لينز هي عبارة عن اربع ملي + +221 +00:17:41,320 --> 00:17:45,340 +متر and one المطلوب التاني بيقول ليه ال minimum + +222 +00:17:45,340 --> 00:17:51,120 +length ساعة اللي هي عبارة عن ال effected diameter + +223 +00:17:52,540 --> 00:18:06,300 +زائد اتنين ملي زائد اتنين في ال decent ration ال + +224 +00:18:06,300 --> 00:18:11,160 +effect ال diameter مدينيها عبارة عن ستة و خمسين + +225 +00:18:11,160 --> 00:18:18,320 +زائد اتنين ملي اتنين في ال decent ration كان اربعة + +226 +00:18:18,320 --> 00:18:26,970 +اتنين في اربعةالمجموع اللي هي ايه؟ بطلع ستة ستين + +227 +00:18:26,970 --> 00:18:47,590 +ملاي بسم + +228 +00:18:47,590 --> 00:18:52,580 +اللهمعاكم سمية أنور بول بول ان شاء الله اليوم هكون + +229 +00:18:52,580 --> 00:18:56,700 +بشرح موضوع ال vertical decentration أول اشي هبدأ + +230 +00:18:56,700 --> 00:18:59,300 +بنبدأ مختصرة عن ال horizontal and vertical + +231 +00:18:59,300 --> 00:19:02,400 +decentration قبل ما أبلش في الموضوع ال horizontal + +232 +00:19:02,400 --> 00:19:05,860 +and vertical decentration of lens when a sphere + +233 +00:19:05,860 --> 00:19:08,640 +lens is decentration both horizontally and + +234 +00:19:08,640 --> 00:19:12,000 +vertically the most straightforward solution for + +235 +00:19:12,000 --> 00:19:15,620 +finding the prismatic effect is to consider each + +236 +00:19:15,620 --> 00:19:20,190 +component by itselfحاكينها انا في عدسات الـ sphere + +237 +00:19:20,190 --> 00:19:22,870 +لما بدي اعمل decentralization horizontal او + +238 +00:19:22,870 --> 00:19:28,450 +vertical افضل او أنسب خطوة ابدا فيها اني احد ان + +239 +00:19:28,450 --> 00:19:31,490 +عشان اتجنب اي prismatic effect و استطيع ايجاده + +240 +00:19:31,490 --> 00:19:35,750 +بالمكان الصحيح والدقيق اول اشي لازم اجيب كل مكوّن + +241 +00:19:35,750 --> 00:19:39,130 +على حده كيف يعني؟ بدي اجيب اول اشي مثلا قيمة ال + +242 +00:19:39,130 --> 00:19:42,990 +frame PD للإطار قيمة ال A dimension او قيمة ال + +243 +00:19:42,990 --> 00:19:47,030 +bridge بدي كمان اقيس قيمة ال IBD الخاصة بالpatient + +244 +00:19:47,370 --> 00:19:51,190 +و أشوف حالة توافق قيمة ال frame bd للإطار و قيمة + +245 +00:19:51,190 --> 00:19:54,070 +ال I bd لل patient عشان أجنب أي prismatic effect + +246 +00:19:54,070 --> 00:19:57,530 +لإن في حال كان في عندي اختلاف بين قيمة ال frame bd + +247 +00:19:57,530 --> 00:20:01,430 +لل frame و قيمة ال I bd لل patient هيكون عندي + +248 +00:20:01,430 --> 00:20:05,230 +prismatic effect فحتطلب أعمل horizontal او + +249 +00:20:05,230 --> 00:20:08,130 +vertical decentration عشان أجنب هذا ال prismatic + +250 +00:20:08,130 --> 00:20:13,310 +effect طبعا نشوف هذه الصورة اللي عندي الصورة اللي + +251 +00:20:13,310 --> 00:20:16,180 +عندي هنا الأولى اللي فاعندي ال optical center لل + +252 +00:20:16,180 --> 00:20:20,600 +lens مطابق لل center of pupil لل passion فهنا كان + +253 +00:20:20,600 --> 00:20:24,420 +عندي ماكانش عندي اي prismatic effect و هان حالة + +254 +00:20:24,420 --> 00:20:27,700 +طبيعية و حيستطيع ال passion يشوف بافضل و أنثى + +255 +00:20:27,700 --> 00:20:31,080 +برأيها ننشط الصورة التانية اللي عندي هان عندي هاي + +256 +00:20:31,080 --> 00:20:34,300 +ال optical center لل lens و هاي ال center of pupil + +257 +00:20:34,300 --> 00:20:38,530 +في اختلاف بينهمفهنا لو انا اعطيت ال patient حد + +258 +00:20:38,530 --> 00:20:41,890 +النضارة بهذه القياصات هيعمل ليه prismatic effect و + +259 +00:20:41,890 --> 00:20:45,370 +مش هيستطيع يشوف بالرؤية الواضحة و المناسبة لهذا + +260 +00:20:45,370 --> 00:20:48,430 +انا هضطر اعمل horizontal decentralization عشان + +261 +00:20:48,430 --> 00:20:52,290 +اخلي ال optical center لل lens متابق لل center of + +262 +00:20:52,290 --> 00:20:56,950 +view لل patient عشان يشوف بافضل رؤية و يكون مرتاح + +263 +00:20:56,950 --> 00:21:01,340 +بهذه النضارة اللي انا حاطيةهانبدأ في موضوعنا اليوم + +264 +00:21:01,340 --> 00:21:04,520 +اللي هو ال vertical centration a single vision + +265 +00:21:04,520 --> 00:21:08,180 +lens so that the major reference point is centered + +266 +00:21:08,180 --> 00:21:12,000 +vertically halfway between the top and the bottom + +267 +00:21:12,000 --> 00:21:15,140 +of the frame زي ما حكينا موضوعنا اليوم كان بخص + +268 +00:21:15,140 --> 00:21:18,240 +single vision lens اللي هي بتحتوي على optical + +269 +00:21:18,240 --> 00:21:22,470 +center واحدفي حالة ال major reference point اللي + +270 +00:21:22,470 --> 00:21:26,110 +هي ال optical center ماكنتش مناسبة لل IPD لل + +271 +00:21:26,110 --> 00:21:29,330 +patient او لل center pupil لل patient انا هعمل + +272 +00:21:29,330 --> 00:21:34,950 +vertical centration اللي هي بتكون up or down عن ال + +273 +00:21:34,950 --> 00:21:38,290 +major reference point زي هذه الصورة اللي احنا + +274 +00:21:38,290 --> 00:21:42,850 +شايفينها هي عند ال optical center لل frame او لل + +275 +00:21:42,850 --> 00:21:47,010 +lens وهي عند ال center of pupil فانا هتقرح ان اعمل + +276 +00:21:47,010 --> 00:21:50,840 +decentration upبعد هيك هعمل كمان مرة decentration + +277 +00:21:50,840 --> 00:21:54,840 +inward عشان أقدر أخلي ال optical center لل lens + +278 +00:21:54,840 --> 00:22:02,880 +متابق لل center of a pupil optical problems caused + +279 +00:22:02,880 --> 00:22:06,240 +by a vertical major reference point placement the + +280 +00:22:06,240 --> 00:22:10,660 +matte need to above or below the vertical frame + +281 +00:22:10,660 --> 00:22:15,120 +center are so minimum with low powered lens that + +282 +00:22:15,120 --> 00:22:20,320 +few wearers are ever botheredتمام عندي مشكلتين + +283 +00:22:20,320 --> 00:22:23,720 +ممكن اواجههم في حالة ال .. اعمل vertical measure + +284 +00:22:23,720 --> 00:22:27,300 +reference point عند الحالة الأولى لما يكون عندي .. + +285 +00:22:27,520 --> 00:22:30,880 +law refractive error او عندما استخدم ال + +286 +00:22:30,880 --> 00:22:34,520 +traditional materia في حالة ال .. هيطلب يكون عندي + +287 +00:22:34,520 --> 00:22:37,860 +law power في هذه الحالة ال vertical major + +288 +00:22:37,860 --> 00:22:41,100 +reference point هيكون كتير قليل فمش هيأثر على ال + +289 +00:22:41,100 --> 00:22:44,660 +patient هيكون تأثيرها كتير قليل او بالكاد مش ملاحظ + +290 +00:22:44,660 --> 00:22:48,460 +و ال patient مش هيصير عنده اي ضيق او اي تعب من ال + +291 +00:22:48,460 --> 00:22:51,560 +.. من النضارة اللي هو هيكون لبسها اما الحالة + +292 +00:22:51,560 --> 00:22:54,340 +التانية اللي هي الحالة الأهم و الحالة الأصعب لما + +293 +00:22:54,340 --> 00:22:57,990 +يكون عندي high powerأو لما أكون عندى .. او لما + +294 +00:22:57,990 --> 00:23:01,730 +أستخدم different materia في هذه الحالة ال vertical + +295 +00:23:01,730 --> 00:23:03,730 +major reference point أو بشكل عام ال major + +296 +00:23:03,730 --> 00:23:07,110 +reference point كتير مهمة انها تكون في ال center + +297 +00:23:07,110 --> 00:23:11,990 +بشكل دقيق لإنه في حالة ال high powered هيكون .. + +298 +00:23:11,990 --> 00:23:15,590 +هيكون في عندي charismatic effect كتير عالي فهيكون + +299 +00:23:15,590 --> 00:23:18,090 +عندي تأثير كتير كبير على ال patient فانا علشان + +300 +00:23:18,090 --> 00:23:22,810 +أجنب هذه الحالة لازم أعملvertical او horizontal + +301 +00:23:22,810 --> 00:23:25,730 +decentralization انه اخلي ال optical center لللنز + +302 +00:23:25,730 --> 00:23:29,710 +مطابق لل center of pupil عشان اجنب هاي الحالة لأن + +303 +00:23:29,710 --> 00:23:32,990 +هاي الحالة تأثيرها بكون كتير كبير او نفس ال issue + +304 +00:23:32,990 --> 00:23:36,630 +لما يكون عندي .. لما يكون عند anisometrabia اللي + +305 +00:23:36,630 --> 00:23:39,510 +هي ال difference between refractive error in both + +306 +00:23:39,510 --> 00:23:43,130 +eye في هاي الحالة برضه ال decentralization بكون + +307 +00:23:43,130 --> 00:23:45,850 +كتير مهم لل passion عشان اجنب ال charismatic + +308 +00:23:45,850 --> 00:23:50,070 +effect اللي ممكن يواجهه تمام + +309 +00:23:50,580 --> 00:23:53,860 +نجي نشوف هذه الصورة عندي مصطلح جديد هيمر علينا + +310 +00:23:53,860 --> 00:23:58,620 +اللي هو ال major reference bike height هاي عندي ال + +311 +00:23:58,620 --> 00:24:01,680 +.. نجي ناخد تعريفه اللي هو distance from the lower + +312 +00:24:01,680 --> 00:24:07,150 +line of the box including the shape of the lensup + +313 +00:24:07,150 --> 00:24:10,470 +to the major reference point location هنيجي نشوفه + +314 +00:24:10,470 --> 00:24:14,730 +ع الشكل هي عندي حكينا ال distance المسافة بين ال + +315 +00:24:14,730 --> 00:24:18,490 +lower line في ال boxing system مع ال point of the + +316 +00:24:18,490 --> 00:24:21,450 +up of the major reference point location يعني + +317 +00:24:21,450 --> 00:24:29,220 +المسافة بين الخط السفلي في نظام ال boxing systemمع + +318 +00:24:29,220 --> 00:24:32,220 +النقطة اللى هتكون up ال major reference point هذه + +319 +00:24:32,220 --> 00:24:35,640 +المسافة بسميها ال major reference point point + +320 +00:24:35,640 --> 00:24:39,800 +height او لها مصطلحات اخرى ممكن احكي عنها ال major + +321 +00:24:39,800 --> 00:24:43,980 +reference point rise او ال drop و زى ما احنا + +322 +00:24:43,980 --> 00:24:46,600 +شايفينها انا اخدنا فى نظام ال boxing system عندى + +323 +00:24:46,600 --> 00:24:51,570 +ال decks عبارة عن ال b dimension افعال هيهمنانجيب + +324 +00:24:51,570 --> 00:24:55,890 +البيعة 2 اللي هي نصف المسافة اللي هي تقريبا هو + +325 +00:24:55,890 --> 00:24:57,970 +هيكون ال horizontal line زي ما أخدنا أحنا في ال + +326 +00:24:57,970 --> 00:25:01,490 +marking اللي كنا نرسمه اللي هو عبارة عن بيمثل + +327 +00:25:01,490 --> 00:25:05,570 +البيعة 2 هنا في حالة لما تكون ال major reference + +328 +00:25:05,570 --> 00:25:10,350 +point height أكبر من قيمة البيعة 2 هتكون ال + +329 +00:25:10,350 --> 00:25:15,170 +concentration up لأنه هتكون القيمة أكبر هنا نجي + +330 +00:25:15,170 --> 00:25:19,300 +نشوف هلأ بالقانون والمثالعندي القانون بيحكي لل + +331 +00:25:19,300 --> 00:25:22,480 +Vertical Decentration بيساوي ال measure reference + +332 +00:25:22,480 --> 00:25:27,620 +point height ناقص البيعة 2 زي ما شفنا توس تنتجنا + +333 +00:25:27,620 --> 00:25:30,500 +لما تكون قيمة ال measure reference point height + +334 +00:25:30,500 --> 00:25:34,360 +أكبر من قيمة البيعة 2 فهتكون الناتج في ال plus + +335 +00:25:34,360 --> 00:25:37,860 +يعني ال decentration هتكون up أما في حال لو كانت + +336 +00:25:37,860 --> 00:25:41,280 +ال measure و هي قريبا هذه الحالة الدهجة أكترأما لو + +337 +00:25:41,280 --> 00:25:44,600 +كان ال major reference point هتأقل من قيمة البيعة + +338 +00:25:44,600 --> 00:25:47,840 +2 هتكون القيمة بال minus فهيكون ال concentration + +339 +00:25:47,840 --> 00:25:52,700 +down نيجي ناخد example نطبق و نحلع القانون و نشوف + +340 +00:25:54,490 --> 00:25:57,910 +an order specified a major reference point height + +341 +00:25:57,910 --> 00:26:02,650 +of 30 mm the frame has a vertical dimension b of + +342 +00:26:02,650 --> 00:26:07,530 +54 mm what will the major reference point rise be + +343 +00:26:07,530 --> 00:26:11,550 +تمام هنتطبق مباشر على القانون أعطاني قيمة ال major + +344 +00:26:11,550 --> 00:26:17,170 +reference point height أعطاني قيمة ال ال b + +345 +00:26:17,170 --> 00:26:21,550 +dimension و بده ال vertical decentration تمام + +346 +00:26:21,550 --> 00:26:23,250 +هنكتب ال vertical decentration + +347 +00:26:29,000 --> 00:26:34,540 +تمام نكتب القانون عند المجر reference point type + +348 +00:26:34,540 --> 00:26:38,780 +ماقص + +349 +00:26:38,780 --> 00:26:44,360 +ال B على 2 نيجي نطبق عطيني قيمة المجر reference + +350 +00:26:44,360 --> 00:26:51,340 +point 30 ماقص قيمة ال B عطينيها 45 بس أنا بدي نص + +351 +00:26:51,340 --> 00:26:58,180 +المسافة فهقسمها على 2 اربعة و خمسين عن طول تمام + +352 +00:26:58,720 --> 00:27:06,580 +تلاتين القيمة هتعطيني سبعة و عشرين فهتكون + +353 +00:27:06,580 --> 00:27:11,160 +القيمة تقريبا تلاتة ملي متر نيجي نلاحظ هان طلعت + +354 +00:27:11,160 --> 00:27:14,600 +القيمة فلازم أطلع كمان ال concentration up و لا + +355 +00:27:14,600 --> 00:27:17,840 +down نيجي هنلاحظ قيمة ال major reference point + +356 +00:27:17,840 --> 00:27:23,300 +تلاتين قيمة ال b ع اتنين سبعة و عشرين فقيمة ال + +357 +00:27:23,300 --> 00:27:26,040 +major reference point اعلى فهتكون ال concentration + +358 +00:27:26,040 --> 00:27:26,560 +up + +359 +00:27:31,270 --> 00:27:36,710 +هي بكون أنا طلعت القيمة تمام + +360 +00:27:36,710 --> 00:27:49,370 +ناخد example جديد فكرة تانية عطيني + +361 +00:27:49,370 --> 00:27:54,390 +ال a dimension 54 millimeter ال b dimension 32 + +362 +00:27:54,390 --> 00:27:58,190 +millimeter distance between lenses اللي هي 20 + +363 +00:27:58,190 --> 00:28:04,340 +millimeterالـ major reference point height 18mm و + +364 +00:28:04,340 --> 00:28:09,140 +ال IPD 62mm طالب مني ال center the lens هان مش + +365 +00:28:09,140 --> 00:28:12,320 +محدد سواء بده ال vertical او ال horizontal ال + +366 +00:28:12,320 --> 00:28:15,660 +concentration حكالي بس بد ال center فهيك انا هجيب + +367 +00:28:15,660 --> 00:28:18,760 +ال horizontal و هجيب ال vertical عشان اعرف موقع ال + +368 +00:28:18,760 --> 00:28:23,320 +center بالظبط و المكانة قبل ما نبلش الحلقة عطيني + +369 +00:28:23,320 --> 00:28:25,600 +ال a dimension و اعطيني ال distance between ال + +370 +00:28:25,600 --> 00:28:28,760 +lens اللي هو ال bridge أول حاجة هجيب ال frame PD + +371 +00:28:28,760 --> 00:28:32,520 +لأنه تلقائي هيلزم دي في الحلقةحكي لها ال frame bd + +372 +00:28:32,520 --> 00:28:35,940 +قيمته + +373 +00:28:35,940 --> 00:28:42,200 +ال a dimension زائد قيمة ال bridge طبعا + +374 +00:28:42,200 --> 00:28:47,940 +ال a dimension عطينيها 54 قيمة ال bridge عطينيه ال + +375 +00:28:47,940 --> 00:28:55,560 +distance between lenses 20 فهيكون الناتج 74 mm + +376 +00:28:55,560 --> 00:29:00,110 +طبعا هاي طلعت القيمةو هبدأ هلاقيت حل لإنها تلزم + +377 +00:29:00,110 --> 00:29:02,730 +نتلقاه في الحل نيجل جيب هلاقيت ال horizontal + +378 +00:29:02,730 --> 00:29:12,210 +decentration زي + +379 +00:29:12,210 --> 00:29:14,990 +ما شرحت قبلينا رزان أخدنا قانون ال horizontal + +380 +00:29:14,990 --> 00:29:20,430 +decentration حكينا اللي هو قيمة ال frame BD ناقص + +381 +00:29:20,430 --> 00:29:23,730 +قيمة ال IBD على 2 + +382 +00:29:29,680 --> 00:29:35,180 +قيمة ال frame بي دي انا طلعتها 74 قيمة + +383 +00:29:35,180 --> 00:29:45,040 +ال ip دي اعطينيها بالسؤال 62 على 2 هيعطيني + +384 +00:29:45,040 --> 00:29:50,440 +الطريقة من 12 على 2 يساوي 6 ملي متر هيك انا طلعت + +385 +00:29:50,440 --> 00:29:53,940 +القيمة اضل اطلع عندي horizontal سواء كان inward + +386 +00:29:53,940 --> 00:29:59,610 +ولا outwardنيجي حكى ان عندي قانون بيحكي انه لما + +387 +00:29:59,610 --> 00:30:03,930 +تكون قيمة ال frame BD أكبر من قيمة ال IBD تلقاه ال + +388 +00:30:03,930 --> 00:30:07,150 +decentralization هيكون inward أما في حال العكس لو + +389 +00:30:07,150 --> 00:30:11,010 +كانت قيمة ال frame BD أقل من قيمة ال IBD ال + +390 +00:30:11,010 --> 00:30:13,810 +decentralization هيكون outward بالمثال اللي هنا + +391 +00:30:13,810 --> 00:30:17,670 +عندي مين عندي قيمة الأكبر ال frame BD أكبر من قيمة + +392 +00:30:17,670 --> 00:30:20,670 +ال IBD فتلقاه ال decentralization منه هيكون inward + +393 +00:30:20,670 --> 00:30:21,110 +تمام + +394 +00:30:27,340 --> 00:30:30,900 +طبعا نيجي نطلع حلقتها ال vertical decentration + +395 +00:30:30,900 --> 00:30:39,840 +قانون + +396 +00:30:39,840 --> 00:30:42,980 +ال vertical decentration هو أخدنا و حكينا ال major + +397 +00:30:42,980 --> 00:30:49,100 +reference point هي ناقص + +398 +00:30:49,100 --> 00:30:49,960 +البيعة 2 + +399 +00:30:54,210 --> 00:30:57,310 +measure reference point بالسؤال قدش عطني إياها 18 + +400 +00:30:57,310 --> 00:31:00,770 +ناقص + +401 +00:31:00,770 --> 00:31:09,750 +ال B dimension عطني إياها 32 هقسمها ع 2 طبعا + +402 +00:31:09,750 --> 00:31:15,770 +هيكون عندى 18 ناقص 32 ع 2 من 16 فهيكون عندى 2 + +403 +00:31:15,770 --> 00:31:20,510 +millimeter بما أنه قيمةالـ major reference point + +404 +00:31:20,510 --> 00:31:23,890 +height أكبر من قيمة الـ B على 2 فهيكون الـ + +405 +00:31:23,890 --> 00:31:28,610 +Decentration أول هك + +406 +00:31:28,610 --> 00:31:32,190 +أنا طلعت ال center of the lens نيجي نرسمها نشوف + +407 +00:31:32,190 --> 00:31:38,470 +كيف هعمل أنا هاي على فرض عندي ال lens و كانت هان + +408 +00:31:38,470 --> 00:31:42,770 +مثلا ال optical center قبل ما أعمل ال decentration + +409 +00:31:42,770 --> 00:31:47,010 +أشوف المريض إيش بيحتاج حكالي أول إشي هعمل + +410 +00:31:48,680 --> 00:31:52,600 +Horizontal Decentration ستة ملي متر inward هي على + +411 +00:31:52,600 --> 00:31:56,980 +فرض هان ال null لو كانت هان ال right فانا همشي هيك + +412 +00:31:56,980 --> 00:32:03,960 +ستة ملي متر inward بعد هيك حكالي هطلع up two ملي + +413 +00:32:03,960 --> 00:32:07,240 +متر فهطلع هان اتنين ملي متر + +414 +00:32:20,780 --> 00:32:24,900 +طبعا هنطلعنا احنا ال 6 millimeter inward لل both + +415 +00:32:24,900 --> 00:32:28,640 +eye انا بدي لها one eye فهقسم قيمة ال 6 على 2 + +416 +00:32:28,640 --> 00:32:32,960 +فهتعطيني 3 millimeter لل one eye + +417 +00:32:46,340 --> 00:32:51,540 +طب يعني أنا همشي تلاتة millimeter inward هيكونها + +418 +00:32:51,540 --> 00:32:57,200 +الواحد millimeter القيم + +419 +00:32:57,200 --> 00:33:00,360 +اللي أنا هطلعها هتكون لل both eye فهقسمها ع اتنين + +420 +00:33:00,360 --> 00:33:02,920 +فهتطلعلي عن one eye فهيكون horizontal تلاتة + +421 +00:33:02,920 --> 00:33:07,660 +millimeter و هيكون vertical واحد millimeter that's + +422 +00:33:07,660 --> 00:33:09,300 +right طبعا + +423 +00:33:12,650 --> 00:33:19,450 +طبعا نيجي ناخد أخر examples طبعا + +424 +00:33:19,450 --> 00:33:23,190 +هذا المثال فكرته جديدة هيكون how far from each + +425 +00:33:23,190 --> 00:33:25,810 +other will the optical center at major reference + +426 +00:33:25,810 --> 00:33:29,730 +point before a minus three diopters lens when a + +427 +00:33:29,730 --> 00:33:34,170 +one point five prismatic effect is desired أخدنا + +428 +00:33:34,170 --> 00:33:37,390 +بال .. بالoptical main قانون أنه الprismatic + +429 +00:33:37,390 --> 00:33:43,880 +effect بساوي c في a هو طالب بده ال distanceعطينا + +430 +00:33:43,880 --> 00:33:49,580 +قيمة الprismatic effect 1.5 طالب هو C عطيني قيمة + +431 +00:33:49,580 --> 00:33:59,940 +ال power 3 بيقطر فهطلع ال distance هتكون 1.5 على 3 + +432 +00:33:59,940 --> 00:34:05,700 +هتعطيني نص سنتيمتر لإن احنا القلم اللي أخدنا بنطلع + +433 +00:34:05,700 --> 00:34:08,740 +القيمة بالسنتيمتر إذا بدنا ياها بالمليمتر بنحولها + +434 +00:34:08,740 --> 00:34:09,420 +للمليمتر + +435 +00:34:12,760 --> 00:34:16,220 +طبعا في أي بنت عندها اي استفسار اي سؤال في الموضوع + +436 +00:34:16,220 --> 00:34:19,920 +ال vertical decentration نهاية ال presentation ب + +437 +00:34:19,920 --> 00:34:23,580 +.. اللي هو كان بعنوان ال reference point and + +438 +00:34:23,580 --> 00:34:26,720 +decentration ب .. باسمي طبعا و باسم ال group اللي + +439 +00:34:26,720 --> 00:34:30,920 +كان معايا منوجه التحية ل ..المدرس المصاق الدكتور + +440 +00:34:30,920 --> 00:34:34,240 +محمد الجاروشا و بشكركوا جميعا و ان شاء الله تكونوا + +441 +00:34:34,240 --> 00:34:37,760 +استفدتوا من ال presentation اللي اقع اليوم و اخر + +442 +00:34:37,760 --> 00:34:41,660 +اشي بحب اشكر ال groupنا اللي هي ال optometrist لما + +443 +00:34:41,660 --> 00:34:46,020 +البرقاني سهير أبو القنباز رزان اشتهوى و بالنهاية + +444 +00:34:46,020 --> 00:34:49,200 +كنت معاكوا سمية بلبل طبعا بداية المرة اللي اقعد + +445 +00:34:49,200 --> 00:34:53,280 +فيكم على ال presentation يعني حقيقة كان رائع جدا + +446 +00:34:54,820 --> 00:34:59,080 +ووديتولنا معلومات كثير مهمة وعتقدت يعني الجميع + +447 +00:34:59,080 --> 00:35:04,320 +التستفاد منها وعملتوا حالة من الـ refreshment و + +448 +00:35:04,320 --> 00:35:07,820 +بالإضافة لحالة من ال competition بينكم و بين ال + +449 +00:35:07,820 --> 00:35:14,140 +group الأول و لا شو عايزكم ال group الأول تمام ف + +450 +00:35:14,140 --> 00:35:19,140 +.. فنفتح ان شاء الله باب الأسئلة ال questions لأي + +451 +00:35:19,140 --> 00:35:24,730 +مهاردة حد بتسأل الأطلع مهاردة تمامو بعد ذلك انا في + +452 +00:35:24,730 --> 00:35:34,630 +عندي بعض الاستفسارات، فضلا جماعة، فضلا فضلا فضلا + +453 +00:35:34,630 --> 00:35:44,270 +فضلا فضلا فضلا فضلا فضلا فضلا فضلا فضلا فضلا فضلا + +454 +00:35:51,760 --> 00:35:56,480 +احنا أخدنا من قبل في ال .. ال geometric أنه ال .. + +455 +00:35:56,480 --> 00:36:02,440 +ال horizontal بيحب تقريبا يعني بيتحمل حدود من + +456 +00:36:02,440 --> 00:36:06,040 +عشرين لخمسة و عشرين تقريبا أما ال vertical بيتحمل + +457 +00:36:06,040 --> 00:36:10,210 +تقريبا من تلاتة لاربعمن اتنين لأ اربعة تقريبا يعني + +458 +00:36:10,210 --> 00:36:12,970 +بهذا ال range فعشان هيك ال horizontal بتحمل اكتر + +459 +00:36:12,970 --> 00:36:15,950 +من ال vertical فهيكون تأثير ال vertical اعلى على + +460 +00:36:15,950 --> 00:36:18,030 +ال patient من ال horizontal و الدليل على هذا + +461 +00:36:18,030 --> 00:36:21,870 +الموضوع انه في موضوع ال taxation test لما تعمل فحص + +462 +00:36:21,870 --> 00:36:25,850 +ال visual acuity تخده في ال attraction ان احنا + +463 +00:36:25,850 --> 00:36:31,710 +بنختار ال prism team top 15-16 prism ده يبقى طبعا + +464 +00:36:31,710 --> 00:36:37,200 +base upأو base down حسب اللي هو العالم الهدف منه + +465 +00:36:37,200 --> 00:36:42,260 +أنه احنا نعمل يعني إلغاء لكل ال vertical a balance + +466 +00:36:42,260 --> 00:36:49,560 +بتاعت العلم حتى تعمل suppression كامة خلوني + +467 +00:36:49,560 --> 00:36:52,700 +أدوّنك عن ال suppression كان أن ال IBM يجب أن ينقص + +468 +00:36:52,700 --> 00:36:58,900 +ال IBP على اتنين ليه قُسمت على اتنين؟ و لما قسمتوا + +469 +00:36:58,900 --> 00:36:59,860 +كل الورع على اتنين؟ + +470 +00:37:03,630 --> 00:37:07,830 +السؤال اللي لما رسمتي سماية اه اه لما حكيت ستة + +471 +00:37:07,830 --> 00:37:11,570 +millimeter و لما رسمتيها حكيت ثلاثة مبدلش من الأول + +472 +00:37:11,570 --> 00:37:22,370 +بس تنبع ثلاثة بالقانون نفسه كانت تنبع ثلاثة + +473 +00:37:22,370 --> 00:37:23,290 +بالقانون نفسه كانت تنبع + +474 +00:37:34,570 --> 00:37:38,550 +الشغل لما اشتغلوا العلماء من قبل اتوصلوا لواحدة + +475 +00:37:38,550 --> 00:37:41,630 +القانون و احنا أخدنا واحدة الأساس، فأخدنا واحدة + +476 +00:37:41,630 --> 00:37:42,110 +الأساس + +477 +00:37:44,940 --> 00:37:49,980 +ال bus هذه ال bus هي قسمت بالقادة على اتنين عشان + +478 +00:37:49,980 --> 00:37:51,800 +تعمل ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +479 +00:37:51,800 --> 00:37:52,880 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +480 +00:37:52,880 --> 00:37:53,320 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +481 +00:37:53,320 --> 00:37:54,040 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +482 +00:37:54,040 --> 00:37:55,180 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +483 +00:37:55,180 --> 00:37:56,340 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +484 +00:37:56,340 --> 00:37:58,560 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +485 +00:37:58,560 --> 00:38:00,280 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +486 +00:38:00,280 --> 00:38:00,300 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +487 +00:38:00,300 --> 00:38:00,360 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +488 +00:38:00,360 --> 00:38:05,620 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +489 +00:38:11,810 --> 00:38:14,630 +أى حد عندى سؤال ده عن استفسار؟ طبعا بالنسبة + +490 +00:38:14,630 --> 00:38:18,410 +للإستنتاج و تغييرتي الكتاب اللى هو ال essential of + +491 +00:38:18,410 --> 00:38:21,950 +planning and research موجودة تماما تفتحياها بقى و + +492 +00:38:21,950 --> 00:38:30,790 +بتشوفي هى اى سؤال اخر؟ طيب انا في عندى سؤال رزاقا + +493 +00:38:30,790 --> 00:38:34,550 +بس راجع على السؤال اللى كان في ال frame دي ايه 79 + +494 +00:38:34,550 --> 00:38:40,170 +و ال ID دي 62 اكرا؟ + +495 +00:38:40,170 --> 00:38:41,070 +ايه اكرا؟ + +496 +00:38:55,380 --> 00:38:58,380 +بالنسبة للمجموعة الأولى اللي قدموا إيش رأيكم في + +497 +00:38:58,380 --> 00:38:58,780 +السؤال؟ + +498 +00:39:11,720 --> 00:39:16,740 +هي تجيبين ال uncut depth صح؟ لأن انت قلت لكل عين + +499 +00:39:16,740 --> 00:39:20,640 +اربعة و نص ميلي متر شفاجتش خطر العدسة؟ + +500 +00:39:22,850 --> 00:39:27,770 +أربعة و نص عشان كبيرة يعني + +501 +00:39:27,770 --> 00:39:31,710 +بمعنى افر لو احنا اعملنا simulation او محاكاة + +502 +00:39:31,710 --> 00:39:38,070 +العدسة هيكون الأمر غير مناسب او غير مجدد و هذه وين + +503 +00:39:38,070 --> 00:39:42,070 +احنا دايما بنعنيها انه بتلاقي مريض عنده ال frame + +504 +00:39:42,070 --> 00:39:48,750 +PD مثلا او عفوا ال IBD 60 و لابس اطار ال frame PD + +505 +00:39:48,750 --> 00:39:54,510 +فيه مثلا 70فبتناجح عدسة واجعة تبتناجح انه النظارة + +506 +00:39:54,510 --> 00:39:59,250 +طالع من ال base بتاعه هذه النقطة لازم احنا نكون + +507 +00:39:59,250 --> 00:40:03,630 +متبنيين لها فقضيت ان انا اكون جاعد في المركز و + +508 +00:40:03,630 --> 00:40:07,630 +يديني احد ال patient و يقوللي انا بدي اختار اطار ب + +509 +00:40:07,630 --> 00:40:12,630 +criteria معينة او يكون مناسب ل ال base بتاعي فانا + +510 +00:40:12,630 --> 00:40:17,130 +بدي اختار الاطار بناء على مين؟ على ال IBD خاص هذا + +511 +00:40:17,130 --> 00:40:17,910 +المرحل + +512 +00:40:32,740 --> 00:40:37,700 +طبعا بنشكر زميلاتكم على هذا العرض الرائع و + +513 +00:40:37,700 --> 00:40:42,630 +المحاضرة المثمرةو ان شاء الله ننتظر الأسبوع القادم + +514 +00:40:42,630 --> 00:40:46,990 +مع مجموعتين او مجموعة جديدة ان شاء الله لكي اللي + +515 +00:40:46,990 --> 00:40:50,750 +هو يستمر عرض ال oral presentation ان شاء الله + +516 +00:40:50,750 --> 00:40:51,830 +يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/h6NcAPX9rCo_raw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/h6NcAPX9rCo_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..33e654d32807efb86afa0ff842482970e881196a --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/h6NcAPX9rCo_raw.srt @@ -0,0 +1,2084 @@ +1 +00:00:21,240 --> 00:00:23,720 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,720 --> 00:00:25,040 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +3 +00:00:25,040 --> 00:00:26,240 +الله ورحمة الله ورحمة الله ورحمة الله ورحمة الله + +4 +00:00:26,240 --> 00:00:26,640 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +5 +00:00:26,640 --> 00:00:29,100 +الله ورحمة الله ورحمة الله ورحمة الله ورحمة الله + +6 +00:00:29,100 --> 00:00:33,740 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +7 +00:00:33,740 --> 00:00:37,500 +الله ورحمة الله ورحمة الله ورحمة الله ورحمة الله + +8 +00:00:37,500 --> 00:00:39,680 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +9 +00:00:39,680 --> 00:00:39,680 +الله ورحمة الله ورحمة الله ورحمة الله ورحمة الله + +10 +00:00:39,680 --> 00:00:46,100 +ورحمة الله ورحمة الله ورحمة الله ورحمة الله ورحمة + +11 +00:00:46,100 --> 00:00:52,910 +الله ولأي اقتراح ممكن أنه يتم عرضه بسم الله الرحمن + +12 +00:00:52,910 --> 00:00:56,550 +الرحيم معاكم lama البرقوني اليوم سنتحدث عن موقع + +13 +00:00:56,550 --> 00:01:01,470 +الوصفة و الوصفة الواضحة الواضحة + +14 +00:01:01,470 --> 00:01:02,530 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +15 +00:01:02,530 --> 00:01:02,850 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +16 +00:01:02,850 --> 00:01:02,970 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +17 +00:01:02,970 --> 00:01:04,070 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +18 +00:01:04,070 --> 00:01:09,430 +الواضحة الواضحة الواضحة الواضحة الواضحة الواضحة + +19 +00:01:09,430 --> 00:01:13,850 +الواضحة الواضحو ال first area هي ال lens power by + +20 +00:01:13,850 --> 00:01:17,350 +a process called lens surfacing تحديط قوة العدسة + +21 +00:01:17,350 --> 00:01:20,830 +بتم إجراءها من مكان تسطيح العدسة and the facility + +22 +00:01:20,830 --> 00:01:22,790 +that does it is referred to as a surfacing + +23 +00:01:22,790 --> 00:01:25,910 +laboratory و المكان اللي بتم فيه وضع قوة العدسة في + +24 +00:01:25,910 --> 00:01:29,750 +سطحها بنسميه surfacing laboratory ال second area + +25 +00:01:29,750 --> 00:01:34,370 +correctly powered lens بناخد قد قوة العدسة الصحيحة + +26 +00:01:34,370 --> 00:01:38,310 +و بنعمل عملية أصلؤلها و هي بتندرج تحت العدسات ال + +27 +00:01:38,310 --> 00:01:44,830 +uncut و okaythis is done by optically positioning + +28 +00:01:44,830 --> 00:01:49,170 +the lens and grinding the edges يعني أول اش عملنا + +29 +00:01:49,170 --> 00:01:52,950 +تعليم للعدسة و بعدين عملنا عملية قص و طبعا لازم + +30 +00:01:52,950 --> 00:01:56,330 +عملية القص حسب الإطار اللي اختاره المريض و هاي + +31 +00:01:56,330 --> 00:02:00,870 +بتكون شغل لل opticians a finishing laboratory is + +32 +00:02:00,870 --> 00:02:05,490 +also referred to as an edging laboratoryالان راح + +33 +00:02:05,490 --> 00:02:09,470 +نحكي على ال lens marking و خصيصا لعدسات ال single + +34 +00:02:09,470 --> 00:02:12,670 +vision اول اشي ال optical center of the lens and + +35 +00:02:12,670 --> 00:02:15,130 +the lens meter يعني بدنا نحاول انه نعمل + +36 +00:02:15,130 --> 00:02:18,290 +concentration للعدسة في ال lens meter و بعدين the + +37 +00:02:18,290 --> 00:02:20,870 +marking device is then swung into position and the + +38 +00:02:20,870 --> 00:02:22,770 +front surface of the lens is pointed to indicate + +39 +00:02:22,770 --> 00:02:27,630 +the optical center of the lens يعني بدنا نعلم + +40 +00:02:27,630 --> 00:02:31,630 +العدسة طبعا في ال front surface لإلها و راح يطلع + +41 +00:02:31,630 --> 00:02:33,690 +لنا three spots زي ما هو موجود هان + +42 +00:02:37,140 --> 00:02:39,680 +و .. و الـ spherical cylindrical lenses the + +43 +00:02:39,680 --> 00:02:42,160 +marking should be according to the axis specified + +44 +00:02:42,160 --> 00:02:44,660 +in the prescription يعني في عدسات ال spherical + +45 +00:02:44,660 --> 00:02:48,160 +cylinder ال marking لازم يكون حسب ال axis اللي + +46 +00:02:48,160 --> 00:02:52,620 +موجود بالوصفة بتاعة المريضthe letter R or L in + +47 +00:02:52,620 --> 00:02:55,340 +uppercase letters is written in the upper half of + +48 +00:02:55,340 --> 00:02:59,020 +the lens above the free spots طبعا الأحرف ال R و + +49 +00:02:59,020 --> 00:03:02,440 +ال L هم عبارة عن افتصارات ال R لل right و L لل + +50 +00:03:02,440 --> 00:03:07,620 +left و لازم نكتبهم في الجزء أو النصف العلوي للعدسة + +51 +00:03:07,620 --> 00:03:13,720 +زي + +52 +00:03:13,720 --> 00:03:17,700 +ما هو موجود هنا هلأ النقطة اللي في المنتصف هي ال + +53 +00:03:17,700 --> 00:03:21,950 +optical centerالنقطتين اللي على الأطراف هم ال + +54 +00:03:21,950 --> 00:03:26,030 +reference point لما نيجي بدنا نعلم هاي عدسة معمولة + +55 +00:03:26,030 --> 00:03:38,270 +اللي هي marking بس + +56 +00:03:38,270 --> 00:03:42,390 +انه يعني بمعنى انه بدنا نعمل ال diamond لازم السهم + +57 +00:03:42,390 --> 00:03:45,550 +يكون باتجاه ال laws يعني مثلا اذا كانت right راح + +58 +00:03:45,550 --> 00:03:50,130 +نفتر هيك و رح يكون الاتجاهعند ال laws هاي طبعا + +59 +00:03:50,130 --> 00:03:58,050 +untapped lens و هاي كانت هي كتير مضحكت فيها و + +60 +00:03:58,050 --> 00:04:02,690 +and now she will explain ال optical center معاكم + +61 +00:04:02,690 --> 00:04:04,970 +الطالبة Sarah Abou Kambas نشرح اليوم عن ال optical + +62 +00:04:04,970 --> 00:04:08,550 +center of the lens therefore it is known as the + +63 +00:04:08,550 --> 00:04:12,010 +major reference point or MRP يعني هي اللي موجودة + +64 +00:04:12,010 --> 00:04:16,020 +في ال optical centerمن هنا نطلق عليها ممكن ال + +65 +00:04:16,020 --> 00:04:22,900 +major reference point هي بتحدد بتعمل تتلاشق major + +66 +00:04:22,900 --> 00:04:27,060 +reference point هي بتعمل استقامة لعدسة بال center + +67 +00:04:27,060 --> 00:04:30,860 +pupil of the lens ال pupil center of the lens + +68 +00:04:30,860 --> 00:04:34,740 +للمريد so when there is no prism in the + +69 +00:04:34,740 --> 00:04:38,060 +prescription the optical center is the major + +70 +00:04:38,060 --> 00:04:40,500 +result of the responseو هاي النقطة بتلاعش اي + +71 +00:04:40,500 --> 00:04:43,580 +prismatic effect و ممكن يحدث لأن بال high + +72 +00:04:43,580 --> 00:04:47,620 +refractive error و ال anisometrabia لازم نكون + +73 +00:04:47,620 --> 00:04:51,880 +دقيقين في تحديد ال optical center لإنه بيكون ال + +74 +00:04:51,880 --> 00:04:54,060 +prismatic effect عالي في هاي اللحظة + +75 +00:05:03,310 --> 00:05:10,470 +الشعاع الموجود في الوضع الوضع الوضع + +76 +00:05:10,470 --> 00:05:16,990 +الوضع + +77 +00:05:16,990 --> 00:05:20,290 +الوضع + +78 +00:05:20,290 --> 00:05:21,550 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +79 +00:05:21,550 --> 00:05:21,810 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +80 +00:05:21,810 --> 00:05:21,830 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +81 +00:05:21,830 --> 00:05:21,830 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +82 +00:05:21,830 --> 00:05:21,830 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +83 +00:05:21,830 --> 00:05:21,830 +الوضع الوضع الوضع الوضع الوضع الوضع الوضع الوضع + +84 +00:05:21,830 --> 00:05:24,790 +الوضعلازم يكون ال optical center مقابل ال center + +85 +00:05:24,790 --> 00:05:30,370 +equilibrium للمريض عشان يحظر .. يحظر أفضل رؤية من + +86 +00:05:30,370 --> 00:05:34,910 +خلاله the patient PD and the optical center head + +87 +00:05:34,910 --> 00:05:38,210 +will determine the placement of a lens within the + +88 +00:05:38,210 --> 00:05:42,410 +frame يعني لازم يبقى قيمة frame PD للإطار وقيمة + +89 +00:05:42,410 --> 00:05:47,670 +IBD للpatient عشان في حال كان في ضوافق بينهمهيكون + +90 +00:05:47,670 --> 00:05:53,190 +يعني التوافق بينهم هيكون عندى اي لا يكون .. + +91 +00:05:53,190 --> 00:05:55,630 +مايكونش فيه عنده اي prismatic effect و لما يكون .. + +92 +00:05:55,630 --> 00:05:58,070 +لما يكون في .. مافيش توافق بينهم لازم نعمل ال + +93 +00:05:58,070 --> 00:06:00,710 +decentration للعدسة عشان نتلاشى ال prismatic + +94 +00:06:00,710 --> 00:06:04,330 +effect هي + +95 +00:06:04,330 --> 00:06:07,630 +عندنا بال .. ال center of pupil للمريض مع ال + +96 +00:06:07,630 --> 00:06:11,580 +optical center لل patient .. لل lensالـ optical + +97 +00:06:11,580 --> 00:06:14,280 +center للـ lens و الـ center of pupil للمريضة اللي + +98 +00:06:14,280 --> 00:06:17,780 +يكونوا متطابقين على بعض عشان مايحدث اي بزمة في ال + +99 +00:06:17,780 --> 00:06:22,100 +effect و + +100 +00:06:22,100 --> 00:06:27,100 +هنا هنا ال boxing system هو ال .. هو النظام ال + +101 +00:06:27,100 --> 00:06:32,640 +update لل datum system نفس الشيء عندنا ال .. ال .. + +102 +00:06:32,640 --> 00:06:35,420 +ال center between pupil ال between distance + +103 +00:06:35,420 --> 00:06:39,640 +between center of pupil هي ال frame BDوعندنا هنا + +104 +00:06:39,640 --> 00:06:44,000 +ال a dimension او ال lens size او I size وعندنا + +105 +00:06:44,000 --> 00:06:49,560 +هنا ال largest distance between lenses اللي هي ال + +106 +00:06:49,560 --> 00:06:53,320 +bridge ال bridge size ممكن نجيب ال frame BD برضه + +107 +00:06:53,320 --> 00:06:58,900 +في طريقة تانية اللي هي ال A dimension زي ال bridge + +108 +00:06:58,900 --> 00:07:04,400 +size نفسها + +109 +00:07:04,400 --> 00:07:14,080 +ال frame BDو what we continue with Razan is lens + +110 +00:07:14,080 --> 00:07:19,200 +oscillation هذه + +111 +00:07:19,200 --> 00:07:23,340 +الصورة بتبيني أنه لازم ال ال pupil center بنتبق + +112 +00:07:23,340 --> 00:07:26,480 +يعني يصير عنده تطابق بين ال pupil center مع ال + +113 +00:07:26,480 --> 00:07:29,020 +optical center للعدسة + +114 +00:07:36,730 --> 00:07:45,950 +سلامة هنشوف فيديو هاي + +115 +00:07:45,950 --> 00:07:48,490 +الفيديو بعمله decentralization لكن هنا + +116 +00:07:48,490 --> 00:07:51,650 +decentralization موضوع ال slides اللى هشتغل فيها + +117 +00:07:51,650 --> 00:07:54,350 +انه ال decentralization هيكون عندى horizontal and + +118 +00:07:54,350 --> 00:07:56,650 +vertical decentralization أحيانا بيصير ال + +119 +00:07:56,650 --> 00:08:00,650 +decentralization لإنه عند ال optician المريض اختار + +120 +00:08:00,650 --> 00:08:05,290 +إطارتمام عند هذا الإطار مابعملش ماعنديش تناسب بين + +121 +00:08:05,290 --> 00:08:09,630 +ال IBD للإطار مع ال frame BD فبالتالي هيصير عنده a + +122 +00:08:09,630 --> 00:08:12,450 +prismatic effect لازم ال optional يعمل + +123 +00:08:12,450 --> 00:08:17,690 +decentralization لل .. للعدسة عشان يعمل انطباق لل + +124 +00:08:17,690 --> 00:08:21,170 +pupil center مع ال optical center لل frame + +125 +00:08:23,080 --> 00:08:25,880 +centration of the single vision lens هي العمل كله + +126 +00:08:25,880 --> 00:08:28,680 +على single vision lens هي عبارة single vision lens + +127 +00:08:28,680 --> 00:08:32,960 +عدسات اللي لها optical center واحد و one focal + +128 +00:08:32,960 --> 00:08:36,620 +point و باللي هنا four and the major reference + +129 +00:08:36,620 --> 00:08:40,220 +point of the lens to be centered before the wearer + +130 +00:08:40,220 --> 00:08:45,330 +pupilالصورة يجب أن تتحرك او تتحرك بعيدا من مركز + +131 +00:08:45,330 --> 00:08:49,770 +التجارب للصورة عملية الإزاحة والتجارب تتم بناء على + +132 +00:08:49,770 --> 00:08:54,050 +نظام الـ boxing system اللي معمول فيه حاليا تمام + +133 +00:08:54,050 --> 00:08:57,370 +بحيث ينطبق أن ال optical center للعدسة مع ال pupil + +134 +00:08:57,370 --> 00:09:02,070 +center بقول لـ for frames that comfort the boxing + +135 +00:09:02,070 --> 00:09:04,770 +system of the measurement the distance between + +136 +00:09:04,770 --> 00:09:11,790 +center DBC and the equal to the eye sizedimension + +137 +00:09:11,790 --> 00:09:15,590 +plus the distance between lens bridge انه ال + +138 +00:09:15,590 --> 00:09:18,730 +formula بيقول انه distance between lens ساوى انه + +139 +00:09:18,730 --> 00:09:21,250 +ال a زاد ال distance between lens اللي هي ال + +140 +00:09:21,250 --> 00:09:25,430 +bridge size most commonly the wearers bd will pay + +141 +00:09:25,430 --> 00:09:30,720 +lens thandistance between center في معظم الحلقات + +142 +00:09:30,720 --> 00:09:33,840 +لازم يكون عندي ال IBD أقل من ال distance between + +143 +00:09:33,840 --> 00:09:38,160 +center this will regular that lenses فيه + +144 +00:09:38,160 --> 00:09:41,420 +decentralization inward nasal toward the center of + +145 +00:09:41,420 --> 00:09:45,380 +the frame تمام بناء انه بناء على انه ال IBD أقل من + +146 +00:09:45,380 --> 00:09:47,960 +ال distance between center هتكون دايما ال + +147 +00:09:47,960 --> 00:09:50,860 +decentralization inward nasal هنا horizontal + +148 +00:09:50,860 --> 00:09:55,230 +decentralizationFormula بتقول ان ال distance + +149 +00:09:55,230 --> 00:09:58,750 +between centers ناقص ال wearer BYD على اتنين تدين + +150 +00:09:58,750 --> 00:10:02,590 +ال decentration للbear lengths اللي هي ال frame BD + +151 +00:10:02,590 --> 00:10:05,510 +ناقص ال IBD على اتنين طبعا لازم يكون عندى + +152 +00:10:05,510 --> 00:10:12,810 +symmetrical لل face في ال patient example بيقول ان + +153 +00:10:12,810 --> 00:10:22,540 +ال wearers BD ستين يعني عند ال IBD ستين ملي مترthe + +154 +00:10:22,540 --> 00:10:28,400 +firm size has in the dimensions 46A اللي هي eye + +155 +00:10:28,400 --> 00:10:37,000 +size أقارع 64mm and the + +156 +00:10:37,000 --> 00:10:40,160 +distance between lens اللي هي ال bridge size 18 + +157 +00:10:40,160 --> 00:10:47,940 +distance between lens 18mm what is the + +158 +00:10:47,940 --> 00:10:50,620 +decentralization للبير لينز ريجوريت بدي أعمل + +159 +00:10:50,620 --> 00:11:00,870 +decentralizationبنا عند ال D سنة عشر تسعة بنا اللي + +160 +00:11:00,870 --> 00:11:12,450 +هي ال frame frame PD ناقص ال IPD على 2 ال frame PD + +161 +00:11:12,450 --> 00:11:15,170 +او ال distance between center هي عبارة عن ال A + +162 +00:11:15,170 --> 00:11:21,470 +زائد distance between lens اللي هي 18 زي 46 + +163 +00:11:24,230 --> 00:11:31,450 +حطت تيني اربعة و ستين اربع و ستين ناقص ستين على + +164 +00:11:31,450 --> 00:11:35,450 +اتنين هيكون عنده اربع على اتنين ل ال beer lens + +165 +00:11:35,450 --> 00:11:41,950 +هتكون اتنين ميلي متر نازلي او انو + +166 +00:12:02,700 --> 00:12:05,480 +الشغل التانى بيبدأ أعمله determine decentration + +167 +00:12:05,480 --> 00:12:09,060 +from the manicular BD بيبدأ أحدد manicular لكل عين + +168 +00:12:09,060 --> 00:12:12,540 +على حده بيبدأ أعمل BD ال reference قلية القياس ال + +169 +00:12:12,540 --> 00:12:14,900 +manicular BD انه ال reference in the basically + +170 +00:12:14,900 --> 00:12:18,500 +from the center of the bridge of the noise to the + +171 +00:12:18,500 --> 00:12:23,230 +center of the pupilيعني من الـ Center لـ Bridge لـ + +172 +00:12:23,230 --> 00:12:28,190 +Frame لـ Center لـ Pupil قلية قياسي منيكولار PD + +173 +00:12:28,190 --> 00:12:31,130 +The difference between the left and the right PD + +174 +00:12:31,130 --> 00:12:35,810 +considering asymmetrical of the face features of + +175 +00:12:35,810 --> 00:12:39,410 +the many normal individual الاختلاع في ال PD للعين + +176 +00:12:39,410 --> 00:12:44,670 +ال right و ال left تبع للاختلاع في ملامح وجه وجه + +177 +00:12:44,670 --> 00:12:48,620 +كل إنسانالـ Decentration بيكون ال distance between + +178 +00:12:48,620 --> 00:12:53,580 +center على 2 ميكولار BD او A زاد ال distance + +179 +00:12:53,580 --> 00:12:58,520 +between lens على 2 ميكولار BD example بقولي how + +180 +00:12:58,520 --> 00:13:01,640 +much decentration be a pair lens in the radiate + +181 +00:13:01,640 --> 00:13:06,060 +from the RX having the following مديني انه A اللي + +182 +00:13:06,060 --> 00:13:08,860 +هي I size عبارة عن 50 distance between lens اللي + +183 +00:13:08,860 --> 00:13:12,190 +هي ال bridge size 18للعين ال right molecular + +184 +00:13:12,190 --> 00:13:15,930 +beauty عبارة عن تلاتين و ال lens molecular beauty + +185 +00:13:15,930 --> 00:13:21,270 +اتنين و تلاتين تمام هجيب ال distance between + +186 +00:13:21,270 --> 00:13:25,750 +center عند ال a و عند ال distance between lens + +187 +00:13:25,750 --> 00:13:34,370 +خمسين زي تمانتاش هتجدينه تمان + +188 +00:13:34,370 --> 00:13:38,150 +و ستين عشان + +189 +00:13:38,150 --> 00:13:48,330 +peer بدوها peer lensهكسبها على اتنين هتديني اربعة + +190 +00:13:48,330 --> 00:13:57,090 +وتلاتين اربعة تلاتين من هنا لكن في عندنا molecular + +191 +00:13:57,090 --> 00:14:01,250 +beauty اللي هي asymmetrical في ال face لل patient + +192 +00:14:01,250 --> 00:14:09,890 +فعمل اربعة تلاتين ناقص تلاتين بال right هتديني + +193 +00:14:10,580 --> 00:14:19,860 +اربع ميلي متر inward والاف عبارة اربعة و تلاتين + +194 +00:14:19,860 --> 00:14:27,120 +اللي طلعناها هنا ناقص لتان و تلاتين تديني اتنين + +195 +00:14:27,120 --> 00:14:36,740 +ميلي متر inward partion + +196 +00:14:36,740 --> 00:14:40,020 +مين + +197 +00:14:40,020 --> 00:14:40,360 +اتحد + +198 +00:14:56,710 --> 00:15:01,530 +بالأول اوير بيدي از نان و سبتين مليمتر the a + +199 +00:15:01,530 --> 00:15:05,210 +dimension is ساعة و خمسين مليمتر هاد ال a + +200 +00:15:05,210 --> 00:15:09,870 +dimension I understand between lenses ازرق مش ليه + +201 +00:15:09,870 --> 00:15:11,430 +هاد هي ال bridge + +202 +00:15:16,140 --> 00:15:20,340 +Size What is the decentration beer length required + +203 +00:15:20,340 --> 00:15:32,840 +قالنا مقدار ال decentration بساوي ال frame BD ماقص + +204 +00:15:32,840 --> 00:15:39,740 +I BD على 2 ال frame BD مش موجود عنده ال frame BD + +205 +00:15:39,740 --> 00:15:41,640 +بساوي + +206 +00:15:51,440 --> 00:15:54,640 +Limited و ال IPD موجود عندي اللي هو نانو شتنين + +207 +00:15:54,640 --> 00:16:03,420 +نانو شتنين نانو + +208 +00:16:03,420 --> 00:16:07,180 +شتنين نانو شتنين نانو شتنين نانو شتنين نانو شتنين + +209 +00:16:07,180 --> 00:16:12,400 +نانو شتنين نانو شتنين نانو شتنين نانو شتنين نانو + +210 +00:16:12,400 --> 00:16:14,420 +شتنين نانو شتنين + +211 +00:16:30,670 --> 00:16:33,930 +تمام السؤال التاني بيقول إيه how much decentration + +212 +00:16:33,930 --> 00:16:37,790 +beer lens regulate for the RX having the following + +213 +00:16:37,790 --> 00:16:42,470 +مدينة إنه ال IPD عبارة عن ستين A 52 ال bridge ال + +214 +00:16:42,470 --> 00:16:45,090 +bridge الستاشر وال A دي اللي هي affected diameter + +215 +00:16:45,090 --> 00:16:50,510 +ستة و حمسين و بده أول أشياء المطلوب الأول هنا ال + +216 +00:16:50,510 --> 00:16:54,790 +distance beer lens ال decentration و بدهminimum + +217 +00:16:54,790 --> 00:16:59,370 +plank size distance distance between lens انه a + +218 +00:16:59,370 --> 00:17:04,450 +اللي هي ال frame bd ل a زاد ال distance between + +219 +00:17:04,450 --> 00:17:11,450 +lens تمانية + +220 +00:17:11,450 --> 00:17:15,710 +و ستين + +221 +00:17:15,710 --> 00:17:21,390 +تمانية و ستين ليه دي is a notation لل beer lens + +222 +00:17:21,390 --> 00:17:31,640 +انهتمانية ستين مانوس ستين على اتنين تمانية ستين + +223 +00:17:31,640 --> 00:17:38,780 +على اتنين تسوى اربع ملي متر and one ال + +224 +00:17:38,780 --> 00:17:41,320 +decentralization للveer لينز هي عبارة عن اربع ملي + +225 +00:17:41,320 --> 00:17:45,340 +متر and one المطلوب التاني بيقول ليه ال minimum + +226 +00:17:45,340 --> 00:17:51,120 +length ساعة اللي هي عبارة عن ال effected diameter + +227 +00:17:52,540 --> 00:18:06,300 +زائد اتنين ملي زائد اتنين في ال decent ration ال + +228 +00:18:06,300 --> 00:18:11,160 +effect ال diameter مدينيها عبارة عن ستة و خمسين + +229 +00:18:11,160 --> 00:18:18,320 +زائد اتنين ملي اتنين في ال decent ration كان اربعة + +230 +00:18:18,320 --> 00:18:26,970 +اتنين في اربعةالمجموع اللي هي ايه؟ بطلع ستة ستين + +231 +00:18:26,970 --> 00:18:47,590 +ملاي بسم + +232 +00:18:47,590 --> 00:18:52,580 +اللهمعاكم سمية أنور بول بول ان شاء الله اليوم هكون + +233 +00:18:52,580 --> 00:18:56,700 +بشرح موضوع ال vertical decentration أول اشي هبدأ + +234 +00:18:56,700 --> 00:18:59,300 +بنبدأ مختصرة عن ال horizontal and vertical + +235 +00:18:59,300 --> 00:19:02,400 +decentration قبل ما أبلش في الموضوع ال horizontal + +236 +00:19:02,400 --> 00:19:05,860 +and vertical decentration of lens when a sphere + +237 +00:19:05,860 --> 00:19:08,640 +lens is decentration both horizontally and + +238 +00:19:08,640 --> 00:19:12,000 +vertically the most straightforward solution for + +239 +00:19:12,000 --> 00:19:15,620 +finding the prismatic effect is to consider each + +240 +00:19:15,620 --> 00:19:20,190 +component by itselfحاكينها انا في عدسات الـ sphere + +241 +00:19:20,190 --> 00:19:22,870 +لما بدي اعمل decentralization horizontal او + +242 +00:19:22,870 --> 00:19:28,450 +vertical افضل او أنسب خطوة ابدا فيها اني احد ان + +243 +00:19:28,450 --> 00:19:31,490 +عشان اتجنب اي prismatic effect و استطيع ايجاده + +244 +00:19:31,490 --> 00:19:35,750 +بالمكان الصحيح والدقيق اول اشي لازم اجيب كل مكوّن + +245 +00:19:35,750 --> 00:19:39,130 +على حده كيف يعني؟ بدي اجيب اول اشي مثلا قيمة ال + +246 +00:19:39,130 --> 00:19:42,990 +frame PD للإطار قيمة ال A dimension او قيمة ال + +247 +00:19:42,990 --> 00:19:47,030 +bridge بدي كمان اقيس قيمة ال IBD الخاصة بالpatient + +248 +00:19:47,370 --> 00:19:51,190 +و أشوف حالة توافق قيمة ال frame bd للإطار و قيمة + +249 +00:19:51,190 --> 00:19:54,070 +ال I bd لل patient عشان أجنب أي prismatic effect + +250 +00:19:54,070 --> 00:19:57,530 +لإن في حال كان في عندي اختلاف بين قيمة ال frame bd + +251 +00:19:57,530 --> 00:20:01,430 +لل frame و قيمة ال I bd لل patient هيكون عندي + +252 +00:20:01,430 --> 00:20:05,230 +prismatic effect فحتطلب أعمل horizontal او + +253 +00:20:05,230 --> 00:20:08,130 +vertical decentration عشان أجنب هذا ال prismatic + +254 +00:20:08,130 --> 00:20:13,310 +effect طبعا نشوف هذه الصورة اللي عندي الصورة اللي + +255 +00:20:13,310 --> 00:20:16,180 +عندي هنا الأولى اللي فاعندي ال optical center لل + +256 +00:20:16,180 --> 00:20:20,600 +lens مطابق لل center of pupil لل passion فهنا كان + +257 +00:20:20,600 --> 00:20:24,420 +عندي ماكانش عندي اي prismatic effect و هان حالة + +258 +00:20:24,420 --> 00:20:27,700 +طبيعية و حيستطيع ال passion يشوف بافضل و أنثى + +259 +00:20:27,700 --> 00:20:31,080 +برأيها ننشط الصورة التانية اللي عندي هان عندي هاي + +260 +00:20:31,080 --> 00:20:34,300 +ال optical center لل lens و هاي ال center of pupil + +261 +00:20:34,300 --> 00:20:38,530 +في اختلاف بينهمفهنا لو انا اعطيت ال patient حد + +262 +00:20:38,530 --> 00:20:41,890 +النضارة بهذه القياصات هيعمل ليه prismatic effect و + +263 +00:20:41,890 --> 00:20:45,370 +مش هيستطيع يشوف بالرؤية الواضحة و المناسبة لهذا + +264 +00:20:45,370 --> 00:20:48,430 +انا هضطر اعمل horizontal decentralization عشان + +265 +00:20:48,430 --> 00:20:52,290 +اخلي ال optical center لل lens متابق لل center of + +266 +00:20:52,290 --> 00:20:56,950 +view لل patient عشان يشوف بافضل رؤية و يكون مرتاح + +267 +00:20:56,950 --> 00:21:01,340 +بهذه النضارة اللي انا حاطيةهانبدأ في موضوعنا اليوم + +268 +00:21:01,340 --> 00:21:04,520 +اللي هو ال vertical centration a single vision + +269 +00:21:04,520 --> 00:21:08,180 +lens so that the major reference point is centered + +270 +00:21:08,180 --> 00:21:12,000 +vertically halfway between the top and the bottom + +271 +00:21:12,000 --> 00:21:15,140 +of the frame زي ما حكينا موضوعنا اليوم كان بخص + +272 +00:21:15,140 --> 00:21:18,240 +single vision lens اللي هي بتحتوي على optical + +273 +00:21:18,240 --> 00:21:22,470 +center واحدفي حالة ال major reference point اللي + +274 +00:21:22,470 --> 00:21:26,110 +هي ال optical center ماكنتش مناسبة لل IPD لل + +275 +00:21:26,110 --> 00:21:29,330 +patient او لل center pupil لل patient انا هعمل + +276 +00:21:29,330 --> 00:21:34,950 +vertical centration اللي هي بتكون up or down عن ال + +277 +00:21:34,950 --> 00:21:38,290 +major reference point زي هذه الصورة اللي احنا + +278 +00:21:38,290 --> 00:21:42,850 +شايفينها هي عند ال optical center لل frame او لل + +279 +00:21:42,850 --> 00:21:47,010 +lens وهي عند ال center of pupil فانا هتقرح ان اعمل + +280 +00:21:47,010 --> 00:21:50,840 +decentration upبعد هيك هعمل كمان مرة decentration + +281 +00:21:50,840 --> 00:21:54,840 +inward عشان أقدر أخلي ال optical center لل lens + +282 +00:21:54,840 --> 00:22:02,880 +متابق لل center of a pupil optical problems caused + +283 +00:22:02,880 --> 00:22:06,240 +by a vertical major reference point placement the + +284 +00:22:06,240 --> 00:22:10,660 +matte need to above or below the vertical frame + +285 +00:22:10,660 --> 00:22:15,120 +center are so minimum with low powered lens that + +286 +00:22:15,120 --> 00:22:20,320 +few wearers are ever botheredتمام عندي مشكلتين + +287 +00:22:20,320 --> 00:22:23,720 +ممكن اواجههم في حالة ال .. اعمل vertical measure + +288 +00:22:23,720 --> 00:22:27,300 +reference point عند الحالة الأولى لما يكون عندي .. + +289 +00:22:27,520 --> 00:22:30,880 +law refractive error او عندما استخدم ال + +290 +00:22:30,880 --> 00:22:34,520 +traditional materia في حالة ال .. هيطلب يكون عندي + +291 +00:22:34,520 --> 00:22:37,860 +law power في هذه الحالة ال vertical major + +292 +00:22:37,860 --> 00:22:41,100 +reference point هيكون كتير قليل فمش هيأثر على ال + +293 +00:22:41,100 --> 00:22:44,660 +patient هيكون تأثيرها كتير قليل او بالكاد مش ملاحظ + +294 +00:22:44,660 --> 00:22:48,460 +و ال patient مش هيصير عنده اي ضيق او اي تعب من ال + +295 +00:22:48,460 --> 00:22:51,560 +.. من النضارة اللي هو هيكون لبسها اما الحالة + +296 +00:22:51,560 --> 00:22:54,340 +التانية اللي هي الحالة الأهم و الحالة الأصعب لما + +297 +00:22:54,340 --> 00:22:57,990 +يكون عندي high powerأو لما أكون عندى .. او لما + +298 +00:22:57,990 --> 00:23:01,730 +أستخدم different materia في هذه الحالة ال vertical + +299 +00:23:01,730 --> 00:23:03,730 +major reference point أو بشكل عام ال major + +300 +00:23:03,730 --> 00:23:07,110 +reference point كتير مهمة انها تكون في ال center + +301 +00:23:07,110 --> 00:23:11,990 +بشكل دقيق لإنه في حالة ال high powered هيكون .. + +302 +00:23:11,990 --> 00:23:15,590 +هيكون في عندي charismatic effect كتير عالي فهيكون + +303 +00:23:15,590 --> 00:23:18,090 +عندي تأثير كتير كبير على ال patient فانا علشان + +304 +00:23:18,090 --> 00:23:22,810 +أجنب هذه الحالة لازم أعملvertical او horizontal + +305 +00:23:22,810 --> 00:23:25,730 +decentralization انه اخلي ال optical center لللنز + +306 +00:23:25,730 --> 00:23:29,710 +مطابق لل center of pupil عشان اجنب هاي الحالة لأن + +307 +00:23:29,710 --> 00:23:32,990 +هاي الحالة تأثيرها بكون كتير كبير او نفس ال issue + +308 +00:23:32,990 --> 00:23:36,630 +لما يكون عندي .. لما يكون عند anisometrabia اللي + +309 +00:23:36,630 --> 00:23:39,510 +هي ال difference between refractive error in both + +310 +00:23:39,510 --> 00:23:43,130 +eye في هاي الحالة برضه ال decentralization بكون + +311 +00:23:43,130 --> 00:23:45,850 +كتير مهم لل passion عشان اجنب ال charismatic + +312 +00:23:45,850 --> 00:23:50,070 +effect اللي ممكن يواجهه تمام + +313 +00:23:50,580 --> 00:23:53,860 +نجي نشوف هذه الصورة عندي مصطلح جديد هيمر علينا + +314 +00:23:53,860 --> 00:23:58,620 +اللي هو ال major reference bike height هاي عندي ال + +315 +00:23:58,620 --> 00:24:01,680 +.. نجي ناخد تعريفه اللي هو distance from the lower + +316 +00:24:01,680 --> 00:24:07,150 +line of the box including the shape of the lensup + +317 +00:24:07,150 --> 00:24:10,470 +to the major reference point location هنيجي نشوفه + +318 +00:24:10,470 --> 00:24:14,730 +ع الشكل هي عندي حكينا ال distance المسافة بين ال + +319 +00:24:14,730 --> 00:24:18,490 +lower line في ال boxing system مع ال point of the + +320 +00:24:18,490 --> 00:24:21,450 +up of the major reference point location يعني + +321 +00:24:21,450 --> 00:24:29,220 +المسافة بين الخط السفلي في نظام ال boxing systemمع + +322 +00:24:29,220 --> 00:24:32,220 +النقطة اللى هتكون up ال major reference point هذه + +323 +00:24:32,220 --> 00:24:35,640 +المسافة بسميها ال major reference point point + +324 +00:24:35,640 --> 00:24:39,800 +height او لها مصطلحات اخرى ممكن احكي عنها ال major + +325 +00:24:39,800 --> 00:24:43,980 +reference point rise او ال drop و زى ما احنا + +326 +00:24:43,980 --> 00:24:46,600 +شايفينها انا اخدنا فى نظام ال boxing system عندى + +327 +00:24:46,600 --> 00:24:51,570 +ال decks عبارة عن ال b dimension افعال هيهمنانجيب + +328 +00:24:51,570 --> 00:24:55,890 +البيعة 2 اللي هي نصف المسافة اللي هي تقريبا هو + +329 +00:24:55,890 --> 00:24:57,970 +هيكون ال horizontal line زي ما أخدنا أحنا في ال + +330 +00:24:57,970 --> 00:25:01,490 +marking اللي كنا نرسمه اللي هو عبارة عن بيمثل + +331 +00:25:01,490 --> 00:25:05,570 +البيعة 2 هنا في حالة لما تكون ال major reference + +332 +00:25:05,570 --> 00:25:10,350 +point height أكبر من قيمة البيعة 2 هتكون ال + +333 +00:25:10,350 --> 00:25:15,170 +concentration up لأنه هتكون القيمة أكبر هنا نجي + +334 +00:25:15,170 --> 00:25:19,300 +نشوف هلأ بالقانون والمثالعندي القانون بيحكي لل + +335 +00:25:19,300 --> 00:25:22,480 +Vertical Decentration بيساوي ال measure reference + +336 +00:25:22,480 --> 00:25:27,620 +point height ناقص البيعة 2 زي ما شفنا توس تنتجنا + +337 +00:25:27,620 --> 00:25:30,500 +لما تكون قيمة ال measure reference point height + +338 +00:25:30,500 --> 00:25:34,360 +أكبر من قيمة البيعة 2 فهتكون الناتج في ال plus + +339 +00:25:34,360 --> 00:25:37,860 +يعني ال decentration هتكون up أما في حال لو كانت + +340 +00:25:37,860 --> 00:25:41,280 +ال measure و هي قريبا هذه الحالة الدهجة أكترأما لو + +341 +00:25:41,280 --> 00:25:44,600 +كان ال major reference point هتأقل من قيمة البيعة + +342 +00:25:44,600 --> 00:25:47,840 +2 هتكون القيمة بال minus فهيكون ال concentration + +343 +00:25:47,840 --> 00:25:52,700 +down نيجي ناخد example نطبق و نحلع القانون و نشوف + +344 +00:25:54,490 --> 00:25:57,910 +an order specified a major reference point height + +345 +00:25:57,910 --> 00:26:02,650 +of 30 mm the frame has a vertical dimension b of + +346 +00:26:02,650 --> 00:26:07,530 +54 mm what will the major reference point rise be + +347 +00:26:07,530 --> 00:26:11,550 +تمام هنتطبق مباشر على القانون أعطاني قيمة ال major + +348 +00:26:11,550 --> 00:26:17,170 +reference point height أعطاني قيمة ال ال b + +349 +00:26:17,170 --> 00:26:21,550 +dimension و بده ال vertical decentration تمام + +350 +00:26:21,550 --> 00:26:23,250 +هنكتب ال vertical decentration + +351 +00:26:29,000 --> 00:26:34,540 +تمام نكتب القانون عند المجر reference point type + +352 +00:26:34,540 --> 00:26:38,780 +ماقص + +353 +00:26:38,780 --> 00:26:44,360 +ال B على 2 نيجي نطبق عطيني قيمة المجر reference + +354 +00:26:44,360 --> 00:26:51,340 +point 30 ماقص قيمة ال B عطينيها 45 بس أنا بدي نص + +355 +00:26:51,340 --> 00:26:58,180 +المسافة فهقسمها على 2 اربعة و خمسين عن طول تمام + +356 +00:26:58,720 --> 00:27:06,580 +تلاتين القيمة هتعطيني سبعة و عشرين فهتكون + +357 +00:27:06,580 --> 00:27:11,160 +القيمة تقريبا تلاتة ملي متر نيجي نلاحظ هان طلعت + +358 +00:27:11,160 --> 00:27:14,600 +القيمة فلازم أطلع كمان ال concentration up و لا + +359 +00:27:14,600 --> 00:27:17,840 +down نيجي هنلاحظ قيمة ال major reference point + +360 +00:27:17,840 --> 00:27:23,300 +تلاتين قيمة ال b ع اتنين سبعة و عشرين فقيمة ال + +361 +00:27:23,300 --> 00:27:26,040 +major reference point اعلى فهتكون ال concentration + +362 +00:27:26,040 --> 00:27:26,560 +up + +363 +00:27:31,270 --> 00:27:36,710 +هي بكون أنا طلعت القيمة تمام + +364 +00:27:36,710 --> 00:27:49,370 +ناخد example جديد فكرة تانية عطيني + +365 +00:27:49,370 --> 00:27:54,390 +ال a dimension 54 millimeter ال b dimension 32 + +366 +00:27:54,390 --> 00:27:58,190 +millimeter distance between lenses اللي هي 20 + +367 +00:27:58,190 --> 00:28:04,340 +millimeterالـ major reference point height 18mm و + +368 +00:28:04,340 --> 00:28:09,140 +ال IPD 62mm طالب مني ال center the lens هان مش + +369 +00:28:09,140 --> 00:28:12,320 +محدد سواء بده ال vertical او ال horizontal ال + +370 +00:28:12,320 --> 00:28:15,660 +concentration حكالي بس بد ال center فهيك انا هجيب + +371 +00:28:15,660 --> 00:28:18,760 +ال horizontal و هجيب ال vertical عشان اعرف موقع ال + +372 +00:28:18,760 --> 00:28:23,320 +center بالظبط و المكانة قبل ما نبلش الحلقة عطيني + +373 +00:28:23,320 --> 00:28:25,600 +ال a dimension و اعطيني ال distance between ال + +374 +00:28:25,600 --> 00:28:28,760 +lens اللي هو ال bridge أول حاجة هجيب ال frame PD + +375 +00:28:28,760 --> 00:28:32,520 +لأنه تلقائي هيلزم دي في الحلقةحكي لها ال frame bd + +376 +00:28:32,520 --> 00:28:35,940 +قيمته + +377 +00:28:35,940 --> 00:28:42,200 +ال a dimension زائد قيمة ال bridge طبعا + +378 +00:28:42,200 --> 00:28:47,940 +ال a dimension عطينيها 54 قيمة ال bridge عطينيه ال + +379 +00:28:47,940 --> 00:28:55,560 +distance between lenses 20 فهيكون الناتج 74 mm + +380 +00:28:55,560 --> 00:29:00,110 +طبعا هاي طلعت القيمةو هبدأ هلاقيت حل لإنها تلزم + +381 +00:29:00,110 --> 00:29:02,730 +نتلقاه في الحل نيجل جيب هلاقيت ال horizontal + +382 +00:29:02,730 --> 00:29:12,210 +decentration زي + +383 +00:29:12,210 --> 00:29:14,990 +ما شرحت قبلينا رزان أخدنا قانون ال horizontal + +384 +00:29:14,990 --> 00:29:20,430 +decentration حكينا اللي هو قيمة ال frame BD ناقص + +385 +00:29:20,430 --> 00:29:23,730 +قيمة ال IBD على 2 + +386 +00:29:29,680 --> 00:29:35,180 +قيمة ال frame بي دي انا طلعتها 74 قيمة + +387 +00:29:35,180 --> 00:29:45,040 +ال ip دي اعطينيها بالسؤال 62 على 2 هيعطيني + +388 +00:29:45,040 --> 00:29:50,440 +الطريقة من 12 على 2 يساوي 6 ملي متر هيك انا طلعت + +389 +00:29:50,440 --> 00:29:53,940 +القيمة اضل اطلع عندي horizontal سواء كان inward + +390 +00:29:53,940 --> 00:29:59,610 +ولا outwardنيجي حكى ان عندي قانون بيحكي انه لما + +391 +00:29:59,610 --> 00:30:03,930 +تكون قيمة ال frame BD أكبر من قيمة ال IBD تلقاه ال + +392 +00:30:03,930 --> 00:30:07,150 +decentralization هيكون inward أما في حال العكس لو + +393 +00:30:07,150 --> 00:30:11,010 +كانت قيمة ال frame BD أقل من قيمة ال IBD ال + +394 +00:30:11,010 --> 00:30:13,810 +decentralization هيكون outward بالمثال اللي هنا + +395 +00:30:13,810 --> 00:30:17,670 +عندي مين عندي قيمة الأكبر ال frame BD أكبر من قيمة + +396 +00:30:17,670 --> 00:30:20,670 +ال IBD فتلقاه ال decentralization منه هيكون inward + +397 +00:30:20,670 --> 00:30:21,110 +تمام + +398 +00:30:27,340 --> 00:30:30,900 +طبعا نيجي نطلع حلقتها ال vertical decentration + +399 +00:30:30,900 --> 00:30:39,840 +قانون + +400 +00:30:39,840 --> 00:30:42,980 +ال vertical decentration هو أخدنا و حكينا ال major + +401 +00:30:42,980 --> 00:30:49,100 +reference point هي ناقص + +402 +00:30:49,100 --> 00:30:49,960 +البيعة 2 + +403 +00:30:54,210 --> 00:30:57,310 +measure reference point بالسؤال قدش عطني إياها 18 + +404 +00:30:57,310 --> 00:31:00,770 +ناقص + +405 +00:31:00,770 --> 00:31:09,750 +ال B dimension عطني إياها 32 هقسمها ع 2 طبعا + +406 +00:31:09,750 --> 00:31:15,770 +هيكون عندى 18 ناقص 32 ع 2 من 16 فهيكون عندى 2 + +407 +00:31:15,770 --> 00:31:20,510 +millimeter بما أنه قيمةالـ major reference point + +408 +00:31:20,510 --> 00:31:23,890 +height أكبر من قيمة الـ B على 2 فهيكون الـ + +409 +00:31:23,890 --> 00:31:28,610 +Decentration أول هك + +410 +00:31:28,610 --> 00:31:32,190 +أنا طلعت ال center of the lens نيجي نرسمها نشوف + +411 +00:31:32,190 --> 00:31:38,470 +كيف هعمل أنا هاي على فرض عندي ال lens و كانت هان + +412 +00:31:38,470 --> 00:31:42,770 +مثلا ال optical center قبل ما أعمل ال decentration + +413 +00:31:42,770 --> 00:31:47,010 +أشوف المريض إيش بيحتاج حكالي أول إشي هعمل + +414 +00:31:48,680 --> 00:31:52,600 +Horizontal Decentration ستة ملي متر inward هي على + +415 +00:31:52,600 --> 00:31:56,980 +فرض هان ال null لو كانت هان ال right فانا همشي هيك + +416 +00:31:56,980 --> 00:32:03,960 +ستة ملي متر inward بعد هيك حكالي هطلع up two ملي + +417 +00:32:03,960 --> 00:32:07,240 +متر فهطلع هان اتنين ملي متر + +418 +00:32:20,780 --> 00:32:24,900 +طبعا هنطلعنا احنا ال 6 millimeter inward لل both + +419 +00:32:24,900 --> 00:32:28,640 +eye انا بدي لها one eye فهقسم قيمة ال 6 على 2 + +420 +00:32:28,640 --> 00:32:32,960 +فهتعطيني 3 millimeter لل one eye + +421 +00:32:46,340 --> 00:32:51,540 +طب يعني أنا همشي تلاتة millimeter inward هيكونها + +422 +00:32:51,540 --> 00:32:57,200 +الواحد millimeter القيم + +423 +00:32:57,200 --> 00:33:00,360 +اللي أنا هطلعها هتكون لل both eye فهقسمها ع اتنين + +424 +00:33:00,360 --> 00:33:02,920 +فهتطلعلي عن one eye فهيكون horizontal تلاتة + +425 +00:33:02,920 --> 00:33:07,660 +millimeter و هيكون vertical واحد millimeter that's + +426 +00:33:07,660 --> 00:33:09,300 +right طبعا + +427 +00:33:12,650 --> 00:33:19,450 +طبعا نيجي ناخد أخر examples طبعا + +428 +00:33:19,450 --> 00:33:23,190 +هذا المثال فكرته جديدة هيكون how far from each + +429 +00:33:23,190 --> 00:33:25,810 +other will the optical center at major reference + +430 +00:33:25,810 --> 00:33:29,730 +point before a minus three diopters lens when a + +431 +00:33:29,730 --> 00:33:34,170 +one point five prismatic effect is desired أخدنا + +432 +00:33:34,170 --> 00:33:37,390 +بال .. بالoptical main قانون أنه الprismatic + +433 +00:33:37,390 --> 00:33:43,880 +effect بساوي c في a هو طالب بده ال distanceعطينا + +434 +00:33:43,880 --> 00:33:49,580 +قيمة الprismatic effect 1.5 طالب هو C عطيني قيمة + +435 +00:33:49,580 --> 00:33:59,940 +ال power 3 بيقطر فهطلع ال distance هتكون 1.5 على 3 + +436 +00:33:59,940 --> 00:34:05,700 +هتعطيني نص سنتيمتر لإن احنا القلم اللي أخدنا بنطلع + +437 +00:34:05,700 --> 00:34:08,740 +القيمة بالسنتيمتر إذا بدنا ياها بالمليمتر بنحولها + +438 +00:34:08,740 --> 00:34:09,420 +للمليمتر + +439 +00:34:12,760 --> 00:34:16,220 +طبعا في أي بنت عندها اي استفسار اي سؤال في الموضوع + +440 +00:34:16,220 --> 00:34:19,920 +ال vertical decentration نهاية ال presentation ب + +441 +00:34:19,920 --> 00:34:23,580 +.. اللي هو كان بعنوان ال reference point and + +442 +00:34:23,580 --> 00:34:26,720 +decentration ب .. باسمي طبعا و باسم ال group اللي + +443 +00:34:26,720 --> 00:34:30,920 +كان معايا منوجه التحية ل ..المدرس المصاق الدكتور + +444 +00:34:30,920 --> 00:34:34,240 +محمد الجاروشا و بشكركوا جميعا و ان شاء الله تكونوا + +445 +00:34:34,240 --> 00:34:37,760 +استفدتوا من ال presentation اللي اقع اليوم و اخر + +446 +00:34:37,760 --> 00:34:41,660 +اشي بحب اشكر ال groupنا اللي هي ال optometrist لما + +447 +00:34:41,660 --> 00:34:46,020 +البرقاني سهير أبو القنباز رزان اشتهوى و بالنهاية + +448 +00:34:46,020 --> 00:34:49,200 +كنت معاكوا سمية بلبل طبعا بداية المرة اللي اقعد + +449 +00:34:49,200 --> 00:34:53,280 +فيكم على ال presentation يعني حقيقة كان رائع جدا + +450 +00:34:54,820 --> 00:34:59,080 +ووديتولنا معلومات كثير مهمة وعتقدت يعني الجميع + +451 +00:34:59,080 --> 00:35:04,320 +التستفاد منها وعملتوا حالة من الـ refreshment و + +452 +00:35:04,320 --> 00:35:07,820 +بالإضافة لحالة من ال competition بينكم و بين ال + +453 +00:35:07,820 --> 00:35:14,140 +group الأول و لا شو عايزكم ال group الأول تمام ف + +454 +00:35:14,140 --> 00:35:19,140 +.. فنفتح ان شاء الله باب الأسئلة ال questions لأي + +455 +00:35:19,140 --> 00:35:24,730 +مهاردة حد بتسأل الأطلع مهاردة تمامو بعد ذلك انا في + +456 +00:35:24,730 --> 00:35:34,630 +عندي بعض الاستفسارات، فضلا جماعة، فضلا فضلا فضلا + +457 +00:35:34,630 --> 00:35:44,270 +فضلا فضلا فضلا فضلا فضلا فضلا فضلا فضلا فضلا فضلا + +458 +00:35:51,760 --> 00:35:56,480 +احنا أخدنا من قبل في ال .. ال geometric أنه ال .. + +459 +00:35:56,480 --> 00:36:02,440 +ال horizontal بيحب تقريبا يعني بيتحمل حدود من + +460 +00:36:02,440 --> 00:36:06,040 +عشرين لخمسة و عشرين تقريبا أما ال vertical بيتحمل + +461 +00:36:06,040 --> 00:36:10,210 +تقريبا من تلاتة لاربعمن اتنين لأ اربعة تقريبا يعني + +462 +00:36:10,210 --> 00:36:12,970 +بهذا ال range فعشان هيك ال horizontal بتحمل اكتر + +463 +00:36:12,970 --> 00:36:15,950 +من ال vertical فهيكون تأثير ال vertical اعلى على + +464 +00:36:15,950 --> 00:36:18,030 +ال patient من ال horizontal و الدليل على هذا + +465 +00:36:18,030 --> 00:36:21,870 +الموضوع انه في موضوع ال taxation test لما تعمل فحص + +466 +00:36:21,870 --> 00:36:25,850 +ال visual acuity تخده في ال attraction ان احنا + +467 +00:36:25,850 --> 00:36:31,710 +بنختار ال prism team top 15-16 prism ده يبقى طبعا + +468 +00:36:31,710 --> 00:36:37,200 +base upأو base down حسب اللي هو العالم الهدف منه + +469 +00:36:37,200 --> 00:36:42,260 +أنه احنا نعمل يعني إلغاء لكل ال vertical a balance + +470 +00:36:42,260 --> 00:36:49,560 +بتاعت العلم حتى تعمل suppression كامة خلوني + +471 +00:36:49,560 --> 00:36:52,700 +أدوّنك عن ال suppression كان أن ال IBM يجب أن ينقص + +472 +00:36:52,700 --> 00:36:58,900 +ال IBP على اتنين ليه قُسمت على اتنين؟ و لما قسمتوا + +473 +00:36:58,900 --> 00:36:59,860 +كل الورع على اتنين؟ + +474 +00:37:03,630 --> 00:37:07,830 +السؤال اللي لما رسمتي سماية اه اه لما حكيت ستة + +475 +00:37:07,830 --> 00:37:11,570 +millimeter و لما رسمتيها حكيت ثلاثة مبدلش من الأول + +476 +00:37:11,570 --> 00:37:22,370 +بس تنبع ثلاثة بالقانون نفسه كانت تنبع ثلاثة + +477 +00:37:22,370 --> 00:37:23,290 +بالقانون نفسه كانت تنبع + +478 +00:37:34,570 --> 00:37:38,550 +الشغل لما اشتغلوا العلماء من قبل اتوصلوا لواحدة + +479 +00:37:38,550 --> 00:37:41,630 +القانون و احنا أخدنا واحدة الأساس، فأخدنا واحدة + +480 +00:37:41,630 --> 00:37:42,110 +الأساس + +481 +00:37:44,940 --> 00:37:49,980 +ال bus هذه ال bus هي قسمت بالقادة على اتنين عشان + +482 +00:37:49,980 --> 00:37:51,800 +تعمل ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +483 +00:37:51,800 --> 00:37:52,880 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +484 +00:37:52,880 --> 00:37:53,320 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +485 +00:37:53,320 --> 00:37:54,040 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +486 +00:37:54,040 --> 00:37:55,180 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +487 +00:37:55,180 --> 00:37:56,340 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +488 +00:37:56,340 --> 00:37:58,560 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +489 +00:37:58,560 --> 00:38:00,280 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +490 +00:38:00,280 --> 00:38:00,300 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +491 +00:38:00,300 --> 00:38:00,360 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +492 +00:38:00,360 --> 00:38:00,360 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +493 +00:38:00,360 --> 00:38:05,620 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +494 +00:38:11,810 --> 00:38:14,630 +أى حد عندى سؤال ده عن استفسار؟ طبعا بالنسبة + +495 +00:38:14,630 --> 00:38:18,410 +للإستنتاج و تغييرتي الكتاب اللى هو ال essential of + +496 +00:38:18,410 --> 00:38:21,950 +planning and research موجودة تماما تفتحياها بقى و + +497 +00:38:21,950 --> 00:38:30,790 +بتشوفي هى اى سؤال اخر؟ طيب انا في عندى سؤال رزاقا + +498 +00:38:30,790 --> 00:38:34,550 +بس راجع على السؤال اللى كان في ال frame دي ايه 79 + +499 +00:38:34,550 --> 00:38:40,170 +و ال ID دي 62 اكرا؟ + +500 +00:38:40,170 --> 00:38:41,070 +ايه اكرا؟ + +501 +00:38:55,380 --> 00:38:58,380 +بالنسبة للمجموعة الأولى اللي قدموا إيش رأيكم في + +502 +00:38:58,380 --> 00:38:58,780 +السؤال؟ + +503 +00:39:11,720 --> 00:39:16,740 +هي تجيبين ال uncut depth صح؟ لأن انت قلت لكل عين + +504 +00:39:16,740 --> 00:39:20,640 +اربعة و نص ميلي متر شفاجتش خطر العدسة؟ + +505 +00:39:22,850 --> 00:39:27,770 +أربعة و نص عشان كبيرة يعني + +506 +00:39:27,770 --> 00:39:31,710 +بمعنى افر لو احنا اعملنا simulation او محاكاة + +507 +00:39:31,710 --> 00:39:38,070 +العدسة هيكون الأمر غير مناسب او غير مجدد و هذه وين + +508 +00:39:38,070 --> 00:39:42,070 +احنا دايما بنعنيها انه بتلاقي مريض عنده ال frame + +509 +00:39:42,070 --> 00:39:48,750 +PD مثلا او عفوا ال IBD 60 و لابس اطار ال frame PD + +510 +00:39:48,750 --> 00:39:54,510 +فيه مثلا 70فبتناجح عدسة واجعة تبتناجح انه النظارة + +511 +00:39:54,510 --> 00:39:59,250 +طالع من ال base بتاعه هذه النقطة لازم احنا نكون + +512 +00:39:59,250 --> 00:40:03,630 +متبنيين لها فقضيت ان انا اكون جاعد في المركز و + +513 +00:40:03,630 --> 00:40:07,630 +يديني احد ال patient و يقوللي انا بدي اختار اطار ب + +514 +00:40:07,630 --> 00:40:12,630 +criteria معينة او يكون مناسب ل ال base بتاعي فانا + +515 +00:40:12,630 --> 00:40:17,130 +بدي اختار الاطار بناء على مين؟ على ال IBD خاص هذا + +516 +00:40:17,130 --> 00:40:17,910 +المرحل + +517 +00:40:32,740 --> 00:40:37,700 +طبعا بنشكر زميلاتكم على هذا العرض الرائع و + +518 +00:40:37,700 --> 00:40:42,630 +المحاضرة المثمرةو ان شاء الله ننتظر الأسبوع القادم + +519 +00:40:42,630 --> 00:40:46,990 +مع مجموعتين او مجموعة جديدة ان شاء الله لكي اللي + +520 +00:40:46,990 --> 00:40:50,750 +هو يستمر عرض ال oral presentation ان شاء الله + +521 +00:40:50,750 --> 00:40:51,830 +يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/ioTH_gvn-7g.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/ioTH_gvn-7g.srt new file mode 100644 index 0000000000000000000000000000000000000000..5f3b2e6122060df49b6351bff84164f2cacb6c01 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/ioTH_gvn-7g.srt @@ -0,0 +1,1617 @@ +1 +00:00:21,020 --> 00:00:24,500 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:24,500 --> 00:00:30,800 +وبركاته، نكمل في المحاضرة هذه، أنه how to measure + +3 +00:00:30,800 --> 00:00:36,780 +lens power. في المحاضرة السابقة، تناولنا موضوع ال + +4 +00:00:36,780 --> 00:00:41,520 +neutralization. اليوم، هنبدأ بال lens + +5 +00:00:41,520 --> 00:00:42,100 +meter. + +6 +00:00:46,510 --> 00:00:50,690 +Commercially Known. Commercially بمعنى ال brand + +7 +00:00:50,690 --> 00:00:57,050 +name. يعني الاسم التجاري له. Known as a lensometer. + +8 +00:00:57,050 --> 00:01:03,490 +لينزوميتر، من اسمه، مدام ميتر، إذا هو بقيس ال focal + +9 +00:01:03,490 --> 00:01:09,210 +length لمن؟ للعدسة. تمام. فوسيميتر أيضا بقيس ال + +10 +00:01:09,210 --> 00:01:12,870 +focal length للعدسة، أو يسمى + +11 +00:01:16,140 --> 00:01:22,020 +Vertometer. بمعنى Verto power. يعني بقيس قوة العدسة. + +12 +00:01:22,020 --> 00:01:30,860 +تمام. يعني ممكن نقول عنها Verto + +13 +00:01:30,860 --> 00:01:35,640 +power. أنه + +14 +00:01:35,640 --> 00:01:39,740 +major لل + +15 +00:01:39,740 --> 00:01:43,480 +power of + +16 +00:01:52,630 --> 00:02:00,560 +الآن كـ definition للـ lensmeter. It's useful to + +17 +00:02:00,560 --> 00:02:06,360 +measure the vertex power of the spectacle or contact + +18 +00:02:06,360 --> 00:02:11,220 +lens. إذا هو بيقيس قد إيش قوة العدسة، أو العدسة + +19 +00:02:11,220 --> 00:02:17,160 +اللاصقة. طبعا احنا هنسميها used in بمعنى الهدف + +20 +00:02:17,160 --> 00:02:23,740 +منه، أو استخدامه: قياس قوة النظارات والعدسات اللاصقة. + +21 +00:02:23,740 --> 00:02:28,900 +lying out lenses. + +22 +00:02:34,810 --> 00:02:39,770 +مئة في المئة. يعني بيحدد الاتجاه الصحيح بتاع العدسة + +23 +00:02:39,770 --> 00:02:46,330 +من حيث ال optical center للعدسة. بالإضافة، أنه بيقيس + +24 +00:02:46,330 --> 00:02:50,710 +قيمة ال axis لهذه النظارة. يعني الآن يا جماعة، + +25 +00:02:50,710 --> 00:02:55,130 +الفرق بين النظارة و ال uncut lens. النظارة بيكون ال + +26 +00:02:55,130 --> 00:03:00,770 +axis محدد. يعني نفترض مثلا، اثنين من الناس، عنده axis + +27 +00:03:00,770 --> 00:03:05,390 +ثلاثين، صاد، مثلا أربعين، هتلاقي هذا ال axis إيه + +28 +00:03:05,390 --> 00:03:08,570 +شماله؟ محدد في النظارة. + +29 +00:03:13,170 --> 00:03:17,290 +بيكون ال axis إيش؟ غير محدد، زي ما أنت بدك ال axis. + +30 +00:03:17,290 --> 00:03:21,650 +ممكن تحدده وين على العدسة؟ استوعبتم الفكرة؟ يعني + +31 +00:03:21,650 --> 00:03:27,310 +الآن أنا بدي مثلا axis 40، بروح بحط على المنقلة 40 + +32 +00:03:27,310 --> 00:03:31,690 +على جهاز ال lensmeter، وبحدد العدسة ال uncut lens على + +33 +00:03:31,690 --> 00:03:35,610 +ال 40. لكن في النظارة العادية، زي اللي لبساها مثلا + +34 +00:03:35,610 --> 00:03:39,970 +اللطيفة دي، هي موجودة عليها axis، بناء على مين؟ ال + +35 +00:03:39,970 --> 00:03:42,330 +refractive error اللي كان عندها. + +36 +00:03:45,940 --> 00:03:52,060 +Lens meters may work manually or automatically. + +37 +00:03:52,060 --> 00:03:57,360 +إذا يا إما يكون يدوي، يا إما بيكون إيه؟ Automated. + +38 +00:03:57,360 --> 00:04:03,280 +طبعا أيهم أدق؟ الـ Automated. تمام؟ لكن بشرط إنه + +39 +00:04:03,280 --> 00:04:05,740 +نعمله حاجة بنسميها calibration. + +40 +00:04:09,090 --> 00:04:14,210 +شو يعني calibration؟ معايرة. يعني لازم الجهاز يتم + +41 +00:04:14,210 --> 00:04:18,630 +عمل له adjustment أو calibration (معايرة) كل فترة من + +42 +00:04:18,630 --> 00:04:23,710 +الزمن. okay. الآن + +43 +00:04:23,710 --> 00:04:29,390 +الجهاز ال lens meter يا إما بيكون manually (يدوي)، إما + +44 +00:04:29,390 --> 00:04:37,650 +بيكون dot أو بيكون cross. يعني بيكون dot أو بيكون + +45 +00:04:37,650 --> 00:04:43,730 +cross. Okay. إيش الفرق ما بين ال dot و ما بين ال + +46 +00:04:43,730 --> 00:04:51,330 +cross؟ ال cross يعتبر إيه؟ ال British system. ال dot + +47 +00:04:51,330 --> 00:04:56,770 +يعتبر American system. okay. يعني أنا جايب لكم صورة + +48 +00:04:56,770 --> 00:05:01,570 +على الكلام هذا الآن. هاي مثلا العدسة ال spherical + +49 +00:05:01,570 --> 00:05:05,410 +lens. إيش شايفينها؟ عبارة عن… شايفين يا جماعة هاي ال dot. + +50 +00:05:06,680 --> 00:05:10,580 +إذا الـ spherical lenses بتكون زي اللي هو الـ dot. + +51 +00:05:10,580 --> 00:05:17,200 +هذا بنسميه إيه؟ dot lens meter. طيب لو كانت العدسة + +52 +00:05:17,200 --> 00:05:23,750 +toric lenses، هتلاقي أنه بالشكل هذا، ال shape. أما + +53 +00:05:23,750 --> 00:05:29,790 +بالنسبة لها، عندنا ال cross. بيكون ال lenses كلها + +54 +00:05:29,790 --> 00:05:33,470 +نفس الوضوح. بينما ال toric lens بيكون خط واضح + +55 +00:05:33,470 --> 00:05:37,930 +و الثاني شماله غير واضح. يعني axis اللي هو clear + +56 +00:05:37,930 --> 00:05:44,690 +و الآخر بيكون إيه؟ unclear. طيب، مين الأدق؟ هل ال cross + +57 +00:05:44,690 --> 00:05:49,130 +ولا ال dot؟ الأكثر + +58 +00:05:49,130 --> 00:05:55,740 +دقة هو ال dot. هذه معلومة مهمة. الأكثر دقة هو ال + +59 +00:05:55,740 --> 00:05:59,080 +dot، ولكن الأسهل ال cross. + +60 +00:06:06,440 --> 00:06:12,480 +The most commonly used lens meters are manual. إذا + +61 +00:06:12,480 --> 00:06:18,340 +المعظم في المراكز، في العيادات الخاصة، في المستشفيات + +62 +00:06:18,340 --> 00:06:22,500 +الحكومية، بنستخدم ال manual. ليش؟ لأن ال cost + +63 +00:06:22,500 --> 00:06:28,990 +بتاعه أرخص من مين؟ من ال automated، and use a cross + +64 +00:06:28,990 --> 00:06:34,150 +line target. وبنستخدم اللي هو النظام إيه؟ ال British + +65 +00:06:34,150 --> 00:06:39,890 +system، أو ال cross target. يعني اللي هو يعتبر أسهل + +66 +00:06:39,890 --> 00:06:49,030 +و أقل، لكن إيه؟ دقة من ال dot. تمام. + +67 +00:06:49,030 --> 00:06:55,690 +هذه المقاييس، form in manual fosimeter أو lensmeter + +68 +00:06:55,690 --> 00:07:00,290 +أو vertometer. عندنا spherical lenses، toric lenses. + +69 +00:07:00,290 --> 00:07:03,630 +هذه في حالة ال dot، وعندنا في حالة ال cross، ال + +70 +00:07:03,630 --> 00:07:11,110 +spherical lenses و ال toric lenses. طيب، عندنا ال + +71 +00:07:11,110 --> 00:07:16,110 +compartments أو ال parts of lensmeter. شو أجزاء جهاز + +72 +00:07:16,110 --> 00:07:20,420 +ال lensmeter؟ يعني الآن أنا أمام جهاز الـ Lensmeter. + +73 +00:07:20,420 --> 00:07:25,660 +بكره، يا إما بدخل اللي هو معمل إعداد النظارات. إيش + +74 +00:07:25,660 --> 00:07:32,940 +أجزاء الجهاز؟ بداية، عندنا الـ Eyepiece. مختلفة من + +75 +00:07:32,940 --> 00:07:36,520 +سين لصاد. صح ولا لأ؟ أنا بدي أعمل لها إيه؟ + +76 +00:07:36,520 --> 00:07:40,360 +adjustment، أو بدي أعمل لها أن تكون clear image. + +77 +00:07:40,360 --> 00:07:46,230 +يعني تكون واضحة بالنسبة لي. في عندنا إبرزم + +78 +00:07:46,230 --> 00:07:53,090 +compensating device. أداة بتعوض الإبرزم، عشان تحدد + +79 +00:07:53,090 --> 00:07:58,050 +قيمة الإبرزم، إذا كانت موجودة في داخل النظارة. + +80 +00:07:58,050 --> 00:08:01,010 +إذا أداة لتعويض الإبرزم. + +81 +00:08:03,050 --> 00:08:08,630 +الـ Spotting Device. اللي هي أداة لتعليم العدسة. + +82 +00:08:08,630 --> 00:08:13,890 +الآن مثلا أنا حددت الـ Optical Center للعدسة. طيب، + +83 +00:08:13,890 --> 00:08:17,890 +بدي أحافظ على التعليم هذا، إيش بروح؟ من خلال الـ + +84 +00:08:17,890 --> 00:08:21,110 +Marker اللي موجود في جهاز الـ Lens Meter. بضغط + +85 +00:08:21,110 --> 00:08:26,370 +عليه، تمام؟ فهذه الأداة هي تعتبر أداة لتعليم إيش؟ + +86 +00:08:26,370 --> 00:08:33,190 +العدسة. أو مثلا في عندي عدسة cylinder lens، وحددت ال + +87 +00:08:33,190 --> 00:08:37,490 +axis مثلا ثلاثين. الآن أنا بدي أحدد، يعني فقط بدي + +88 +00:08:37,490 --> 00:08:40,550 +على ال axis ثلاثين. فبرووح ال line، إيش يعني ال + +89 +00:08:40,550 --> 00:08:46,210 +marker؟ بيحدد لي على الثلاثين. okay. lens holder. + +90 +00:08:46,210 --> 00:08:51,290 +الأداة اللي بتمسك العدسة، أو بتثبت العدسة. يعني لو + +91 +00:08:51,290 --> 00:08:56,620 +أنا مثلا كانت العدسة متحركة، هتلاقي أنه إيش؟ إن ممكن + +92 +00:08:56,620 --> 00:08:59,680 +أحركها، أعلمها على التسعين، وممكن أعلمها على الثمانين، + +93 +00:08:59,680 --> 00:09:03,600 +وممكن على السبعين. فلازم العدسة، من لما أحطها على + +94 +00:09:03,600 --> 00:09:10,580 +الجهاز، تظل ثابتة. في عندنا ال axis wheel، وهذه + +95 +00:09:10,580 --> 00:09:15,280 +النقطة مهمة كتير في حالة النظارة. ال axis wheel + +96 +00:09:15,280 --> 00:09:20,400 +إيه شماله؟ بيكون متغير. لأن اتفقنا إن كل نظارة بيكون + +97 +00:09:20,400 --> 00:09:24,700 +لها axis مختلف عن الآخر. وممكن ال right eye يكون ال + +98 +00:09:24,700 --> 00:09:29,360 +axis فيها مختلف إيش؟ عن ال left eye. لكن في حالة ال + +99 +00:09:29,360 --> 00:09:34,360 +uncut lens، ال axis wheel بثبته. يعني الآن جاتني + +100 +00:09:34,360 --> 00:09:44,960 +وصفة، نفترض plus 4، على minus 2، axis ثلاثين. أول حاجة + +101 +00:09:44,960 --> 00:09:52,120 +أنا عندي عدسة إيش؟ uncut lens. تمام. بحط على المنقلة + +102 +00:09:52,120 --> 00:09:57,160 +أو ال protector على axis قد إيش؟ ثلاثين. وبعد ذلك، يعني + +103 +00:09:57,160 --> 00:10:02,200 +الآن ثبتنا قد إيش؟ ال protector ثلاثين. وبعد ذلك، بوزن + +104 +00:10:02,200 --> 00:10:06,960 +العدسة على ال axis الخاص فيه، اللي قيمته قد إيش؟ + +105 +00:10:06,960 --> 00:10:14,170 +ثلاثين. طيب، عندنا ال power wheel. إذا والله كانت + +106 +00:10:14,170 --> 00:10:20,330 +العدسة sphere lens، إذا إيش هتمتلك؟ The same power + +107 +00:10:20,330 --> 00:10:25,990 +in all meridians. طيب لو كانت العدسة toric lens، + +108 +00:10:25,990 --> 00:10:29,650 +هيكون عندنا two power. في عندنا مثلا horizontal، و + +109 +00:10:29,650 --> 00:10:34,840 +في عندنا vertical. تمام؟ أو قد تكون oblique. الآن + +110 +00:10:34,840 --> 00:10:39,600 +أنا بدي أعرف إن شاء الله كيف أُحدد، إن وين أعلم ال + +111 +00:10:39,600 --> 00:10:44,860 +axis، على القيمة الصغيرة ولا على القيمة الكبيرة؟ إذا + +112 +00:10:44,860 --> 00:10:48,320 +عندنا ال power wheel، سواء كان في ال uncut lens أو + +113 +00:10:48,320 --> 00:10:52,340 +كان في ال spectacle lenses، إيش بيكون؟ changeable. + +114 +00:10:52,340 --> 00:10:55,200 +اللي هو إيش؟ ماله؟ متغير. صح ولا لأ؟ + +115 +00:11:03,910 --> 00:11:09,090 +طيب، عندنا مفهوم ال focal point. إيش المقصود في ال + +116 +00:11:09,090 --> 00:11:19,690 +focal point؟ 100% ال focal point هي نقطة تجميع + +117 +00:11:19,690 --> 00:11:26,490 +الأشعة. الآن احنا، بداية الأشعة من وين جاية؟ من ال + +118 +00:11:26,490 --> 00:11:32,590 +infinity. صح؟ يعني هنا عندنا القيمة ما لا نهاية. طيب، + +119 +00:11:32,590 --> 00:11:36,170 +ال light rays هنا يا إما تيجي من ما لا نهاية، إذا إيش + +120 +00:11:36,170 --> 00:11:42,090 +بتكون؟ parallel light + +121 +00:11:42,090 --> 00:11:45,290 +rays. + +122 +00:11:45,290 --> 00:11:55,670 +صح؟ الآن إيش قابلة؟ plus lens (عدسة موجبة). إذا الآن + +123 +00:11:55,670 --> 00:12:00,470 +العدسة الموجبة إيش هتعمل؟ convergent للـ light rays. + +124 +00:12:00,470 --> 00:12:04,630 +إذا كل ال light rays، وإنتجمعت في one point، اللي هي + +125 +00:12:04,630 --> 00:12:09,870 +سميناها focal point. إذا ال focal point هي النقطة + +126 +00:12:09,870 --> 00:12:15,630 +التي من خلالها يتم تجميع ال light rays بعد مروره + +127 +00:12:15,630 --> 00:12:20,310 +بإيش؟ ب optical system (بنظام بصري)، سواء minus أو + +128 +00:12:20,310 --> 00:12:27,940 +plus lens. الآن الشكل الآخر، أو الفيجر الثاني. عندنا إيش؟ + +129 +00:12:27,940 --> 00:12:33,440 +كانت العدسة minus lens (صح). وفي عندنا light rays كان + +130 +00:12:33,440 --> 00:12:37,580 +parallel، أو من ما لا نهاية. إذا عندنا ال optical system + +131 +00:12:37,580 --> 00:12:40,300 +هيعمل إيه؟ divergent لل light rays. + +132 +00:12:43,710 --> 00:12:48,330 +في مرحلة معينة، بعد ذلك، بيبدأ إيش؟ بيرجع رجوع في + +133 +00:12:48,330 --> 00:12:52,210 +عملية اللي هو تجميع ال light rays. عشان هيك إيش + +134 +00:12:52,210 --> 00:12:57,590 +بتلاحظه؟ إن ال focal point في ال minus lens أصبح + +135 +00:12:57,590 --> 00:13:03,030 +وين؟ in front of the lens. ممتازة. لكن ال focal point + +136 +00:13:03,030 --> 00:13:08,030 +في ال plus lens، وين أصبح؟ behind the lens. تمام؟ + +137 +00:13:08,030 --> 00:13:13,710 +يعني هذا ال slide بيوضح لي إن اختلاف ال focal point + +138 +00:13:13,710 --> 00:13:17,670 +ما بين العدسة، أو ال optical system، إذا كان plus أو + +139 +00:13:17,670 --> 00:13:19,050 +إذا كان minus. + +140 +00:13:45,370 --> 00:13:51,450 +الآن في عندنا الـ Simple Lens Meter. أول ما بدأوا + +141 +00:13:51,450 --> 00:13:56,090 +في فكرة الـ Lens Meter، كان في عندنا جهاز very + +142 +00:13:56,090 --> 00:14:02,430 +simple (بسيط كتير). نشوف مكوناته. بداية، عندنا الـ + +143 +00:14:02,430 --> 00:14:12,850 +Observer Eye. هذه عبارة عن Observer Eye. تمام؟ + +144 +00:14:14,140 --> 00:14:18,960 +في عندنا أيضًا ال IBS Lenses. الآن ال IBS اللي + +145 +00:14:18,960 --> 00:14:23,880 +خاصة فيها، مختلفة عن ال IBS اللي خاصة بـ Russia، أو + +146 +00:14:23,880 --> 00:14:29,160 +ال IBS اللي خاصة في آية، كل شخص له IBS أخرى. تمام؟ + +147 +00:14:29,160 --> 00:14:33,100 +وهذه بتعتمد على مين؟ على ال refractive error. يعني + +148 +00:14:33,100 --> 00:14:36,480 +الآن لو أنا عندي ميوب أو hypermetrop، بدي أحاول + +149 +00:14:36,480 --> 00:14:42,650 +أعدل، أو أوضح الصورة. هذه نقطة الـ IBS lenses. في + +150 +00:14:42,650 --> 00:14:47,650 +عندنا الـ IBS graphical، اللي هي عبارة عن إيش؟ + +151 +00:14:47,650 --> 00:14:52,670 +منقلة. هي، لاحظين زي اللي هو المنقلة؟ طلعوا في الصورة + +152 +00:14:52,670 --> 00:14:57,110 +عندكم في الكتاب، هتلاقي، وكأنه اللي هو lines. ال + +153 +00:14:57,110 --> 00:15:00,290 +lines هذه، بتكون في منها oblique، وفي منها + +154 +00:15:00,290 --> 00:15:04,510 +horizontal، وفي منها vertical، وكأنه منقلة. الآن + +155 +00:15:04,510 --> 00:15:09,610 +أنا يا إما باجي أوضح ال eye piece. تمام. بحرك مين؟ + +156 +00:15:09,610 --> 00:15:13,310 +المنقلة. المنقلة بحركها بناء على إيش؟ ال axis + +157 +00:15:13,310 --> 00:15:17,640 +الصحيح، أو ال axis اللي أنا بدي إياه. يعني الآن نفترض + +158 +00:15:17,640 --> 00:15:22,440 +أنا وضحت الصورة عندي. أنا ال axis اللي مطلوب + +159 +00:15:22,440 --> 00:15:28,430 +ثلاثين. بروح بحط اللي هو إيش؟ المنقلة الطويلة هذه + +160 +00:15:28,430 --> 00:15:32,970 +على ال axis اللي هو ثلاثين. فهذه بنسميها graphical + +161 +00:15:32,970 --> 00:15:38,150 +اللي هو، أو IBS graphical. اللي هي المنقلة اللي بتتم + +162 +00:15:38,150 --> 00:15:43,270 +توضيح ال IBS. بداية، وبعد ذلك بتتم اللي هو تحديد + +163 +00:15:43,270 --> 00:15:47,910 +قيمة ال axis السليم، بناء على الوصفة اللي مطلوبة + +164 +00:15:47,910 --> 00:15:48,270 +منه. + +165 +00:15:51,040 --> 00:15:55,160 +الآن في عندنا ال light rays، في عندنا ال spectacle + +166 +00:15:55,160 --> 00:15:59,780 +lens، اللي هي قوة ال power of the lens (قوة العدسة). + +167 +00:15:59,780 --> 00:16:07,900 +تمام. بعد ذلك، في عندنا هنا زي اللي هو ال scale. إيش + +168 +00:16:07,900 --> 00:16:13,440 +ملاحظين؟ في صفر، وفي عندنا plus، وفي عندنا minus. + +169 +00:16:13,440 --> 00:16:16,840 +هلجيت هذا، بعتمد على مين ال scale؟ + +170 +00:16:19,390 --> 00:16:22,810 +مئة في المئة على قوة العدسة، ال power of a lens. + +171 +00:16:22,810 --> 00:16:27,970 +يعني الآن، لما أنا بمشي العدسة minus lens، تمام، بدي + +172 +00:16:27,970 --> 00:16:32,190 +أمشي باتجاه مين؟ ال minus، أو ال scale بتاعي، بدي + +173 +00:16:32,190 --> 00:16:37,530 +يكون باتجاه ال minus. لو أنا مثلا عندي plus lens، ال + +174 +00:16:37,530 --> 00:16:41,710 +scale بتاعي، بدي يكون باتجاه مين؟ ال plus. طيب، واحدة + +175 +00:16:41,710 --> 00:16:46,890 +بتسألني السؤال: ممكن الآن أنا عندي عدسة minus lens، + +176 +00:16:48,200 --> 00:16:53,300 +ومشيت باتجاه ال plus lens، إيش هتكون الصورة؟ 100% + +177 +00:16:53,300 --> + +223 +00:21:07,650 --> 00:21:11,850 +ولا لأ، لكن أنا عندي جزء منه، إيه صار له + +224 +00:21:11,850 --> 00:21:18,310 +refracted, reflected, or transmitted. فالجزء هذا اللي + +225 +00:21:18,310 --> 00:21:23,650 +انكسر، إيش عمل له؟ the front nodal point، okay. + +226 +00:21:24,690 --> 00:21:29,050 +الآن دخل وين؟ في الـ optical center للعدسة، برضه + +227 +00:21:29,050 --> 00:21:32,670 +نفس الحاجة هيخرج، لكن جزء منه إما هيصير له + +228 +00:21:32,670 --> 00:21:38,110 +refracted أو reflected أو transmitted، ممكن واحدة + +229 +00:21:38,110 --> 00:21:43,520 +تسألني، طيب لو كانوا الاثنين نفس معامل انكسار؟ 100% + +230 +00:21:43,520 --> 00:21:47,720 +هيصير الـ nodal point الأول (front surface) مساوي + +231 +00:21:47,720 --> 00:21:51,880 +إيش؟ للـ nodal point بتاعة الـ back surface أو الـ + +232 +00:21:51,880 --> 00:21:57,220 +rear surface. وبالتالي إيش هيكون الاستنتاج؟ أن هذه + +233 +00:21:57,220 --> 00:22:00,960 +عبارة عن thin lens، يعني سلوكها هيكون إيش ماله؟ + +234 +00:22:00,960 --> 00:22:06,210 +واحد، تمام؟ لكن إذا كان الـ thick lens أو السلوب + +235 +00:22:06,210 --> 00:22:10,930 +مختلف من السطح الأمامي للسطح الخلفي، كل واحد أو كل + +236 +00:22:10,930 --> 00:22:15,890 +سطح هيعمل front nodal point و back nodal point. + +237 +00:22:15,890 --> 00:22:20,010 +فهمتوا إيش المقصود فيها؟ أو بعض المراجع بيسموها + +238 +00:22:20,010 --> 00:22:23,870 +principle point. واضحة؟ + +239 +00:22:28,830 --> 00:22:33,850 +الآن عندنا في اللنزميتر، ترقش اللي بيصير أن الـ light + +240 +00:22:33,850 --> 00:22:40,870 +rays من الـ target هتكون parallel. السبب في ذلك ليش؟ + +241 +00:22:40,870 --> 00:22:46,710 +أنه هيكون الـ object أو الـ target ملامس لمن؟ للـ + +242 +00:22:46,710 --> 00:22:51,650 +nodal point. طيب، هل ممكن الـ optical system هذا يكون + +243 +00:22:51,650 --> 00:22:59,240 +أكثر من عدسة؟ صحيح، كله إيش بنسميه؟ نظام بصري، يعني + +244 +00:22:59,240 --> 00:23:03,720 +حتى لو كانت اللي هو عدسة واحدة أو اثنتين داخل الجهاز، + +245 +00:23:03,720 --> 00:23:08,420 +نفس الشيء أو نفس السلوك اللي هو هيصير زي ما الآن + +246 +00:23:08,420 --> 00:23:12,980 +هنوضحها في المثال السابق. الآن إحنا نرجع لمسمى + +247 +00:23:12,980 --> 00:23:18,900 +الجهاز، أن هو إيش؟ lensmeter، صح؟ يعني بقسمين الـ + +248 +00:23:18,900 --> 00:23:24,590 +focal length للجهاز. طيب، الآن لاحظوا أن في + +249 +00:23:24,590 --> 00:23:29,750 +drawbacks أو في limitation أو في عيوب لمن؟ للجهاز، + +250 +00:23:29,750 --> 00:23:34,470 +هذا، طبعاً هذا مين؟ الـ traditional instrument أو الـ + +251 +00:23:34,470 --> 00:23:39,190 +simple instrument، الجهاز البسيط أو الأول اللي أول + +252 +00:23:39,190 --> 00:23:45,230 +ما اكتشفوه. There are two major problems. في مشكلتين + +253 +00:23:45,230 --> 00:23:50,470 +أساسيتين، تمام، with the simple lensmeter للجهاز. + +254 +00:23:50,470 --> 00:23:57,150 +البسيط. نشوف المشكلة الأولى: The first is that the + +255 +00:23:57,150 --> 00:24:01,790 +instrument would have to be too large to be + +256 +00:24:01,790 --> 00:24:08,060 +practical. أنه أنا عشان بدي أطبق طريقة عملية، بدي + +257 +00:24:08,060 --> 00:24:12,340 +لازم الجهاز إيش يكون؟ كبير، لأن هو بيقيس فعلياً من الـ + +258 +00:24:12,340 --> 00:24:17,300 +focal length للعدسة، صح؟ كيف يعني؟ الآن لو أنا عندي + +259 +00:24:17,300 --> 00:24:22,400 +عدسة قوتها ربع ديوبتر، كده لازم يكون طول الجهاز + +260 +00:24:22,400 --> 00:24:31,310 +أربعة أمتار، تخيلوا جهاز يكون أربعة أمتار! طيب، لو أنا + +261 +00:24:31,310 --> 00:24:38,050 +عندي عدسة قوتها نص ديوبتر، كده بدي؟ اثنين. طيب، لو + +262 +00:24:38,050 --> 00:24:42,990 +عدسة قوتها واحد ديوبتر، كده عندي اللي هو الـ focal + +263 +00:24:42,990 --> 00:24:48,470 +length؟ متر واحد. إذا أول حاجة الـ defect أو أول + +264 +00:24:48,470 --> 00:24:54,350 +problem عندي أساسية: طول الجهاز، أنه too large، كبير + +265 +00:24:54,350 --> 00:25:02,710 +خالص. هذه واحدة، اثنين. المشكلة الثانية هي أن قيمة + +266 +00:25:02,710 --> 00:25:04,610 +الوضع للتحكم في قيمة الوضع للتحكم في قيمة الوضع + +267 +00:25:04,610 --> 00:25:11,990 +للتحكم would be non-linear. مين تقدر تفسر لي إياها؟ كيف + +268 +00:25:11,990 --> 00:25:15,890 +يعني non-linear؟ + +269 +00:25:15,890 --> 00:25:23,950 +لا، + +270 +00:25:23,950 --> 00:25:27,030 +الآن إحنا قلنا لما كان عندي ربع ديوبتر، + +271 +00:25:30,110 --> 00:25:38,230 +قد إيش كان طول الجهاز؟ أربعة أمتار، صح؟ طيب، لما كان عندي + +272 +00:25:38,230 --> 00:25:49,150 +نص ديوبتر، fifty هذه، تمام. + +273 +00:25:49,150 --> 00:25:57,670 +قد إيش طوله؟ مترين، صح؟ طيب، لما كان عندي واحد + +274 +00:25:57,670 --> 00:25:58,330 +ديوبتر، + +275 +00:26:00,730 --> 00:26:07,170 +متر واحد، صح؟ مش علاقة عكسية وتناسبية. هل جيت ملاحظ أن + +276 +00:26:07,170 --> 00:26:12,730 +الطول بيكون كده؟ مترين، الفرق، ومتر واحد بيكون إيش؟ + +277 +00:26:12,730 --> 00:26:17,610 +واحد. إذا إيش يعتبر؟ non-linear، يعني مش واحد، اثنين، + +278 +00:26:17,610 --> 00:26:22,090 +ثلاثة، أربعة، خمسة. فاهمين على كيف الـ scale، التدريج + +279 +00:26:22,090 --> 00:26:25,310 +بتاعه؟ متر واحد، مترين، ثلاثة، أربعة، حسب مين؟ it depends on the + +280 +00:26:25,310 --> 00:26:30,120 +power of the lens، حسب قوة العدسة. فهمتوا عليّ إيش + +281 +00:26:30,120 --> 00:26:34,580 +المقصود؟ هذه الـ big problem الخاصة في جهاز الـ lens + +282 +00:26:34,580 --> 00:26:41,360 +meter أو الـ simple lensmeter. طيب، + +283 +00:26:41,360 --> 00:26:49,800 +إيش الحل؟ الآن، إحنا كل عدسة، تخيلوا قوتها ربع ديوبتر، + +284 +00:26:49,800 --> 00:26:56,070 +تمام، بدي جهاز طوله قد إيش؟ أربعة أمتار. نص ديوبتر، بدي + +285 +00:26:56,070 --> 00:27:02,790 +جهاز قد إيش طوله؟ مترين. الحل كان كالتالي: + +286 +00:27:02,790 --> 00:27:07,990 +introducing another lens into a simplified lens + +287 +00:27:07,990 --> 00:27:14,910 +meter أو standard lens. جاء الحل هو أنه نعمل عدسة + +288 +00:27:14,910 --> 00:27:22,420 +داخل الجهاز، ونسمي هذه العدسة شوفوا، standard lens. + +289 +00:27:22,420 --> 00:27:28,140 +يعني الآن أنتم كل الأجهزة اللي بتشوفوها عندنا في + +290 +00:27:28,140 --> 00:27:33,420 +المعمل، سواء كانت cross أو كانت dot، قد إيش حجمها؟ أقل + +291 +00:27:33,420 --> 00:27:38,420 +من ثلاثين أو أربعين سنتيمتر، صح ولا لا؟ يعني very + +292 +00:27:38,420 --> 00:27:44,050 +small. الجهاز الآن، هذه كل الأجهزة في داخلها فيه + +293 +00:27:44,050 --> 00:27:48,930 +scanner lens، تمام. قد إيش الـ scanner lens قوتها؟ غالباً + +294 +00:27:48,930 --> 00:27:55,410 +عشرين ديوبتر، تخيلوا. + +295 +00:27:55,410 --> 00:27:57,870 +عشرين ديوبتر، تخيلوا. + +296 +00:28:01,460 --> 00:28:07,920 +الأجهزة هذه كقوة، أو standard lens فيها usually a + +297 +00:28:07,920 --> 00:28:13,060 +twenty diopter. طيب، إيش الهدف منه؟ ليش أنا بستخدم + +298 +00:28:13,060 --> 00:28:18,060 +اللي هو الـ standard lens؟ عشان أصغر حجم الجهاز؟ هي + +299 +00:28:18,060 --> 00:28:24,280 +الهدف الأساسي أنه مش والله أما احتاج أنا عدسة قوتها + +300 +00:28:24,280 --> 00:28:29,260 +ربع ديوبتر، بدي أربعة أمتار، أو عدسة قوتها مثلاً نص + +301 +00:28:29,260 --> 00:28:33,280 +ديوبتر، بدي مترين. لا، بستخدم الـ standard lens، هي + +302 +00:28:33,280 --> 00:28:36,500 +كفيلة بتصغير حجم الجهاز. + +303 +00:28:40,350 --> 00:28:44,470 +إذا، shortness the required length of the + +304 +00:28:44,470 --> 00:28:49,570 +instrument considerably. إذا هي كفيلة بتصغير حجم + +305 +00:28:49,570 --> 00:28:54,490 +الجهاز بشكل كبير جداً، إذا considerably، أي بمعنى + +306 +00:28:54,490 --> 00:29:00,430 +بدرجة كبيرة جداً. makes + +307 +00:29:00,430 --> 00:29:06,350 +the diopteric scale of the instrument linear. من + +308 +00:29:06,350 --> 00:29:10,710 +شوية كان الفروقات كده؟ مرة واحد، مرة اثنين، مرة ممكن + +309 +00:29:10,710 --> 00:29:14,930 +ثلاثة وهكذا، حسب الـ power بتاع العدسة الخاصة بالـ + +310 +00:29:14,930 --> 00:29:20,330 +lens. الآن هاه، لا، صار عبارة عن linear scale عندنا، + +311 +00:29:20,330 --> 00:29:25,670 +الـ zero، في عندنا plus وفي عندنا إيش؟ minus. مثلاً + +312 +00:29:25,670 --> 00:29:31,070 +التدريج: zero، plus واحد، plus اثنين، plus ثلاثة، minus + +313 +00:29:31,070 --> 00:29:34,810 +واحد، minus اثنين، minus ثلاثة. إذا عندنا الفروقات + +314 +00:29:34,810 --> 00:29:39,210 +حتى في minus ثلاثة وربع، minus ثلاثة ونص وهكذا، + +315 +00:29:39,210 --> 00:29:44,670 +حسب قوة العدسة اللي أنا بجيصها. and therefore more + +316 +00:29:44,670 --> 00:29:48,810 +accurate at higher diopteric powers. وأصبحت اللي + +317 +00:29:48,810 --> 00:29:54,640 +هو أكثر دقة وين؟ في القوة العالية. يعني أنا عندي + +318 +00:29:54,640 --> 00:30:00,340 +مثلاً ماينص عشرين أو ماينص مثلاً اثنين وعشرين. إذا + +319 +00:30:00,340 --> 00:30:12,440 +الجهاز أصبح أكثر دقة في هذه الناحية. okay. + +320 +00:30:12,440 --> 00:30:18,100 +الآن نفس الفكرة زي الـ simple lensmeter، في عندنا + +321 +00:30:18,100 --> 00:30:25,060 +observer IIbs graphical. شايفين؟ هنا أوضح اللي هو + +322 +00:30:25,060 --> 00:30:30,780 +المنقلة، صح؟ منقلة واضحة، اللي هي أنا لما بوضح الـ + +323 +00:30:30,780 --> 00:30:36,340 +Ibs، تمام، بصير تعديل لمن؟ للمنقلة بالاتجاه + +324 +00:30:36,340 --> 00:30:40,580 +السليم اللي أنا بدي إياه. الآن في عندنا standard lens + +325 +00:30:40,580 --> 00:30:45,900 +و spectacle lens. هدول الاثنين إيش بنسميهم؟ optical + +326 +00:30:45,900 --> 00:30:50,360 +system. + +327 +00:30:53,330 --> 00:31:01,380 +يعني بمعنى آخر أنه بيصير سلوك الـ target، واحدة كل + +328 +00:31:01,380 --> 00:31:05,660 +هيثم بيكون parallel light rays. يعني أنا مش بحاجة.. + +329 +00:31:05,660 --> 00:31:08,520 +يعني ممكن واحد يقول لي: okay، لما يكون الـ spectacle + +330 +00:31:08,520 --> 00:31:12,800 +lens بدون الـ standard lens، بيكون عندي parallel light + +331 +00:31:12,800 --> 00:31:16,320 +rays. طب أنا بإضافة اللي هو الـ standard lens، لا، بقول + +332 +00:31:16,320 --> 00:31:19,920 +له هنا، صاروا كل هيئتهم optical system. يعني نقطة + +333 +00:31:19,920 --> 00:31:24,440 +واحدة، النقطة هتكون ملامسة لمن؟ للـ + +334 +00:31:24,440 --> 00:31:28,470 +target. واضحة الفكرة؟ طيب، ليش إحنا ضفناها هنا الـ + +335 +00:31:28,470 --> 00:31:32,830 +standard lens؟ عشان تصغير اللي هو طول الجهاز و + +336 +00:31:32,830 --> 00:31:38,130 +تديني accurate اللي هو القوة العالية للـ high + +337 +00:31:38,130 --> 00:31:44,030 +diopteric power. في عندنا هنا الـ adjustable target + +338 +00:31:44,030 --> 00:31:49,960 +graphical. الآن أنا ببدأ بعملية توضيح مين؟ الـ cross + +339 +00:31:49,960 --> 00:31:54,120 +أو الـ dot. يعني مثلاً أنا عندي minus ثلاثة، minus + +340 +00:31:54,120 --> 00:32:02,080 +أربعة، بوضح الـ cross وبغشّي الـ cross، تمام، حسب إيش + +341 +00:32:02,080 --> 00:32:06,260 +قيمة اللي هو الـ power اللي موجودة في داخل النظارة. + +342 +00:32:06,260 --> 00:32:09,620 +وهنا عندنا الـ light illumination، شايفين كيف الـ + +343 +00:32:09,620 --> 00:32:16,080 +scale صار إيش ماله؟ linear، أنه منتظم، صح ولا لا؟ أو + +344 +00:32:16,080 --> 00:32:20,640 +بمعنى خط، يعني زي كأنه خط أعداد. zero، بعدين عندنا + +345 +00:32:20,640 --> 00:32:27,560 +ربع، نص، خمسة وسبعين، واحد، واحد وربع، لحد خمسة. يعني الـ + +346 +00:32:27,560 --> 00:32:34,260 +scale كله أصبح linear اللي موجود في داخل الجهاز، تمام. + +347 +00:32:45,010 --> 00:32:54,150 +طبعاً هذه الـ slide بيوضح أن قوة العدسة بتاعة + +348 +00:32:54,150 --> 00:33:01,010 +النظارة، لما تكون موجبة ولما تكون سالبة، كيف هيكون + +349 +00:33:01,010 --> 00:33:05,990 +اللي هو السلوك لها. خلينا نشوف الآن، بداية عندنا + +350 +00:33:05,990 --> 00:33:13,650 +parallel light rays، صح؟ جاي من الـ infinity. إذا هذه parallel + +351 +00:33:13,650 --> 00:33:18,810 +الـ light rays من الـ infinity. عندنا plus lens، هذه + +352 +00:33:18,810 --> 00:33:23,430 +عبارة عن إيش؟ الـ optical system كانت plus lens. + +353 +00:33:23,430 --> 00:33:29,030 +light rays إيش ماله؟ صار له تجميع. هنا عندنا الـ + +354 +00:33:29,030 --> 00:33:33,530 +optical أو الـ standard lens. الـ standard lens اللي + +355 +00:33:33,530 --> 00:33:41,100 +جونا غالباً بتكون الـ twenty diopter. okay. عملت إيش؟ + +356 +00:33:41,100 --> 00:33:48,060 +convergent للـ light rays. الآن الـ target هذا موازي + +357 +00:33:48,060 --> 00:33:53,160 +لمن؟ أو جالس على الـ nodal point الخاصة في العدسة. + +358 +00:33:53,160 --> 00:33:57,940 +عندنا الآن يا جماعة في اللي هو الـ X، الـ X هذه إيش + +359 +00:33:57,940 --> 00:34:04,760 +بتمثل؟ مين تحكي لي؟ ممتازة لمن؟ + +360 +00:34:10,850 --> 00:34:16,130 +هذه بتمثل الـ focal length للعدسة، الـ standard lens. + +361 +00:34:16,130 --> 00:34:24,610 +تمام؟ لكن الـ X شرطة إيش بتمثل؟ الـ focal length للـ + +362 +00:34:24,610 --> 00:34:29,190 +unknown lens، العدسة المجهولة اللي مش معروفة كده + +363 +00:34:29,190 --> 00:34:36,750 +قوتها. تثبيتًا للمعلومة، إذا عندنا الـ X شرطة بتمثل الـ + +364 +00:34:36,750 --> 00:34:42,590 +focal length للـ unknown lens. الـ X هي عبارة عن الـ + +365 +00:34:42,590 --> 00:34:49,110 +focal length للـ standard lens. وهي عندنا linear scale + +366 +00:34:49,110 --> 00:34:55,330 +plus zero وعندنا plus أو minus، طبعاً هنا مدام العدسة + +367 +00:34:55,330 --> 00:34:59,870 +plus، إذا بمشي باتجاه من الـ plus، يعني الـ scale + +368 +00:34:59,870 --> 00:35:06,650 +بتاعي هيكون باتجاه الـ plus. تمام. الآن هدول الاثنين، + +369 +00:35:06,650 --> 00:35:12,070 +الـ standard lens و الـ unknown lens، الاثنين إيش + +370 +00:35:12,070 --> 00:35:19,550 +صاروا؟ optical system، نظام بصري واحد. okay. نيجي للـ + +371 +00:35:19,550 --> 00:35:20,350 +minus lens. + +372 +00:35:23,160 --> 00:35:29,320 +نفس الفكرة، عندنا light rays، تمام، في عندنا الـ minus + +373 +00:35:29,320 --> 00:35:35,060 +lens، عندنا هنا الـ standard lens plus، okay، وفي + +374 +00:35:35,060 --> 00:35:40,160 +عندنا الـ X هذا بيمثل مين؟ الـ focal length للـ + +375 +00:35:40,160 --> 00:35:44,760 +standard lens، okay، وعندنا الـ target، طبعاً الـ focal + +376 +00:35:44,760 --> 00:35:52,350 +point للـ unknown lens وين هتكون؟ in front، آه، in + +377 +00:35:52,350 --> 00:35:58,430 +front the lens، أمامها، صح ولا لا؟ + +378 +00:35:58,430 --> 00:36:03,690 +هاي، شايفين الـ X شرطة اللي هي عبارة عن الـ focal + +379 +00:36:03,690 --> 00:36:06,270 +length لمن؟ للـ unknown lens. + +380 +00:36:09,200 --> 00:36:14,340 +The relationship of target movement to power of + +381 +00:36:14,340 --> 00:36:19,700 +unknown lens can be deduced from a Newton's + +382 +00:36:19,700 --> 00:36:26,500 +relationship. يعني يمكن دراسة العلاقة ما بين حركة + +383 +00:36:26,500 --> 00:36:32,770 +الـ target، تمام؟ وقوة العدسة الغير معروفة من خلال + +384 +00:36:32,770 --> 00:36:37,530 +اللي هو استنتاجها بقانون اللي هو نيوتن، أو بنسميه a + +385 +00:36:37,530 --> 00:36:43,610 +Newton relationship، a Newton relationship. بتمثل + +386 +00:36:43,610 --> 00:36:50,330 +العلاقة هذه linear relationship. بداية عندنا، + +387 +00:36:50,330 --> 00:36:55,870 +عندما أنا بتكلم يا جماعة، f small، المقصود فيها إيش؟ + +388 +00:36:55,870 --> 00:37:02,150 +focal length، تمام. يعني + +389 +00:37:02,150 --> 00:37:13,110 +أما أنا بتكلم F capital، power of a lens. الآن + +390 +00:37:13,110 --> 00:37:18,570 +عندنا focal length وقال لي s small، إذا هذه الـ s + +391 +00:37:18,570 --> 00:37:25,270 +small إيش بتمثل؟ الـ standard lens، تمام. + +392 +00:37:26,500 --> 00:37:31,280 +إذا عندنا الـ focal length للـ standard lens، طبعاً + +393 +00:37:31,280 --> 00:37:37,880 +تربيع، بالساوى minus، طبعاً هذه الـ minus ليش؟ حسب نوع + +394 +00:37:37,880 --> 00:37:42,780 +العدسة، هل هي plus ولا minus؟ إذا كانت العدسة minus + +395 +00:37:42,780 --> 00:37 + +445 +00:42:05,900 --> 00:42:10,760 +أعداد زي ما شفنا تول X عندما عملها كيف يعني؟ الآن + +446 +00:42:10,760 --> 00:42:17,640 +مثلا عندنا plus 10 صح؟ كل ما أنا أطلعت بزيد ال + +447 +00:42:17,640 --> 00:42:22,840 +plus متفقين؟ كل ما أنا نزلت بقل ال plus لحد ما أصبح + +448 +00:42:22,840 --> 00:42:30,600 +ايش؟ صفر. طيب من plus 10 لصفر كم؟ عشرة. وعندنا من صفر + +449 +00:42:30,600 --> 00:42:35,720 +لـ minus عشرة برضه عشرة صح؟ إذا كل واحدة بدي + +450 +00:42:35,720 --> 00:42:40,500 +أحسب لها ايش ال target movement كخط أعداد مختلف عن + +451 +00:42:40,500 --> 00:42:44,740 +التاني. مستوعبين معايا؟ إذا هنا for a range of a + +452 +00:42:44,740 --> 00:42:49,580 +plus 10 diopter to minus 10 diopter, the target + +453 +00:42:49,580 --> 00:42:56,890 +movement of only 32 millimeter. كيف جبنا ال 32؟ الآن + +454 +00:42:56,890 --> 00:43:03,970 +احنا حسبنا ال focal length ل plus عشرة تمام؟ إذا + +455 +00:43:03,970 --> 00:43:08,730 +ال F ايش هيساوي؟ مئة على عشرة صحيح؟ وجبنا ال + +456 +00:43:08,730 --> 00:43:14,470 +focal length لمين؟ للتانية. وعوضنا على القانون F ل + +457 +00:43:14,470 --> 00:43:19,920 +U اللي هو في الـ F على F الـ S تربيع. تمام؟ طلع عندنا + +458 +00:43:19,920 --> 00:43:24,480 +الأولى 16 والثانية 16. هلّجيت الاتنين خط أعداد يعني + +459 +00:43:24,480 --> 00:43:28,440 +عندنا minus 16 و plus 16. راح نجمعهم مع بعض، ايش + +460 +00:43:28,440 --> 00:43:34,540 +بيطلعوا؟ يعني الفرق ما بين الصفر ل plus 10 هي عبارة + +461 +00:43:34,540 --> 00:43:38,860 +عن 16 ملي، ومن صفر ل minus 10 برضه عبارة عن كم؟ + +462 +00:43:38,860 --> 00:43:45,700 +16 ملي. الناتج كان كم اللي هو 32 ملي. استوعبنا + +463 +00:43:45,700 --> 00:43:47,880 +الفكرة هذه ولا كيف؟ ولا نحلها؟ + +464 +00:44:07,490 --> 00:44:12,470 +هلقيت عندنا for a range، فـ plus عشرة اللي plus + +465 +00:44:12,470 --> 00:44:19,220 +عشرة دي، وبتحدد ايش؟ بتمثل الـ F لل unknown lens، صح؟ هلّ + +466 +00:44:19,220 --> 00:44:28,260 +جيت عندنا الـ X ايش بتساوي؟ الـ F الـ U على الـ F الـ + +467 +00:44:28,260 --> 00:44:34,180 +standard lens. الآن، الـ F الـ U كم؟ عشرة، اللي هي + +468 +00:44:34,180 --> 00:44:40,600 +عشرة آلاف. عشرة آلاف نقسمها على كم؟ طبعا هنا تربيع. + +469 +00:44:40,600 --> 00:44:44,580 +خمسة وعشرين. مئة في المئة اللي هي كم؟ ستمئة و + +470 +00:44:44,580 --> 00:44:51,260 +خمسة وعشرين. هلّجيت هذه عندنا الـ F. هذه عبارة عن + +471 +00:44:51,260 --> 00:44:57,660 +ايش؟ قيمة ثابتة. F U هي عبارة عن ال power of unknown + +472 +00:44:57,660 --> 00:45:02,260 +lens. طب هنا معلومة، كم الـ F U؟ عشرة. يعني هذه يا + +473 +00:45:02,260 --> 00:45:06,580 +جماعة وكأنه قوة مين؟ النضارة أو قوة العدسة. + +474 +00:45:06,580 --> 00:45:11,180 +مستوعبين معايا؟ كم قيمتها؟ اللي هي plus عشرة ديوبتر. + +475 +00:45:11,180 --> 00:45:17,670 +فعوضنا الـ F بـ عشرة. عشرة آلاف. طيب عندنا قفل الـ + +476 +00:45:17,670 --> 00:45:21,430 +standard يا بتكون عشرين اللي هي الغالب، أو خمسة و + +477 +00:45:21,430 --> 00:45:25,990 +عشرين. لو عوضنا الآن يا لطيفة على عشرين بتصير كده؟ + +478 +00:45:25,990 --> 00:45:30,330 +أربعمائة. لأنه عشرين تربيع كده بتطلع؟ نقسم عشر + +479 +00:45:30,330 --> 00:45:36,170 +آلاف على أربعمائة. طيب + +480 +00:45:36,170 --> 00:45:40,150 +عشرة آلاف على ستمئة وخمسة وعشرين تطلع ستة عشر + +481 +00:45:40,150 --> 00:45:48,680 +تمام؟ هي كده؟ ستة عشر. هذه ملي. هذه للعدسة مين؟ plus + +482 +00:45:48,680 --> 00:45:54,480 +عشرة. بقى آجي نفس الفكرة لمين؟ لل minus عشرة. كم؟ + +483 +00:45:54,480 --> 00:45:59,820 +ال minus عشرة هتطلع minus ستة عشر ملي. صح ولا لأ؟ + +484 +00:45:59,820 --> 00:46:04,130 +الآن بقوله تعال ما نفعش إنك تحسب. جمّل اللي هو + +485 +00:46:04,130 --> 00:46:07,170 +الجمع. احنا عبارة عن الـ scale عندنا زي ما رسمت لكم + +486 +00:46:07,170 --> 00:46:12,250 +إياه شوية. إنه عندنا من صفر لعشرة كم؟ ستة عشر ملي + +487 +00:46:12,250 --> 00:46:16,570 +ومن صفر لـ minus عشرة كم؟ ستة عشر ملي. إذا المجموع + +488 +00:46:16,570 --> 00:46:24,890 +بتاعهم كم؟ اللي هي اثنين وثلاثين ملي. استوعبناها يعني + +489 +00:46:24,890 --> 00:46:31,980 +الآن تخيلوا إنه اختلاف ال movement ما بين العدسة + +490 +00:46:31,980 --> 00:46:39,040 +الـ minus عشرة والـ plus عشرة كم؟ 32 ملي. وهذا أنا + +491 +00:46:39,040 --> 00:46:43,380 +بثبت المفهوم اللي حكيت لكم إياه. لو أنا كان عندي + +492 +00:46:43,380 --> 00:46:48,180 +عدسة الـ plus عشرة وأنا ماشي في الـ minus. كل ما مشيت + +493 +00:46:48,180 --> 00:46:51,880 +في الـ minus أكتر، كل ما ايش؟ زاد ال frame بتاعة + +494 +00:46:51,880 --> 00:46:56,100 +العدسة أو كل عفو، ال frame بتاع ال target. وإذا كان + +495 +00:46:56,100 --> 00:47:01,230 +عندي عدسة – lens، وأنا ماشي في الـ plus، كل ما مشيت + +496 +00:47:01,230 --> 00:47:06,970 +أكتر، بزود الـ range لل target أكتر. تمام؟ لأنه + +497 +00:47:06,970 --> 00:47:11,890 +هيحتاج مسافة ايش؟ اللي هو أكتر. نوقف إن شاء الله + +498 +00:47:11,890 --> 00:47:15,610 +للنقطة هذه. في المحاضرة الجاية بنكمل إن شاء الله. + +499 +00:47:15,610 --> 00:47:16,410 +يعطيكم العافية diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/ioTH_gvn-7g_raw.json b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/ioTH_gvn-7g_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..c8b419d17e4a1c4ea417fd77e63e21b228af0ed1 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/ioTH_gvn-7g_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4210, "start": 21.02, "end": 42.1, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته نكمل في المحاضرة هذه انه how to measure lens power في المحاضرة 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optical center للعدسة بالاضافة انه جديش قيمة ال access لهذه النضارة يعني الآن يا جماعة الفرق بين النضارة و ال uncut lens النضارة بيكون ال access محدد يعني نفترض مثلا", "tokens": [2304, 10632, 8978, 9673, 10632, 37495, 22653, 4724, 1829, 24401, 3215, 2423, 9307, 7435, 40294, 31767, 5016, 1829, 5016, 39894, 45761, 18863, 3215, 3794, 3660, 9154, 11331, 1829, 12984, 2423, 20674, 3056, 24976, 22488, 3794, 3660, 20666, 46958, 31845, 3660, 16472, 3224, 10874, 16254, 8592, 12174, 32640, 3660, 2423, 2105, 46740, 24192, 28239, 11242, 9640, 3660, 37495, 22653, 6024, 48506, 35186, 10874, 15042, 27884, 27188, 2288, 4587, 49374, 28239, 11242, 9640, 3660, 4032, 2423, 6219, 325, 6765, 28239, 11242, 9640, 3660, 4724, 1829, 30544, 2423, 2105, 3714, 24401, 3215, 37495, 22653, 8717, 5172, 2655, 43042, 50113, 15040], "avg_logprob": -0.10586734587440685, "compression_ratio": 1.821256038647343, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 154.81, "end": 155.17, "word": "مية", "probability": 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"end": 263.71, "word": " الآن", "probability": 0.628173828125}, {"start": 263.71, "end": 264.43, "word": " الجهاز", "probability": 0.9873046875}, {"start": 264.43, "end": 264.87, "word": " ال", "probability": 0.96923828125}, {"start": 264.87, "end": 265.19, "word": " lens", "probability": 0.900390625}, {"start": 265.19, "end": 265.69, "word": " meter", "probability": 0.484130859375}, {"start": 265.69, "end": 266.63, "word": " يما", "probability": 0.89013671875}, {"start": 266.63, "end": 267.19, "word": " بيكون", "probability": 0.951171875}, {"start": 267.19, "end": 268.01, "word": " manually", "probability": 0.480224609375}, {"start": 268.01, "end": 268.85, "word": " يدوي", "probability": 0.8473307291666666}, {"start": 268.85, "end": 269.39, "word": " اما", "probability": 0.818359375}, {"start": 269.39, "end": 269.95, "word": " بيكون", "probability": 0.97021484375}, {"start": 269.95, "end": 270.63, "word": " dot", "probability": 0.78466796875}, {"start": 270.63, "end": 271.35, "word": " او", "probability": 0.931396484375}, {"start": 271.35, "end": 271.79, "word": " بيكون", "probability": 0.96533203125}, {"start": 271.79, "end": 272.31, "word": " cross", "probability": 0.60693359375}, {"start": 272.31, "end": 273.33, "word": " يعني", "probability": 0.922607421875}, {"start": 273.33, "end": 274.43, "word": " بيكون", "probability": 0.9684244791666666}, {"start": 274.43, "end": 275.11, "word": " dot", "probability": 0.96435546875}, {"start": 275.11, "end": 277.15, "word": " او", "probability": 0.969970703125}, {"start": 277.15, "end": 277.65, "word": " بيكون", "probability": 0.9659830729166666}, {"start": 277.65, "end": 278.33, "word": " cross", "probability": 0.78759765625}], "temperature": 1.0}, {"id": 12, "seek": 30541, "start": 279.35, "end": 305.41, "text": "Okay ايش الفرق ما بين ال dot و ما بين ال cross ال cross يعتبر ايه ال British system ال dot يعتبر American system okay يعني انا جايبلكم صورة على الكلام هذا الان هاي مثلا العدسة ال spherical lens ايش شايفينها عبارة شايفين يا جماعة هاي ال dot", "tokens": [8297, 1975, 1829, 8592, 27188, 2288, 4587, 19446, 49374, 2423, 5893, 4032, 19446, 49374, 2423, 3278, 2423, 3278, 7251, 34268, 26890, 1975, 1829, 3224, 2423, 6221, 1185, 2423, 5893, 7251, 34268, 26890, 2665, 1185, 1392, 37495, 22653, 1975, 8315, 10874, 47302, 3555, 23275, 2304, 20328, 13063, 3660, 15844, 2423, 28820, 10943, 23758, 2423, 7649, 8032, 47302, 50113, 15040, 18863, 3215, 3794, 3660, 2423, 37300, 6765, 1975, 1829, 8592, 13412, 995, 33911, 9957, 11296, 6225, 3555, 9640, 3660, 13412, 995, 33911, 9957, 35186, 10874, 15042, 27884, 8032, 47302, 2423, 5893], "avg_logprob": -0.1784722238779068, "compression_ratio": 1.7584541062801933, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 279.35, "end": 279.79, "word": "Okay", "probability": 0.1865234375}, {"start": 279.79, "end": 281.43, "word": " ايش", "probability": 0.729736328125}, {"start": 281.43, "end": 281.89, "word": " الفرق", "probability": 0.9718424479166666}, {"start": 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302.35, "end": 302.99, "word": " شايفينها", "probability": 0.9916015625}, {"start": 302.99, "end": 303.69, "word": " عبارة", "probability": 0.9449462890625}, {"start": 303.69, "end": 304.03, "word": " شايفين", "probability": 0.9703369140625}, {"start": 304.03, "end": 304.11, "word": " يا", "probability": 0.410888671875}, {"start": 304.11, "end": 304.47, "word": " جماعة", "probability": 0.9954427083333334}, {"start": 304.47, "end": 305.03, "word": " هاي", "probability": 0.6983642578125}, {"start": 305.03, "end": 305.17, "word": " ال", "probability": 0.98291015625}, {"start": 305.17, "end": 305.41, "word": " dot", "probability": 0.96484375}], "temperature": 1.0}, {"id": 13, "seek": 32238, "start": 306.68, "end": 322.38, "text": "أذا الـ spherical lenses بتكون زي اللي هو الـ dot هذا بنسميه ايه؟ dot lens meter طيب لو كانت العدسة ترك lenses هتلاقي انه بالشكل هذا ال shape", "tokens": [10721, 15730, 2423, 39184, 37300, 18059, 39894, 30544, 30767, 1829, 13672, 1829, 31439, 2423, 39184, 5893, 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{"start": 310.2, "end": 310.42, "word": " الـ", "probability": 0.822998046875}, {"start": 310.42, "end": 310.58, "word": " dot", "probability": 0.52490234375}, {"start": 310.58, "end": 310.96, "word": " هذا", "probability": 0.38330078125}, {"start": 310.96, "end": 311.66, "word": " بنسميه", "probability": 0.806103515625}, {"start": 311.66, "end": 312.56, "word": " ايه؟", "probability": 0.703887939453125}, {"start": 312.56, "end": 312.94, "word": " dot", "probability": 0.58154296875}, {"start": 312.94, "end": 313.6, "word": " lens", "probability": 0.86328125}, {"start": 313.6, "end": 314.08, "word": " meter", "probability": 0.5625}, {"start": 314.08, "end": 315.9, "word": " طيب", "probability": 0.9225260416666666}, {"start": 315.9, "end": 316.08, "word": " لو", "probability": 0.92041015625}, {"start": 316.08, "end": 316.48, "word": " كانت", "probability": 0.98779296875}, {"start": 316.48, "end": 317.2, "word": " العدسة", "probability": 0.9765625}, {"start": 317.2, "end": 317.8, "word": " ترك", "probability": 0.497802734375}, {"start": 317.8, "end": 318.44, "word": " lenses", "probability": 0.46484375}, {"start": 318.44, "end": 319.36, "word": " هتلاقي", "probability": 0.926513671875}, {"start": 319.36, "end": 319.82, "word": " انه", "probability": 0.74169921875}, {"start": 319.82, "end": 320.32, "word": " بالشكل", "probability": 0.94921875}, {"start": 320.32, "end": 320.7, "word": " هذا", "probability": 0.93017578125}, {"start": 320.7, "end": 322.04, "word": " ال", "probability": 0.400634765625}, {"start": 322.04, "end": 322.38, "word": " shape", "probability": 0.76171875}], "temperature": 1.0}, {"id": 14, "seek": 35111, "start": 323.31, "end": 351.11, "text": "أما بالنسبة لها عندنا ال across بيكون ال lenses كله نفس الوضوح بينما ال torque lens بيكون خط واضح والتاني اشماله غير واضح يعني اكسس اللي هو clear والاخر بيكون ايه unclear طيب مين الأدق هل ال cross ولا ال dot الأكتر دقة هو لل dot", "tokens": [10721, 15042, 20666, 1863, 35457, 3660, 5296, 11296, 43242, 8315, 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378.34, "word": " مستشفيات", "probability": 0.9669921875}, {"start": 378.34, "end": 379.46, "word": " الحكومية،", "probability": 0.859765625}, {"start": 379.46, "end": 380.2, "word": " بنستخدم", "probability": 0.916015625}, {"start": 380.2, "end": 380.34, "word": " ال", "probability": 0.9384765625}, {"start": 380.34, "end": 380.98, "word": " manual،", "probability": 0.71240234375}, {"start": 380.98, "end": 381.6, "word": " ليش؟", "probability": 0.9454752604166666}, {"start": 381.6, "end": 381.92, "word": " لأن", "probability": 0.861572265625}, {"start": 381.92, "end": 382.1, "word": " ال", "probability": 0.8232421875}, {"start": 382.1, "end": 382.5, "word": " course", "probability": 0.92919921875}, {"start": 382.5, "end": 383.08, "word": " بتاعه", "probability": 0.9563802083333334}, {"start": 383.08, "end": 383.66, "word": " أرخص", "probability": 0.9920654296875}, {"start": 383.66, "end": 383.88, "word": " من", "probability": 0.9931640625}, {"start": 383.88, "end": 384.58, "word": " مين؟", "probability": 0.80615234375}, {"start": 384.58, "end": 384.82, "word": " من", "probability": 0.9814453125}, {"start": 384.82, "end": 385.12, "word": " ال", "probability": 0.9794921875}, {"start": 385.12, "end": 385.56, "word": " automated", "probability": 0.92919921875}], "temperature": 1.0}, {"id": 17, "seek": 41039, "start": 387.09, "end": 410.39, "text": "and use a cross line target وبنستخدم اللي هو النظام ايه ال British system او ال cross target يعني اللي هو يعتبر اسهل و اقل لكن ايه دقة من ال dot تمام هذه الميارات", "tokens": [474, 764, 257, 3278, 1622, 3779, 4032, 3555, 1863, 14851, 9778, 40448, 13672, 1829, 31439, 28239, 19913, 10943, 1975, 1829, 3224, 2423, 6221, 1185, 1975, 2407, 2423, 3278, 3779, 37495, 22653, 13672, 1829, 31439, 7251, 34268, 26890, 24525, 3224, 1211, 4032, 1975, 4587, 1211, 44381, 1975, 1829, 3224, 11778, 28671, 9154, 2423, 5893, 46811, 10943, 29538, 9673, 1829, 9640, 9307], "avg_logprob": -0.22669057377049182, "compression_ratio": 1.475609756097561, 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فلازم العدسة من حد ما أحطها على الجهاز تظل ثابتة في عندنا ال access wheel وهذه النقطة مهمة كتير في حالة النضارة ال access wheel إيه شماله؟ بيكون متغير", "tokens": [28814, 1863, 3714, 43020, 3714, 25513, 7578, 5551, 3615, 19528, 11296, 15844, 16712, 3794, 3615, 9957, 4032, 3714, 43020, 5551, 3615, 19528, 11296, 15844, 16712, 2304, 7649, 9957, 4032, 3714, 43020, 15844, 21136, 3555, 3615, 9957, 6156, 1211, 31377, 2304, 18863, 3215, 3794, 3660, 9154, 11331, 3215, 19446, 5551, 5016, 9566, 11296, 15844, 25724, 3224, 31377, 6055, 19913, 1211, 38637, 16758, 2655, 3660, 8978, 43242, 8315, 2423, 2105, 5589, 37037, 24192, 28239, 47432, 3660, 3714, 16095, 3660, 9122, 2655, 13546, 8978, 11331, 6027, 3660, 28239, 11242, 9640, 3660, 2423, 2105, 5589, 11933, 1829, 3224, 13412, 2304, 6027, 3224, 22807, 4724, 1829, 30544, 44650, 17082, 13546], "avg_logprob": -0.19649174556417284, "compression_ratio": 1.9073170731707316, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 536.0, "end": 536.26, 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{"start": 545.94, "end": 548.28, "word": " في", "probability": 0.46826171875}, {"start": 548.28, "end": 548.64, "word": " عندنا", "probability": 0.799560546875}, {"start": 548.64, "end": 548.8, "word": " ال", "probability": 0.90234375}, {"start": 548.8, "end": 549.18, "word": " access", "probability": 0.3876953125}, {"start": 549.18, "end": 549.94, "word": " wheel", "probability": 0.92138671875}, {"start": 549.94, "end": 550.58, "word": " وهذه", "probability": 0.4517822265625}, {"start": 550.58, "end": 550.96, "word": " النقطة", "probability": 0.9313151041666666}, {"start": 550.96, "end": 551.38, "word": " مهمة", "probability": 0.9775390625}, {"start": 551.38, "end": 551.68, "word": " كتير", "probability": 0.9239908854166666}, {"start": 551.68, "end": 552.58, "word": " في", "probability": 0.623046875}, {"start": 552.58, "end": 553.2, "word": " حالة", "probability": 0.9964192708333334}, {"start": 553.2, "end": 554.34, "word": " النضارة", "probability": 0.932373046875}, {"start": 554.34, 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578.98, "end": 580.78, "word": " ع", "probability": 0.7919921875}, {"start": 580.78, "end": 581.2, "word": " minus", "probability": 0.8330078125}, {"start": 581.2, "end": 581.74, "word": " 2", "probability": 0.9853515625}], "temperature": 1.0}, {"id": 25, "seek": 61150, "start": 582.56, "end": 611.5, "text": "اكسس تلاتين اول حاجة انا عندي عدسة ايش uncut lens تمام بحط على المنقلة او ال protector على اكسس جداش تلاتين وبعد ذلك يعني الآن ثبتنا جداش ال protector تلاتين وبعد ذلك بوزن العدسة على ال axis الخاص فيه اللي قيمته جداش تلاتين طيب عندنا ال power wheel", "tokens": [995, 4117, 3794, 3794, 6055, 1211, 9307, 9957, 1975, 12610, 11331, 26108, 3660, 1975, 8315, 18871, 16254, 6225, 3215, 3794, 3660, 1975, 1829, 8592, 6219, 325, 6765, 46811, 10943, 4724, 5016, 9566, 15844, 9673, 1863, 4587, 37977, 1975, 2407, 2423, 34986, 15844, 1975, 4117, 3794, 3794, 10874, 3215, 33599, 6055, 1211, 9307, 9957, 46599, 22488, 29910, 23275, 37495, 22653, 6024, 48506, 38637, 3555, 2655, 8315, 10874, 3215, 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"word": " ذلك", "probability": 0.993896484375}, {"start": 601.08, "end": 602.2, "word": " بوزن", "probability": 0.8011474609375}, {"start": 602.2, "end": 602.72, "word": " العدسة", "probability": 0.9947509765625}, {"start": 602.72, "end": 602.98, "word": " على", "probability": 0.8994140625}, {"start": 602.98, "end": 603.52, "word": " ال", "probability": 0.947265625}, {"start": 603.52, "end": 604.1, "word": " axis", "probability": 0.28466796875}, {"start": 604.1, "end": 604.86, "word": " الخاص", "probability": 0.97314453125}, {"start": 604.86, "end": 605.58, "word": " فيه", "probability": 0.650146484375}, {"start": 605.58, "end": 605.84, "word": " اللي", "probability": 0.9189453125}, {"start": 605.84, "end": 606.46, "word": " قيمته", "probability": 0.9534505208333334}, {"start": 606.46, "end": 606.96, "word": " جداش", "probability": 0.9801432291666666}, {"start": 606.96, "end": 607.64, "word": " تلاتين", "probability": 0.9873046875}, {"start": 607.64, "end": 610.1, "word": " طيب", 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{"start": 648.0, "end": 648.32, "word": " او", "probability": 0.927001953125}, {"start": 648.32, "end": 648.62, "word": " كان", "probability": 0.96484375}, {"start": 648.62, "end": 648.78, "word": " في", "probability": 0.9365234375}, {"start": 648.78, "end": 648.9, "word": " ال", "probability": 0.95458984375}, {"start": 648.9, "end": 649.36, "word": " spectacle", "probability": 0.80078125}, {"start": 649.36, "end": 650.04, "word": " lenses", "probability": 0.80224609375}, {"start": 650.04, "end": 650.34, "word": " ايش", "probability": 0.82568359375}, {"start": 650.34, "end": 650.76, "word": " بيكون", "probability": 0.9493815104166666}, {"start": 650.76, "end": 652.34, "word": " changeable", "probability": 0.6236572265625}, {"start": 652.34, "end": 652.72, "word": " اللي", "probability": 0.7548828125}, {"start": 652.72, "end": 652.9, "word": " هو", "probability": 0.962890625}, {"start": 652.9, "end": 653.12, "word": " ايش", "probability": 0.9152018229166666}, {"start": 653.12, "end": 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{"start": 688.23, "end": 688.59, "word": " هان", "probability": 0.77734375}, {"start": 688.59, "end": 688.99, "word": " عندنا", "probability": 0.966064453125}, {"start": 688.99, "end": 689.77, "word": " القيمة", "probability": 0.9217122395833334}, {"start": 689.77, "end": 690.03, "word": " ما", "probability": 0.49658203125}, {"start": 690.03, "end": 690.13, "word": " لا", "probability": 0.921875}, {"start": 690.13, "end": 690.65, "word": " نهاية", "probability": 0.9114583333333334}], "temperature": 1.0}, {"id": 29, "seek": 71755, "start": 692.13, "end": 717.55, "text": "طيب ال light rays هان يما تيجي من المالة نهاية إذا إيش بتكون بررل light rays صح؟ الآن إيش قابلة؟ plus lens عدسة موجبة إذا الآن العدسة الموجبة إيش هتعمل؟", "tokens": [9566, 1829, 3555, 2423, 1442, 24417, 8032, 7649, 7251, 15042, 6055, 1829, 7435, 1829, 9154, 9673, 6027, 3660, 8717, 11296, 10632, 11933, 15730, 11933, 1829, 8592, 39894, 30544, 4724, 2288, 2288, 1211, 1442, 24417, 20328, 5016, 22807, 6024, 48506, 11933, 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التي من خلالها يتم تجميع ال light rays بعد مروره بإيش؟ ب optical system بنظام بصري سواء minus أو plus lens الآن الشكل الآخر أو الفيجر التاني", "tokens": [1671, 331, 6930, 24976, 39184, 1442, 24417, 11933, 15730, 28242, 2423, 1442, 24417, 4032, 7649, 2655, 7435, 2304, 3615, 8978, 472, 935, 13672, 1829, 39896, 8608, 2304, 8315, 11296, 26592, 935, 11933, 15730, 2423, 26592, 935, 39896, 28239, 47432, 3660, 38392, 9154, 16490, 1211, 6027, 11296, 7251, 39237, 6055, 7435, 2304, 40228, 2423, 1442, 24417, 39182, 3714, 2288, 13063, 3224, 4724, 28814, 1829, 8592, 22807, 4724, 20674, 1185, 44945, 19913, 10943, 4724, 9381, 16572, 8608, 2407, 16606, 3175, 34051, 1804, 6765, 6024, 48506, 25124, 28820, 6024, 95, 34740, 34051, 27188, 1829, 7435, 2288, 16712, 7649, 1829], "avg_logprob": -0.18621134512203255, "compression_ratio": 1.6260504201680672, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 718.27, "end": 719.35, "word": "convergent", "probability": 0.731201171875}, {"start": 719.35, 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فيه معامل انكسار و الهو ال back surface فيه معامل انكسار", "tokens": [6027, 7649, 43242, 8315, 1868, 3753, 4032, 8978, 43242, 8315, 1975, 1829, 3224, 646, 3753, 1975, 2407, 8250, 3753, 37495, 22653, 8608, 9566, 5016, 1975, 2304, 10943, 1829, 4032, 8608, 9566, 5016, 16490, 46538, 1829, 32767, 9957, 24976, 22488, 3794, 3660, 2423, 7649, 8978, 8032, 1863, 20449, 10943, 1211, 16472, 4117, 3794, 9640, 1975, 12610, 36764, 24401, 50113, 15040, 4032, 8032, 1863, 8978, 3224, 20449, 10943, 1211, 16472, 4117, 3794, 9640, 1975, 2655, 1863, 9957, 44650, 5172, 4587, 9957, 24976, 3794, 9566, 5016, 2423, 10943, 10943, 1829, 8978, 3224, 20449, 10943, 1211, 16472, 4117, 3794, 9640, 4032, 2423, 3224, 2407, 2423, 646, 3753, 8978, 3224, 20449, 10943, 1211, 16472, 4117, 3794, 9640], "avg_logprob": -0.2163993341732869, "compression_ratio": 2.2, "no_speech_prob": 0.0, "words": [{"start": 1224.21, "end": 1224.81, "word": "الان", "probability": 0.89501953125}, {"start": 1224.81, "end": 1225.71, "word": " 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التدريج", "probability": 0.982666015625}, {"start": 1582.09, "end": 1582.41, "word": " بتاعه", "probability": 0.7975260416666666}, {"start": 1582.41, "end": 1582.63, "word": " ملبأ", "probability": 0.92724609375}, {"start": 1582.63, "end": 1582.93, "word": " بيكون", "probability": 0.9607747395833334}, {"start": 1582.93, "end": 1583.45, "word": " واحد", "probability": 0.986083984375}, {"start": 1583.45, "end": 1583.89, "word": " ملبأ", "probability": 0.9108072916666666}, {"start": 1583.89, "end": 1584.19, "word": " بيكون", "probability": 0.9755859375}, {"start": 1584.19, "end": 1584.65, "word": " اتنين", "probability": 0.9915771484375}, {"start": 1584.65, "end": 1585.01, "word": " ملبأ", "probability": 0.93701171875}, {"start": 1585.01, "end": 1585.31, "word": " بيكون", "probability": 0.9622395833333334}, {"start": 1585.31, "end": 1585.89, "word": " تلاتة", "probability": 0.986083984375}, {"start": 1585.89, "end": 1586.21, "word": " ملبأ", "probability": 0.931640625}, {"start": 1586.21, 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capital power of a lens الان عندنا focal length و قاللي S small اذا هذه ال S small ايش بتمثل ال standard lens تمام", "tokens": [39237, 10943, 37495, 22653, 1975, 15042, 1975, 8315, 39894, 4117, 19528, 479, 4238, 1347, 295, 257, 6765, 2423, 7649, 43242, 8315, 26592, 4641, 4032, 50239, 20292, 318, 1359, 1975, 15730, 29538, 2423, 318, 1359, 1975, 1829, 8592, 39894, 2304, 12984, 1211, 2423, 3832, 6765, 46811, 10943], "avg_logprob": -0.3540558523320137, "compression_ratio": 1.3424657534246576, "no_speech_prob": 0.0, "words": [{"start": 2218.03, "end": 2218.61, "word": "تمام", "probability": 0.61297607421875}, {"start": 2218.61, "end": 2222.15, "word": " يعني", "probability": 0.6458740234375}, {"start": 2222.15, "end": 2222.23, "word": " اما", "probability": 0.3350830078125}, {"start": 2222.23, "end": 2222.41, "word": " انا", "probability": 0.43701171875}, {"start": 2222.41, "end": 2222.79, "word": " بتكلم", "probability": 0.83935546875}, {"start": 2222.79, "end": 2223.21, "word": " F", 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"word": " الله", "probability": 0.96142578125}, {"start": 2835.61, "end": 2836.01, "word": " يعطيكم", "probability": 0.81878662109375}, {"start": 2836.01, "end": 2836.41, "word": " العافية", "probability": 0.9518229166666666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2836.8515, "duration_after_vad": 2655.899999999989} \ No newline at end of file diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/ioTH_gvn-7g_raw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/ioTH_gvn-7g_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..939088c8c9f7f2f9f891dca93c54023b1329a0ad --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/ioTH_gvn-7g_raw.srt @@ -0,0 +1,1996 @@ +1 +00:00:21,020 --> 00:00:24,500 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:24,500 --> 00:00:30,800 +وبركاته نكمل في المحاضرة هذه انه how to measure + +3 +00:00:30,800 --> 00:00:36,780 +lens power في المحاضرة السابقة اتناولنا موضوع ال + +4 +00:00:36,780 --> 00:00:41,520 +neutralization Geneva Clock اليوم هنبدأ بال lens + +5 +00:00:41,520 --> 00:00:42,100 +meter + +6 +00:00:46,510 --> 00:00:50,690 +Commercially Known Commercially بمعنى ال brand + +7 +00:00:50,690 --> 00:00:57,050 +name يعني الإسم التجاري له Known as a lensometer + +8 +00:00:57,050 --> 00:01:03,490 +لينزوميتر من اسمه مدام ميتر إذا هو بقيس ال focal + +9 +00:01:03,490 --> 00:01:09,210 +length لمن؟ للعدسة تمام فوسيميتر أيضا بقيس ال + +10 +00:01:09,210 --> 00:01:12,870 +focal length للعدسة أو يسمى + +11 +00:01:16,140 --> 00:01:22,020 +Vertometer بمعنى Verto power يعني بقيس قوة ايه + +12 +00:01:22,020 --> 00:01:30,860 +العدسة تمام يعني ممكن نقول عنها Verto + +13 +00:01:30,860 --> 00:01:35,640 +power انه + +14 +00:01:35,640 --> 00:01:39,740 +major لل + +15 +00:01:39,740 --> 00:01:43,480 +power of + +16 +00:01:52,630 --> 00:02:00,560 +الأن كـ definition للـ lensmeterIt's useful to + +17 +00:02:00,560 --> 00:02:06,360 +measure vertex power of the spectacle or contact + +18 +00:02:06,360 --> 00:02:11,220 +lens اذا هو بيجيس قداش قوة العدسة او العدسة + +19 +00:02:11,220 --> 00:02:17,160 +اللاصقة طبعا احنا هنسميناها used in بمعنى الهدف + +20 +00:02:17,160 --> 00:02:23,740 +منه او استخدامهقياس قوة النضارات والعدسات اللاصقة + +21 +00:02:23,740 --> 00:02:28,900 +lying out lenses + +22 +00:02:34,810 --> 00:02:39,770 +مية في المية يعني بيحدد الاتجاه الصحيح بتاع العدسة + +23 +00:02:39,770 --> 00:02:46,330 +من حيث ال optical center للعدسة بالاضافة انه جديش + +24 +00:02:46,330 --> 00:02:50,710 +قيمة ال access لهذه النضارة يعني الآن يا جماعة + +25 +00:02:50,710 --> 00:02:55,130 +الفرق بين النضارة و ال uncut lens النضارة بيكون ال + +26 +00:02:55,130 --> 00:03:00,770 +access محدد يعني نفترض مثلاسين من الناس عنده axis + +27 +00:03:00,770 --> 00:03:05,390 +تلاتين صاد مثلا اربعين هتلاقي هذا ال axis ايه + +28 +00:03:05,390 --> 00:03:08,570 +شماله؟ محدد بالنضارة + +29 +00:03:13,170 --> 00:03:17,290 +بكون ال axis ايش غير محدد زي ما انت بدك ال axis + +30 +00:03:17,290 --> 00:03:21,650 +ممكن تحدديه وين على العدسة استوعبين الفكرة؟ يعني + +31 +00:03:21,650 --> 00:03:27,310 +الآن انا بدي مثلا axis 40 بروح بحط على المنقلة 40 + +32 +00:03:27,310 --> 00:03:31,690 +ع جهاز ال lensmeter وبحدد العدسة ال uncut lens على + +33 +00:03:31,690 --> 00:03:35,610 +ال 40 لكن في النضارة العادية زي اللي لبساها مثلا + +34 +00:03:35,610 --> 00:03:39,970 +اللطيفة لأ هي موجود عليها axis بناء على مين ال + +35 +00:03:39,970 --> 00:03:42,330 +refractive error اللي كان عندها + +36 +00:03:45,940 --> 00:03:52,060 +Lens meters may work manually or automatically، + +37 +00:03:52,060 --> 00:03:57,360 +إذا يا إما يكون يدوي، يا إما بيكون ايه؟ Automated، + +38 +00:03:57,360 --> 00:04:03,280 +طبعا أيهما أدق؟ الـ Automated، تمام؟ لكن بشرط إنه + +39 +00:04:03,280 --> 00:04:05,740 +نعمله حاجة بنسميها calibration + +40 +00:04:09,090 --> 00:04:14,210 +شو يعني calibration؟ معايرة يعني لازم الجهاز يتم + +41 +00:04:14,210 --> 00:04:18,630 +له adjustment او calibration معايرة كل فترة من + +42 +00:04:18,630 --> 00:04:23,710 +الزمن okay الآن + +43 +00:04:23,710 --> 00:04:29,390 +الجهاز ال lens meter يما بيكون manually يدوي اما + +44 +00:04:29,390 --> 00:04:37,650 +بيكون dot او بيكون cross يعني بيكون dot او بيكون + +45 +00:04:37,650 --> 00:04:43,730 +crossOkay ايش الفرق ما بين ال dot و ما بين ال + +46 +00:04:43,730 --> 00:04:51,330 +cross ال cross يعتبر ايه ال British system ال dot + +47 +00:04:51,330 --> 00:04:56,770 +يعتبر American system okay يعني انا جايبلكم صورة + +48 +00:04:56,770 --> 00:05:01,570 +على الكلام هذا الان هاي مثلا العدسة ال spherical + +49 +00:05:01,570 --> 00:05:05,410 +lens ايش شايفينها عبارة شايفين يا جماعة هاي ال dot + +50 +00:05:06,680 --> 00:05:10,580 +أذا الـ spherical lenses بتكون زي اللي هو الـ dot + +51 +00:05:10,580 --> 00:05:17,200 +هذا بنسميه ايه؟ dot lens meter طيب لو كانت العدسة + +52 +00:05:17,200 --> 00:05:23,750 +ترك lenses هتلاقي انه بالشكل هذا ال shapeأما + +53 +00:05:23,750 --> 00:05:29,790 +بالنسبة لها عندنا ال across بيكون ال lenses كله + +54 +00:05:29,790 --> 00:05:33,470 +نفس الوضوح بينما ال torque lens بيكون خط واضح + +55 +00:05:33,470 --> 00:05:37,930 +والتاني اشماله غير واضح يعني اكسس اللي هو clear + +56 +00:05:37,930 --> 00:05:44,690 +والاخر بيكون ايه unclear طيب مين الأدق هل ال cross + +57 +00:05:44,690 --> 00:05:49,130 +ولا ال dot الأكتر + +58 +00:05:49,130 --> 00:05:55,740 +دقة هو لل dotهذه مهمة المعلومة الأكتر دقة هو ال + +59 +00:05:55,740 --> 00:05:59,080 +dot ولكن الأسهل ال cross + +60 +00:06:06,440 --> 00:06:12,480 +The most commonly used lens meters are manual، إذا + +61 +00:06:12,480 --> 00:06:18,340 +المعظم في المراكز، في العيادات الخاصة، في مستشفيات + +62 +00:06:18,340 --> 00:06:22,500 +الحكومية، بنستخدم ال manual، ليش؟ لأن ال course + +63 +00:06:22,500 --> 00:06:28,990 +بتاعه أرخص من مين؟ من ال automatedand use a cross + +64 +00:06:28,990 --> 00:06:34,150 +line target وبنستخدم اللي هو النظام ايه ال British + +65 +00:06:34,150 --> 00:06:39,890 +system او ال cross target يعني اللي هو يعتبر اسهل + +66 +00:06:39,890 --> 00:06:49,030 +و اقل لكن ايه دقة من ال dot تمام + +67 +00:06:49,030 --> 00:06:55,690 +هذه المياراتform in manual fosimeter او lensmeter + +68 +00:06:55,690 --> 00:07:00,290 +او vertometer عندنا spherical lenses توريك لينزز + +69 +00:07:00,290 --> 00:07:03,630 +هذي في حالة الضب و عندنا في حالة ال across ال + +70 +00:07:03,630 --> 00:07:11,110 +spherical lenses و التوريك لينزز طيب عندنا ال + +71 +00:07:11,110 --> 00:07:16,110 +partments او ال parts of lensmeter شو اجزاء جهاز + +72 +00:07:16,110 --> 00:07:20,420 +ال lensmeterيعني الآن أنا أمام جهاز الـ Lensmeter + +73 +00:07:20,420 --> 00:07:25,660 +بكرا يما بدخل اللي هو معمل إعداد النضارات إيش + +74 +00:07:25,660 --> 00:07:32,940 +أجزاء الجهاز؟ بداية عندنا الـ Eyepiece مختلفة من + +75 +00:07:32,940 --> 00:07:36,520 +سين لصاد صح ولا لأ؟ أنا بدي أعمل لها إيه؟ + +76 +00:07:36,520 --> 00:07:40,360 +Adjustment أو بدي أعمل لها أن تكون Clear Image + +77 +00:07:40,360 --> 00:07:46,230 +يعني تكون واضحة بالنسبة ليفي عندنا إبرزم + +78 +00:07:46,230 --> 00:07:53,090 +compensating device أداة بتعوض الإبرزم عشان تحدد + +79 +00:07:53,090 --> 00:07:58,050 +قيمة الإبرزم إذا كانت موجودة في داخل من النضارة + +80 +00:07:58,050 --> 00:08:01,010 +إذا أداة لتعويض الإبرزم + +81 +00:08:03,050 --> 00:08:08,630 +الـ Spotting Device اللي هي أداة لتعليم العدسة، + +82 +00:08:08,630 --> 00:08:13,890 +الآن مثلا انا حددت الـ Optical Center للعدسة طيب، + +83 +00:08:13,890 --> 00:08:17,890 +بدأ حافظ على التعليم هذا، إيش بروح؟ من خلال الـ + +84 +00:08:17,890 --> 00:08:21,110 +Marker اللي موجود في جهاز الـ Lens Meter، بضغط + +85 +00:08:21,110 --> 00:08:26,370 +عليه، تمام؟ فهذه الأداة هي تعتبر أداة لتعليم إيش؟ + +86 +00:08:26,370 --> 00:08:33,190 +العدسةأو مثلا في عندي عدسة cylinder lens وحددت ال + +87 +00:08:33,190 --> 00:08:37,490 +axis مثلا تلاتين الان انا بدي احدد يعني فقط بدي + +88 +00:08:37,490 --> 00:08:40,550 +على ال axis تلاتين فبروح ال line ايش يعني ال + +89 +00:08:40,550 --> 00:08:46,210 +marker بيحددلي على التلاتين okay lens holder + +90 +00:08:46,210 --> 00:08:51,290 +الأداء اللي بتمسك العدسة او بتثبت العدسة يعني لو + +91 +00:08:51,290 --> 00:08:56,620 +انا مثلا كانت العدسة متحركة هتلاقي انه ايشإن ممكن + +92 +00:08:56,620 --> 00:08:59,680 +مربى أعلمها على التسعين و ممكن أعلمها على التمانين + +93 +00:08:59,680 --> 00:09:03,600 +و ممكن على السبعين فلازم العدسة من حد ما أحطها على + +94 +00:09:03,600 --> 00:09:10,580 +الجهاز تظل ثابتة في عندنا ال access wheel وهذه + +95 +00:09:10,580 --> 00:09:15,280 +النقطة مهمة كتير في حالة النضارة ال access wheel + +96 +00:09:15,280 --> 00:09:20,400 +إيه شماله؟ بيكون متغيرلأن اتفقنا ان كل نضارة بيكون + +97 +00:09:20,400 --> 00:09:24,700 +لها axis مختلف عن الآخر وممكن ال right eye يكون ال + +98 +00:09:24,700 --> 00:09:29,360 +axis فيها مختلف ايش عن ال left eye لكن في حالة ال + +99 +00:09:29,360 --> 00:09:34,360 +uncut lens ال axis wheel بثبته يعني الآن انا جاتني + +100 +00:09:34,360 --> 00:09:44,960 +وصفة نفترض plus 4 ع minus 2اكسس تلاتين اول حاجة + +101 +00:09:44,960 --> 00:09:52,120 +انا عندي عدسة ايش uncut lens تمام بحط على المنقلة + +102 +00:09:52,120 --> 00:09:57,160 +او ال protector على اكسس جداش تلاتين وبعد ذلك يعني + +103 +00:09:57,160 --> 00:10:02,200 +الآن ثبتنا جداش ال protector تلاتين وبعد ذلك بوزن + +104 +00:10:02,200 --> 00:10:06,960 +العدسة على ال axis الخاص فيه اللي قيمته جداش + +105 +00:10:06,960 --> 00:10:14,170 +تلاتين طيب عندنا ال power wheelإذا والله كانت + +106 +00:10:14,170 --> 00:10:20,330 +العدسة sphere lens، إذا إيش هتمتلك؟ The same power + +107 +00:10:20,330 --> 00:10:25,990 +in all meridians طيب لو كانت العدسة Torque lens، + +108 +00:10:25,990 --> 00:10:29,650 +هيكون عندنا two power، في عندنا مثلا horizontal و + +109 +00:10:29,650 --> 00:10:34,840 +في عندنا vertical تمام؟ أو قد تكون obliqueفالان + +110 +00:10:34,840 --> 00:10:39,600 +انا بدي اعرف ان شاء الله كيف احدد ان وين اعلم ال + +111 +00:10:39,600 --> 00:10:44,860 +axis على القيمة الصغيرة ولا على القيمة الكبيرة اذا + +112 +00:10:44,860 --> 00:10:48,320 +عندنا ال power wheel سواء كان في ال uncut lens او + +113 +00:10:48,320 --> 00:10:52,340 +كان في ال spectacle lenses ايش بيكون changeable + +114 +00:10:52,340 --> 00:10:55,200 +اللي هو ايش ماله متغير صح ولا لأ؟ + +115 +00:11:03,910 --> 00:11:09,090 +طيب، عندنا مفهوم ال focal point، إيش المقصود في ال + +116 +00:11:09,090 --> 00:11:19,690 +focal point؟ 100% ال focal point هي نقطة تجميع + +117 +00:11:19,690 --> 00:11:26,490 +الأشعة، الآن احنا بداية الأشعة من وين جاية؟ من ال + +118 +00:11:26,490 --> 00:11:32,590 +infinity، صح؟ يعني هان عندنا القيمة ما لا نهايةطيب + +119 +00:11:32,590 --> 00:11:36,170 +ال light rays هان يما تيجي من المالة نهاية إذا إيش + +120 +00:11:36,170 --> 00:11:42,090 +بتكون بررل light + +121 +00:11:42,090 --> 00:11:45,290 +rays + +122 +00:11:45,290 --> 00:11:55,670 +صح؟ الآن إيش قابلة؟ plus lens عدسة موجبة إذا الآن + +123 +00:11:55,670 --> 00:12:00,470 +العدسة الموجبة إيش هتعمل؟convergent للـ light rays + +124 +00:12:00,470 --> 00:12:04,630 +إذا كل ال light rays وانتجمع في one point اللي هي + +125 +00:12:04,630 --> 00:12:09,870 +سمناها focal point إذا ال focal point هي النقطة + +126 +00:12:09,870 --> 00:12:15,630 +التي من خلالها يتم تجميع ال light rays بعد مروره + +127 +00:12:15,630 --> 00:12:20,310 +بإيش؟ ب optical system بنظام بصري سواء minus أو + +128 +00:12:20,310 --> 00:12:27,940 +plus lens الآن الشكل الآخر أو الفيجر التانيعنا ايش + +129 +00:12:27,940 --> 00:12:33,440 +كانت العدسة minus lens صح وفي عنا light rays كان + +130 +00:12:33,440 --> 00:12:37,580 +برابل او من الماء لنهاية اذا عنا ال optical system + +131 +00:12:37,580 --> 00:12:40,300 +هيعمل ايه؟ divergent لل light rays + +132 +00:12:43,710 --> 00:12:48,330 +في مرحلة معينة بعد ذلك بيبدأ ايش؟ بيرجع رجوع في + +133 +00:12:48,330 --> 00:12:52,210 +عملية اللي هو تجميع ال light rays عشان هيك ايش + +134 +00:12:52,210 --> 00:12:57,590 +بتلاحظه؟ ان ال focal point في ال minus lens اصبح + +135 +00:12:57,590 --> 00:13:03,030 +وين؟ in front the lens ممتازة لكن ال focal point + +136 +00:13:03,030 --> 00:13:08,030 +في ال plus lens وين اصبح؟ behind the lensتمام؟ + +137 +00:13:08,030 --> 00:13:13,710 +يعني هذا ال slide بيوضحلي ان اختلاف ال focal point + +138 +00:13:13,710 --> 00:13:17,670 +ما بين العدسة او ال optical system اذا كان plus او + +139 +00:13:17,670 --> 00:13:19,050 +اذا كان minus + +140 +00:13:45,370 --> 00:13:51,450 +الان فى عندنا الـ Simple Lens Meter اول ما بدأوا + +141 +00:13:51,450 --> 00:13:56,090 +فى فكرة الـ Lens Meter كان فى عندنا جهاز Very + +142 +00:13:56,090 --> 00:14:02,430 +Simple بسيط كتير نشوف مكوناته بداية عندنا الـ + +143 +00:14:02,430 --> 00:14:12,850 +Observer Eye هذه عبارة عن Observer Eye تمام؟ + +144 +00:14:14,140 --> 00:14:18,960 +في عندنا أيضًا ال IBS Lenses، الآن ال IBS اللي + +145 +00:14:18,960 --> 00:14:23,880 +خاصة فيها مختلفة عن ال IBS اللي خاصة بـ Russia أو + +146 +00:14:23,880 --> 00:14:29,160 +ال IBS اللي خاصة في آية، كل شخص له IBS أخرى، تمام؟ + +147 +00:14:29,160 --> 00:14:33,100 +وهذه بتعتمد على مين؟ على ال refractive error، يعني + +148 +00:14:33,100 --> 00:14:36,480 +الآن لو أنا عندي ميوب أو hypermetrop، بدي أحاول + +149 +00:14:36,480 --> 00:14:42,650 +أعدل مين أو أوضح الصورةهذه نقطة الـ IBIS lenses في + +150 +00:14:42,650 --> 00:14:47,650 +عندنا الـ IBIS graphical اللي هي عبارة عن ايش؟ + +151 +00:14:47,650 --> 00:14:52,670 +منقلةهي لاحظين زي اللي هو المنقلة طلعوا في الصورة + +152 +00:14:52,670 --> 00:14:57,110 +عندكم في الكتاب هتلاقي و كأنه اللي هو lines ال + +153 +00:14:57,110 --> 00:15:00,290 +lines هذه بتكون في منها oblique و في منها + +154 +00:15:00,290 --> 00:15:04,510 +horizontal و في منها vertical و كأنه منقلة الان + +155 +00:15:04,510 --> 00:15:09,610 +انا يما باجي اوضح ال I piece تمام بحرك مين؟ + +156 +00:15:09,610 --> 00:15:13,310 +المنقلة المنقلة بحركها بناء على ايش؟ ال axis + +157 +00:15:13,310 --> 00:15:17,640 +الصحيح او ال axis اللي انا بديهايعني الآن نفترض + +158 +00:15:17,640 --> 00:15:22,440 +انا وضحت الصورة عندى، انا ال axis اللى مطلوب + +159 +00:15:22,440 --> 00:15:28,430 +تلاتين، بروح بحط اللى هو إيشالمنقلة الطويلة هذه + +160 +00:15:28,430 --> 00:15:32,970 +على ال axis اللي هو تلاتين فهذه بنسميها igratical + +161 +00:15:32,970 --> 00:15:38,150 +اللي هو او IBS igratical اللي هي المنقلة اللي بتتم + +162 +00:15:38,150 --> 00:15:43,270 +توضيح ال IBS بداية وبعد ذلك بتتم اللي هو تحديد + +163 +00:15:43,270 --> 00:15:47,910 +قيمة ال axis السليم بناء على الوصفة اللي مطلوبة + +164 +00:15:47,910 --> 00:15:48,270 +منه + +165 +00:15:51,040 --> 00:15:55,160 +الان فى عندنا ال light rays فى عندنا ال spectacle + +166 +00:15:55,160 --> 00:15:59,780 +lens اللى هى قوة ال power of ال lens قوة العدسة + +167 +00:15:59,780 --> 00:16:07,900 +تمام بعد ذلك فى عندنا هان زى اللى هو ال scale ايش + +168 +00:16:07,900 --> 00:16:13,440 +ملاحظين فى صفر وفى عندنا plus وفى عندنا minus + +169 +00:16:13,440 --> 00:16:16,840 +هلجيت هذا بعتمد على مين ال scale؟ + +170 +00:16:19,390 --> 00:16:22,810 +مية فى المية على قوة العدسة ال power of a lens + +171 +00:16:22,810 --> 00:16:27,970 +يعني الآن لما أنا بمشي العدسة minus lens تمام بدي + +172 +00:16:27,970 --> 00:16:32,190 +أمشي باتجاه مين ال minus او ال scale بتاعي بدي + +173 +00:16:32,190 --> 00:16:37,530 +يكون باتجاه ال minus لو انا مثلا عندى plus lens ال + +174 +00:16:37,530 --> 00:16:41,710 +scale بتاعي بدي يكون باتجاه مين ال plus طيب واحدة + +175 +00:16:41,710 --> 00:16:46,890 +تسألني السؤال ممكن الآن انا عندى عدسة minus lens + +176 +00:16:48,200 --> 00:16:53,300 +ومشيت باتجاه ال plus lens ايش هتكون الصورة 100% + +177 +00:16:53,300 --> 00:16:57,920 +very faint باهتة يعني الصورة مش هتكون واضحة يعني + +178 +00:16:57,920 --> 00:17:03,000 +انا هاكتشف ان انا ماشي بالطريق ايه الغير صحيح طيب + +179 +00:17:03,000 --> 00:17:08,820 +الان انا عندي عدسة minus lens ومشيت باتجاه ال + +180 +00:17:08,820 --> 00:17:14,020 +minus كيف بعرف انا وصلت لرقم الصحيح ان كل ما اجرب + +181 +00:17:14,020 --> 00:17:18,640 +الصورة بتضحك اكترواضح الفكرة؟ يعني الآن انا مثلا + +182 +00:17:18,640 --> 00:17:24,200 +عندى minus 4 امشيت من اتجاه ال minus minus 1 + +183 +00:17:24,200 --> 00:17:28,860 +الصورة كويسة نوعا ما minus 2 اوضح لحد ما اصل ل + +184 +00:17:28,860 --> 00:17:31,820 +minus 4 هتكون الصورة clear image + +185 +00:17:35,970 --> 00:17:41,230 +الان لو انتوا ان شاء الله في المعمل okay شوفتي ال + +186 +00:17:41,230 --> 00:17:46,150 +target اللي هيخرج من اللي هو او من ال eye piece + +187 +00:17:46,150 --> 00:17:50,790 +اللي هيشوفه دايما في قضية مهمة ان هذا ال target + +188 +00:17:50,790 --> 00:17:57,450 +هيكون بررل light rays اذا ال target اللي خارج من + +189 +00:17:57,450 --> 00:18:02,390 +اللي هو النضارةتمام؟ غالبا هيكون اللي هو parallel + +190 +00:18:02,390 --> 00:18:08,530 +طيب ايش السر ان ال light rays parallel اللي خارج + +191 +00:18:08,530 --> 00:18:14,370 +من النضارة؟ استوعبين مع الفكرة؟ هل جيت مش هي ال + +192 +00:18:14,370 --> 00:18:19,310 +spectacle lens؟ الآن انا في ال IBS ايش هشوف؟ ال + +193 +00:18:19,310 --> 00:18:24,010 +target اللي خاص في قوة النضارة سواء plus او minus + +194 +00:18:25,010 --> 00:18:29,710 +هذا ال light rays غالبا او دائما بيكون ايه + +195 +00:18:29,710 --> 00:18:36,990 +parallel متوازى طيب شو السر انه بيكون متوازى؟ + +196 +00:18:36,990 --> 00:18:40,910 +قاللي + +197 +00:18:40,910 --> 00:18:46,850 +دائما هذا ال target okay جاي بالضبط ملامس او عامل + +198 +00:18:46,850 --> 00:18:51,910 +seat جالس على مين؟ على النهد ال point بتاع العدسة + +199 +00:18:53,290 --> 00:18:58,750 +مرة تانية عشان تثبت المعلومة الآن الأشعة اللى + +200 +00:18:58,750 --> 00:19:01,850 +بتكون مش هلجأت هي فيها ان ال light illumination + +201 +00:19:01,850 --> 00:19:06,030 +المصدر الضوء يعني انا من خلال ال IBS اش هشوف + +202 +00:19:06,030 --> 00:19:12,030 +target جوا الجهاز قال لي دايما الأشعة هذه هتكون + +203 +00:19:12,030 --> 00:19:16,650 +اللي هو parallel light rays طيب شو السر ان هذه + +204 +00:19:16,650 --> 00:19:22,950 +الأشعة parallel؟جالي انه دائما ال target هيكون + +205 +00:19:22,950 --> 00:19:29,350 +seat جالس على مين عن nodal point للعدسة بدنا نفهم + +206 +00:19:29,350 --> 00:19:33,450 +ايش المقصود ك definition لل nodal point مين عندها + +207 +00:19:33,450 --> 00:19:39,950 +تعريف لل nodal point للعدسة او principle point + +208 +00:19:39,950 --> 00:19:47,310 +تمام ايش المفهوم نعم + +209 +00:19:47,310 --> 00:19:47,690 +تفضلي + +210 +00:19:54,220 --> 00:19:59,020 +تمام نشوف المثال اللى بيشرح على ال nodal point + +211 +00:19:59,020 --> 00:20:04,680 +جماعة + +212 +00:20:04,680 --> 00:20:10,200 +هى عدسة تمام بس اه اذا هى عندنا عدسة حددكم اياها + +213 +00:20:10,200 --> 00:20:14,020 +الصورة ان شاء الله في اخر المحاضرة عندنا هى عدسة + +214 +00:20:14,020 --> 00:20:20,320 +تمام هذه تعتبر thick lens okay + +215 +00:20:24,210 --> 00:20:29,430 +الان عندنا front surface و في عندنا ايه back + +216 +00:20:29,430 --> 00:20:34,810 +surface او rear surface يعني سطح امامي و سطح خلفي + +217 +00:20:34,810 --> 00:20:41,150 +لمين للعدسة الان في هن معامل انكسار اول واحد مثلا + +218 +00:20:41,150 --> 00:20:47,010 +و هن فيه معامل انكسار اتنين متفقين للسطح الامامي + +219 +00:20:47,010 --> 00:20:51,250 +فيه معامل انكسار و الهو ال back surface فيه معامل + +220 +00:20:51,250 --> 00:20:57,490 +انكسارأو transmitted حسب الوسط صح ولا لأ واحدة من + +221 +00:20:57,490 --> 00:21:02,270 +التلاتة الآن إذا ضالوا ماشي في منتصف العدسة في ال + +222 +00:21:02,270 --> 00:21:07,650 +optical center للعدسة زي ما دخل زي ما إيش خرج صح + +223 +00:21:07,650 --> 00:21:11,850 +ولا لأ لكن أنا في عندي جزء منه إيه صار له + +224 +00:21:11,850 --> 00:21:18,310 +refracted reflected or transmitted فالجزء هذا اللي + +225 +00:21:18,310 --> 00:21:23,650 +انكسر إيش عمل ليه front nodal point okay + +226 +00:21:24,690 --> 00:21:29,050 +الان دخل وين؟ في ال optical center للعدسة، برضه + +227 +00:21:29,050 --> 00:21:32,670 +نفس الحاجة هيخرج، لكن جزء منه إما هيصير له + +228 +00:21:32,670 --> 00:21:38,110 +refracted أو reflected أو transmitted ممكن واحدة + +229 +00:21:38,110 --> 00:21:43,520 +تسألني، طيب لو كانوا التنين نفس معامل انكسار؟100% + +230 +00:21:43,520 --> 00:21:47,720 +هيصير الـ nodal point الأول لل front surface مساوي + +231 +00:21:47,720 --> 00:21:51,880 +ايش؟ لل nodal point بتاعة ال back surface او ال + +232 +00:21:51,880 --> 00:21:57,220 +rear surface وبالتالي ايش هيكون الاستنتاج؟ ان هذه + +233 +00:21:57,220 --> 00:22:00,960 +عبارة عن cell lens يعني سلوكها هيكون ايش ماله؟ + +234 +00:22:00,960 --> 00:22:06,210 +واحدتمام؟ لكن اذا كان الـ thick lens او السلوب + +235 +00:22:06,210 --> 00:22:10,930 +مختلف من السطح الأمامي للسطح الخالفي كل واحد او كل + +236 +00:22:10,930 --> 00:22:15,890 +سطح هيعمل front nodal point و back nodal point + +237 +00:22:15,890 --> 00:22:20,010 +فهمتوا ايش المقصود فيها؟ او بعض المراجع بيسموها + +238 +00:22:20,010 --> 00:22:23,870 +principle point واضحة؟ + +239 +00:22:28,830 --> 00:22:33,850 +الان عندنا في اللنزمي ترقش اللي بيصير ان ال light + +240 +00:22:33,850 --> 00:22:40,870 +rays من ال target هتكون parallel السبب في ذلك ليش؟ + +241 +00:22:40,870 --> 00:22:46,710 +انه هيكون ال object او ال target ملامس لمن؟ لل + +242 +00:22:46,710 --> 00:22:51,650 +nodal point طيب هلممكن ال optical system هذا يكون + +243 +00:22:51,650 --> 00:22:59,240 +اكتر من عدسة؟صحيح كله إيش بنسميه نظام بصري يعني + +244 +00:22:59,240 --> 00:23:03,720 +حتى لو كانت اللي هو عدسة واحدة وتنتين داخل الجهاز + +245 +00:23:03,720 --> 00:23:08,420 +نفس الاشي أو نفس السلوك اللي هو هيصير زي ما الآن + +246 +00:23:08,420 --> 00:23:12,980 +هنوضحها في المثال السابق الآن احنا نرجع لمسم + +247 +00:23:12,980 --> 00:23:18,900 +الجهاز ان هو إيش؟ lensmeter صح؟ يعني بقيسمين ال + +248 +00:23:18,900 --> 00:23:24,590 +focal length للجهازطيب، الان لاحظوا ان في + +249 +00:23:24,590 --> 00:23:29,750 +drawbacks او في limitation او في عيوب لمين للجهاز، + +250 +00:23:29,750 --> 00:23:34,470 +هذا طبعا هذا مين؟ ال traditional instrument او ال + +251 +00:23:34,470 --> 00:23:39,190 +simple instrument الجهاز البسيط او الاولى اللى اول + +252 +00:23:39,190 --> 00:23:45,230 +ما اكتشفوهThere are two major problems في مشكلتين + +253 +00:23:45,230 --> 00:23:50,470 +أساسيات تمام with the simple lens meter للجهاز A + +254 +00:23:50,470 --> 00:23:57,150 +البسيط نشوف المشكلة الأولى The first is that the + +255 +00:23:57,150 --> 00:24:01,790 +instrument would have to be too large to be + +256 +00:24:01,790 --> 00:24:08,060 +practicalانه انا عشان بدي اطبق طريقة عملية بدي + +257 +00:24:08,060 --> 00:24:12,340 +لازم الجهاز ايش يكون كبير لان هو بقيس فعليا من ال + +258 +00:24:12,340 --> 00:24:17,300 +focal length للعدسة صح؟ كيف يعني؟ الان لو انا عندي + +259 +00:24:17,300 --> 00:24:22,400 +عدسة قوتها ربع ديوبتر كده لازم يكون طول الجهاز + +260 +00:24:22,400 --> 00:24:31,310 +اربعة متر تخيلوا جهاز يكون اربعة مترطيب لو انا + +261 +00:24:31,310 --> 00:24:38,050 +عندى عدسة قوتها نص ديوبتر كداش بدى؟ اتنين طيب لو + +262 +00:24:38,050 --> 00:24:42,990 +عدسة قوتها واحد ديوبتر كداش عندى اللى هو ال focal + +263 +00:24:42,990 --> 00:24:48,470 +length؟ واحد متر اذا اول حاجة ال defect او اول + +264 +00:24:48,470 --> 00:24:54,350 +problem عندى اساسية طول الجهاز انه too large كبير + +265 +00:24:54,350 --> 00:25:02,710 +خالص هدى واحد اتنينالمشكلة الثانية هي أن قيمة + +266 +00:25:02,710 --> 00:25:04,610 +الوضع للتحكم في قيمة الوضع للتحكم في قيمة الوضع + +267 +00:25:04,610 --> 00:25:11,990 +للتحكم would be non-linear مين تقدر تفسر ليها؟ كيف + +268 +00:25:11,990 --> 00:25:15,890 +يعني non-linear؟ + +269 +00:25:15,890 --> 00:25:23,950 +لأ، + +270 +00:25:23,950 --> 00:25:27,030 +الآن احنا قلنا يما كان عندي ربع ديوبتر + +271 +00:25:30,110 --> 00:25:38,230 +قداش كان طول الجهاز اربعة متر صح طيب يما كان عندى + +272 +00:25:38,230 --> 00:25:49,150 +نص ديوبتر fifty هذه تمام + +273 +00:25:49,150 --> 00:25:57,670 +قداش طوله اتنين متر صح طيب يما كان عندى واحد + +274 +00:25:57,670 --> 00:25:58,330 +ديوبتر + +275 +00:26:00,730 --> 00:26:07,170 +واحد متر صح؟ مش قضية عكسية و تردية هل جيت ملبأ ان + +276 +00:26:07,170 --> 00:26:12,730 +الطول بيكون كده؟ اتنين متر الفرج و ملبأ بيكون ايش؟ + +277 +00:26:12,730 --> 00:26:17,610 +واحد اذا ايش يعتبر؟ non linear يعني مش واحد اتنين + +278 +00:26:17,610 --> 00:26:22,090 +تلاتة اربعة خمسة فاهمين علي كيف ال scale التدريج + +279 +00:26:22,090 --> 00:26:25,310 +بتاعه ملبأ بيكون واحد ملبأ بيكون اتنين ملبأ بيكون + +280 +00:26:25,310 --> 00:26:30,120 +تلاتة ملبأ بيكون اربعة حسب مين؟it depends on the + +281 +00:26:30,120 --> 00:26:34,580 +power of the lens حسب قوة العدسة فهمتوا عليا إيش + +282 +00:26:34,580 --> 00:26:41,360 +المقصود؟ هذه ال big problem الخاصة في جهاز ال lens + +283 +00:26:41,360 --> 00:26:49,800 +meter أو ال symbol lens meter طيب + +284 +00:26:49,800 --> 00:26:56,070 +إيش الحل؟الان احنا كل عدسة تخيلوا قوتها ربع ديوبتر + +285 +00:26:56,070 --> 00:27:02,790 +تمام بدي جهاز طوله جداش اربع متر نص ديوبتر بدي + +286 +00:27:02,790 --> 00:27:07,990 +جهاز جداش طوله اتنين متر الحل كان كالتالة + +287 +00:27:07,990 --> 00:27:14,910 +introducing another lens into a simplified lens + +288 +00:27:14,910 --> 00:27:22,420 +meterأو standard lens جالك الحل هو انه نعمل عدسة + +289 +00:27:22,420 --> 00:27:28,140 +داخل الجهاز ونسمي هذه العدسة شوف standard lens + +290 +00:27:28,140 --> 00:27:33,420 +يعني الآن انتوا كل الأجهزة اللي بتشوفوها عندنا في + +291 +00:27:33,420 --> 00:27:38,420 +المعمل سواء كانت cross او كانت dot قداش حجمها اقل + +292 +00:27:38,420 --> 00:27:44,050 +من تلاتين او اربعين ايشصنطي صح ولا لا يعني very + +293 +00:27:44,050 --> 00:27:48,930 +small الجهاز الآن هذه كل الأجهزة في داخلها فيه + +294 +00:27:48,930 --> 00:27:55,410 +scanner lens تمام قداش ال scanner lens قوتها غالبا + +295 +00:27:55,410 --> 00:27:57,870 +عشرين ديوبتر تخيلوا + +296 +00:28:01,460 --> 00:28:07,920 +الاجهزة هذه كقوة او standard lens فيها usually a + +297 +00:28:07,920 --> 00:28:13,060 +twenty diopter طيب ايش الهدف منه؟ ليش انا بستخدم + +298 +00:28:13,060 --> 00:28:18,060 +اللي هو ال standard lens عشان اصغر حجم الجهاز؟ هي + +299 +00:28:18,060 --> 00:28:24,280 +الهدف الأساسي انه مش والله اما احتاج اناعدسة قوتها + +300 +00:28:24,280 --> 00:28:29,260 +ربع ديوبتر بدي أربعة متر أو عدسة قوتها مثلا نص + +301 +00:28:29,260 --> 00:28:33,280 +ديوبتر بدي اتنين متر لأ بستخدم ال standard lens هي + +302 +00:28:33,280 --> 00:28:36,500 +كفيلة بتصغير حجم الجهاز + +303 +00:28:40,350 --> 00:28:44,470 +إذا shortness the required length of the + +304 +00:28:44,470 --> 00:28:49,570 +instrument considerably إذا هي كفيلة بتصغير حجم + +305 +00:28:49,570 --> 00:28:54,490 +الجهاز بشكل كبير جدا إذا considerably أي بمعنى + +306 +00:28:54,490 --> 00:29:00,430 +بدرجة كبيرة جدا makes + +307 +00:29:00,430 --> 00:29:06,350 +the diopteric scale of the instrument linearمن + +308 +00:29:06,350 --> 00:29:10,710 +شوية كان الفروقات كده؟ مرة واحد مرة اتنين مرة ممكن + +309 +00:29:10,710 --> 00:29:14,930 +تلاتة و هكذا حسب ال power بتاع العدسة الخاصة بال + +310 +00:29:14,930 --> 00:29:20,330 +lens الان هان لأ صار عبارة عن linear scale عندنا + +311 +00:29:20,330 --> 00:29:25,670 +ال zero في عندنا plus و في عندنا ايه؟ minusمثلا + +312 +00:29:25,670 --> 00:29:31,070 +التدريج Zero plus واحد plus اتنين plus تلاتة minus + +313 +00:29:31,070 --> 00:29:34,810 +واحد minus اتنين minus تلاتة اذا عندنا الفروقات + +314 +00:29:34,810 --> 00:29:39,210 +حتى في minus تلاتة وربع minus تلاتة و نص و هكذا + +315 +00:29:39,210 --> 00:29:44,670 +حسب قوة العدسة اللي انا بجيصها and therefore more + +316 +00:29:44,670 --> 00:29:48,810 +accurate at higher diopteric powers و أصبحت اللي + +317 +00:29:48,810 --> 00:29:54,640 +هو اكتر دقة وين؟في القوة العالية يعني انا عندى + +318 +00:29:54,640 --> 00:30:00,340 +مثلا ماينوس عشرين او ماينوس مثلا اتنين وعشرين اذا + +319 +00:30:00,340 --> 00:30:12,440 +الجهاز اصبح اكتر دقة في هذه الناحية okay + +320 +00:30:12,440 --> 00:30:18,100 +الان نفس الفكرة زى ال symbol lens meter فى عندنا + +321 +00:30:18,100 --> 00:30:25,060 +observer IIbs graphical شايفين هان اوضح اللى هو + +322 +00:30:25,060 --> 00:30:30,780 +المنقلة صح؟ منقلة واضحة اللى هى انا يما بوضح ال + +323 +00:30:30,780 --> 00:30:36,340 +Ibs تمام بصير تعديل لمين لأ المنقلة بالاتجاه + +324 +00:30:36,340 --> 00:30:40,580 +السليم اللى انا بديها الان فى عندنا standard lens + +325 +00:30:40,580 --> 00:30:45,900 +و spectacle lens هدول التنتين ايش بنسميهم optical + +326 +00:30:45,900 --> 00:30:50,360 +system + +327 +00:30:53,330 --> 00:31:01,380 +يعني بمعنى آخر أنه بيصير سلوك ال target واحدان كل + +328 +00:31:01,380 --> 00:31:05,660 +هيتو بيكون برر ال light rays يعني انا مش بحاجة .. + +329 +00:31:05,660 --> 00:31:08,520 +يعني ممكن واحد يقول لي okay لما يكون ال spectacle + +330 +00:31:08,520 --> 00:31:12,800 +lens بدون ال standard lens بيكون عندي برر ال light + +331 +00:31:12,800 --> 00:31:16,320 +rays طب انا اضافة اللي هو ال standard lens لأ بقول + +332 +00:31:16,320 --> 00:31:19,920 +له هان صاروا كل هيتهم optical system يعني نوضة ال + +333 +00:31:19,920 --> 00:31:24,440 +point واحد فالنوضة ال point هيكون ملامس لمين؟ لل + +334 +00:31:24,440 --> 00:31:28,470 +targetواضح الفكرة؟ طيب ليش احنا ضفناها هنا الـ + +335 +00:31:28,470 --> 00:31:32,830 +standard lens عشان الظغر اللي هو طول الجهاز و + +336 +00:31:32,830 --> 00:31:38,130 +تديني accurate اللي هو القوة العالية للـ high + +337 +00:31:38,130 --> 00:31:44,030 +diopteric power في عندنا هنا ال adjustable target + +338 +00:31:44,030 --> 00:31:49,960 +graphical الان انا ببدأ بعملية توضيح مينالـ cross + +339 +00:31:49,960 --> 00:31:54,120 +أو الـ dot يعني مثلا انا عندي minus تلاتة ع minus + +340 +00:31:54,120 --> 00:32:02,080 +أربعة بوضح ال cross و بغبش ال cross تمام فحسب ايش + +341 +00:32:02,080 --> 00:32:06,260 +قيمة اللي هو ال power اللي موجودة في داخل النضارة + +342 +00:32:06,260 --> 00:32:09,620 +وهنا عندنا ال light illumination شايفين كيف ال + +343 +00:32:09,620 --> 00:32:16,080 +scale صار ايش ماله؟ linearانه منتظم صح ولا لا او + +344 +00:32:16,080 --> 00:32:20,640 +بمعنى خط يعني زي كأنه خط اعداد Zero بعدين عندنا + +345 +00:32:20,640 --> 00:32:27,560 +ربع نص خمسة وسبعين واحد واحد ربع لحد خمسة يعني ال + +346 +00:32:27,560 --> 00:32:34,260 +scale كله تو linear اللي موجود في داخل الجهاز تمام + +347 +00:32:45,010 --> 00:32:54,150 +طبعا هذه ال slide بيوضح ان قوة العدسة بتاعة + +348 +00:32:54,150 --> 00:33:01,010 +النضارة يما تكون موجبة و يما تكون سالبة كيف هيكون + +349 +00:33:01,010 --> 00:33:05,990 +اللي هو السلوك لها خلينا نشوف الآن بداية عندنا + +350 +00:33:05,990 --> 00:33:13,650 +بررل light rays صح؟جاي من ال infinity اذا هذه برر + +351 +00:33:13,650 --> 00:33:18,810 +ال light rays من ال infinity عندنا plus lens هذه + +352 +00:33:18,810 --> 00:33:23,430 +عبارة عن ايه ال optical system كانت plus lens + +353 +00:33:23,430 --> 00:33:29,030 +light rays ايش ماله صاله تجميع هان عندنا ال + +354 +00:33:29,030 --> 00:33:33,530 +optical او ال standard lens ال standard lens اللي + +355 +00:33:33,530 --> 00:33:41,100 +جونا غالبا بتكون ال twenty ديوبتر okayعملت ايه؟ + +356 +00:33:41,100 --> 00:33:48,060 +Convergent للـ Lie Trades الآن ال target هذا موازي + +357 +00:33:48,060 --> 00:33:53,160 +لمين او جالس على ال nodal point الخاصة في العدسة + +358 +00:33:53,160 --> 00:33:57,940 +عندنا الآن يا جماعة في اللي هو ال X ال X هذه ايش + +359 +00:33:57,940 --> 00:34:04,760 +بتمثل؟ مين تحكي ليه؟ ممتازة لمين؟ + +360 +00:34:10,850 --> 00:34:16,130 +هذه بتمثل ال focal length للعدسة ال standard lens + +361 +00:34:16,130 --> 00:34:24,610 +تمام؟ لكن ال X شرطة ايش بتمثل ال focal length لل + +362 +00:34:24,610 --> 00:34:29,190 +unknown lens العدسة المجهولة اللي مش معروفة كده + +363 +00:34:29,190 --> 00:34:36,750 +قوتها؟تثبيتا للمعلومة إذا عنا ال X شرطة بتمثل ال + +364 +00:34:36,750 --> 00:34:42,590 +focal length لل unknown lens ال X هي عبارة عن ال + +365 +00:34:42,590 --> 00:34:49,110 +focal length لل standard lens وهي عنا linear scale + +366 +00:34:49,110 --> 00:34:55,330 +plusزيرو وعنا plus او minus طبعا هان مدام العدسة + +367 +00:34:55,330 --> 00:34:59,870 +plus اذا بمشي باتجاه من ال plus يعني ال scale + +368 +00:34:59,870 --> 00:35:06,650 +بتاعي هيكون باتجاه ال plus تمام الان هدول التنتين + +369 +00:35:06,650 --> 00:35:12,070 +ال standard lens و ال unknown lens التنتين ايش + +370 +00:35:12,070 --> 00:35:19,550 +صاروا optical system نظام بصري واحد okay نيجي لل + +371 +00:35:19,550 --> 00:35:20,350 +minus lens + +372 +00:35:23,160 --> 00:35:29,320 +نفس الفكرة عندنا light rays تمام في عندنا ال minus + +373 +00:35:29,320 --> 00:35:35,060 +lens عندنا هان ال standard lens plus okay و في + +374 +00:35:35,060 --> 00:35:40,160 +عندنا ال X هذا بيمثل مين ال focal length لل + +375 +00:35:40,160 --> 00:35:44,760 +standard lens okay و عندنا ال target طبعا ال focal + +376 +00:35:44,760 --> 00:35:52,350 +point ل ال unknown lens وين هتكون in frontأه in + +377 +00:35:52,350 --> 00:35:58,430 +front the lens أمامها صح ولا لأ + +378 +00:35:58,430 --> 00:36:03,690 +هاي شايفين ال X شرطة اللي هي عبارة عن ال focal + +379 +00:36:03,690 --> 00:36:06,270 +length لمن لل unknown lens + +380 +00:36:09,200 --> 00:36:14,340 +The relationship of target movement to power of + +381 +00:36:14,340 --> 00:36:19,700 +unknown lens can be deduced from a Newton's + +382 +00:36:19,700 --> 00:36:26,500 +relationship يعني يمكن دراسة العلاقة ما بين حركة + +383 +00:36:26,500 --> 00:36:32,770 +ال targetتمام؟ و قوة العدسة الغير معروفة من خلال + +384 +00:36:32,770 --> 00:36:37,530 +اللي هو استنتاجها بقانون اللي هو نيوتن او بنسميه a + +385 +00:36:37,530 --> 00:36:43,610 +newton relationship a newton relationship بتمثل + +386 +00:36:43,610 --> 00:36:50,330 +العلاقة هذه ال linear relationship بداية عندنا + +387 +00:36:50,330 --> 00:36:55,870 +عندما انا بتكلم يا جماعة F small المقصود فيها ايه؟ + +388 +00:36:55,870 --> 00:37:02,150 +focal lengthتمام يعني + +389 +00:37:02,150 --> 00:37:13,110 +اما انا بتكلم F capital power of a lens الان + +390 +00:37:13,110 --> 00:37:18,570 +عندنا focal length و قاللي S small اذا هذه ال S + +391 +00:37:18,570 --> 00:37:25,270 +small ايش بتمثل ال standard lens تمام + +392 +00:37:26,500 --> 00:37:31,280 +إذا عنا ال focal length لل standard lens طبعا + +393 +00:37:31,280 --> 00:37:37,880 +تربيع بالساوى minus طبعا هذه ال minus ليش حسب نوع + +394 +00:37:37,880 --> 00:37:42,780 +العدسة هل هي plus ولا minus إذا كانت العدسة minus + +395 +00:37:42,780 --> 00:37:46,420 +هيكون ايش ال focal length بال minus إذا كانت plus + +396 +00:37:46,420 --> 00:37:52,880 +هيكون ال focal length موجب ال X هذه متمثل مين ال + +397 +00:37:52,880 --> 00:37:59,890 +focal length لمينللـ standard lens 100% طيب و ال X + +398 +00:37:59,890 --> 00:38:05,130 +شرطة هيمثل اللي هو ال focal length للعدسة المجهولة + +399 +00:38:05,130 --> 00:38:12,210 +okay هذه linear relationship طيب احنا الجهاز ال + +400 +00:38:12,210 --> 00:38:15,250 +lens meter اللي موجود عندنا في المعمل هل بيشتغل + +401 +00:38:15,250 --> 00:38:19,530 +بطريقة ال focal length ولا بيشتغل بطريقة البورة؟ + +402 +00:38:21,650 --> 00:38:25,650 +الـ power صح ولا لا؟ اذا انا هان بدي ايش؟ استخدم + +403 +00:38:25,650 --> 00:38:30,130 +اللي هو قانون الـ diopteric power لعملية التحويل + +404 +00:38:30,130 --> 00:38:33,710 +متفقين؟ + +405 +00:38:33,710 --> 00:38:37,070 +هل جيت احنا عندنا القانون ايش بالساوية؟ ال focal + +406 +00:38:37,070 --> 00:38:43,190 +length واحد على F صح؟ هادي متر يعني ميت صانطي او + +407 +00:38:43,190 --> 00:38:49,700 +الف ايش مليطيب عنا الان focal length لل standard + +408 +00:38:49,700 --> 00:38:57,820 +length تربيع، اذا هو عبارة عن واحد على F ال S + +409 +00:38:57,820 --> 00:39:04,620 +تربيع، هذا بإيش؟ بالميتر، انا بدي اياها في ايش؟ في + +410 +00:39:04,620 --> 00:39:07,900 +ال millimeter صح ولا لا؟ اذا بقول الف في الف، طب + +411 +00:39:07,900 --> 00:39:13,110 +من وين جيبنا الألف التانية؟ لأنه لكل تربيعصح؟ اذا + +412 +00:39:13,110 --> 00:39:17,630 +نحصيل 1000 في 1000 على F اللي هو ال standard lens + +413 +00:39:17,630 --> 00:39:21,150 +ك power يعني هذه عبارة عن مين ال power لل standard + +414 +00:39:21,150 --> 00:39:25,610 +lens تربيع ايش بالساوية؟ minus قلنا هذه قد تكون + +415 +00:39:25,610 --> 00:39:30,850 +متغيرةX هي عبارة عن مين؟ الـFocal Length + +416 +00:39:30,850 --> 00:39:36,070 +للـStandard Lens مضروبة في الف اللي هي بالمليمتر + +417 +00:39:36,070 --> 00:39:41,150 +على FU اللي هو عبارة عن الـPower للـUnknown Lens + +418 +00:39:41,150 --> 00:39:46,430 +قوة العدسة المجهولة تمام؟ الآن أنا بدي قيمة الـX + +419 +00:39:46,430 --> 00:39:52,920 +لحالهاالـ X إيش بالساوية؟ اللي هي عبارة عن ال FU + +420 +00:39:52,920 --> 00:39:59,020 +ضرب الف على اللي هو F ال standard lens تربيع طريقة + +421 +00:39:59,020 --> 00:40:05,620 +رياضية جيبناها مين؟ ال focal length لل standard + +422 +00:40:05,620 --> 00:40:07,500 +lens تمام؟ + +423 +00:40:11,840 --> 00:40:17,940 +بالتالي لجهاز عشوائي عشرين لينز عشوائي لينز عشرين + +424 +00:40:17,940 --> 00:40:20,900 +لكن لو شوفت في جهاز عشوائي عشوائي عشوائي عشوائي + +425 +00:40:20,900 --> 00:40:21,740 +عشوائي عشوائي عشوائي عشوائي عشوائي عشوائي عشوائي + +426 +00:40:21,740 --> 00:40:22,980 +عشوائي عشوائي عشوائي عشوائي عشوائي عشوائي عشوائي + +427 +00:40:22,980 --> 00:40:23,000 +عشوائي عشوائي عشوائي عشوائي عشوائي عشوائي عشوائي + +428 +00:40:23,000 --> 00:40:26,860 +عشوائي عشوائي عشوائي عشوائي عشوائي عشوائي عشوائي + +429 +00:40:26,860 --> 00:40:40,880 +عشوائي عشوائي عشوائي عشوائي عش + +430 +00:40:42,150 --> 00:40:47,570 +S صح ولا لأ ال power لل standard lens طيب احنا + +431 +00:40:47,570 --> 00:40:53,050 +عندنا القانون ال X ايش بالساوي الا استنتجناه F U + +432 +00:40:53,050 --> 00:41:05,620 +ضرب الف على F S تربيع تمام طيب مين المعلوم عندهالـ + +433 +00:41:05,620 --> 00:41:09,440 +Power of standard lens صح ولا لأ؟ من المجهول عندنا + +434 +00:41:09,440 --> 00:41:12,540 +ال focal length للـ standard lens وعندنا ال power + +435 +00:41:12,540 --> 00:41:16,940 +لل unknown lens عشان هيك هو حسبها ايش؟ ملي متر + +436 +00:41:16,940 --> 00:41:22,120 +ديوبتر الان لو عوّبت هنا عندنا FU ضرب الف على + +437 +00:41:22,120 --> 00:41:26,460 +الجداش عنا خمسة وعشرين تربيع جداش الخمسة وعشرين + +438 +00:41:26,460 --> 00:41:27,280 +تربيع؟ + +439 +00:41:29,500 --> 00:41:34,940 +625 لازم تطلع القيمة اللي هي واحد وستة ملي لكل + +440 +00:41:34,940 --> 00:41:39,600 +ديوبتر ليش هنكتب ملي لكل ديوبتر لأن عنده ال X غير + +441 +00:41:39,600 --> 00:41:44,720 +معلومة وعنده مين كمان ال F ل U غير معلومة طبعا هذه + +442 +00:41:44,720 --> 00:41:54,420 +بالمليمتر وهذه بالديوبتر واضحة طيب + +443 +00:41:54,420 --> 00:42:00,620 +الآن عندنا for a rangeبقى بـ plus 10 to minus 10 + +444 +00:42:00,620 --> 00:42:05,900 +جماعة بدي تفهموا ان موضوع ال range هو عبارة عن خط + +445 +00:42:05,900 --> 00:42:10,760 +أعداد زي ما شفنا تول X عندما عملها كيف يعني؟ الآن + +446 +00:42:10,760 --> 00:42:17,640 +مثلا عندنا plus 10 صح؟ كل ما انا اطلعت بزيد ال + +447 +00:42:17,640 --> 00:42:22,840 +plus متفقين؟ كل ما انا انزلت بقل ال plus لحد دي + +448 +00:42:22,840 --> 00:42:30,600 +ايش؟ صفر طيب من plus 10 لصفر جديش؟عشرة وعنا من صفر + +449 +00:42:30,600 --> 00:42:35,720 +لـ minus عشرة برضه عشرة صح؟ اذا كل واحدة بدي + +450 +00:42:35,720 --> 00:42:40,500 +احسبلها ايش ال target movement كخط اعداد مختلف عن + +451 +00:42:40,500 --> 00:42:44,740 +التاني مستوعبين معاه؟ اذا هان for a range of a + +452 +00:42:44,740 --> 00:42:49,580 +plus 10 diopter to minus 10 diopter the target + +453 +00:42:49,580 --> 00:42:56,890 +movement of only 32 millimeter كيف جبنا ال 32؟الان + +454 +00:42:56,890 --> 00:43:03,970 +احنا حسبنا ال vocal length ل plus عشرة تمام؟ اذا + +455 +00:43:03,970 --> 00:43:08,730 +ال F ايش هيساوي؟ مية على عشرة صحيح؟ و جيبنا ال + +456 +00:43:08,730 --> 00:43:14,470 +vocal length لمين؟ للتانية و عوضنا على القانون F ل + +457 +00:43:14,470 --> 00:43:19,920 +U اللي هو في الف على F ل S تربيةتمام؟ طلع عندنا + +458 +00:43:19,920 --> 00:43:24,480 +الأولى 16 والتانية 16 هلجيت الاتنين خط أعداد يعني + +459 +00:43:24,480 --> 00:43:28,440 +عندنا minus 16 و plus 16 راح جمعهم مع بعض إيش + +460 +00:43:28,440 --> 00:43:34,540 +بطلعوا يعني الفرق ما بين السفر ل plus 10 هي عبارة + +461 +00:43:34,540 --> 00:43:38,860 +عن 16 ملي و من سفر ل minus 10 برضه عبارة عن جديش + +462 +00:43:38,860 --> 00:43:45,700 +16 ملي الناتج كان جديش اللي هو 32 ملي استوعبين + +463 +00:43:45,700 --> 00:43:47,880 +الفكرة هذه ولا كيف؟ ولا حلها؟ + +464 +00:44:07,490 --> 00:44:12,470 +هلجيت عندنا for a range فبـ plus عشرة اللي plus + +465 +00:44:12,470 --> 00:44:19,220 +عشرة دي و بترهدي إيش بتمثل F ال unknown lens صح؟هل + +466 +00:44:19,220 --> 00:44:28,260 +جيت عندنا ال X ايش بالساوية الف F ال U على F ال + +467 +00:44:28,260 --> 00:44:34,180 +standard lens الان الف F ال U جداش عشرة اللي هي + +468 +00:44:34,180 --> 00:44:40,600 +عشر تلاف عشر تلاف قسميها على جداش طبعا هان تربيع + +469 +00:44:40,600 --> 00:44:44,580 +خمسة و عشرين مية في المية اللي هي جداش ستمية و + +470 +00:44:44,580 --> 00:44:51,260 +خمسة و عشرينهلجيت هذه عنا الف تمام هذه عبارة عن + +471 +00:44:51,260 --> 00:44:57,660 +ايش قيمة ثابتة FU هي عبارة عن ال power of unknown + +472 +00:44:57,660 --> 00:45:02,260 +lens طب هنا معلومة جديش ال FU عشرة يعني هذه يا + +473 +00:45:02,260 --> 00:45:06,580 +جماعة و كأنه قوة مين النضارة او قوة العدسة + +474 +00:45:06,580 --> 00:45:11,180 +مستوابين معاه جديش قيمتها اللي هي plus عشرة ديوبتر + +475 +00:45:11,180 --> 00:45:17,670 +فعوضنا الف في عشرة عشر تلافةطيب عنا قفل ال + +476 +00:45:17,670 --> 00:45:21,430 +standard يا بتكون عشرين اللي هي الغالب او خمسة و + +477 +00:45:21,430 --> 00:45:25,990 +عشرين لو اوضنا الآن يا لطيفة على عشرين بتصير كده؟ + +478 +00:45:25,990 --> 00:45:30,330 +اربعمية لانه عشرين لكل تربيع كده بتطلع؟ يجسمي عشر + +479 +00:45:30,330 --> 00:45:36,170 +تلاف على اربعمية طيب + +480 +00:45:36,170 --> 00:45:40,150 +عشر تلاف على ستمية و خمسة و عشرين تطلع ستة عشر + +481 +00:45:40,150 --> 00:45:48,680 +تمام؟ هي كده؟ ستة عشرهذه ملي هذي للعدسة مين؟ plus + +482 +00:45:48,680 --> 00:45:54,480 +عشرة بقى اجي نفس الفكرة لمين؟ لل minus عشرة جديش + +483 +00:45:54,480 --> 00:45:59,820 +ال minus عشرة هتطلع minus ست عشر ملي صح ولا لأ؟ + +484 +00:45:59,820 --> 00:46:04,130 +الآن بقوله تعالي مانفعش انت ايش تحسب جامعاللي هو + +485 +00:46:04,130 --> 00:46:07,170 +جمع احنا عبارة عن الـ scale عندنا زي ما رسمتلكم + +486 +00:46:07,170 --> 00:46:12,250 +إياه شوية انه عندنا من صفر لعشرة جديش ست عشر ملي + +487 +00:46:12,250 --> 00:46:16,570 +ومن صفر لمينوس عشرة جديش ست عشر ملي اذا المجموع + +488 +00:46:16,570 --> 00:46:24,890 +بتاعهم جديش اللي هي اتنين وثلاثين ملي سوابتوا يعني + +489 +00:46:24,890 --> 00:46:31,980 +الآن تخيلوا انه اختلاف ال movementما بين العدسة + +490 +00:46:31,980 --> 00:46:39,040 +الـ minus عشرة والـ plus عشرة جداش 32 ملي وهذا أنا + +491 +00:46:39,040 --> 00:46:43,380 +بثبت المفهوم اللي حكيتلكم إياه لو أنا كان عندي + +492 +00:46:43,380 --> 00:46:48,180 +عدسة الـ plus عشرة وانا ناشف الـ minus كل ما مشيت + +493 +00:46:48,180 --> 00:46:51,880 +في الـ minus أكتر كل ما إيش زاد ال fame بتاعة + +494 +00:46:51,880 --> 00:46:56,100 +العدسة أو كل عفو لـ fame بتاع ال target وإذا كان + +495 +00:46:56,100 --> 00:47:01,230 +عندي عدسة- lens وانا ماشي في الـ plus كل ما مشيت + +496 +00:47:01,230 --> 00:47:06,970 +أكتر بزود الـ mean الفين لل target أكتر تمام؟ لأنه + +497 +00:47:06,970 --> 00:47:11,890 +هيحتاج مسافة إيش اللي هو أكتر نقف ان شاء الله + +498 +00:47:11,890 --> 00:47:15,610 +للنقطة هذه في المحاضرة الجاية بنكمل ان شاء الله + +499 +00:47:15,610 --> 00:47:16,410 +يعطيكم العافية + diff --git 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فهدول التنين إيش بنسميهم horizontal line طبعا هذا لل top part okay وهنا عندنا لل bottom part", "tokens": [2407, 36632, 11242, 995, 43242, 8315, 2423, 3126, 13672, 1829, 4724, 1829, 30544, 3714, 5016, 995, 16254, 32767, 9957, 24976, 2767, 644, 1392, 6156, 3224, 3215, 12610, 16712, 1863, 9957, 11933, 1829, 8592, 44945, 38251, 1829, 16095, 12750, 1622, 23032, 3555, 3615, 995, 23758, 24976, 1192, 644, 1392, 37037, 8315, 43242, 8315, 24976, 2767, 644], "avg_logprob": -0.2606026642024517, "compression_ratio": 1.4585987261146496, "no_speech_prob": 0.0, "words": [{"start": 91.63, "end": 91.87, "word": "و", "probability": 0.8720703125}, {"start": 91.87, "end": 92.27, "word": " أيضا", "probability": 0.7952473958333334}, {"start": 92.27, "end": 92.81, "word": " عندنا", "probability": 0.724365234375}, {"start": 92.81, "end": 93.29, "word": " ال", "probability": 0.87548828125}, {"start": 93.29, "end": 93.63, "word": " lower", "probability": 0.5791015625}, {"start": 93.63, "end": 94.09, "word": " 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6, "seek": 14988, "start": 123.05, "end": 149.89, "text": "The boxing system kept these two horizontal lines and added two vertical lines اذا هو بيعمل محافظة على ال horizontal line ال top و على ال another horizontal line المتعلق في مين في ال bottom ولكن جالي بضيف ايش a new horizontal line", "tokens": [2278, 24424, 1185, 4305, 613, 732, 12750, 3876, 293, 3869, 732, 9429, 3876, 1975, 15730, 31439, 4724, 1829, 25957, 1211, 3714, 5016, 31845, 19913, 3660, 15844, 2423, 12750, 1622, 2423, 1192, 4032, 15844, 2423, 1071, 12750, 1622, 9673, 2655, 30241, 4587, 8978, 3714, 9957, 8978, 2423, 2767, 35525, 19452, 10874, 6027, 1829, 4724, 11242, 33911, 1975, 1829, 8592, 257, 777, 12750, 1622], "avg_logprob": -0.21850198838445875, "compression_ratio": 1.6022099447513811, "no_speech_prob": 0.0, "words": [{"start": 123.05, "end": 123.33, "word": "The", "probability": 0.06829833984375}, {"start": 123.33, "end": 123.73, "word": " boxing", "probability": 0.86474609375}, {"start": 123.73, "end": 124.89, 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{"start": 141.53, "end": 142.19, "word": " horizontal", "probability": 0.8681640625}, {"start": 142.19, "end": 142.67, "word": " line", "probability": 0.9658203125}, {"start": 142.67, "end": 143.49, "word": " المتعلق", "probability": 0.9659423828125}, {"start": 143.49, "end": 143.67, "word": " في", "probability": 0.8642578125}, {"start": 143.67, "end": 143.91, "word": " مين", "probability": 0.750732421875}, {"start": 143.91, "end": 144.27, "word": " في", "probability": 0.6826171875}, {"start": 144.27, "end": 144.37, "word": " ال", "probability": 0.9677734375}, {"start": 144.37, "end": 144.69, "word": " bottom", "probability": 0.8681640625}, {"start": 144.69, "end": 145.97, "word": " ولكن", "probability": 0.814453125}, {"start": 145.97, "end": 146.37, "word": " جالي", "probability": 0.62353515625}, {"start": 146.37, "end": 146.79, "word": " بضيف", "probability": 0.9055989583333334}, {"start": 146.79, "end": 147.25, "word": " ايش", "probability": 0.84228515625}, {"start": 147.25, "end": 148.25, "word": " a", "probability": 0.447998046875}, {"start": 148.25, "end": 148.61, "word": " new", "probability": 0.89892578125}, {"start": 148.61, "end": 149.35, "word": " horizontal", "probability": 0.8466796875}, {"start": 149.35, "end": 149.89, "word": " line", "probability": 0.96044921875}], "temperature": 1.0}, {"id": 7, "seek": 17546, "start": 150.64, "end": 175.46, "text": "الـ new horizontal line وين بتكون؟ Vertical lines يعني باتجاه ال right و باتجاه ال left واضحة؟ طبعا هذا ال datum لكن في ال boxing هيكون في عندنا إضافة ل ال two horizontal lines و two vertical lines يعني كمان شوية هنشوف كيف هيكون شكله لل boxing system", "tokens": [6027, 39184, 777, 12750, 1622, 4032, 9957, 39894, 30544, 22807, 21044, 804, 3876, 37495, 22653, 4724, 9307, 7435, 40294, 2423, 558, 4032, 4724, 9307, 7435, 40294, 2423, 1411, 4032, 46958, 5016, 3660, 22807, 23032, 3555, 3615, 995, 23758, 2423, 1137, 449, 44381, 8978, 2423, 24424, 39896, 30544, 8978, 43242, 8315, 11933, 11242, 31845, 3660, 5296, 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يعني", "probability": 0.7890625}, {"start": 155.18, "end": 155.8, "word": " باتجاه", "probability": 0.9403076171875}, {"start": 155.8, "end": 155.96, "word": " ال", "probability": 0.9521484375}, {"start": 155.96, "end": 156.34, "word": " right", "probability": 0.69970703125}, {"start": 156.34, "end": 156.64, "word": " و", "probability": 0.603515625}, {"start": 156.64, "end": 157.18, "word": " باتجاه", "probability": 0.85552978515625}, {"start": 157.18, "end": 157.36, "word": " ال", "probability": 0.95703125}, {"start": 157.36, "end": 157.7, "word": " left", "probability": 0.9560546875}, {"start": 157.7, "end": 159.48, "word": " واضحة؟", "probability": 0.82939453125}, {"start": 159.48, "end": 160.74, "word": " طبعا", "probability": 0.9609375}, {"start": 160.74, "end": 160.94, "word": " هذا", "probability": 0.83544921875}, {"start": 160.94, "end": 161.1, "word": " ال", "probability": 0.9541015625}, {"start": 161.1, "end": 161.52, "word": " datum", "probability": 0.830810546875}, 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0.3505859375}, {"start": 174.18, "end": 174.6, "word": " boxing", "probability": 0.95947265625}, {"start": 174.6, "end": 175.46, "word": " system", "probability": 0.9658203125}], "temperature": 1.0}, {"id": 8, "seek": 20712, "start": 177.54, "end": 207.12, "text": "These vertical lines are placed against right and left edges of the lens إذا هتكون عبارة عن خطوط عمودية محاطة باليمين واليسار من اللي هو من أطراف العدسة شايفين؟ زي الشكل هذا، هاي عبارة عن إيش؟ اللي هو two vertical lines في نقطة مهمة كتير", "tokens": [28858, 9429, 3876, 366, 7074, 1970, 558, 293, 1411, 8819, 295, 264, 6765, 11933, 15730, 8032, 2655, 30544, 6225, 3555, 9640, 3660, 18871, 16490, 9566, 2407, 9566, 6225, 2304, 2407, 16254, 3660, 3714, 5016, 41193, 3660, 20666, 32640, 9957, 16070, 1829, 3794, 9640, 9154, 13672, 1829, 31439, 9154, 5551, 9566, 23557, 5172, 18863, 3215, 3794, 3660, 13412, 995, 33911, 9957, 22807, 30767, 1829, 25124, 28820, 23758, 12399, 8032, 47302, 6225, 3555, 9640, 3660, 18871, 11933, 1829, 8592, 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{"start": 201.22, "end": 201.42, "word": " عن", "probability": 0.98388671875}, {"start": 201.42, "end": 202.7, "word": " إيش؟", "probability": 0.8668212890625}, {"start": 202.7, "end": 202.9, "word": " اللي", "probability": 0.925537109375}, {"start": 202.9, "end": 203.14, "word": " هو", "probability": 0.98583984375}, {"start": 203.14, "end": 203.46, "word": " two", "probability": 0.76416015625}, {"start": 203.46, "end": 204.58, "word": " vertical", "probability": 0.88330078125}, {"start": 204.58, "end": 205.14, "word": " lines", "probability": 0.9375}, {"start": 205.14, "end": 206.04, "word": " في", "probability": 0.482666015625}, {"start": 206.04, "end": 206.38, "word": " نقطة", "probability": 0.90966796875}, {"start": 206.38, "end": 206.82, "word": " مهمة", "probability": 0.9952799479166666}, {"start": 206.82, "end": 207.12, "word": " كتير", "probability": 0.9777018229166666}], "temperature": 1.0}, {"id": 9, "seek": 21568, "start": 208.02, "end": 215.68, "text": "انه انا لما بدي اجي اعمل boxing system لابد انه يكون ال top part", "tokens": [7649, 3224, 1975, 8315, 5296, 15042, 4724, 16254, 1975, 7435, 1829, 1975, 25957, 1211, 24424, 1185, 5296, 16758, 3215, 16472, 3224, 7251, 30544, 2423, 1192, 644], "avg_logprob": -0.22019675263652094, "compression_ratio": 1.0909090909090908, "no_speech_prob": 0.0, "words": [{"start": 208.02, "end": 208.44, "word": "انه", "probability": 0.378173828125}, {"start": 208.44, "end": 208.68, "word": " انا", "probability": 0.88330078125}, {"start": 208.68, "end": 208.9, "word": " لما", "probability": 0.713623046875}, {"start": 208.9, "end": 209.22, "word": " بدي", "probability": 0.76708984375}, {"start": 209.22, "end": 209.6, "word": " اجي", "probability": 0.6951497395833334}, {"start": 209.6, "end": 210.08, "word": " اعمل", "probability": 0.9820963541666666}, {"start": 210.08, "end": 210.92, "word": " boxing", "probability": 0.89697265625}, {"start": 210.92, "end": 211.74, "word": " system", "probability": 0.93359375}, {"start": 211.74, "end": 212.62, "word": " لابد", "probability": 0.9498697916666666}, {"start": 212.62, "end": 212.9, "word": " انه", "probability": 0.936279296875}, {"start": 212.9, "end": 213.34, "word": " يكون", "probability": 0.9921875}, {"start": 213.34, "end": 214.98, "word": " ال", "probability": 0.822265625}, {"start": 214.98, "end": 215.28, "word": " top", "probability": 0.92431640625}, {"start": 215.28, "end": 215.68, "word": " part", "probability": 0.9501953125}], "temperature": 1.0}, {"id": 10, "seek": 24023, "start": 216.37, "end": 240.23, "text": "و ال bottom part و ال right part و ال left part الأربعة متساوين كيف هدت من خلال اللي هي المصطرة يعني الآن هتاخدوا ان شاء الله في المعمل كيف ترسموا أول حاجة الشابلونة تمام بعد ما ترسميها بتجيبي مصطرة فبتعملي اللي هو marking تعليم لل horizontal lines و ال vertical lines", "tokens": [2407, 2423, 2767, 644, 4032, 2423, 558, 644, 4032, 2423, 1411, 644, 16247, 25513, 27884, 44650, 3794, 995, 2407, 9957, 9122, 33911, 8032, 3215, 2655, 9154, 16490, 1211, 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228.55, "word": " كيف", "probability": 0.9765625}, {"start": 228.55, "end": 229.27, "word": " ترسموا", "probability": 0.9560546875}, {"start": 229.27, "end": 229.57, "word": " أول", "probability": 0.835693359375}, {"start": 229.57, "end": 229.89, "word": " حاجة", "probability": 0.9886067708333334}, {"start": 229.89, "end": 230.69, "word": " الشابلونة", "probability": 0.88486328125}, {"start": 230.69, "end": 231.29, "word": " تمام", "probability": 0.89453125}, {"start": 231.29, "end": 231.93, "word": " بعد", "probability": 0.482666015625}, {"start": 231.93, "end": 232.05, "word": " ما", "probability": 0.89404296875}, {"start": 232.05, "end": 232.71, "word": " ترسميها", "probability": 0.9654296875}, {"start": 232.71, "end": 233.11, "word": " بتجيبي", "probability": 0.8704833984375}, {"start": 233.11, "end": 233.63, "word": " مصطرة", "probability": 0.986328125}, {"start": 233.63, "end": 234.73, "word": " فبتعملي", "probability": 0.95439453125}, {"start": 234.73, "end": 234.99, "word": " اللي", "probability": 0.91845703125}, {"start": 234.99, "end": 235.43, "word": " هو", "probability": 0.98193359375}, {"start": 235.43, "end": 236.35, "word": " marking", "probability": 0.7919921875}, {"start": 236.35, "end": 237.09, "word": " تعليم", "probability": 0.9796549479166666}, {"start": 237.09, "end": 237.75, "word": " لل", "probability": 0.360107421875}, {"start": 237.75, "end": 238.39, "word": " horizontal", "probability": 0.72265625}, {"start": 238.39, "end": 239.05, "word": " lines", "probability": 0.826171875}, {"start": 239.05, "end": 239.31, "word": " و", "probability": 0.84033203125}, {"start": 239.31, "end": 239.39, "word": " ال", "probability": 0.86376953125}, {"start": 239.39, "end": 239.77, "word": " vertical", "probability": 0.89697265625}, {"start": 239.77, "end": 240.23, "word": " lines", "probability": 0.9365234375}], "temperature": 1.0}, {"id": 11, "seek": 26133, "start": 240.53, "end": 261.33, "text": "كل هيتم لازم يكونوا متساويين من حيث إيش اللي هو ال score أو من حيث اللي هو التدريج All four lines form a box around the lens إذا عندنا الأربع خطوط هيكونوا حوالين مين؟ العدسة", "tokens": [28820, 8032, 36081, 2304, 5296, 31377, 2304, 7251, 30544, 14407, 44650, 3794, 995, 45865, 9957, 9154, 11331, 1829, 12984, 11933, 1829, 8592, 13672, 1829, 31439, 2423, 6175, 34051, 9154, 11331, 1829, 12984, 13672, 1829, 31439, 16712, 3215, 16572, 7435, 1057, 1451, 3876, 1254, 257, 2424, 926, 264, 6765, 11933, 15730, 43242, 8315, 16247, 25513, 3615, 16490, 9566, 2407, 9566, 39896, 30544, 14407, 11331, 2407, 6027, 9957, 3714, 9957, 22807, 18863, 3215, 3794, 3660], "avg_logprob": -0.1169763534657053, "compression_ratio": 1.4891304347826086, "no_speech_prob": 0.0, "words": [{"start": 240.53, "end": 240.85, "word": "كل", "probability": 0.94189453125}, {"start": 240.85, "end": 241.23, "word": " هيتم", "probability": 0.7648111979166666}, {"start": 241.23, "end": 241.59, "word": " لازم", "probability": 0.9718424479166666}, {"start": 241.59, "end": 241.93, "word": " 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0.92919921875}, {"start": 278.23, "end": 279.17, "word": " لأ؟", "probability": 0.69677734375}, {"start": 279.17, "end": 279.53, "word": " الآن", "probability": 0.7239990234375}, {"start": 279.53, "end": 280.07, "word": " هنشوف", "probability": 0.94287109375}, {"start": 280.07, "end": 280.29, "word": " الـ", "probability": 0.632080078125}, {"start": 280.29, "end": 280.81, "word": " Reflection", "probability": 0.8232421875}, {"start": 280.81, "end": 281.53, "word": " بتاعه", "probability": 0.8811848958333334}, {"start": 281.53, "end": 281.99, "word": " في", "probability": 0.96484375}, {"start": 281.99, "end": 282.37, "word": " الـ", "probability": 0.65380859375}, {"start": 282.37, "end": 282.91, "word": " Boxing", "probability": 0.9560546875}, {"start": 282.91, "end": 283.67, "word": " System", "probability": 0.9189453125}, {"start": 283.67, "end": 285.11, "word": " يعني", "probability": 0.8310546875}, {"start": 285.11, "end": 285.33, "word": " بدنا", "probability": 0.904296875}, {"start": 285.33, "end": 285.61, "word": " نشوف", "probability": 0.9959309895833334}, {"start": 285.61, "end": 285.99, "word": " الآن", "probability": 0.798828125}, {"start": 285.99, "end": 286.45, "word": " هل", "probability": 0.88916015625}, {"start": 286.45, "end": 286.87, "word": " الـ", "probability": 0.76025390625}, {"start": 286.87, "end": 287.35, "word": " Boxing", "probability": 0.95654296875}, {"start": 287.35, "end": 288.03, "word": " System", "probability": 0.93896484375}, {"start": 288.03, "end": 289.47, "word": " بيحافظ", "probability": 0.9146484375}, {"start": 289.47, "end": 289.67, "word": " على", "probability": 0.8330078125}, {"start": 289.67, "end": 289.87, "word": " الـ", "probability": 0.891357421875}, {"start": 289.87, "end": 290.45, "word": " Horizontal", "probability": 0.8974609375}, {"start": 290.45, "end": 290.99, "word": " Midline", "probability": 0.980224609375}, {"start": 290.99, "end": 291.51, "word": " ولا", "probability": 0.720703125}, {"start": 291.51, "end": 292.47, "word": " بلغيه؟", "probability": 0.8319905598958334}, {"start": 292.47, "end": 292.63, "word": " إيش", "probability": 0.810546875}, {"start": 292.63, "end": 295.37, "word": " رأيكم؟", "probability": 0.9107421875}, {"start": 295.37, "end": 296.07, "word": " إيش", "probability": 0.9558919270833334}, {"start": 296.07, "end": 296.25, "word": " رأي", "probability": 0.9933268229166666}, {"start": 296.25, "end": 296.81, "word": " كهذا؟", "probability": 0.64996337890625}, {"start": 296.81, "end": 297.29, "word": " بيحافظ", "probability": 0.9701171875}, {"start": 297.29, "end": 297.51, "word": " عليه", "probability": 0.97509765625}, {"start": 297.51, "end": 297.69, "word": " ولا", "probability": 0.9150390625}, {"start": 297.69, "end": 298.29, "word": " بلغيه؟", "probability": 0.9767252604166666}], "temperature": 1.0}, {"id": 13, "seek": 32836, "start": 299.7, "end": 328.36, "text": "بحافظ عليه هو ايش المقصود بالـhorizontal midline؟ هو عبارة عن الـ datum line صح ولا لأ؟ يعني الخط اللي بيفصل ما بين ايش ال half way ال upper و ال half way mean اللي هو ال lower اذا there is a horizontal line اذا الخط ايش بيكون؟ أفقي okay half way انه بيعمل عملية فصل او اللي هو تنصيف خلينا نقول", "tokens": [3555, 5016, 31845, 19913, 47356, 31439, 1975, 1829, 8592, 9673, 4587, 9381, 23328, 20666, 39184, 2335, 590, 896, 304, 2062, 1889, 22807, 31439, 6225, 3555, 9640, 3660, 18871, 2423, 39184, 1137, 449, 1622, 20328, 5016, 49429, 5296, 10721, 22807, 37495, 22653, 33962, 9566, 13672, 1829, 4724, 33911, 36520, 19446, 49374, 1975, 1829, 8592, 2423, 1922, 636, 2423, 6597, 4032, 2423, 1922, 636, 914, 13672, 1829, 31439, 2423, 3126, 1975, 15730, 456, 307, 257, 12750, 1622, 1975, 15730, 33962, 9566, 1975, 1829, 8592, 4724, 1829, 30544, 22807, 5551, 5172, 38436, 1392, 1922, 636, 16472, 3224, 4724, 1829, 25957, 1211, 6225, 42213, 10632, 6156, 36520, 1975, 2407, 13672, 1829, 31439, 6055, 1863, 9381, 33911, 16490, 1211, 9957, 995, 8717, 39648], "avg_logprob": -0.21231618097850255, 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{"start": 1009.24, "end": 1009.82, "word": " بمثل", "probability": 0.8358154296875}, {"start": 1009.82, "end": 1010.16, "word": " مين", "probability": 0.899169921875}, {"start": 1010.16, "end": 1011.08, "word": " ال", "probability": 0.765625}, {"start": 1011.08, "end": 1011.52, "word": " vertical", "probability": 0.67822265625}, {"start": 1011.52, "end": 1011.98, "word": " line", "probability": 0.96630859375}, {"start": 1011.98, "end": 1012.54, "word": " او", "probability": 0.78564453125}, {"start": 1012.54, "end": 1012.68, "word": " ال", "probability": 0.89306640625}, {"start": 1012.68, "end": 1012.88, "word": " b", "probability": 0.2454833984375}, {"start": 1012.88, "end": 1013.18, "word": " اللي", "probability": 0.89208984375}, {"start": 1013.18, "end": 1013.46, "word": " هو", "probability": 0.947265625}, {"start": 1013.46, "end": 1013.7, "word": " a", "probability": 0.75537109375}, {"start": 1013.7, "end": 1014.44, "word": " dimension", "probability": 0.9638671875}, {"start": 1014.44, "end": 1015.74, "word": " اذا", "probability": 0.7257080078125}, {"start": 1015.74, "end": 1016.02, "word": " المرحلة", "probability": 0.5443115234375}, {"start": 1016.02, "end": 1016.42, "word": " التانية", "probability": 0.98388671875}, {"start": 1016.42, "end": 1018.02, "word": " عندنا", "probability": 0.821044921875}, {"start": 1018.02, "end": 1018.48, "word": " ال", "probability": 0.9482421875}, {"start": 1018.48, "end": 1018.78, "word": " a", "probability": 0.9208984375}, {"start": 1018.78, "end": 1022.38, "word": " dimension", "probability": 0.9833984375}, {"start": 1022.38, "end": 1025.6, "word": " اللي", "probability": 0.959716796875}, {"start": 1025.6, "end": 1025.78, "word": " هو", "probability": 0.95849609375}, {"start": 1025.78, "end": 1026.22, "word": " عبارة", "probability": 0.9932861328125}, {"start": 1026.22, "end": 1026.56, "word": " عن", "probability": 0.99755859375}, {"start": 1026.56, "end": 1027.18, "word": " ال", "probability": 0.908203125}, {"start": 1027.18, "end": 1027.54, "word": " length", "probability": 0.8916015625}, {"start": 1027.54, "end": 1031.34, "word": " وال", "probability": 0.69384765625}, {"start": 1031.34, "end": 1031.64, "word": " b", "probability": 0.70751953125}, {"start": 1031.64, "end": 1033.36, "word": " dimension", "probability": 0.986328125}, {"start": 1033.36, "end": 1034.88, "word": " بمثل", "probability": 0.9700927734375}, {"start": 1034.88, "end": 1035.9, "word": " ال", "probability": 0.91357421875}, {"start": 1035.9, "end": 1036.16, "word": " depth", "probability": 0.8974609375}], "temperature": 1.0}, {"id": 41, "seek": 106055, "start": 1039.09, "end": 1060.55, "text": "أو اللي هو ال vertical of the box containing the lens ل البوكس اللي بيحتوي على مين؟ على العدسة the horizontal length او ال a dimension is called the eye size اذا بيمثل مين؟ حجم اللي هو العين", "tokens": [10721, 2407, 13672, 1829, 31439, 2423, 9429, 295, 264, 2424, 19273, 264, 6765, 5296, 29739, 2407, 4117, 3794, 13672, 1829, 4724, 1829, 33753, 45865, 15844, 3714, 9957, 22807, 15844, 18863, 3215, 3794, 3660, 264, 12750, 4641, 1975, 2407, 2423, 257, 10139, 307, 1219, 264, 3313, 2744, 1975, 15730, 4724, 32640, 12984, 1211, 3714, 9957, 22807, 11331, 7435, 2304, 13672, 1829, 31439, 18863, 9957], "avg_logprob": -0.21704100910574198, "compression_ratio": 1.5290697674418605, "no_speech_prob": 0.0, "words": [{"start": 1039.09, "end": 1039.95, "word": "أو", "probability": 0.82861328125}, {"start": 1039.95, "end": 1040.11, "word": " اللي", "probability": 0.789794921875}, {"start": 1040.11, "end": 1040.49, "word": " هو", "probability": 0.9921875}, {"start": 1040.49, "end": 1040.91, "word": " ال", "probability": 0.96142578125}, {"start": 1040.91, "end": 1041.37, "word": " vertical", "probability": 0.366943359375}, {"start": 1041.37, "end": 1043.01, "word": " of", "probability": 0.59228515625}, {"start": 1043.01, "end": 1043.19, "word": " the", "probability": 0.9169921875}, {"start": 1043.19, "end": 1043.53, "word": " box", "probability": 0.9423828125}, {"start": 1043.53, "end": 1044.39, "word": " containing", "probability": 0.91845703125}, {"start": 1044.39, "end": 1044.65, "word": " the", "probability": 0.92236328125}, {"start": 1044.65, "end": 1045.01, "word": " lens", "probability": 0.92236328125}, {"start": 1045.01, "end": 1046.17, "word": " ل", "probability": 0.368896484375}, {"start": 1046.17, "end": 1047.37, "word": " البوكس", "probability": 0.702880859375}, {"start": 1047.37, "end": 1047.61, "word": " اللي", "probability": 0.95458984375}, {"start": 1047.61, "end": 1048.05, "word": " بيحتوي", "probability": 0.91650390625}, {"start": 1048.05, "end": 1048.27, "word": " على", "probability": 0.78271484375}, {"start": 1048.27, "end": 1048.75, "word": " مين؟", "probability": 0.6591796875}, {"start": 1048.75, "end": 1048.91, "word": " على", "probability": 0.7958984375}, {"start": 1048.91, "end": 1049.71, "word": " العدسة", "probability": 0.9835205078125}, {"start": 1049.71, "end": 1051.05, "word": " the", "probability": 0.2607421875}, {"start": 1051.05, "end": 1051.55, "word": " horizontal", "probability": 0.75341796875}, {"start": 1051.55, "end": 1052.61, "word": " length", "probability": 0.84814453125}, {"start": 1052.61, "end": 1053.41, "word": " او", "probability": 0.730224609375}, {"start": 1053.41, "end": 1053.55, "word": " ال", "probability": 0.98095703125}, {"start": 1053.55, "end": 1053.73, "word": " a", "probability": 0.68017578125}, {"start": 1053.73, "end": 1054.33, "word": " dimension", "probability": 0.86083984375}, {"start": 1054.33, "end": 1055.55, "word": " is", "probability": 0.9482421875}, {"start": 1055.55, "end": 1056.23, "word": " called", "probability": 0.93505859375}, {"start": 1056.23, "end": 1056.63, "word": " the", "probability": 0.91455078125}, {"start": 1056.63, "end": 1056.93, "word": " eye", "probability": 0.853515625}, {"start": 1056.93, "end": 1057.59, "word": " size", "probability": 0.83935546875}, {"start": 1057.59, "end": 1058.15, "word": " اذا", "probability": 0.6019287109375}, {"start": 1058.15, "end": 1058.69, "word": " بيمثل", "probability": 0.936279296875}, {"start": 1058.69, "end": 1059.15, "word": " مين؟", "probability": 0.93359375}, {"start": 1059.15, "end": 1059.67, "word": " حجم", "probability": 0.98681640625}, {"start": 1059.67, "end": 1059.93, "word": " اللي", "probability": 0.97509765625}, {"start": 1059.93, "end": 1060.15, "word": " هو", "probability": 0.990234375}, {"start": 1060.15, "end": 1060.55, "word": " العين", "probability": 0.98876953125}], "temperature": 1.0}, {"id": 42, "seek": 108273, "start": 1061.71, "end": 1082.73, "text": "when referring to the frame and the lens size when referring to the lenses يعني الآن لما أنا بتكلم على I size إذا أنا بحكي عن مين؟ عن اللي هو ال frame لما بتكلم على lens size إذا أنا بتكلم على عدسة معنى آخر الآن أنا قدّتك إطار", "tokens": [18822, 13761, 281, 264, 3920, 293, 264, 6765, 2744, 562, 13761, 281, 264, 18059, 37495, 22653, 6024, 48506, 5296, 15042, 41850, 39894, 4117, 19528, 15844, 286, 2744, 11933, 15730, 41850, 4724, 5016, 4117, 1829, 18871, 3714, 9957, 22807, 18871, 13672, 1829, 31439, 2423, 3920, 5296, 15042, 39894, 4117, 19528, 15844, 6765, 2744, 11933, 15730, 41850, 39894, 4117, 19528, 15844, 6225, 3215, 3794, 3660, 20449, 1863, 7578, 19753, 34740, 6024, 48506, 41850, 12174, 3215, 11703, 2655, 4117, 11933, 9566, 9640], "avg_logprob": -0.2261718761175871, "compression_ratio": 1.7717391304347827, "no_speech_prob": 5.960464477539062e-07, "words": [{"start": 1061.71, "end": 1062.13, "word": "when", "probability": 0.2071533203125}, {"start": 1062.13, "end": 1062.99, "word": " referring", "probability": 0.91943359375}, {"start": 1062.99, "end": 1063.55, "word": " to", "probability": 0.9873046875}, {"start": 1063.55, "end": 1063.79, "word": " the", "probability": 0.90771484375}, {"start": 1063.79, "end": 1064.13, "word": " frame", "probability": 0.92822265625}, {"start": 1064.13, "end": 1064.81, "word": " and", "probability": 0.931640625}, {"start": 1064.81, "end": 1064.99, "word": " the", "probability": 0.65283203125}, {"start": 1064.99, "end": 1065.31, "word": " lens", "probability": 0.8974609375}, {"start": 1065.31, "end": 1065.85, "word": " size", "probability": 0.82958984375}, {"start": 1065.85, "end": 1066.49, "word": " when", "probability": 0.80419921875}, {"start": 1066.49, "end": 1066.97, "word": " referring", "probability": 0.9453125}, {"start": 1066.97, "end": 1067.23, "word": " to", "probability": 0.98291015625}, {"start": 1067.23, "end": 1067.41, "word": " the", "probability": 0.84375}, {"start": 1067.41, "end": 1067.83, "word": " lenses", "probability": 0.90576171875}, {"start": 1067.83, "end": 1068.63, "word": " يعني", "probability": 0.91796875}, {"start": 1068.63, "end": 1068.95, "word": " الآن", "probability": 0.7158203125}, {"start": 1068.95, "end": 1069.17, "word": " لما", "probability": 0.5888671875}, {"start": 1069.17, "end": 1069.35, "word": " أنا", "probability": 0.66162109375}, {"start": 1069.35, "end": 1069.95, "word": " بتكلم", "probability": 0.9318033854166666}, {"start": 1069.95, "end": 1070.39, "word": " على", "probability": 0.67236328125}, {"start": 1070.39, "end": 1070.67, "word": " I", "probability": 0.405517578125}, {"start": 1070.67, "end": 1071.25, "word": " size", "probability": 0.5048828125}, {"start": 1071.25, "end": 1071.71, "word": " إذا", "probability": 0.6104736328125}, {"start": 1071.71, "end": 1071.95, "word": " أنا", "probability": 0.86572265625}, {"start": 1071.95, "end": 1072.31, "word": " بحكي", "probability": 0.9710693359375}, {"start": 1072.31, "end": 1072.51, "word": " عن", "probability": 0.96142578125}, {"start": 1072.51, "end": 1073.11, "word": " مين؟", "probability": 0.8665364583333334}, {"start": 1073.11, "end": 1073.37, "word": " عن", "probability": 0.9384765625}, {"start": 1073.37, "end": 1073.61, "word": " اللي", "probability": 0.90673828125}, {"start": 1073.61, "end": 1074.07, "word": " هو", "probability": 0.99755859375}, {"start": 1074.07, "end": 1074.43, "word": " ال", "probability": 0.56982421875}, {"start": 1074.43, "end": 1074.71, "word": " frame", "probability": 0.865234375}, {"start": 1074.71, "end": 1075.61, "word": " لما", "probability": 0.880615234375}, {"start": 1075.61, "end": 1076.13, "word": " بتكلم", "probability": 0.8304036458333334}, {"start": 1076.13, "end": 1076.35, "word": " على", "probability": 0.70654296875}, {"start": 1076.35, "end": 1076.61, "word": " lens", "probability": 0.5185546875}, {"start": 1076.61, "end": 1077.07, "word": " size", "probability": 0.81884765625}, {"start": 1077.07, "end": 1077.39, "word": " إذا", "probability": 0.908203125}, {"start": 1077.39, "end": 1077.57, "word": " أنا", "probability": 0.9541015625}, {"start": 1077.57, "end": 1078.05, "word": " بتكلم", "probability": 0.9596354166666666}, {"start": 1078.05, "end": 1078.29, "word": " على", "probability": 0.68994140625}, {"start": 1078.29, "end": 1079.49, "word": " عدسة", "probability": 0.9708251953125}, {"start": 1079.49, "end": 1080.07, "word": " معنى", "probability": 0.84033203125}, {"start": 1080.07, "end": 1080.43, "word": " آخر", "probability": 0.93017578125}, {"start": 1080.43, "end": 1081.41, "word": " الآن", "probability": 0.611083984375}, {"start": 1081.41, "end": 1081.71, "word": " أنا", "probability": 0.8369140625}, {"start": 1081.71, "end": 1082.33, "word": " قدّتك", "probability": 0.7736328125}, {"start": 1082.33, "end": 1082.73, "word": " إطار", "probability": 0.9464518229166666}], "temperature": 1.0}, {"id": 43, "seek": 111153, "start": 1083.51, "end": 1111.53, "text": "و حكيتلك اديني قداش قيمة اللي هو مين ال eye size على طول ايش بدي افكر ان هذه ل ال frame باجي من ال edge ل ال edge ل مين ل ال frame طيب لو قلتلك ال lens size برفع العدسة و بشوف محيط العدسة من ال edge ل ال edge تمام؟ when most practitioners و هذه مهمة النقطة", "tokens": [2407, 11331, 4117, 36081, 23275, 1975, 3215, 9957, 1829, 12174, 3215, 33599, 12174, 32640, 3660, 13672, 1829, 31439, 3714, 9957, 2423, 3313, 2744, 15844, 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ال", "probability": 0.82421875}, {"start": 1124.7, "end": 1125.04, "word": " eye", "probability": 0.64599609375}, {"start": 1125.04, "end": 1125.84, "word": " size", "probability": 0.7099609375}, {"start": 1125.84, "end": 1126.64, "word": " تمام", "probability": 0.98095703125}, {"start": 1126.64, "end": 1127.46, "word": " they", "probability": 0.560546875}, {"start": 1127.46, "end": 1127.92, "word": " are", "probability": 0.9560546875}, {"start": 1127.92, "end": 1128.72, "word": " referring", "probability": 0.93359375}, {"start": 1128.72, "end": 1129.62, "word": " primarily", "probability": 0.841796875}, {"start": 1129.62, "end": 1129.98, "word": " to", "probability": 0.9814453125}, {"start": 1129.98, "end": 1130.18, "word": " the", "probability": 0.90966796875}, {"start": 1130.18, "end": 1130.64, "word": " horizontal", "probability": 0.728515625}, {"start": 1130.64, "end": 1131.06, "word": " measure", "probability": 0.6650390625}, {"start": 1131.06, "end": 1131.38, "word": " of", 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"probability": 0.99462890625}, {"start": 1389.09, "end": 1389.25, "word": " ال", "probability": 0.87890625}, {"start": 1389.25, "end": 1389.39, "word": " C", "probability": 0.591796875}, {"start": 1389.39, "end": 1390.47, "word": " letter،", "probability": 0.790283203125}, {"start": 1390.47, "end": 1390.71, "word": " لكن", "probability": 0.94677734375}, {"start": 1390.71, "end": 1390.93, "word": " احنا", "probability": 0.9850260416666666}, {"start": 1390.93, "end": 1391.37, "word": " ماببناش", "probability": 0.696337890625}, {"start": 1391.37, "end": 1391.63, "word": " إياه", "probability": 0.6482340494791666}, {"start": 1391.63, "end": 1391.91, "word": " الآن", "probability": 0.711181640625}], "temperature": 1.0}, {"id": 55, "seek": 141738, "start": 1394.24, "end": 1417.38, "text": "Some people still basically measure the eye size this way لحد الآن في ناس بيخطئوا في عملية قياس مين ال a dimension و ال c dimension يعني بمعنى اخر انه ما بيميزوا بين الاتنين احنا الان ننسى ال c dimension و نعتمد فقط على مين ال a dimension اللي هو المستخدم", "tokens": [24882, 561, 920, 1936, 3481, 264, 3313, 2744, 341, 636, 5296, 24401, 6024, 48506, 8978, 8717, 32277, 4724, 1829, 9778, 9566, 19986, 14407, 8978, 6225, 42213, 10632, 12174, 25528, 3794, 3714, 9957, 2423, 257, 10139, 4032, 2423, 269, 10139, 37495, 22653, 4724, 2304, 3615, 1863, 7578, 1975, 34740, 16472, 3224, 19446, 4724, 32640, 1829, 11622, 14407, 49374, 2423, 9307, 1863, 9957, 1975, 5016, 8315, 2423, 7649, 8717, 1863, 3794, 7578, 2423, 269, 10139, 4032, 8717, 34268, 2304, 3215, 6156, 47432, 15844, 3714, 9957, 2423, 257, 10139, 13672, 1829, 31439, 9673, 14851, 9778, 40448], "avg_logprob": -0.17170877501051476, "compression_ratio": 1.6387665198237886, "no_speech_prob": 0.0, "words": [{"start": 1394.24, "end": 1394.6, "word": "Some", "probability": 0.23828125}, {"start": 1394.6, "end": 1395.12, "word": " people", "probability": 0.962890625}, {"start": 1395.12, "end": 1396.12, "word": " still", "probability": 0.869140625}, 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1413.24, "word": " dimension", "probability": 0.9853515625}, {"start": 1413.24, "end": 1413.72, "word": " و", "probability": 0.970703125}, {"start": 1413.72, "end": 1414.14, "word": " نعتمد", "probability": 0.954345703125}, {"start": 1414.14, "end": 1414.48, "word": " فقط", "probability": 0.991943359375}, {"start": 1414.48, "end": 1414.68, "word": " على", "probability": 0.7880859375}, {"start": 1414.68, "end": 1414.96, "word": " مين", "probability": 0.960205078125}, {"start": 1414.96, "end": 1415.32, "word": " ال", "probability": 0.9853515625}, {"start": 1415.32, "end": 1415.5, "word": " a", "probability": 0.9775390625}, {"start": 1415.5, "end": 1416.08, "word": " dimension", "probability": 0.9814453125}, {"start": 1416.08, "end": 1416.54, "word": " اللي", "probability": 0.863037109375}, {"start": 1416.54, "end": 1416.74, "word": " هو", "probability": 0.9931640625}, {"start": 1416.74, "end": 1417.38, "word": " المستخدم", "probability": 0.9749755859375}], "temperature": 1.0}, {"id": 56, "seek": 144906, "start": 1419.14, "end": 1449.06, "text": "The C dimension of a lens shouldn't be confused with the C size of a lens فهذا عمل ايش عملية ايش مانت confused تشويش انه انا بدي اعرف هل هذا A dimension ولا C dimension بسيط الأمر يما انا بقيس من ال rim لل rim اذا انا بتكلم I size او frame size اذا انا بتكلم ع مين A dimension لكن يما انا بتكلم على ال C dimension انا بقصد ايش اللي هو مقبل ال rim بتاع اليطار", "tokens": [2278, 383, 10139, 295, 257, 6765, 4659, 380, 312, 9019, 365, 264, 383, 2744, 295, 257, 6765, 6156, 3224, 15730, 6225, 42213, 1975, 1829, 8592, 6225, 42213, 10632, 1975, 1829, 8592, 3714, 7649, 2655, 9019, 6055, 8592, 45865, 8592, 16472, 3224, 1975, 8315, 4724, 16254, 1975, 3615, 28480, 8032, 1211, 23758, 316, 10139, 49429, 383, 10139, 4724, 3794, 1829, 9566, 16247, 29973, 7251, 15042, 1975, 8315, 4724, 38436, 3794, 9154, 2423, 15982, 24976, 15982, 1975, 15730, 1975, 8315, 39894, 4117, 19528, 286, 2744, 1975, 2407, 3920, 2744, 1975, 15730, 1975, 8315, 39894, 4117, 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{"id": 59, "seek": 153654, "start": 1508.18, "end": 1536.54, "text": "طيب عندنا ال measurement القياس in determining the horizontal boxing dimensions of a frame عشان انا احدد جداش قيمة اللي هو ال a dimension هاي المقصود فيه ال horizontal boxing dimensions of a frame يعني ال a dimension او بنسميه ال I size او ال frame size", "tokens": [9566, 1829, 3555, 43242, 8315, 2423, 13160, 25062, 25528, 3794, 294, 23751, 264, 12750, 24424, 12819, 295, 257, 3920, 6225, 8592, 7649, 1975, 8315, 1975, 24401, 3215, 10874, 3215, 33599, 12174, 32640, 3660, 13672, 1829, 31439, 2423, 257, 10139, 8032, 47302, 9673, 4587, 9381, 23328, 8978, 3224, 2423, 12750, 24424, 12819, 295, 257, 3920, 37495, 22653, 2423, 257, 10139, 1975, 2407, 44945, 38251, 1829, 3224, 2423, 286, 2744, 1975, 2407, 2423, 3920, 2744], "avg_logprob": -0.19256756797030167, "compression_ratio": 1.7061855670103092, "no_speech_prob": 0.0, "words": [{"start": 1508.18, "end": 1508.52, "word": "طيب", "probability": 0.7599283854166666}, {"start": 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dimensions of a frame اللي هو عبارة عن ال a dimension the measurement begins at the inside of the groove on the left side of the imaginary enclosing box إيش مناد imaginary؟ يعني بمعنى اللي هو وهمة أو بمعنى اللي هو imagination اللي هو تخيلة", "tokens": [3615, 8315, 294, 23751, 264, 12750, 24424, 12819, 295, 257, 3920, 13672, 1829, 31439, 6225, 3555, 9640, 3660, 18871, 2423, 257, 10139, 264, 13160, 7338, 412, 264, 1854, 295, 264, 26910, 322, 264, 1411, 1252, 295, 264, 26164, 20987, 6110, 2424, 11933, 1829, 8592, 3714, 8315, 3215, 26164, 22807, 37495, 22653, 4724, 2304, 3615, 1863, 7578, 13672, 1829, 31439, 4032, 16095, 3660, 34051, 4724, 2304, 3615, 1863, 7578, 13672, 1829, 31439, 12938, 13672, 1829, 31439, 6055, 9778, 26895, 3660], "avg_logprob": -0.18037109803408385, "compression_ratio": 1.6462264150943395, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1627.49, "end": 1628.33, "word": "عنا", "probability": 0.6708984375}, {"start": 1628.33, "end": 1628.69, "word": " in", 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"probability": 0.783203125}, {"start": 1647.89, "end": 1648.13, "word": " يعني", "probability": 0.8056640625}, {"start": 1648.13, "end": 1648.71, "word": " بمعنى", "probability": 0.99091796875}, {"start": 1648.71, "end": 1648.93, "word": " اللي", "probability": 0.967041015625}, {"start": 1648.93, "end": 1649.63, "word": " هو", "probability": 0.99462890625}, {"start": 1649.63, "end": 1651.99, "word": " وهمة", "probability": 0.7421061197916666}, {"start": 1651.99, "end": 1652.31, "word": " أو", "probability": 0.875}, {"start": 1652.31, "end": 1652.91, "word": " بمعنى", "probability": 0.98154296875}, {"start": 1652.91, "end": 1653.15, "word": " اللي", "probability": 0.978515625}, {"start": 1653.15, "end": 1653.55, "word": " هو", "probability": 0.99169921875}, {"start": 1653.55, "end": 1654.53, "word": " imagination", "probability": 0.9267578125}, {"start": 1654.53, "end": 1654.81, "word": " اللي", "probability": 0.84716796875}, {"start": 1654.81, "end": 1654.95, "word": " هو", "probability": 0.98876953125}, {"start": 1654.95, "end": 1655.63, "word": " تخيلة", "probability": 0.8739013671875}], "temperature": 1.0}, {"id": 65, "seek": 165855, "start": 1657.01, "end": 1658.55, "text": "in closing box", "tokens": [259, 10377, 2424], "avg_logprob": -0.2839355394244194, "compression_ratio": 0.6363636363636364, "no_speech_prob": 0.0, "words": [{"start": 1657.01, "end": 1657.35, "word": "in", "probability": 0.37890625}, {"start": 1657.35, "end": 1657.89, "word": " closing", "probability": 0.927734375}, {"start": 1657.89, "end": 1658.55, "word": " box", "probability": 0.951171875}], "temperature": 1.0}, {"id": 66, "seek": 168644, "start": 1659.5, "end": 1686.44, "text": "and extends حيميل horizontally across the lens opening to the farthest part لأبعد اللي هو جزئية أو أبعد نقطة of the group on the right side of the box يعني باخدها من أبعد نقطة في اليمين لأبعد نقطة في الشمال هذه بتمثل اللي هو قيمة مين ال a dimension او ال horizontal dimension بالاضافة اني بضيف لها", 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"word": " of", "probability": 0.9794921875}, {"start": 1673.6, "end": 1673.76, "word": " the", "probability": 0.93017578125}, {"start": 1673.76, "end": 1674.02, "word": " box", "probability": 0.93359375}, {"start": 1674.02, "end": 1674.6, "word": " يعني", "probability": 0.861328125}, {"start": 1674.6, "end": 1675.2, "word": " باخدها", "probability": 0.97900390625}, {"start": 1675.2, "end": 1675.72, "word": " من", "probability": 0.99462890625}, {"start": 1675.72, "end": 1676.22, "word": " أبعد", "probability": 0.9650065104166666}, {"start": 1676.22, "end": 1676.74, "word": " نقطة", "probability": 0.9845377604166666}, {"start": 1676.74, "end": 1676.98, "word": " في", "probability": 0.982421875}, {"start": 1676.98, "end": 1677.44, "word": " اليمين", "probability": 0.8424479166666666}, {"start": 1677.44, "end": 1678.16, "word": " لأبعد", "probability": 0.9857177734375}, {"start": 1678.16, "end": 1678.5, "word": " نقطة", "probability": 0.9892578125}, {"start": 1678.5, "end": 1678.64, "word": " في", "probability": 0.97802734375}, {"start": 1678.64, "end": 1679.14, "word": " الشمال", "probability": 0.9554036458333334}, {"start": 1679.14, "end": 1679.64, "word": " هذه", "probability": 0.52099609375}, {"start": 1679.64, "end": 1680.3, "word": " بتمثل", "probability": 0.9366455078125}, {"start": 1680.3, "end": 1680.5, "word": " اللي", "probability": 0.841796875}, {"start": 1680.5, "end": 1680.74, "word": " هو", "probability": 0.92919921875}, {"start": 1680.74, "end": 1681.18, "word": " قيمة", "probability": 0.99365234375}, {"start": 1681.18, "end": 1681.44, "word": " مين", "probability": 0.6209716796875}, {"start": 1681.44, "end": 1681.92, "word": " ال", "probability": 0.935546875}, {"start": 1681.92, "end": 1682.1, "word": " a", "probability": 0.55517578125}, {"start": 1682.1, "end": 1682.66, "word": " dimension", "probability": 0.9189453125}, {"start": 1682.66, "end": 1682.98, "word": " او", "probability": 0.69287109375}, {"start": 1682.98, "end": 1683.08, "word": " ال", "probability": 0.93359375}, {"start": 1683.08, "end": 1683.52, "word": " horizontal", "probability": 0.66015625}, {"start": 1683.52, "end": 1684.2, "word": " dimension", "probability": 0.9912109375}, {"start": 1684.2, "end": 1685.34, "word": " بالاضافة", "probability": 0.939208984375}, {"start": 1685.34, "end": 1685.66, "word": " اني", "probability": 0.57958984375}, {"start": 1685.66, "end": 1686.0, "word": " بضيف", "probability": 0.93896484375}, {"start": 1686.0, "end": 1686.44, "word": " لها", "probability": 0.67919921875}], "temperature": 1.0}, {"id": 67, "seek": 171244, "start": 1687.16, "end": 1712.44, "text": "نص ملي لكل اللي هو part عشان يكون يعني plus one ملي إضافة لها remember بدنا نذكر the a dimension is the width of the enclosing box يعني بمعنى أنه بمثل اللي هو إيش العمق أو اللي هو العرض لمين لقيمة اللي هو ال enclosing box", "tokens": [1863, 9381, 3714, 20292, 5296, 28820, 13672, 1829, 31439, 644, 6225, 8592, 7649, 7251, 30544, 37495, 22653, 1804, 472, 3714, 20292, 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"language_probability": 1.0, "duration": 2113.3409375, "duration_after_vad": 1956.9774999999945} \ No newline at end of file diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/jifXa8YlCgE_raw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/jifXa8YlCgE_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..b2f98b4c5d293b8178857527608d5df5db68968a --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/jifXa8YlCgE_raw.srt @@ -0,0 +1,1552 @@ +1 +00:00:21,040 --> 00:00:23,660 +بسم الله الرحمن الرحيم، السلام عليكم ورحمة الله + +2 +00:00:23,660 --> 00:00:27,900 +وبركاته، and a very good afternoon to all of you + +3 +00:00:29,160 --> 00:00:34,700 +هنبدأ ان شاء الله بال another system اللي متمثل + +4 +00:00:34,700 --> 00:00:40,060 +بال boxing system تمام؟ اذا the boxing system + +5 +00:00:40,060 --> 00:00:46,120 +improved on the foundation provided by the datum + +6 +00:00:46,120 --> 00:00:52,980 +system اذا هو عملية تحسين لل structure اللي خاص في + +7 +00:00:52,980 --> 00:00:57,370 +مين؟ في ال datum systemيعني بمعنى آخر هو update + +8 +00:00:57,370 --> 00:01:00,990 +تحديث لمين ل ال datum system + +9 +00:01:04,730 --> 00:01:10,890 +The datum system used two horizontal lines, one + +10 +00:01:10,890 --> 00:01:14,870 +against the top and the other against the bottom + +11 +00:01:14,870 --> 00:01:20,350 +of the lens سابقا اخدنا ال datum system و حكينا + +12 +00:01:20,350 --> 00:01:26,230 +انه بتكون من اللي هو two lines طبعا عندنا ال + +13 +00:01:26,230 --> 00:01:32,270 +horizontal اللي هيكون محاذي لل top partو أيضا + +14 +00:01:32,270 --> 00:01:36,130 +عندنا ال lower اللي بيكون محادي لمين لل bottom + +15 +00:01:36,130 --> 00:01:41,430 +part okay فهدول التنين إيش بنسميهم horizontal line + +16 +00:01:41,430 --> 00:01:54,350 +طبعا هذا لل top part okay وهنا عندنا لل bottom + +17 +00:01:54,350 --> 00:01:57,230 +part + +18 +00:02:03,050 --> 00:02:09,310 +The boxing system kept these two horizontal lines + +19 +00:02:09,310 --> 00:02:16,210 +and added two vertical lines اذا هو بيعمل محافظة + +20 +00:02:16,210 --> 00:02:21,530 +على ال horizontal line ال top و على ال another + +21 +00:02:21,530 --> 00:02:25,970 +horizontal line المتعلق في مين في ال bottom ولكن + +22 +00:02:25,970 --> 00:02:31,180 +جالي بضيف ايش a new horizontal lineالـ new + +23 +00:02:31,180 --> 00:02:35,180 +horizontal line وين بتكون؟ Vertical lines يعني + +24 +00:02:35,180 --> 00:02:40,940 +باتجاه ال right و باتجاه ال left واضحة؟ طبعا هذا + +25 +00:02:40,940 --> 00:02:45,780 +ال datum لكن في ال boxing هيكون في عندنا إضافة ل + +26 +00:02:45,780 --> 00:02:50,520 +ال two horizontal lines و two vertical lines يعني + +27 +00:02:50,520 --> 00:02:55,460 +كمان شوية هنشوف كيف هيكون شكله لل boxing system + +28 +00:02:57,540 --> 00:03:03,640 +These vertical lines are placed against right and + +29 +00:03:03,640 --> 00:03:09,360 +left edges of the lens إذا هتكون عبارة عن خطوط + +30 +00:03:09,360 --> 00:03:15,400 +عمودية محاطة باليمين واليسار من اللي هو من أطراف + +31 +00:03:15,400 --> 00:03:22,700 +العدسة شايفين؟ زي الشكل هذا، هاي عبارة عن إيش؟ + +32 +00:03:22,700 --> 00:03:28,440 +اللي هو two vertical lines في نقطة مهمة كتيرانه + +33 +00:03:28,440 --> 00:03:33,340 +انا لما بدي اجي اعمل boxing system لابد انه يكون + +34 +00:03:33,340 --> 00:03:39,510 +ال top partو ال bottom part و ال right part و ال + +35 +00:03:39,510 --> 00:03:44,150 +left part الأربعة متساوين كيف هدت من خلال اللي هي + +36 +00:03:44,150 --> 00:03:47,810 +المصطرة يعني الآن هتاخدوا ان شاء الله في المعمل + +37 +00:03:47,810 --> 00:03:52,710 +كيف ترسموا أول حاجة الشابلونة تمام بعد ما ترسميها + +38 +00:03:52,710 --> 00:03:57,750 +بتجيبي مصطرة فبتعملي اللي هو marking تعليم لل + +39 +00:03:57,750 --> 00:04:01,590 +horizontal lines و ال vertical linesكل هيتم لازم + +40 +00:04:01,590 --> 00:04:05,190 +يكونوا متساويين من حيث إيش اللي هو ال score أو من + +41 +00:04:05,190 --> 00:04:13,070 +حيث اللي هو التدريج All four + +42 +00:04:13,070 --> 00:04:18,510 +lines form a box around the lens إذا عندنا الأربع + +43 +00:04:18,510 --> 00:04:21,330 +خطوط هيكونوا حوالين مين؟ العدسة + +44 +00:04:29,050 --> 00:04:34,330 +Horizontal Midline الـ Horizontal Midline هذا وين + +45 +00:04:34,330 --> 00:04:40,070 +متوفر؟ في الـ Datum System صح ولا لأ؟ الآن هنشوف + +46 +00:04:40,070 --> 00:04:45,110 +الـ Reflection بتاعه في الـ Boxing System يعني + +47 +00:04:45,110 --> 00:04:49,870 +بدنا نشوف الآن هل الـ Boxing System بيحافظ على الـ + +48 +00:04:49,870 --> 00:04:56,250 +Horizontal Midline ولا بلغيه؟ إيش رأيكم؟ إيش رأي + +49 +00:04:56,250 --> 00:05:01,280 +كهذا؟ بيحافظ عليه ولا بلغيه؟بحافظ عليه هو ايش + +50 +00:05:01,280 --> 00:05:04,680 +المقصود بالـhorizontal midline؟ هو عبارة عن الـ + +51 +00:05:04,680 --> 00:05:08,280 +datum line صح ولا لأ؟ يعني الخط اللي بيفصل ما بين + +52 +00:05:08,280 --> 00:05:12,180 +ايش ال half way ال upper و ال half way mean اللي + +53 +00:05:12,180 --> 00:05:18,400 +هو ال lower اذا there is a horizontal line اذا + +54 +00:05:18,400 --> 00:05:25,040 +الخط ايش بيكون؟ أفقي okay half way انه بيعمل عملية + +55 +00:05:25,040 --> 00:05:30,940 +فصل او اللي هو تنصيف خلينا نقولbetween the top and + +56 +00:05:30,940 --> 00:05:35,600 +bottom of the lens إذا بنصف الجزء العلوي و أيضا + +57 +00:05:35,600 --> 00:05:40,360 +اللي هو ال bottom part الخاص في اللي هو النظام + +58 +00:05:40,360 --> 00:05:45,980 +okay in the datum system في نظام ال datum إيش كنا + +59 +00:05:45,980 --> 00:05:53,620 +نسميه datum line يعني هذا الخط المسمى بتاعه datum + +60 +00:05:53,620 --> 00:05:57,260 +line + +61 +00:05:58,910 --> 00:06:02,750 +Okay this + +62 +00:06:02,750 --> 00:06:08,490 +name continues to be used يعني هذا المسمى ما زال + +63 +00:06:08,490 --> 00:06:12,750 +اللي هو مستمر في عملية الاستخدام وين؟ في ال boxing + +64 +00:06:12,750 --> 00:06:19,470 +system however مع ذلك in the boxing system this + +65 +00:06:19,470 --> 00:06:24,610 +line is more commonly يعني الأكتر اللي هو شيوعا + +66 +00:06:25,270 --> 00:06:31,630 +refer to as the horizontal midline + +67 +00:06:33,350 --> 00:06:38,170 +أو الـ 180 degree line يعني الآن انا لو قلتلك اعمل + +68 +00:06:38,170 --> 00:06:43,290 +ال boxing system و حكيتلك حط ال 180 degree line + +69 +00:06:43,290 --> 00:06:46,130 +على طول ايش بتعرفي؟ هو عبارة عن ال horizontal + +70 +00:06:46,130 --> 00:06:50,190 +midline لو قلتلك مثلا حط ال horizontal midline على + +71 +00:06:50,190 --> 00:06:53,330 +طول بعرف ان هو عبارة عن مين؟ عن ال datum line اللي + +72 +00:06:53,330 --> 00:06:58,300 +انا خدته فيه ال datum systemتمام؟ ايش الهدف منه؟ + +73 +00:06:58,300 --> 00:07:02,560 +انه يعمل عملية تنصيف ما بين ال upper part و ال + +74 +00:07:02,560 --> 00:07:10,560 +bottom part طيب + +75 +00:07:10,560 --> 00:07:18,020 +عندنا جزئية ال geometric center طبعا ال geometric + +76 +00:07:18,020 --> 00:07:23,680 +center لو كان عندى دائرة هي بتمثل ايش؟ نصف قطر + +77 +00:07:23,680 --> 00:07:31,330 +الدائرةالسينتر اللينز هو النقطة على الاتصال + +78 +00:07:31,330 --> 00:07:37,410 +الهوريزنطالي نحو نحو الاتصال الهوريزنطالي نحو + +79 +00:07:37,410 --> 00:07:38,390 +الاتصال الهوريزنطالي نحو الاتصال الهوريزنطالي نحو + +80 +00:07:38,390 --> 00:07:39,550 +الاتصال الهوريزنطالي نحو الاتصال الهوريزنطالي نحو + +81 +00:07:39,550 --> 00:07:42,930 +الاتصال الهوريزنطالي نحو + +82 +00:07:42,930 --> 00:07:44,310 +الاتصال الهوريزنطالي نحو الاتصال الهوريزنطالي نحو + +83 +00:07:44,310 --> 00:07:44,370 +الاتصال الهوريزنطالي نحو الاتصال الهوريزنطالي نحو + +84 +00:07:44,370 --> 00:07:52,190 +الاتصال الهوريزنطالي نحو الاتصال الهوريزنطالي نحو + +85 +00:07:54,590 --> 00:07:58,810 +الشبلونة اللى انا رسمتها بتمثل الـ geometric + +86 +00:07:58,810 --> 00:08:03,390 +center تمام؟ + +87 +00:08:03,390 --> 00:08:12,200 +it's known as the geometric centerأو Boxing Center + +88 +00:08:12,200 --> 00:08:17,480 +يعني إيه المسميين؟ يا بنسميها Boxing Center أو + +89 +00:08:17,480 --> 00:08:21,820 +بنسميها ايه؟ Geometric Center طيب، الآن لو .. لو + +90 +00:08:21,820 --> 00:08:26,020 +قلنا إن هذه عبارة عن Boxing Center إذن هي إيش + +91 +00:08:26,020 --> 00:08:31,680 +بتمثل؟ Boxing System صح ولا لأ؟ لكن لو قلنا + +92 +00:08:31,680 --> 00:08:35,540 +Geometric Center ممكن تكون Boxing System وممكن + +93 +00:08:35,540 --> 00:08:37,020 +تكون Datum System + +94 +00:08:40,820 --> 00:08:46,640 +Of the edge lens، الأطراف العدسة + +95 +00:08:49,460 --> 00:08:53,660 +doesn't imply anything about the optical + +96 +00:08:53,660 --> 00:09:00,540 +positioning of the lens يعني هذا المصطلح ليس له أي + +97 +00:09:00,540 --> 00:09:07,620 +اعتبار في تحديد اللي هو إيش الموضع البصري للعدسة + +98 +00:09:07,620 --> 00:09:12,080 +هذه الجملة مين بتقدر تفسرليها من ناحية practical + +99 +00:09:12,080 --> 00:09:14,860 +عملية وإلها علامتين + +100 +00:09:17,770 --> 00:09:21,290 +انه عندنا الـ Geometric Center طبعا باستثناء + +101 +00:09:21,290 --> 00:09:27,650 +ايرانيا الـ Boxing System تمام هو او عفوا الـ + +102 +00:09:27,650 --> 00:09:31,110 +Geometric Center في الـ Boxing System مافيش فيه اي + +103 +00:09:31,110 --> 00:09:35,570 +اعتبار لها من ناحية الـ Optical Positioning يعني + +104 +00:09:35,570 --> 00:09:40,610 +مالهاش اعتبار في موضع العدسة فضلي لأن العدسة احنا + +105 +00:09:40,610 --> 00:09:44,750 +بيقولها Decentration فمتكونش العدسة + +106 +00:09:47,940 --> 00:09:55,040 +طيب تديني مثال اه + +107 +00:09:55,040 --> 00:10:05,700 +دينا مثال و واضحيننا النقطة هذه تمام + +108 +00:10:05,700 --> 00:10:15,240 +خلينا نعمل buy to lift عشان تظهر للجميع تمام اه + +109 +00:10:16,320 --> 00:10:20,100 +يعني هي ال geometric center ممكن تكون يعني إذا كان + +110 +00:10:20,100 --> 00:10:24,080 +المريض ماعندوش حوالي option بتكون هي نفسها ال + +111 +00:10:24,080 --> 00:10:31,060 +optical center مش شرط، صح؟ مش شرط، ممتازة، ليش؟ هي + +112 +00:10:31,060 --> 00:10:35,080 +بتساعدك هي احنا بيكون فيه decentralization ممتازة، + +113 +00:10:35,080 --> 00:10:40,990 +هو غالبا بيكون فيه decentralization، ليش طيب؟ممكن + +114 +00:10:40,990 --> 00:10:45,230 +يكون مش مقصود الأشياء او يعني تكون لما علم العالم + +115 +00:10:45,230 --> 00:10:48,790 +صورة أو يكون مقصود لتصحيح ال .. بريزماتك افكت + +116 +00:10:48,790 --> 00:10:52,970 +بريزماتك افكت بريزماتك افكت بريزماتك افكت طيب ممكن + +117 +00:10:52,970 --> 00:10:57,170 +ان انا اكون اعمل decentralization لعدم اللي هو + +118 +00:10:57,170 --> 00:11:02,950 +حدوث اي بريزماتك افكت اه + +119 +00:11:02,950 --> 00:11:06,790 +بعمل decentralization لو يكون هو اصلا عنده حوارب + +120 +00:11:07,860 --> 00:11:11,700 +تمام بعيدا عن ال اسكوينت مابدأ اخوض فيه الآن انا + +121 +00:11:11,700 --> 00:11:15,480 +انسان normal subject تمام ممكن اعمله + +122 +00:11:15,480 --> 00:11:20,780 +decentralization بدون ما يكون عنده اي type of + +123 +00:11:20,780 --> 00:11:25,680 +اسكوينت ولا لأ غالبا انا بقولك ابن اعمل فسريلي + +124 +00:11:25,680 --> 00:11:29,660 +اياها ليش؟ لأنه تقريبا يعني جابت اللي هو الفكرة + +125 +00:11:29,660 --> 00:11:30,380 +الرئيسية + +126 +00:11:39,500 --> 00:11:43,780 +تمام طب ليش؟ شو السبب؟ انا بدي .. هي حكت صح على + +127 +00:11:43,780 --> 00:11:47,340 +فكرة بس انا بدي ان why؟ يعني بدي تعملي justify + +128 +00:11:47,340 --> 00:11:50,780 +ليش؟ يمكن في قص .. قص العدسة نفس الحاجة .. هو مش + +129 +00:11:50,780 --> 00:11:53,520 +دايما ال optical center اللي كان في المنتصف لأ + +130 +00:11:53,520 --> 00:11:58,320 +مالهاش علاقة مالهاش علاقة انه في القص يعني .. + +131 +00:11:58,320 --> 00:12:02,560 +تفضلي بعديها .. تفضلي + +132 +00:12:09,020 --> 00:12:14,260 +يعني احنا جيت لما .. انشاء الله اتفضلي ممكن لان + +133 +00:12:14,260 --> 00:12:21,100 +المصيد يقرأ هى كله من ذراعه تحت الفكرة هى + +134 +00:12:21,100 --> 00:12:25,880 +انتوا واصليه للفكرة بس بدي توضيح لها طيب انا + +135 +00:12:25,880 --> 00:12:32,340 +وضحتلكم إياها في رسمة زي هيك ذكرتوها؟ ممتازة هجيت + +136 +00:12:32,340 --> 00:12:38,990 +غالبا يما انا بروح لمركز بصرياتيعني ما بختار إطار، + +137 +00:12:38,990 --> 00:12:44,030 +هل الإطار هذا بيكون موافق للـ IBD بتاعي؟ لأ، صح + +138 +00:12:44,030 --> 00:12:49,270 +ولا لأ؟ يعني بمعنى آخر إنه فيه هناك variation ما + +139 +00:12:49,270 --> 00:12:54,050 +بين ال frame PD والـ IBD بتاعي، نشوف كيف، الآن + +140 +00:12:54,050 --> 00:12:59,810 +مثلا إجاني شخص على المركز، تمام؟ كان عنده ال IBD + +141 +00:12:59,810 --> 00:13:07,290 +62 مليمترOkay قلت له اتفضل اختار + +142 +00:13:07,290 --> 00:13:13,030 +القطار اختار القطار لجيه نجدش عنده ال frame بي دي + +143 +00:13:13,030 --> 00:13:17,410 +اللي موجود في القطار اتنين و سبعين مليل الان ع + +144 +00:13:17,410 --> 00:13:22,750 +كلام روسيا لو ادنا القطار هذا بشكل مباشر ايش هيصير + +145 +00:13:22,750 --> 00:13:28,280 +عنده؟بالضبط اللي هو تأثير منشوري، أي بمعنى انه مش + +146 +00:13:28,280 --> 00:13:32,580 +هيكون ال optical center المناسب للعدسة، صح؟ فانا + +147 +00:13:32,580 --> 00:13:36,800 +إيش بروح بعمل Decentration إزاحة عشان يكون ال + +148 +00:13:36,800 --> 00:13:41,440 +geometric center تمام موافقة لمين لل IBD بتاعت + +149 +00:13:41,440 --> 00:13:46,210 +الشخصعشان ينظر اللى هو بشكل ايش واضح طيب هل هذا + +150 +00:13:46,210 --> 00:13:51,230 +الشخص عنده squint لأ انسان normal subject عشان هيك + +151 +00:13:51,230 --> 00:13:54,810 +بنعمل مثلا لو جلنا الفرق عشرة بنعمل خمسة + +152 +00:13:54,810 --> 00:13:57,430 +decentralization لل right و خمسة decentralization + +153 +00:13:57,430 --> 00:14:04,230 +لمن لل left عشان نحصل على geometric center ملائم + +154 +00:14:04,230 --> 00:14:09,930 +تمام و 100% to avoid a prismatic effect for + +155 +00:14:09,930 --> 00:14:10,570 +patient + +156 +00:14:13,650 --> 00:14:19,050 +فهي لا تعني شيء الـ Boxing Center أو الـ Geometric + +157 +00:14:19,050 --> 00:14:23,190 +Center لا تعني إلي أي تشيء في موضوع مين الـ Lens + +158 +00:14:23,190 --> 00:14:26,150 +Positioning في موضع العدسة بينما اللي بعنيه لمين + +159 +00:14:26,150 --> 00:14:31,010 +هو الـ Frame PD بتاع الإطار بالإضافة لمين للـ IBD + +160 +00:14:31,010 --> 00:14:37,070 +مين مش فاهم النقطة هذه واضحة ولا لأ يعني الآن + +161 +00:14:37,070 --> 00:14:43,590 +عندنا ال IBDاللي هي الـ Intrapupillary distance + +162 +00:14:43,590 --> 00:14:53,790 +بيساوي 62 ملي تمام وعنا ال frame BD بيساوي جداش 72 + +163 +00:14:53,790 --> 00:15:00,710 +ملي okay الآن انا بدي اعمل ايش عملية توافق ما بين + +164 +00:15:00,710 --> 00:15:06,220 +ال frame BD و ال IBDمين اصغر ال IBD اذا بدي اعمل + +165 +00:15:06,220 --> 00:15:10,500 +Decentration لمين لداخل عشان احصل على اللي هو ايش + +166 +00:15:10,500 --> 00:15:14,700 +انه الprismatic effect تكون اللي هو to avoid + +167 +00:15:14,700 --> 00:15:18,900 +الprismatic effect for patient و ايضا انه تكون ال + +168 +00:15:18,900 --> 00:15:23,380 +geometric center ملائمة لمين لال optical center + +169 +00:15:23,380 --> 00:15:30,200 +طبعا بالمناسبة ال boxing center او ال geometric + +170 +00:15:30,200 --> 00:15:45,700 +center هي تعتبر ايه؟reference point + +171 +00:15:45,700 --> 00:15:49,520 +for + +172 +00:15:49,520 --> 00:16:00,320 +boxing system + +173 +00:16:16,720 --> 00:16:21,740 +طيب الآن أنا بتتكلم عن موضوع اللي هو ال size الحجم + +174 +00:16:21,740 --> 00:16:27,660 +طبعاً يما نتكلم size سواء ال eye size او ال frame + +175 +00:16:27,660 --> 00:16:34,900 +size تمام ال size of the lens is the length and + +176 +00:16:34,900 --> 00:16:40,960 +depth طيب اذا انا بتكلم length اذا هو بيمثل مين ال + +177 +00:16:40,960 --> 00:16:47,200 +a dimension يعني بمعنى اللي هو ال horizontalOkay + +178 +00:16:47,200 --> 00:16:52,880 +and depth العمق بمثل مين ال vertical line او ال b + +179 +00:16:52,880 --> 00:16:58,780 +اللي هو a dimension اذا المرحلة التانية عندنا ال a + +180 +00:16:58,780 --> 00:17:02,380 +dimension + +181 +00:17:02,380 --> 00:17:05,600 +اللي + +182 +00:17:05,600 --> 00:17:11,340 +هو عبارة عن ال length وال + +183 +00:17:11,340 --> 00:17:16,160 +b dimension بمثل ال depth + +184 +00:17:19,090 --> 00:17:24,650 +أو اللي هو ال vertical of the box containing the + +185 +00:17:24,650 --> 00:17:31,050 +lens ل البوكس اللي بيحتوي على مين؟ على العدسة the + +186 +00:17:31,050 --> 00:17:36,630 +horizontal length او ال a dimension is called the + +187 +00:17:36,630 --> 00:17:42,130 +eye size اذا بيمثل مين؟ حجم اللي هو العينwhen + +188 +00:17:42,130 --> 00:17:46,490 +referring to the frame and the lens size when + +189 +00:17:46,490 --> 00:17:49,950 +referring to the lenses يعني الآن لما أنا بتكلم + +190 +00:17:49,950 --> 00:17:54,430 +على I size إذا أنا بحكي عن مين؟ عن اللي هو ال + +191 +00:17:54,430 --> 00:17:58,290 +frame لما بتكلم على lens size إذا أنا بتكلم على + +192 +00:17:58,290 --> 00:18:05,030 +عدسة معنى آخر الآن أنا قدّتك إطارو حكيتلك اديني + +193 +00:18:05,030 --> 00:18:10,350 +قداش قيمة اللي هو مين ال eye size على طول ايش بدي + +194 +00:18:10,350 --> 00:18:14,710 +افكر ان هذه ل ال frame باجي من ال edge ل ال edge ل + +195 +00:18:14,710 --> 00:18:19,290 +مين ل ال frame طيب لو قلتلك ال lens size برفع + +196 +00:18:19,290 --> 00:18:23,410 +العدسة و بشوف محيط العدسة من ال edge ل ال edge + +197 +00:18:23,410 --> 00:18:31,530 +تمام؟ when most practitioners و هذه مهمة النقطة + +198 +00:18:32,520 --> 00:18:37,180 +Speak of lens size يعني ما معظم الممارسين أو + +199 +00:18:37,180 --> 00:18:42,740 +الأخصائيين أو الفنيين تمام بتتكلموا عن موضوع حجم + +200 +00:18:42,740 --> 00:18:48,720 +العدسة أو ال eye size تمام they are referring + +201 +00:18:48,720 --> 00:18:52,280 +primarily to the horizontal measure of the lens + +202 +00:18:52,280 --> 00:18:59,020 +denoted by the letter aاذا هذا بيشار ال a ب ال a + +203 +00:18:59,020 --> 00:19:05,420 +dimension يعني اي شخص بتكلم على ال I size او ال + +204 +00:19:05,420 --> 00:19:09,820 +frame size هو معنى الكلام انه بيمثل ال a dimension + +205 +00:19:09,820 --> 00:19:15,940 +او بيمثل مين اللي هو ال horizontal line تمام بس ال + +206 +00:19:15,940 --> 00:19:22,320 +horizontal مونوكيلر واضحة الفكرة طيب ال letter B + +207 +00:19:23,510 --> 00:19:27,370 +donates the vertical measure of the box enclosing + +208 +00:19:27,370 --> 00:19:32,110 +the lens اذا هو هيمثل مين؟ اه او ال mid-depth + +209 +00:19:32,110 --> 00:19:38,330 +تمام؟طيب التنين both a and b are in a sense + +210 +00:19:38,330 --> 00:19:43,570 +independent of lens shape التنين يا جماعة سواء ال + +211 +00:19:43,570 --> 00:19:46,830 +vertical dimension او ال horizontal dimension + +212 +00:19:46,830 --> 00:19:52,320 +مايعنوا اي شيء في اللي هو مين شكل العدسةخلّينا + +213 +00:19:52,320 --> 00:19:56,220 +نشوف كيف هذا الكلام انه كيف عندنا ال a dimension + +214 +00:19:56,220 --> 00:20:00,980 +او ال horizontal line و ال vertical line لا يعنو + +215 +00:20:00,980 --> 00:20:05,320 +اي شيء في موضوع حجم او عفوا شكل العدسة + +216 +00:20:16,080 --> 00:20:20,440 +طيب الآن هي عندنا ال A هو عبارة عن مين؟ ال A + +217 +00:20:20,440 --> 00:20:24,980 +dimension او ال I size او ال frame size تمام و + +218 +00:20:24,980 --> 00:20:29,100 +عندنا ال B عبارة عن اللي هو ال B dimension او + +219 +00:20:29,100 --> 00:20:33,680 +بنسميه ال mid datum depth كنا بنسميه قبل A او + +220 +00:20:33,680 --> 00:20:39,380 +عبارة عن ال depth line طيب + +221 +00:20:39,380 --> 00:20:46,640 +ال letter Crefers to the width of the lens itself + +222 +00:20:46,640 --> 00:20:51,280 +along the horizontal midline this can vary + +223 +00:20:51,280 --> 00:20:56,300 +considerably from the a dimension نرجع للصورة، وين + +224 +00:20:56,300 --> 00:21:04,380 +ال c على الصورة؟ + +225 +00:21:04,380 --> 00:21:08,560 +اشري + +226 +00:21:08,560 --> 00:21:10,380 +تعليها، وين ال c؟ + +227 +00:21:15,660 --> 00:21:20,500 +مية في المية، إذا هي إيش حكت؟ من هان ل .. اللي هو + +228 +00:21:20,500 --> 00:21:27,330 +النقطة هذه طيب ال a-dimensional من وين؟مية فى + +229 +00:21:27,330 --> 00:21:31,270 +المية ال rim تعني اللى هو ال frame مش انخربط بينهم + +230 +00:21:31,270 --> 00:21:34,970 +مرة تانية ال C dimension من وين كانت؟ من الخط + +231 +00:21:34,970 --> 00:21:40,970 +المتقطع يعني بمعنى اخر بقوله من حفة العدسة قبل ما + +232 +00:21:40,970 --> 00:21:44,950 +يصير لها الجروف يعني قبل ما نعمللها اللى هو ال + +233 +00:21:44,950 --> 00:21:49,070 +smoothing تنعيم للعدسة تمام؟ لحدى اللى هو ايش؟ ال + +234 +00:21:49,070 --> 00:21:53,980 +rimيعني بمعنى اخر لو انا حصلت على ال C dimension + +235 +00:21:53,980 --> 00:21:57,960 +بيكون الفرق ما بينه وبين ال A dimension نص لواحد + +236 +00:21:57,960 --> 00:22:02,980 +من ليه؟ ليش؟ لأنه هان أخد من ال rim ل ال rim يعني + +237 +00:22:02,980 --> 00:22:08,040 +من حفة العدسة اليمين لحفة العدسة الشمال واضح + +238 +00:22:08,040 --> 00:22:13,480 +الفكرة؟ اذا هذه ال A dimension او ال I size لكن ال + +239 +00:22:13,480 --> 00:22:18,800 +C dimension معنى الكلام من العدسة حفتها لالحفة + +240 +00:22:18,800 --> 00:22:26,860 +التاليةأذا في هناك اختلاف كله تمام ما بين مين؟ + +241 +00:22:26,860 --> 00:22:30,320 +this can vary considerably from the a dimension + +242 +00:22:30,320 --> 00:22:35,660 +اذا ال a dimension مختلف عن مين؟ عن ال c dimension + +243 +00:22:35,660 --> 00:22:41,380 +the c dimension of a lens is seldom used يعني نادر + +244 +00:22:41,380 --> 00:22:44,880 +اللي هو ايه الاستخدام دايما احنا بنستخدم ال eye + +245 +00:22:44,880 --> 00:22:48,560 +size او ال frame size اللي هو عبارة عن مين؟ ال a + +246 +00:22:48,560 --> 00:22:49,080 +dimension + +247 +00:22:56,730 --> 00:23:01,170 +لكن الان احنا لو واحد جنا ال I size او جنا ال + +248 +00:23:01,170 --> 00:23:05,670 +frame size، ايش بنفهم؟ اللي هي ال A dimension، لكن + +249 +00:23:05,670 --> 00:23:10,470 +قديما كان يسموا ال I size عبارة عن ال C letter، + +250 +00:23:10,470 --> 00:23:16,120 +لكن احنا ماببناش إياه الآنSome people still + +251 +00:23:16,120 --> 00:23:21,220 +basically measure the eye size this way لحد الآن + +252 +00:23:21,220 --> 00:23:26,820 +في ناس بيخطئوا في عملية قياس مين ال a dimension و + +253 +00:23:26,820 --> 00:23:30,120 +ال c dimension يعني بمعنى اخر انه ما بيميزوا بين + +254 +00:23:30,120 --> 00:23:34,480 +الاتنين احنا الان ننسى ال c dimension و نعتمد فقط + +255 +00:23:34,480 --> 00:23:39,620 +على مين ال a dimension اللي هو المستخدمThe C + +256 +00:23:39,620 --> 00:23:43,580 +dimension of a lens shouldn't be confused with the + +257 +00:23:43,580 --> 00:23:47,780 +C size of a lens فهذا عمل ايش عملية ايش مانت + +258 +00:23:47,780 --> 00:23:52,080 +confused تشويش انه انا بدي اعرف هل هذا A dimension + +259 +00:23:52,080 --> 00:23:56,200 +ولا C dimension بسيط الأمر يما انا بقيس من ال rim + +260 +00:23:56,200 --> 00:24:00,560 +لل rim اذا انا بتكلم I size او frame size اذا انا + +261 +00:24:00,560 --> 00:24:04,900 +بتكلم ع مين A dimension لكن يما انا بتكلم على ال C + +262 +00:24:04,900 --> 00:24:08,660 +dimension انا بقصد ايش اللي هو مقبل ال rim بتاع + +263 +00:24:08,660 --> 00:24:15,020 +اليطارC size is the circumference ايش مانع ال + +264 +00:24:15,020 --> 00:24:21,520 +circumference يعني محيط تمام of the edged lens اذا + +265 +00:24:21,520 --> 00:24:26,940 +محيط العدسة نفسها and is sometimes بعض الأحيان + +266 +00:24:26,940 --> 00:24:33,260 +used to measure accuracy when publicating an old + +267 +00:24:33,260 --> 00:24:41,660 +lens size when edging الآن انا مثلا عندىنضارة جثتي + +268 +00:24:41,660 --> 00:24:46,880 +مثلا اليمين و بدي اعمل نفس العدسة وين في الشمال + +269 +00:24:46,880 --> 00:24:51,060 +فمن خلال ال a dimension باخد واحد للتنتين فمقدر + +270 +00:24:51,060 --> 00:24:55,060 +اعمل ايه duplicating يعني مرة تانية اللي هو two x + +271 +00:24:55,060 --> 00:24:59,080 +او عدستين ان التنتين ايش تكونوا similar اللي هو + +272 +00:24:59,080 --> 00:25:01,780 +ممثلين لبعض فهمتوا الفكرة؟ + +273 +00:25:08,180 --> 00:25:16,920 +طيب عندنا ال measurement القياس in + +274 +00:25:16,920 --> 00:25:21,920 +determining the horizontal boxing dimensions of a + +275 +00:25:21,920 --> 00:25:26,480 +frame عشان انا احدد جداش قيمة اللي هو ال a + +276 +00:25:26,480 --> 00:25:29,660 +dimension هاي المقصود فيه ال horizontal boxing + +277 +00:25:29,660 --> 00:25:33,760 +dimensions of a frame يعني ال a dimension او + +278 +00:25:33,760 --> 00:25:41,080 +بنسميه ال I size او ال frame sizeالمقارنة تبدأ في + +279 +00:25:41,080 --> 00:25:45,720 +الداخل من الجروف على الجانب اليسار يعني الآن يا + +280 +00:25:45,720 --> 00:25:51,660 +جماعة لو أنت شفت ديني بالله العدسة النضارة الآن أي + +281 +00:25:51,660 --> 00:25:58,220 +نضارةشايفين؟ فيها إيش؟ اللي هو growth تمام؟ إذا ال + +282 +00:25:58,220 --> 00:26:02,320 +growth هذا منه المفترض أبدأ يعني بمعنى أخر أو هان + +283 +00:26:02,320 --> 00:26:08,000 +عندنا bevel ال bevel هذه تمام؟ من عندها أنه أحسب + +284 +00:26:08,000 --> 00:26:12,280 +القيمة طيب أنا مش معقولة أنه كل ما أجيب نضارة أروح + +285 +00:26:12,280 --> 00:26:16,340 +أفكها بالطريقة هذه فاحنا إيش بنروح؟ بناخد من اللي + +286 +00:26:16,340 --> 00:26:22,380 +هو ال edge تمام؟ لل edgeأيوة من ال edge ل ال edge + +287 +00:26:22,380 --> 00:26:28,320 +لأ هيه اللي ظاهر عندكم شايفين كيف اعمل هيه من هنا + +288 +00:26:28,320 --> 00:26:32,840 +ل هنا صح ولا لا لكن العدسة هالجيت هي وين جاية + +289 +00:26:32,840 --> 00:26:37,000 +inside مش جاية لجوا فبضيف اللي هو نص من اللي من + +290 +00:26:37,000 --> 00:26:42,680 +هنا و نص من اللي من هنا مرة تانية هالجيت باخد + +291 +00:26:42,680 --> 00:26:49,500 +القيمة من هنا هيه عندكم من هنا ل هنا okay + +292 +00:26:51,980 --> 00:26:55,680 +لأ ممكن أخدها من الحفة تمام و أضيف منها النص و + +293 +00:26:55,680 --> 00:26:59,380 +منها النص يعني واحد ملي إضافة ليش؟ لأنه أنا فاهم + +294 +00:26:59,380 --> 00:27:03,480 +أنه في عندك واحد ملي اللي هي إضافة من ال pivotal + +295 +00:27:03,480 --> 00:27:08,690 +أو الجروف اللي تم إجراءه وين في العدسةعنا in + +296 +00:27:08,690 --> 00:27:13,370 +determining the horizontal boxing dimensions of a + +297 +00:27:13,370 --> 00:27:16,530 +frame اللي هو عبارة عن ال a dimension the + +298 +00:27:16,530 --> 00:27:20,510 +measurement begins at the inside of the groove on + +299 +00:27:20,510 --> 00:27:26,110 +the left side of the imaginary enclosing box إيش + +300 +00:27:26,110 --> 00:27:32,910 +مناد imaginary؟ يعني بمعنى اللي هو وهمة أو بمعنى + +301 +00:27:32,910 --> 00:27:40,000 +اللي هو imagination اللي هو تخيلةin closing boxand + +302 +00:27:40,000 --> 00:27:45,360 +extends حيميل horizontally across the lens opening + +303 +00:27:45,360 --> 00:27:50,340 +to the farthest part لأبعد اللي هو جزئية أو أبعد + +304 +00:27:50,340 --> 00:27:54,020 +نقطة of the group on the right side of the box + +305 +00:27:54,020 --> 00:27:58,640 +يعني باخدها من أبعد نقطة في اليمين لأبعد نقطة في + +306 +00:27:58,640 --> 00:28:02,660 +الشمال هذه بتمثل اللي هو قيمة مين ال a dimension + +307 +00:28:02,660 --> 00:28:07,620 +او ال horizontal dimension بالاضافة اني بضيف لهانص + +308 +00:28:07,620 --> 00:28:11,660 +ملي لكل اللي هو part عشان يكون يعني plus one ملي + +309 +00:28:11,660 --> 00:28:19,320 +إضافة لها remember بدنا نذكر the a dimension is + +310 +00:28:19,320 --> 00:28:24,860 +the width of the enclosing box يعني بمعنى أنه بمثل + +311 +00:28:24,860 --> 00:28:30,640 +اللي هو إيش العمق أو اللي هو العرض لمين لقيمة اللي + +312 +00:28:30,640 --> 00:28:36,060 +هو ال enclosing boxيعني بيمثل ال eye size أو بيمثل + +313 +00:28:36,060 --> 00:28:41,640 +اللي هو ال eye frame it's not the width of the + +314 +00:28:41,640 --> 00:28:46,200 +lens at the middle of the shape إيش المقصود فيها؟ + +315 +00:28:54,660 --> 00:28:58,700 +مية فى المية ونقطة تانية لو انا مثلا روحت جثة من + +316 +00:28:58,700 --> 00:29:03,600 +الحثة تمام لأ اللى هو ال center okay مانفعش انا + +317 +00:29:03,600 --> 00:29:07,460 +اروح اضربها فى اتنين ليش؟ لأن ممكن في بعض الأحيان + +318 +00:29:07,460 --> 00:29:12,220 +في إطارات بيكون ال dimension بتاعتهم مختلف يعني مش + +319 +00:29:12,220 --> 00:29:16,060 +متساوى من ال right edge و من ال left edge مستوابين + +320 +00:29:16,060 --> 00:29:20,860 +معاه؟ يعني الآن لو أنا خدت للنص يعني مانفعش اروح + +321 +00:29:20,860 --> 00:29:25,630 +اعمل ايش اللى هو ضرب اتنينلأنه ممكن في بعض اللي هو + +322 +00:29:25,630 --> 00:29:29,350 +الأشكال من الإطارات، هيكون الجزء هذا مختلف عن + +323 +00:29:29,350 --> 00:29:32,750 +الجزء هذا، من حيث اللي هو ال dimension، يعني بمعنى + +324 +00:29:32,750 --> 00:29:33,990 +أخر مش متساويين + +325 +00:29:42,500 --> 00:29:48,280 +في عندنا the effective diameter of a lens is found + +326 +00:29:48,280 --> 00:29:53,400 +by doubling the distance from the geometric center + +327 +00:29:53,400 --> 00:29:59,040 +of the lens to the apex of the lens bevel farthest + +328 +00:29:59,040 --> 00:30:03,180 +from it شايفين + +329 +00:30:03,180 --> 00:30:10,900 +الآن عندنا من النقطة هذه تمام لأبعد نقطة وين في + +330 +00:30:10,900 --> 00:30:16,010 +اللي هو ال frameتمام؟ هذه بتمثل مين؟ الـ effective + +331 +00:30:16,010 --> 00:30:22,650 +diameter يعني الآن أنا باخد الإطار أبعد نقطة من + +332 +00:30:22,650 --> 00:30:26,730 +هان لأبعد نقطة هان هذه بتمثل إيش؟ ال effective + +333 +00:30:26,730 --> 00:30:34,470 +diameter okay يعني بشوف أبعد نقطتين موجودة إذا the + +334 +00:30:34,470 --> 00:30:38,930 +effective diameter اللي هو عبارة عن ال ED of a + +335 +00:30:38,930 --> 00:30:45,840 +lens للعدسةis found تم اللي هو إيجاده by bubbling + +336 +00:30:45,840 --> 00:30:51,680 +يعني بمعنى اللي هو ضرب اتنين the distance from the + +337 +00:30:51,680 --> 00:30:57,460 +geometric center of the lens to the apex of the + +338 +00:30:57,460 --> 00:31:02,300 +lens bevel farthest from it يعني النقطة من اللي هو + +339 +00:31:02,300 --> 00:31:06,920 +أبعد نقطة لحدية اللي هو مين ال bevel الخاصة في + +340 +00:31:06,920 --> 00:31:07,440 +العدسة + +341 +00:31:12,010 --> 00:31:16,390 +يعني المسافة ما بين الـ Geometric Center أو الـ + +342 +00:31:16,390 --> 00:31:21,450 +Boxing Center لالـ Abyss أبعد نقطة موجودة وين في + +343 +00:31:21,450 --> 00:31:25,070 +داخل اللي هو إطار العدسة بعدين باخد من الـ + +344 +00:31:25,070 --> 00:31:28,790 +Geometric Center لأبعد نقطة موجودة وين في اللي هو + +345 +00:31:28,790 --> 00:31:32,930 +الـ Bottom Part هذا بتمثل الـ Effective Diameter + +346 +00:31:32,930 --> 00:31:39,450 +طيب، الآن إيش الوظيفة الأساسية لقياس ال Effective + +347 +00:31:39,450 --> 00:31:44,480 +Diameter أو الـ ED؟طبعا الـ Effective Diameter هذه + +348 +00:31:44,480 --> 00:31:49,120 +مهمة كتير الآن انا عندي عدسة لم يتم اللي هو قصها + +349 +00:31:49,120 --> 00:31:52,860 +تمام؟ بدي اعرف ان هذا الـ Diameter بتاع العدسة + +350 +00:31:52,860 --> 00:31:58,360 +ممكن انه يكون مناسب للإطار ولا لأ واضح الفكرة؟ + +351 +00:31:58,360 --> 00:32:01,580 +فبنعمله عملية simulation ايش المقصود في ال + +352 +00:32:01,580 --> 00:32:05,860 +simulation؟ انه انا بشوف هل هذا بنفع لإطار زي هيك + +353 +00:32:05,860 --> 00:32:09,720 +ولا لأ يعني الآن مثلا انا عندي عدسة قطرها خمسة + +354 +00:32:09,720 --> 00:32:13,730 +وخمسينطيب لو اجينا لل effective diameter و + +355 +00:32:13,730 --> 00:32:20,910 +لاجيناها قيمتها غير مناسبة لقطر خمسة و خمسين، اذا + +356 +00:32:20,910 --> 00:32:25,250 +ماينفعش انا اقصها لهذا الإطار؟واضح الفكرة؟ يعني + +357 +00:32:25,250 --> 00:32:29,050 +الآن انا عندى اطار اطفال بالفعل اش اجيبله عدسة + +358 +00:32:29,050 --> 00:32:33,070 +قطرها سبعين او خمسة وسبعين مليمتر هيك انا لو عملت + +359 +00:32:33,070 --> 00:32:37,790 +هذه الطريقة ممكن انه انا بأثر على مين؟ على ال + +360 +00:32:37,790 --> 00:32:41,490 +optical center للعدسة ونفس الحاجة لو كان صغير + +361 +00:32:41,490 --> 00:32:49,260 +بالعكس okay فبطلع منه مصطلح اسمههذا الاختصار يساعد + +362 +00:32:49,260 --> 00:32:57,460 +في تحديد أقل عدسة بلانك من أين يمكن تقطيع العدسة + +363 +00:32:57,460 --> 00:33:05,060 +يعني الآن بعمل تحديث تمام لقداش حجم العدسة اللي + +364 +00:33:05,060 --> 00:33:09,820 +مطلوبة عشان تكون مناسبة لهذا الإطار في عندنا ال + +365 +00:33:09,820 --> 00:33:17,090 +minimum blank sizeOkay هذا لازم نحسبها دائما اي + +366 +00:33:17,090 --> 00:33:20,690 +عدسة بدنا نقصها لازم نحسبلها ال minimum a blank + +367 +00:33:20,690 --> 00:33:25,810 +size ايش بالساوي ال effective diameter اللي هي + +368 +00:33:25,810 --> 00:33:29,670 +قلنا من ال geometric center لأبعد نقطة ومن ال + +369 +00:33:29,670 --> 00:33:34,790 +geometric center ل ال pivula العدسة okay زائد + +370 +00:33:34,790 --> 00:33:39,810 +اتنين ميلي decentration هلجيت مش احنا قلنا ان + +371 +00:33:39,810 --> 00:33:46,780 +العدسة بتكون للداخل صح ولا لأبذل أو جروف تمام + +372 +00:33:46,780 --> 00:33:51,460 +فبتكون inside the frame هذي قدش بتمثل اتنين ملي + +373 +00:33:51,460 --> 00:34:01,800 +يعني بمعنى ازاحة اذا اتنين ملي دي سنتراشن زائد + +374 +00:34:02,360 --> 00:34:06,780 +أتنين ملي هذي دايما باخدها في القص مش احنا حكينا + +375 +00:34:06,780 --> 00:34:11,020 +المرة الماضية انه يما احنا بدنا نقص لازم ان يكون + +376 +00:34:11,020 --> 00:34:15,640 +عملية القص اكتر من القيمة المطلوبة ليش؟ لأن لو + +377 +00:34:15,640 --> 00:34:20,080 +كانت العدسة مثلا لوز هتلاقيها تفلت بسرعة صح ولا + +378 +00:34:20,080 --> 00:34:24,940 +لا؟ يعني زي توي كانت لوز العدسة، تمام؟ فلازم انا + +379 +00:34:24,940 --> 00:34:31,090 +احط اتنين ملي هذي ايش تعتبر؟ انهبقدر اتحكم فيها + +380 +00:34:31,090 --> 00:34:36,870 +يعني بمعنى اخر ان تكون ملائمة لعملية القص يعني ال + +381 +00:34:36,870 --> 00:34:40,630 +2 ملي عشان ماتخليش العدسة lose يعني تسقط اللي هو + +382 +00:34:40,630 --> 00:34:44,890 +بسرعة من مكانها فعندنا ال minimum a plant size + +383 +00:34:44,890 --> 00:34:47,690 +بساوي ال effective diameter زائد 2 ملي ال + +384 +00:34:47,690 --> 00:34:52,520 +concentration زايد 2 مليمن خلال الـ Effective + +385 +00:34:52,520 --> 00:34:58,760 +Diameter انا بديني اللي هو Indicator مؤشر انه + +386 +00:34:58,760 --> 00:35:03,660 +العدسة كيف هيكون شكلها يما انا بدي اقصها و احطها + +387 +00:35:03,660 --> 00:35:09,540 +وين في داخل الإطار طيب نقف ان شاء الله للنقطة هذه + +388 +00:35:09,540 --> 00:35:13,060 +و في المحاضرة القادمة بنكمل اعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0.srt new file mode 100644 index 0000000000000000000000000000000000000000..3419170e66d1c14d42c9b10c17c5e53abe00aab4 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0.srt @@ -0,0 +1,1303 @@ + +1 +00:00:20,860 --> 00:00:23,720 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,720 --> 00:00:27,620 +وبركاته and a very good afternoon to all of you. إن + +3 +00:00:27,620 --> 00:00:31,160 +شاء الله اليوم هنبدأ في محاضرات الـ oral + +4 +00:00:31,160 --> 00:00:35,680 +presentation المتعلقة بِمادة الـ dispensing + +5 +00:00:35,680 --> 00:00:40,860 +العنوان الأول هو عبارة عن: frame types and parts + +6 +00:00:40,860 --> 00:00:46,460 +هيكون مع الطالبات هبة أبو هلال وآية المدهون وفي + +7 +00:00:46,460 --> 00:00:53,120 +فريال الصبح ورشا أبو محسن. طبعاً اليوم هيتكلموا في كل + +8 +00:00:53,120 --> 00:00:57,160 +اللي هو تفاصيل الـ frame types بالإضافة إلى اللي هو الـ + +9 +00:00:57,160 --> 00:01:00,540 +parts. نتمنى إن شاء الله وقتاً ممتعاً مع + +10 +00:01:00,540 --> 00:01:04,540 +الطالبات، وهنعمل بعد ما ننتهي إن شاء الله من الـ + +11 +00:01:04,540 --> 00:01:08,880 +oral presentation، discussion يكون إن شاء الله للجميع لتعم + +12 +00:01:08,880 --> 00:01:14,340 +اللي هو الفائدة. فضلاً، بسم الله الرحمن الرحيم. Today + +13 +00:01:14,340 --> 00:01:17,560 +we are talking about frame types and parts. The + +14 +00:01:17,560 --> 00:01:20,780 +optometrists هي: هبة أبو هلال، آية المدهون، رشا أبو + +15 +00:01:20,780 --> 00:01:27,220 +محسن، وفريال الصباح. شرف دكتور محمد الجروش. بداية راح + +16 +00:01:27,220 --> 00:01:30,120 +نحكي عن تعريف الـ frame: a device for holding of + +17 +00:01:30,120 --> 00:01:32,520 +the ophthalmic lenses in the proper position on the head + +18 +00:01:32,520 --> 00:01:35,500 +and in front of the eyes. الـ frame هو عبارة عن + +19 +00:01:35,500 --> 00:01:38,200 +portion of the spectacle بيحمل العدسات اللي + +20 +00:01:38,200 --> 00:01:40,480 +بيعملها، اللي فيها الـ correction الصحيح اللي + +21 +00:01:40,480 --> 00:01:44,000 +بيعملها الـ optometrist بناءً على الـ refractive + +22 +00:01:44,000 --> 00:01:46,680 +error اللي بيكون عند الـ patient، ولازم يكون الـ + +23 +00:01:46,680 --> 00:01:52,460 +frame في موضع مناسب أمام عين المريض. الـ frame يُعرف + +24 +00:01:52,460 --> 00:01:58,440 +عليه بأنه يُقسم إلى two parts: الـ front والـ temple. الـ + +25 +00:01:58,440 --> 00:02:01,120 +front هو عبارة عن الجزء الأمامي من الـ... من الـ + +26 +00:02:01,120 --> 00:02:05,260 +frame. بيكون بأعداد أشكال، ممكن يكون دائري وممكن يكون + +27 +00:02:05,260 --> 00:02:08,500 +مربع، ومسمّى بـ chases، اللي هو الحيكل، إطار + +28 +00:02:08,500 --> 00:02:12,540 +يعني لو شلنا العدسات بيكون بس أنه هيكل. يعني أما + +29 +00:02:12,540 --> 00:02:16,920 +الـ temple بيكون جالس على الأذن، بيحمله، هدفه أنه + +30 +00:02:16,920 --> 00:02:19,120 +عشان يحمل العدسات ويخليها... إن الـ front ده بيصبح + +31 +00:02:19,120 --> 00:02:19,440 +ثابتاً + +32 +00:02:24,060 --> 00:02:29,180 +الـ frame front. الـ front بتكون من عدة مكونات. أول + +33 +00:02:29,180 --> 00:02:34,680 +شيء بتكون من الـ bridge. هاي الـ bridge هو عبارة عن + +34 +00:02:34,680 --> 00:02:37,320 +area between the two lenses. هاي بيكون between the two + +35 +00:02:37,320 --> 00:02:40,480 +lenses، بيربطوا العدستين مع بعض، وبيكون وبيجلس على + +36 +00:02:40,480 --> 00:02:46,250 +الأنف. الـ end pieces اللي هي عبارة عن المنطقة + +37 +00:02:46,250 --> 00:02:49,090 +الخارجية من الـ frame، بتكون محاطة من جهة الـ right ومن + +38 +00:02:49,090 --> 00:02:53,610 +جهة الـ left. أما الـ... عندنا الـ nose pads، الـ + +39 +00:02:53,610 --> 00:02:56,750 +nose pads هتكون هي عبارة عن قطعة بلاستيكية بتضغط + +40 +00:02:56,750 --> 00:03:01,570 +على الأنف، بتعمل على support للـ lenses، والهدف + +41 +00:03:01,570 --> 00:03:04,430 +الرئيسي منها عشان إنه تعمل... إنه يخلي العدسات + +42 +00:03:04,430 --> 00:03:09,730 +أمام عين الـ patient. أما الشيلد، الشيلد هنا غالباً هي + +43 +00:03:09,730 --> 00:03:13,570 +بتكونش... يعني بتكون في معظم الإطارات، مش بكلها، بتربط + +44 +00:03:13,570 --> 00:03:17,070 +بتُمسك المفصل، بتساعد إنه ت... تخلي الـ end pieces + +45 +00:03:17,070 --> 00:03:21,650 +مرتبطة بالـ temple. غالباً بيستخدموها حالياً، ديكور كوزميتك + +46 +00:03:21,650 --> 00:03:26,210 +يعني من ناحية جمالية، مش لشيء أساسي كثير، وبتكون + +47 +00:03:26,210 --> 00:03:32,610 +بتشبه المِسمار تماماً. نيجي للـ hinges. + +48 +00:03:37,830 --> 00:03:40,830 +الـ hinges هو بيمسك الـ temple، بتكون من عدد فردي، odd + +49 +00:03:40,830 --> 00:03:47,370 +number، بتكون ثلاثة أو خمسة أو سبعة. تمام. الـ frame + +50 +00:03:47,370 --> 00:03:52,060 +temple. بتكون الـ frame من جزئين، من الـ frame ومن الـ + +51 +00:03:52,060 --> 00:03:55,340 +... ومن الـ mounting. الـ mounting هو بيكون half... + +52 +00:03:55,340 --> 00:04:01,320 +half rim، يعني نص إطار، والـ... والـ frame بتكون من + +53 +00:04:01,320 --> 00:04:05,420 +full rim. الـ material اللي بتكون منها الـ frame + +54 +00:04:05,420 --> 00:04:08,380 +بتكون من الـ metal، الـ plastic، الـ nylon cord، + +55 +00:04:08,380 --> 00:04:12,100 +combination، والـ belly grab، و half iron ribs. هذه + +56 +00:04:12,100 --> 00:04:17,870 +الأنواع. نبدأ من أول نوع من الـ frame types اللي هي الـ + +57 +00:04:17,870 --> 00:04:20,810 +material. مع الـ plastic، اللي هي الـ shell frame. + +58 +00:04:20,810 --> 00:04:24,410 +أول شيء زمان، قديمًا كانوا بيستخدموا ضِهر سلحفاة + +59 +00:04:24,410 --> 00:04:27,010 +في صناعة الـ frame، اللي هي Tortoise Shell. بعدها في + +60 +00:04:27,010 --> 00:04:30,070 +فترة اكتشفوا مادة الزيلونات، اللي هي cellulose + +61 +00:04:30,070 --> 00:04:33,290 +nitrate. اكتشفوا بعدها إنه هي عبارة عن high + +62 +00:04:33,290 --> 00:04:37,490 +inflammable، قابلة جداً للاشتعال. بعد... بعدها إنه + +63 +00:04:37,490 --> 00:04:42,190 +خلاص اختفت، صار هذا الـ use. بعدها في فترة كبيرة اكتشفوا + +64 +00:04:42,190 --> 00:04:44,890 +cellulose acetate، هي مادة استخدموها في صناعة الـ + +65 +00:04:44,890 --> 00:04:50,190 +frame plastic. خصائصها + +66 +00:04:50,190 --> 00:04:54,210 +أحسن من الباقين. بعدها بقى الآن بيستخدموا أنواع + +67 +00:04:54,210 --> 00:04:58,830 +كتيرة من المواد لصناعة الـ frame plastic. أي شركة + +68 +00:04:58,830 --> 00:05:04,060 +حاليا بتقدر تعرف أنواع البلاستيك المكونة + +69 +00:05:04,060 --> 00:05:10,320 +منها من الـ frame. الخصائص + +70 +00:05:10,320 --> 00:05:12,960 +اللي بتكون، الخصائص اللي بتميز فيها البلاستيك + +71 +00:05:12,960 --> 00:05:16,680 +thermoplastic و thermosetting. يعني إيه؟ لو أنا بدي + +72 +00:05:16,680 --> 00:05:20,720 +أسخن البلاستيك أو بدي أبرد البلاستيك، مش هيفقد + +73 +00:05:20,720 --> 00:05:24,080 +خصائصه أبداً، هيظل زي ما هو بدون ما يفقد البلاستيكية + +74 +00:05:24,080 --> 00:05:29,550 +بتاعته. الثاني نوع من الـ material اللي هي الـ metal. الـ + +75 +00:05:29,550 --> 00:05:33,270 +metal بيكون كل الإطار... كل الإطار metal. معدى النص + +76 +00:05:33,270 --> 00:05:36,310 +بس، اللي بتكون هنا، والـ... والـ temple غالباً بيكونوا + +77 +00:05:36,310 --> 00:05:39,850 +plastic عشان نتلاشى الـ allergic اللي ممكن تحدث للـ + +78 +00:05:39,850 --> 00:05:43,690 +patient، وبيكون الـ... الـ rim بتاعه هنا كله بيحيط + +79 +00:05:43,690 --> 00:05:46,390 +بالعدسة completely... completely around the lenses. + +80 +00:05:48,600 --> 00:05:52,780 +we will continue our discussion. Thank you. الآن + +81 +00:05:52,780 --> 00:05:58,020 +هنتحدث عن الـ nylon cord frame. هو له مسمّيان ثانيين: + +82 +00:05:58,020 --> 00:06:05,240 +إما string mounted أو nylon sopra. الآن، هاي + +83 +00:06:05,240 --> 00:06:09,640 +شكل الـ nylon cord بيحمل الـ lens بيكون على الحواف، + +84 +00:06:09,640 --> 00:06:15,900 +فيه نيلون بيبين كأنه rimless، كأنه بدون إطار. Usually + +85 +00:06:15,900 --> 00:06:18,940 +the top of the lens, upper rim of the frame. الـ top + +86 +00:06:18,940 --> 00:06:22,900 +of the lens، الأعلى بيكون في عندي upper rim. The + +87 +00:06:22,900 --> 00:06:26,980 +rest of the lens might grow in a flat edge، بتكون flat + +88 +00:06:26,980 --> 00:06:33,860 +عشان تتجنب أن المريض ينجرح. هل نيجي للـ + +89 +00:06:33,860 --> 00:06:38,120 +combination. الـ + +90 +00:06:38,120 --> 00:06:44,090 +combination في الـ frame بتكون من metal و plastic. الـ + +91 +00:06:44,090 --> 00:06:47,350 +metal يتشكل، الـ هيكل، والـ plastic الـ top rim والـ + +92 +00:06:47,350 --> 00:06:51,110 +temple. هيها. + +93 +00:06:51,110 --> 00:06:56,970 +هالجهة، الـ construction اللي عليها، إنه الـ top rim + +94 +00:06:56,970 --> 00:07:01,570 +هيكون من plastic، والـ temple، أما الـ eyewear والـ + +95 +00:07:01,570 --> 00:07:02,550 +bridge هيكونوا metal. + +96 +00:07:06,720 --> 00:07:12,640 +هل نيجي للـ half eye؟ الـ half eye هي + +97 +00:07:12,640 --> 00:07:19,100 +الـ frame، هي نص الـ height للعدسة العادية، وهو بيستخدم + +98 +00:07:19,100 --> 00:07:23,880 +بالغالب للـ reading. أحياناً نادراً إنه يستخدم للـ + +99 +00:07:23,880 --> 00:07:28,680 +distance. ولما بدي أستعمله للقراءة بتطلع من تحت + +100 +00:07:28,680 --> 00:07:33,780 +العدسة، وهو النوع الوحيد اللي ممكن أنظر... أنظر من + +101 +00:07:33,780 --> 00:07:37,740 +فوق العدسة، وهو أريح نوع، أريح على الأنف، + +102 +00:07:37,740 --> 00:07:42,640 +يعني بتثبت عليه. rimless + +103 +00:07:42,640 --> 00:07:48,160 +mounting. هل نيجي للـ + +104 +00:07:48,160 --> 00:07:54,640 +العدسات بتحمل، بتثبت بدون أي rim أو nylon cord. Hold + +105 +00:07:54,640 --> 00:07:59,140 +the lens with screw أو cement أو clamp أو plastic + +106 +00:07:59,140 --> 00:08:04,500 +clip. بتثبت هالجيت، اسمها three pieces mounting، لأن لو + +107 +00:08:04,500 --> 00:08:07,580 +أنا شلت العدسات، هيكون عندي ثلاثة مناطق هنا: الـ + +108 +00:08:07,580 --> 00:08:13,220 +bridge و two temples. semi rimless mounting, similar + +109 +00:08:13,220 --> 00:08:16,740 +to the rimless except for a metal reinforcement arm. + +110 +00:08:16,740 --> 00:08:20,440 +هو بيشبه الـ rimless، لكن في عندي metal + +111 +00:08:20,440 --> 00:08:23,320 +reinforcement arm. هيها. + +112 +00:08:25,420 --> 00:08:28,820 +بتثبته. follows the posterior surface of the lens. + +113 +00:08:28,820 --> 00:08:32,300 +بتتصل من الـ... من الـ center pieces للـ end pieces. من + +114 +00:08:32,300 --> 00:08:37,100 +هنا لهنا. و center pieces mounting بتتكون من ثلاث + +115 +00:08:37,100 --> 00:08:41,900 +أشياء، اللي هي الـ bridge، هيها، والـ pad arm، هذا الـ + +116 +00:08:41,900 --> 00:08:43,940 +arm، والـ pad هيهم. + +117 +00:08:47,950 --> 00:08:51,990 +الـ new mounting هو بيشبه الـ rimless، لكن هنا + +118 +00:08:51,990 --> 00:08:55,990 +العدسة بس مكان واحد هو اللي بيحمل العدسة من منطقة + +119 +00:08:55,990 --> 00:09:01,070 +الـ nasal. أما من منطقة الـ temporal هيكون metal، يعني + +120 +00:09:01,070 --> 00:09:08,830 +بس هو منطقة واحدة هي اللي بتحمله. الـ panoprime + +121 +00:09:08,830 --> 00:09:13,360 +mounting. sectionless. yep. attached to a bar of tinsel + +122 +00:09:13,360 --> 00:09:19,080 +stone. هالجيت هو... هو بيتثبت عن طريق ملاقط. فـ هذه + +123 +00:09:19,080 --> 00:09:22,780 +الملاقط بتتصل... مع قطعة من الفلّاز من منطقة + +124 +00:09:22,780 --> 00:09:28,420 +الـ nasal، أما عن منطقة الـ temporal في علاقات بتتصل + +125 +00:09:28,420 --> 00:09:32,800 +فيها الـ temple. وهو لهذا السبب ممكن أزيل بسرعة + +126 +00:09:32,800 --> 00:09:36,280 +العدسة، أزيلها عن طريق إزالة الملاقط اللي موجودة في + +127 +00:09:36,280 --> 00:09:40,990 +الـ back surface للعدسة. ولهذا السبب يستخدم في عدة + +128 +00:09:40,990 --> 00:09:44,350 +استخدامات، ممكن أحط أكثر من عدسة في نفس الـ frame، + +129 +00:09:44,350 --> 00:09:52,450 +ممكن أحط sunglasses أو أو special purpose lenses، + +130 +00:09:52,450 --> 00:09:56,610 +وهكذا. continuous + +131 +00:09:56,610 --> 00:10:01,260 +with Feria. My name is Priyal. I will talk about + +132 +00:10:01,260 --> 00:10:04,340 +bridge construction. الـ bridge construction يعني + +133 +00:10:04,340 --> 00:10:07,800 +صناعة الـ... الـ... الإطار، بتاع الـ bridge، اللي هو الـ + +134 +00:10:07,800 --> 00:10:10,880 +distance between the lenses. الـ bridge can be اللي + +135 +00:10:10,880 --> 00:10:14,260 +هو، because the variety of the shape of a nose، يعني + +136 +00:10:14,260 --> 00:10:18,220 +من شخص لآخر، فعندك أشكال مختلفة لصناعة الـ bridge، من + +137 +00:10:18,220 --> 00:10:21,860 +السهل جداً أن تجد bridge مناسب لأنف المريض، ولكن + +138 +00:10:21,860 --> 00:10:24,480 +عملية الـ adjustment to this part of the frame is + +139 +00:10:24,480 --> 00:10:28,020 +very difficult. فالـ bridge ممكن يكون اللي هو plastic + +140 +00:10:28,020 --> 00:10:31,520 +أو metal. الـ plastic bridge فيه عنه three types of + +141 +00:10:31,520 --> 00:10:33,520 +plastic bridge: الـ saddle bridge، والـ modified + +142 +00:10:33,520 --> 00:10:37,000 +saddle bridge، والـ keyhole. هنتحدث عنهم بتفاصيل. + +143 +00:10:37,000 --> 00:10:39,160 +بالنسبة للـ metal bridge، الـ pad bridge، والـ + +144 +00:10:39,160 --> 00:10:40,080 +comfortable bridge. + +145 +00:10:43,370 --> 00:10:47,910 +الـ saddle plastic bridge بتتم تجهيزه بشكل إنه يكون + +146 +00:10:47,910 --> 00:10:52,710 +set on the nose. تمام. الـ bridge كمان اللي هو... + +147 +00:10:52,710 --> 00:10:57,370 +هنحكي عن أول نوع، saddle bridge. saddle bridge زي هيك + +148 +00:10:58,210 --> 00:11:02,550 +بيكون عندك smooth curve، واللي هو بتبقى اللي هو الـ + +149 +00:11:02,550 --> 00:11:06,750 +bridge on the nose، يعني بيرتاح على الأنف. طبعاً الـ + +150 +00:11:06,750 --> 00:11:09,670 +... هذا النوع ميزته إنه بيعمل على توزيع وزن + +151 +00:11:09,670 --> 00:11:13,010 +الـ... الـ frame about the two sides of the nose and + +152 +00:11:13,010 --> 00:11:15,710 +the crest، اللي هي العظمة اللي بتكون عند الأنف، فهي + +153 +00:11:15,710 --> 00:11:22,050 +فبيعمل على إيه؟ توزيع الوزن. النوع الثاني اللي هو + +154 +00:11:22,050 --> 00:11:28,100 +الـ modified saddle. هو إيه؟ بيشبه الـ saddle، like من + +155 +00:11:28,100 --> 00:11:31,760 +الـ front view، ما بتقدرش تفرّق بينهم، ولكن في الـ back + +156 +00:11:31,760 --> 00:11:36,200 +view بتلاحظ إنه إيه؟ الـ saddle، الـ modified saddle + +157 +00:11:36,200 --> 00:11:40,740 +من منطقة الـ nose pad بتكون هي كتقرّب بين العدسات، + +158 +00:11:40,740 --> 00:11:44,660 +فاللي هو الاختلاف يعني إيه؟ في منطقة في الـ nose pad في + +159 +00:11:44,660 --> 00:11:49,020 +الـ back view. وهذا النوع الـ pads هم اللي بيعملوا + +160 +00:11:49,020 --> 00:11:54,280 +على حمل وزن العدسات، أو مساعدة في حمل الوزن للإطار. + +161 +00:11:55,730 --> 00:11:58,990 +النوع الثالث اللي هو الـ keyhole، اللي بيشبه الـ... الـ + +162 +00:11:58,990 --> 00:12:02,470 +اللي هو المفتاح، اللي قدامه، زي ما أنتم شايفين، اللي + +163 +00:12:02,470 --> 00:12:05,730 +هو عشان الـ old fashion. keyhole at the top، من + +164 +00:12:05,730 --> 00:12:10,130 +المنطقة العلوية، في عندنا من هنا، المنطقة العلوية، ما + +165 +00:12:10,130 --> 00:12:15,270 +بيكون فيه احتكاك مع الـ crest. وميزته أيضاً إنه + +166 +00:12:15,270 --> 00:12:20,010 +بيعمل على، بيحمل برضه وزن العدسات على الأنف، ولكن + +167 +00:12:20,010 --> 00:12:21,690 +not on the crest. + +168 +00:12:25,940 --> 00:12:28,460 +هلأ خلصنا من الـ plastic bridge، فيه عندنا الـ metal + +169 +00:12:28,460 --> 00:12:33,100 +bridge. من اسمها الـ metal bridge، اللي هو بتكون الـ + +170 +00:12:33,100 --> 00:12:35,960 +metal... metal frame، يعني في الـ metal... frame، فالـ + +171 +00:12:35,960 --> 00:12:38,220 +metal... الـ metal bridge بتكون موجودة في الـ metal + +172 +00:12:38,220 --> 00:12:41,700 +frame. أشهر نوع، أو الـ most common اللي هو الـ pad + +173 +00:12:41,700 --> 00:12:45,280 +bridge. الـ pad bridge هت... بيكون إيه؟ بيكون فيه + +174 +00:12:45,280 --> 00:12:49,140 +nose pad، الـ nose pad هي بتكون مرتبطة مع... مرتبطة + +175 +00:12:49,140 --> 00:12:52,560 +مع الـ frame من خلال الـ... من خلال اللي هو إيه؟ الـ + +176 +00:12:52,560 --> 00:12:56,960 +metal... الـ metal pad arm. تمام؟ هلأ في نوع... في + +177 +00:12:56,960 --> 00:13 + +223 +00:16:00,900 --> 00:16:04,480 +the portion of the temple between the bird and the + +224 +00:16:04,480 --> 00:16:08,700 +bird هو الجدق اللي بيكون ما بين الـ bird و البنت، + +225 +00:16:08,700 --> 00:16:13,440 +اللي هو هذا، تفضلوا. آخر شأن دي الـ end piece اللي + +226 +00:16:13,440 --> 00:16:16,760 +هو إلها اسم تاني، الـ curve اللي هي portion beyond + +227 +00:16:16,760 --> 00:16:20,760 +the bird and behind the bird هي الجدق اللي بتكون + +228 +00:16:20,760 --> 00:16:25,120 +خلف الأذن و التالية للبنت، هي البنت التالية إلها و + +229 +00:16:25,120 --> 00:16:30,960 +خلف الأذن. عندي الـ timble construction أول شيء عندي + +230 +00:16:30,960 --> 00:16:34,240 +الـ skull timble، library، convertible، riding bow، + +231 +00:16:34,240 --> 00:16:38,480 +comfort cable timble. الـ skull هي شكلها عندي، الـ + +232 +00:16:38,480 --> 00:16:42,280 +library، الـ riding، الـ comfort، الـ convertible. الحين + +233 +00:16:42,280 --> 00:16:45,680 +متعرف على كل واحد على حدة. أول شيء الـ skull timble + +234 +00:16:45,680 --> 00:16:50,200 +the bend down portion behind the ear is narrowest + +235 +00:16:50,200 --> 00:16:54,540 +at the top of the ear and widest about the bend. هي + +236 +00:16:54,540 --> 00:16:59,420 +الجزء أو الانحناء للأسفل خلف الأذن هو يعني أكثر + +237 +00:16:59,420 --> 00:17:04,440 +شيء مستعمل عندنا من الـ .. من الـ top، من الـ top + +238 +00:17:04,440 --> 00:17:09,140 +بتكون رفيعة مقارنة بالـ bottom إلها، بتكون رفيعة و + +239 +00:17:09,140 --> 00:17:14,240 +بتبدأ أنها تِعِرْد عندي الـ bottom. الـ learn very + +240 +00:17:14,240 --> 00:17:18,000 +simple usually begin with an average weight at the + +241 +00:17:18,000 --> 00:17:22,590 +bottom and decrease in weight posteriorly. هنا بتكون + +242 +00:17:22,590 --> 00:17:27,570 +البداية، هنا الـ bot وهنا النهاية بتكون من عند الـ + +243 +00:17:27,570 --> 00:17:31,830 +bot عريضة، وكل ما اتجهنا للخارج من ناحية الـ end + +244 +00:17:31,830 --> 00:17:37,030 +الـ عارف تباعها بقل الـ other name إلها is straight + +245 +00:17:37,030 --> 00:17:40,510 +back dumbbell. من ناحية عملية هي بتحمل العدسات بشكل + +246 +00:17:40,510 --> 00:17:45,170 +مستقيم أمام نظر .. أمام عين المريض، عشان بتحملهم + +247 +00:17:45,170 --> 00:17:51,510 +يعني بـ .. بـ .. بمقارنة ممتازة. الـ convertible timbel + +248 +00:17:51,510 --> 00:17:56,650 +الـ original design إلها، الـ skull timbel، النشأة + +249 +00:17:56,650 --> 00:17:59,890 +تبعتها الأساسية من الـ skull timbel، converted from + +250 +00:17:59,890 --> 00:18:03,850 +the straight pair to the skull design. ممكن أحولها + +251 +00:18:03,850 --> 00:18:08,050 +أو أغيرها من شكل مستقيم، ممكن أحولها للـ skull اللي + +252 +00:18:08,050 --> 00:18:14,220 +فيها هنا. It is very style to fit people with a + +253 +00:18:14,220 --> 00:18:17,600 +variety of temple length requirement. هي عديدة + +254 +00:18:17,600 --> 00:18:21,000 +الاستعمالات وعديدة الأشكال. ليش حملوها هيك؟ عشان + +255 +00:18:21,000 --> 00:18:25,280 +تناسب الـ temples اللي طالبها المريض. بيحطوا المناسب + +256 +00:18:25,280 --> 00:18:29,660 +إلها. If the bend is in the wrong location, the + +257 +00:18:29,660 --> 00:18:32,400 +temple may be easily straightened out and then + +258 +00:18:32,400 --> 00:18:37,500 +rebent to fit. ثورا، إذا كان الانحناء هذا بالموقع + +259 +00:18:37,500 --> 00:18:42,400 +الغلط، المريض بيقدر المريض أنه يعملها مستقيمة ثاني + +260 +00:18:42,400 --> 00:18:46,640 +ويرجع يهيئها على حسب ما هي بتناسبه، وهو كيف مرتاح. + +261 +00:18:46,640 --> 00:18:50,120 +معايا عليها modification. يعني آه، modification + +262 +00:18:50,120 --> 00:18:54,680 +riding boat in bed، curve around the air where the + +263 +00:18:54,680 --> 00:18:59,270 +air and the head met. هو الانحناء بتكون خلف الأذن في + +264 +00:18:59,270 --> 00:19:02,490 +النقطة اللي بتتقابل فيها الأذن مع الرأس، وبينتج + +265 +00:19:02,490 --> 00:19:05,750 +لعند الـ air loop اللي هي شحمة الأذن. They are + +266 +00:19:05,750 --> 00:19:10,790 +safety frames and used in children. هي إطارات آمنة + +267 +00:19:10,790 --> 00:19:14,330 +وبتستخدم مع الأطفال زي اللي إحنا شايفينها، هيا + +268 +00:19:14,330 --> 00:19:20,240 +بتكون فيها انحناء لما تصل لعند شحمة الأذن. آخر شيء + +269 +00:19:20,240 --> 00:19:24,280 +معناه الـ comfort cable timbers. أرشد the same as + +270 +00:19:24,280 --> 00:19:27,600 +riding ball. لها نفس الشكل في الـ riding ball لكن + +271 +00:19:27,600 --> 00:19:31,240 +الاختلاف الوحيد بينها أنه في عندك metal + +272 +00:19:31,240 --> 00:19:34,780 +construction with the curl. الـ curl هي الـ .. الـ .. + +273 +00:19:34,780 --> 00:19:38,780 +الـ .. الـ .. الـ air bees. في قطعة معدنية مرنة بتكون + +274 +00:19:38,780 --> 00:19:44,480 +محتواة فيها عشان تريح المريض. ما اتجهوش اسمها flexible + +275 +00:19:44,480 --> 00:19:46,840 +coiled cable. + +276 +00:19:49,430 --> 00:19:52,990 +الـ frame ممكن نعملهم coloration، تلوين الـ plastic + +277 +00:19:52,990 --> 00:19:56,090 +frames. عندك بتتقسم إلى vertically و horizontally. + +278 +00:19:56,090 --> 00:20:01,030 +الـ vertically darker on the way across the top، + +279 +00:20:01,030 --> 00:20:03,870 +including the bridge and is lighter across the + +280 +00:20:03,870 --> 00:20:08,410 +bottom. تشوف صورتها، هاي الـ vertically، شايفين؟ + +281 +00:20:08,410 --> 00:20:13,450 +عندنا الـ top باحتوائها للـ bridge اللون، كل ما + +282 +00:20:13,450 --> 00:20:16,530 +اتجهنا للـ bottom اللون بتغير. هاي عندنا المثلة + +283 +00:20:16,530 --> 00:20:22,570 +اللي من قبل. الـ horizontally darker at the temporal + +284 +00:20:22,570 --> 00:20:25,230 +board chain and lighter towards the central area. + +285 +00:20:25,230 --> 00:20:30,930 +هاي الـ horizontal. هاي منقطة الـ temporal هي أكثر + +286 +00:20:30,930 --> 00:20:35,050 +darker. كلما اتجهنا للـ center اللون صار عندي فاتح + +287 +00:20:35,050 --> 00:20:40,810 +أكثر. France all have the one color. وعندي الـ clear + +288 +00:20:40,810 --> 00:20:46,110 +bridge. في فرنسا هي مشابهة للـ horizontal، معادة أن + +289 +00:20:46,110 --> 00:20:51,250 +الـ bridge ما يكونش ملون، وبقى هذا. وصلنا للنهاية. + +290 +00:20:51,250 --> 00:20:53,970 +أتمنى تكونوا استمتعتوا. Thanks for your attention. + +291 +00:20:53,970 --> 00:20:58,490 +طبعاً thank you so much for your oral presentation. + +292 +00:20:58,490 --> 00:21:03,510 +بدايةً، فبنحكي أي طالب يبقى عنده أي سؤال أو أي تأثير + +293 +00:21:03,510 --> 00:21:13,400 +صار عند الـ Ephraim Derives. ده النظارة إحنا + +294 +00:21:13,400 --> 00:21:15,740 +بدنا واحدة تطلع تحكي لنا الخصائص اللي موجودة في + +295 +00:21:15,740 --> 00:21:19,820 +النظارة هاي من الـ thimble، من الـ bridge، من نوع الـ + +296 +00:21:19,820 --> 00:21:21,420 +Ephraim. يلا، مين يشارك؟ + +297 +00:21:25,890 --> 00:21:30,330 +طبعاً بنحكي أنه الـ frame بتكون من .. أنه .. بتكون + +298 +00:21:30,330 --> 00:21:34,090 +من جزئين مهمين، أول شيء الـ front، وثاني شيء الـ + +299 +00:21:34,090 --> 00:21:38,350 +temple. الـ front بتكون من كذا مكون، عندي بتكون من + +300 +00:21:38,350 --> 00:21:44,490 +الـ bridge، بتكون من الـ eye wheel، بيتكون من الـ .. + +301 +00:21:44,490 --> 00:21:51,030 +الـ end piece، تمام. فيها حكينا الـ shield هي تقريباً + +302 +00:21:51,030 --> 00:21:53,850 +بتحمل الـ temple. هذا كان قديمًا، أما هالآونة من ناحية + +303 +00:21:53,850 --> 00:21:58,090 +جمالية، بينحط مش في كل النظارات، يعني بيكون أنه من + +304 +00:21:58,090 --> 00:22:06,470 +ناحية أنه بيحمل الـ temple. عندي كمان عندي + +305 +00:22:06,470 --> 00:22:11,240 +هنا الـ temples بتكون من هنا من الـ .. الـ bend اللي + +306 +00:22:11,240 --> 00:22:16,000 +هي بتتصل مع الـ front. بتكون من الشنك اللي هي بين الـ + +307 +00:22:16,000 --> 00:22:20,640 +.. الـ pot وبين الـ bend. عارفة هنا الـ pot، الـ bend + +308 +00:22:20,640 --> 00:22:26,220 +هو أول انحناء لـ .. لـ .. للأذن. أما هنا من اللي + +309 +00:22:26,220 --> 00:22:31,360 +بتكون من الـ .. الـ air piece اللي هي الانحناء اللي + +310 +00:22:31,360 --> 00:22:35,120 +بيجي على الأذن. هذا النوع الـ frame عندي combination + +311 +00:22:35,120 --> 00:22:39,080 +لأنه بتكون من الـ plastic وبتكون من الـ metal، فهذا + +312 +00:22:39,080 --> 00:22:44,360 +هيكون combination. في سؤال ثاني؟ الـ timber شنو؟ الـ + +313 +00:22:44,360 --> 00:22:48,300 +plastic تمام، و hand combination لأنه بتكون من الـ + +314 +00:22:48,300 --> 00:22:52,880 +metal ومن الـ plastic. طب الـ nose band؟ تمام، عندي + +315 +00:22:52,880 --> 00:22:56,220 +hand موجود الـ nose band لأنه hand عندي metal، فأغلب + +316 +00:22:56,220 --> 00:22:59,300 +حالات النظارات اللي بتكون metal بيكون إلها nose + +317 +00:22:59,300 --> 00:23:04,000 +band عشان إنه يتلاشى أي .. أي حساسية أو أي تأثير + +318 +00:23:04,000 --> 00:23:06,980 +للـ patient، خاصة الـ patient اللي بيكون عنده حساسية + +319 +00:23:06,980 --> 00:23:08,900 +من الـ metal. تمام، خلاص، يسلموا. + +320 +00:23:12,420 --> 00:23:17,260 +أسمع، في أي سؤال ثاني؟ طيب، أنا في عندي سؤال آه، كـ + +321 +00:23:17,260 --> 00:23:20,460 +general question يعني من خلال الآن الشرح اللي + +322 +00:23:20,460 --> 00:23:25,880 +شرحته، طبعاً بدايةً يعني oral presentation كتير رائع، + +323 +00:23:25,880 --> 00:23:31,820 +الـ figures كتير واضحة، وواضحة كتير، وأعتقد للجميع are + +324 +00:23:31,820 --> 00:23:37,300 +you agree with me؟ yes. كمان، الآن أنا لو واحدة + +325 +00:23:37,300 --> 00:23:43,190 +فيكم تشتغل في مركز بصري، واتحددت الآن، تمام، أطلب + +326 +00:23:43,190 --> 00:23:49,390 +منها أنه تديني إطار لمواصفات معينة. إيش الخصائص + +327 +00:23:49,390 --> 00:23:53,410 +اللي كانت في الإطار اللي بتلاحظه أنه هي تعتبر الـ best + +328 +00:23:53,410 --> 00:23:59,090 +option، يعني إيه بالنسبالي، أو لأي تقاليد تختاروا. + +329 +00:23:59,090 --> 00:24:05,630 +يعني الآن مثلاً هي عندنا ماريا، تمام؟ الآن هي حابة + +330 +00:24:05,630 --> 00:24:10,240 +تاخد إطار لكن فيها تسمع منك خصائص بصرية. إيش الـ best + +331 +00:24:10,240 --> 00:24:13,860 +option لإطار تختاريه لها؟ لإطارات اللي عندكوا؟ + +332 +00:24:13,860 --> 00:24:17,720 +أول شيء ممكن أختاره اللي بريحها يعني، كل إنسان + +333 +00:24:17,720 --> 00:24:21,020 +بيختلف أنفه عن الثاني، يعني ممكن أنه هي أنفها + +334 +00:24:21,020 --> 00:24:24,180 +bent ما ترتاحش عليه، الـ saddle أو الـ modifiers + +335 +00:24:24,180 --> 00:24:26,540 +اللي بترتاح عليه أكثر. أنا أول حاجة هحكي على .. + +336 +00:24:26,540 --> 00:24:29,140 +وجهها، أفضل إيه؟ اللي عادي، اللي أفضل عندها، اللي + +337 +00:24:29,140 --> 00:24:33,360 +مناسب لها. نطلع في الـ best option للـ major. الأفضل + +338 +00:24:33,360 --> 00:24:37,620 +نظارة هي ممكن تبثارة، من ناحية عالمية، من ناحية + +339 +00:24:37,620 --> 00:24:40,200 +.. ممكن حسب الـ patient، الـ patient حسب الوجه ممكن + +340 +00:24:40,200 --> 00:24:46,010 +تبثارة أو دائرية، حسب الـ face ممكن نحدد؟ آه، يعني هي + +341 +00:24:46,010 --> 00:24:49,530 +وجهها مدور، بالفعل فيها دائرة مدورة، آه، وكمان ممكن + +342 +00:24:49,530 --> 00:24:53,930 +ناس مثلاً وجههم ضعيف، أو ناس وجههم مليان، ممكن + +343 +00:24:53,930 --> 00:24:57,630 +نعمل لهم وجه البعض. بالنسبالي دي مش الـ best option، + +344 +00:24:57,630 --> 00:25:00,830 +لأ، هي وجهها مدور، لأ، وكمان الـ best option نفسها، + +345 +00:25:00,830 --> 00:25:04,230 +وجهها مربع، بس بالـ refractive error يعني، إذا + +346 +00:25:04,230 --> 00:25:07,850 +الأول حاجة it depends on the refractive error، حسب + +347 +00:25:07,850 --> 00:25:13,030 +الـ PD كمان، الـ PD والـ optics. طيب، شغلة ثانية، نحسب + +348 +00:25:13,030 --> 00:25:20,950 +الـ face features. دماغ الشغل التابعة أيضاً؟ Cosmetics. + +349 +00:25:21,820 --> 00:25:25,080 +طبعاً الـ refractive error، الـ comfortable، يعني حسب + +350 +00:25:25,080 --> 00:25:27,580 +الـ refractive error اللي عندها. الـ camera هل ممكن + +351 +00:25:27,580 --> 00:25:32,100 +نبتدي الـ plastic ولا .. لأ، الـ plastic إذا كان + +352 +00:25:32,100 --> 00:25:35,980 +عندها حساسية. إذا كان عندها حساسية أكثر، large من الـ + +353 +00:25:35,980 --> 00:25:39,180 +metal ممكن نعطيها plastic أو نحطها على الـ .. الـ + +354 +00:25:39,180 --> 00:25:45,740 +metal اللي هو قطعة بلاستيكية، تمام. وممكن أنه إذا + +355 +00:25:45,740 --> 00:25:48,520 +كانت هي بتستخدم النظارة كتير، يعني فهيكون الـ + +356 +00:25:48,520 --> 00:25:51,260 +plastic أريح. حلو. طيب، من ناحية الـ nose pad هل + +357 +00:25:51,260 --> 00:25:54,700 +بتوفر إلها الـ nose pad ولا يعني الأفضل اللي بتكون + +358 +00:25:54,700 --> 00:26:02,180 +فيه إلها الـ nose pad ولا لأ؟ ليه؟ + +359 +00:26:02,180 --> 00:26:07,500 +طيب؟ أنه يعني هيرفع الـ issue، يعني هي تخيل نضارة + +360 +00:26:07,500 --> 00:26:12,900 +هم ويرفعها الـ modifier قدر عندها النظارة .. نفّاخ + +361 +00:26:12,900 --> 00:26:16,700 +قدام، يعني كتير هي .. فيها عندها المطبع .. المطبع + +362 +00:26:16,700 --> 00:26:22,180 +هاي. فإن الـ modified saddle عريض، فهي النظارة الـ + +363 +00:26:22,180 --> 00:26:25,480 +back best .. عشان الـ back best of الـ system، حيث + +364 +00:26:25,480 --> 00:26:29,520 +كان في عند high refractive error. دائماً الأفضل + +365 +00:26:29,520 --> 00:26:33,300 +element الـ elevation modified اللي هو saddle. تمام. + +366 +00:26:33,300 --> 00:26:37,840 +ليه؟ لأن لو ما حطينا الـ nose pad هيصير هناك في إيش + +367 +00:26:37,840 --> 00:26:39,600 +ضغط على الـ test. + +368 +00:27:03,250 --> 00:27:08,210 +طبعاً في نهاية المحاضرة بنشكر الطالبات اللي قدموا + +369 +00:27:08,210 --> 00:27:13,110 +الـ oral presentation، وفي المحاضرة القادمة إن شاء + +370 +00:27:13,110 --> 00:27:18,930 +الله هنكون مع مجموعة جديدة في موضوع آخر إن شاء + +371 +00:27:18,930 --> 00:27:19,990 +الله. يعطيكم العافية. diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0_postprocess.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..08057d496944641fc2e53bde3c87ec17dd47f8ca --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0_postprocess.srt @@ -0,0 +1,1484 @@ +1 +00:00:20,860 --> 00:00:23,720 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,720 --> 00:00:27,620 +وبركاته and a very good afternoon to all of you ان + +3 +00:00:27,620 --> 00:00:31,160 +شاء الله اليوم هنبدأ في محاضرات ال oral + +4 +00:00:31,160 --> 00:00:35,680 +presentation المتعلقة في مادة ال dispensing + +5 +00:00:35,680 --> 00:00:40,860 +العنوان الأول هو عبارة عن a frame types and parts + +6 +00:00:40,860 --> 00:00:46,460 +هيكونوا مع الطالبات هبة أبوهلال و آية المدهون و في + +7 +00:00:46,460 --> 00:00:53,120 +ريال الصبح و رشةأبو محسن طبعا اليوم هيتكلموا في كل + +8 +00:00:53,120 --> 00:00:57,160 +اللي هو تفاصيل ال frame types بالإضافة لاللي هو ال + +9 +00:00:57,160 --> 00:01:00,540 +parts بنتمنا ان شاء الله وقت اللي هو ممتع مع + +10 +00:01:00,540 --> 00:01:04,540 +الطالبات و هنعمل بعد ما ننتهي ان شاء الله من ال + +11 +00:01:04,540 --> 00:01:08,880 +oral presentation discussion يكون إن للجميع لتعم + +12 +00:01:08,880 --> 00:01:14,340 +اللي هو الفائدة فضلوا بسم الله الرحمن الرحيم today + +13 +00:01:14,340 --> 00:01:17,560 +we are talking about frame types and partsThe + +14 +00:01:17,560 --> 00:01:20,780 +optometrist هي بقى أبو هلال، آية المدهون، رشد أبو + +15 +00:01:20,780 --> 00:01:27,220 +محسن وفريال الصباح شرف دكتور محمد الجروشابداية راح + +16 +00:01:27,220 --> 00:01:30,120 +نحكي عن تعريف ال frame a device for holding of + +17 +00:01:30,120 --> 00:01:32,520 +thermic lenses in the proper position of the lens + +18 +00:01:32,520 --> 00:01:35,500 +of the head and front eyes ال frame هو عبارة عن + +19 +00:01:35,500 --> 00:01:38,200 +portion of the spectacle بيحمل العدسات اللي + +20 +00:01:38,200 --> 00:01:40,480 +بيعملها اللي فيها ال correction الصحيح اللي + +21 +00:01:40,480 --> 00:01:44,000 +بيعملها ال optometrist بناء على ال refractive + +22 +00:01:44,000 --> 00:01:46,680 +error اللي بيكون عند ال patient و لازم يكون ال + +23 +00:01:46,680 --> 00:01:52,460 +frame في موضع مناسب أمام عين المريض ال frame متعرف + +24 +00:01:52,460 --> 00:01:58,440 +عليه بنقسم إلى two partsال front و ال temple ال + +25 +00:01:58,440 --> 00:02:01,120 +front هو عبارة عن الجزء الأمامي من ال .. من ال + +26 +00:02:01,120 --> 00:02:05,260 +frame بيكون بعدد أشكال ممكن يكون دائري و ممكن يكون + +27 +00:02:05,260 --> 00:02:08,500 +مربع و مسمى بال chases اللي هو الحيكل عامل الإطار + +28 +00:02:08,500 --> 00:02:12,540 +يعني لو شيلنا العدسات بيكون بس أنه هيكل يعني أما + +29 +00:02:12,540 --> 00:02:16,920 +ال temple بيكون جالس على الأدن بيحمل الهدف منه أنه + +30 +00:02:16,920 --> 00:02:19,120 +عشان يحمل العدسات و يخليها أن ال front ده بيصبح + +31 +00:02:19,120 --> 00:02:19,440 +طوالي + +32 +00:02:24,060 --> 00:02:29,180 +ال frame front ال front بتكون من عدة مكونات أول + +33 +00:02:29,180 --> 00:02:34,680 +اشي بتكون من ال bridge هاي ال bridge هو عبارة عن + +34 +00:02:34,680 --> 00:02:37,320 +area between two lenses هاي بيكون between two + +35 +00:02:37,320 --> 00:02:40,480 +lenses بيربطوا العدستين مع بعض و بيكون و بيجلس على + +36 +00:02:40,480 --> 00:02:46,250 +الأنف ال end basesاللي هي عبارة عن المنطقة + +37 +00:02:46,250 --> 00:02:49,090 +الخارجية من ال frame بتكون محاطة من جهة ال right و + +38 +00:02:49,090 --> 00:02:53,610 +من جهة ال left أما ال .. عندنا ال nose pads، ال + +39 +00:02:53,610 --> 00:02:56,750 +nose pads هتكون هي عبارة عن قطعة بلاستيكية بتضغط + +40 +00:02:56,750 --> 00:03:01,570 +على الأنف، بتعمل على support لل lenses و الهدف + +41 +00:03:01,570 --> 00:03:04,430 +الرئيسي منها عشان انه تعمل .. انه يخلي العدسات + +42 +00:03:04,430 --> 00:03:09,730 +أمام عين ال patientأما الشيلد الشيلد هنا غالبا هي + +43 +00:03:09,730 --> 00:03:13,570 +بتكونش يعني بتكون في معظم الإطارات مش بكلها بتربط + +44 +00:03:13,570 --> 00:03:17,070 +بتمسك المفصل بتساعد أنه ت .. تخلي ال end pieces + +45 +00:03:17,070 --> 00:03:21,650 +مرتبط بالتمبل غالبا بيستخدموها حاليا ساروكا كوزمتك + +46 +00:03:21,650 --> 00:03:26,210 +يعني كناحية جمالية مش لأشي أساسي كتير و بتكون + +47 +00:03:26,210 --> 00:03:32,610 +بتشبه المصمار تمام نيجي لل hinges + +48 +00:03:37,830 --> 00:03:40,830 +الهنجز هو بيمسك ال timble بتكون من عدد فردي odd + +49 +00:03:40,830 --> 00:03:47,370 +number بتكون تلاتة أو خمسة أو سبعة تمام ال frame + +50 +00:03:47,370 --> 00:03:52,060 +timbleبتكون ال frame من جزئين، من ال frame و من ال + +51 +00:03:52,060 --> 00:03:55,340 +.. و من ال mounting ال mounting هو بيكون half .. + +52 +00:03:55,340 --> 00:04:01,320 +half rim يعني نص إطار و ال .. و ال frame بتكون من + +53 +00:04:01,320 --> 00:04:05,420 +full rim ال material اللي بتكون منها ال frame + +54 +00:04:05,420 --> 00:04:08,380 +بتكون من ال metal، ال plastic، ال nylon cord + +55 +00:04:08,380 --> 00:04:12,100 +combination و ال belly grab و half iron ribs هذه + +56 +00:04:12,100 --> 00:04:17,870 +أنواعنبدأ من أول نوع من ال frame types اللى هى ال + +57 +00:04:17,870 --> 00:04:20,810 +material مع ال plastic اللى هى ال shell ال frame + +58 +00:04:20,810 --> 00:04:24,410 +أول اشى زمان قديما كانوا بيستخدموا ضحر سلحفالة + +59 +00:04:24,410 --> 00:04:27,010 +صناعة ال frame اللى هى Tortoise Shell بعدها فى + +60 +00:04:27,010 --> 00:04:30,070 +فترة اكتشفوا مادة الزليونات اللى هى cellulose + +61 +00:04:30,070 --> 00:04:33,290 +natterite اكتشفوا بعدها انه هى عبارة عن high + +62 +00:04:33,290 --> 00:04:37,490 +inflammable قابلة جدا للاجتعالبعد .. بعديها انه + +63 +00:04:37,490 --> 00:04:42,190 +خلاص اختفى صار هذا use بعدها في فترة كبيرة اكتشفوا + +64 +00:04:42,190 --> 00:04:44,890 +cellulose acetate هي مادة استخدموها في صناعة ال + +65 +00:04:44,890 --> 00:04:50,190 +frame plastic قصائصها + +66 +00:04:50,190 --> 00:04:54,210 +احسن من الباقين بعدها بقى الان بيستخدموا انواع + +67 +00:04:54,210 --> 00:04:58,830 +كتيرة من المواد لصناعة ال frame plastic اي شركة + +68 +00:04:58,830 --> 00:05:04,060 +حاليا صارتستقدر تتعرف على انواع البلاستيك المكونة + +69 +00:05:04,060 --> 00:05:10,320 +منها من ال frame الخصائص + +70 +00:05:10,320 --> 00:05:12,960 +اللى بتكون الخصائص اللى بتميز فيها البلاستيك + +71 +00:05:12,960 --> 00:05:16,680 +thermoplastic و thermosetting يعني اي لو انا بدي + +72 +00:05:16,680 --> 00:05:20,720 +اسخن البلاستيك او بدي ابرده البلاستيك مش هيفقد + +73 +00:05:20,720 --> 00:05:24,080 +خصائصه ابدا هيظل زي ما هو بدون ما يفقد البلاستيكية + +74 +00:05:24,080 --> 00:05:29,550 +تبعهالتانى نوع من ال material اللى هى ال metal ال + +75 +00:05:29,550 --> 00:05:33,270 +metal يكون كل الإطار .. كل الإطار metal معدى النص + +76 +00:05:33,270 --> 00:05:36,310 +بس اللى بتكون هان و ال .. و التنبل غالبا بيكونوا + +77 +00:05:36,310 --> 00:05:39,850 +plastic عشان نتلاشى ال allergic اللى ممكن تحدث لل + +78 +00:05:39,850 --> 00:05:43,690 +patient و بيكون ال .. ال rim تبعه هنا كله بحيط + +79 +00:05:43,690 --> 00:05:46,390 +بالعدسة completely .. completely around the lenses + +80 +00:05:48,600 --> 00:05:52,780 +we will continue our discussion thank you الان + +81 +00:05:52,780 --> 00:05:58,020 +هنتحدث عن ال nylon card frame هو له مسمين تانين + +82 +00:05:58,020 --> 00:06:05,240 +اما string mounted او nylon sobra الان هاي + +83 +00:06:05,240 --> 00:06:09,640 +شكل ال nylon card بيحمل ال lens بيكون على الحواف + +84 +00:06:09,640 --> 00:06:15,900 +فيه نيلون بيبين كأنه rimless كأنه بدون إطارusually + +85 +00:06:15,900 --> 00:06:18,940 +the top of the lens upper rim of the frame ال top + +86 +00:06:18,940 --> 00:06:22,900 +of the lens الأعلى بيكون في عندى upper rim the + +87 +00:06:22,900 --> 00:06:26,980 +rest of lens might grow in a flat edge بتكون flat + +88 +00:06:26,980 --> 00:06:33,860 +عشان تتجنب أن المريض ينجرح هلجيت + +89 +00:06:33,860 --> 00:06:38,120 +ال combination ال + +90 +00:06:38,120 --> 00:06:44,090 +combination في ال frame بتكونمن metal و plastic ال + +91 +00:06:44,090 --> 00:06:47,350 +metal يتشيسس ال هيكل و ال plastic ال top rim و ال + +92 +00:06:47,350 --> 00:06:51,110 +temple هيها + +93 +00:06:51,110 --> 00:06:56,970 +هالجهة ال construction اللي علها انه ال top rim + +94 +00:06:56,970 --> 00:07:01,570 +هيكون عايش plastic و ال temple اما ال eyewear و ال + +95 +00:07:01,570 --> 00:07:02,550 +bridge هيكونوا metal + +96 +00:07:06,720 --> 00:07:12,640 +هلجيتها ال half eye؟ ال half eye هى + +97 +00:07:12,640 --> 00:07:19,100 +ال frame هى نص ال high للعدسة العادية و هو بيستخدم + +98 +00:07:19,100 --> 00:07:23,880 +بالغالب لل reading أحيانا نادرا انه يستخدم لل + +99 +00:07:23,880 --> 00:07:28,680 +distance و لما بدى استعمله القراقة بتطلع من تحت + +100 +00:07:28,680 --> 00:07:33,780 +العدسة و هو النوع الوحيد اللى ممكن أنظرالانظر من + +101 +00:07:33,780 --> 00:07:37,740 +فوق العدسة و هو برتاح أكتر نوع برتاح عليه الأنف + +102 +00:07:37,740 --> 00:07:42,640 +يعني بتثبت عليها rimless + +103 +00:07:42,640 --> 00:07:48,160 +mounting هلجيتها + +104 +00:07:48,160 --> 00:07:54,640 +العدسات بتحمل تثبت بدون أي رم أو nylon cordhold + +105 +00:07:54,640 --> 00:07:59,140 +the lens with screw او cement او clamp او plastic + +106 +00:07:59,140 --> 00:08:04,500 +بص تثبت هالجيت اسمها three pieces mounting لان لو + +107 +00:08:04,500 --> 00:08:07,580 +انا شيلت العدسات هيكون عندي تلتة مناطق هنا ال + +108 +00:08:07,580 --> 00:08:13,220 +bridge و two timber semi rimless mounting similar + +109 +00:08:13,220 --> 00:08:16,740 +to the rimless except of metal reinforcement arm + +110 +00:08:16,740 --> 00:08:20,440 +هو بيشبه ال rimless لكن في عندي metal + +111 +00:08:20,440 --> 00:08:23,320 +reinforcement arm هيها + +112 +00:08:25,420 --> 00:08:28,820 +بتسبطه follow our posterior surface of the lens + +113 +00:08:28,820 --> 00:08:32,300 +بتتصل من ال .. من ال centropieces لل endopieces من + +114 +00:08:32,300 --> 00:08:37,100 +هنا لهنا و centropieces mounting بتتكون من تلت + +115 +00:08:37,100 --> 00:08:41,900 +أشياء اللي هي ال bridge هيها و ال bad arm هذا ال + +116 +00:08:41,900 --> 00:08:43,940 +arm و ال bad هيهم + +117 +00:08:47,950 --> 00:08:51,990 +النيومونت ماوتنج هو بيشبه ال rimless لكن هنا + +118 +00:08:51,990 --> 00:08:55,990 +العدسة بس ماكان واحد هو اللي بيحمل العدسة من منطقة + +119 +00:08:55,990 --> 00:09:01,070 +النازلة اما من منطقة ال temporary هيكون metal يعني + +120 +00:09:01,070 --> 00:09:08,830 +بس هو منطقة واحدة هي اللي بتحمله البانيبريم + +121 +00:09:08,830 --> 00:09:13,360 +ماوتنج sectionlessyep attached to a bar of tinsel + +122 +00:09:13,360 --> 00:09:19,080 +stone هالجدق هو كافر هو بيتثبت عن طريق ملاقة فده + +123 +00:09:19,080 --> 00:09:22,780 +الملاقة بتتصل معاش مع قطعة من الفلاز عن منطقة + +124 +00:09:22,780 --> 00:09:28,420 +النازلة اما عن منطقة ال temporal في علاقات بتتصل + +125 +00:09:28,420 --> 00:09:32,800 +فيها ال timber وهو لهذا السبب ممكن ازيل بسرعة + +126 +00:09:32,800 --> 00:09:36,280 +العدسة ازيلها عن طريق زئلة الملاقة اللى موجودة في + +127 +00:09:36,280 --> 00:09:40,990 +ال back service للعدسةو لهذا السبب يستخدم في عدة + +128 +00:09:40,990 --> 00:09:44,350 +استخدامات ممكن احط اكتر من عدسة في نفس ال frame + +129 +00:09:44,350 --> 00:09:52,450 +ممكن احط sunglasses او او special purpose lenses + +130 +00:09:52,450 --> 00:09:56,610 +وهكذا continuous + +131 +00:09:56,610 --> 00:10:01,260 +with feriaMy name is Priyal I will talk about + +132 +00:10:01,260 --> 00:10:04,340 +bridge construction ال bridge construction يعني + +133 +00:10:04,340 --> 00:10:07,800 +صناعة ال .. ال .. الاطار تبقى ال bridge اللي هو ال + +134 +00:10:07,800 --> 00:10:10,880 +distance between the lenses ال bridge can be اللي + +135 +00:10:10,880 --> 00:10:14,260 +هو because the variety of the shape of a nose يعني + +136 +00:10:14,260 --> 00:10:18,220 +من شخص لآخر فعندك أشكال مختلفة لصناعة ال bridge من + +137 +00:10:18,220 --> 00:10:21,860 +السهل جدا أن تلاقي bridge مناسب لأنف المريض ولكن + +138 +00:10:21,860 --> 00:10:24,480 +عملية ال adjustment to this part of the frame is + +139 +00:10:24,480 --> 00:10:28,020 +very difficultفال bridge ممكن يكون اللي هو plastic + +140 +00:10:28,020 --> 00:10:31,520 +أو metal، ال plastic bridge فيه عنه three types of + +141 +00:10:31,520 --> 00:10:33,520 +plastic bridge، ال subtle bridge و ال modified + +142 +00:10:33,520 --> 00:10:37,000 +subtle bridge و ال keyhole، هنتحدث عنهم بتفاصيل، + +143 +00:10:37,000 --> 00:10:39,160 +بالنسبة ل ال metal bridge، ال bad bridge و ال + +144 +00:10:39,160 --> 00:10:40,080 +comfortable bridge + +145 +00:10:43,370 --> 00:10:47,910 +الطارب ال plastic bridge بتتم تجهيزه بشكل انه يكون + +146 +00:10:47,910 --> 00:10:52,710 +set on the nose تمام ال bridge كمان اللي هو .. + +147 +00:10:52,710 --> 00:10:57,370 +هنحكي عن أول نوع صد ال bridge صد ال bridge زي هيك + +148 +00:10:58,210 --> 00:11:02,550 +بيكون عندك smooth curve و اللى هو بتبقى اللى هو ال + +149 +00:11:02,550 --> 00:11:06,750 +bridge on the nose يعني بيرتاح على القنف طبعا ال + +150 +00:11:06,750 --> 00:11:09,670 +.. هذا النوع الميزة بتاعته انه بيعمل على توزيع وزن + +151 +00:11:09,670 --> 00:11:13,010 +ال .. ال frame about the two sides of the nose and + +152 +00:11:13,010 --> 00:11:15,710 +the crest اللى هي العضمة اللى بتكون عند القنف فهي + +153 +00:11:15,710 --> 00:11:22,050 +فبيعمل على إيش؟ توزيع الوزن النوع التانى اللى هو + +154 +00:11:22,050 --> 00:11:28,100 +ال modified saddleهو ايش بيشبه ال saddle like من + +155 +00:11:28,100 --> 00:11:31,760 +ال front view مابتقدرش تفرق بينهم ولكن في ال back + +156 +00:11:31,760 --> 00:11:36,200 +view بتلاحظ انه ايش ال saddle ال modified saddle + +157 +00:11:36,200 --> 00:11:40,740 +من منطقة ال nose pad بتكون هي كتقارب بين العدسات + +158 +00:11:40,740 --> 00:11:44,660 +فاللي هو الاختلاف يعنيه في منطقة في ال nose pad في + +159 +00:11:44,660 --> 00:11:49,020 +ال back view وهذا النوع ال pads هم اللي بيعملوا + +160 +00:11:49,020 --> 00:11:54,280 +على الحمل وزن العدسات أو سادة في حمل الوزن للأيطار + +161 +00:11:55,730 --> 00:11:58,990 +النوع التالت اللى هو ال k-hole اللى بيشبه اللى .. + +162 +00:11:58,990 --> 00:12:02,470 +اللى هو المفتاح اللى قدام زى ما انتوا شايفين اللى + +163 +00:12:02,470 --> 00:12:05,730 +هو عشان ال old fashion k-hole at the top من + +164 +00:12:05,730 --> 00:12:10,130 +المنطقة العلوية فى عندنا من هان المنطقة العلوية ما + +165 +00:12:10,130 --> 00:12:15,270 +بيكون فى احتكاك مع ال crest وميزته ايضا ان هو + +166 +00:12:15,270 --> 00:12:20,010 +بيعمل على بيحمل برضه وزم العدسات على ال nose ولكن + +167 +00:12:20,010 --> 00:12:21,690 +not on the crest + +168 +00:12:25,940 --> 00:12:28,460 +هلأ خلصنا من ال plastic bridge فيه عندنا ال metal + +169 +00:12:28,460 --> 00:12:33,100 +bridge من اسمها ال metal bridge اللي هو بتكون ال + +170 +00:12:33,100 --> 00:12:35,960 +metal .. metal frame يعني في ال metal .. frame فال + +171 +00:12:35,960 --> 00:12:38,220 +metal .. ال metal bridge بتكون موجودة في ال metal + +172 +00:12:38,220 --> 00:12:41,700 +frame أشهر نوع أو ال most common اللي هو ال bad + +173 +00:12:41,700 --> 00:12:45,280 +bridge ال bad bridge هت .. بيكون إيش؟ بيكون فيه + +174 +00:12:45,280 --> 00:12:49,140 +nose pad، ال nose pad هي بتكون مرتبطة مع .. مرتبطة + +175 +00:12:49,140 --> 00:12:52,560 +مع ال frame من خلال ال .. من خلال اللي هو إيش؟ ال + +176 +00:12:52,560 --> 00:12:56,960 +metal .. ال metal bad armتمام؟ هلأ في نوع .. في + +177 +00:12:56,960 --> 00:13:00,860 +نوع من الإطارات بيكون مجهز بحيث أنه إيش ال .. ال + +178 +00:13:00,860 --> 00:13:05,140 +bridge بيكون plastic .. plastic .. plastic saddle + +179 +00:13:05,140 --> 00:13:08,420 +type أما الباقي الإطار بيكون عبارة عن metal فهذا + +180 +00:13:08,420 --> 00:13:10,920 +النوع اللي بنسميه ال comfortable bridge بيكون هيك + +181 +00:13:10,920 --> 00:13:11,720 +مريح للمريض + +182 +00:13:14,510 --> 00:13:17,950 +تمام هلا ال in-piece construction ال in-piece + +183 +00:13:17,950 --> 00:13:21,330 +construction like the bridge construction can be + +184 +00:13:21,330 --> 00:13:25,350 +either plastic or metal ال plastic in-piece ال + +185 +00:13:25,350 --> 00:13:28,370 +most common فيها اللي هو ال board type فينا three + +186 +00:13:28,370 --> 00:13:32,630 +type ال board type و ال metro type و ال turn back + +187 +00:13:32,630 --> 00:13:36,070 +type ال board type بيكون عندنا اللي هو ال frame + +188 +00:13:36,070 --> 00:13:39,110 +front بتكون straight and ال turn back board هاي + +189 +00:13:39,110 --> 00:13:44,570 +الجزئية بتكون flatفال front meet the temple at a + +190 +00:13:44,570 --> 00:13:49,590 +90 degree angle بيكون تسعين الزاوية بينهم تسعين + +191 +00:13:49,590 --> 00:13:55,110 +درجة أما النوع التاني اللي هو mature type ال frame + +192 +00:13:55,110 --> 00:14:00,690 +front meet the temple في الزاوية بتكون 45 degree + +193 +00:14:00,690 --> 00:14:04,410 +angle بالنسبة للنوع التالت اللي هو turn back type + +194 +00:14:05,150 --> 00:14:08,730 +هذه الزاوية المبينة اللي هو ال frame front and the + +195 +00:14:08,730 --> 00:14:12,530 +temple meet end to end يعني نهاية ال temple مع + +196 +00:14:12,530 --> 00:14:19,150 +نهاية ال front هيك بتقابله مع بعض تمام هذا + +197 +00:14:19,150 --> 00:14:22,070 +بالنسبالي ال plastic end piece بالنسبالي ال metal + +198 +00:14:22,070 --> 00:14:25,750 +end piece ال metal end piece ال traditional metal + +199 +00:14:25,750 --> 00:14:28,290 +end piece has a construction similar to the tan + +200 +00:14:28,290 --> 00:14:31,960 +bagهذا ال .. ال traditional ink piece بشبه اللي هو + +201 +00:14:31,960 --> 00:14:33,780 +النوع التالت من ال elastic ink piece اللي هو ال + +202 +00:14:33,780 --> 00:14:36,420 +turn back ink piece ال ink piece are also + +203 +00:14:36,420 --> 00:14:39,720 +noticeable by their absence في بعض الأحيان ممكن أن + +204 +00:14:39,720 --> 00:14:42,780 +يكون ال ink piece مش موجودة في ال frame في هذه + +205 +00:14:42,780 --> 00:14:47,380 +الحالة ال .. ال frame front بتكون مع ال timber + +206 +00:14:47,380 --> 00:14:52,000 +عبارة عن جزء واحد، قطعة واحدة some frame front and + +207 +00:14:52,000 --> 00:14:56,300 +timber are made as one continuous pieces بيكونوا + +208 +00:14:56,300 --> 00:15:00,740 +عبارة عن قطعة واحدةشكرا و لو كنتون هيبقى صغيرة + +209 +00:15:00,740 --> 00:15:04,540 +Hello everybody, my name is Hiba Aboulhan, today + +210 +00:15:04,540 --> 00:15:07,580 +I'm gonna talk about timble عندنا اتعرف ال timble, + +211 +00:15:07,700 --> 00:15:10,860 +timble hook over the ears to help hold the + +212 +00:15:10,860 --> 00:15:15,020 +spectacle in place معناته ان ال timble هو القطعة + +213 +00:15:15,020 --> 00:15:19,800 +هاي كل امتدادها لعند الأذن بتساعد انها تحملى + +214 +00:15:19,800 --> 00:15:25,220 +العدسات اللى بتحملى الوصفة الطبية صحيحة أمام نظر + +215 +00:15:25,220 --> 00:15:31,900 +ال patientعند هنا أجزاء ال timble أول إشي ال butt + +216 +00:15:31,900 --> 00:15:36,240 +portion اللي هو portion of the timble that is + +217 +00:15:36,240 --> 00:15:40,740 +nearest to attach the front هي الجزء أو ال + +218 +00:15:40,740 --> 00:15:44,040 +attachment الأقرب لل front chassis نقدر نقول إن هي + +219 +00:15:44,040 --> 00:15:48,760 +هنا الموجودة تمام؟ عند ال bend ال bend placed on + +220 +00:15:48,760 --> 00:15:51,740 +the timble where it's first bent down to go over + +221 +00:15:51,740 --> 00:15:56,220 +the ear هي الانحناق هذا اللي هو بيروح يعني أول إشي + +222 +00:15:56,220 --> 00:16:00,900 +خلف الأضرحتمام، عندي ال shaft أو ال shank اسم تاني + +223 +00:16:00,900 --> 00:16:04,480 +the portion of the temple between the bird and the + +224 +00:16:04,480 --> 00:16:08,700 +bird هو الجدق اللي بيكون ما بين ال bird و البنت، + +225 +00:16:08,700 --> 00:16:13,440 +اللي هو هذا، تفضلوا أخر أشان دي ال end piece اللي + +226 +00:16:13,440 --> 00:16:16,760 +هو إلها اسم تاني ال curve اللي هي portion beyond + +227 +00:16:16,760 --> 00:16:20,760 +the bird and behind the bird هي الجدق اللي بتكون + +228 +00:16:20,760 --> 00:16:25,120 +خلف الأذن و التالية للبنت، هي البنت التالية إلها و + +229 +00:16:25,120 --> 00:16:30,960 +خلف الأذنعندي ال timble construction اول اشي عندى + +230 +00:16:30,960 --> 00:16:34,240 +ال skull timble library convertible riding bow + +231 +00:16:34,240 --> 00:16:38,480 +comfort cable timble ال skull هي شكله عندى ال + +232 +00:16:38,480 --> 00:16:42,280 +library ال riding ال comfort ال convertible الحين + +233 +00:16:42,280 --> 00:16:45,680 +متعرف على كل واحد على حدا اول اشي ال skull timble + +234 +00:16:45,680 --> 00:16:50,200 +the bend down portion behind the ear is narrowest + +235 +00:16:50,200 --> 00:16:54,540 +at the top of the ear and widest about the bendهي + +236 +00:16:54,540 --> 00:16:59,420 +الجزء أو الانحناء للأسفل خلف الأذن هو يعني أكتر + +237 +00:16:59,420 --> 00:17:04,440 +شكل مستعمل عندنا من ال .. من ال top من ال top + +238 +00:17:04,440 --> 00:17:09,140 +بتكون رفيعة مقارنة بال bottom لإلها بتكون رفيعة و + +239 +00:17:09,140 --> 00:17:14,240 +بتبدأ أنها تيرد لعندي ال bottom ال learn very + +240 +00:17:14,240 --> 00:17:18,000 +simple usually begin with an average weight at the + +241 +00:17:18,000 --> 00:17:22,590 +bottom and decrease in weight posteriorlyهنا بتكون + +242 +00:17:22,590 --> 00:17:27,570 +البداية، هنا الـ bot و هنا النهاية بتكون من عند ال + +243 +00:17:27,570 --> 00:17:31,830 +bot عريضة و كل ما اتجهنا للخارج من ناحية ال end + +244 +00:17:31,830 --> 00:17:37,030 +العارف تباعها بقل ال other name لإلها is straight + +245 +00:17:37,030 --> 00:17:40,510 +back dumbbell من ناحية عملية هي بتحمل العدسات بشكل + +246 +00:17:40,510 --> 00:17:45,170 +مستقيم أمام نظر .. أمام عين المريض عشان بتحملهم + +247 +00:17:45,170 --> 00:17:51,510 +يعني ب .. ب .. بمقائم ممتازال convertible timbel + +248 +00:17:51,510 --> 00:17:56,650 +ال original design لإلها ال skull timbel النشأة + +249 +00:17:56,650 --> 00:17:59,890 +تبعتها الأساسية من ال skull timbel converted from + +250 +00:17:59,890 --> 00:18:03,850 +the straight pair to the skull design ممكن أحولها + +251 +00:18:03,850 --> 00:18:08,050 +أو أغيرها من شكل مستقيم ممكن أحولها لل skull اللي + +252 +00:18:08,050 --> 00:18:14,220 +فيها هناit is very style to fit people with a + +253 +00:18:14,220 --> 00:18:17,600 +variety of temple length requirement هي عديدة + +254 +00:18:17,600 --> 00:18:21,000 +الاستعمالات وعديدة الأشكال ليش حملوها هيك عشان + +255 +00:18:21,000 --> 00:18:25,280 +تناسب ال temples اللي طالبها المريض بيحطول المناسب + +256 +00:18:25,280 --> 00:18:29,660 +لإلها if the bend is in the wrong location the + +257 +00:18:29,660 --> 00:18:32,400 +temple may be easily straightened out and then + +258 +00:18:32,400 --> 00:18:37,500 +rebent to fit ثورا إذا كان الانحناق هادابالموقع + +259 +00:18:37,500 --> 00:18:42,400 +الغلط للمريض بيقدر المريض انه يعملها مستقيمة تاني + +260 +00:18:42,400 --> 00:18:46,640 +و يرجع يهنيها على حسب ما هي بتناسبه و هو كيف مرتاح + +261 +00:18:46,640 --> 00:18:50,120 +معايا عليها modification يعني اه modification + +262 +00:18:50,120 --> 00:18:54,680 +riding boat in bed, curve around the air where the + +263 +00:18:54,680 --> 00:18:59,270 +air and the head metهو الانحناء بتكون خلف الأذن في + +264 +00:18:59,270 --> 00:19:02,490 +النقطة اللي بتتقابل فيها الأذن مع الرأس وبينتج + +265 +00:19:02,490 --> 00:19:05,750 +لعند ال air loop اللي هي شحمة الأذن they are + +266 +00:19:05,750 --> 00:19:10,790 +safety frames and used in children هي إطارات أمنة + +267 +00:19:10,790 --> 00:19:14,330 +وبتستخدم مع الأطفال زي اللي أحنا شايفينها هيا + +268 +00:19:14,330 --> 00:19:20,240 +بتكون فيها انحناء لما تصل لعند شحمة الأذنآخر شئ + +269 +00:19:20,240 --> 00:19:24,280 +معناه ال comfort cable timbers ارشد the same as + +270 +00:19:24,280 --> 00:19:27,600 +riding ball لها نفس الشكل في ال riding ball لكن + +271 +00:19:27,600 --> 00:19:31,240 +الاختلاف الواحد بينها انه في عندك metal + +272 +00:19:31,240 --> 00:19:34,780 +construction with the curl الcurl هي ال .. ال .. + +273 +00:19:34,780 --> 00:19:38,780 +ال .. ال .. ال air bees في قطعة معدنية مرنة بتكون + +274 +00:19:38,780 --> 00:19:44,480 +محتوطة فيها عشان تريح المرض ماتجهوش اسمها flexible + +275 +00:19:44,480 --> 00:19:46,840 +coiled cable + +276 +00:19:49,430 --> 00:19:52,990 +الـ frame ممكن نعملهم coloration تلوين الـ plastic + +277 +00:19:52,990 --> 00:19:56,090 +frames عندك بتتقسم إلى vertically و horizontally + +278 +00:19:56,090 --> 00:20:01,030 +ال vertically darker on the way across the top + +279 +00:20:01,030 --> 00:20:03,870 +including the bridge and is lighter across the + +280 +00:20:03,870 --> 00:20:08,410 +bottom تشوف صورتها، هاي ال vertically، شايفين؟ + +281 +00:20:08,410 --> 00:20:13,450 +عندنا ال top باحتوائها لل bridge اللون، كل ما + +282 +00:20:13,450 --> 00:20:16,530 +اتجهنا لل bottom اللون بتغير، هاي عندنا المثلة + +283 +00:20:16,530 --> 00:20:22,570 +اللي من قبلالـ horizontally darker at the temporal + +284 +00:20:22,570 --> 00:20:25,230 +board chain and lighter towards the central area + +285 +00:20:25,230 --> 00:20:30,930 +هاي ال horizontal هاي منقطة ال temporal هي اكتر + +286 +00:20:30,930 --> 00:20:35,050 +darker كلما اتجهنا لل center اللون صار عندى فاتح + +287 +00:20:35,050 --> 00:20:40,810 +اكترFrance all have the one color وعندي ال clear + +288 +00:20:40,810 --> 00:20:46,110 +bridge في فرنسا هي مشابهه لل horizontal معادة ان + +289 +00:20:46,110 --> 00:20:51,250 +ال bridge مكونش ملون و بقى هذا مشيلنا للنهاية + +290 +00:20:51,250 --> 00:20:53,970 +ماتما تكونوا استمتعتوا thanks for your attention + +291 +00:20:53,970 --> 00:20:58,490 +طبعا thank you so much for your oral presentation + +292 +00:20:58,490 --> 00:21:03,510 +بداية فبنسأل اي طالب يبقى عنده اي سؤال او اي تأثير + +293 +00:21:03,510 --> 00:21:13,400 +صارعن ال Ephraim Derives ده النظارة احنا + +294 +00:21:13,400 --> 00:21:15,740 +بدنا واحدة تطلع تحكيلنا الخصائص اللي موجودة في + +295 +00:21:15,740 --> 00:21:19,820 +النظارة هاي من ال thimble من ال bridge من نوع ال + +296 +00:21:19,820 --> 00:21:21,420 +Ephraim يلا مين يشارك + +297 +00:21:25,890 --> 00:21:30,330 +طبعا بحكينا أنه ال frame بتكون من .. انه .. بتكون + +298 +00:21:30,330 --> 00:21:34,090 +من جزئين مهمين، أول إيش ال front و تاني إيش ال + +299 +00:21:34,090 --> 00:21:38,350 +temple ال front بتكون من كذا مكوين، عندي بتكون من + +300 +00:21:38,350 --> 00:21:44,490 +ال bridge، بتكون من ال eye wheel، بيتكون من ال .. + +301 +00:21:44,490 --> 00:21:51,030 +ال end piece، تمامفيها حاكينا ال shield هي تقريبا + +302 +00:21:51,030 --> 00:21:53,850 +بتحمل ال temple هذا كان قديما اما هالات من ناحية + +303 +00:21:53,850 --> 00:21:58,090 +جمالية بينحط مش في كل النظرات يعني بيكون انه من + +304 +00:21:58,090 --> 00:22:06,470 +ناحية انه بيحمل ال temple عندي كمان عندي + +305 +00:22:06,470 --> 00:22:11,240 +هنا ال temples بتكون من هنا من ال ..ال bend اللى + +306 +00:22:11,240 --> 00:22:16,000 +هى بتتصل مع ال front بتكون من الشنك اللى هى بين ال + +307 +00:22:16,000 --> 00:22:20,640 +.. ال pot و بين ال bend عارفة هان ال pot ال bend + +308 +00:22:20,640 --> 00:22:26,220 +هو أول انحناء ل .. ل .. للأذن أما هان من اللى + +309 +00:22:26,220 --> 00:22:31,360 +بتكون من ال .. ال air piece اللى هى الانحناء اللى + +310 +00:22:31,360 --> 00:22:35,120 +بيجي على الأذن هذا النوع ال frame عندى combination + +311 +00:22:35,120 --> 00:22:39,080 +لإنه بتكون من ال plastic و بتكون من ال metal فهذا + +312 +00:22:39,080 --> 00:22:44,360 +هىكون combinationفي سؤال تانى؟ ال timber شنو؟ ال + +313 +00:22:44,360 --> 00:22:48,300 +plastic تمام و hand combination لإن بتكون من ال + +314 +00:22:48,300 --> 00:22:52,880 +metal و من ال plastic طب ال nose band؟ تمام عندي + +315 +00:22:52,880 --> 00:22:56,220 +hand موجود ال nose band لإن hand عندي metal فبأغلب + +316 +00:22:56,220 --> 00:22:59,300 +حالات النضارات اللى بتكون metal بيكون إلها nose + +317 +00:22:59,300 --> 00:23:04,000 +band عشان إنه يتلاشى أي .. أي حساسية أو أي تأثير + +318 +00:23:04,000 --> 00:23:06,980 +لل patient خاصة ال patient اللى بيكون عنده حساسية + +319 +00:23:06,980 --> 00:23:08,900 +من ال metal تمام خلاص يسلم + +320 +00:23:12,420 --> 00:23:17,260 +أسمع، في أي سؤال تاني؟ طيب، أنا في عندك سؤال ايه ك + +321 +00:23:17,260 --> 00:23:20,460 +general question يعني من خلال الآن الشرح اللي + +322 +00:23:20,460 --> 00:23:25,880 +شرفته طبعا بداية يعني oral presentation كتير رائع + +323 +00:23:25,880 --> 00:23:31,820 +ال figure كتير تهوى و واضح كتير و معتقد للجميع are + +324 +00:23:31,820 --> 00:23:37,300 +you agree with me؟ yes كمان، الآن أنا في لو واحدة + +325 +00:23:37,300 --> 00:23:43,190 +فيكم تشتغل في مركز بصرياتو حددت الآن تمام أطلب + +326 +00:23:43,190 --> 00:23:49,390 +منها أنه تديني إطار لمواصفات معينة إيش الخصائص + +327 +00:23:49,390 --> 00:23:53,410 +كانت الإطار اللي بتلاحظه أنه هي تعتبر ال best + +328 +00:23:53,410 --> 00:23:59,090 +option يعني إيه بالنسبالي أو لأي تقالبة تختاروها + +329 +00:23:59,090 --> 00:24:05,630 +يعني الآن مثلا هي عندنا ماريا تمام؟ الان هي حابة + +330 +00:24:05,630 --> 00:24:10,240 +تاخد إطار لكن فيها تسمع منك خصائص بصريةإيش ال best + +331 +00:24:10,240 --> 00:24:13,860 +option لإيطار تختاريه هي؟ لإيطارات اللي عندكوا؟ + +332 +00:24:13,860 --> 00:24:17,720 +أول إيش ممكن أختاره اللي بريحها يعني، كل إنسان + +333 +00:24:17,720 --> 00:24:21,020 +بيختلف ال nose عن التاني، يعني ممكن أنه هي ال nose + +334 +00:24:21,020 --> 00:24:24,180 +bent ما ترتاحش عليه، ال saddle أو ال modifiers + +335 +00:24:24,180 --> 00:24:26,540 +اللي بترتاح عليه أكتر، أنا أول حاجة هحكوا على .. + +336 +00:24:26,540 --> 00:24:29,140 +ماليان أفضل إيه اللي عادي، اللي أفضل عنكي، اللي + +337 +00:24:29,140 --> 00:24:33,360 +قابلناه تطلعوا في ال best option ل ال majorالأفضل + +338 +00:24:33,360 --> 00:24:37,620 +نضارة هي ممكن تبثارة، من ناحية عالمية، من الناطق + +339 +00:24:37,620 --> 00:24:40,200 +.. ممكن حسب ال patient ال patient حسب الوجه ممكن + +340 +00:24:40,200 --> 00:24:46,010 +تبثارةأو دائرة، حسب ال face ممكن نحدد؟ اه يعني هي + +341 +00:24:46,010 --> 00:24:49,530 +وجهها مدور، بالفعل فيها دائرة مدورة، اه وكمان ممكن + +342 +00:24:49,530 --> 00:24:53,930 +ناس مثلا وجههم اضعيف، او ناس وجههم مليان، ممكن + +343 +00:24:53,930 --> 00:24:57,630 +نفعلهم وجه البعض بالنسبالي دي مش ال best option، + +344 +00:24:57,630 --> 00:25:00,830 +لأ هي وجهها مدور، لأ وكمان ال best option نفسها، + +345 +00:25:00,830 --> 00:25:04,230 +وجهها مربع، بس بال refractive error يعني، اذا + +346 +00:25:04,230 --> 00:25:07,850 +الأول حاجة it depends on the refractive error، حسب + +347 +00:25:07,850 --> 00:25:13,030 +ال IBD كمان، ال IBD و ال optics طيب شغلة تعني احسب + +348 +00:25:13,030 --> 00:25:20,950 +ال face features دماغ الشغل التاعت أيضا؟ Cosmetics + +349 +00:25:21,820 --> 00:25:25,080 +طبعا ال refractive error ال comfortable يعني حسب + +350 +00:25:25,080 --> 00:25:27,580 +ال refractive error اللي عندها ال camera هل ممكن + +351 +00:25:27,580 --> 00:25:32,100 +تبتوها ال plastic ولا .. لا ال plastic اذا كان + +352 +00:25:32,100 --> 00:25:35,980 +عندها حساسية اذا كان عندها حساسية أكتر large من ال + +353 +00:25:35,980 --> 00:25:39,180 +metal ممكن نعطيها plastic او نحطها على ال .. ال + +354 +00:25:39,180 --> 00:25:45,740 +metal اللي هو قطعة plasticية تمامو ممكن انه اذا + +355 +00:25:45,740 --> 00:25:48,520 +كانت هي بتستخدم النضارة كتير يعني فهيكون ال + +356 +00:25:48,520 --> 00:25:51,260 +plastic قريه حلوة طيب من ناحية ال notes pad هل + +357 +00:25:51,260 --> 00:25:54,700 +بتوفر إلها ال notes pad ولا يعني الأفضل اللي بتكون + +358 +00:25:54,700 --> 00:26:02,180 +فيه إلها ال notes pad ولا لأ ليه + +359 +00:26:02,180 --> 00:26:07,500 +طيب؟ انه يعني هيرفع ال issue يعني هي تخيل ناجومة + +360 +00:26:07,500 --> 00:26:12,900 +هم و ارفعها ال modifier قدرعندها النظارة .. نفاح + +361 +00:26:12,900 --> 00:26:16,700 +لقدام يعني كتير هي .. فيها عندها المطبع .. المطبع + +362 +00:26:16,700 --> 00:26:22,180 +هاي فإن ال modified saddle عريض فهي النظارة ال + +363 +00:26:22,180 --> 00:26:25,480 +back best .. عشان ال back best of ال system حيث + +364 +00:26:25,480 --> 00:26:29,520 +كان في عند high refractive error دايما الأفضل + +365 +00:26:29,520 --> 00:26:33,300 +element ال elevation modified اللي هو saddle تمام + +366 +00:26:33,300 --> 00:26:37,840 +ليه؟ لأن لو محطينا ال nose pad هيصير هناك في إيش + +367 +00:26:37,840 --> 00:26:39,600 +ضغط على ال test + +368 +00:27:03,250 --> 00:27:08,210 +طبعا في نهاية المحاضرة بنشكر الطالبات اللي قدموا + +369 +00:27:08,210 --> 00:27:13,110 +ال oral presentationو في المحاضرة القادمة ان شاء + +370 +00:27:13,110 --> 00:27:18,930 +الله هنكون مع مجموعة جديدة في موضوع آخر ان شاء + +371 +00:27:18,930 --> 00:27:19,990 +الله يعطيكم العافية + diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0_raw.json b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..d23e9a05716315efdcc474734398db6ea2455119 --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4816, "start": 20.86, "end": 48.16, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته and a very good afternoon to all of you ان شاء الله اليوم هنبدأ في محاضرات ال oral presentation المتعلقة في مادة ال dispensing العنوان الأول هو عبارة عن a 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because the variety of the shape of a nose يعني من شخص لآخر فعندك أشكال مختلفة لصناعة ال bridge من السهل جدا أن تلاقي bridge مناسب لأنف المريض ولكن عملية ال adjustment to this part of the frame is very difficult", "tokens": [8506, 1315, 307, 8087, 7265, 286, 486, 751, 466, 7283, 6435, 2423, 7283, 6435, 37495, 22653, 20328, 8315, 27884, 2423, 4386, 2423, 4386, 2423, 41193, 9640, 6055, 3555, 4587, 7578, 2423, 7283, 13672, 1829, 31439, 2423, 4560, 1296, 264, 18059, 2423, 7283, 393, 312, 13672, 1829, 31439, 570, 264, 5673, 295, 264, 3909, 295, 257, 6690, 37495, 22653, 9154, 13412, 9778, 9381, 5296, 148, 95, 34740, 6156, 3615, 41260, 4117, 5551, 8592, 4117, 6027, 3714, 46456, 46538, 3660, 5296, 9381, 8315, 27884, 2423, 7283, 9154, 21136, 3224, 1211, 10874, 28259, 14739, 6055, 15040, 38436, 7283, 3714, 8315, 35457, 5296, 33456, 5172, 9673, 16572, 11242, 35525, 19452, 6225, 42213, 10632, 2423, 17132, 281, 341, 644, 295, 264, 3920, 307, 588, 2252], "avg_logprob": -0.1713584720595809, 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126395, "start": 1236.95, "end": 1263.95, "text": "France all have the one color وعندي ال clear bridge في فرنسا هي مشابهه لل horizontal معادة ان ال bridge مكونش ملون و بقى هذا مشيلنا للنهاية ماتما تكونوا استمتعتوا thanks for your attention طبعا thank you so much for your oral presentation بداية فبنسأل اي طالب يبقى عنده اي سؤال او اي تأثير صار", "tokens": [37, 32493, 439, 362, 264, 472, 2017, 4032, 3615, 1863, 16254, 2423, 1850, 7283, 8978, 6156, 2288, 1863, 3794, 995, 39896, 37893, 16758, 3224, 3224, 24976, 12750, 20449, 18513, 3660, 16472, 2423, 7283, 3714, 30544, 8592, 3714, 1211, 11536, 4032, 4724, 4587, 7578, 23758, 37893, 26895, 8315, 24976, 1863, 11296, 10632, 3714, 9307, 15042, 6055, 30544, 14407, 44713, 2304, 2655, 34268, 14407, 3231, 337, 428, 3202, 23032, 3555, 3615, 995, 1309, 291, 370, 709, 337, 428, 19338, 5860, 4724, 28259, 10632, 6156, 3555, 1863, 3794, 10721, 1211, 1975, 1829, 23032, 6027, 3555, 7251, 3555, 4587, 7578, 43242, 3224, 1975, 1829, 8608, 33604, 6027, 1975, 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{"start": 1638.75, "end": 1638.93, "word": " شاء", "probability": 0.994140625}, {"start": 1638.93, "end": 1639.13, "word": " الله", "probability": 0.958984375}, {"start": 1639.13, "end": 1639.57, "word": " يعطيكم", "probability": 0.8416748046875}, {"start": 1639.57, "end": 1639.99, "word": " العافية", "probability": 0.9879557291666666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1640.3505, "duration_after_vad": 1555.6162499999969} \ No newline at end of file diff --git a/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0_raw.srt b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..08057d496944641fc2e53bde3c87ec17dd47f8ca --- /dev/null +++ b/PL9fwy3NUQKwYIo6KwkmAPEuxXXIrV69PS/y3lFusrnA_0_raw.srt @@ -0,0 +1,1484 @@ +1 +00:00:20,860 --> 00:00:23,720 +بسم الله الرحمن الرحيم السلام عليكم ورحمة الله + +2 +00:00:23,720 --> 00:00:27,620 +وبركاته and a very good afternoon to all of you ان + +3 +00:00:27,620 --> 00:00:31,160 +شاء الله اليوم هنبدأ في محاضرات ال oral + +4 +00:00:31,160 --> 00:00:35,680 +presentation المتعلقة في مادة ال dispensing + +5 +00:00:35,680 --> 00:00:40,860 +العنوان الأول هو عبارة عن a frame types and parts + +6 +00:00:40,860 --> 00:00:46,460 +هيكونوا مع الطالبات هبة أبوهلال و آية المدهون و في + +7 +00:00:46,460 --> 00:00:53,120 +ريال الصبح و رشةأبو محسن طبعا اليوم هيتكلموا في كل + +8 +00:00:53,120 --> 00:00:57,160 +اللي هو تفاصيل ال frame types بالإضافة لاللي هو ال + +9 +00:00:57,160 --> 00:01:00,540 +parts بنتمنا ان شاء الله وقت اللي هو ممتع مع + +10 +00:01:00,540 --> 00:01:04,540 +الطالبات و هنعمل بعد ما ننتهي ان شاء الله من ال + +11 +00:01:04,540 --> 00:01:08,880 +oral presentation discussion يكون إن للجميع لتعم + +12 +00:01:08,880 --> 00:01:14,340 +اللي هو الفائدة فضلوا بسم الله الرحمن الرحيم today + +13 +00:01:14,340 --> 00:01:17,560 +we are talking about frame types and partsThe + +14 +00:01:17,560 --> 00:01:20,780 +optometrist هي بقى أبو هلال، آية المدهون، رشد أبو + +15 +00:01:20,780 --> 00:01:27,220 +محسن وفريال الصباح شرف دكتور محمد الجروشابداية راح + +16 +00:01:27,220 --> 00:01:30,120 +نحكي عن تعريف ال frame a device for holding of + +17 +00:01:30,120 --> 00:01:32,520 +thermic lenses in the proper position of the lens + +18 +00:01:32,520 --> 00:01:35,500 +of the head and front eyes ال frame هو عبارة عن + +19 +00:01:35,500 --> 00:01:38,200 +portion of the spectacle بيحمل العدسات اللي + +20 +00:01:38,200 --> 00:01:40,480 +بيعملها اللي فيها ال correction الصحيح اللي + +21 +00:01:40,480 --> 00:01:44,000 +بيعملها ال optometrist بناء على ال refractive + +22 +00:01:44,000 --> 00:01:46,680 +error اللي بيكون عند ال patient و لازم يكون ال + +23 +00:01:46,680 --> 00:01:52,460 +frame في موضع مناسب أمام عين المريض ال frame متعرف + +24 +00:01:52,460 --> 00:01:58,440 +عليه بنقسم إلى two partsال front و ال temple ال + +25 +00:01:58,440 --> 00:02:01,120 +front هو عبارة عن الجزء الأمامي من ال .. من ال + +26 +00:02:01,120 --> 00:02:05,260 +frame بيكون بعدد أشكال ممكن يكون دائري و ممكن يكون + +27 +00:02:05,260 --> 00:02:08,500 +مربع و مسمى بال chases اللي هو الحيكل عامل الإطار + +28 +00:02:08,500 --> 00:02:12,540 +يعني لو شيلنا العدسات بيكون بس أنه هيكل يعني أما + +29 +00:02:12,540 --> 00:02:16,920 +ال temple بيكون جالس على الأدن بيحمل الهدف منه أنه + +30 +00:02:16,920 --> 00:02:19,120 +عشان يحمل العدسات و يخليها أن ال front ده بيصبح + +31 +00:02:19,120 --> 00:02:19,440 +طوالي + +32 +00:02:24,060 --> 00:02:29,180 +ال frame front ال front بتكون من عدة مكونات أول + +33 +00:02:29,180 --> 00:02:34,680 +اشي بتكون من ال bridge هاي ال bridge هو عبارة عن + +34 +00:02:34,680 --> 00:02:37,320 +area between two lenses هاي بيكون between two + +35 +00:02:37,320 --> 00:02:40,480 +lenses بيربطوا العدستين مع بعض و بيكون و بيجلس على + +36 +00:02:40,480 --> 00:02:46,250 +الأنف ال end basesاللي هي عبارة عن المنطقة + +37 +00:02:46,250 --> 00:02:49,090 +الخارجية من ال frame بتكون محاطة من جهة ال right و + +38 +00:02:49,090 --> 00:02:53,610 +من جهة ال left أما ال .. عندنا ال nose pads، ال + +39 +00:02:53,610 --> 00:02:56,750 +nose pads هتكون هي عبارة عن قطعة بلاستيكية بتضغط + +40 +00:02:56,750 --> 00:03:01,570 +على الأنف، بتعمل على support لل lenses و الهدف + +41 +00:03:01,570 --> 00:03:04,430 +الرئيسي منها عشان انه تعمل .. انه يخلي العدسات + +42 +00:03:04,430 --> 00:03:09,730 +أمام عين ال patientأما الشيلد الشيلد هنا غالبا هي + +43 +00:03:09,730 --> 00:03:13,570 +بتكونش يعني بتكون في معظم الإطارات مش بكلها بتربط + +44 +00:03:13,570 --> 00:03:17,070 +بتمسك المفصل بتساعد أنه ت .. تخلي ال end pieces + +45 +00:03:17,070 --> 00:03:21,650 +مرتبط بالتمبل غالبا بيستخدموها حاليا ساروكا كوزمتك + +46 +00:03:21,650 --> 00:03:26,210 +يعني كناحية جمالية مش لأشي أساسي كتير و بتكون + +47 +00:03:26,210 --> 00:03:32,610 +بتشبه المصمار تمام نيجي لل hinges + +48 +00:03:37,830 --> 00:03:40,830 +الهنجز هو بيمسك ال timble بتكون من عدد فردي odd + +49 +00:03:40,830 --> 00:03:47,370 +number بتكون تلاتة أو خمسة أو سبعة تمام ال frame + +50 +00:03:47,370 --> 00:03:52,060 +timbleبتكون ال frame من جزئين، من ال frame و من ال + +51 +00:03:52,060 --> 00:03:55,340 +.. و من ال mounting ال mounting هو بيكون half .. + +52 +00:03:55,340 --> 00:04:01,320 +half rim يعني نص إطار و ال .. و ال frame بتكون من + +53 +00:04:01,320 --> 00:04:05,420 +full rim ال material اللي بتكون منها ال frame + +54 +00:04:05,420 --> 00:04:08,380 +بتكون من ال metal، ال plastic، ال nylon cord + +55 +00:04:08,380 --> 00:04:12,100 +combination و ال belly grab و half iron ribs هذه + +56 +00:04:12,100 --> 00:04:17,870 +أنواعنبدأ من أول نوع من ال frame types اللى هى ال + +57 +00:04:17,870 --> 00:04:20,810 +material مع ال plastic اللى هى ال shell ال frame + +58 +00:04:20,810 --> 00:04:24,410 +أول اشى زمان قديما كانوا بيستخدموا ضحر سلحفالة + +59 +00:04:24,410 --> 00:04:27,010 +صناعة ال frame اللى هى Tortoise Shell بعدها فى + +60 +00:04:27,010 --> 00:04:30,070 +فترة اكتشفوا مادة الزليونات اللى هى cellulose + +61 +00:04:30,070 --> 00:04:33,290 +natterite اكتشفوا بعدها انه هى عبارة عن high + +62 +00:04:33,290 --> 00:04:37,490 +inflammable قابلة جدا للاجتعالبعد .. بعديها انه + +63 +00:04:37,490 --> 00:04:42,190 +خلاص اختفى صار هذا use بعدها في فترة كبيرة اكتشفوا + +64 +00:04:42,190 --> 00:04:44,890 +cellulose acetate هي مادة استخدموها في صناعة ال + +65 +00:04:44,890 --> 00:04:50,190 +frame plastic قصائصها + +66 +00:04:50,190 --> 00:04:54,210 +احسن من الباقين بعدها بقى الان بيستخدموا انواع + +67 +00:04:54,210 --> 00:04:58,830 +كتيرة من المواد لصناعة ال frame plastic اي شركة + +68 +00:04:58,830 --> 00:05:04,060 +حاليا صارتستقدر تتعرف على انواع البلاستيك المكونة + +69 +00:05:04,060 --> 00:05:10,320 +منها من ال frame الخصائص + +70 +00:05:10,320 --> 00:05:12,960 +اللى بتكون الخصائص اللى بتميز فيها البلاستيك + +71 +00:05:12,960 --> 00:05:16,680 +thermoplastic و thermosetting يعني اي لو انا بدي + +72 +00:05:16,680 --> 00:05:20,720 +اسخن البلاستيك او بدي ابرده البلاستيك مش هيفقد + +73 +00:05:20,720 --> 00:05:24,080 +خصائصه ابدا هيظل زي ما هو بدون ما يفقد البلاستيكية + +74 +00:05:24,080 --> 00:05:29,550 +تبعهالتانى نوع من ال material اللى هى ال metal ال + +75 +00:05:29,550 --> 00:05:33,270 +metal يكون كل الإطار .. كل الإطار metal معدى النص + +76 +00:05:33,270 --> 00:05:36,310 +بس اللى بتكون هان و ال .. و التنبل غالبا بيكونوا + +77 +00:05:36,310 --> 00:05:39,850 +plastic عشان نتلاشى ال allergic اللى ممكن تحدث لل + +78 +00:05:39,850 --> 00:05:43,690 +patient و بيكون ال .. ال rim تبعه هنا كله بحيط + +79 +00:05:43,690 --> 00:05:46,390 +بالعدسة completely .. completely around the lenses + +80 +00:05:48,600 --> 00:05:52,780 +we will continue our discussion thank you الان + +81 +00:05:52,780 --> 00:05:58,020 +هنتحدث عن ال nylon card frame هو له مسمين تانين + +82 +00:05:58,020 --> 00:06:05,240 +اما string mounted او nylon sobra الان هاي + +83 +00:06:05,240 --> 00:06:09,640 +شكل ال nylon card بيحمل ال lens بيكون على الحواف + +84 +00:06:09,640 --> 00:06:15,900 +فيه نيلون بيبين كأنه rimless كأنه بدون إطارusually + +85 +00:06:15,900 --> 00:06:18,940 +the top of the lens upper rim of the frame ال top + +86 +00:06:18,940 --> 00:06:22,900 +of the lens الأعلى بيكون في عندى upper rim the + +87 +00:06:22,900 --> 00:06:26,980 +rest of lens might grow in a flat edge بتكون flat + +88 +00:06:26,980 --> 00:06:33,860 +عشان تتجنب أن المريض ينجرح هلجيت + +89 +00:06:33,860 --> 00:06:38,120 +ال combination ال + +90 +00:06:38,120 --> 00:06:44,090 +combination في ال frame بتكونمن metal و plastic ال + +91 +00:06:44,090 --> 00:06:47,350 +metal يتشيسس ال هيكل و ال plastic ال top rim و ال + +92 +00:06:47,350 --> 00:06:51,110 +temple هيها + +93 +00:06:51,110 --> 00:06:56,970 +هالجهة ال construction اللي علها انه ال top rim + +94 +00:06:56,970 --> 00:07:01,570 +هيكون عايش plastic و ال temple اما ال eyewear و ال + +95 +00:07:01,570 --> 00:07:02,550 +bridge هيكونوا metal + +96 +00:07:06,720 --> 00:07:12,640 +هلجيتها ال half eye؟ ال half eye هى + +97 +00:07:12,640 --> 00:07:19,100 +ال frame هى نص ال high للعدسة العادية و هو بيستخدم + +98 +00:07:19,100 --> 00:07:23,880 +بالغالب لل reading أحيانا نادرا انه يستخدم لل + +99 +00:07:23,880 --> 00:07:28,680 +distance و لما بدى استعمله القراقة بتطلع من تحت + +100 +00:07:28,680 --> 00:07:33,780 +العدسة و هو النوع الوحيد اللى ممكن أنظرالانظر من + +101 +00:07:33,780 --> 00:07:37,740 +فوق العدسة و هو برتاح أكتر نوع برتاح عليه الأنف + +102 +00:07:37,740 --> 00:07:42,640 +يعني بتثبت عليها rimless + +103 +00:07:42,640 --> 00:07:48,160 +mounting هلجيتها + +104 +00:07:48,160 --> 00:07:54,640 +العدسات بتحمل تثبت بدون أي رم أو nylon cordhold + +105 +00:07:54,640 --> 00:07:59,140 +the lens with screw او cement او clamp او plastic + +106 +00:07:59,140 --> 00:08:04,500 +بص تثبت هالجيت اسمها three pieces mounting لان لو + +107 +00:08:04,500 --> 00:08:07,580 +انا شيلت العدسات هيكون عندي تلتة مناطق هنا ال + +108 +00:08:07,580 --> 00:08:13,220 +bridge و two timber semi rimless mounting similar + +109 +00:08:13,220 --> 00:08:16,740 +to the rimless except of metal reinforcement arm + +110 +00:08:16,740 --> 00:08:20,440 +هو بيشبه ال rimless لكن في عندي metal + +111 +00:08:20,440 --> 00:08:23,320 +reinforcement arm هيها + +112 +00:08:25,420 --> 00:08:28,820 +بتسبطه follow our posterior surface of the lens + +113 +00:08:28,820 --> 00:08:32,300 +بتتصل من ال .. من ال centropieces لل endopieces من + +114 +00:08:32,300 --> 00:08:37,100 +هنا لهنا و centropieces mounting بتتكون من تلت + +115 +00:08:37,100 --> 00:08:41,900 +أشياء اللي هي ال bridge هيها و ال bad arm هذا ال + +116 +00:08:41,900 --> 00:08:43,940 +arm و ال bad هيهم + +117 +00:08:47,950 --> 00:08:51,990 +النيومونت ماوتنج هو بيشبه ال rimless لكن هنا + +118 +00:08:51,990 --> 00:08:55,990 +العدسة بس ماكان واحد هو اللي بيحمل العدسة من منطقة + +119 +00:08:55,990 --> 00:09:01,070 +النازلة اما من منطقة ال temporary هيكون metal يعني + +120 +00:09:01,070 --> 00:09:08,830 +بس هو منطقة واحدة هي اللي بتحمله البانيبريم + +121 +00:09:08,830 --> 00:09:13,360 +ماوتنج sectionlessyep attached to a bar of tinsel + +122 +00:09:13,360 --> 00:09:19,080 +stone هالجدق هو كافر هو بيتثبت عن طريق ملاقة فده + +123 +00:09:19,080 --> 00:09:22,780 +الملاقة بتتصل معاش مع قطعة من الفلاز عن منطقة + +124 +00:09:22,780 --> 00:09:28,420 +النازلة اما عن منطقة ال temporal في علاقات بتتصل + +125 +00:09:28,420 --> 00:09:32,800 +فيها ال timber وهو لهذا السبب ممكن ازيل بسرعة + +126 +00:09:32,800 --> 00:09:36,280 +العدسة ازيلها عن طريق زئلة الملاقة اللى موجودة في + +127 +00:09:36,280 --> 00:09:40,990 +ال back service للعدسةو لهذا السبب يستخدم في عدة + +128 +00:09:40,990 --> 00:09:44,350 +استخدامات ممكن احط اكتر من عدسة في نفس ال frame + +129 +00:09:44,350 --> 00:09:52,450 +ممكن احط sunglasses او او special purpose lenses + +130 +00:09:52,450 --> 00:09:56,610 +وهكذا continuous + +131 +00:09:56,610 --> 00:10:01,260 +with feriaMy name is Priyal I will talk about + +132 +00:10:01,260 --> 00:10:04,340 +bridge construction ال bridge construction يعني + +133 +00:10:04,340 --> 00:10:07,800 +صناعة ال .. ال .. الاطار تبقى ال bridge اللي هو ال + +134 +00:10:07,800 --> 00:10:10,880 +distance between the lenses ال bridge can be اللي + +135 +00:10:10,880 --> 00:10:14,260 +هو because the variety of the shape of a nose يعني + +136 +00:10:14,260 --> 00:10:18,220 +من شخص لآخر فعندك أشكال مختلفة لصناعة ال bridge من + +137 +00:10:18,220 --> 00:10:21,860 +السهل جدا أن تلاقي bridge مناسب لأنف المريض ولكن + +138 +00:10:21,860 --> 00:10:24,480 +عملية ال adjustment to this part of the frame is + +139 +00:10:24,480 --> 00:10:28,020 +very difficultفال bridge ممكن يكون اللي هو plastic + +140 +00:10:28,020 --> 00:10:31,520 +أو metal، ال plastic bridge فيه عنه three types of + +141 +00:10:31,520 --> 00:10:33,520 +plastic bridge، ال subtle bridge و ال modified + +142 +00:10:33,520 --> 00:10:37,000 +subtle bridge و ال keyhole، هنتحدث عنهم بتفاصيل، + +143 +00:10:37,000 --> 00:10:39,160 +بالنسبة ل ال metal bridge، ال bad bridge و ال + +144 +00:10:39,160 --> 00:10:40,080 +comfortable bridge + +145 +00:10:43,370 --> 00:10:47,910 +الطارب ال plastic bridge بتتم تجهيزه بشكل انه يكون + +146 +00:10:47,910 --> 00:10:52,710 +set on the nose تمام ال bridge كمان اللي هو .. + +147 +00:10:52,710 --> 00:10:57,370 +هنحكي عن أول نوع صد ال bridge صد ال bridge زي هيك + +148 +00:10:58,210 --> 00:11:02,550 +بيكون عندك smooth curve و اللى هو بتبقى اللى هو ال + +149 +00:11:02,550 --> 00:11:06,750 +bridge on the nose يعني بيرتاح على القنف طبعا ال + +150 +00:11:06,750 --> 00:11:09,670 +.. هذا النوع الميزة بتاعته انه بيعمل على توزيع وزن + +151 +00:11:09,670 --> 00:11:13,010 +ال .. ال frame about the two sides of the nose and + +152 +00:11:13,010 --> 00:11:15,710 +the crest اللى هي العضمة اللى بتكون عند القنف فهي + +153 +00:11:15,710 --> 00:11:22,050 +فبيعمل على إيش؟ توزيع الوزن النوع التانى اللى هو + +154 +00:11:22,050 --> 00:11:28,100 +ال modified saddleهو ايش بيشبه ال saddle like من + +155 +00:11:28,100 --> 00:11:31,760 +ال front view مابتقدرش تفرق بينهم ولكن في ال back + +156 +00:11:31,760 --> 00:11:36,200 +view بتلاحظ انه ايش ال saddle ال modified saddle + +157 +00:11:36,200 --> 00:11:40,740 +من منطقة ال nose pad بتكون هي كتقارب بين العدسات + +158 +00:11:40,740 --> 00:11:44,660 +فاللي هو الاختلاف يعنيه في منطقة في ال nose pad في + +159 +00:11:44,660 --> 00:11:49,020 +ال back view وهذا النوع ال pads هم اللي بيعملوا + +160 +00:11:49,020 --> 00:11:54,280 +على الحمل وزن العدسات أو سادة في حمل الوزن للأيطار + +161 +00:11:55,730 --> 00:11:58,990 +النوع التالت اللى هو ال k-hole اللى بيشبه اللى .. + +162 +00:11:58,990 --> 00:12:02,470 +اللى هو المفتاح اللى قدام زى ما انتوا شايفين اللى + +163 +00:12:02,470 --> 00:12:05,730 +هو عشان ال old fashion k-hole at the top من + +164 +00:12:05,730 --> 00:12:10,130 +المنطقة العلوية فى عندنا من هان المنطقة العلوية ما + +165 +00:12:10,130 --> 00:12:15,270 +بيكون فى احتكاك مع ال crest وميزته ايضا ان هو + +166 +00:12:15,270 --> 00:12:20,010 +بيعمل على بيحمل برضه وزم العدسات على ال nose ولكن + +167 +00:12:20,010 --> 00:12:21,690 +not on the crest + +168 +00:12:25,940 --> 00:12:28,460 +هلأ خلصنا من ال plastic bridge فيه عندنا ال metal + +169 +00:12:28,460 --> 00:12:33,100 +bridge من اسمها ال metal bridge اللي هو بتكون ال + +170 +00:12:33,100 --> 00:12:35,960 +metal .. metal frame يعني في ال metal .. frame فال + +171 +00:12:35,960 --> 00:12:38,220 +metal .. ال metal bridge بتكون موجودة في ال metal + +172 +00:12:38,220 --> 00:12:41,700 +frame أشهر نوع أو ال most common اللي هو ال bad + +173 +00:12:41,700 --> 00:12:45,280 +bridge ال bad bridge هت .. بيكون إيش؟ بيكون فيه + +174 +00:12:45,280 --> 00:12:49,140 +nose pad، ال nose pad هي بتكون مرتبطة مع .. مرتبطة + +175 +00:12:49,140 --> 00:12:52,560 +مع ال frame من خلال ال .. من خلال اللي هو إيش؟ ال + +176 +00:12:52,560 --> 00:12:56,960 +metal .. ال metal bad armتمام؟ هلأ في نوع .. في + +177 +00:12:56,960 --> 00:13:00,860 +نوع من الإطارات بيكون مجهز بحيث أنه إيش ال .. ال + +178 +00:13:00,860 --> 00:13:05,140 +bridge بيكون plastic .. plastic .. plastic saddle + +179 +00:13:05,140 --> 00:13:08,420 +type أما الباقي الإطار بيكون عبارة عن metal فهذا + +180 +00:13:08,420 --> 00:13:10,920 +النوع اللي بنسميه ال comfortable bridge بيكون هيك + +181 +00:13:10,920 --> 00:13:11,720 +مريح للمريض + +182 +00:13:14,510 --> 00:13:17,950 +تمام هلا ال in-piece construction ال in-piece + +183 +00:13:17,950 --> 00:13:21,330 +construction like the bridge construction can be + +184 +00:13:21,330 --> 00:13:25,350 +either plastic or metal ال plastic in-piece ال + +185 +00:13:25,350 --> 00:13:28,370 +most common فيها اللي هو ال board type فينا three + +186 +00:13:28,370 --> 00:13:32,630 +type ال board type و ال metro type و ال turn back + +187 +00:13:32,630 --> 00:13:36,070 +type ال board type بيكون عندنا اللي هو ال frame + +188 +00:13:36,070 --> 00:13:39,110 +front بتكون straight and ال turn back board هاي + +189 +00:13:39,110 --> 00:13:44,570 +الجزئية بتكون flatفال front meet the temple at a + +190 +00:13:44,570 --> 00:13:49,590 +90 degree angle بيكون تسعين الزاوية بينهم تسعين + +191 +00:13:49,590 --> 00:13:55,110 +درجة أما النوع التاني اللي هو mature type ال frame + +192 +00:13:55,110 --> 00:14:00,690 +front meet the temple في الزاوية بتكون 45 degree + +193 +00:14:00,690 --> 00:14:04,410 +angle بالنسبة للنوع التالت اللي هو turn back type + +194 +00:14:05,150 --> 00:14:08,730 +هذه الزاوية المبينة اللي هو ال frame front and the + +195 +00:14:08,730 --> 00:14:12,530 +temple meet end to end يعني نهاية ال temple مع + +196 +00:14:12,530 --> 00:14:19,150 +نهاية ال front هيك بتقابله مع بعض تمام هذا + +197 +00:14:19,150 --> 00:14:22,070 +بالنسبالي ال plastic end piece بالنسبالي ال metal + +198 +00:14:22,070 --> 00:14:25,750 +end piece ال metal end piece ال traditional metal + +199 +00:14:25,750 --> 00:14:28,290 +end piece has a construction similar to the tan + +200 +00:14:28,290 --> 00:14:31,960 +bagهذا ال .. ال traditional ink piece بشبه اللي هو + +201 +00:14:31,960 --> 00:14:33,780 +النوع التالت من ال elastic ink piece اللي هو ال + +202 +00:14:33,780 --> 00:14:36,420 +turn back ink piece ال ink piece are also + +203 +00:14:36,420 --> 00:14:39,720 +noticeable by their absence في بعض الأحيان ممكن أن + +204 +00:14:39,720 --> 00:14:42,780 +يكون ال ink piece مش موجودة في ال frame في هذه + +205 +00:14:42,780 --> 00:14:47,380 +الحالة ال .. ال frame front بتكون مع ال timber + +206 +00:14:47,380 --> 00:14:52,000 +عبارة عن جزء واحد، قطعة واحدة some frame front and + +207 +00:14:52,000 --> 00:14:56,300 +timber are made as one continuous pieces بيكونوا + +208 +00:14:56,300 --> 00:15:00,740 +عبارة عن قطعة واحدةشكرا و لو كنتون هيبقى صغيرة + +209 +00:15:00,740 --> 00:15:04,540 +Hello everybody, my name is Hiba Aboulhan, today + +210 +00:15:04,540 --> 00:15:07,580 +I'm gonna talk about timble عندنا اتعرف ال timble, + +211 +00:15:07,700 --> 00:15:10,860 +timble hook over the ears to help hold the + +212 +00:15:10,860 --> 00:15:15,020 +spectacle in place معناته ان ال timble هو القطعة + +213 +00:15:15,020 --> 00:15:19,800 +هاي كل امتدادها لعند الأذن بتساعد انها تحملى + +214 +00:15:19,800 --> 00:15:25,220 +العدسات اللى بتحملى الوصفة الطبية صحيحة أمام نظر + +215 +00:15:25,220 --> 00:15:31,900 +ال patientعند هنا أجزاء ال timble أول إشي ال butt + +216 +00:15:31,900 --> 00:15:36,240 +portion اللي هو portion of the timble that is + +217 +00:15:36,240 --> 00:15:40,740 +nearest to attach the front هي الجزء أو ال + +218 +00:15:40,740 --> 00:15:44,040 +attachment الأقرب لل front chassis نقدر نقول إن هي + +219 +00:15:44,040 --> 00:15:48,760 +هنا الموجودة تمام؟ عند ال bend ال bend placed on + +220 +00:15:48,760 --> 00:15:51,740 +the timble where it's first bent down to go over + +221 +00:15:51,740 --> 00:15:56,220 +the ear هي الانحناق هذا اللي هو بيروح يعني أول إشي + +222 +00:15:56,220 --> 00:16:00,900 +خلف الأضرحتمام، عندي ال shaft أو ال shank اسم تاني + +223 +00:16:00,900 --> 00:16:04,480 +the portion of the temple between the bird and the + +224 +00:16:04,480 --> 00:16:08,700 +bird هو الجدق اللي بيكون ما بين ال bird و البنت، + +225 +00:16:08,700 --> 00:16:13,440 +اللي هو هذا، تفضلوا أخر أشان دي ال end piece اللي + +226 +00:16:13,440 --> 00:16:16,760 +هو إلها اسم تاني ال curve اللي هي portion beyond + +227 +00:16:16,760 --> 00:16:20,760 +the bird and behind the bird هي الجدق اللي بتكون + +228 +00:16:20,760 --> 00:16:25,120 +خلف الأذن و التالية للبنت، هي البنت التالية إلها و + +229 +00:16:25,120 --> 00:16:30,960 +خلف الأذنعندي ال timble construction اول اشي عندى + +230 +00:16:30,960 --> 00:16:34,240 +ال skull timble library convertible riding bow + +231 +00:16:34,240 --> 00:16:38,480 +comfort cable timble ال skull هي شكله عندى ال + +232 +00:16:38,480 --> 00:16:42,280 +library ال riding ال comfort ال convertible الحين + +233 +00:16:42,280 --> 00:16:45,680 +متعرف على كل واحد على حدا اول اشي ال skull timble + +234 +00:16:45,680 --> 00:16:50,200 +the bend down portion behind the ear is narrowest + +235 +00:16:50,200 --> 00:16:54,540 +at the top of the ear and widest about the bendهي + +236 +00:16:54,540 --> 00:16:59,420 +الجزء أو الانحناء للأسفل خلف الأذن هو يعني أكتر + +237 +00:16:59,420 --> 00:17:04,440 +شكل مستعمل عندنا من ال .. من ال top من ال top + +238 +00:17:04,440 --> 00:17:09,140 +بتكون رفيعة مقارنة بال bottom لإلها بتكون رفيعة و + +239 +00:17:09,140 --> 00:17:14,240 +بتبدأ أنها تيرد لعندي ال bottom ال learn very + +240 +00:17:14,240 --> 00:17:18,000 +simple usually begin with an average weight at the + +241 +00:17:18,000 --> 00:17:22,590 +bottom and decrease in weight posteriorlyهنا بتكون + +242 +00:17:22,590 --> 00:17:27,570 +البداية، هنا الـ bot و هنا النهاية بتكون من عند ال + +243 +00:17:27,570 --> 00:17:31,830 +bot عريضة و كل ما اتجهنا للخارج من ناحية ال end + +244 +00:17:31,830 --> 00:17:37,030 +العارف تباعها بقل ال other name لإلها is straight + +245 +00:17:37,030 --> 00:17:40,510 +back dumbbell من ناحية عملية هي بتحمل العدسات بشكل + +246 +00:17:40,510 --> 00:17:45,170 +مستقيم أمام نظر .. أمام عين المريض عشان بتحملهم + +247 +00:17:45,170 --> 00:17:51,510 +يعني ب .. ب .. بمقائم ممتازال convertible timbel + +248 +00:17:51,510 --> 00:17:56,650 +ال original design لإلها ال skull timbel النشأة + +249 +00:17:56,650 --> 00:17:59,890 +تبعتها الأساسية من ال skull timbel converted from + +250 +00:17:59,890 --> 00:18:03,850 +the straight pair to the skull design ممكن أحولها + +251 +00:18:03,850 --> 00:18:08,050 +أو أغيرها من شكل مستقيم ممكن أحولها لل skull اللي + +252 +00:18:08,050 --> 00:18:14,220 +فيها هناit is very style to fit people with a + +253 +00:18:14,220 --> 00:18:17,600 +variety of temple length requirement هي عديدة + +254 +00:18:17,600 --> 00:18:21,000 +الاستعمالات وعديدة الأشكال ليش حملوها هيك عشان + +255 +00:18:21,000 --> 00:18:25,280 +تناسب ال temples اللي طالبها المريض بيحطول المناسب + +256 +00:18:25,280 --> 00:18:29,660 +لإلها if the bend is in the wrong location the + +257 +00:18:29,660 --> 00:18:32,400 +temple may be easily straightened out and then + +258 +00:18:32,400 --> 00:18:37,500 +rebent to fit ثورا إذا كان الانحناق هادابالموقع + +259 +00:18:37,500 --> 00:18:42,400 +الغلط للمريض بيقدر المريض انه يعملها مستقيمة تاني + +260 +00:18:42,400 --> 00:18:46,640 +و يرجع يهنيها على حسب ما هي بتناسبه و هو كيف مرتاح + +261 +00:18:46,640 --> 00:18:50,120 +معايا عليها modification يعني اه modification + +262 +00:18:50,120 --> 00:18:54,680 +riding boat in bed, curve around the air where the + +263 +00:18:54,680 --> 00:18:59,270 +air and the head metهو الانحناء بتكون خلف الأذن في + +264 +00:18:59,270 --> 00:19:02,490 +النقطة اللي بتتقابل فيها الأذن مع الرأس وبينتج + +265 +00:19:02,490 --> 00:19:05,750 +لعند ال air loop اللي هي شحمة الأذن they are + +266 +00:19:05,750 --> 00:19:10,790 +safety frames and used in children هي إطارات أمنة + +267 +00:19:10,790 --> 00:19:14,330 +وبتستخدم مع الأطفال زي اللي أحنا شايفينها هيا + +268 +00:19:14,330 --> 00:19:20,240 +بتكون فيها انحناء لما تصل لعند شحمة الأذنآخر شئ + +269 +00:19:20,240 --> 00:19:24,280 +معناه ال comfort cable timbers ارشد the same as + +270 +00:19:24,280 --> 00:19:27,600 +riding ball لها نفس الشكل في ال riding ball لكن + +271 +00:19:27,600 --> 00:19:31,240 +الاختلاف الواحد بينها انه في عندك metal + +272 +00:19:31,240 --> 00:19:34,780 +construction with the curl الcurl هي ال .. ال .. + +273 +00:19:34,780 --> 00:19:38,780 +ال .. ال .. ال air bees في قطعة معدنية مرنة بتكون + +274 +00:19:38,780 --> 00:19:44,480 +محتوطة فيها عشان تريح المرض ماتجهوش اسمها flexible + +275 +00:19:44,480 --> 00:19:46,840 +coiled cable + +276 +00:19:49,430 --> 00:19:52,990 +الـ frame ممكن نعملهم coloration تلوين الـ plastic + +277 +00:19:52,990 --> 00:19:56,090 +frames عندك بتتقسم إلى vertically و horizontally + +278 +00:19:56,090 --> 00:20:01,030 +ال vertically darker on the way across the top + +279 +00:20:01,030 --> 00:20:03,870 +including the bridge and is lighter across the + +280 +00:20:03,870 --> 00:20:08,410 +bottom تشوف صورتها، هاي ال vertically، شايفين؟ + +281 +00:20:08,410 --> 00:20:13,450 +عندنا ال top باحتوائها لل bridge اللون، كل ما + +282 +00:20:13,450 --> 00:20:16,530 +اتجهنا لل bottom اللون بتغير، هاي عندنا المثلة + +283 +00:20:16,530 --> 00:20:22,570 +اللي من قبلالـ horizontally darker at the temporal + +284 +00:20:22,570 --> 00:20:25,230 +board chain and lighter towards the central area + +285 +00:20:25,230 --> 00:20:30,930 +هاي ال horizontal هاي منقطة ال temporal هي اكتر + +286 +00:20:30,930 --> 00:20:35,050 +darker كلما اتجهنا لل center اللون صار عندى فاتح + +287 +00:20:35,050 --> 00:20:40,810 +اكترFrance all have the one color وعندي ال clear + +288 +00:20:40,810 --> 00:20:46,110 +bridge في فرنسا هي مشابهه لل horizontal معادة ان + +289 +00:20:46,110 --> 00:20:51,250 +ال bridge مكونش ملون و بقى هذا مشيلنا للنهاية + +290 +00:20:51,250 --> 00:20:53,970 +ماتما تكونوا استمتعتوا thanks for your attention + +291 +00:20:53,970 --> 00:20:58,490 +طبعا thank you so much for your oral presentation + +292 +00:20:58,490 --> 00:21:03,510 +بداية فبنسأل اي طالب يبقى عنده اي سؤال او اي تأثير + +293 +00:21:03,510 --> 00:21:13,400 +صارعن ال Ephraim Derives ده النظارة احنا + +294 +00:21:13,400 --> 00:21:15,740 +بدنا واحدة تطلع تحكيلنا الخصائص اللي موجودة في + +295 +00:21:15,740 --> 00:21:19,820 +النظارة هاي من ال thimble من ال bridge من نوع ال + +296 +00:21:19,820 --> 00:21:21,420 +Ephraim يلا مين يشارك + +297 +00:21:25,890 --> 00:21:30,330 +طبعا بحكينا أنه ال frame بتكون من .. انه .. بتكون + +298 +00:21:30,330 --> 00:21:34,090 +من جزئين مهمين، أول إيش ال front و تاني إيش ال + +299 +00:21:34,090 --> 00:21:38,350 +temple ال front بتكون من كذا مكوين، عندي بتكون من + +300 +00:21:38,350 --> 00:21:44,490 +ال bridge، بتكون من ال eye wheel، بيتكون من ال .. + +301 +00:21:44,490 --> 00:21:51,030 +ال end piece، تمامفيها حاكينا ال shield هي تقريبا + +302 +00:21:51,030 --> 00:21:53,850 +بتحمل ال temple هذا كان قديما اما هالات من ناحية + +303 +00:21:53,850 --> 00:21:58,090 +جمالية بينحط مش في كل النظرات يعني بيكون انه من + +304 +00:21:58,090 --> 00:22:06,470 +ناحية انه بيحمل ال temple عندي كمان عندي + +305 +00:22:06,470 --> 00:22:11,240 +هنا ال temples بتكون من هنا من ال ..ال bend اللى + +306 +00:22:11,240 --> 00:22:16,000 +هى بتتصل مع ال front بتكون من الشنك اللى هى بين ال + +307 +00:22:16,000 --> 00:22:20,640 +.. ال pot و بين ال bend عارفة هان ال pot ال bend + +308 +00:22:20,640 --> 00:22:26,220 +هو أول انحناء ل .. ل .. للأذن أما هان من اللى + +309 +00:22:26,220 --> 00:22:31,360 +بتكون من ال .. ال air piece اللى هى الانحناء اللى + +310 +00:22:31,360 --> 00:22:35,120 +بيجي على الأذن هذا النوع ال frame عندى combination + +311 +00:22:35,120 --> 00:22:39,080 +لإنه بتكون من ال plastic و بتكون من ال metal فهذا + +312 +00:22:39,080 --> 00:22:44,360 +هىكون combinationفي سؤال تانى؟ ال timber شنو؟ ال + +313 +00:22:44,360 --> 00:22:48,300 +plastic تمام و hand combination لإن بتكون من ال + +314 +00:22:48,300 --> 00:22:52,880 +metal و من ال plastic طب ال nose band؟ تمام عندي + +315 +00:22:52,880 --> 00:22:56,220 +hand موجود ال nose band لإن hand عندي metal فبأغلب + +316 +00:22:56,220 --> 00:22:59,300 +حالات النضارات اللى بتكون metal بيكون إلها nose + +317 +00:22:59,300 --> 00:23:04,000 +band عشان إنه يتلاشى أي .. أي حساسية أو أي تأثير + +318 +00:23:04,000 --> 00:23:06,980 +لل patient خاصة ال patient اللى بيكون عنده حساسية + +319 +00:23:06,980 --> 00:23:08,900 +من ال metal تمام خلاص يسلم + +320 +00:23:12,420 --> 00:23:17,260 +أسمع، في أي سؤال تاني؟ طيب، أنا في عندك سؤال ايه ك + +321 +00:23:17,260 --> 00:23:20,460 +general question يعني من خلال الآن الشرح اللي + +322 +00:23:20,460 --> 00:23:25,880 +شرفته طبعا بداية يعني oral presentation كتير رائع + +323 +00:23:25,880 --> 00:23:31,820 +ال figure كتير تهوى و واضح كتير و معتقد للجميع are + +324 +00:23:31,820 --> 00:23:37,300 +you agree with me؟ yes كمان، الآن أنا في لو واحدة + +325 +00:23:37,300 --> 00:23:43,190 +فيكم تشتغل في مركز بصرياتو حددت الآن تمام أطلب + +326 +00:23:43,190 --> 00:23:49,390 +منها أنه تديني إطار لمواصفات معينة إيش الخصائص + +327 +00:23:49,390 --> 00:23:53,410 +كانت الإطار اللي بتلاحظه أنه هي تعتبر ال best + +328 +00:23:53,410 --> 00:23:59,090 +option يعني إيه بالنسبالي أو لأي تقالبة تختاروها + +329 +00:23:59,090 --> 00:24:05,630 +يعني الآن مثلا هي عندنا ماريا تمام؟ الان هي حابة + +330 +00:24:05,630 --> 00:24:10,240 +تاخد إطار لكن فيها تسمع منك خصائص بصريةإيش ال best + +331 +00:24:10,240 --> 00:24:13,860 +option لإيطار تختاريه هي؟ لإيطارات اللي عندكوا؟ + +332 +00:24:13,860 --> 00:24:17,720 +أول إيش ممكن أختاره اللي بريحها يعني، كل إنسان + +333 +00:24:17,720 --> 00:24:21,020 +بيختلف ال nose عن التاني، يعني ممكن أنه هي ال nose + +334 +00:24:21,020 --> 00:24:24,180 +bent ما ترتاحش عليه، ال saddle أو ال modifiers + +335 +00:24:24,180 --> 00:24:26,540 +اللي بترتاح عليه أكتر، أنا أول حاجة هحكوا على .. + +336 +00:24:26,540 --> 00:24:29,140 +ماليان أفضل إيه اللي عادي، اللي أفضل عنكي، اللي + +337 +00:24:29,140 --> 00:24:33,360 +قابلناه تطلعوا في ال best option ل ال majorالأفضل + +338 +00:24:33,360 --> 00:24:37,620 +نضارة هي ممكن تبثارة، من ناحية عالمية، من الناطق + +339 +00:24:37,620 --> 00:24:40,200 +.. ممكن حسب ال patient ال patient حسب الوجه ممكن + +340 +00:24:40,200 --> 00:24:46,010 +تبثارةأو دائرة، حسب ال face ممكن نحدد؟ اه يعني هي + +341 +00:24:46,010 --> 00:24:49,530 +وجهها مدور، بالفعل فيها دائرة مدورة، اه وكمان ممكن + +342 +00:24:49,530 --> 00:24:53,930 +ناس مثلا وجههم اضعيف، او ناس وجههم مليان، ممكن + +343 +00:24:53,930 --> 00:24:57,630 +نفعلهم وجه البعض بالنسبالي دي مش ال best option، + +344 +00:24:57,630 --> 00:25:00,830 +لأ هي وجهها مدور، لأ وكمان ال best option نفسها، + +345 +00:25:00,830 --> 00:25:04,230 +وجهها مربع، بس بال refractive error يعني، اذا + +346 +00:25:04,230 --> 00:25:07,850 +الأول حاجة it depends on the refractive error، حسب + +347 +00:25:07,850 --> 00:25:13,030 +ال IBD كمان، ال IBD و ال optics طيب شغلة تعني احسب + +348 +00:25:13,030 --> 00:25:20,950 +ال face features دماغ الشغل التاعت أيضا؟ Cosmetics + +349 +00:25:21,820 --> 00:25:25,080 +طبعا ال refractive error ال comfortable يعني حسب + +350 +00:25:25,080 --> 00:25:27,580 +ال refractive error اللي عندها ال camera هل ممكن + +351 +00:25:27,580 --> 00:25:32,100 +تبتوها ال plastic ولا .. لا ال plastic اذا كان + +352 +00:25:32,100 --> 00:25:35,980 +عندها حساسية اذا كان عندها حساسية أكتر large من ال + +353 +00:25:35,980 --> 00:25:39,180 +metal ممكن نعطيها plastic او نحطها على ال .. ال + +354 +00:25:39,180 --> 00:25:45,740 +metal اللي هو قطعة plasticية تمامو ممكن انه اذا + +355 +00:25:45,740 --> 00:25:48,520 +كانت هي بتستخدم النضارة كتير يعني فهيكون ال + +356 +00:25:48,520 --> 00:25:51,260 +plastic قريه حلوة طيب من ناحية ال notes pad هل + +357 +00:25:51,260 --> 00:25:54,700 +بتوفر إلها ال notes pad ولا يعني الأفضل اللي بتكون + +358 +00:25:54,700 --> 00:26:02,180 +فيه إلها ال notes pad ولا لأ ليه + +359 +00:26:02,180 --> 00:26:07,500 +طيب؟ انه يعني هيرفع ال issue يعني هي تخيل ناجومة + +360 +00:26:07,500 --> 00:26:12,900 +هم و ارفعها ال modifier قدرعندها النظارة .. نفاح + +361 +00:26:12,900 --> 00:26:16,700 +لقدام يعني كتير هي .. فيها عندها المطبع .. المطبع + +362 +00:26:16,700 --> 00:26:22,180 +هاي فإن ال modified saddle عريض فهي النظارة ال + +363 +00:26:22,180 --> 00:26:25,480 +back best .. عشان ال back best of ال system حيث + +364 +00:26:25,480 --> 00:26:29,520 +كان في عند high refractive error دايما الأفضل + +365 +00:26:29,520 --> 00:26:33,300 +element ال elevation modified اللي هو saddle تمام + +366 +00:26:33,300 --> 00:26:37,840 +ليه؟ لأن لو محطينا ال nose pad هيصير هناك في إيش + +367 +00:26:37,840 --> 00:26:39,600 +ضغط على ال test + +368 +00:27:03,250 --> 00:27:08,210 +طبعا في نهاية المحاضرة بنشكر الطالبات اللي قدموا + +369 +00:27:08,210 --> 00:27:13,110 +ال oral presentationو في المحاضرة القادمة ان شاء + +370 +00:27:13,110 --> 00:27:18,930 +الله هنكون مع مجموعة جديدة في موضوع آخر ان شاء + +371 +00:27:18,930 --> 00:27:19,990 +الله يعطيكم العافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0KckQDQevjQ_postprocess.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0KckQDQevjQ_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..77e24056962bdd7f295e28a06b08d12decac05f1 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0KckQDQevjQ_postprocess.srt @@ -0,0 +1,2448 @@ +1 +00:00:20,820 --> 00:00:25,860 +بسم الله الرحمن الرحيم موضوعنا اليوم عن ال + +2 +00:00:25,860 --> 00:00:30,420 +easotropias بأنواعها المختلفة و اليوم هفكس ان شاء + +3 +00:00:30,420 --> 00:00:33,660 +الله تعالى على ال early onset easotropia يعني ال + +4 +00:00:33,660 --> 00:00:38,460 +easotropia اللي بتيجي فيه وقت مبكر حقيقة لما بنلفظ + +5 +00:00:38,460 --> 00:00:42,260 +كلمة tropia سواء easo او exo او hyper او hypo + +6 +00:00:42,260 --> 00:00:50,160 +بنعني حاجة اساسية انه هذهالحوال ظاهر يعني بحتاجش + +7 +00:00:50,160 --> 00:00:55,960 +لأي test لإنه نعرف إنه هذا عنده يعني حوال واضح، + +8 +00:00:55,960 --> 00:00:59,540 +حوال ظاهر، حوال واضح تمام؟ بحتاجنا testات لتقييمه + +9 +00:00:59,540 --> 00:01:05,360 +ومعرفة كمية الisotropia تعتبر النوع الأكتر شيوعا + +10 +00:01:05,360 --> 00:01:09,700 +في أنواع الحوال واللي بتشكل أكتر من خمسين فلمية من + +11 +00:01:09,700 --> 00:01:16,800 +أنواع الحوال المختلفة لوحدهاطبعاً في نوعين أساسيين + +12 +00:01:16,800 --> 00:01:21,180 +أو تقسيمة بتقسم الـisotropias لنوعين أساسيين اللي + +13 +00:01:21,180 --> 00:01:25,020 +هو committant deviation وincommittant deviation + +14 +00:01:25,020 --> 00:01:29,420 +يعني متجانس وغير متجانس في ال committant deviation + +15 +00:01:29,420 --> 00:01:32,540 +لما بجيز في ال horizontal gaze positions في ال + +16 +00:01:32,540 --> 00:01:34,940 +primary position في ال right gaze في ال left gaze + +17 +00:01:34,940 --> 00:01:38,600 +القياسات التلاتة مابتفرجش عن بعض أكتر من خمسة + +18 +00:01:38,600 --> 00:01:41,500 +Prism ديوب يعني تقريبا the same بينما في + +19 +00:01:41,500 --> 00:01:45,580 +الincommittant deviationبيكون في عندي فرق واضح بين + +20 +00:01:45,580 --> 00:01:48,580 +ال right gaze و ال left gaze و ال primary position + +21 +00:01:48,580 --> 00:01:52,060 +زي في حالات ال six nerve pulse طبعا ال incompetent + +22 +00:01:52,060 --> 00:01:57,040 +deviation بنعني فيه يعني mostly اللي هو إما + +23 +00:01:57,040 --> 00:02:01,920 +paralytic easo deviation أو restrictive easo + +24 +00:02:01,920 --> 00:02:05,140 +deviation paralytic easo deviation زي إيش؟ زي ال + +25 +00:02:05,140 --> 00:02:08,580 +six nerve pulse هيعمللي إيزوتروبيا من النوع اللي + +26 +00:02:08,580 --> 00:02:13,320 +هو بيسموه incompetent أو paralytic يعني إيزوتروبيا + +27 +00:02:13,510 --> 00:02:18,250 +ال restrictive زي ال media wall fracture و يعني ال + +28 +00:02:18,250 --> 00:02:21,250 +media rectus بيصير لها entrapment في ال media wall + +29 +00:02:21,250 --> 00:02:25,410 +بتاع ال orbit و بيصير عندي ايزو اتروبيا هدولة مش + +30 +00:02:25,410 --> 00:02:29,230 +هنتكلم عنهم هنتكلم عن ال early onset ايزو اتروبيا + +31 +00:02:31,080 --> 00:02:35,260 +جابل ما نتكلم عن early onset إيزوتروبيا التقسيمة + +32 +00:02:35,260 --> 00:02:40,120 +تاعة الإيزوتروبيا بأنواعها يعني مختلف عليها مش + +33 +00:02:40,120 --> 00:02:44,220 +متفق عليها جدا يعني على سبيل المثال ال microtropia + +34 +00:02:44,220 --> 00:02:48,360 +syndrome أو ال microtropia بحد ذاتها هي يعني ممكن + +35 +00:02:48,360 --> 00:02:52,780 +تدرج تحت تقسيمة الإيزوتروبيا وممكن تدرج تحت + +36 +00:02:52,780 --> 00:02:56,750 +تقسيمات تانية زي الإيزوتروبيا فبالتاليطالما أنه + +37 +00:02:56,750 --> 00:03:00,430 +ممكن تيجي في الجهتين، معناته مافيش تقسيمة متفق + +38 +00:03:00,430 --> 00:03:06,190 +عليها وموحدة في العالم كله لإيزوكروبيا الأهم من + +39 +00:03:06,190 --> 00:03:10,870 +أني أركز وأني أصر على أني أعرف التقسيمة، الأهم من + +40 +00:03:10,870 --> 00:03:15,650 +ذلك أني أعرف إيش وضع ال binocular function عند هذا + +41 +00:03:15,650 --> 00:03:18,760 +المريض أو هذا الطفلإيش وضع ال refractive error + +42 +00:03:18,760 --> 00:03:22,540 +وإذا كان بإمكاني أصلح ال refractive error و أستعيد + +43 +00:03:22,540 --> 00:03:25,800 +ال binocular single vision بطريقة أو بأخرى بيكون + +44 +00:03:25,800 --> 00:03:29,680 +أهم من أني أشغل نفسي كثيرا في موضوع يا ترى هذا مع + +45 +00:03:29,680 --> 00:03:35,100 +ال exotropia أحط ولا مع ال esotropia نيجي نحكي عن + +46 +00:03:35,100 --> 00:03:37,880 +موضوعنا الرئيسي اللي هو early onset esotropia + +47 +00:03:37,880 --> 00:03:42,940 +حقيقة early onset esotropia فيها علامات كتيرة وسهل + +48 +00:03:43,340 --> 00:03:49,240 +سهل بالغالب أن الإنسان يعني يتعرف عليها كتشخيص بس + +49 +00:03:49,240 --> 00:03:53,700 +قبل ما نحكي عنها بدنا نقول لغاية عمر أربع شهور من + +50 +00:03:53,700 --> 00:03:58,120 +.. من سن الطفل أو من ميلاد الطفل إذا كان في عندي + +51 +00:03:58,120 --> 00:04:02,280 +infrequent episodes of convergence هذي تعتبر .. + +52 +00:04:02,280 --> 00:04:06,540 +يعني ممكن أعتبرها نورة بنركز على كلمة infrequent + +53 +00:04:06,540 --> 00:04:10,860 +يعني أحيانا الأهل بيلاحظوا أن الهلينة بتدخل لجوةو + +54 +00:04:10,860 --> 00:04:13,660 +أحيانا بلحظوها طبيعي، يعني قبل سن الأربع شهور مش + +55 +00:04:13,660 --> 00:04:17,380 +لازم انا أخاف لأن ال brain بيكونش لحق يعمل good + +56 +00:04:17,380 --> 00:04:23,200 +control على ال eye movement بعد الأربع شهور هذه ال + +57 +00:04:23,200 --> 00:04:30,440 +infrequent episodes أو نوباتقليلة من دخولي لعيني + +58 +00:04:30,440 --> 00:04:34,020 +لجوة لازم أخدها على أساس أنه في مشكلة عندي و لابد + +59 +00:04:34,020 --> 00:04:37,680 +من التعرف عليها طب لو قلنا السن أقل من أربع شهور + +60 +00:04:37,680 --> 00:04:41,220 +بس عندي constant easo deviation و large angle هذا + +61 +00:04:41,220 --> 00:04:45,760 +يعتبر حوالي يعتبر حوالي طبعا ال early onset + +62 +00:04:45,760 --> 00:04:49,440 +esotropia لها أسماء أخرى ممكن بعض الناس تسميها + +63 +00:04:49,440 --> 00:04:54,000 +congenital esotropia بعض الناس تسموها essential + +64 +00:04:54,000 --> 00:04:58,860 +esotropia أو infantile esotropiaطبعا لو سألنا + +65 +00:04:58,860 --> 00:05:02,400 +الأهل من أمتى بدأ الطفل يلاحظوا عليه أنه يعنيه + +66 +00:05:02,400 --> 00:05:07,480 +بيدخلوا لجوا تمام كتير منهم بيحكوا أنهم عند + +67 +00:05:07,480 --> 00:05:11,180 +الميلاد بس لما ندقيق في الأسئلة بنلاقي أنه كتير + +68 +00:05:11,180 --> 00:05:14,540 +منهم مش متذكرين إذا طفلهم فعلا كان فيه عنده حوال + +69 +00:05:14,540 --> 00:05:19,240 +عند الميلاد ولا لا أما المتفق عليه أنه هذا النوع + +70 +00:05:19,240 --> 00:05:22,800 +من الحوال لغاية ست شهور من العمر بيكون ظهر بيكون + +71 +00:05:22,800 --> 00:05:28,470 +ظهر على شهرين تلاتة بس مش ..مؤكد إنه بينشأ تماما + +72 +00:05:28,470 --> 00:05:32,490 +عند .. يعني من أول لحظة بيولد فيها الطفل وعشان هيك + +73 +00:05:32,490 --> 00:05:37,150 +كتير من العلماء بفضلوا استخدام infantile esotropia + +74 +00:05:37,150 --> 00:05:41,850 +عساس إنها في عمر ال infantsي في عمر الرضيع بتصير + +75 +00:05:41,850 --> 00:05:46,290 +مش مباشرة عند الولادة أو المصطلح العام اللي إحنا + +76 +00:05:46,290 --> 00:05:49,730 +هنستعمله early onset esotropia يعني اللي بتنشأ + +77 +00:05:49,730 --> 00:05:50,370 +مبكرة + +78 +00:05:54,200 --> 00:05:59,920 +هذا الطفل فيه علامات كثيرة بتحدد التشفيز within + +79 +00:05:59,920 --> 00:06:07,860 +the first six months of age يعني هذه البداية تاني + +80 +00:06:07,860 --> 00:06:13,000 +حاجة طالما أنها مش accommodative إيزوتروبيا و اللي + +81 +00:06:13,000 --> 00:06:16,880 +هي موضوعنا الأكبر و اللي حياتله معناته مافيش + +82 +00:06:16,880 --> 00:06:19,900 +refractive error أو refractive error طبيعي لسن هذا + +83 +00:06:19,900 --> 00:06:25,310 +الطفل no significant أي تاني علامةno significant + +84 +00:06:25,310 --> 00:06:31,890 +refractive error طب كيف اعرف انه no significant + +85 +00:06:31,890 --> 00:06:35,630 +refractive error لما اعمل Cycloblegia للطفل و اعمل + +86 +00:06:35,630 --> 00:06:40,390 +ريتينوسكوبي و اشوف انه في حدود ال plus واحد ل plus + +87 +00:06:40,390 --> 00:06:43,850 +اتنين لهذا الأمر طبعا ست شهور الأولى من عمره يعتبر + +88 +00:06:43,850 --> 00:06:47,810 +طبيعي مافيش significant refractive error no + +89 +00:06:47,810 --> 00:06:53,140 +limitation of ocular movementno limitation هذه + +90 +00:06:53,140 --> 00:06:56,800 +تالت علامة يعني ال abduction كويس ال abduction + +91 +00:06:56,800 --> 00:07:02,980 +كويس عشان مااشكش مثلا انه six nerve pulsing او + +92 +00:07:02,980 --> 00:07:08,620 +fibrosis او شيء معين يعني ال ocular movements okay + +93 +00:07:08,620 --> 00:07:12,060 +هذه علامات تعتبر من علامات ال early onset + +94 +00:07:12,060 --> 00:07:17,900 +esotropiaتضاف إلى العلامات اللي بتخليني أصل بكل + +95 +00:07:17,900 --> 00:07:22,580 +تأكيد للتشخيص من ضمن العلامات ال angle large وعشان + +96 +00:07:22,580 --> 00:07:27,640 +هيك ما بيتخربطش فيها الإنسان angle of squint is + +97 +00:07:27,640 --> 00:07:34,200 +large يعني إيزو تروبيا عندنا أكتر من أو تساوي + +98 +00:07:34,200 --> 00:07:40,090 +تلاتين prism ديوبداممكن توصل 60 و 70 و 90 برزم ده + +99 +00:07:40,090 --> 00:07:43,930 +يفضل يكون عندي severe esotropia طيب في ال primary + +100 +00:07:43,930 --> 00:07:47,970 +position في عندي alternating fixation يعني مرة + +101 +00:07:47,970 --> 00:07:51,790 +بيركز بعينه الشمال و اليمين بتدخل و مرة بيركز + +102 +00:07:51,790 --> 00:07:56,970 +بعينه اليمين و الشمال بتدخل إذا ال primary + +103 +00:07:56,970 --> 00:08:02,490 +position في ال primary position alternating + +104 +00:08:02,490 --> 00:08:03,510 +fixation + +105 +00:08:11,420 --> 00:08:15,320 +طيب في ال side gaze الإنسان اللي ما بحتاج في حياته + +106 +00:08:15,320 --> 00:08:19,940 +بالظبط أنه يتطلع على اليمين مرة ع الشمال مرة في + +107 +00:08:19,940 --> 00:08:23,660 +عندي cross fixation في ال side gaze إيش يعني cross + +108 +00:08:23,660 --> 00:08:28,840 +fixation بدنا نفهمها يعني في ال early onset + +109 +00:08:28,840 --> 00:08:33,860 +esotropia بيستخدم عينه لشمال عشان رؤية ال right + +110 +00:08:33,860 --> 00:08:40,100 +field و بيستخدم عينه اليمين عشان رؤية إيشالـ left + +111 +00:08:40,100 --> 00:08:44,380 +field بمعنى كل عين وين موجهة بتشوف المنطقة اللي هي + +112 +00:08:44,380 --> 00:08:48,600 +موجهة عليها طالما هو بيستخدم عينه اليمين عشان يشوف + +113 +00:08:48,600 --> 00:08:51,620 +ال left field معناته هذه العين مش محتاجة تعمل + +114 +00:08:51,620 --> 00:08:56,160 +abduction تمام؟ وعشان بيستخدم عينه الشمال لرؤية ال + +115 +00:08:56,160 --> 00:08:58,740 +right field معناته ال right eye مش محتاجة تعمل + +116 +00:08:58,740 --> 00:09:02,220 +abduction عند النظر لليمين يعني بيستخدم عين واحدة + +117 +00:09:03,070 --> 00:09:06,970 +في كل lateral field في كل lateral field هذا ممكن + +118 +00:09:06,970 --> 00:09:10,970 +يخربط الإنسان اللي بيفحص ويقول ربما يكون عنده + +119 +00:09:10,970 --> 00:09:15,430 +bilateral sex nerve pulsingليش؟ هيظن الإنسان اللي + +120 +00:09:15,430 --> 00:09:18,610 +بيفحص أنه هذا مافيش abduction عنده، هو في + +121 +00:09:18,610 --> 00:09:21,830 +abduction عنده بس هو مش محتاج لل abduction لأنه في + +122 +00:09:21,830 --> 00:09:26,490 +عنده قائمة بما يلزم للرؤية، قائمة بما يلزم للرؤية، + +123 +00:09:26,490 --> 00:09:30,590 +ساعتها احنا لازم نتأكد هل في abduction ولا مافيش + +124 +00:09:30,590 --> 00:09:32,990 +abduction، لأنه إذا مافيش فعلا abduction، معناته + +125 +00:09:32,990 --> 00:09:35,630 +ال diagnosis بتاع ال early onset of isotropy انهار + +126 +00:09:35,630 --> 00:09:40,470 +تماماأحنا قلنا من ضمن الشروط no limitation of + +127 +00:09:40,470 --> 00:09:43,070 +ocular movement لازم أتأكد أنه كل ال ocular + +128 +00:09:43,070 --> 00:09:46,570 +movements في ال eccentric gaze positions طبيعية + +129 +00:09:46,570 --> 00:09:53,350 +طيب كيف أتأكد أنه بيقدر يعمل abductionهذه احدى + +130 +00:09:53,350 --> 00:09:56,690 +الوسائل الممتازين اذا هات طبعا الوسيلة الأخيرة + +131 +00:09:56,690 --> 00:09:59,750 +اللى بقى الجالة فى حاجة اسمها dolls head maneuver + +132 +00:09:59,750 --> 00:10:03,090 +يعني بقى امسك الطفل من راسه و بلف راسه على ناحية + +133 +00:10:03,090 --> 00:10:06,430 +عينيه هيروح عن ناحية التانية فهلاحظ ال abduction + +134 +00:10:06,430 --> 00:10:10,230 +بعدين بلف راسه عن ناحية التانية فعينيه بيروح عكس + +135 +00:10:10,230 --> 00:10:13,210 +ذلك فبالتالي بقى لاحظ ال abduction في العين + +136 +00:10:13,210 --> 00:10:17,710 +التانية اذا اذا عشان اعرف ال abduction بيصير ولا + +137 +00:10:17,710 --> 00:10:23,110 +لأ فى عندي تلت وسائلأول وسيلة doll's head maneuver + +138 +00:10:23,110 --> 00:10:29,930 +تاني + +139 +00:10:29,930 --> 00:10:34,970 +وسيلة rotating the child يعني + +140 +00:10:34,970 --> 00:10:41,050 +بامسك الطفل و بلف فيه على أساس يصير عنده نستجمس + +141 +00:10:41,050 --> 00:10:46,810 +rotation نستجمس وبالتالي بلاحظأحدى العين تانية + +142 +00:10:46,810 --> 00:10:50,330 +هتروح في وضع ال upduction بقى ألف العكس العين + +143 +00:10:50,330 --> 00:10:53,190 +التانية هتروح في وضع ال upduction طب مانفعش ساعتها + +144 +00:10:53,190 --> 00:10:59,570 +بعمل covering of one eye covering of one eye لفترة + +145 +00:10:59,570 --> 00:11:04,050 +ممكن دقايق أو ممكن توصل لروبع ساعة أو نص ساعة + +146 +00:11:04,050 --> 00:11:09,050 +covering of one eye هاكتشف أنه كل عين بتقدر تعمل + +147 +00:11:09,050 --> 00:11:18,330 +upduction و بتأكد من أنهالقضية يعني مش قضية انه + +148 +00:11:18,330 --> 00:11:21,470 +مافيش abduction انه هذا just a cross fixation تمام + +149 +00:11:21,470 --> 00:11:27,570 +just a cross fixation من + +150 +00:11:27,570 --> 00:11:31,750 +ضمن العلامات احنا وصلنا كام علامة ست علامات لحتى + +151 +00:11:31,750 --> 00:11:35,990 +الآن من + +152 +00:11:35,990 --> 00:11:39,270 +ضمن العلامات ايضا is rotating the child هنا حكينا + +153 +00:11:40,510 --> 00:11:43,410 +هنا covering one eye وبعدين بعمل covering للتاني + +154 +00:11:43,410 --> 00:11:47,530 +عشان أشوف ال abduction في العين اللي بتظل مفتوح من + +155 +00:11:47,530 --> 00:11:54,210 +ضمن العلامات أيضا الأطفال هدولة أو جزء منهم بيكون + +156 +00:11:54,210 --> 00:11:59,010 +عنده nystagmus عنده nystagmus اللي هو رقم سبعة + +157 +00:11:59,010 --> 00:12:02,370 +nystagmus مش الكل حقيقة بس كتير منهم بيكون عندهم + +158 +00:12:02,370 --> 00:12:08,710 +nystagmus ال nystagmus هذا إله عدة ميزات تمام وإله + +159 +00:12:08,710 --> 00:12:18,350 +نوعين إما latentأو Manifest Platent إيش + +160 +00:12:18,350 --> 00:12:22,330 +هو ال Stagmas؟ خلّينا نعرف إيش هو ال Stagmas رقرقة + +161 +00:12:22,330 --> 00:12:27,570 +العين، تمام؟ رقرقة العين باختصار شديد عشان اللي + +162 +00:12:27,570 --> 00:12:34,010 +بيحقلها العين لما بتكون تتطلع على target الرقرقة + +163 +00:12:34,010 --> 00:12:37,370 +بتتم بحركة بيسموها Defoviating Movement + +164 +00:12:41,850 --> 00:12:47,930 +ثم حركة تصحيحية بيسموها refoviating .. refoviating + +165 +00:12:47,930 --> 00:12:51,790 +movement إيش يعني defoviating movement؟ يعني العين + +166 +00:12:51,790 --> 00:12:57,570 +لما بتطلع target معين مثلافي سبب معين بيحرفها عن + +167 +00:12:57,570 --> 00:13:00,910 +هذا ال target فبدل ما صورة ال target تسقط على + +168 +00:13:00,910 --> 00:13:05,230 +الفوفيا بتصير تسقط على extra foveal area الدماغ + +169 +00:13:05,230 --> 00:13:10,350 +بنتبه بيرجع الصورة على الفوفيا فإذا defoviating + +170 +00:13:10,350 --> 00:13:14,510 +movement بعدين refoviating movement هذا نستجمس + +171 +00:13:14,510 --> 00:13:19,270 +بصورة بسيطة جدا إذا تساوت سرعة ال defoviating + +172 +00:13:19,270 --> 00:13:23,140 +movement مع ال refoviating movementيعني الروحة و + +173 +00:13:23,140 --> 00:13:27,660 +الرجعة تساوت في السرعة بتسمى pendular nystagmus + +174 +00:13:27,660 --> 00:13:33,700 +عارفين + +175 +00:13:33,700 --> 00:13:39,120 +البندول البسيط؟ اش هو؟ تعسيع مش حركاته متساوية + +176 +00:13:39,120 --> 00:13:43,340 +السرعة يمين و شمال تمام و بيضلوا يهتز بسرعة + +177 +00:13:43,340 --> 00:13:49,470 +متساويةإذا ال nostagmus في العنتين إذا كان سرعة + +178 +00:13:49,470 --> 00:13:54,030 +الذهاب نفس سرعة الإياب أو ال defoviation دي يعني + +179 +00:13:54,030 --> 00:13:58,230 +إزاحة الصورة نفيها عن الفوفيا تمام؟ و Ray يعني + +180 +00:13:58,230 --> 00:14:02,430 +ارجعها للفوفيا تمام؟ إذا تساوت في السرعات بتسمى + +181 +00:14:02,430 --> 00:14:08,560 +pendular nostagmus إذا ما تساوت بالسرعاتيعني كانت + +182 +00:14:08,560 --> 00:14:12,360 +ال defoviation بطيقة طبعا عادة و ال refoviation + +183 +00:14:12,360 --> 00:14:16,060 +سريعة يعني هي ال defoviation هاي العين .. هاي + +184 +00:14:16,060 --> 00:14:20,380 +العين يا بنات ال defoviation بطيقة بعدين الدماغ + +185 +00:14:20,380 --> 00:14:24,340 +بنت به بيرجحها بسرعة بعدين بطيقة بعدين بيرجحها + +186 +00:14:24,340 --> 00:14:29,100 +بسرعة تمام؟ إذا كانت السرعات مختلفة بتسمى jerk + +187 +00:14:29,100 --> 00:14:31,160 +nystagmus jerk nystagmus + +188 +00:14:38,040 --> 00:14:47,980 +طيب الجيركنستاجمس لابد من أني أعطيله اسم يطلق + +189 +00:14:47,980 --> 00:14:55,180 +على الجيركنستاجمس اسم هو عبارة عن اتجاه الحركة + +190 +00:14:55,180 --> 00:15:02,360 +السريعة بمعنى .. انتبهوا معايا هيك شوية هاي + +191 +00:15:02,360 --> 00:15:08,770 +العينين في الوضع الأساسي صار slow drift للشمالslow + +192 +00:15:08,770 --> 00:15:12,830 +بعدين صار corrective fast movement لليمين لل + +193 +00:15:12,830 --> 00:15:19,450 +primary position fast هذا إيش بتسمى right beating + +194 +00:15:19,450 --> 00:15:25,050 +nystagmus right beating nystagmus right beating + +195 +00:15:25,050 --> 00:15:30,330 +nystagmus طيب + +196 +00:15:30,330 --> 00:15:36,550 +لو قلنا صار slow drift upward + +197 +00:15:39,430 --> 00:15:42,550 +بعدين صار fast corrective movement down to the + +198 +00:15:42,550 --> 00:15:46,450 +primary position بيسموه down beating stagmas down + +199 +00:15:46,450 --> 00:15:50,250 +beating stagmas مش معناته ان الان تنزل فيه لتحت لأ + +200 +00:15:50,250 --> 00:15:53,050 +هي بتطلع slowly لفوق وبعدين بترجع بسرعة ل ال + +201 +00:15:53,050 --> 00:15:56,830 +primary position رجوعها بسرعة اعطى الاسم ان هذا + +202 +00:15:56,830 --> 00:16:01,110 +رجعت باتجاه ال down تمام؟ وفي عندي up beating + +203 +00:16:01,110 --> 00:16:04,250 +stagmas وفي عندي right beating stagmas وفي عندي + +204 +00:16:04,250 --> 00:16:09,210 +left beating stagmas باختصارال jerkness stagmas ال + +205 +00:16:09,210 --> 00:16:11,670 +pendular من اسمه معروف، pendular يعني متساوي + +206 +00:16:11,670 --> 00:16:14,870 +السرعات في جميع الاتجاهات، بياخدش اسم، إلا اسمه + +207 +00:16:14,870 --> 00:16:18,990 +العامل، بس jerk .. إذا قلت jerkness stagmas معناته + +208 +00:16:18,990 --> 00:16:24,010 +إيش؟ لابد من أن أحدد اتجاهه وين؟ بدي أحدد اتجاهه + +209 +00:16:24,010 --> 00:16:29,410 +.. اتجاهه هو نفس اتجاه الحركة السريعةال نستاجمس + +210 +00:16:29,410 --> 00:16:33,650 +اللى عند ال early onset esotropia من نوع ال jerk + +211 +00:16:33,650 --> 00:16:39,050 +نستاجمس ايش معناه من نوع ال jerk نستاجمس؟ يعني + +212 +00:16:39,050 --> 00:16:42,550 +بالظبط يعني في slow defoviating movement و fast + +213 +00:16:42,550 --> 00:16:46,930 +refoviating movement او بدل ما نقول slow و fast + +214 +00:16:46,930 --> 00:16:51,730 +بنقول defoviating pursuit movement و refoviating + +215 +00:16:54,680 --> 00:17:00,140 +طيب الآن .. الآن يا ترى طالما احنا قلنا ال نستاجمس + +216 +00:17:00,140 --> 00:17:05,260 +المصاحب لل early onset esotropia جيرك معناته لازم + +217 +00:17:05,260 --> 00:17:12,020 +احدد اتجاهه ال نستاجمس هذا جيرك ويله خاصية يعني + +218 +00:17:12,020 --> 00:17:16,540 +مميزة جدا جدا اليه ايش هي الخاصية تاعة الجيرك + +219 +00:17:16,540 --> 00:17:22,970 +نستاجمس المصاحب لال early onset esotropia جابل ما + +220 +00:17:22,970 --> 00:17:26,590 +نقول عن هذه الخاصية بدنا نحكي نقطة واحدة لو إنسان + +221 +00:17:26,590 --> 00:17:29,510 +ماعندوش early onset esotropia وقولنا عنده right + +222 +00:17:29,510 --> 00:17:32,510 +beating nystagmus فهو طول حياته right beating + +223 +00:17:32,510 --> 00:17:35,590 +nystagmus up beating nystagmus معناته الاتجاه + +224 +00:17:35,590 --> 00:17:39,130 +متغيرش عن ال nystagmus إلا في حالة ال early onset + +225 +00:17:39,130 --> 00:17:44,500 +esotropiaفي حالة الـ early onset esotropia ال + +226 +00:17:44,500 --> 00:17:48,260 +نستجمس له الخصائص التالية أول حاجة انه latent ايش + +227 +00:17:48,260 --> 00:17:52,300 +يعني latent؟ خفي بمعنى هو مفتح عينيه تنتين مافيش + +228 +00:17:52,300 --> 00:17:57,500 +نستجمس بنغطي عينبنشأ ال latent nystagmus اللي هو + +229 +00:17:57,500 --> 00:18:00,780 +عبارة عن jerk nystagmus اتجاهه في اتجاه العين + +230 +00:18:00,780 --> 00:18:04,400 +المفتوحة يعني لما بنغطي للطفل اللي عنده early + +231 +00:18:04,400 --> 00:18:07,780 +onset esotropia بنغطيله عينه اليمين بيصير عنده + +232 +00:18:07,780 --> 00:18:11,420 +jerk nystagmus في عينه الشمال واتجاهه وين بيسموه + +233 +00:18:11,420 --> 00:18:14,980 +left beating nystagmus تمام؟ غطينا العين اليمين + +234 +00:18:14,980 --> 00:18:18,160 +اتحول من left beating ل right beating ل right + +235 +00:18:18,160 --> 00:18:23,460 +beating فإذا هو latent وبيغير اتجاهه حسب اتجاه + +236 +00:18:23,460 --> 00:18:27,920 +العينالـ open eye يعني اتجاهه يساوي اتجاه الـ open + +237 +00:18:27,920 --> 00:18:30,940 +eye معناته مرة بيكون right beating و مرة بيكون + +238 +00:18:30,940 --> 00:18:35,740 +left beating طيب ايضا من خصائص بعض المرضى اللي + +239 +00:18:35,740 --> 00:18:38,200 +عندهم early onset esotropia ممكن يكون عندهم + +240 +00:18:38,200 --> 00:18:44,240 +manifest latent stigma هو نفس ال latent stigmaليش + +241 +00:18:44,240 --> 00:18:48,160 +سمينا manifest latent هو بيظهر بدون ما نغطي أي عين + +242 +00:18:48,160 --> 00:18:51,440 +من العينتين بس لما بنغطي عين من العينتين بتزيد + +243 +00:18:51,440 --> 00:18:56,100 +شدته بتزيد شدته يعني هو موجود بصورة خفيفة غطينا + +244 +00:18:56,100 --> 00:19:00,060 +عين من العينتين زاد بكتير فبالتالي بنسميه manifest + +245 +00:19:00,060 --> 00:19:03,080 +latent يعني في جزء منه manifest وجزء منه ايش + +246 +00:19:03,080 --> 00:19:08,950 +latent أما ال latent بيكون هو مفتح عينيت انتينوضعه + +247 +00:19:08,950 --> 00:19:12,350 +كويس مش مبين أي نستجمس عنده، إذا سبع علامة + +248 +00:19:12,350 --> 00:19:17,310 +manifest, latent, نستجمس أو نستجمس بصورة عامة + +249 +00:19:17,310 --> 00:19:22,750 +واللي قلنا عنه إيش جيرك نستجمس لغاية الآن سبع + +250 +00:19:22,750 --> 00:19:29,350 +علامات، بدنا نكمل بعد هيك قلنا + +251 +00:19:29,350 --> 00:19:33,600 +refractive errorحنخلها من ضمن العلمة التانية طبعا + +252 +00:19:33,600 --> 00:19:36,380 +في حدود ل plus واحد ل plus اتنين و هذه مش + +253 +00:19:36,380 --> 00:19:42,040 +significant لأنها تعتبر مناسبة لسن الطفل تمام + +254 +00:19:42,040 --> 00:19:46,620 +مناسبة لسن الطفل ايضا في نوع تاني من ال nystagmus + +255 +00:19:46,620 --> 00:19:52,800 +بدنا نحكي عنه بتفصيل شوية اللي هو asymmetry of + +256 +00:19:52,800 --> 00:19:56,540 +optokinetic nystagmus of optokinetic nystagmus + +257 +00:19:56,540 --> 00:20:02,680 +عارفين ال optokinetic drumالـ optokinetic drum لو + +258 +00:20:02,680 --> 00:20:07,120 +أنا مشيتها أو لفيتها أمام عين واحد عينيها هتتبع ال + +259 +00:20:07,120 --> 00:20:09,820 +target اللي عليها أو الخطوط اللي عليها ال stripes + +260 +00:20:09,820 --> 00:20:15,180 +اللي عليها باتجاه الحركة هتعمل pursuit بعدين ترجع + +261 +00:20:15,180 --> 00:20:18,420 +تستجبل الخط اللي بعده أو ال target اللي بعده يعني + +262 +00:20:18,420 --> 00:20:22,200 +هتعمل pursuit باتجاه معين بعدين تعمل سكيت بالاتجاه + +263 +00:20:22,200 --> 00:20:28,060 +اللي هيش غيره وجدوا عند الأطفال الطبيعي لنحكي عن + +264 +00:20:28,060 --> 00:20:36,770 +الطفل الطبيعيالطفل الطبيعي لو سكرنا عين من عينية + +265 +00:20:36,770 --> 00:20:44,050 +تنتين واختبرنا ال monocular monocular optokinetic + +266 +00:20:44,050 --> 00:20:50,050 +nystagmus هذا + +267 +00:20:50,050 --> 00:20:55,270 +الطفل عمره أقل من ست شهور أقل من ست شهور وطبيعي + +268 +00:20:55,270 --> 00:20:56,190 +طفل طبيعي + +269 +00:20:58,770 --> 00:21:03,050 +خلّينا الـ optokinetic drum تلف بالاتجاه هذا من ال + +270 +00:21:03,050 --> 00:21:06,430 +nasal من اتجاه ال nasal للعين هذه باتجاه ال + +271 +00:21:06,430 --> 00:21:10,590 +temporal بعدين هنلاحظ أنه صار عنده optokinetic + +272 +00:21:10,590 --> 00:21:14,050 +stagnance بعدين عكسنا اللففان يعني صارت من ال + +273 +00:21:14,050 --> 00:21:18,650 +temporal لل nasal بنلاقي أي طفل طبيعي تحت سن ست + +274 +00:21:18,650 --> 00:21:25,230 +شهورال response بتاعه لما نلفله ل drum هذه من ال + +275 +00:21:25,230 --> 00:21:29,530 +nasal side ل ال temporal side يعني بالاتجاه .. + +276 +00:21:29,530 --> 00:21:34,320 +بالاتجاه هذا تمام أمام عينه تمامless well + +277 +00:21:34,320 --> 00:21:38,760 +developed than لما نلفله يهب لاتجاه العكسي يعني ال + +278 +00:21:38,760 --> 00:21:41,780 +response بتاعه بيكون أضعف لما نلفله من ال nasal لل + +279 +00:21:41,780 --> 00:21:45,780 +temporal و بيكون أقوى لما نلفله من ال temporal لل + +280 +00:21:45,780 --> 00:21:49,180 +nasal لغاية ست شهور من العمر هذا موجود عند الأطفال + +281 +00:21:49,180 --> 00:21:53,100 +الطبيعيين و بيطلق عليه asymmetry of optokinetic + +282 +00:21:53,100 --> 00:21:57,820 +nystagmus يعني ال monocular nystagmus لما ألفالـ + +283 +00:21:57,820 --> 00:22:00,600 +optokinetic drum هيك من الـ nasal للـ temporal + +284 +00:22:00,600 --> 00:22:03,760 +بيعطيني response بس هذا ال response أضعف من ما ألف + +285 +00:22:03,760 --> 00:22:09,360 +في العكس تمام؟ بعد سن ست شهور بيصير سميتركا إلا + +286 +00:22:09,360 --> 00:22:12,160 +عند ال early onset of esotropia هذا بيظل على طول + +287 +00:22:12,160 --> 00:22:16,100 +بيظل على طول asymmetry of optokinetic nystagmus + +288 +00:22:16,100 --> 00:22:20,200 +عشان نفهم الكلمة هاي من وين إجت طبعا احنا باختصار + +289 +00:22:20,200 --> 00:22:22,900 +لما بيقول asymmetry of optokinetic nystagmus بيبقى + +290 +00:22:22,900 --> 00:22:27,820 +نفهم هذا الكلام اللي حكيناهأيضا من ضمن العلامات + +291 +00:22:27,820 --> 00:22:30,940 +المميزة و اللي ممكن تكون أو ما تكونش ساعة ما ييجي + +292 +00:22:30,940 --> 00:22:36,800 +الطفل عندي للفحص وصلنا أي رقم يا بنات تمانية و لا + +293 +00:22:36,800 --> 00:22:40,440 +تسعة تسعة تمانية تمانية تسعة تمانية تسعة تمانية + +294 +00:22:40,440 --> 00:22:40,600 +تسعة تمانية تسعة تمانية تمانية تمانية تمانية + +295 +00:22:40,600 --> 00:22:42,020 +تمانية تمانية تمانية تمانية تمانية تمانية تمانية + +296 +00:22:42,020 --> 00:22:47,160 +تمانية تمانية تمانية تمانية تمانية تمانية تمانية + +297 +00:22:47,160 --> 00:22:48,140 +تمانية تمانية تمانية تمانية تمانية تمانية تمانية + +298 +00:22:48,140 --> 00:22:48,440 +تمانية تمانية تمانية تمانية تمانية تمانية تمانية + +299 +00:22:48,440 --> 00:22:50,940 +تمانية تمانية تمانية تمانية تمانهذا بيظهر عند + +300 +00:22:50,940 --> 00:22:55,340 +اختبار الـ optokinetic drum تمام أما هذا موجود مع + +301 +00:22:55,340 --> 00:22:58,860 +كتير من المرضى اللي عندهم early onset esotropia + +302 +00:22:58,860 --> 00:23:04,560 +الآن بنيجي لتسعة اللي هي بعض المرضى أو كتير من + +303 +00:23:04,560 --> 00:23:09,100 +المرضى ممكن خمسين في المية أو أكتر بيكون عندهم IOO + +304 +00:23:09,100 --> 00:23:13,200 +inferior oblique over action ال inferior oblique + +305 +00:23:13,200 --> 00:23:20,940 +في أي وضع بنختبرهاin and up هذا المريض او هذا + +306 +00:23:20,940 --> 00:23:23,840 +الطفل لما يكون عنده مثلا right inferior oblique + +307 +00:23:23,840 --> 00:23:27,320 +over action لما بنقوله يتطلع على ال left بنلاقي + +308 +00:23:27,320 --> 00:23:32,140 +المنظر هذا هذا بتسمى inferior oblique over action + +309 +00:23:32,140 --> 00:23:35,520 +يعني بدل ما العين تاني يروحوا بالتساوي وبالتزان + +310 +00:23:35,520 --> 00:23:41,500 +وعلى نفس ال level to the left side طالما اجت العين + +311 +00:23:41,500 --> 00:23:45,330 +في وضع ال adductionاللي هو وضع عمل الأبليكات + +312 +00:23:45,330 --> 00:23:48,910 +بنلاقي العين شردة لفوق لأنه في عنده inferior + +313 +00:23:48,910 --> 00:23:53,530 +oblique over action هذه right وهنا ممكن تكون + +314 +00:23:53,530 --> 00:23:59,590 +unilateral أو bilateral هنا left inferior oblique + +315 +00:23:59,590 --> 00:24:03,870 +over action أيضا من ضمن العلامات اللي هي العلامة + +316 +00:24:03,870 --> 00:24:05,650 +العاشرة DVD + +317 +00:24:13,030 --> 00:24:18,370 +Dissociated Vertical Deviation لغاية بلوغ هدول + +318 +00:24:18,370 --> 00:24:23,110 +الأطفال سن التلت سنوات اكتير منهم اكتير منهم بيصير + +319 +00:24:23,110 --> 00:24:27,270 +معاه DVD و خاصة اذا كان من علاماته الأولية و هو + +320 +00:24:27,270 --> 00:24:30,710 +عمره صغير كان من عنده من ضمن العلامات موجود ان + +321 +00:24:30,710 --> 00:24:34,530 +استجمست هذا بتوقع جدا بعد هيك انه يصير عنده DVD + +322 +00:24:35,340 --> 00:24:39,520 +بتوقع جدا يصير عنده DVD dissociated vertical + +323 +00:24:39,520 --> 00:24:43,900 +deviation أثناء ما هذا المريض أو هذا الطفل يكون + +324 +00:24:43,900 --> 00:24:47,980 +مركز في شيء معين بنلاقي إحدى العين تانية أو لما + +325 +00:24:47,980 --> 00:24:52,240 +أغطي العين التانية العين اللي تحت الغطاء أو اللي + +326 +00:24:52,240 --> 00:24:57,340 +بيوصلها ضوء أقل بنلاقيها عملة slow up movement + +327 +00:24:57,340 --> 00:25:03,400 +with x cyclotorsion يعني بتطلع لفوق بنفرض غطينا + +328 +00:25:03,400 --> 00:25:08,310 +العين هايغطينا العين هاي، هاي الغطا، بنلاقي أن هذه + +329 +00:25:08,310 --> 00:25:13,810 +العين طلعت بالتدريج لفوق وعملت كمان إيش؟ إكس + +330 +00:25:13,810 --> 00:25:20,810 +سايكلو تورش يعني تحت الغطا هتكون مبينة إيش؟ عملة + +331 +00:25:21,130 --> 00:25:25,230 +لفوق و X-cyclotorsion وهذه من الحالات النادرة اللي + +332 +00:25:25,230 --> 00:25:29,110 +احنا بنشوف فيها ال X-cyclotorsion عيناً احنا قلنا + +333 +00:25:29,110 --> 00:25:32,090 +تورشينا ال movement متكونش واضحة لنا في الوضع + +334 +00:25:32,090 --> 00:25:36,470 +الطبيعي بس هنا ممكن يكون ال DVD سيفير و نلاحظه + +335 +00:25:36,470 --> 00:25:41,090 +بالعين المجردة و ببساطة نلاحظ كيف العين بتطلع و + +336 +00:25:41,090 --> 00:25:44,610 +كيف بتعمل X-cyclotorsion و ايضا لما نرفع الغطا + +337 +00:25:44,610 --> 00:25:47,850 +عنها كيف بتنزل و كيف بتعمل Intorsion عشان ترجع + +338 +00:25:47,850 --> 00:25:52,770 +لوضعها الطبيعيالان لما بنرفع الغطاء وبتنزل لوضعها + +339 +00:25:52,770 --> 00:25:56,690 +الطبيعي مفروض لما تنزل حسب hearing low ها دي ايش + +340 +00:25:56,690 --> 00:26:00,510 +بتنزل الا انه ها دي بتنزل لحالها بدون اي حركة منها + +341 +00:26:00,510 --> 00:26:05,450 +عشان هيك ال DVD هي الاستثناء الوحيد الذي لا يخضع + +342 +00:26:05,450 --> 00:26:09,210 +له hearing low فاكرين في حوا الواحد احنا حاكي هنا + +343 +00:26:09,210 --> 00:26:11,910 +hearing low له استثناء وحيد وsharrington low له + +344 +00:26:11,910 --> 00:26:15,990 +استثناء وحيد اللي هو Duane syndrome اذا ال DVD + +345 +00:26:15,990 --> 00:26:20,450 +اللي هي dissociated vertical deviationو عشان ايك + +346 +00:26:20,450 --> 00:26:24,390 +أخدت اسم dissociated لأنه أثناء تعديلها لنفسها + +347 +00:26:24,390 --> 00:26:28,090 +تمام بعد ما نرفع الغطا أو بعد ما ينتبه هذا الطفل + +348 +00:26:28,090 --> 00:26:33,490 +ما بيصيرش عمل مرافق من العين التانية، ان هذه نزلت، + +349 +00:26:33,490 --> 00:26:37,670 +هذه تنزل على جبلها، لأ هذه بتطلع لحالها under + +350 +00:26:37,670 --> 00:26:42,630 +cover و بتنزل لوضعها الطبيعي بدون يعني ما تخضع ل + +351 +00:26:42,630 --> 00:26:48,270 +hearing lossطبعا هنا ال early onset esotropia + +352 +00:26:48,270 --> 00:26:51,810 +بالهيرشبيرد تسته تقريبا تلاتين present هو fixating + +353 +00:26:51,810 --> 00:26:56,750 +with the left eye تمام و ال right eye squinting + +354 +00:26:56,750 --> 00:27:00,190 +طبعا عنده كمان بالاضافة لل early onset esotropia + +355 +00:27:00,190 --> 00:27:04,750 +عنده ال pseudoEsotropia لأنه Epicanthic Fault + +356 +00:27:04,750 --> 00:27:08,310 +Epicanthic Fault طبعا هذا بالنسبة لل cross + +357 +00:27:08,310 --> 00:27:11,890 +-fixation هو بستخدم عينه الشمال لل right field + +358 +00:27:11,890 --> 00:27:15,770 +وعينه اليمين لل left field بينما لما أعمل cover + +359 +00:27:15,770 --> 00:27:20,330 +باكتشف أن ال left eye بتقدر تعمل abduction فهذا مش + +360 +00:27:20,330 --> 00:27:23,430 +موضوع sex nerve palsy أو restriction في ال + +361 +00:27:23,430 --> 00:27:23,930 +abduction + +362 +00:27:27,100 --> 00:27:30,340 +كيف نعالج هدول المرضى اللي عندهم early onset + +363 +00:27:30,340 --> 00:27:34,160 +esotropia نرجع لل history taking ونقول احنا غالبا + +364 +00:27:34,160 --> 00:27:38,300 +لما بناخد history و بنكتشف انه ال onset of squint + +365 +00:27:38,300 --> 00:27:42,880 +before six months of age يعني as earlier onset + +366 +00:27:42,880 --> 00:27:48,220 +يعني means most probably we will need surgery اذا + +367 +00:27:48,220 --> 00:27:51,920 +early ocular alignment gives the best chance of + +368 +00:27:51,920 --> 00:27:55,200 +child developing some kind او some form of + +369 +00:27:55,200 --> 00:28:00,390 +binocular functionحقيقة زمان في بداية القرن + +370 +00:28:00,390 --> 00:28:06,530 +العشرين وما سبق كان في جدال بين العلماء على موضوع + +371 +00:28:06,530 --> 00:28:09,750 +ال early onset esotropy يا ترى مستاهل نشتغل جراحة + +372 +00:28:09,750 --> 00:28:15,220 +ولا فيش أمل في استعادة ال binocularityworth سمعته + +373 +00:28:15,220 --> 00:28:18,880 +في الاسم هذا worth for the test worth حقيقة كان له + +374 +00:28:18,880 --> 00:28:23,020 +نظرية انه في عندي ال fusion center خلقيا في الدماغ + +375 +00:28:23,020 --> 00:28:25,960 +ال fusion center اللي بدمج للثورتين بيكون فيه + +376 +00:28:25,960 --> 00:28:29,420 +مشكلة او مش متطور و عشان هيك يعني مافيش اي فايدة + +377 +00:28:29,420 --> 00:28:31,580 +من إجراء الجراحة + +378 +00:28:33,960 --> 00:28:39,020 +حاجة لأ انه مشكلة ال early onset esotropia هي + +379 +00:28:39,020 --> 00:28:42,680 +مشكلة ميكانيكية mechanical problem و عشان هيك كل + +380 +00:28:42,680 --> 00:28:47,800 +ما انا يعني سرعت في الحال كل ما انا قدرت استعيد ال + +381 +00:28:47,800 --> 00:28:52,110 +.. اللي هو ال binocularity ولو جزئيا و انه ..أحصل + +382 +00:28:52,110 --> 00:28:58,470 +على سنة refusal بدرجة يعني مقبولة وجيدة طبعا تقدم + +383 +00:28:58,470 --> 00:29:01,790 +علم التخدير تقدم علم التخدير أدى إلى أنه فيه + +384 +00:29:01,790 --> 00:29:05,370 +إمكانية لإجراء الجراحة في أشهر مبكرة من عمر الطفل + +385 +00:29:05,370 --> 00:29:10,690 +وفعلا أجريت عمليات كتيرة على الأطفال تحت سن سنتين + +386 +00:29:10,690 --> 00:29:14,350 +أو بالأحسن من سن ست شهور لسن سنتين ووجدوا أنه فيه + +387 +00:29:14,350 --> 00:29:18,230 +good results وهذا شجع أن النظرية التانية ربما تكون + +388 +00:29:18,230 --> 00:29:21,700 +هي الاشيعني الأفضل اقوله مش .. مش قضية انه fusion + +389 +00:29:21,700 --> 00:29:26,280 +center مش موجود يعني ما .. مابنقدر احنا نصل مائة + +390 +00:29:26,280 --> 00:29:29,720 +بالمائة للوضع الأفضل أو السليم بس ممكن نصل لوضع + +391 +00:29:29,720 --> 00:29:34,300 +ممتاز جدا و يكون فيه some binocularity طيب ايش + +392 +00:29:34,300 --> 00:29:37,500 +نعمل؟ طبعا ideally the eyes should be surgically + +393 +00:29:37,500 --> 00:29:40,620 +aligned by the age of twelve months and at the + +394 +00:29:40,620 --> 00:29:44,160 +very latest by the age of two years يعنيas soon as + +395 +00:29:44,160 --> 00:29:47,660 +possible هذا النوع من الحوار بدون تدخل جراحي طيب + +396 +00:29:47,660 --> 00:29:50,940 +ليش مابنلابسش نضارة؟ عشان فيش significant + +397 +00:29:50,940 --> 00:29:58,500 +refractive error طبعا عشان أستعيد ال binocularity + +398 +00:29:58,500 --> 00:30:02,370 +أو جزء منهاو أحصل على sensory fusion كويس لازم + +399 +00:30:02,370 --> 00:30:07,490 +أعمل العملية as soon as possible تمام the initial + +400 +00:30:07,490 --> 00:30:11,670 +procedure ممكن اللي هي العملية الأولى تكون إرخاء + +401 +00:30:11,670 --> 00:30:16,450 +recession of both media recti أو نشتغل على عين + +402 +00:30:16,450 --> 00:30:19,950 +واحدة ممكن يعني نرخي ال media rectus و نشدالـ + +403 +00:30:19,950 --> 00:30:25,290 +lateral rectus بعض المرضى اللي بيكون عندهم large + +404 +00:30:25,290 --> 00:30:28,330 +angle ممكن نشتغل على three muscles أو four muscles + +405 +00:30:28,330 --> 00:30:32,250 +أحيانا نرخل both medial recti و نشد ال both + +406 +00:30:32,250 --> 00:30:35,910 +lateral recti عساس أنه الزاوية بتكون كبيرة بعض + +407 +00:30:35,910 --> 00:30:39,790 +الآخر بيفضل لأ أنا بشتغل عين و بقى أقيم جديش ده ال + +408 +00:30:39,790 --> 00:30:42,740 +angle اللي عندي من ال squint و بقى أشتغلالعين + +409 +00:30:42,740 --> 00:30:47,500 +التانية طبعا فبالتالي طبعا ال very .. ال very + +410 +00:30:47,500 --> 00:30:51,380 +large angles may require يعني ستة و نص ملي متر + +411 +00:30:51,380 --> 00:30:55,220 +recession ل ال media rectus او more طبعا الستة و + +412 +00:30:55,220 --> 00:30:59,140 +نص ملي متر يعتبر كمية كبيرة و طبعا في جداول يعني + +413 +00:30:59,140 --> 00:31:03,600 +لهذا الغرض بتحددلي جداش ال angle of squint و جداش + +414 +00:31:03,600 --> 00:31:08,670 +لازم احنا يعني نرخي او نشد في العضلاتهل بنتهيأ + +415 +00:31:08,670 --> 00:31:12,690 +دورنا مع مريض الـ early onset esotropia بمجرد ما + +416 +00:31:12,690 --> 00:31:17,190 +يعمل العملية؟ طبعاً لأ في متابعات و متابعات كتيرة + +417 +00:31:17,190 --> 00:31:21,270 +من ضمن الأشياء اللي بناخد بالنا فيها إذا كان عنده + +418 +00:31:21,270 --> 00:31:25,010 +inferior oblique over action لابد من التعامل معاه + +419 +00:31:25,010 --> 00:31:28,500 +لأن inferior oblique over action و خاصة إذايعني + +420 +00:31:28,500 --> 00:31:32,840 +significant يعني ممكن تحتاج تدخل جراحي فممكن تجرى + +421 +00:31:32,840 --> 00:31:36,800 +في نفس العملية إذا كانت يعني موجودة وظاهرة أو تجرى + +422 +00:31:36,800 --> 00:31:43,260 +في عملية أخرى إذا ظهرت لاحقا طبعا ما هي مواصفات + +423 +00:31:43,260 --> 00:31:49,250 +العملية الناجحة لل early onset esotropiaمعروف انه + +424 +00:31:49,250 --> 00:31:52,050 +ال healing process لل muscles على سطح ال sclera + +425 +00:31:52,050 --> 00:31:56,130 +تمام و أيه القياس بواسطة ال hersberg test لأنه طفل + +426 +00:31:56,130 --> 00:31:58,890 +في هذا العمر ست شهور مش ممكن اجيزله ال alternative + +427 +00:31:58,890 --> 00:32:03,130 +prison cover test تمام فبالتالي قضية ال hersberg + +428 +00:32:03,130 --> 00:32:09,690 +test قضية المهارة الجراح قضية ال healing process + +429 +00:32:09,690 --> 00:32:13,690 +ممكن تتحكم في النتيجة يعني مش ضروري او او مش + +430 +00:32:13,690 --> 00:32:18,780 +هنستطيع في كل مرة انه نجيب القياس ل zeroالقياس ده + +431 +00:32:18,780 --> 00:32:22,860 +Zero يعني حتى في يد أمهر الجراحين يعتبر العلماء + +432 +00:32:22,860 --> 00:32:26,400 +متفقين أنه alignment of the eyes to within 10 + +433 +00:32:26,400 --> 00:32:30,280 +prism diopters associated with peripheral effusion + +434 +00:32:30,280 --> 00:32:34,740 +and central separation يعني أحاوله من large angle + +435 +00:32:34,740 --> 00:32:36,540 +esotropia لmicrotropia + +436 +00:32:39,210 --> 00:32:43,710 +يعتبر نتيجة ناجحة لأنه إذا دخل في الميكروتروبيا + +437 +00:32:43,710 --> 00:32:47,430 +سيستعمل عينه تنتين بس العين الميكروتروبيك هيكون + +438 +00:32:47,430 --> 00:32:50,510 +فيها central suppression اسكتومة بسيطة بس ال + +439 +00:32:50,510 --> 00:32:53,770 +peripheral fusion اللي قلنا عنه أن هو الأهمللـ + +440 +00:32:53,770 --> 00:32:58,270 +binocularity طبعاً بيصير عندي يعني some kind of + +441 +00:32:58,270 --> 00:33:01,750 +binocularity هذه ال small angle اللي بتضل طبعاً + +442 +00:33:01,750 --> 00:33:04,570 +بتضلش بإيرادتنا يعني احنا مش متعمدين نقدر نحط + +443 +00:33:04,570 --> 00:33:08,370 +نخليه صفر و نقولنا لأ خليه سبعة برزم أو تمانية + +444 +00:33:08,370 --> 00:33:14,430 +برزم لأ هذه ال angle اللي بتضل يعني تعتبر stable و + +445 +00:33:14,430 --> 00:33:17,830 +على الرغم من ان ال bifovial fixation بتحققش بس + +446 +00:33:17,830 --> 00:33:20,950 +هيكون في عندي فوفيا و هيكون عندي صدوفوفيا يعني + +447 +00:33:20,950 --> 00:33:22,570 +هيكون mono fixation + +448 +00:33:31,560 --> 00:33:37,760 +الصورة العليا قبل التدخل الجراحي والصورة السفلة + +449 +00:33:37,760 --> 00:33:41,380 +بعد التدخل الجراحي طبعا good ocular alignment + +450 +00:33:43,950 --> 00:33:47,030 +وإذا كان في عندي inferior oblique over action لازم + +451 +00:33:47,030 --> 00:33:51,010 +أتعامل معاه ما هو العلاج التابع للعلاج الرئيسي + +452 +00:33:51,010 --> 00:33:54,230 +اللي هو العملية أول حاجة ال under correction يعني + +453 +00:33:54,230 --> 00:33:58,190 +احتمال يصير عندي under correction بمعنى كان عندي + +454 +00:33:58,190 --> 00:34:02,170 +ال angle مثلا خمسين prism بعد العملية لجيت انها + +455 +00:34:02,170 --> 00:34:06,950 +عشرين prism اتحسنت طبعا اتحسنت بس ما نزلت تحت + +456 +00:34:06,950 --> 00:34:10,430 +العشرة احنا اتفجنا ان اللي بنزل تحت العشرة قياسه + +457 +00:34:10,430 --> 00:34:14,610 +يعتبرSatisfactory result اذا الخمسين بريزم لما + +458 +00:34:14,610 --> 00:34:18,610 +صارت عندى عشرين بريزم ايزوتروبيا معناته لسه عندى + +459 +00:34:18,610 --> 00:34:22,390 +الطفل under corrected ماتحصلح كامل وبالتالي بده + +460 +00:34:22,390 --> 00:34:26,310 +ايش شغل كمان عملية جراحية على العضلات اللى + +461 +00:34:26,310 --> 00:34:29,410 +ماانشغلتش جاب ال ايه ال inferior oblique over + +462 +00:34:29,410 --> 00:34:33,390 +actionممكن ما تكونش ساعت ما ييجين الطفل بس ممكن + +463 +00:34:33,390 --> 00:34:37,790 +تتطور بعد هيك غالبا على عمر سنتين و ممكن تحتاج + +464 +00:34:37,790 --> 00:34:43,330 +يعني جراحة احنا لما بنقول عضلة over acting معناته + +465 +00:34:43,330 --> 00:34:46,690 +الجراحة بتاعتها weakening هي over acting بدي + +466 +00:34:46,690 --> 00:34:50,410 +أضعفها عشان ما تصيرش over acting في وسائل كتير + +467 +00:34:50,410 --> 00:34:55,940 +يعني لتضعيفها و هنيجي نحكي عنها فيفي حينه في ال .. + +468 +00:34:55,940 --> 00:35:01,080 +يعني محاضرة اللي هو ال .. Strapismus surgery طبعا + +469 +00:35:01,080 --> 00:35:04,480 +من ضمن الأشياء اللي بتضعف فيها اللي هو ال .. ال + +470 +00:35:04,480 --> 00:35:06,600 +weakening ال procedures بتاعة ال inferior oblique + +471 +00:35:06,600 --> 00:35:09,760 +زي ال recession الإرخاء زي ال disinsertion الخلع + +472 +00:35:09,760 --> 00:35:15,060 +من مكانها أو ال myectomy لإزالة جزء منها بالكامل + +473 +00:35:15,060 --> 00:35:19,040 +إزالة جزء منها بالكامل هاي ال inferior oblique + +474 +00:35:19,040 --> 00:35:21,640 +over action left inferior oblique over action + +475 +00:35:25,200 --> 00:35:30,120 +ال DVD أيضا بتسير عند بعض الناس اللي عندهم early + +476 +00:35:30,120 --> 00:35:35,420 +onset esotropia ممكن العملية تكون ناجحة جدا و بعد + +477 +00:35:35,420 --> 00:35:38,720 +فترة ييجوا الأهل يشكوا انه صيرنا لاحظ اشي غريب + +478 +00:35:38,720 --> 00:35:43,810 +فبالتالي من البداية .. من البدايةلما بدي بقى أحكي + +479 +00:35:43,810 --> 00:35:48,570 +بعد الفحص مع الأهل و بحكي لهم عن المشكلة الرئيسية + +480 +00:35:48,570 --> 00:35:52,110 +اللي هي ال aesopropia الـ L6 aesopropia بدي أعطي + +481 +00:35:52,110 --> 00:35:55,090 +تحذير للأهل إنه في احتمال يصير عندي inferior + +482 +00:35:55,090 --> 00:35:58,830 +oblique overarching زيادة نشاط في عضلة .. في + +483 +00:35:58,830 --> 00:36:03,950 +العضلة المائلة السفلية أو بيتسمى بلغتنا هنا حوال + +484 +00:36:03,950 --> 00:36:08,370 +وربي تمام؟ و ممكن أرسمه إليهم على ورق عساس إنه + +485 +00:36:08,370 --> 00:36:13,980 +إيش؟هذا او حوال رأسي غير متجانس DVD انه بعض ال .. + +486 +00:36:13,980 --> 00:36:18,980 +هذا لما يصرح ممكن تطلع عينه لفوق او لما يكون مركز + +487 +00:36:18,980 --> 00:36:22,940 +في .. في شيء معين ليش انا بحذر الاهل من هذه القضية + +488 +00:36:22,940 --> 00:36:26,520 +حتى لما تصير مايفكروش ان هذه القضية ناتجة عن + +489 +00:36:26,520 --> 00:36:29,680 +العملية اللي اجريت ناتجة عن العملية اللي اجريت + +490 +00:36:29,680 --> 00:36:33,720 +بحذرهم و بيقولهم احتمال يحتاج العمليةلهذه الأشياء + +491 +00:36:33,720 --> 00:36:37,440 +إذا ظهرت ما ظهرتش معناته ما إحنا مش محتاجين لإجراء + +492 +00:36:37,440 --> 00:36:41,760 +أي تدخل في هذه القضية إيش هي ال DVD عبارة عن up + +493 +00:36:41,760 --> 00:36:46,500 +and drift with x-cyclotorsion يعني بنحكي عن العين + +494 +00:36:46,500 --> 00:36:51,620 +اليمين up and drift with x-cyclotorsion تمام drift + +495 +00:36:51,620 --> 00:36:56,730 +يعني ببطء تمام of the eye when undercoverلما بتكون + +496 +00:36:56,730 --> 00:37:01,230 +مغطية العين او لما .. spontaneous للحالها لما يكون + +497 +00:37:01,230 --> 00:37:05,270 +المريض مش منطلح او سرحان او سرحان لما بنرفع ال + +498 +00:37:05,270 --> 00:37:10,210 +cover او المريض بينتبه ال affected eye will move + +499 +00:37:10,210 --> 00:37:13,110 +down without a corresponding down drift of the + +500 +00:37:13,110 --> 00:37:16,650 +other eye طالما ماصارش down drift of other eye هذه + +501 +00:37:16,650 --> 00:37:20,250 +نزلت من فوقو هذه ما نزلتش من ال primary position + +502 +00:37:20,250 --> 00:37:24,010 +معناته ال DVD does not obey hearing law لا تخضع + +503 +00:37:24,010 --> 00:37:29,610 +ولا تحترم hearing law وبالتالي يعني هذه الاستثناء + +504 +00:37:29,610 --> 00:37:34,030 +الوحيد لما انا بشوف في عين ال DVD لازم احاول ابحث + +505 +00:37:34,030 --> 00:37:37,350 +عن ال DVD في العين التانية ممكن يكون في العين + +506 +00:37:37,350 --> 00:37:40,390 +التانية ال DVD خفيف جدا لدرجة اني افكر انه مش + +507 +00:37:40,390 --> 00:37:46,310 +موجود تمامو حصلت كتير انه تم إجراء عملية جراحية لل + +508 +00:37:46,310 --> 00:37:50,350 +DVD في one eye و بعد ما اتصلحت ال DVD في one eye + +509 +00:37:50,350 --> 00:37:53,850 +اكتشفنا تمام انه في في ال other eye بس كان خفيف + +510 +00:37:53,850 --> 00:37:58,930 +امتى ظهر لما اتصلح ال DVD الأشد تمام فبالتالي لازم + +511 +00:37:58,930 --> 00:38:03,410 +احاول انه اكتشف هو غالبا ال DVD بيكون في ال both + +512 +00:38:03,410 --> 00:38:06,350 +eyes بس بيكون asymmetrical في عين شديد و في عين + +513 +00:38:06,730 --> 00:38:12,450 +بكون خفيف طبعا surgical treatment لل DVD is + +514 +00:38:12,450 --> 00:38:15,010 +indicated when the condition is cosmetically + +515 +00:38:15,010 --> 00:38:18,750 +unacceptable في ناس عندهم DVD خفيفة جدا يدوبها + +516 +00:38:18,750 --> 00:38:22,620 +ملاحظة الإنسان اللي بيدجج كتير اللي بلاحظهاأما في + +517 +00:38:22,620 --> 00:38:26,760 +الأوضاع العادية مش ملاحظة هذا بلزموش حاجة بس .. + +518 +00:38:26,760 --> 00:38:29,600 +يعني just follow up أما بالنسبة إذا كان + +519 +00:38:29,600 --> 00:38:33,540 +cosmetically unacceptable يعني لما بيسرح أو بيركز + +520 +00:38:33,540 --> 00:38:36,880 +في شيء عينه بتطلع كتير و واضحة جدا ساعتها هذا بدي + +521 +00:38:36,880 --> 00:38:42,100 +تدخل جراحي بهدف أنه تحسين المنظر أو يعني تحسين + +522 +00:38:42,100 --> 00:38:46,820 +اللي هو ال cosmetic issue طبعا وسائل علاج ال DVD + +523 +00:38:46,820 --> 00:38:52,110 +حاجتين إما أنا بعمل superior rectus recessionأو + +524 +00:38:52,110 --> 00:38:56,590 +بعمل inferior oblique anterior transposition وهذا + +525 +00:38:56,590 --> 00:39:00,330 +هنجي نشرحه في واجهة اللي هو محاضرة اللي هي le + +526 +00:39:00,330 --> 00:39:03,430 +squint surgery إما برخي ال superior rectus عشان ما + +527 +00:39:03,430 --> 00:39:07,750 +تقدرش العين تطلع لفوق و ممكن أعملها posterior + +528 +00:39:07,750 --> 00:39:12,870 +fixation suture وهذا برضه هنحكي عنه أو أني بعملها + +529 +00:39:12,870 --> 00:39:17,090 +إيش inferior oblique anterior transposition بس + +530 +00:39:17,090 --> 00:39:19,550 +نحكي كلمة بسيطة ال inferior oblique ال insertion + +531 +00:39:19,550 --> 00:39:20,850 +بتاعها وين؟ + +532 +00:39:23,520 --> 00:39:28,140 +Posterior Inferior Temporal Equadrant Posterior + +533 +00:39:28,140 --> 00:39:32,020 +إذا هي في ال posterior بعد ال equator بتتسبت جوا + +534 +00:39:32,020 --> 00:39:35,620 +تمام؟ الآن لما بقول anterior transposition يعني + +535 +00:39:35,620 --> 00:39:39,060 +بدي أمسك ال insertion بتاعها أشيله من مكانه و + +536 +00:39:39,060 --> 00:39:42,400 +أحطها قدام ال equator فبتصير بدل ما هي elevator + +537 +00:39:42,400 --> 00:39:45,840 +بتصير depressor فبصير عندي تلاتة depressor في + +538 +00:39:45,840 --> 00:39:49,720 +العين و one elevator اللي هي superior rectus و هذا + +539 +00:39:49,720 --> 00:39:51,580 +هانيجي نشرحه في وقته + +540 +00:39:54,270 --> 00:39:57,830 +هذه العين الشمال فيها DVD Undercover طلعت مقارنة + +541 +00:39:57,830 --> 00:40:01,350 +مع العين اليمين وفي ال practice هنورجيكم ان شاء + +542 +00:40:01,350 --> 00:40:06,810 +الله بعض الحلات من ضمن المتابعات اللي انا بتابعها + +543 +00:40:06,810 --> 00:40:09,750 +على مريض ال early onset esotropia الأمبيوبيا + +544 +00:40:12,300 --> 00:40:17,760 +ممكن تتطور عند 50% من الحالات و يمكن أكتر لأن بعد + +545 +00:40:17,760 --> 00:40:21,900 +العملية كثير من الأطفال يفضل العين معينة لل + +546 +00:40:21,900 --> 00:40:24,920 +fixation فالعين التانية هي ال microtropic + +547 +00:40:27,650 --> 00:40:31,630 +amblyobic فممكن تصير amblyobic طبعا انا بدى مهم + +548 +00:40:31,630 --> 00:40:36,210 +جدا مهم جدا اتبع الموضوع هذا واستعمل ال anti + +549 +00:40:36,210 --> 00:40:40,570 +-amblyopia therapy مثلا ال batching او ما شبه عشان + +550 +00:40:40,570 --> 00:40:44,690 +هذا عشان اتفادى ال amblyopia ايضا من ضمن المتابعات + +551 +00:40:44,690 --> 00:40:47,910 +مش معناته انا عملتله cycloplegic refraction قبل + +552 +00:40:47,910 --> 00:40:51,230 +العملية مرة اذا ان خلصنا لأ احنا عارفين ان ال + +553 +00:40:51,230 --> 00:40:54,830 +curve بتاع ال hypermetropia بصعد بعد سن السنتين + +554 +00:40:54,830 --> 00:40:58,800 +لغاية ست سنوات احتمال يحتاجrefractive correction + +555 +00:40:58,800 --> 00:41:03,600 +ممكن العينين يكونوا well aligned وممتازين جدا بعد + +556 +00:41:03,600 --> 00:41:07,320 +العملية بس بعد سنة او سنتين او تلاتة يجوا الاهل + +557 +00:41:07,320 --> 00:41:13,600 +يقولوا احنا رجعوا العينين بوضع ISO او يدخلوا لجوا + +558 +00:41:13,600 --> 00:41:15,960 +معناته انا بدأ افكر ان الطفل بدأ يعمل + +559 +00:41:15,960 --> 00:41:19,120 +accommodation بدأ يلتحق في الروضة او في المدرسة + +560 +00:41:19,120 --> 00:41:22,480 +فبالتالي بتعمله refraction ضروري في المتابعات لو + +561 +00:41:22,480 --> 00:41:25,720 +كل ست شهور مرة حتى ايش يعني اذا كان بلزم + +562 +00:41:25,720 --> 00:41:29,890 +correctionيعني اكون يعني جاهز بال correction + +563 +00:41:29,890 --> 00:41:35,130 +ابتعدي يقترأ + +564 +00:41:36,980 --> 00:41:40,720 +احنا جربنا نخلص ال differential diagnosis يعني إيش + +565 +00:41:40,720 --> 00:41:44,080 +الحاجات اللي بتشبه ال esotropia أو ال early onset + +566 +00:41:44,080 --> 00:41:47,520 +esotropia و اللي لازم أنا أخد بالي منها ال + +567 +00:41:47,520 --> 00:41:50,380 +differential diagnosis congenital bilateral sex + +568 +00:41:50,380 --> 00:41:53,520 +nerve palsy كيف أتأكد أن الطفل هذا ماهندوش sex + +569 +00:41:53,520 --> 00:41:58,940 +nerve palsy؟ بغطي عينه إذا اتحركت العين المفتوحة + +570 +00:41:58,940 --> 00:42:02,060 +في وضع ال abduction إذا هذا مش sex nerve palsy إذا + +571 +00:42:02,060 --> 00:42:05,750 +هذا مش sex nerve palsyالـ secondary أو الـ Sensory + +572 +00:42:05,750 --> 00:42:09,150 +Esotropia due to organic eye disease يعني من ضمن + +573 +00:42:09,150 --> 00:42:13,350 +الفحص هنفحص الفندس تمام و هنعمل Cycloblgic + +574 +00:42:13,350 --> 00:42:15,890 +Refraction هشوف .. هنشوف ال optical media هل في + +575 +00:42:15,890 --> 00:42:20,030 +عندي congenital cataract ولا مثلا عندي vitreous + +576 +00:42:20,030 --> 00:42:24,390 +opacity ولا retinal disease تمام فبالتالي ال + +577 +00:42:24,390 --> 00:42:27,650 +sensory أو ال secondary بيسموها Sensory Esotropia + +578 +00:42:27,800 --> 00:42:30,760 +نتجة عن decrease في ال sensation وقولنا ال + +579 +00:42:30,760 --> 00:42:33,860 +sensation بتاع العين هو ال vision .. هو ال vision + +580 +00:42:33,860 --> 00:42:38,280 +تمام؟ أو نستجمس blockage syndrome .. هذا نستجمس + +581 +00:42:38,280 --> 00:42:42,990 +blockage syndromeهذا عبارة عن horizontal nystagmus + +582 +00:42:42,990 --> 00:42:46,810 +بس بيخف لما هذا الطفل يعمل convergence فبضطر يضال + +583 +00:42:46,810 --> 00:42:50,210 +عامل convergence عشان يتخلص من ال nystagmus طب ليش + +584 +00:42:50,210 --> 00:42:53,170 +بده يتخلص من ال nystagmus عشان يوضح الصورة أمامه + +585 +00:42:53,170 --> 00:42:58,130 +العين وهي بتهتز رؤيتها بتكون صعبة ومهتزة أمامها + +586 +00:42:58,130 --> 00:43:01,830 +فبالتالي ال convergence dampens بيخفف من ال + +587 +00:43:01,830 --> 00:43:05,550 +horizontal nystagmus طبعا كيف نعرف أنه عنده + +588 +00:43:05,550 --> 00:43:08,570 +nystagmus blockage syndrome ال nystagmus نقدر + +589 +00:43:08,570 --> 00:43:12,810 +نشوفه لما نعمل abductionو عادة الطفل بيعمل face + +590 +00:43:12,810 --> 00:43:16,470 +turn to fixate in the abducted position بالظبط + +591 +00:43:16,470 --> 00:43:20,310 +بيلف راسه عشان هذه العين مثلا تيجي في ال abduction + +592 +00:43:20,310 --> 00:43:23,750 +هذي في ال abduction طب في ال abduction بيبين انه + +593 +00:43:23,750 --> 00:43:26,870 +استجمس فبغمض عينه بالطريقة هاي و بيصير يتطلع + +594 +00:43:26,870 --> 00:43:30,730 +بالقدة فيكون عنده face turn باتجاه معين و بتطلع + +595 +00:43:30,730 --> 00:43:34,570 +بوسط العين المفتوحةوهي abducted لأن ال adoption + +596 +00:43:34,570 --> 00:43:37,650 +بخفف ال nystagmus طب إذا هذه adoption هذه هتكون + +597 +00:43:37,650 --> 00:43:41,370 +abduction فبغلقها فبغلقها فبالتالي ال nystagmus + +598 +00:43:41,370 --> 00:43:45,290 +blockage syndrome طبعا هو مقارنة مع ال early onset + +599 +00:43:45,290 --> 00:43:51,090 +of esotropia هيكون ايش؟ هيكون rare هيكون rare ال + +600 +00:43:51,090 --> 00:43:54,690 +advanced syndrome type 1 و3 بيجوا بesotropia مش + +601 +00:43:54,690 --> 00:43:59,090 +هنحكي عنهم الآنلأنه فيه تفصيلة يعتبر restrictive + +602 +00:43:59,090 --> 00:44:03,110 +.. restrictive squint بس type 1 و 3 بيجوا + +603 +00:44:03,110 --> 00:44:08,030 +بإيزوتروبيا type 2 بيجوا بإكزوتروبيا تمام لما type + +604 +00:44:08,030 --> 00:44:13,370 +1 و 3 بيجوا بإيزوتروبيا و في علامات كتير سهلة اللي + +605 +00:44:13,370 --> 00:44:17,130 +خليني أميز لدوين سندروم عن اللي هو early onset + +606 +00:44:17,130 --> 00:44:20,590 +إيزوتروبيا بس هنحكيها في موعدها أيضا ال mobius + +607 +00:44:20,590 --> 00:44:25,620 +syndromeبرضه هنحكي عنه في ال special syndromes مش + +608 +00:44:25,620 --> 00:44:29,280 +هنحكي عنه الآن هو و ال strabismus fixed كل هذه + +609 +00:44:29,280 --> 00:44:32,780 +الأشياء لابد اني هميزها عن ال early onset + +610 +00:44:32,780 --> 00:44:36,560 +esotropia حقيقة مش صعب تمييزها بس أنا بدي أعد + +611 +00:44:36,560 --> 00:44:41,760 +علاماتي بتاعتي اللي بتخليني أنا متأكد من قضية اللي + +612 +00:44:41,760 --> 00:44:44,580 +هو ال diagnosis بتاعي و يعطيكوا ألف عافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0KckQDQevjQ_raw.json b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0KckQDQevjQ_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..291e0c684d37e88941ac7043de4327df3a5b1ff3 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0KckQDQevjQ_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4642, "start": 20.82, "end": 46.42, "text": "بسم الله الرحمن الرحيم موضوعنا اليوم عن ال easotropias بأنواعها المختلفة و اليوم هفكس ان شاء الله تعالى 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وincommittant deviation يعني متجانس وغير متجانس في ال committant deviation لما بجيز في ال horizontal gaze positions في ال primary position في ال right gaze في ال left gaze القياسات التلاتة مابتفرجش عن بعض أكتر من خمسة Prism ديوب يعني تقريبا the same بينما في الincommittant deviation", "tokens": [9566, 3555, 3615, 995, 14111, 8978, 8717, 45367, 9957, 5551, 3794, 32277, 1829, 9957, 34051, 6055, 4587, 3794, 32640, 3660, 39894, 4587, 38251, 2423, 39184, 271, 310, 1513, 4609, 5296, 1863, 45367, 9957, 5551, 3794, 32277, 1829, 9957, 13672, 1829, 31439, 800, 593, 394, 25163, 4032, 4647, 1204, 593, 394, 25163, 37495, 22653, 44650, 7435, 7649, 3794, 4032, 17082, 13546, 44650, 7435, 7649, 3794, 8978, 2423, 800, 593, 394, 25163, 5296, 15042, 4724, 7435, 1829, 11622, 8978, 2423, 12750, 24294, 8432, 8978, 2423, 6194, 2535, 8978, 2423, 558, 24294, 8978, 2423, 1411, 24294, 25062, 25528, 3794, 9307, 16712, 1211, 9307, 3660, 3714, 16758, 2655, 5172, 47341, 8592, 18871, 45030, 11242, 5551, 4117, 2655, 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"word": " primary", "probability": 0.9228515625}, {"start": 92.9, "end": 93.38, "word": " position", "probability": 0.89306640625}, {"start": 93.38, "end": 93.56, "word": " في", "probability": 0.70458984375}, {"start": 93.56, "end": 93.66, "word": " ال", "probability": 0.95361328125}, {"start": 93.66, "end": 93.9, "word": " right", "probability": 0.9462890625}, {"start": 93.9, "end": 94.18, "word": " gaze", "probability": 0.9150390625}, {"start": 94.18, "end": 94.3, "word": " في", "probability": 0.64404296875}, {"start": 94.3, "end": 94.4, "word": " ال", "probability": 0.94140625}, {"start": 94.4, "end": 94.6, "word": " left", "probability": 0.95458984375}, {"start": 94.6, "end": 94.94, "word": " gaze", "probability": 0.9462890625}, {"start": 94.94, "end": 96.12, "word": " القياسات", "probability": 0.84600830078125}, {"start": 96.12, "end": 96.66, "word": " التلاتة", "probability": 0.97802734375}, {"start": 96.66, "end": 97.28, "word": " مابتفرجش", "probability": 0.8943684895833334}, {"start": 97.28, "end": 97.42, "word": " عن", "probability": 0.9814453125}, {"start": 97.42, "end": 97.7, "word": " بعض", "probability": 0.9951171875}, {"start": 97.7, "end": 98.06, "word": " أكتر", "probability": 0.91162109375}, {"start": 98.06, "end": 98.2, "word": " من", "probability": 0.9921875}, {"start": 98.2, "end": 98.6, "word": " خمسة", "probability": 0.9185791015625}, {"start": 98.6, "end": 98.88, "word": " Prism", "probability": 0.5992431640625}, {"start": 98.88, "end": 99.22, "word": " ديوب", "probability": 0.5264078776041666}, {"start": 99.22, "end": 99.44, "word": " يعني", "probability": 0.75439453125}, {"start": 99.44, "end": 99.96, "word": " تقريبا", "probability": 0.99453125}, {"start": 99.96, "end": 100.08, "word": " the", "probability": 0.383544921875}, {"start": 100.08, "end": 100.36, "word": " same", "probability": 0.908203125}, {"start": 100.36, "end": 101.34, "word": " بينما", "probability": 0.955322265625}, {"start": 101.34, "end": 101.5, "word": " في", "probability": 0.96240234375}, {"start": 101.5, "end": 102.4, "word": " الincommittant", "probability": 0.9060546875}, {"start": 102.4, "end": 103.14, "word": " deviation", "probability": 0.9482421875}], "temperature": 1.0}, {"id": 4, "seek": 13332, "start": 103.66, "end": 133.32, "text": "بيكون في عندي فرق واضح بين ال right gaze و ال left gaze و ال primary position زي في حالات ال six nerve pulse طبعا ال incompetent deviation بنعني فيه يعني mostly اللي هو إما paralytic easo deviation أو restrictive easo deviation paralytic easo deviation زي إيش؟ زي ال six nerve pulse هيعمللي إيزوتروبيا من النوع اللي هو بيسموه incompetent أو paralytic يعني إيزوتروبيا", "tokens": [21292, 30544, 8978, 18871, 16254, 6156, 2288, 4587, 4032, 46958, 5016, 49374, 2423, 558, 24294, 4032, 2423, 1411, 24294, 4032, 2423, 6194, 2535, 30767, 1829, 8978, 11331, 6027, 9307, 2423, 2309, 16355, 17709, 23032, 3555, 3615, 995, 2423, 834, 298, 7275, 317, 25163, 44945, 3615, 22653, 8978, 3224, 37495, 22653, 5240, 13672, 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ايزو اتروبيا هدولة مش هنتكلم عنهم هنتكلم عن ال early onset ايزو اتروبيا", "tokens": [6027, 43220, 30767, 1829, 2423, 3021, 2929, 36877, 4032, 37495, 22653, 2423, 3021, 11048, 301, 4724, 1829, 9381, 13546, 5296, 11296, 948, 4007, 518, 8978, 2423, 3021, 2929, 39894, 45761, 2423, 13991, 4032, 4724, 1829, 9381, 13546, 18871, 16254, 1975, 1829, 11622, 2407, 1975, 2655, 2288, 2407, 21292, 995, 8032, 3215, 12610, 3660, 37893, 8032, 29399, 4117, 19528, 18871, 16095, 8032, 29399, 4117, 19528, 18871, 2423, 2440, 34948, 1975, 1829, 11622, 2407, 1975, 2655, 2288, 2407, 21292, 995], "avg_logprob": -0.22547469033470638, "compression_ratio": 1.7058823529411764, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 133.51, "end": 133.75, "word": "ال", "probability": 0.7919921875}, {"start": 133.75, "end": 134.21, "word": " restrictive", "probability": 0.2005615234375}, {"start": 134.21, "end": 134.57, "word": " زي", "probability": 0.953857421875}, {"start": 134.57, "end": 134.69, "word": " 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جدا جدا اليه ايش هي الخاصية تاعة الجيرك نستاجمس المصاحب ل", "tokens": [9566, 1829, 3555, 6024, 48506, 4386, 6024, 48506, 35186, 6055, 2288, 7578, 23032, 6027, 15042, 1975, 5016, 8315, 12174, 1211, 8315, 2423, 8717, 14851, 26108, 2304, 3794, 9673, 9381, 39319, 3555, 24976, 2440, 34948, 785, 310, 1513, 654, 10874, 13546, 4117, 20449, 8315, 47395, 5296, 31377, 2304, 1975, 24401, 3215, 1975, 2655, 7435, 40294, 3224, 2423, 8717, 14851, 26108, 2304, 3794, 23758, 10874, 13546, 4117, 4032, 26895, 3224, 16490, 33546, 10632, 37495, 22653, 3714, 2304, 1829, 11622, 3660, 10874, 28259, 10874, 28259, 45595, 3224, 1975, 1829, 8592, 39896, 33962, 33546, 10632, 6055, 995, 27884, 25724, 13546, 4117, 8717, 14851, 26108, 2304, 3794, 9673, 9381, 39319, 3555, 5296], "avg_logprob": -0.190248841902724, "compression_ratio": 1.82, "no_speech_prob": 0.0, "words": [{"start": 1014.68, "end": 1015.16, "word": "طيب", "probability": 0.97607421875}, {"start": 1015.16, "end": 1015.96, "word": " الآن", "probability": 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"text": "ليش سمينا manifest latent هو بيظهر بدون ما نغطي أي عين من العينتين بس لما بنغطي عين من العينتين بتزيد شدته بتزيد شدته يعني هو موجود بصورة خفيفة غطينا عين من العينتين زاد بكتير فبالتالي بنسميه manifest latent يعني في جزء منه manifest وجزء منه ايش latent أما ال latent بيكون هو مفتح عينيت انتين", "tokens": [20292, 8592, 8608, 2304, 1829, 8315, 10067, 48994, 31439, 4724, 1829, 19913, 3224, 2288, 47525, 11536, 19446, 8717, 17082, 9566, 1829, 36632, 6225, 9957, 9154, 18863, 9957, 2655, 9957, 4724, 3794, 5296, 15042, 44945, 17082, 9566, 1829, 6225, 9957, 9154, 18863, 9957, 2655, 9957, 39894, 11622, 25708, 13412, 3215, 47395, 39894, 11622, 25708, 13412, 3215, 47395, 37495, 22653, 31439, 3714, 29245, 23328, 4724, 9381, 13063, 3660, 16490, 5172, 33911, 3660, 32771, 9566, 1829, 8315, 6225, 9957, 9154, 18863, 9957, 2655, 9957, 30767, 18513, 4724, 4117, 2655, 13546, 6156, 3555, 6027, 2655, 6027, 1829, 44945, 38251, 1829, 3224, 10067, 48994, 37495, 22653, 8978, 10874, 11622, 38207, 9154, 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"text": "وضعه كويس مش مبين أي نستجمس عنده، إذا سبع علامة manifest, latent, نستجمس أو نستجمس بصورة عامة واللي قلنا عنه إيش جيرك نستجمس لغاية الآن سبع علامات، بدنا نكمل بعد هيك قلنا refractive error", "tokens": [2407, 11242, 3615, 3224, 9122, 45865, 3794, 37893, 3714, 3555, 9957, 36632, 8717, 14851, 7435, 2304, 3794, 43242, 3224, 12399, 11933, 15730, 8608, 3555, 3615, 11203, 10943, 3660, 10067, 11, 48994, 11, 8717, 14851, 7435, 2304, 3794, 34051, 8717, 14851, 7435, 2304, 3794, 4724, 9381, 13063, 3660, 6225, 10943, 3660, 4032, 6027, 20292, 12174, 1211, 8315, 18871, 3224, 11933, 1829, 8592, 10874, 13546, 4117, 8717, 14851, 7435, 2304, 3794, 5296, 17082, 995, 10632, 6024, 48506, 8608, 3555, 3615, 11203, 10943, 9307, 12399, 47525, 8315, 8717, 24793, 1211, 39182, 39896, 4117, 12174, 1211, 8315, 45353, 488, 6713], "avg_logprob": -0.15520295900167877, "compression_ratio": 1.597938144329897, "no_speech_prob": 0.0, "words": [{"start": 1148.39, "end": 1148.95, "word": "وضعه", "probability": 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حاجة اساسية انه هذهالحوال ظاهر يعني بحتاجش + +7 +00:00:50,160 --> 00:00:55,960 +لأي test لإنه نعرف إنه هذا عنده يعني حوال واضح، + +8 +00:00:55,960 --> 00:00:59,540 +حوال ظاهر، حوال واضح تمام؟ بحتاجنا testات لتقييمه + +9 +00:00:59,540 --> 00:01:05,360 +ومعرفة كمية الisotropia تعتبر النوع الأكتر شيوعا + +10 +00:01:05,360 --> 00:01:09,700 +في أنواع الحوال واللي بتشكل أكتر من خمسين فلمية من + +11 +00:01:09,700 --> 00:01:16,800 +أنواع الحوال المختلفة لوحدهاطبعاً في نوعين أساسيين + +12 +00:01:16,800 --> 00:01:21,180 +أو تقسيمة بتقسم الـisotropias لنوعين أساسيين اللي + +13 +00:01:21,180 --> 00:01:25,020 +هو committant deviation وincommittant deviation + +14 +00:01:25,020 --> 00:01:29,420 +يعني متجانس وغير متجانس في ال committant deviation + +15 +00:01:29,420 --> 00:01:32,540 +لما بجيز في ال horizontal gaze positions في ال + +16 +00:01:32,540 --> 00:01:34,940 +primary position في ال right gaze في ال left gaze + +17 +00:01:34,940 --> 00:01:38,600 +القياسات التلاتة مابتفرجش عن بعض أكتر من خمسة + +18 +00:01:38,600 --> 00:01:41,500 +Prism ديوب يعني تقريبا the same بينما في + +19 +00:01:41,500 --> 00:01:45,580 +الincommittant deviationبيكون في عندي فرق واضح بين + +20 +00:01:45,580 --> 00:01:48,580 +ال right gaze و ال left gaze و ال primary position + +21 +00:01:48,580 --> 00:01:52,060 +زي في حالات ال six nerve pulse طبعا ال incompetent + +22 +00:01:52,060 --> 00:01:57,040 +deviation بنعني فيه يعني mostly اللي هو إما + +23 +00:01:57,040 --> 00:02:01,920 +paralytic easo deviation أو restrictive easo + +24 +00:02:01,920 --> 00:02:05,140 +deviation paralytic easo deviation زي إيش؟ زي ال + +25 +00:02:05,140 --> 00:02:08,580 +six nerve pulse هيعمللي إيزوتروبيا من النوع اللي + +26 +00:02:08,580 --> 00:02:13,320 +هو بيسموه incompetent أو paralytic يعني إيزوتروبيا + +27 +00:02:13,510 --> 00:02:18,250 +ال restrictive زي ال media wall fracture و يعني ال + +28 +00:02:18,250 --> 00:02:21,250 +media rectus بيصير لها entrapment في ال media wall + +29 +00:02:21,250 --> 00:02:25,410 +بتاع ال orbit و بيصير عندي ايزو اتروبيا هدولة مش + +30 +00:02:25,410 --> 00:02:29,230 +هنتكلم عنهم هنتكلم عن ال early onset ايزو اتروبيا + +31 +00:02:31,080 --> 00:02:35,260 +جابل ما نتكلم عن early onset إيزوتروبيا التقسيمة + +32 +00:02:35,260 --> 00:02:40,120 +تاعة الإيزوتروبيا بأنواعها يعني مختلف عليها مش + +33 +00:02:40,120 --> 00:02:44,220 +متفق عليها جدا يعني على سبيل المثال ال microtropia + +34 +00:02:44,220 --> 00:02:48,360 +syndrome أو ال microtropia بحد ذاتها هي يعني ممكن + +35 +00:02:48,360 --> 00:02:52,780 +تدرج تحت تقسيمة الإيزوتروبيا وممكن تدرج تحت + +36 +00:02:52,780 --> 00:02:56,750 +تقسيمات تانية زي الإيزوتروبيا فبالتاليطالما أنه + +37 +00:02:56,750 --> 00:03:00,430 +ممكن تيجي في الجهتين، معناته مافيش تقسيمة متفق + +38 +00:03:00,430 --> 00:03:06,190 +عليها وموحدة في العالم كله لإيزوكروبيا الأهم من + +39 +00:03:06,190 --> 00:03:10,870 +أني أركز وأني أصر على أني أعرف التقسيمة، الأهم من + +40 +00:03:10,870 --> 00:03:15,650 +ذلك أني أعرف إيش وضع ال binocular function عند هذا + +41 +00:03:15,650 --> 00:03:18,760 +المريض أو هذا الطفلإيش وضع ال refractive error + +42 +00:03:18,760 --> 00:03:22,540 +وإذا كان بإمكاني أصلح ال refractive error و أستعيد + +43 +00:03:22,540 --> 00:03:25,800 +ال binocular single vision بطريقة أو بأخرى بيكون + +44 +00:03:25,800 --> 00:03:29,680 +أهم من أني أشغل نفسي كثيرا في موضوع يا ترى هذا مع + +45 +00:03:29,680 --> 00:03:35,100 +ال exotropia أحط ولا مع ال esotropia نيجي نحكي عن + +46 +00:03:35,100 --> 00:03:37,880 +موضوعنا الرئيسي اللي هو early onset esotropia + +47 +00:03:37,880 --> 00:03:42,940 +حقيقة early onset esotropia فيها علامات كتيرة وسهل + +48 +00:03:43,340 --> 00:03:49,240 +سهل بالغالب أن الإنسان يعني يتعرف عليها كتشخيص بس + +49 +00:03:49,240 --> 00:03:53,700 +قبل ما نحكي عنها بدنا نقول لغاية عمر أربع شهور من + +50 +00:03:53,700 --> 00:03:58,120 +.. من سن الطفل أو من ميلاد الطفل إذا كان في عندي + +51 +00:03:58,120 --> 00:04:02,280 +infrequent episodes of convergence هذي تعتبر .. + +52 +00:04:02,280 --> 00:04:06,540 +يعني ممكن أعتبرها نورة بنركز على كلمة infrequent + +53 +00:04:06,540 --> 00:04:10,860 +يعني أحيانا الأهل بيلاحظوا أن الهلينة بتدخل لجوةو + +54 +00:04:10,860 --> 00:04:13,660 +أحيانا بلحظوها طبيعي، يعني قبل سن الأربع شهور مش + +55 +00:04:13,660 --> 00:04:17,380 +لازم انا أخاف لأن ال brain بيكونش لحق يعمل good + +56 +00:04:17,380 --> 00:04:23,200 +control على ال eye movement بعد الأربع شهور هذه ال + +57 +00:04:23,200 --> 00:04:30,440 +infrequent episodes أو نوباتقليلة من دخولي لعيني + +58 +00:04:30,440 --> 00:04:34,020 +لجوة لازم أخدها على أساس أنه في مشكلة عندي و لابد + +59 +00:04:34,020 --> 00:04:37,680 +من التعرف عليها طب لو قلنا السن أقل من أربع شهور + +60 +00:04:37,680 --> 00:04:41,220 +بس عندي constant easo deviation و large angle هذا + +61 +00:04:41,220 --> 00:04:45,760 +يعتبر حوالي يعتبر حوالي طبعا ال early onset + +62 +00:04:45,760 --> 00:04:49,440 +esotropia لها أسماء أخرى ممكن بعض الناس تسميها + +63 +00:04:49,440 --> 00:04:54,000 +congenital esotropia بعض الناس تسموها essential + +64 +00:04:54,000 --> 00:04:58,860 +esotropia أو infantile esotropiaطبعا لو سألنا + +65 +00:04:58,860 --> 00:05:02,400 +الأهل من أمتى بدأ الطفل يلاحظوا عليه أنه يعنيه + +66 +00:05:02,400 --> 00:05:07,480 +بيدخلوا لجوا تمام كتير منهم بيحكوا أنهم عند + +67 +00:05:07,480 --> 00:05:11,180 +الميلاد بس لما ندقيق في الأسئلة بنلاقي أنه كتير + +68 +00:05:11,180 --> 00:05:14,540 +منهم مش متذكرين إذا طفلهم فعلا كان فيه عنده حوال + +69 +00:05:14,540 --> 00:05:19,240 +عند الميلاد ولا لا أما المتفق عليه أنه هذا النوع + +70 +00:05:19,240 --> 00:05:22,800 +من الحوال لغاية ست شهور من العمر بيكون ظهر بيكون + +71 +00:05:22,800 --> 00:05:28,470 +ظهر على شهرين تلاتة بس مش ..مؤكد إنه بينشأ تماما + +72 +00:05:28,470 --> 00:05:32,490 +عند .. يعني من أول لحظة بيولد فيها الطفل وعشان هيك + +73 +00:05:32,490 --> 00:05:37,150 +كتير من العلماء بفضلوا استخدام infantile esotropia + +74 +00:05:37,150 --> 00:05:41,850 +عساس إنها في عمر ال infantsي في عمر الرضيع بتصير + +75 +00:05:41,850 --> 00:05:46,290 +مش مباشرة عند الولادة أو المصطلح العام اللي إحنا + +76 +00:05:46,290 --> 00:05:49,730 +هنستعمله early onset esotropia يعني اللي بتنشأ + +77 +00:05:49,730 --> 00:05:50,370 +مبكرة + +78 +00:05:54,200 --> 00:05:59,920 +هذا الطفل فيه علامات كثيرة بتحدد التشفيز within + +79 +00:05:59,920 --> 00:06:07,860 +the first six months of age يعني هذه البداية تاني + +80 +00:06:07,860 --> 00:06:13,000 +حاجة طالما أنها مش accommodative إيزوتروبيا و اللي + +81 +00:06:13,000 --> 00:06:16,880 +هي موضوعنا الأكبر و اللي حياتله معناته مافيش + +82 +00:06:16,880 --> 00:06:19,900 +refractive error أو refractive error طبيعي لسن هذا + +83 +00:06:19,900 --> 00:06:25,310 +الطفل no significant أي تاني علامةno significant + +84 +00:06:25,310 --> 00:06:31,890 +refractive error طب كيف اعرف انه no significant + +85 +00:06:31,890 --> 00:06:35,630 +refractive error لما اعمل Cycloblegia للطفل و اعمل + +86 +00:06:35,630 --> 00:06:40,390 +ريتينوسكوبي و اشوف انه في حدود ال plus واحد ل plus + +87 +00:06:40,390 --> 00:06:43,850 +اتنين لهذا الأمر طبعا ست شهور الأولى من عمره يعتبر + +88 +00:06:43,850 --> 00:06:47,810 +طبيعي مافيش significant refractive error no + +89 +00:06:47,810 --> 00:06:53,140 +limitation of ocular movementno limitation هذه + +90 +00:06:53,140 --> 00:06:56,800 +تالت علامة يعني ال abduction كويس ال abduction + +91 +00:06:56,800 --> 00:07:02,980 +كويس عشان مااشكش مثلا انه six nerve pulsing او + +92 +00:07:02,980 --> 00:07:08,620 +fibrosis او شيء معين يعني ال ocular movements okay + +93 +00:07:08,620 --> 00:07:12,060 +هذه علامات تعتبر من علامات ال early onset + +94 +00:07:12,060 --> 00:07:17,900 +esotropiaتضاف إلى العلامات اللي بتخليني أصل بكل + +95 +00:07:17,900 --> 00:07:22,580 +تأكيد للتشخيص من ضمن العلامات ال angle large وعشان + +96 +00:07:22,580 --> 00:07:27,640 +هيك ما بيتخربطش فيها الإنسان angle of squint is + +97 +00:07:27,640 --> 00:07:34,200 +large يعني إيزو تروبيا عندنا أكتر من أو تساوي + +98 +00:07:34,200 --> 00:07:40,090 +تلاتين prism ديوبداممكن توصل 60 و 70 و 90 برزم ده + +99 +00:07:40,090 --> 00:07:43,930 +يفضل يكون عندي severe esotropia طيب في ال primary + +100 +00:07:43,930 --> 00:07:47,970 +position في عندي alternating fixation يعني مرة + +101 +00:07:47,970 --> 00:07:51,790 +بيركز بعينه الشمال و اليمين بتدخل و مرة بيركز + +102 +00:07:51,790 --> 00:07:56,970 +بعينه اليمين و الشمال بتدخل إذا ال primary + +103 +00:07:56,970 --> 00:08:02,490 +position في ال primary position alternating + +104 +00:08:02,490 --> 00:08:03,510 +fixation + +105 +00:08:11,420 --> 00:08:15,320 +طيب في ال side gaze الإنسان اللي ما بحتاج في حياته + +106 +00:08:15,320 --> 00:08:19,940 +بالظبط أنه يتطلع على اليمين مرة ع الشمال مرة في + +107 +00:08:19,940 --> 00:08:23,660 +عندي cross fixation في ال side gaze إيش يعني cross + +108 +00:08:23,660 --> 00:08:28,840 +fixation بدنا نفهمها يعني في ال early onset + +109 +00:08:28,840 --> 00:08:33,860 +esotropia بيستخدم عينه لشمال عشان رؤية ال right + +110 +00:08:33,860 --> 00:08:40,100 +field و بيستخدم عينه اليمين عشان رؤية إيشالـ left + +111 +00:08:40,100 --> 00:08:44,380 +field بمعنى كل عين وين موجهة بتشوف المنطقة اللي هي + +112 +00:08:44,380 --> 00:08:48,600 +موجهة عليها طالما هو بيستخدم عينه اليمين عشان يشوف + +113 +00:08:48,600 --> 00:08:51,620 +ال left field معناته هذه العين مش محتاجة تعمل + +114 +00:08:51,620 --> 00:08:56,160 +abduction تمام؟ وعشان بيستخدم عينه الشمال لرؤية ال + +115 +00:08:56,160 --> 00:08:58,740 +right field معناته ال right eye مش محتاجة تعمل + +116 +00:08:58,740 --> 00:09:02,220 +abduction عند النظر لليمين يعني بيستخدم عين واحدة + +117 +00:09:03,070 --> 00:09:06,970 +في كل lateral field في كل lateral field هذا ممكن + +118 +00:09:06,970 --> 00:09:10,970 +يخربط الإنسان اللي بيفحص ويقول ربما يكون عنده + +119 +00:09:10,970 --> 00:09:15,430 +bilateral sex nerve pulsingليش؟ هيظن الإنسان اللي + +120 +00:09:15,430 --> 00:09:18,610 +بيفحص أنه هذا مافيش abduction عنده، هو في + +121 +00:09:18,610 --> 00:09:21,830 +abduction عنده بس هو مش محتاج لل abduction لأنه في + +122 +00:09:21,830 --> 00:09:26,490 +عنده قائمة بما يلزم للرؤية، قائمة بما يلزم للرؤية، + +123 +00:09:26,490 --> 00:09:30,590 +ساعتها احنا لازم نتأكد هل في abduction ولا مافيش + +124 +00:09:30,590 --> 00:09:32,990 +abduction، لأنه إذا مافيش فعلا abduction، معناته + +125 +00:09:32,990 --> 00:09:35,630 +ال diagnosis بتاع ال early onset of isotropy انهار + +126 +00:09:35,630 --> 00:09:40,470 +تماماأحنا قلنا من ضمن الشروط no limitation of + +127 +00:09:40,470 --> 00:09:43,070 +ocular movement لازم أتأكد أنه كل ال ocular + +128 +00:09:43,070 --> 00:09:46,570 +movements في ال eccentric gaze positions طبيعية + +129 +00:09:46,570 --> 00:09:53,350 +طيب كيف أتأكد أنه بيقدر يعمل abductionهذه احدى + +130 +00:09:53,350 --> 00:09:56,690 +الوسائل الممتازين اذا هات طبعا الوسيلة الأخيرة + +131 +00:09:56,690 --> 00:09:59,750 +اللى بقى الجالة فى حاجة اسمها dolls head maneuver + +132 +00:09:59,750 --> 00:10:03,090 +يعني بقى امسك الطفل من راسه و بلف راسه على ناحية + +133 +00:10:03,090 --> 00:10:06,430 +عينيه هيروح عن ناحية التانية فهلاحظ ال abduction + +134 +00:10:06,430 --> 00:10:10,230 +بعدين بلف راسه عن ناحية التانية فعينيه بيروح عكس + +135 +00:10:10,230 --> 00:10:13,210 +ذلك فبالتالي بقى لاحظ ال abduction في العين + +136 +00:10:13,210 --> 00:10:17,710 +التانية اذا اذا عشان اعرف ال abduction بيصير ولا + +137 +00:10:17,710 --> 00:10:23,110 +لأ فى عندي تلت وسائلأول وسيلة doll's head maneuver + +138 +00:10:23,110 --> 00:10:29,930 +تاني + +139 +00:10:29,930 --> 00:10:34,970 +وسيلة rotating the child يعني + +140 +00:10:34,970 --> 00:10:41,050 +بامسك الطفل و بلف فيه على أساس يصير عنده نستجمس + +141 +00:10:41,050 --> 00:10:46,810 +rotation نستجمس وبالتالي بلاحظأحدى العين تانية + +142 +00:10:46,810 --> 00:10:50,330 +هتروح في وضع ال upduction بقى ألف العكس العين + +143 +00:10:50,330 --> 00:10:53,190 +التانية هتروح في وضع ال upduction طب مانفعش ساعتها + +144 +00:10:53,190 --> 00:10:59,570 +بعمل covering of one eye covering of one eye لفترة + +145 +00:10:59,570 --> 00:11:04,050 +ممكن دقايق أو ممكن توصل لروبع ساعة أو نص ساعة + +146 +00:11:04,050 --> 00:11:09,050 +covering of one eye هاكتشف أنه كل عين بتقدر تعمل + +147 +00:11:09,050 --> 00:11:18,330 +upduction و بتأكد من أنهالقضية يعني مش قضية انه + +148 +00:11:18,330 --> 00:11:21,470 +مافيش abduction انه هذا just a cross fixation تمام + +149 +00:11:21,470 --> 00:11:27,570 +just a cross fixation من + +150 +00:11:27,570 --> 00:11:31,750 +ضمن العلامات احنا وصلنا كام علامة ست علامات لحتى + +151 +00:11:31,750 --> 00:11:35,990 +الآن من + +152 +00:11:35,990 --> 00:11:39,270 +ضمن العلامات ايضا is rotating the child هنا حكينا + +153 +00:11:40,510 --> 00:11:43,410 +هنا covering one eye وبعدين بعمل covering للتاني + +154 +00:11:43,410 --> 00:11:47,530 +عشان أشوف ال abduction في العين اللي بتظل مفتوح من + +155 +00:11:47,530 --> 00:11:54,210 +ضمن العلامات أيضا الأطفال هدولة أو جزء منهم بيكون + +156 +00:11:54,210 --> 00:11:59,010 +عنده nystagmus عنده nystagmus اللي هو رقم سبعة + +157 +00:11:59,010 --> 00:12:02,370 +nystagmus مش الكل حقيقة بس كتير منهم بيكون عندهم + +158 +00:12:02,370 --> 00:12:08,710 +nystagmus ال nystagmus هذا إله عدة ميزات تمام وإله + +159 +00:12:08,710 --> 00:12:18,350 +نوعين إما latentأو Manifest Platent إيش + +160 +00:12:18,350 --> 00:12:22,330 +هو ال Stagmas؟ خلّينا نعرف إيش هو ال Stagmas رقرقة + +161 +00:12:22,330 --> 00:12:27,570 +العين، تمام؟ رقرقة العين باختصار شديد عشان اللي + +162 +00:12:27,570 --> 00:12:34,010 +بيحقلها العين لما بتكون تتطلع على target الرقرقة + +163 +00:12:34,010 --> 00:12:37,370 +بتتم بحركة بيسموها Defoviating Movement + +164 +00:12:41,850 --> 00:12:47,930 +ثم حركة تصحيحية بيسموها refoviating .. refoviating + +165 +00:12:47,930 --> 00:12:51,790 +movement إيش يعني defoviating movement؟ يعني العين + +166 +00:12:51,790 --> 00:12:57,570 +لما بتطلع target معين مثلافي سبب معين بيحرفها عن + +167 +00:12:57,570 --> 00:13:00,910 +هذا ال target فبدل ما صورة ال target تسقط على + +168 +00:13:00,910 --> 00:13:05,230 +الفوفيا بتصير تسقط على extra foveal area الدماغ + +169 +00:13:05,230 --> 00:13:10,350 +بنتبه بيرجع الصورة على الفوفيا فإذا defoviating + +170 +00:13:10,350 --> 00:13:14,510 +movement بعدين refoviating movement هذا نستجمس + +171 +00:13:14,510 --> 00:13:19,270 +بصورة بسيطة جدا إذا تساوت سرعة ال defoviating + +172 +00:13:19,270 --> 00:13:23,140 +movement مع ال refoviating movementيعني الروحة و + +173 +00:13:23,140 --> 00:13:27,660 +الرجعة تساوت في السرعة بتسمى pendular nystagmus + +174 +00:13:27,660 --> 00:13:33,700 +عارفين + +175 +00:13:33,700 --> 00:13:39,120 +البندول البسيط؟ اش هو؟ تعسيع مش حركاته متساوية + +176 +00:13:39,120 --> 00:13:43,340 +السرعة يمين و شمال تمام و بيضلوا يهتز بسرعة + +177 +00:13:43,340 --> 00:13:49,470 +متساويةإذا ال nostagmus في العنتين إذا كان سرعة + +178 +00:13:49,470 --> 00:13:54,030 +الذهاب نفس سرعة الإياب أو ال defoviation دي يعني + +179 +00:13:54,030 --> 00:13:58,230 +إزاحة الصورة نفيها عن الفوفيا تمام؟ و Ray يعني + +180 +00:13:58,230 --> 00:14:02,430 +ارجعها للفوفيا تمام؟ إذا تساوت في السرعات بتسمى + +181 +00:14:02,430 --> 00:14:08,560 +pendular nostagmus إذا ما تساوت بالسرعاتيعني كانت + +182 +00:14:08,560 --> 00:14:12,360 +ال defoviation بطيقة طبعا عادة و ال refoviation + +183 +00:14:12,360 --> 00:14:16,060 +سريعة يعني هي ال defoviation هاي العين .. هاي + +184 +00:14:16,060 --> 00:14:20,380 +العين يا بنات ال defoviation بطيقة بعدين الدماغ + +185 +00:14:20,380 --> 00:14:24,340 +بنت به بيرجحها بسرعة بعدين بطيقة بعدين بيرجحها + +186 +00:14:24,340 --> 00:14:29,100 +بسرعة تمام؟ إذا كانت السرعات مختلفة بتسمى jerk + +187 +00:14:29,100 --> 00:14:31,160 +nystagmus jerk nystagmus + +188 +00:14:38,040 --> 00:14:47,980 +طيب الجيركنستاجمس لابد من أني أعطيله اسم يطلق + +189 +00:14:47,980 --> 00:14:55,180 +على الجيركنستاجمس اسم هو عبارة عن اتجاه الحركة + +190 +00:14:55,180 --> 00:15:02,360 +السريعة بمعنى .. انتبهوا معايا هيك شوية هاي + +191 +00:15:02,360 --> 00:15:08,770 +العينين في الوضع الأساسي صار slow drift للشمالslow + +192 +00:15:08,770 --> 00:15:12,830 +بعدين صار corrective fast movement لليمين لل + +193 +00:15:12,830 --> 00:15:19,450 +primary position fast هذا إيش بتسمى right beating + +194 +00:15:19,450 --> 00:15:25,050 +nystagmus right beating nystagmus right beating + +195 +00:15:25,050 --> 00:15:30,330 +nystagmus طيب + +196 +00:15:30,330 --> 00:15:36,550 +لو قلنا صار slow drift upward + +197 +00:15:39,430 --> 00:15:42,550 +بعدين صار fast corrective movement down to the + +198 +00:15:42,550 --> 00:15:46,450 +primary position بيسموه down beating stagmas down + +199 +00:15:46,450 --> 00:15:50,250 +beating stagmas مش معناته ان الان تنزل فيه لتحت لأ + +200 +00:15:50,250 --> 00:15:53,050 +هي بتطلع slowly لفوق وبعدين بترجع بسرعة ل ال + +201 +00:15:53,050 --> 00:15:56,830 +primary position رجوعها بسرعة اعطى الاسم ان هذا + +202 +00:15:56,830 --> 00:16:01,110 +رجعت باتجاه ال down تمام؟ وفي عندي up beating + +203 +00:16:01,110 --> 00:16:04,250 +stagmas وفي عندي right beating stagmas وفي عندي + +204 +00:16:04,250 --> 00:16:09,210 +left beating stagmas باختصارال jerkness stagmas ال + +205 +00:16:09,210 --> 00:16:11,670 +pendular من اسمه معروف، pendular يعني متساوي + +206 +00:16:11,670 --> 00:16:14,870 +السرعات في جميع الاتجاهات، بياخدش اسم، إلا اسمه + +207 +00:16:14,870 --> 00:16:18,990 +العامل، بس jerk .. إذا قلت jerkness stagmas معناته + +208 +00:16:18,990 --> 00:16:24,010 +إيش؟ لابد من أن أحدد اتجاهه وين؟ بدي أحدد اتجاهه + +209 +00:16:24,010 --> 00:16:29,410 +.. اتجاهه هو نفس اتجاه الحركة السريعةال نستاجمس + +210 +00:16:29,410 --> 00:16:33,650 +اللى عند ال early onset esotropia من نوع ال jerk + +211 +00:16:33,650 --> 00:16:39,050 +نستاجمس ايش معناه من نوع ال jerk نستاجمس؟ يعني + +212 +00:16:39,050 --> 00:16:42,550 +بالظبط يعني في slow defoviating movement و fast + +213 +00:16:42,550 --> 00:16:46,930 +refoviating movement او بدل ما نقول slow و fast + +214 +00:16:46,930 --> 00:16:51,730 +بنقول defoviating pursuit movement و refoviating + +215 +00:16:54,680 --> 00:17:00,140 +طيب الآن .. الآن يا ترى طالما احنا قلنا ال نستاجمس + +216 +00:17:00,140 --> 00:17:05,260 +المصاحب لل early onset esotropia جيرك معناته لازم + +217 +00:17:05,260 --> 00:17:12,020 +احدد اتجاهه ال نستاجمس هذا جيرك ويله خاصية يعني + +218 +00:17:12,020 --> 00:17:16,540 +مميزة جدا جدا اليه ايش هي الخاصية تاعة الجيرك + +219 +00:17:16,540 --> 00:17:22,970 +نستاجمس المصاحب لال early onset esotropia جابل ما + +220 +00:17:22,970 --> 00:17:26,590 +نقول عن هذه الخاصية بدنا نحكي نقطة واحدة لو إنسان + +221 +00:17:26,590 --> 00:17:29,510 +ماعندوش early onset esotropia وقولنا عنده right + +222 +00:17:29,510 --> 00:17:32,510 +beating nystagmus فهو طول حياته right beating + +223 +00:17:32,510 --> 00:17:35,590 +nystagmus up beating nystagmus معناته الاتجاه + +224 +00:17:35,590 --> 00:17:39,130 +متغيرش عن ال nystagmus إلا في حالة ال early onset + +225 +00:17:39,130 --> 00:17:44,500 +esotropiaفي حالة الـ early onset esotropia ال + +226 +00:17:44,500 --> 00:17:48,260 +نستجمس له الخصائص التالية أول حاجة انه latent ايش + +227 +00:17:48,260 --> 00:17:52,300 +يعني latent؟ خفي بمعنى هو مفتح عينيه تنتين مافيش + +228 +00:17:52,300 --> 00:17:57,500 +نستجمس بنغطي عينبنشأ ال latent nystagmus اللي هو + +229 +00:17:57,500 --> 00:18:00,780 +عبارة عن jerk nystagmus اتجاهه في اتجاه العين + +230 +00:18:00,780 --> 00:18:04,400 +المفتوحة يعني لما بنغطي للطفل اللي عنده early + +231 +00:18:04,400 --> 00:18:07,780 +onset esotropia بنغطيله عينه اليمين بيصير عنده + +232 +00:18:07,780 --> 00:18:11,420 +jerk nystagmus في عينه الشمال واتجاهه وين بيسموه + +233 +00:18:11,420 --> 00:18:14,980 +left beating nystagmus تمام؟ غطينا العين اليمين + +234 +00:18:14,980 --> 00:18:18,160 +اتحول من left beating ل right beating ل right + +235 +00:18:18,160 --> 00:18:23,460 +beating فإذا هو latent وبيغير اتجاهه حسب اتجاه + +236 +00:18:23,460 --> 00:18:27,920 +العينالـ open eye يعني اتجاهه يساوي اتجاه الـ open + +237 +00:18:27,920 --> 00:18:30,940 +eye معناته مرة بيكون right beating و مرة بيكون + +238 +00:18:30,940 --> 00:18:35,740 +left beating طيب ايضا من خصائص بعض المرضى اللي + +239 +00:18:35,740 --> 00:18:38,200 +عندهم early onset esotropia ممكن يكون عندهم + +240 +00:18:38,200 --> 00:18:44,240 +manifest latent stigma هو نفس ال latent stigmaليش + +241 +00:18:44,240 --> 00:18:48,160 +سمينا manifest latent هو بيظهر بدون ما نغطي أي عين + +242 +00:18:48,160 --> 00:18:51,440 +من العينتين بس لما بنغطي عين من العينتين بتزيد + +243 +00:18:51,440 --> 00:18:56,100 +شدته بتزيد شدته يعني هو موجود بصورة خفيفة غطينا + +244 +00:18:56,100 --> 00:19:00,060 +عين من العينتين زاد بكتير فبالتالي بنسميه manifest + +245 +00:19:00,060 --> 00:19:03,080 +latent يعني في جزء منه manifest وجزء منه ايش + +246 +00:19:03,080 --> 00:19:08,950 +latent أما ال latent بيكون هو مفتح عينيت انتينوضعه + +247 +00:19:08,950 --> 00:19:12,350 +كويس مش مبين أي نستجمس عنده، إذا سبع علامة + +248 +00:19:12,350 --> 00:19:17,310 +manifest, latent, نستجمس أو نستجمس بصورة عامة + +249 +00:19:17,310 --> 00:19:22,750 +واللي قلنا عنه إيش جيرك نستجمس لغاية الآن سبع + +250 +00:19:22,750 --> 00:19:29,350 +علامات، بدنا نكمل بعد هيك قلنا + +251 +00:19:29,350 --> 00:19:33,600 +refractive errorحنخلها من ضمن العلمة التانية طبعا + +252 +00:19:33,600 --> 00:19:36,380 +في حدود ل plus واحد ل plus اتنين و هذه مش + +253 +00:19:36,380 --> 00:19:42,040 +significant لأنها تعتبر مناسبة لسن الطفل تمام + +254 +00:19:42,040 --> 00:19:46,620 +مناسبة لسن الطفل ايضا في نوع تاني من ال nystagmus + +255 +00:19:46,620 --> 00:19:52,800 +بدنا نحكي عنه بتفصيل شوية اللي هو asymmetry of + +256 +00:19:52,800 --> 00:19:56,540 +optokinetic nystagmus of optokinetic nystagmus + +257 +00:19:56,540 --> 00:20:02,680 +عارفين ال optokinetic drumالـ optokinetic drum لو + +258 +00:20:02,680 --> 00:20:07,120 +أنا مشيتها أو لفيتها أمام عين واحد عينيها هتتبع ال + +259 +00:20:07,120 --> 00:20:09,820 +target اللي عليها أو الخطوط اللي عليها ال stripes + +260 +00:20:09,820 --> 00:20:15,180 +اللي عليها باتجاه الحركة هتعمل pursuit بعدين ترجع + +261 +00:20:15,180 --> 00:20:18,420 +تستجبل الخط اللي بعده أو ال target اللي بعده يعني + +262 +00:20:18,420 --> 00:20:22,200 +هتعمل pursuit باتجاه معين بعدين تعمل سكيت بالاتجاه + +263 +00:20:22,200 --> 00:20:28,060 +اللي هيش غيره وجدوا عند الأطفال الطبيعي لنحكي عن + +264 +00:20:28,060 --> 00:20:36,770 +الطفل الطبيعيالطفل الطبيعي لو سكرنا عين من عينية + +265 +00:20:36,770 --> 00:20:44,050 +تنتين واختبرنا ال monocular monocular optokinetic + +266 +00:20:44,050 --> 00:20:50,050 +nystagmus هذا + +267 +00:20:50,050 --> 00:20:55,270 +الطفل عمره أقل من ست شهور أقل من ست شهور وطبيعي + +268 +00:20:55,270 --> 00:20:56,190 +طفل طبيعي + +269 +00:20:58,770 --> 00:21:03,050 +خلّينا الـ optokinetic drum تلف بالاتجاه هذا من ال + +270 +00:21:03,050 --> 00:21:06,430 +nasal من اتجاه ال nasal للعين هذه باتجاه ال + +271 +00:21:06,430 --> 00:21:10,590 +temporal بعدين هنلاحظ أنه صار عنده optokinetic + +272 +00:21:10,590 --> 00:21:14,050 +stagnance بعدين عكسنا اللففان يعني صارت من ال + +273 +00:21:14,050 --> 00:21:18,650 +temporal لل nasal بنلاقي أي طفل طبيعي تحت سن ست + +274 +00:21:18,650 --> 00:21:25,230 +شهورال response بتاعه لما نلفله ل drum هذه من ال + +275 +00:21:25,230 --> 00:21:29,530 +nasal side ل ال temporal side يعني بالاتجاه .. + +276 +00:21:29,530 --> 00:21:34,320 +بالاتجاه هذا تمام أمام عينه تمامless well + +277 +00:21:34,320 --> 00:21:38,760 +developed than لما نلفله يهب لاتجاه العكسي يعني ال + +278 +00:21:38,760 --> 00:21:41,780 +response بتاعه بيكون أضعف لما نلفله من ال nasal لل + +279 +00:21:41,780 --> 00:21:45,780 +temporal و بيكون أقوى لما نلفله من ال temporal لل + +280 +00:21:45,780 --> 00:21:49,180 +nasal لغاية ست شهور من العمر هذا موجود عند الأطفال + +281 +00:21:49,180 --> 00:21:53,100 +الطبيعيين و بيطلق عليه asymmetry of optokinetic + +282 +00:21:53,100 --> 00:21:57,820 +nystagmus يعني ال monocular nystagmus لما ألفالـ + +283 +00:21:57,820 --> 00:22:00,600 +optokinetic drum هيك من الـ nasal للـ temporal + +284 +00:22:00,600 --> 00:22:03,760 +بيعطيني response بس هذا ال response أضعف من ما ألف + +285 +00:22:03,760 --> 00:22:09,360 +في العكس تمام؟ بعد سن ست شهور بيصير سميتركا إلا + +286 +00:22:09,360 --> 00:22:12,160 +عند ال early onset of esotropia هذا بيظل على طول + +287 +00:22:12,160 --> 00:22:16,100 +بيظل على طول asymmetry of optokinetic nystagmus + +288 +00:22:16,100 --> 00:22:20,200 +عشان نفهم الكلمة هاي من وين إجت طبعا احنا باختصار + +289 +00:22:20,200 --> 00:22:22,900 +لما بيقول asymmetry of optokinetic nystagmus بيبقى + +290 +00:22:22,900 --> 00:22:27,820 +نفهم هذا الكلام اللي حكيناهأيضا من ضمن العلامات + +291 +00:22:27,820 --> 00:22:30,940 +المميزة و اللي ممكن تكون أو ما تكونش ساعة ما ييجي + +292 +00:22:30,940 --> 00:22:36,800 +الطفل عندي للفحص وصلنا أي رقم يا بنات تمانية و لا + +293 +00:22:36,800 --> 00:22:40,440 +تسعة تسعة تمانية تمانية تسعة تمانية تسعة تمانية + +294 +00:22:40,440 --> 00:22:40,600 +تسعة تمانية تسعة تمانية تمانية تمانية تمانية + +295 +00:22:40,600 --> 00:22:42,020 +تمانية تمانية تمانية تمانية تمانية تمانية تمانية + +296 +00:22:42,020 --> 00:22:47,160 +تمانية تمانية تمانية تمانية تمانية تمانية تمانية + +297 +00:22:47,160 --> 00:22:48,140 +تمانية تمانية تمانية تمانية تمانية تمانية تمانية + +298 +00:22:48,140 --> 00:22:48,440 +تمانية تمانية تمانية تمانية تمانية تمانية تمانية + +299 +00:22:48,440 --> 00:22:48,440 +تمانية تمانية تمانية تمانية تمانية تمانية تمانية + +300 +00:22:48,440 --> 00:22:50,940 +تمانية تمانية تمانية تمانية تمانهذا بيظهر عند + +301 +00:22:50,940 --> 00:22:55,340 +اختبار الـ optokinetic drum تمام أما هذا موجود مع + +302 +00:22:55,340 --> 00:22:58,860 +كتير من المرضى اللي عندهم early onset esotropia + +303 +00:22:58,860 --> 00:23:04,560 +الآن بنيجي لتسعة اللي هي بعض المرضى أو كتير من + +304 +00:23:04,560 --> 00:23:09,100 +المرضى ممكن خمسين في المية أو أكتر بيكون عندهم IOO + +305 +00:23:09,100 --> 00:23:13,200 +inferior oblique over action ال inferior oblique + +306 +00:23:13,200 --> 00:23:20,940 +في أي وضع بنختبرهاin and up هذا المريض او هذا + +307 +00:23:20,940 --> 00:23:23,840 +الطفل لما يكون عنده مثلا right inferior oblique + +308 +00:23:23,840 --> 00:23:27,320 +over action لما بنقوله يتطلع على ال left بنلاقي + +309 +00:23:27,320 --> 00:23:32,140 +المنظر هذا هذا بتسمى inferior oblique over action + +310 +00:23:32,140 --> 00:23:35,520 +يعني بدل ما العين تاني يروحوا بالتساوي وبالتزان + +311 +00:23:35,520 --> 00:23:41,500 +وعلى نفس ال level to the left side طالما اجت العين + +312 +00:23:41,500 --> 00:23:45,330 +في وضع ال adductionاللي هو وضع عمل الأبليكات + +313 +00:23:45,330 --> 00:23:48,910 +بنلاقي العين شردة لفوق لأنه في عنده inferior + +314 +00:23:48,910 --> 00:23:53,530 +oblique over action هذه right وهنا ممكن تكون + +315 +00:23:53,530 --> 00:23:59,590 +unilateral أو bilateral هنا left inferior oblique + +316 +00:23:59,590 --> 00:24:03,870 +over action أيضا من ضمن العلامات اللي هي العلامة + +317 +00:24:03,870 --> 00:24:05,650 +العاشرة DVD + +318 +00:24:13,030 --> 00:24:18,370 +Dissociated Vertical Deviation لغاية بلوغ هدول + +319 +00:24:18,370 --> 00:24:23,110 +الأطفال سن التلت سنوات اكتير منهم اكتير منهم بيصير + +320 +00:24:23,110 --> 00:24:27,270 +معاه DVD و خاصة اذا كان من علاماته الأولية و هو + +321 +00:24:27,270 --> 00:24:30,710 +عمره صغير كان من عنده من ضمن العلامات موجود ان + +322 +00:24:30,710 --> 00:24:34,530 +استجمست هذا بتوقع جدا بعد هيك انه يصير عنده DVD + +323 +00:24:35,340 --> 00:24:39,520 +بتوقع جدا يصير عنده DVD dissociated vertical + +324 +00:24:39,520 --> 00:24:43,900 +deviation أثناء ما هذا المريض أو هذا الطفل يكون + +325 +00:24:43,900 --> 00:24:47,980 +مركز في شيء معين بنلاقي إحدى العين تانية أو لما + +326 +00:24:47,980 --> 00:24:52,240 +أغطي العين التانية العين اللي تحت الغطاء أو اللي + +327 +00:24:52,240 --> 00:24:57,340 +بيوصلها ضوء أقل بنلاقيها عملة slow up movement + +328 +00:24:57,340 --> 00:25:03,400 +with x cyclotorsion يعني بتطلع لفوق بنفرض غطينا + +329 +00:25:03,400 --> 00:25:08,310 +العين هايغطينا العين هاي، هاي الغطا، بنلاقي أن هذه + +330 +00:25:08,310 --> 00:25:13,810 +العين طلعت بالتدريج لفوق وعملت كمان إيش؟ إكس + +331 +00:25:13,810 --> 00:25:20,810 +سايكلو تورش يعني تحت الغطا هتكون مبينة إيش؟ عملة + +332 +00:25:21,130 --> 00:25:25,230 +لفوق و X-cyclotorsion وهذه من الحالات النادرة اللي + +333 +00:25:25,230 --> 00:25:29,110 +احنا بنشوف فيها ال X-cyclotorsion عيناً احنا قلنا + +334 +00:25:29,110 --> 00:25:32,090 +تورشينا ال movement متكونش واضحة لنا في الوضع + +335 +00:25:32,090 --> 00:25:36,470 +الطبيعي بس هنا ممكن يكون ال DVD سيفير و نلاحظه + +336 +00:25:36,470 --> 00:25:41,090 +بالعين المجردة و ببساطة نلاحظ كيف العين بتطلع و + +337 +00:25:41,090 --> 00:25:44,610 +كيف بتعمل X-cyclotorsion و ايضا لما نرفع الغطا + +338 +00:25:44,610 --> 00:25:47,850 +عنها كيف بتنزل و كيف بتعمل Intorsion عشان ترجع + +339 +00:25:47,850 --> 00:25:52,770 +لوضعها الطبيعيالان لما بنرفع الغطاء وبتنزل لوضعها + +340 +00:25:52,770 --> 00:25:56,690 +الطبيعي مفروض لما تنزل حسب hearing low ها دي ايش + +341 +00:25:56,690 --> 00:26:00,510 +بتنزل الا انه ها دي بتنزل لحالها بدون اي حركة منها + +342 +00:26:00,510 --> 00:26:05,450 +عشان هيك ال DVD هي الاستثناء الوحيد الذي لا يخضع + +343 +00:26:05,450 --> 00:26:09,210 +له hearing low فاكرين في حوا الواحد احنا حاكي هنا + +344 +00:26:09,210 --> 00:26:11,910 +hearing low له استثناء وحيد وsharrington low له + +345 +00:26:11,910 --> 00:26:15,990 +استثناء وحيد اللي هو Duane syndrome اذا ال DVD + +346 +00:26:15,990 --> 00:26:20,450 +اللي هي dissociated vertical deviationو عشان ايك + +347 +00:26:20,450 --> 00:26:24,390 +أخدت اسم dissociated لأنه أثناء تعديلها لنفسها + +348 +00:26:24,390 --> 00:26:28,090 +تمام بعد ما نرفع الغطا أو بعد ما ينتبه هذا الطفل + +349 +00:26:28,090 --> 00:26:33,490 +ما بيصيرش عمل مرافق من العين التانية، ان هذه نزلت، + +350 +00:26:33,490 --> 00:26:37,670 +هذه تنزل على جبلها، لأ هذه بتطلع لحالها under + +351 +00:26:37,670 --> 00:26:42,630 +cover و بتنزل لوضعها الطبيعي بدون يعني ما تخضع ل + +352 +00:26:42,630 --> 00:26:48,270 +hearing lossطبعا هنا ال early onset esotropia + +353 +00:26:48,270 --> 00:26:51,810 +بالهيرشبيرد تسته تقريبا تلاتين present هو fixating + +354 +00:26:51,810 --> 00:26:56,750 +with the left eye تمام و ال right eye squinting + +355 +00:26:56,750 --> 00:27:00,190 +طبعا عنده كمان بالاضافة لل early onset esotropia + +356 +00:27:00,190 --> 00:27:04,750 +عنده ال pseudoEsotropia لأنه Epicanthic Fault + +357 +00:27:04,750 --> 00:27:08,310 +Epicanthic Fault طبعا هذا بالنسبة لل cross + +358 +00:27:08,310 --> 00:27:11,890 +-fixation هو بستخدم عينه الشمال لل right field + +359 +00:27:11,890 --> 00:27:15,770 +وعينه اليمين لل left field بينما لما أعمل cover + +360 +00:27:15,770 --> 00:27:20,330 +باكتشف أن ال left eye بتقدر تعمل abduction فهذا مش + +361 +00:27:20,330 --> 00:27:23,430 +موضوع sex nerve palsy أو restriction في ال + +362 +00:27:23,430 --> 00:27:23,930 +abduction + +363 +00:27:27,100 --> 00:27:30,340 +كيف نعالج هدول المرضى اللي عندهم early onset + +364 +00:27:30,340 --> 00:27:34,160 +esotropia نرجع لل history taking ونقول احنا غالبا + +365 +00:27:34,160 --> 00:27:38,300 +لما بناخد history و بنكتشف انه ال onset of squint + +366 +00:27:38,300 --> 00:27:42,880 +before six months of age يعني as earlier onset + +367 +00:27:42,880 --> 00:27:48,220 +يعني means most probably we will need surgery اذا + +368 +00:27:48,220 --> 00:27:51,920 +early ocular alignment gives the best chance of + +369 +00:27:51,920 --> 00:27:55,200 +child developing some kind او some form of + +370 +00:27:55,200 --> 00:28:00,390 +binocular functionحقيقة زمان في بداية القرن + +371 +00:28:00,390 --> 00:28:06,530 +العشرين وما سبق كان في جدال بين العلماء على موضوع + +372 +00:28:06,530 --> 00:28:09,750 +ال early onset esotropy يا ترى مستاهل نشتغل جراحة + +373 +00:28:09,750 --> 00:28:15,220 +ولا فيش أمل في استعادة ال binocularityworth سمعته + +374 +00:28:15,220 --> 00:28:18,880 +في الاسم هذا worth for the test worth حقيقة كان له + +375 +00:28:18,880 --> 00:28:23,020 +نظرية انه في عندي ال fusion center خلقيا في الدماغ + +376 +00:28:23,020 --> 00:28:25,960 +ال fusion center اللي بدمج للثورتين بيكون فيه + +377 +00:28:25,960 --> 00:28:29,420 +مشكلة او مش متطور و عشان هيك يعني مافيش اي فايدة + +378 +00:28:29,420 --> 00:28:31,580 +من إجراء الجراحة + +379 +00:28:33,960 --> 00:28:39,020 +حاجة لأ انه مشكلة ال early onset esotropia هي + +380 +00:28:39,020 --> 00:28:42,680 +مشكلة ميكانيكية mechanical problem و عشان هيك كل + +381 +00:28:42,680 --> 00:28:47,800 +ما انا يعني سرعت في الحال كل ما انا قدرت استعيد ال + +382 +00:28:47,800 --> 00:28:52,110 +.. اللي هو ال binocularity ولو جزئيا و انه ..أحصل + +383 +00:28:52,110 --> 00:28:58,470 +على سنة refusal بدرجة يعني مقبولة وجيدة طبعا تقدم + +384 +00:28:58,470 --> 00:29:01,790 +علم التخدير تقدم علم التخدير أدى إلى أنه فيه + +385 +00:29:01,790 --> 00:29:05,370 +إمكانية لإجراء الجراحة في أشهر مبكرة من عمر الطفل + +386 +00:29:05,370 --> 00:29:10,690 +وفعلا أجريت عمليات كتيرة على الأطفال تحت سن سنتين + +387 +00:29:10,690 --> 00:29:14,350 +أو بالأحسن من سن ست شهور لسن سنتين ووجدوا أنه فيه + +388 +00:29:14,350 --> 00:29:18,230 +good results وهذا شجع أن النظرية التانية ربما تكون + +389 +00:29:18,230 --> 00:29:21,700 +هي الاشيعني الأفضل اقوله مش .. مش قضية انه fusion + +390 +00:29:21,700 --> 00:29:26,280 +center مش موجود يعني ما .. مابنقدر احنا نصل مائة + +391 +00:29:26,280 --> 00:29:29,720 +بالمائة للوضع الأفضل أو السليم بس ممكن نصل لوضع + +392 +00:29:29,720 --> 00:29:34,300 +ممتاز جدا و يكون فيه some binocularity طيب ايش + +393 +00:29:34,300 --> 00:29:37,500 +نعمل؟ طبعا ideally the eyes should be surgically + +394 +00:29:37,500 --> 00:29:40,620 +aligned by the age of twelve months and at the + +395 +00:29:40,620 --> 00:29:44,160 +very latest by the age of two years يعنيas soon as + +396 +00:29:44,160 --> 00:29:47,660 +possible هذا النوع من الحوار بدون تدخل جراحي طيب + +397 +00:29:47,660 --> 00:29:50,940 +ليش مابنلابسش نضارة؟ عشان فيش significant + +398 +00:29:50,940 --> 00:29:58,500 +refractive error طبعا عشان أستعيد ال binocularity + +399 +00:29:58,500 --> 00:30:02,370 +أو جزء منهاو أحصل على sensory fusion كويس لازم + +400 +00:30:02,370 --> 00:30:07,490 +أعمل العملية as soon as possible تمام the initial + +401 +00:30:07,490 --> 00:30:11,670 +procedure ممكن اللي هي العملية الأولى تكون إرخاء + +402 +00:30:11,670 --> 00:30:16,450 +recession of both media recti أو نشتغل على عين + +403 +00:30:16,450 --> 00:30:19,950 +واحدة ممكن يعني نرخي ال media rectus و نشدالـ + +404 +00:30:19,950 --> 00:30:25,290 +lateral rectus بعض المرضى اللي بيكون عندهم large + +405 +00:30:25,290 --> 00:30:28,330 +angle ممكن نشتغل على three muscles أو four muscles + +406 +00:30:28,330 --> 00:30:32,250 +أحيانا نرخل both medial recti و نشد ال both + +407 +00:30:32,250 --> 00:30:35,910 +lateral recti عساس أنه الزاوية بتكون كبيرة بعض + +408 +00:30:35,910 --> 00:30:39,790 +الآخر بيفضل لأ أنا بشتغل عين و بقى أقيم جديش ده ال + +409 +00:30:39,790 --> 00:30:42,740 +angle اللي عندي من ال squint و بقى أشتغلالعين + +410 +00:30:42,740 --> 00:30:47,500 +التانية طبعا فبالتالي طبعا ال very .. ال very + +411 +00:30:47,500 --> 00:30:51,380 +large angles may require يعني ستة و نص ملي متر + +412 +00:30:51,380 --> 00:30:55,220 +recession ل ال media rectus او more طبعا الستة و + +413 +00:30:55,220 --> 00:30:59,140 +نص ملي متر يعتبر كمية كبيرة و طبعا في جداول يعني + +414 +00:30:59,140 --> 00:31:03,600 +لهذا الغرض بتحددلي جداش ال angle of squint و جداش + +415 +00:31:03,600 --> 00:31:08,670 +لازم احنا يعني نرخي او نشد في العضلاتهل بنتهيأ + +416 +00:31:08,670 --> 00:31:12,690 +دورنا مع مريض الـ early onset esotropia بمجرد ما + +417 +00:31:12,690 --> 00:31:17,190 +يعمل العملية؟ طبعاً لأ في متابعات و متابعات كتيرة + +418 +00:31:17,190 --> 00:31:21,270 +من ضمن الأشياء اللي بناخد بالنا فيها إذا كان عنده + +419 +00:31:21,270 --> 00:31:25,010 +inferior oblique over action لابد من التعامل معاه + +420 +00:31:25,010 --> 00:31:28,500 +لأن inferior oblique over action و خاصة إذايعني + +421 +00:31:28,500 --> 00:31:32,840 +significant يعني ممكن تحتاج تدخل جراحي فممكن تجرى + +422 +00:31:32,840 --> 00:31:36,800 +في نفس العملية إذا كانت يعني موجودة وظاهرة أو تجرى + +423 +00:31:36,800 --> 00:31:43,260 +في عملية أخرى إذا ظهرت لاحقا طبعا ما هي مواصفات + +424 +00:31:43,260 --> 00:31:49,250 +العملية الناجحة لل early onset esotropiaمعروف انه + +425 +00:31:49,250 --> 00:31:52,050 +ال healing process لل muscles على سطح ال sclera + +426 +00:31:52,050 --> 00:31:56,130 +تمام و أيه القياس بواسطة ال hersberg test لأنه طفل + +427 +00:31:56,130 --> 00:31:58,890 +في هذا العمر ست شهور مش ممكن اجيزله ال alternative + +428 +00:31:58,890 --> 00:32:03,130 +prison cover test تمام فبالتالي قضية ال hersberg + +429 +00:32:03,130 --> 00:32:09,690 +test قضية المهارة الجراح قضية ال healing process + +430 +00:32:09,690 --> 00:32:13,690 +ممكن تتحكم في النتيجة يعني مش ضروري او او مش + +431 +00:32:13,690 --> 00:32:18,780 +هنستطيع في كل مرة انه نجيب القياس ل zeroالقياس ده + +432 +00:32:18,780 --> 00:32:22,860 +Zero يعني حتى في يد أمهر الجراحين يعتبر العلماء + +433 +00:32:22,860 --> 00:32:26,400 +متفقين أنه alignment of the eyes to within 10 + +434 +00:32:26,400 --> 00:32:30,280 +prism diopters associated with peripheral effusion + +435 +00:32:30,280 --> 00:32:34,740 +and central separation يعني أحاوله من large angle + +436 +00:32:34,740 --> 00:32:36,540 +esotropia لmicrotropia + +437 +00:32:39,210 --> 00:32:43,710 +يعتبر نتيجة ناجحة لأنه إذا دخل في الميكروتروبيا + +438 +00:32:43,710 --> 00:32:47,430 +سيستعمل عينه تنتين بس العين الميكروتروبيك هيكون + +439 +00:32:47,430 --> 00:32:50,510 +فيها central suppression اسكتومة بسيطة بس ال + +440 +00:32:50,510 --> 00:32:53,770 +peripheral fusion اللي قلنا عنه أن هو الأهمللـ + +441 +00:32:53,770 --> 00:32:58,270 +binocularity طبعاً بيصير عندي يعني some kind of + +442 +00:32:58,270 --> 00:33:01,750 +binocularity هذه ال small angle اللي بتضل طبعاً + +443 +00:33:01,750 --> 00:33:04,570 +بتضلش بإيرادتنا يعني احنا مش متعمدين نقدر نحط + +444 +00:33:04,570 --> 00:33:08,370 +نخليه صفر و نقولنا لأ خليه سبعة برزم أو تمانية + +445 +00:33:08,370 --> 00:33:14,430 +برزم لأ هذه ال angle اللي بتضل يعني تعتبر stable و + +446 +00:33:14,430 --> 00:33:17,830 +على الرغم من ان ال bifovial fixation بتحققش بس + +447 +00:33:17,830 --> 00:33:20,950 +هيكون في عندي فوفيا و هيكون عندي صدوفوفيا يعني + +448 +00:33:20,950 --> 00:33:22,570 +هيكون mono fixation + +449 +00:33:31,560 --> 00:33:37,760 +الصورة العليا قبل التدخل الجراحي والصورة السفلة + +450 +00:33:37,760 --> 00:33:41,380 +بعد التدخل الجراحي طبعا good ocular alignment + +451 +00:33:43,950 --> 00:33:47,030 +وإذا كان في عندي inferior oblique over action لازم + +452 +00:33:47,030 --> 00:33:51,010 +أتعامل معاه ما هو العلاج التابع للعلاج الرئيسي + +453 +00:33:51,010 --> 00:33:54,230 +اللي هو العملية أول حاجة ال under correction يعني + +454 +00:33:54,230 --> 00:33:58,190 +احتمال يصير عندي under correction بمعنى كان عندي + +455 +00:33:58,190 --> 00:34:02,170 +ال angle مثلا خمسين prism بعد العملية لجيت انها + +456 +00:34:02,170 --> 00:34:06,950 +عشرين prism اتحسنت طبعا اتحسنت بس ما نزلت تحت + +457 +00:34:06,950 --> 00:34:10,430 +العشرة احنا اتفجنا ان اللي بنزل تحت العشرة قياسه + +458 +00:34:10,430 --> 00:34:14,610 +يعتبرSatisfactory result اذا الخمسين بريزم لما + +459 +00:34:14,610 --> 00:34:18,610 +صارت عندى عشرين بريزم ايزوتروبيا معناته لسه عندى + +460 +00:34:18,610 --> 00:34:22,390 +الطفل under corrected ماتحصلح كامل وبالتالي بده + +461 +00:34:22,390 --> 00:34:26,310 +ايش شغل كمان عملية جراحية على العضلات اللى + +462 +00:34:26,310 --> 00:34:29,410 +ماانشغلتش جاب ال ايه ال inferior oblique over + +463 +00:34:29,410 --> 00:34:33,390 +actionممكن ما تكونش ساعت ما ييجين الطفل بس ممكن + +464 +00:34:33,390 --> 00:34:37,790 +تتطور بعد هيك غالبا على عمر سنتين و ممكن تحتاج + +465 +00:34:37,790 --> 00:34:43,330 +يعني جراحة احنا لما بنقول عضلة over acting معناته + +466 +00:34:43,330 --> 00:34:46,690 +الجراحة بتاعتها weakening هي over acting بدي + +467 +00:34:46,690 --> 00:34:50,410 +أضعفها عشان ما تصيرش over acting في وسائل كتير + +468 +00:34:50,410 --> 00:34:55,940 +يعني لتضعيفها و هنيجي نحكي عنها فيفي حينه في ال .. + +469 +00:34:55,940 --> 00:35:01,080 +يعني محاضرة اللي هو ال .. Strapismus surgery طبعا + +470 +00:35:01,080 --> 00:35:04,480 +من ضمن الأشياء اللي بتضعف فيها اللي هو ال .. ال + +471 +00:35:04,480 --> 00:35:06,600 +weakening ال procedures بتاعة ال inferior oblique + +472 +00:35:06,600 --> 00:35:09,760 +زي ال recession الإرخاء زي ال disinsertion الخلع + +473 +00:35:09,760 --> 00:35:15,060 +من مكانها أو ال myectomy لإزالة جزء منها بالكامل + +474 +00:35:15,060 --> 00:35:19,040 +إزالة جزء منها بالكامل هاي ال inferior oblique + +475 +00:35:19,040 --> 00:35:21,640 +over action left inferior oblique over action + +476 +00:35:25,200 --> 00:35:30,120 +ال DVD أيضا بتسير عند بعض الناس اللي عندهم early + +477 +00:35:30,120 --> 00:35:35,420 +onset esotropia ممكن العملية تكون ناجحة جدا و بعد + +478 +00:35:35,420 --> 00:35:38,720 +فترة ييجوا الأهل يشكوا انه صيرنا لاحظ اشي غريب + +479 +00:35:38,720 --> 00:35:43,810 +فبالتالي من البداية .. من البدايةلما بدي بقى أحكي + +480 +00:35:43,810 --> 00:35:48,570 +بعد الفحص مع الأهل و بحكي لهم عن المشكلة الرئيسية + +481 +00:35:48,570 --> 00:35:52,110 +اللي هي ال aesopropia الـ L6 aesopropia بدي أعطي + +482 +00:35:52,110 --> 00:35:55,090 +تحذير للأهل إنه في احتمال يصير عندي inferior + +483 +00:35:55,090 --> 00:35:58,830 +oblique overarching زيادة نشاط في عضلة .. في + +484 +00:35:58,830 --> 00:36:03,950 +العضلة المائلة السفلية أو بيتسمى بلغتنا هنا حوال + +485 +00:36:03,950 --> 00:36:08,370 +وربي تمام؟ و ممكن أرسمه إليهم على ورق عساس إنه + +486 +00:36:08,370 --> 00:36:13,980 +إيش؟هذا او حوال رأسي غير متجانس DVD انه بعض ال .. + +487 +00:36:13,980 --> 00:36:18,980 +هذا لما يصرح ممكن تطلع عينه لفوق او لما يكون مركز + +488 +00:36:18,980 --> 00:36:22,940 +في .. في شيء معين ليش انا بحذر الاهل من هذه القضية + +489 +00:36:22,940 --> 00:36:26,520 +حتى لما تصير مايفكروش ان هذه القضية ناتجة عن + +490 +00:36:26,520 --> 00:36:29,680 +العملية اللي اجريت ناتجة عن العملية اللي اجريت + +491 +00:36:29,680 --> 00:36:33,720 +بحذرهم و بيقولهم احتمال يحتاج العمليةلهذه الأشياء + +492 +00:36:33,720 --> 00:36:37,440 +إذا ظهرت ما ظهرتش معناته ما إحنا مش محتاجين لإجراء + +493 +00:36:37,440 --> 00:36:41,760 +أي تدخل في هذه القضية إيش هي ال DVD عبارة عن up + +494 +00:36:41,760 --> 00:36:46,500 +and drift with x-cyclotorsion يعني بنحكي عن العين + +495 +00:36:46,500 --> 00:36:51,620 +اليمين up and drift with x-cyclotorsion تمام drift + +496 +00:36:51,620 --> 00:36:56,730 +يعني ببطء تمام of the eye when undercoverلما بتكون + +497 +00:36:56,730 --> 00:37:01,230 +مغطية العين او لما .. spontaneous للحالها لما يكون + +498 +00:37:01,230 --> 00:37:05,270 +المريض مش منطلح او سرحان او سرحان لما بنرفع ال + +499 +00:37:05,270 --> 00:37:10,210 +cover او المريض بينتبه ال affected eye will move + +500 +00:37:10,210 --> 00:37:13,110 +down without a corresponding down drift of the + +501 +00:37:13,110 --> 00:37:16,650 +other eye طالما ماصارش down drift of other eye هذه + +502 +00:37:16,650 --> 00:37:20,250 +نزلت من فوقو هذه ما نزلتش من ال primary position + +503 +00:37:20,250 --> 00:37:24,010 +معناته ال DVD does not obey hearing law لا تخضع + +504 +00:37:24,010 --> 00:37:29,610 +ولا تحترم hearing law وبالتالي يعني هذه الاستثناء + +505 +00:37:29,610 --> 00:37:34,030 +الوحيد لما انا بشوف في عين ال DVD لازم احاول ابحث + +506 +00:37:34,030 --> 00:37:37,350 +عن ال DVD في العين التانية ممكن يكون في العين + +507 +00:37:37,350 --> 00:37:40,390 +التانية ال DVD خفيف جدا لدرجة اني افكر انه مش + +508 +00:37:40,390 --> 00:37:46,310 +موجود تمامو حصلت كتير انه تم إجراء عملية جراحية لل + +509 +00:37:46,310 --> 00:37:50,350 +DVD في one eye و بعد ما اتصلحت ال DVD في one eye + +510 +00:37:50,350 --> 00:37:53,850 +اكتشفنا تمام انه في في ال other eye بس كان خفيف + +511 +00:37:53,850 --> 00:37:58,930 +امتى ظهر لما اتصلح ال DVD الأشد تمام فبالتالي لازم + +512 +00:37:58,930 --> 00:38:03,410 +احاول انه اكتشف هو غالبا ال DVD بيكون في ال both + +513 +00:38:03,410 --> 00:38:06,350 +eyes بس بيكون asymmetrical في عين شديد و في عين + +514 +00:38:06,730 --> 00:38:12,450 +بكون خفيف طبعا surgical treatment لل DVD is + +515 +00:38:12,450 --> 00:38:15,010 +indicated when the condition is cosmetically + +516 +00:38:15,010 --> 00:38:18,750 +unacceptable في ناس عندهم DVD خفيفة جدا يدوبها + +517 +00:38:18,750 --> 00:38:22,620 +ملاحظة الإنسان اللي بيدجج كتير اللي بلاحظهاأما في + +518 +00:38:22,620 --> 00:38:26,760 +الأوضاع العادية مش ملاحظة هذا بلزموش حاجة بس .. + +519 +00:38:26,760 --> 00:38:29,600 +يعني just follow up أما بالنسبة إذا كان + +520 +00:38:29,600 --> 00:38:33,540 +cosmetically unacceptable يعني لما بيسرح أو بيركز + +521 +00:38:33,540 --> 00:38:36,880 +في شيء عينه بتطلع كتير و واضحة جدا ساعتها هذا بدي + +522 +00:38:36,880 --> 00:38:42,100 +تدخل جراحي بهدف أنه تحسين المنظر أو يعني تحسين + +523 +00:38:42,100 --> 00:38:46,820 +اللي هو ال cosmetic issue طبعا وسائل علاج ال DVD + +524 +00:38:46,820 --> 00:38:52,110 +حاجتين إما أنا بعمل superior rectus recessionأو + +525 +00:38:52,110 --> 00:38:56,590 +بعمل inferior oblique anterior transposition وهذا + +526 +00:38:56,590 --> 00:39:00,330 +هنجي نشرحه في واجهة اللي هو محاضرة اللي هي le + +527 +00:39:00,330 --> 00:39:03,430 +squint surgery إما برخي ال superior rectus عشان ما + +528 +00:39:03,430 --> 00:39:07,750 +تقدرش العين تطلع لفوق و ممكن أعملها posterior + +529 +00:39:07,750 --> 00:39:12,870 +fixation suture وهذا برضه هنحكي عنه أو أني بعملها + +530 +00:39:12,870 --> 00:39:17,090 +إيش inferior oblique anterior transposition بس + +531 +00:39:17,090 --> 00:39:19,550 +نحكي كلمة بسيطة ال inferior oblique ال insertion + +532 +00:39:19,550 --> 00:39:20,850 +بتاعها وين؟ + +533 +00:39:23,520 --> 00:39:28,140 +Posterior Inferior Temporal Equadrant Posterior + +534 +00:39:28,140 --> 00:39:32,020 +إذا هي في ال posterior بعد ال equator بتتسبت جوا + +535 +00:39:32,020 --> 00:39:35,620 +تمام؟ الآن لما بقول anterior transposition يعني + +536 +00:39:35,620 --> 00:39:39,060 +بدي أمسك ال insertion بتاعها أشيله من مكانه و + +537 +00:39:39,060 --> 00:39:42,400 +أحطها قدام ال equator فبتصير بدل ما هي elevator + +538 +00:39:42,400 --> 00:39:45,840 +بتصير depressor فبصير عندي تلاتة depressor في + +539 +00:39:45,840 --> 00:39:49,720 +العين و one elevator اللي هي superior rectus و هذا + +540 +00:39:49,720 --> 00:39:51,580 +هانيجي نشرحه في وقته + +541 +00:39:54,270 --> 00:39:57,830 +هذه العين الشمال فيها DVD Undercover طلعت مقارنة + +542 +00:39:57,830 --> 00:40:01,350 +مع العين اليمين وفي ال practice هنورجيكم ان شاء + +543 +00:40:01,350 --> 00:40:06,810 +الله بعض الحلات من ضمن المتابعات اللي انا بتابعها + +544 +00:40:06,810 --> 00:40:09,750 +على مريض ال early onset esotropia الأمبيوبيا + +545 +00:40:12,300 --> 00:40:17,760 +ممكن تتطور عند 50% من الحالات و يمكن أكتر لأن بعد + +546 +00:40:17,760 --> 00:40:21,900 +العملية كثير من الأطفال يفضل العين معينة لل + +547 +00:40:21,900 --> 00:40:24,920 +fixation فالعين التانية هي ال microtropic + +548 +00:40:27,650 --> 00:40:31,630 +amblyobic فممكن تصير amblyobic طبعا انا بدى مهم + +549 +00:40:31,630 --> 00:40:36,210 +جدا مهم جدا اتبع الموضوع هذا واستعمل ال anti + +550 +00:40:36,210 --> 00:40:40,570 +-amblyopia therapy مثلا ال batching او ما شبه عشان + +551 +00:40:40,570 --> 00:40:44,690 +هذا عشان اتفادى ال amblyopia ايضا من ضمن المتابعات + +552 +00:40:44,690 --> 00:40:47,910 +مش معناته انا عملتله cycloplegic refraction قبل + +553 +00:40:47,910 --> 00:40:51,230 +العملية مرة اذا ان خلصنا لأ احنا عارفين ان ال + +554 +00:40:51,230 --> 00:40:54,830 +curve بتاع ال hypermetropia بصعد بعد سن السنتين + +555 +00:40:54,830 --> 00:40:58,800 +لغاية ست سنوات احتمال يحتاجrefractive correction + +556 +00:40:58,800 --> 00:41:03,600 +ممكن العينين يكونوا well aligned وممتازين جدا بعد + +557 +00:41:03,600 --> 00:41:07,320 +العملية بس بعد سنة او سنتين او تلاتة يجوا الاهل + +558 +00:41:07,320 --> 00:41:13,600 +يقولوا احنا رجعوا العينين بوضع ISO او يدخلوا لجوا + +559 +00:41:13,600 --> 00:41:15,960 +معناته انا بدأ افكر ان الطفل بدأ يعمل + +560 +00:41:15,960 --> 00:41:19,120 +accommodation بدأ يلتحق في الروضة او في المدرسة + +561 +00:41:19,120 --> 00:41:22,480 +فبالتالي بتعمله refraction ضروري في المتابعات لو + +562 +00:41:22,480 --> 00:41:25,720 +كل ست شهور مرة حتى ايش يعني اذا كان بلزم + +563 +00:41:25,720 --> 00:41:29,890 +correctionيعني اكون يعني جاهز بال correction + +564 +00:41:29,890 --> 00:41:35,130 +ابتعدي يقترأ + +565 +00:41:36,980 --> 00:41:40,720 +احنا جربنا نخلص ال differential diagnosis يعني إيش + +566 +00:41:40,720 --> 00:41:44,080 +الحاجات اللي بتشبه ال esotropia أو ال early onset + +567 +00:41:44,080 --> 00:41:47,520 +esotropia و اللي لازم أنا أخد بالي منها ال + +568 +00:41:47,520 --> 00:41:50,380 +differential diagnosis congenital bilateral sex + +569 +00:41:50,380 --> 00:41:53,520 +nerve palsy كيف أتأكد أن الطفل هذا ماهندوش sex + +570 +00:41:53,520 --> 00:41:58,940 +nerve palsy؟ بغطي عينه إذا اتحركت العين المفتوحة + +571 +00:41:58,940 --> 00:42:02,060 +في وضع ال abduction إذا هذا مش sex nerve palsy إذا + +572 +00:42:02,060 --> 00:42:05,750 +هذا مش sex nerve palsyالـ secondary أو الـ Sensory + +573 +00:42:05,750 --> 00:42:09,150 +Esotropia due to organic eye disease يعني من ضمن + +574 +00:42:09,150 --> 00:42:13,350 +الفحص هنفحص الفندس تمام و هنعمل Cycloblgic + +575 +00:42:13,350 --> 00:42:15,890 +Refraction هشوف .. هنشوف ال optical media هل في + +576 +00:42:15,890 --> 00:42:20,030 +عندي congenital cataract ولا مثلا عندي vitreous + +577 +00:42:20,030 --> 00:42:24,390 +opacity ولا retinal disease تمام فبالتالي ال + +578 +00:42:24,390 --> 00:42:27,650 +sensory أو ال secondary بيسموها Sensory Esotropia + +579 +00:42:27,800 --> 00:42:30,760 +نتجة عن decrease في ال sensation وقولنا ال + +580 +00:42:30,760 --> 00:42:33,860 +sensation بتاع العين هو ال vision .. هو ال vision + +581 +00:42:33,860 --> 00:42:38,280 +تمام؟ أو نستجمس blockage syndrome .. هذا نستجمس + +582 +00:42:38,280 --> 00:42:42,990 +blockage syndromeهذا عبارة عن horizontal nystagmus + +583 +00:42:42,990 --> 00:42:46,810 +بس بيخف لما هذا الطفل يعمل convergence فبضطر يضال + +584 +00:42:46,810 --> 00:42:50,210 +عامل convergence عشان يتخلص من ال nystagmus طب ليش + +585 +00:42:50,210 --> 00:42:53,170 +بده يتخلص من ال nystagmus عشان يوضح الصورة أمامه + +586 +00:42:53,170 --> 00:42:58,130 +العين وهي بتهتز رؤيتها بتكون صعبة ومهتزة أمامها + +587 +00:42:58,130 --> 00:43:01,830 +فبالتالي ال convergence dampens بيخفف من ال + +588 +00:43:01,830 --> 00:43:05,550 +horizontal nystagmus طبعا كيف نعرف أنه عنده + +589 +00:43:05,550 --> 00:43:08,570 +nystagmus blockage syndrome ال nystagmus نقدر + +590 +00:43:08,570 --> 00:43:12,810 +نشوفه لما نعمل abductionو عادة الطفل بيعمل face + +591 +00:43:12,810 --> 00:43:16,470 +turn to fixate in the abducted position بالظبط + +592 +00:43:16,470 --> 00:43:20,310 +بيلف راسه عشان هذه العين مثلا تيجي في ال abduction + +593 +00:43:20,310 --> 00:43:23,750 +هذي في ال abduction طب في ال abduction بيبين انه + +594 +00:43:23,750 --> 00:43:26,870 +استجمس فبغمض عينه بالطريقة هاي و بيصير يتطلع + +595 +00:43:26,870 --> 00:43:30,730 +بالقدة فيكون عنده face turn باتجاه معين و بتطلع + +596 +00:43:30,730 --> 00:43:34,570 +بوسط العين المفتوحةوهي abducted لأن ال adoption + +597 +00:43:34,570 --> 00:43:37,650 +بخفف ال nystagmus طب إذا هذه adoption هذه هتكون + +598 +00:43:37,650 --> 00:43:41,370 +abduction فبغلقها فبغلقها فبالتالي ال nystagmus + +599 +00:43:41,370 --> 00:43:45,290 +blockage syndrome طبعا هو مقارنة مع ال early onset + +600 +00:43:45,290 --> 00:43:51,090 +of esotropia هيكون ايش؟ هيكون rare هيكون rare ال + +601 +00:43:51,090 --> 00:43:54,690 +advanced syndrome type 1 و3 بيجوا بesotropia مش + +602 +00:43:54,690 --> 00:43:59,090 +هنحكي عنهم الآنلأنه فيه تفصيلة يعتبر restrictive + +603 +00:43:59,090 --> 00:44:03,110 +.. restrictive squint بس type 1 و 3 بيجوا + +604 +00:44:03,110 --> 00:44:08,030 +بإيزوتروبيا type 2 بيجوا بإكزوتروبيا تمام لما type + +605 +00:44:08,030 --> 00:44:13,370 +1 و 3 بيجوا بإيزوتروبيا و في علامات كتير سهلة اللي + +606 +00:44:13,370 --> 00:44:17,130 +خليني أميز لدوين سندروم عن اللي هو early onset + +607 +00:44:17,130 --> 00:44:20,590 +إيزوتروبيا بس هنحكيها في موعدها أيضا ال mobius + +608 +00:44:20,590 --> 00:44:25,620 +syndromeبرضه هنحكي عنه في ال special syndromes مش + +609 +00:44:25,620 --> 00:44:29,280 +هنحكي عنه الآن هو و ال strabismus fixed كل هذه + +610 +00:44:29,280 --> 00:44:32,780 +الأشياء لابد اني هميزها عن ال early onset + +611 +00:44:32,780 --> 00:44:36,560 +esotropia حقيقة مش صعب تمييزها بس أنا بدي أعد + +612 +00:44:36,560 --> 00:44:41,760 +علاماتي بتاعتي اللي بتخليني أنا متأكد من قضية اللي + +613 +00:44:41,760 --> 00:44:44,580 +هو ال diagnosis بتاعي و يعطيكوا ألف عافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0RMTpdIM4v0_raw.json b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0RMTpdIM4v0_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..1e552db769c837c4af718be1b2b2baa39f85d62b --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0RMTpdIM4v0_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4936, "start": 21.08, "end": 49.36, "text": "بسم الله الرحمن الرحيم اليوم هنتحدث عن ال squint surgery طبعا ال squint surgery إله indications معينة و 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going to show on this tape is a standard medial rectus recession through a limpal incision initially we perform four seductions on the eye", "tokens": [6027, 20292, 31439, 2423, 24828, 39894, 45761, 13672, 1829, 31439, 2423, 11048, 301, 3714, 9381, 9566, 1211, 5016, 2423, 24828, 39894, 45761, 2423, 11048, 301, 3714, 9381, 9566, 1211, 5016, 2423, 10747, 321, 366, 516, 281, 855, 322, 341, 7314, 307, 257, 3832, 1205, 831, 11048, 301, 24828, 807, 257, 375, 2455, 304, 834, 1991, 9105, 321, 2042, 1451, 9643, 84, 3916, 322, 264, 3313], "avg_logprob": -0.37428976234161493, "compression_ratio": 1.688622754491018, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 615.77, "end": 616.05, "word": "اللي", "probability": 0.44317626953125}, {"start": 616.05, "end": 616.41, "word": " هو", "probability": 0.98193359375}, {"start": 616.41, "end": 616.73, "word": " ال", "probability": 0.95703125}, {"start": 616.73, "end": 617.05, "word": " recession", "probability": 0.1759033203125}, {"start": 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1143.63, "end": 1145.35, "text": "إنه يصير عنده lost muscle", "tokens": [28814, 1863, 3224, 7251, 9381, 13546, 43242, 3224, 2731, 8679], "avg_logprob": -0.2952769940549677, "compression_ratio": 0.8372093023255814, "no_speech_prob": 0.0, "words": [{"start": 1143.63, "end": 1143.95, "word": "إنه", "probability": 0.66693115234375}, {"start": 1143.95, "end": 1144.19, "word": " يصير", "probability": 0.98486328125}, {"start": 1144.19, "end": 1144.69, "word": " عنده", "probability": 0.9931640625}, {"start": 1144.69, "end": 1145.01, "word": " lost", "probability": 0.81103515625}, {"start": 1145.01, "end": 1145.35, "word": " muscle", "probability": 0.97021484375}], "temperature": 1.0}, {"id": 45, "seek": 119121, "start": 1175.25, "end": 1191.21, "text": "هي مكان ال insertion مسكه المساعد بتاع الجراح اللي هو يعني هذا المكان المسكه between two forceps هذا المكان الأصلي لل insertion الآن هنشوف جديش هنرجع عنه", "tokens": [3224, 1829, 3714, 41361, 2423, 8969, 313, 47524, 4117, 3224, 9673, 3794, 995, 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{"start": 1187.69, "end": 1188.19, "word": " الأصلي", "probability": 0.9410807291666666}, {"start": 1188.19, "end": 1188.41, "word": " لل", "probability": 0.9150390625}, {"start": 1188.41, "end": 1189.23, "word": " insertion", "probability": 0.991455078125}, {"start": 1189.23, "end": 1189.63, "word": " الآن", "probability": 0.55572509765625}, {"start": 1189.63, "end": 1190.03, "word": " هنشوف", "probability": 0.9744873046875}, {"start": 1190.03, "end": 1190.37, "word": " جديش", "probability": 0.5952962239583334}, {"start": 1190.37, "end": 1190.87, "word": " هنرجع", "probability": 0.9810791015625}, {"start": 1190.87, "end": 1191.21, "word": " عنه", "probability": 0.931396484375}], "temperature": 1.0}, {"id": 46, "seek": 121196, "start": 1200.2, "end": 1211.96, "text": "هذه الاسكليرة خلف ال insertion طبعا هذا المقياس هذا ال caliber اللي بيجيس فيه طبعا معمول بشكل دائر عشان يماثل دوران العين دوران العين", "tokens": [3224, 24192, 2423, 32277, 28820, 48923, 16490, 46538, 2423, 8969, 313, 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{"start": 3195.18, "end": 3195.18, "word": " ده", "probability": 0.989013671875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3199.29175, "duration_after_vad": 2816.29374999999} \ No newline at end of file diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0RMTpdIM4v0_raw.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0RMTpdIM4v0_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..354fa28ffd64bb854d5ee80fdefb1ea255454d85 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/0RMTpdIM4v0_raw.srt @@ -0,0 +1,1932 @@ +1 +00:00:21,080 --> 00:00:25,000 +بسم الله الرحمن الرحيم اليوم هنتحدث عن ال squint + +2 +00:00:25,000 --> 00:00:31,300 +surgery طبعا ال squint surgery إله indications + +3 +00:00:31,300 --> 00:00:34,880 +معينة + +4 +00:00:34,880 --> 00:00:41,820 +و كتيرة حقيقة ال indication من أهمها اللي هو + +5 +00:00:41,820 --> 00:00:45,220 +استعادة ال binocular single vision يعني ترستورب + +6 +00:00:45,220 --> 00:00:52,060 +binocular single vision cosmetic indicationعشان + +7 +00:00:52,060 --> 00:00:57,420 +نعمل يعني expansion لل field of binocular single + +8 +00:00:57,420 --> 00:01:01,460 +vision أو نعمل centralization له to reduce ال + +9 +00:01:01,460 --> 00:01:05,860 +abnormal head posture to eliminate diplopia بعض ال + +10 +00:01:05,860 --> 00:01:11,140 +indications اللي أخصها في قضية اللي هو نستجمس تمام + +11 +00:01:11,140 --> 00:01:15,760 +يعني نقل ال null point مثلا من ال side gaze لل + +12 +00:01:15,760 --> 00:01:19,660 +primary gaze إلى أخرى ففي indications حقيقة كتيرة + +13 +00:01:20,420 --> 00:01:25,200 +لـ Squint Surgery يمكن نعدد من اللي هو أهمها ال + +14 +00:01:25,200 --> 00:01:30,120 +Squint Surgery طبعا هي عملية جراحية بتنعمل على + +15 +00:01:30,120 --> 00:01:35,860 +يعني عضلة أو أكتر من ال six extraocular muscles في + +16 +00:01:35,860 --> 00:01:39,600 +أنواع كتيرة جدا من الجراحات المختلفة في ال Squint + +17 +00:01:39,600 --> 00:01:44,920 +Surgery بس كلها بتندرج تحت مجموعة من تلت مجموعةفي + +18 +00:01:44,920 --> 00:01:47,840 +مجموعة بيسموها weakening procedure اللي فيها بيتم + +19 +00:01:47,840 --> 00:01:51,420 +إضعاف العضلة إضعاف ال pull بتاع ال muscle يعني قوة + +20 +00:01:51,420 --> 00:01:55,340 +شد العضلة بتضعف وفي مجموعة تانية بيسموها + +21 +00:01:55,340 --> 00:01:59,260 +strengthening procedures اللي هي بتم تقوية العضلة + +22 +00:01:59,260 --> 00:02:02,300 +أو ال pull بتاعها الشد بتاعها بيصير أقوى مما هي + +23 +00:02:02,300 --> 00:02:08,320 +عليه و المجموعة التالتة تغيير اتجاه عمل العضلة + +24 +00:02:08,320 --> 00:02:11,840 +changing the direction ofthe action of the + +25 +00:02:11,840 --> 00:02:15,280 +extraocular muscle تمام ممكن في العملية الجراحية + +26 +00:02:15,280 --> 00:02:18,700 +الواحدة تشتمل على weakening العضلة و strengthening + +27 +00:02:18,700 --> 00:02:22,560 +العضلة و transposition او changing the direction + +28 +00:02:22,560 --> 00:02:26,520 +of action of the muscle of one of or both of the + +29 +00:02:26,520 --> 00:02:30,420 +muscles اللي تم ترخيتها او يعني اضعافها او تم + +30 +00:02:30,420 --> 00:02:34,580 +تهويتها فبالتالي انا عندى يعني weakening procedure + +31 +00:02:46,710 --> 00:02:58,030 +و عندي strengthening procedures و + +32 +00:02:58,030 --> 00:03:05,670 +عندي اللي هو changing the direction of muscle + +33 +00:03:05,670 --> 00:03:08,730 +action + +34 +00:03:08,730 --> 00:03:12,670 +زي + +35 +00:03:12,670 --> 00:03:17,130 +shall weakening .. weakening proceduresأمثلة كتيرة + +36 +00:03:17,130 --> 00:03:22,290 +زي مثلا recession الإرخاء ترجيع ال insertion عشان + +37 +00:03:22,290 --> 00:03:26,310 +يصير أقرب لل origin فالعضلة بترخي تمام هذا أكتر + +38 +00:03:26,310 --> 00:03:33,450 +weakening procedure بنعمله زي ال myotomy ال + +39 +00:03:33,450 --> 00:03:40,730 +myotomy بعمل قطع بسيط في العضلة ليعني يكتمل لقطع + +40 +00:03:40,730 --> 00:03:43,910 +العضلة بالكامل تمام زي الmyectomy + +41 +00:03:48,270 --> 00:03:52,270 +هنا بعمل قطعة كامل للعضلة و ممكن أشيل جزء منها + +42 +00:03:52,270 --> 00:03:58,950 +تمام زي + +43 +00:03:58,950 --> 00:04:07,610 +ال extirpation يعني استقصال العضلة تمام زي ال + +44 +00:04:07,610 --> 00:04:12,930 +disinsertion يعني + +45 +00:04:12,930 --> 00:04:17,530 +بشيلها من منطقة ال insertion و بسيبها فالتة تمام + +46 +00:04:37,350 --> 00:04:40,930 +العضلة الوحيدة اللى بنعملش فيها recession هي + +47 +00:04:40,930 --> 00:04:47,030 +superior oblique muscle except superior oblique + +48 +00:04:47,030 --> 00:04:53,000 +muscleالـ string filling procedures زي إيش ال + +49 +00:04:53,000 --> 00:04:58,400 +resection بقصر العضلة بشيل جزء منها بس بعيد بثبتها + +50 +00:04:58,400 --> 00:05:02,960 +في ال insertion نفسه فتصير مشدودة كتير زي ال + +51 +00:05:02,960 --> 00:05:09,840 +tucking tucking يعني أتن العضلة أو جزء منها و ممكن + +52 +00:05:09,840 --> 00:05:13,540 +هذا ينعمل على superior oblique tendon فبيقصر + +53 +00:05:13,540 --> 00:05:18,080 +فبيصير هذا الجزء ما لهوش علاقة فيه لهذا فبيقصر ال + +54 +00:05:18,080 --> 00:05:22,540 +tendonفبالتالي تصير العضلة أقوى، تصير العضلة أقوى + +55 +00:05:22,540 --> 00:05:27,000 +في ال function بتاعة ال talking زي ال advancement، + +56 +00:05:27,000 --> 00:05:31,780 +إيش يعني advancement؟ تقديم، يعني العضلة بجر + +57 +00:05:31,780 --> 00:05:35,200 +نعملها recession في الأول عشان تضعف، لاحظنا أن ال + +58 +00:05:35,200 --> 00:05:39,000 +recession مثلا نعمل أكتر من اللازم أو أدى ل + +59 +00:05:39,000 --> 00:05:42,710 +consecutive squint كانت Ese وصارت Exoأو كانت X + +60 +00:05:42,710 --> 00:05:45,770 +وصارت E مثلا فانا هذه العضلة اللي عملت لها + +61 +00:05:45,770 --> 00:05:49,390 +resection بروحش أعمل لها resection ممكن أعملها + +62 +00:05:49,390 --> 00:05:54,470 +advancement أرجع أثبتها للأمام طبعا و في قياسات + +63 +00:05:54,470 --> 00:05:58,710 +معينة تمام changing direction of action of the + +64 +00:05:58,710 --> 00:06:02,990 +muscle زي مثلا في ال A pattern و ال V pattern قلنا + +65 +00:06:02,990 --> 00:06:07,120 +احنا بنشتغل على قاعدةميل إذا كان ماعنديش oblique + +66 +00:06:07,120 --> 00:06:10,380 +muscle dysfunction إيش قاعدة ميل بتقول إنه ال + +67 +00:06:10,380 --> 00:06:13,960 +media rectus إما برخيها أو بشدها حسب إذا كان عندي + +68 +00:06:13,960 --> 00:06:18,020 +ISO أو EXO بس في النهاية أنا بده أوجهها باتجاه ال + +69 +00:06:18,020 --> 00:06:20,560 +apex بتاعة ال button ال V button ال apex بتاعتها + +70 +00:06:20,560 --> 00:06:24,840 +لتحت فال media rectus بدها تنزل ال A buttonال + +71 +00:06:24,840 --> 00:06:27,240 +media rectus بتتطلع ال letter rectus العكس ال + +72 +00:06:27,240 --> 00:06:30,340 +letter rectus بتروح لل empty space او لل edge + +73 +00:06:30,340 --> 00:06:33,980 +بتاعة ال button بحرف ال button a ال letter rectus + +74 +00:06:33,980 --> 00:06:37,920 +بتنزل لتحت v ال letter rectus بتطلع لفوق بمقدار + +75 +00:06:37,920 --> 00:06:41,000 +نصف عرض التندن او نصف عرض العضلة فهذا بيسموه ال + +76 +00:06:41,000 --> 00:06:43,960 +transposition procedure ايضا من ضمن ال + +77 +00:06:43,960 --> 00:06:48,910 +transposition procedure زي ال inferior obliqueالـ + +78 +00:06:48,910 --> 00:06:51,670 +inferior oblique anterior transposition معروف أن + +79 +00:06:51,670 --> 00:06:53,970 +الـ inferior oblique بتيجي من تحت ال inferior + +80 +00:06:53,970 --> 00:06:58,830 +rectus و بتروح .. بتعدي من تحت ال lateral rectus + +81 +00:06:58,830 --> 00:07:03,370 +تمام ثبت في ال posterior inferior temporal + +82 +00:07:03,370 --> 00:07:07,210 +quadrant أنا ممكن أنا أشيلها من هذا ال quadrant و + +83 +00:07:07,210 --> 00:07:11,230 +أثبتها إما جنب ال insertion بتاع ال inferior + +84 +00:07:11,230 --> 00:07:18,170 +rectus تمامأو خلفه بكمية بسيطة أو يعني أمامه بكمية + +85 +00:07:18,170 --> 00:07:21,430 +بسيطة حسب إيش ال indication اللي عندي هل بتعمل + +86 +00:07:21,430 --> 00:07:24,390 +inferior oblique recession أو بتعمل inferior + +87 +00:07:24,390 --> 00:07:27,730 +oblique anterior transposition تمام يعني غيرت مكان + +88 +00:07:27,730 --> 00:07:34,610 +العضلة بتاعته هو + +89 +00:07:34,610 --> 00:07:39,800 +هل ال origin بتاعها قدامباخدها من الغالب من ال + +90 +00:07:39,800 --> 00:07:43,960 +insertion أقصى منطقة بستطيع أني أوصلها تمام لل + +91 +00:07:43,960 --> 00:07:48,240 +inferior oblique تمام و ب .. أحط خطاني هنا و + +92 +00:07:48,240 --> 00:07:51,900 +بالتالي بجس و بعدين بثبت العضلة هنا anterior + +93 +00:07:51,900 --> 00:07:55,830 +transposition بتصير هي .. إلها depressor actionمش + +94 +00:07:55,830 --> 00:08:00,290 +elevation action تمام عشان في حالات ال DVD مثلا + +95 +00:08:00,290 --> 00:08:04,290 +تمام و بعض .. بعض الأوقات في حالات اللي هو ال + +96 +00:08:04,290 --> 00:08:06,810 +inferior oblique over action ال plus four و ال + +97 +00:08:06,810 --> 00:08:10,130 +plus three و ممكن أعمل recession يعني أرجعها لورا + +98 +00:08:10,130 --> 00:08:12,950 +في حالة inferior oblique over action ال plus one و + +99 +00:08:12,950 --> 00:08:20,070 +plus three ما هو احنا بدنا .. بدنا نخفف من ال + +100 +00:08:20,070 --> 00:08:23,520 +elevation لإنه معروف في ال DVD انه لإنيعني بتطلع + +101 +00:08:23,520 --> 00:08:26,640 +لفوق في ال inferior oblique over action تمام أيضا + +102 +00:08:26,640 --> 00:08:29,140 +اللي بيكون غالبا ناتج عن superior oblique palsy + +103 +00:08:29,140 --> 00:08:31,880 +بيكون في عندي hypertropia أنا معنى أني أنزلها يعني + +104 +00:08:31,880 --> 00:08:34,460 +معنى أني أنزلها لل primary position في هذه + +105 +00:08:34,460 --> 00:08:41,380 +العمليات يعني يعني من ضمن العمليات اللي ممكن تعتبر + +106 +00:08:41,380 --> 00:08:44,300 +transposition surgery أيضا مثلا في عندي collateral + +107 +00:08:44,300 --> 00:08:48,560 +rectus palsy لما يكون عندي يعني complete palsy + +108 +00:08:48,560 --> 00:08:50,200 +مثلا ممكن أنا أخد جزء + +109 +00:08:55,560 --> 00:08:58,680 +من ال superior rectus يعني نص ال superior rectus و + +110 +00:08:58,680 --> 00:09:03,700 +أثبتها بجانب اللي هو ال lateral rectus و أخد جزء + +111 +00:09:03,700 --> 00:09:09,280 +أيضا من ال inferior rectus تمام يمكن أرسم مش كتير + +112 +00:09:09,280 --> 00:09:14,000 +هذا يعني نص لهذا ممكن أخدها أو ممكن أخد نصة فعلا + +113 +00:09:14,000 --> 00:09:18,320 +تمام و أثبتها بجانب عشان يصير لها إيش يعني + +114 +00:09:18,320 --> 00:09:22,610 +abduction action تمامabduction action يساعد في ال + +115 +00:09:22,610 --> 00:09:24,970 +straightening بتاع ال eye لأنه معروف لما يكون عندي + +116 +00:09:24,970 --> 00:09:28,070 +complete sex nerve palsy Lateral rectus palsy يكون + +117 +00:09:28,070 --> 00:09:30,570 +عندي الوقت ايزوتروبيا وممكن عندي حتى يصير + +118 +00:09:30,570 --> 00:09:34,490 +contracture في ال medial rectus فهذه القضية بدي + +119 +00:09:34,490 --> 00:09:38,930 +انا يعني ممكن تخضع لعمليات transposition surgery + +120 +00:09:38,930 --> 00:09:41,690 +ايضا من ضمن العمليات اللي هي بتاعة ال + +121 +00:09:41,690 --> 00:09:44,150 +transposition surgery لما نقول عنها monocular + +122 +00:09:44,150 --> 00:09:49,120 +elevation defect تمام؟أنا باخد ال .. ناتج عن weak + +123 +00:09:49,120 --> 00:09:52,060 +superior rectus باخد ال media rectus و ال lateral + +124 +00:09:52,060 --> 00:09:56,080 +rectus و برفعهم لفوق و اللي بنسميها NAPS PROCEDURE + +125 +00:09:56,080 --> 00:09:59,660 +NAPS PROCEDURE تمام لما تكون في ال monocular + +126 +00:09:59,660 --> 00:10:04,320 +elevation deficit حقيقة ان احنا بنستعرض يعني كيفية + +127 +00:10:04,320 --> 00:10:08,480 +عمل هذه العضلات بس مش بشكل شريح بشكل عرض الفيديو و + +128 +00:10:08,480 --> 00:10:12,000 +نعلق على الفيديو بالتدريج ان ش الله تعالى فاحنا + +129 +00:10:12,000 --> 00:10:17,050 +ننطلق الآن يعني نشوف كيف ال ..اللي هو ال recession + +130 +00:10:17,050 --> 00:10:21,170 +بتاع اللي هو ال rectus مصطلح ال recession بتاع ال + +131 +00:10:21,170 --> 00:10:27,210 +rectus مصطلح ال + +132 +00:10:27,210 --> 00:10:29,910 +procedure we are going to show on this tape is a + +133 +00:10:29,910 --> 00:10:33,770 +standard medial rectus recession through a limpal + +134 +00:10:33,770 --> 00:10:38,550 +incision initially we perform four seductions on + +135 +00:10:38,550 --> 00:11:04,930 +the eyeخل الصوت و لا نخفيه هاي + +136 +00:11:04,930 --> 00:11:06,490 +بيفتح لكوا conjunctiva يا بنات + +137 +00:11:12,760 --> 00:11:15,780 +وصولا لللمبة، هذا بيسموه لمبة الانسجين + +138 +00:11:45,560 --> 00:11:52,180 +ماش في تحت ال conjunctiva لا في تنون كابسول صح ولا + +139 +00:11:52,180 --> 00:11:56,540 +مااخدتوش ال تنون كابسول بقى ليها اللي قبصت ليها + +140 +00:11:56,540 --> 00:12:06,920 +حاولي + +141 +00:12:06,920 --> 00:12:09,420 +تركزوا يا بنات لأنه بدنا نعرف إيش ال recession هو + +142 +00:12:09,420 --> 00:12:10,680 +إيش بنعمل في ال recession + +143 +00:12:16,660 --> 00:12:20,180 +يفتح من فوق العضلة و من تحتها عشان يقدر يعملها + +144 +00:12:20,180 --> 00:12:25,320 +hawking يعني بالخطاف يقدر يمسك هاي الخطاف هدا ال + +145 +00:12:25,320 --> 00:12:32,160 +hawks quint hawk + +146 +00:12:32,160 --> 00:12:39,960 +تمام + +147 +00:12:39,960 --> 00:12:43,500 +هاي العضلة انمسكت لسه مابينتش كويس ولكنها انمسكت + +148 +00:12:44,550 --> 00:12:48,350 +ياديش ال media rectus بتبعد عن ال limbus؟ خمسة و + +149 +00:12:48,350 --> 00:12:52,090 +نص ملي متر عشان هيك بيقدر الجراح وين بده يحط ال + +150 +00:12:52,090 --> 00:12:57,870 +hook بتاعه حطه أبعد شويه عشان يقدر يخطف العطل لسه + +151 +00:12:57,870 --> 00:13:00,670 +بس ينظفها من ال telon capsule اللي عليها تمام + +152 +00:13:00,670 --> 00:13:07,350 +بتبين باللون العضلة العادية اللي احنا بنشوفها هاي + +153 +00:13:07,350 --> 00:13:08,830 +كمان squint hook انحط + +154 +00:13:14,780 --> 00:13:22,700 +عشان اتفرج عشان اتفرج اتفرج اتفرج اتفرج اتفرج + +155 +00:13:22,700 --> 00:13:24,940 +اتفرج + +156 +00:13:28,820 --> 00:13:34,020 +طبعا بده ينظف العضلة من كل ال facial attachments + +157 +00:13:34,020 --> 00:13:39,480 +الجد حيبده ينظف العضلة تماما + +158 +00:13:39,480 --> 00:13:44,640 +هل ال cheek ligament أخدته + +159 +00:13:44,640 --> 00:13:46,660 +طبعا في ال Anatomy و لا نسينا الكلام هذا + +160 +00:13:58,430 --> 00:14:08,250 +ماذا ترى؟ ماذا + +161 +00:14:08,250 --> 00:14:10,610 +ترى؟ ماذا ترى؟ ماذا ترى؟ ماذا ترى؟ + +162 +00:14:13,560 --> 00:14:21,740 +كل هذا الـ tissue بده تنظيف يمكن بدأ تبين العضلة + +163 +00:14:35,090 --> 00:14:39,070 +أنا قاعد اسمع شغل الناس all along the muscle and + +164 +00:14:39,070 --> 00:14:43,010 +everything but only in areas where the assistant + +165 +00:14:43,010 --> 00:14:46,590 +has exposed and part of me can't let go of these + +166 +00:14:46,590 --> 00:14:59,610 +hard tissues دلوقت كده كده كده كده كده كده كده كده + +167 +00:14:59,610 --> 00:15:04,030 +كده كده كده كده كده كده كده كده كده كده كده كده + +168 +00:15:04,030 --> 00:15:04,150 +كده كده كده كده كده كده كده كده كده + +169 +00:15:08,840 --> 00:15:15,180 +هي بينت العضلة تماما + +170 +00:15:56,710 --> 00:16:01,710 +هذا الكتري اللي هو أداة الكاي عشان مايصيرش + +171 +00:16:01,710 --> 00:16:02,130 +bleeding + +172 +00:16:16,310 --> 00:16:20,670 +الجد بيحط الغرز طبعا على ال muscle، بيحطها في + +173 +00:16:20,670 --> 00:16:23,530 +الأرباع الخارجي، الرُبع الخارجي العلوي والرُبع + +174 +00:16:23,530 --> 00:16:24,690 +الخارجي السفلي + +175 +00:16:33,650 --> 00:16:39,390 +شايفين الخيط و لا مش شايفينه طبعا + +176 +00:16:39,390 --> 00:16:43,670 +هذا الخيط عبارة عن سموه خيط vikrail طبعا switcher + +177 +00:16:43,670 --> 00:16:44,890 +6 0 vikrail + +178 +00:16:53,370 --> 00:16:59,550 +بعد ما يثبت الخطان طبعا بيجس العضلة من ال + +179 +00:16:59,550 --> 00:17:03,990 +insertion بتاعها و بيثبتها للخلف حسب يعني المسافة + +180 +00:17:03,990 --> 00:17:07,330 +اللى بدى يرجعها إلى حسب قياس الحول اللى جاسه + +181 +00:17:07,330 --> 00:17:08,830 +للمريض أثناء الفحص + +182 +00:17:15,550 --> 00:17:21,290 +الفرق الأخر هو الـ switch down تقري أكتر من مصر + +183 +00:17:21,290 --> 00:17:25,830 +لتنقل ال position which is 1.5 millimeters or 1.5 + +184 +00:17:25,830 --> 00:17:27,910 +millimeters from the insertion point. On the other + +185 +00:17:27,910 --> 00:17:31,470 +hand, the CT has a meter which is passed through + +186 +00:17:31,470 --> 00:17:34,250 +the lower half at the bottom of the muscle at the + +187 +00:17:34,250 --> 00:17:36,970 +end which is 1.5 millimeters from the insertion + +188 +00:17:36,970 --> 00:17:40,510 +point through the septum of the muscle of the + +189 +00:17:40,510 --> 00:17:46,700 +right foot.وهو يتجاوز و يتجاوز و يتجاوز و يتجاوز و + +190 +00:17:46,700 --> 00:17:49,300 +يتجاوز و يتجاوز و يتجاوز و يتجاوز و يتجاوز و + +191 +00:17:49,300 --> 00:17:51,140 +يتجاوز و يتجاوز و يتجاوز و يتجاوز و يتجاوز و + +192 +00:17:51,140 --> 00:17:55,380 +يتجاوز و يتجاوز و يتجاوز و يتجاوز و يتجاوز و + +193 +00:17:55,380 --> 00:17:56,420 +يتجاوز و يتجاوز و يتجاوز و يتجاوز و يتجاوز و + +194 +00:17:56,420 --> 00:17:56,920 +يتجاوز و يتجاوز و يتجاوز و يتجاوز و يتجاوز و + +195 +00:17:56,920 --> 00:18:07,460 +يتجاوز و يتجاوز و + +196 +00:18:07,460 --> 00:18:11,070 +يتجاGiving non-sufficient muscles to perform a + +197 +00:18:11,070 --> 00:18:13,930 +good movement, but not too much that it will + +198 +00:18:13,930 --> 00:18:20,450 +collapse the muscle.A lot of people don't find a + +199 +00:18:20,450 --> 00:18:27,490 +bad model and search the art of it.The surgeon + +200 +00:18:27,490 --> 00:18:33,000 +gathers portions of the suturesالان بده يبدأ يقطع + +201 +00:18:33,000 --> 00:18:40,980 +ال muscle من ال insertion بتاعها طبعا + +202 +00:18:40,980 --> 00:18:45,400 +بيقطع بحذر شديد عشان ما تقطعش الخطان معاهلأنه إذا + +203 +00:18:45,400 --> 00:18:47,980 +فلتت ال muscle بصير عندي lost muscle و بالتالي + +204 +00:18:47,980 --> 00:18:53,260 +بصير عندي مشكلة كبيرة جدا صعب جدا جدا .. صعب جدا + +205 +00:18:53,260 --> 00:18:58,960 +جدا يعني استعادة ال muscle إذا كان صارت lost + +206 +00:18:58,960 --> 00:19:02,520 +muscle لا سامح الله يعني و أسوأ شيء يتدرج جراح + +207 +00:19:02,520 --> 00:19:05,350 +يحاولإنه يصير عنده lost muscle + +208 +00:19:35,250 --> 00:19:40,670 +هي مكان ال insertion مسكه المساعد بتاع الجراح اللي + +209 +00:19:40,670 --> 00:19:47,270 +هو يعني هذا المكان المسكه between two forceps هذا + +210 +00:19:47,270 --> 00:19:50,870 +المكان الأصلي لل insertion الآن هنشوف جديش هنرجع + +211 +00:19:50,870 --> 00:19:51,210 +عنه + +212 +00:20:00,200 --> 00:20:04,580 +هذه الاسكليرة خلف ال insertion طبعا هذا المقياس + +213 +00:20:04,580 --> 00:20:08,220 +هذا ال caliber اللي بيجيس فيه طبعا معمول بشكل دائر + +214 +00:20:08,220 --> 00:20:11,960 +عشان يماثل دوران العين دوران العين + +215 +00:20:24,420 --> 00:20:28,340 +هي الآن بدأ يغرز ال needle بتاعته في ال sclera في + +216 +00:20:28,340 --> 00:20:33,980 +المكان اللي المفروض يصير new insertion طبعا + +217 +00:20:33,980 --> 00:20:37,580 +هذا بدأ تم الطريقة بحذر شديد جدا عشان مايعملش + +218 +00:20:37,580 --> 00:20:41,770 +scleral perforationتمام عشان مايعملش sclera + +219 +00:20:41,770 --> 00:20:54,590 +البرفورية يعني + +220 +00:20:54,590 --> 00:20:58,830 +تقريبا في أسمك مناطق بتوصل لوحد ملي واحد واحد من + +221 +00:20:58,830 --> 00:21:03,690 +عشرة ملي بالتقريب تمام أضعف منطقة أو أرقف منطقة ما + +222 +00:21:03,690 --> 00:21:06,450 +قبل ال insertion في المنطقة هذه ال insertion + +223 +00:21:06,450 --> 00:21:10,530 +الطبيعي جدامه بالظبط هنايعني very thin اسكليرة + +224 +00:21:10,530 --> 00:21:13,870 +ممكن توصل لتلاتة من عشرة ملي أو اربع من عشرة ملي + +225 +00:21:13,870 --> 00:21:19,870 +اذا انا ادفع الانبعاد و ادفع البرنامج و ادفع + +226 +00:21:19,870 --> 00:21:21,410 +البرنامج و ادفع البرنامج و ادفع البرنامج و ادفع + +227 +00:21:21,410 --> 00:21:24,630 +البرنامج و ادفع البرنامج و ادفع البرنامج و ادفع + +228 +00:21:24,630 --> 00:21:26,290 +البرنامج و ادفع البرنامج و ادفع البرنامج و ادفع + +229 +00:21:26,290 --> 00:21:27,070 +البرنامج و ادفع البرنامج و ادفع البرنامج و ادفع + +230 +00:21:27,070 --> 00:21:30,890 +البرنامج و ادفع البرنامج و ادفع البرنامج و ادفع + +231 +00:21:30,890 --> 00:21:34,350 +البرنامج و ادفع البرنا + +232 +00:21:36,340 --> 00:21:40,520 +وهو مجرد طريقة مختلفة ومختلفة من السنة الماضية + +233 +00:21:40,520 --> 00:21:47,720 +مجرد طريقة مختلفة + +234 +00:21:47,720 --> 00:21:49,220 +ومختلفة من السنة الماضية مجرد طريقة مختلفة ومختلفة + +235 +00:21:49,220 --> 00:21:54,000 +من السنة الماضية مجرد طريقة مختلفة ومختلفة من + +236 +00:21:54,000 --> 00:22:00,720 +السنة + +237 +00:22:00,720 --> 00:22:00,720 +الماضية + +238 +00:22:12,480 --> 00:22:17,920 +بس يشد الخطان هتثبت العضلة في المكان الجديد، هاي + +239 +00:22:17,920 --> 00:22:20,300 +العضلة قاعدة بتيجي و بيشد في الخطان قاعدى + +240 +00:22:44,500 --> 00:22:47,860 +بس كيف؟ صحيح + +241 +00:22:52,110 --> 00:22:54,810 +هنا ننتبه كمان يا بنات + +242 +00:23:22,510 --> 00:23:28,250 +هي ال muscle هي الحافة بتاعتها اللي انقطعت هي يعني + +243 +00:23:28,250 --> 00:23:31,070 +رجعت المسافة هذه .. رجعت المسافة هذه + +244 +00:23:50,770 --> 00:23:56,490 +بتم تسكير الكنجنتايفة عشان تم العملية + +245 +00:24:02,290 --> 00:24:06,810 +هذا normal saline او distilled water يعني عصاس تظل + +246 +00:24:06,810 --> 00:24:09,970 +مايصيرش dryness في العين لأن المريض تحت ال general + +247 +00:24:09,970 --> 00:24:13,550 +anesthesia و احنا فاتحينله بال spiculum هذا ال led + +248 +00:24:13,550 --> 00:24:17,790 +spiculum هذا هصير dryness عندي فلابد ان انا عشان + +249 +00:24:17,790 --> 00:24:22,310 +مايصيرش dryness عندي اعمل يعني تقطير يعني ب normal + +250 +00:24:22,310 --> 00:24:22,910 +saline + +251 +00:24:31,640 --> 00:24:35,360 +أيو بيحاول يسكر ال conjunctiva الآن يرجعها مكانها + +252 +00:24:35,360 --> 00:24:41,980 +و تكون العملية هيك خلصت هذا + +253 +00:24:41,980 --> 00:24:45,000 +ال recession اللي هو إضعاف العضلة ترجيحها عشان + +254 +00:24:45,000 --> 00:24:49,500 +ترخي تمام و يصير ال ball بتاعها يعني هذا طبعا هذا + +255 +00:24:49,500 --> 00:24:52,500 +لمبة ال incision يعني بدأ من عند اللمبة في + +256 +00:24:52,500 --> 00:24:55,880 +incision تاني بيسموه fornix incision بيكون أصغر + +257 +00:24:55,880 --> 00:25:01,270 +بكتير طبعا و بده طبعا experience ليعمله تمامو + +258 +00:25:01,270 --> 00:25:05,650 +بيكون ال field فيه أضيق طبعا مافيش الوضوح هذا اللي + +259 +00:25:05,650 --> 00:25:09,770 +احنا اتفرجنا عليه بس بيكون يعني أريح للمريض post + +260 +00:25:09,770 --> 00:25:14,870 +operatively انه بيكون يعني ال incision أصغر بكتير + +261 +00:25:14,870 --> 00:25:18,350 +من ال limbal incision بس إمرار لما بحتاج انا field + +262 +00:25:18,350 --> 00:25:22,230 +أكبر لل .. operative field أكبر فبالتالي بختار ال + +263 +00:25:22,230 --> 00:25:25,170 +limbal incision بيريح لإنه بيعطي field واسع من + +264 +00:25:25,170 --> 00:25:27,550 +اللي هو ال view تمام؟ + +265 +00:25:37,170 --> 00:25:40,830 +يعني هنا ال insertion عند هذا المرضي احنا قلنا ال + +266 +00:25:40,830 --> 00:25:44,110 +media rectus خمسة و نص بس هذا عند المرض هذا وجدوها + +267 +00:25:44,110 --> 00:25:47,930 +تلاتة ملي فيعني في variation between patients يعني + +268 +00:25:47,930 --> 00:25:51,610 +مش يعني المتوسط خمسة و نص ملي بناء على دراسات + +269 +00:25:51,610 --> 00:25:55,290 +أجريات بس مثلا بعض المرضى بيكون أقرب ال insertion + +270 +00:25:55,290 --> 00:25:58,310 +بتاعه بعضه بيكون أبعد ال insertion الطبيعي بتاعه + +271 +00:26:01,240 --> 00:26:05,380 +بواسطة ال caliber .. بواسطة ال caliber الأداء اللى + +272 +00:26:05,380 --> 00:26:18,820 +حطها قبل شوية عشان ي guess فيها طبعا + +273 +00:26:18,820 --> 00:26:23,760 +بيحاول يرجع ال conjunctiva مطرحها بالظبط على أساس + +274 +00:26:23,760 --> 00:26:29,160 +يعني يكون cosmetically acceptable + +275 +00:26:35,290 --> 00:26:38,630 +بعض الأوقات بنعمل conjunctival recession، أيضًا ال + +276 +00:26:38,630 --> 00:26:43,190 +conjunctiva بتترخى عشان ما تشدش يعني بالاتجاه اللي + +277 +00:26:43,190 --> 00:26:48,490 +هي فيه this includes a demonstration of a local + +278 +00:26:48,490 --> 00:26:53,590 +approach for a medium-length recession in the + +279 +00:26:53,590 --> 00:26:59,040 +space of the worldهك بتنتهي عملية ال media rectus + +280 +00:26:59,040 --> 00:27:07,200 +recession نشوف + +281 +00:27:07,200 --> 00:27:10,660 +برضه عملية إضعاف تانية من نوع تاني اللي هي ال + +282 +00:27:10,660 --> 00:27:16,640 +inferior Oblique + +283 +00:27:16,640 --> 00:27:21,020 +Myectomy + +284 +00:27:41,220 --> 00:27:51,460 +برضه هذا الجراح دخل .. دخل + +285 +00:27:51,460 --> 00:27:55,360 +بطريقة limbal approach حدد ال lateral rectus عشان + +286 +00:27:55,360 --> 00:28:00,300 +ما يغلطش فيها و يقطعها بدل ال inferior obliqueطبعا + +287 +00:28:00,300 --> 00:28:05,300 +هذا هيعطيني جرح أكبر بس يعني يكون الجراح متطمن ان + +288 +00:28:05,300 --> 00:28:10,500 +هو مش هذا هذا طبعا ال lateral rectus اه الان الان + +289 +00:28:10,500 --> 00:28:13,780 +ال inferior oblique بتمر من تحت ال lateral rectus + +290 +00:28:13,780 --> 00:28:17,260 +هيقعد في ال inferotemporal هاي ال inferior oblique + +291 +00:28:17,260 --> 00:28:21,200 +بدت تتبين شايفينها هاي هدا هي اللون الوردي للعضلة + +292 +00:28:21,200 --> 00:28:27,360 +تمام هدا هي تمام هدا هي ion هدا هي هيطلعها ال + +293 +00:28:27,360 --> 00:28:28,720 +inferior oblique + +294 +00:28:48,140 --> 00:28:52,660 +الان هو بدى يعملها recession بدى يثبتها بالقرب من + +295 +00:28:52,660 --> 00:28:56,740 +ال inferior rectus muscle طبعا جطعها من ال + +296 +00:28:56,740 --> 00:29:00,620 +insertion بتاعها في ال posterior quadrant بتاع + +297 +00:29:00,620 --> 00:29:06,030 +العيناستيريور انفيريور تيمبور الكوادرانت بيثبتها + +298 +00:29:06,030 --> 00:29:11,510 +بالخيوط الجراحية ال E60 vicral بعدما يثبتها بده + +299 +00:29:11,510 --> 00:29:16,010 +يجربها ال insertion بتاعها طبعا هذا كتري عشان + +300 +00:29:16,010 --> 00:29:19,290 +مايصيرش bleeding تمام الآن هو بيدور على ال + +301 +00:29:19,290 --> 00:29:24,550 +inferior rectus muscle عشان يثبت الآن بال hook حدد + +302 +00:29:24,550 --> 00:29:28,700 +وين ال inferior rectus muscleو هي guess رجع ورا ال + +303 +00:29:28,700 --> 00:29:34,000 +inferior rectus muscle بمسافة ممكن تكون اربعة ملي + +304 +00:29:34,000 --> 00:29:39,620 +او اتنين ملي طبعا هذه ماركر هذا اساس انه يحدد + +305 +00:29:39,620 --> 00:29:43,240 +بالظبط وين المسافة اللي بده اياها اصبحت ال + +306 +00:29:43,240 --> 00:29:47,620 +inferior oblique depressor مش elevator لانها مثبتة + +307 +00:29:47,620 --> 00:29:50,160 +في ال anterior part of the globe + +308 +00:29:52,680 --> 00:30:01,240 +inferior oblique recession دعنا + +309 +00:30:01,240 --> 00:30:04,860 +ننتبه هيبانات و مانتناقشش كتير لأن هذه لسه يعني + +310 +00:30:04,860 --> 00:30:08,920 +عمليات يعني ممكن احنا نشرح عنها بس يعني الصورة + +311 +00:30:08,920 --> 00:30:17,040 +ممكن تكون يعني self explanatory أيضا + +312 +00:30:17,040 --> 00:30:20,180 +هذه من عمليات الإضعاف بس إضعاف لل inferior oblique + +313 +00:30:20,180 --> 00:30:24,370 +muscleالكون جانج تايفا خلينا نرجع بس نشوف ال + +314 +00:30:24,370 --> 00:30:40,590 +inferior oblique myectomy هذا + +315 +00:30:40,590 --> 00:30:41,770 +يعني + +316 +00:30:45,810 --> 00:30:49,570 +Inferotemporal approach ع السريع بيفتح مش لمبل + +317 +00:30:49,570 --> 00:30:52,470 +Inferotemporal approach بيدور على ال inferior + +318 +00:30:52,470 --> 00:30:56,110 +oblique لما بيلاجيها في ال inferotemporal quadrant + +319 +00:30:56,110 --> 00:31:01,690 +هيطلع ال inferior oblique بسرعة الان هيقطعها + +320 +00:31:01,690 --> 00:31:06,130 +ويرجعها مكانها زي ما هي طبعا بدون ما يشيل جزء منها + +321 +00:31:06,130 --> 00:31:10,490 +مع ان بعض الجراحين بيشيل جزء منها عشان يعني يضمن + +322 +00:31:10,490 --> 00:31:13,550 +انه مافيش reattachment between the two ends of the + +323 +00:31:13,550 --> 00:31:19,750 +cutهراكو الطريق عشان مايصيرش bleeding طبعا هيقطع + +324 +00:31:19,750 --> 00:31:25,530 +ال inferior oblique muscle هيك + +325 +00:31:25,530 --> 00:31:30,250 +خلصت العملية بتصير + +326 +00:31:30,250 --> 00:31:33,410 +لها contraction و كل جزء برجع في المكان اللي ناحية + +327 +00:31:33,410 --> 00:31:36,870 +ال posterior aspect اللي ناحية ال insertion بتاعها + +328 +00:31:36,870 --> 00:31:42,430 +برجعبيصير like contraction ال muscle .. ال muscle + +329 +00:31:42,430 --> 00:31:45,590 +tissue بيعمل contraction فبيصير بيقصر .. بيقصر عن + +330 +00:31:45,590 --> 00:31:49,870 +ما هو عليه وهيك بتكون خلصته ال inferior oblique + +331 +00:31:49,870 --> 00:31:53,870 +myectomy إضعاف عضلة تمام نشوف احنا ال resection + +332 +00:31:53,870 --> 00:31:59,410 +اللي هو عملية تقويا يا بنات rectus + +333 +00:32:19,830 --> 00:32:23,250 +نشوف ال lateral rectus resection مثلا + +334 +00:32:50,830 --> 00:32:53,630 +واضحة الصورة؟ + +335 +00:32:57,290 --> 00:33:04,350 +بالطبع نحن في مطعم في مدينة ميكس في مدينة ميكس في + +336 +00:33:04,350 --> 00:33:07,890 +مدينة ميكس في مدينة ميكس في مدينة ميكس في مدينة + +337 +00:33:07,890 --> 00:33:08,390 +ميكس في مدينة ميكس في مدينة ميكس في مدينة ميكس في + +338 +00:33:08,390 --> 00:33:09,030 +مدينة ميكس في مدينة ميكس في مدينة ميكس في مدينة + +339 +00:33:09,030 --> 00:33:09,550 +ميكس في مدينة ميكس في مدينة ميكس في مدينة ميكس في + +340 +00:33:09,550 --> 00:33:09,550 +مدينة ميكس في مدينة ميكس في مدينة ميكس في مدينة + +341 +00:33:09,550 --> 00:33:20,490 +ميكس في مدينة ميكس في مدينة ميكس في مدينة ميكس + +342 +00:33:20,490 --> 00:33:22,410 +في مدينة + +343 +00:33:56,830 --> 00:34:01,110 +زي ما حكينا ال limbal incision بيعطيني field أوسع + +344 +00:34:01,110 --> 00:34:11,650 +و أريحبس برضه بيكون الجروح أكبر بالنسبة للمريض ال + +345 +00:34:11,650 --> 00:34:17,390 +fornix incision بيكون ال field أقل و أضيق بس طبعا + +346 +00:34:17,390 --> 00:34:20,310 +الجراح اللي بيستطيع بال fornix incision بيكون أفضل + +347 +00:34:20,310 --> 00:34:25,290 +للمريض طبعا إلا في بعض الحالات + +348 +00:34:44,860 --> 00:34:48,620 +طبعا لما يفتح ال conjunctiva لازم يفتح فوق و تحت + +349 +00:34:48,620 --> 00:34:52,600 +العضلة عشان يقدر يعمل hawking للعضلة و يقدر يجيبها + +350 +00:34:52,600 --> 00:34:53,400 +عنده + +351 +00:35:04,380 --> 00:35:07,520 +هنا استعرضنا قبل شوية موضوع ال recession إرخاء + +352 +00:35:07,520 --> 00:35:11,800 +العضلة، موضوع الميكتمي، برضه إضعاف، الآن بدنا نعمل + +353 +00:35:11,800 --> 00:35:14,620 +recession يعني تقوية لل letter erectus لعند المريض + +354 +00:35:14,620 --> 00:35:14,840 +هذا + +355 +00:35:33,450 --> 00:35:56,150 +Iris Quint Hook يعني + +356 +00:35:56,150 --> 00:35:59,290 +دي اتأكد ان كل ال fibers بتاعت ال muscle اتاخدت في + +357 +00:35:59,290 --> 00:36:03,120 +ال hook عشان مايكونش دخل من نص ال muscle أو تلات + +358 +00:36:03,120 --> 00:36:08,000 +ترباح عشان يصير فيه يعني إجراء صحيح بالنسبة + +359 +00:36:08,000 --> 00:36:24,440 +للعملية بعد + +360 +00:36:24,440 --> 00:36:28,040 +هذا الكلام يبدأ تنظيف ال muscle عشان يجس جزء منها + +361 +00:36:28,040 --> 00:36:32,470 +تمامو بعد هيك يخبطها في مكان ال insertion الأصلي + +362 +00:36:32,470 --> 00:36:36,230 +بتاعه طبعا إذا في عندي bleeding بدي أعمله كتري + +363 +00:36:36,230 --> 00:36:41,230 +عساس مايصيرش مزعج إلي بالنسبة لموضوع الرؤية + +364 +00:36:41,230 --> 00:36:45,670 +بالنسبة للنسيج اللي أنا بدأ أشتغل عليه + +365 +00:36:56,990 --> 00:37:00,510 +بمجرد ما يبدأ ينظف العضلة هتبين معاه العضلة كويس + +366 +00:37:00,510 --> 00:37:04,750 +هيقدر يعرف الجزء اللى بدهو يعني يجسه منها او يعمل + +367 +00:37:04,750 --> 00:37:14,690 +recession طبعا + +368 +00:37:14,690 --> 00:37:17,990 +واضح ان الجراحين هنا بيشتغلوا وفى protocol محدد + +369 +00:37:17,990 --> 00:37:22,870 +تماما و هم اللى شفناهم بالعملية الاولى تحت ال + +370 +00:37:22,870 --> 00:37:31,580 +recessionمن طريقة الشغل هو نفس ال protocol اللي + +371 +00:37:31,580 --> 00:37:33,920 +التبع في ال media vectors recession + +372 +00:38:02,380 --> 00:38:06,680 +الاستثناء يرفع الفنجينك تايفا عشان يتمكن الجراح من + +373 +00:38:06,680 --> 00:38:13,600 +تنظيف كل ال tissue اللى محيط بالعضلة طبعا + +374 +00:38:13,600 --> 00:38:18,300 +التنظيف لازم يكون بحذر و تحت رؤية مباشرة حتى + +375 +00:38:18,300 --> 00:38:21,040 +مايقطعش العضلة نفسها اللى هيعملى lost muscle + +376 +00:38:40,050 --> 00:38:44,590 +هي العدالة بدأت تتبين عندى بس لسه مش كلها تم + +377 +00:38:44,590 --> 00:38:46,210 +تنظيفها + +378 +00:39:06,670 --> 00:39:10,910 +هو بيعمل كتري عساس انه ال bleeding مايزعجهش في + +379 +00:39:10,910 --> 00:39:15,650 +الشغل و + +380 +00:39:15,650 --> 00:39:19,990 +بيكمل التنظيف بعدين + +381 +00:39:38,150 --> 00:39:41,450 +هيعمل كوتر هنا عشان يتوقف النزيف + +382 +00:40:00,710 --> 00:40:04,090 +الان بدت العضلة تتنظف تماما + +383 +00:40:36,770 --> 00:40:39,410 +هي سطح العدالة أصبح اندي فلان + +384 +00:41:08,160 --> 00:41:11,260 +يعني هدى الكمية اللى بدى يجسها من العضلة بدى + +385 +00:41:11,260 --> 00:41:21,160 +يعملها resection هيه بيجسها بال caliber يعني + +386 +00:41:21,160 --> 00:41:26,460 +هو هيجسر العضلة هدى الجزء هيانشال كاملا هدىبعدين + +387 +00:41:26,460 --> 00:41:30,020 +هذا الجزء اللى ثبت فيه الخطان بده ينجله و يشده + +388 +00:41:30,020 --> 00:41:45,140 +لغاية ال insertion و هالجد هنشوف القضية هذه طبعا + +389 +00:41:45,140 --> 00:41:49,280 +ضروري الخطان يكونوا يعني تم تمكينهم في الأطراف + +390 +00:41:49,280 --> 00:41:53,640 +بتاعة العضلة في ال outer quarters تمامالـ Upper + +391 +00:41:53,640 --> 00:41:55,200 +and Lower Quadrants + +392 +00:42:22,080 --> 00:42:30,880 +ثم اختار الاردوان الاردوان + +393 +00:42:30,880 --> 00:42:38,180 +موجودة في موقع البرنامج او البرنامج الاسبانية او + +394 +00:42:38,180 --> 00:42:39,320 +الاسبانية + +395 +00:43:02,950 --> 00:43:07,190 +أمام الخطان بيعمل crushing لل muscle عشان يسكر + +396 +00:43:07,190 --> 00:43:11,770 +الأوية الدموية تمام؟ + +397 +00:43:11,770 --> 00:43:14,930 +أمام الخطان تمام؟ + +398 +00:43:23,890 --> 00:43:31,090 +و بشد ال new insertion عشان يشوف بيصل بالراحة تمام + +399 +00:43:31,090 --> 00:43:32,770 +قبل ما يقطع + +400 +00:43:44,230 --> 00:43:47,330 +الان بيشيل ال muscle اللى بده تنشال من ال + +401 +00:43:47,330 --> 00:43:51,650 +insertion الأساسى بتاعها هذه الجزء الزائدة هذى بده + +402 +00:43:51,650 --> 00:43:57,250 +تنشال تماما هذا + +403 +00:43:57,250 --> 00:44:01,310 +الجزء اللى انقطع و بده يتسبب فيه الان هتشوفوا كده + +404 +00:44:01,310 --> 00:44:05,090 +في نفس ال insertion طبعا هى تقصير للمuscle + +405 +00:44:08,660 --> 00:44:12,660 +هذا الجزء انشال تماما خلاص من ال muscle الآن الجزء + +406 +00:44:12,660 --> 00:44:14,920 +اللي اتثبت فيه الخطان هو اللي بده يتثبت في ال + +407 +00:44:14,920 --> 00:44:18,680 +insertion الأساسي طبعا بيعمل كتر عشان مايصيرش + +408 +00:44:18,680 --> 00:44:27,010 +bleedingولم يكن يكون مقرر بشكل كام ان الناس يعرفوا + +409 +00:44:27,010 --> 00:44:30,950 +ان هذه الحياة تتولع و تتولع و تتولع و تتولع و + +410 +00:44:30,950 --> 00:44:32,670 +تتولع و تتولع و تتولع و تتولع و تتولع و تتولع و + +411 +00:44:32,670 --> 00:44:32,830 +تتولع و تتولع و تتولع و تتولع و تتولع و تتولع و + +412 +00:44:32,830 --> 00:44:33,150 +تتولع و تتولع و تتولع و تتولع و تتولع و تتولع و + +413 +00:44:33,150 --> 00:44:35,610 +تتولع و تتولع و تتولع و تتولع و تتولع و تتولع و + +414 +00:44:35,610 --> 00:44:35,630 +تتولع و تتولع و تتولع و تتولع و تتولع و تتولع و + +415 +00:44:35,630 --> 00:44:43,270 +تتولع و تتولع و تتولع و تتولع و تتولع و + +416 +00:44:43,270 --> 00:44:44,870 +تت + +417 +00:44:48,150 --> 00:44:55,450 +والنساء كانت تحاول تحضير 4 سيجينيدر بسيطة لكي تفسر + +418 +00:44:55,450 --> 00:45:00,130 +ماذا تريد ان تفعل تحضر + +419 +00:45:00,130 --> 00:45:02,570 +4 سيجينيدر لكي تفسر ماذا تريد ان تفعل تحضر 4 + +420 +00:45:02,570 --> 00:45:08,810 +سيجينيدر لكي تفسر ماذا تريد ان تفعل تحضر + +421 +00:45:08,810 --> 00:45:10,410 +4 سيجينيدر لكي تفسر ماذا تريد ان تفعل + +422 +00:45:14,270 --> 00:45:19,990 +الأدوات التي شهدت بقواتها شركت الـ Paradise تفتت + +423 +00:45:19,990 --> 00:45:23,050 +الأدوات التي كانت موجودة فيها في حياتها. + +424 +00:45:25,670 --> 00:45:29,870 +البرنامج سنجرح عزيزي الناس كانت موجودة في البرنامج + +425 +00:45:29,870 --> 00:45:34,810 +وكانت موجودة في البرنامج بشكل مشابه. البرنامج كانت + +426 +00:45:34,810 --> 00:45:35,750 +موجودة في البرنامج وكانت موجودة في البرنامج بشكل + +427 +00:45:35,750 --> 00:45:39,530 +مشابه. البرنامج كانت موجودة في البرنامج بشكل + +428 +00:45:39,530 --> 00:45:40,370 +مشابه. + +429 +00:46:06,690 --> 00:46:09,870 +بيبدأ يشد في الخطال و يجرب في ال muscle + +430 +00:46:24,210 --> 00:46:28,210 +هي المرسى اللى عاملها تجرب لغاية ما تصير عند ال + +431 +00:46:28,210 --> 00:46:33,510 +insertion الأساسى هي + +432 +00:46:33,510 --> 00:46:39,260 +وصلت زى ما انتوا شايفينالأن بيثبت الفطان بياجده + +433 +00:46:39,260 --> 00:46:39,880 +هون + +434 +00:47:05,030 --> 00:47:11,090 +عشان تلعب تبقى procedure تلعب + +435 +00:47:11,090 --> 00:47:24,010 +تبقى procedure تلعب + +436 +00:47:24,010 --> 00:47:26,730 +تبقى procedure تلعب تبقى process + +437 +00:47:31,000 --> 00:47:35,000 +لأ أنا بسيجي و بعض الناس اللي بسيجي مهورة في + +438 +00:47:35,000 --> 00:47:39,400 +الموزيشن بسيجي و لا ادراس لأهل اهل اهل فهم + +439 +00:47:39,400 --> 00:47:43,980 +يستثمرون فيه فإن جيزيس كانش يبقى تبع سيجي موزيشن و + +440 +00:47:43,980 --> 00:47:52,060 +يبقى عادل سيجي بسيجي بسيجي + +441 +00:47:52,060 --> 00:47:57,500 +مبتعد بسيجي مبتعد بسيجي مبتعد بسيجي موزيشن + +442 +00:48:18,130 --> 00:48:22,690 +بعد ما يتم تمكين ال muscle بيسكر ال conjunctiva و + +443 +00:48:22,690 --> 00:48:24,430 +على هيك بتنتهي العملية + +444 +00:48:35,800 --> 00:48:41,420 +تتأكد من وضع العضلة، هي العضلة طبعا، هي العضلة بعد + +445 +00:48:41,420 --> 00:48:43,540 +ال resection بتاعها واضحة + +446 +00:49:10,700 --> 00:49:14,380 +أولا يجب أن تكون مستخدم للتعامل باسم التعامل + +447 +00:49:14,380 --> 00:49:16,200 +بتعامل باسم التعامل باسم التعامل باسم التعامل باسم + +448 +00:49:16,200 --> 00:49:16,520 +التعامل باسم التعامل باسم التعامل باسم التعامل + +449 +00:49:16,520 --> 00:49:16,840 +باسم التعامل باسم التعامل باسم التعامل باسم + +450 +00:49:16,840 --> 00:49:17,700 +التعامل باسم التعامل باسم التعامل باسم التعامل + +451 +00:49:17,700 --> 00:49:18,120 +باسم التعامل باسم التعامل باسم التعامل باسم + +452 +00:49:18,120 --> 00:49:18,240 +التعامل باسم التعامل باسم التعامل باسم التعامل + +453 +00:49:18,240 --> 00:49:18,560 +باسم التعامل باسم التعامل باسم التعامل باسم + +454 +00:49:18,560 --> 00:49:26,680 +التعامل باسم التعامل باسم التعامل باسم + +455 +00:49:26,680 --> 00:49:30,360 +التعامبقى تجاوز البرنامج البرنامج البرنامج + +456 +00:49:30,360 --> 00:49:38,140 +البرنامج البرنامج البرنامج البرنامج + +457 +00:49:38,140 --> 00:49:44,540 +البرنامج + +458 +00:49:44,540 --> 00:49:45,280 +البرنامج البرنامج البرنامج البرنامج البرنامج + +459 +00:49:45,280 --> 00:49:46,080 +البرنامج البرنامج البرنامج البرنامج البرنامج + +460 +00:49:46,080 --> 00:49:46,080 +البرنامج البرنامج البرنامج البرنامج البرنامج + +461 +00:49:46,080 --> 00:49:46,080 +البرنامج البرنامج البرنامج البرنامج البرنامج + +462 +00:49:46,080 --> 00:49:46,080 +البرنامج البرنامج البرنامج البرنامج البرنامج + +463 +00:49:46,080 --> 00:49:46,080 +البرنامج البرنامج البرنامج البرنامج البرنامج + +464 +00:49:46,080 --> 00:49:54,760 +البرنامج البرنامج البرنامج البرنامج البرنامج + +465 +00:49:54,760 --> 00:49:55,000 +ال + +466 +00:50:29,350 --> 00:50:34,230 +مش عارف اتفرج في مستوى البرنامج بتاع الشرق؟ + +467 +00:50:56,040 --> 00:51:00,280 +بس again you should think about how much time and + +468 +00:51:00,280 --> 00:51:03,220 +how much power are you going to put on these + +469 +00:51:03,220 --> 00:51:07,080 +humans in these states of destruction + +470 +00:51:31,570 --> 00:51:34,850 +إذن هذه strengthening procedure .. strengthening + +471 +00:51:34,850 --> 00:51:35,670 +procedure + +472 +00:52:02,770 --> 00:52:10,030 +أنا عارف بقى كده لما تستخدم لما تستخدم ال bite لما + +473 +00:52:10,030 --> 00:52:19,570 +تستخدم ال .. لما تستخدم ال .. لما تستخدم ال .. لما + +474 +00:52:19,570 --> 00:52:21,070 +تستخدم ال .. لما تستخدم ال .. + +475 +00:52:28,420 --> 00:52:32,140 +بس الصورة اللي بيبقى ع ال school تجريت ماشي معايا + +476 +00:52:32,140 --> 00:52:35,160 +دوامها في ال school بيبقى دوامي ع ال department + +477 +00:52:35,160 --> 00:52:46,820 +four + +478 +00:52:46,820 --> 00:52:49,880 +sections من عملي يتجاوز ع عملي يبقى school six + +479 +00:52:49,880 --> 00:52:55,940 +percent procedure وما يوزعج مع ال communication مع + +480 +00:52:55,940 --> 00:52:57,260 +عضة مش ممكن + +481 +00:53:05,680 --> 00:53:09,980 +يعطيكوا العافية كده + +482 +00:53:09,980 --> 00:53:12,680 +ايش ساعة ده؟ ده ده ده ده ده ده ده ده ده ده ده ده + +483 +00:53:12,680 --> 00:53:15,180 +ده ده ده ده ده ده ده ده ده ده ده ده ده ده + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/4oFZ3xND2sA.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/4oFZ3xND2sA.srt new file mode 100644 index 0000000000000000000000000000000000000000..79086fcec24375d88a42c8327d58670c56e79f3b --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/4oFZ3xND2sA.srt @@ -0,0 +1,1025 @@ +1 +00:00:20,810 --> 00:00:25,450 +بسم الله الرحمن الرحيم اليوم نستأنف الحديث عن + +2 +00:00:25,450 --> 00:00:30,530 +special syndrome اللي هو Brown syndrome، الدكتور + +3 +00:00:30,530 --> 00:00:35,790 +Harold Brown أعطى اسمًا لهذا mechanical syndrome، أعطاه + +4 +00:00:35,790 --> 00:00:40,470 +اسم superior oblique tendon sheath syndrome. ال + +5 +00:00:40,470 --> 00:00:43,970 +sheath هو النسيج الضام الذي يشكل الغلاف + +6 +00:00:43,970 --> 00:00:47,730 +للوتين. فهذا الوتر له sheath في سندروم معين + +7 +00:00:47,730 --> 00:00:51,330 +يصير فيه أمور معينة سنعرفها اليوم. الدكتور هارولد + +8 +00:00:51,330 --> 00:00:57,010 +براون، يعني أعطاه في سنة 1950، اللي هو اسم superior + +9 +00:00:57,010 --> 00:01:01,610 +oblique tendon sheath syndrome، الذي أصبح فيما بعد + +10 +00:01:01,610 --> 00:01:06,230 +يعرف باسم Brown syndrome. طبعًا الكل متفق على أن هذا + +11 +00:01:06,230 --> 00:01:11,370 +السندروم عبارة عن mechanical syndrome، + +12 +00:01:11,370 --> 00:01:16,870 +restrictive syndrome، بمعنى أن المشكلة الميكانيكية + +13 +00:01:16,870 --> 00:01:21,530 +في حركة الـ superior oblique tendon موجودة. قبل + +14 +00:01:21,530 --> 00:01:25,990 +الدكتور براون، كانوا الناس يعتقدون أنه في + +15 +00:01:25,990 --> 00:01:30,390 +قصر (shortening) في الـ sheath، في الجزء الأمامي + +16 +00:01:30,390 --> 00:01:33,050 +of the sheath of the superior oblique tendon. طبعًا + +17 +00:01:33,050 --> 00:01:38,230 +لكي لا يكون الكلام نظريًا، سنُحول إلى شيء مفهوم. + +18 +00:01:38,230 --> 00:01:42,790 +سنحاول نحن أن نسترجع، اللي هو رسمة الـ superior + +19 +00:01:42,790 --> 00:01:48,550 +oblique muscle. قلنا إنه ينشأ من عمق الـ orbit + +20 +00:01:48,550 --> 00:01:52,590 +فوق القناة البصرية (above the optic canal)، ويمر بين الجدار الجانبي... + +21 +00:01:52,590 --> 00:01:55,850 +بين الجدار الأنفي والجدار العلوي، ويتحول إلى + +22 +00:01:55,850 --> 00:01:59,770 +وتر قبل أن يصل إلى trochlea. عند الـ trochlea + +23 +00:01:59,770 --> 00:02:02,950 +يتحول إلى... قبل الوتر... قبل الـ trochlea، عفوًا + +24 +00:02:02,950 --> 00:02:07,830 +يتحول إلى وتر ويمر عبر الـ trochlea كوتر، و + +25 +00:02:07,830 --> 00:02:15,170 +يرتكز في الجزء الخلفي العلوي من خط استواء الصدغ (upper posterior temporal equator). + +26 +00:02:20,650 --> 00:02:24,050 +الناس كانت تعتقد أن الـ sheath الذي يغطي الوتر في + +27 +00:02:24,050 --> 00:02:28,990 +الجزء الأمامي يكون قصيرًا جدًا مقارنةً بـ + +28 +00:02:28,990 --> 00:02:34,790 +الوتر نفسه، أقصر من الوتر، فبالتالي يؤدي إلى + +29 +00:02:34,790 --> 00:02:41,330 +أنه غير قادر، هذا القصر (short) غير قادر يعني أن يتحرك + +30 +00:02:41,330 --> 00:02:45,850 +بنفس حركة الوتر، حتى إن الدكتور براون أثبت بعد ذلك + +31 +00:02:45,850 --> 00:02:50,720 +أن المشكلة ليست قصرًا (shortening) في الـ sheath، يعني الشيء + +32 +00:02:50,720 --> 00:02:55,720 +الذي هو الغطاء أو الغلاف ليس قصيرًا، بل فيه embedded + +33 +00:02:55,720 --> 00:03:02,110 +movement. ثُبات الحركة، يعني فيه احتكاك أو عدم استطاعة + +34 +00:03:02,110 --> 00:03:06,430 +حركة حرة خلال البكرة، اللي هي الـ trochlea + +35 +00:03:06,430 --> 00:03:09,090 +التي توجد بها الـ superior oblique tendon. + +36 +00:03:09,090 --> 00:03:13,250 +فسمي superior oblique tendon sheath syndrome، لكن ليس + +37 +00:03:13,250 --> 00:03:17,950 +ناتجًا عن القصر (shortening)، وأصبح بعد ذلك يسمى + +38 +00:03:17,950 --> 00:03:22,710 +باسم Brown syndrome. قبل أن نقول ما هي الصورة السريرية + +39 +00:03:22,710 --> 00:03:27,270 +(clinical picture) لـ Brown syndrome، نقول إنه يوجد لدينا + +40 +00:03:27,270 --> 00:03:31,150 +congenital Brown syndrome، ويوجد لدينا acquired Brown + +41 +00:03:31,150 --> 00:03:34,590 +syndrome. الـ congenital Brown syndrome إما يكون + +42 +00:03:34,590 --> 00:03:42,790 +ذاتي السبب (idiopathic). دعوني أقول إن Brown syndrome يكون + +43 +00:03:42,790 --> 00:03:46,970 +خلقيًّا (congenital) ويكون + +44 +00:03:46,970 --> 00:03:53,230 +طبعًا مكتسبًا (acquired). الـ + +45 +00:03:53,230 --> 00:03:55,230 +congenital منه ما هو ذاتي السبب (idiopathic) + +46 +00:03:57,620 --> 00:04:00,880 +يعني غير معروف السبب، وفي حالة يسمونها congenital + +47 +00:04:00,880 --> 00:04:03,960 +click + +48 +00:04:03,960 --> 00:04:09,040 +syndrome. ماذا يعني click؟ مثل صوت طقة، صحيح؟ + +49 +00:04:09,040 --> 00:04:14,640 +congenital click syndrome، و + +50 +00:04:14,640 --> 00:04:18,120 +كأنه نتيجة ضيق المكان الذي يتحرك فيه الـ superior + +51 +00:04:18,120 --> 00:04:23,800 +oblique tendon، فيصير مثل طرق طقة أو طرق، تمام؟ نتيجة + +52 +00:04:23,800 --> 00:04:28,340 +أن هناك شيء يتحرك عبر فراغ ضيق (through narrow space)... + +53 +00:04:28,340 --> 00:04:31,860 +through a narrow space. إذاً، يوجد لدينا ذاتي السبب (idiopathic)، ويوجد + +54 +00:04:31,860 --> 00:04:35,400 +لدينا يعني خلقي (congenital click) syndrome. المكتسب (acquired) + +55 +00:04:35,400 --> 00:04:40,640 +إما يكون صدميًا (traumatic) أو + +56 +00:04:40,640 --> 00:04:45,540 +التهابياً (inflammatory). أي + +57 +00:04:45,540 --> 00:04:47,460 +صدمة (trauma)... أي صدمة (trauma). + +58 +00:04:51,430 --> 00:04:56,750 +حول الـ trochlea يؤدي إلى Brown syndrome المكتسب (acquired). + +59 +00:04:56,750 --> 00:05:01,730 +طبعًا، الصدمة قد تكون صدمة عرضية (accidental)، يعني + +60 +00:05:01,730 --> 00:05:06,370 +غير مقصودة، أو قد تكون صدمة ناجمة عن تدخل + +61 +00:05:06,370 --> 00:05:10,210 +جراحي في منطقة ما من العين بعد، مثلًا، عملية انفصال الشبكية + +62 +00:05:10,210 --> 00:05:13,150 +(retinal detachment)، أو نعمل على العضلة المستقيمة الإنسيّة (media rectus)، أو إلى + +63 +00:05:13,150 --> 00:05:18,480 +غيرها، يسمى iatrogenic trauma، يعني الذي يفعله + +64 +00:05:18,480 --> 00:05:21,920 +الكادر الطبي، تمام؟ iatrogenic trauma، سواء + +65 +00:05:21,920 --> 00:05:26,360 +صدمة عادية أو صدمة بواسطة التدخل الجراحي قريب من + +66 +00:05:26,360 --> 00:05:31,460 +الـ trochlea، تمام؟ ممكن يؤدي إلى traumatic acquired + +67 +00:05:31,460 --> 00:05:37,340 +Brown syndrome. الالتهابي (inflammatory) فيه أسباب له + +68 +00:05:37,340 --> 00:05:43,810 +كثيرة، مثل التهاب السكلرا (scleritis)، تمام؟ + +69 +00:05:43,810 --> 00:05:49,730 +مثل التهاب المفاصل الروماتويدي (rheumatoid arthritis). + +70 +00:05:49,730 --> 00:05:53,550 +و + +71 +00:05:53,550 --> 00:06:00,130 +التهاب الجيوب الأنفية الكلي (pan sinusitis). ماذا يعني sinusitis؟ التهاب الجيوب + +72 +00:06:00,130 --> 00:06:04,310 +الأنفية. pan sinusitis التهاب جميع الجيوب الأنفية + +73 +00:06:04,310 --> 00:06:10,090 +جميعها، تمام؟ طبعًا، أقرب جيب أنفي اللي هو الـ + +74 +00:06:10,090 --> 00:06:14,330 +الجيوب الجبهية الأنفية (frontal nasal sinus). الجيب الجبهي الأنفي (frontal nasal sinus) قريب + +75 +00:06:14,330 --> 00:06:17,430 +جداً من الـ trochlea. الجيب الجبهي الأنفي (frontal nasal sinus) الذي هو + +76 +00:06:17,430 --> 00:06:20,830 +في هذه المنطقة أسفل العظم أو في التجويف... التجويف + +77 +00:06:20,830 --> 00:06:25,210 +داخل العظم، تمام؟ في العظم. إذا التهب، وكانت + +78 +00:06:25,210 --> 00:06:30,010 +جدران الجيب رقيقة جدًا، ممكن يمتد الالتهاب ويصل + +79 +00:06:30,010 --> 00:06:33,550 +إلى منطقة الـ trochlea، ويعمل لي acquired... + +80 +00:06:33,550 --> 00:06:40,570 +acquired inflammatory Brown syndrome. بعض + +81 +00:06:40,570 --> 00:06:44,490 +الأسباب الالتهابية (inflammatory causes). إذا زال هذا الالتهاب + +82 +00:06:44,490 --> 00:06:49,150 +ممكن Brown syndrome يختفي، فيسمى intermittent + +83 +00:06:49,150 --> 00:06:53,890 +Brown syndrome. يعني، ممكن أن تسبب هذه الحالات + +84 +00:06:53,890 --> 00:06:58,290 +متقطعة (intermittent)، لأن + +85 +00:06:58,290 --> 00:07:00,810 +السبب يختفي، يختفي Brown syndrome. + +86 +00:07:10,230 --> 00:07:17,310 +طيب، ما هي العلامات الخاصة بـ Brown syndrome؟ هذه + +87 +00:07:17,310 --> 00:07:27,490 +التصنيف موجود. + +88 +00:07:27,490 --> 00:07:35,030 +علامات رئيسية (major signs)، وعلامات متغيرة (variable signs). + +89 +00:07:35,030 --> 00:07:35,750 +signs. + +90 +00:07:39,200 --> 00:07:42,240 +يعني، قد تكون موجودة لدى بعض مرضى Brown syndrome، وقد لا + +91 +00:07:42,240 --> 00:07:51,220 +تكون موجودة لدى بعض مرضى Brown syndrome. في الحقيقة، مريض + +92 +00:07:51,220 --> 00:07:58,460 +Brown syndrome، في الغالب يبدأ بهذا الشكل. ما هذا؟ هذا ما أسميه الوضع الأساسي (primary position). ماذا يعني الوضع في الـ + +93 +00:07:58,460 --> 00:08:03,200 +primary position؟ الآن، في النظر إلى أعلى (up gaze)، نحن نتحدث عن + +94 +00:08:03,200 --> 00:08:08,750 +Brown syndrome الأيسر (left Brown syndrome). في النظر إلى أعلى بالجهة اليمنى (right up gaze)، مثل الهدف + +95 +00:08:14,610 --> 00:08:23,850 +الذي لدينا، تمام؟ ليس ارتفاع (elevation) في النظر إلى أعلى بـ Brown syndrome الأيسر (left Brown syndrome). نحن نتحدث عن Brown syndrome الأيسر (left Brown syndrome)، تمام؟ + +96 +00:08:23,850 --> 00:08:31,590 +أيضًا، في النظر إلى أعلى بشكل مستقيم (straight up)، الارتفاع ليس كاملًا، يعني يوجد + +97 +00:08:31,590 --> 00:08:42,150 +لدينا ارتفاع محدود (limited elevation) في الاختطاف (abduction). يوجد أيضًا + +98 +00:08:42,150 --> 00:08:47,670 +ارتفاع محدود (limited) لكن أخف من الاختطاف (abduction) في النظر إلى أعلى بشكل مستقيم (straight up). + +99 +00:08:47,670 --> 00:08:51,670 +ثالثًا، ارتفاع شبه طبيعي (nearly normal)، قد يكون مقيدًا (restricted). + +100 +00:08:51,670 --> 00:08:58,170 +ارتفاع شبه طبيعي (nearly normal elevation) في الاختطاف (abduction). في الـ + +101 +00:08:58,170 --> 00:09:04,200 +اختطاف (abduction)، براون قد يقوم بارتفاع جيد. بعض الكتب + +102 +00:09:04,200 --> 00:09:11,760 +يقول إنه لا، حتى في الاختطاف (abduction)، يعني الـ + +103 +00:09:11,760 --> 00:09:14,060 +التقييد في الارتفاع يكون شديدًا في الـ + +104 +00:09:14,060 --> 00:09:16,780 +اختطاف (abduction). يتحسن في الوضع الأساسي (primary position)، في الـ + +105 +00:09:16,780 --> 00:09:20,860 +النظر إلى أعلى بشكل مستقيم (straight up)، ويتحسن أكثر، لكن لا يصل إلى الطبيعي في بعض + +106 +00:09:20,860 --> 00:09:24,120 +الكتب، وبعض الكتب الأخرى يقول لا، يوجد ارتفاع طبيعي + +107 +00:09:24,120 --> 00:09:25,420 +في الاختطاف (in abduction). + +108 +00:09:29,380 --> 00:09:36,120 +هذه علامات رئيسية. أيضًا، من ضمن العلامات الرئيسية، من + +109 +00:09:36,120 --> 00:09:41,520 +ضمنها، وهذه مهمة جدًا، غياب (absence of) + +110 +00:09:41,520 --> 00:09:47,800 +فرط عمل العضلة المائلة العلوية (superior oblique over action). يعني، قد يقول شخص + +111 +00:09:47,800 --> 00:09:51,820 +طيب، هذه... هذا الحول (squint) قد يكون ناتجًا عن أن + +112 +00:09:51,820 --> 00:09:55,360 +العضلة المائلة العلوية (superior oblique) في الوضع الطبيعي (N position) تنزل العين + +113 +00:09:55,360 --> 00:09:58,700 +لأسفل بقوة، وتعمل فرط عمل (over action)، فيمنع الـ + +114 +00:09:58,700 --> 00:10:02,100 +عضلة مائلة سفلية (inferior oblique) من أن ترفع العين في الوضع الطبيعي (N position). من + +115 +00:10:02,100 --> 00:10:07,420 +الذي يعمل؟ العضلة المائلة العلوية (superior oblique) والعضلة المائلة السفلية (inferior oblique) + +116 +00:10:07,420 --> 00:10:10,780 +في الوضع الطبيعي (N position) تعمل، والعضلة المائلة السفلية (inferior oblique) + +117 +00:10:10,780 --> 00:10:14,440 +ترفع، والعضلة المائلة العلوية (superior oblique) تنزل. لماذا تعملان + +118 +00:10:14,440 --> 00:10:19,550 +في الوضع الطبيعي (N position)؟ لأن محورهما ومحور العين يكونان + +119 +00:10:19,550 --> 00:10:22,650 +متوافقين مع بعض، فتصبح العضلة المائلة العلوية (superior oblique) عبارة عن + +120 +00:10:22,650 --> 00:10:25,930 +مخفضة (depressor)، والعضلة المائلة السفلية (inferior oblique) عبارة عن رافعة (elevator). + +121 +00:10:25,930 --> 00:10:29,930 +وهذا أخذناه في فصل واحد، تمام؟ من ضمن العلامات + +122 +00:10:29,930 --> 00:10:33,930 +الرئيسية لتشخيص Brown syndrome، غياب (absence of) + +123 +00:10:33,930 --> 00:10:37,630 +فرط عمل العضلة المائلة العلوية (superior oblique over action). لا يوجد لدينا فرط عمل للعضلة المائلة العلوية (superior oblique over action)، الذي أقول إن هذا بسبب + +124 +00:10:37,630 --> 00:10:41,270 +فرط عمل العضلة المائلة العلوية (superior oblique over action). طيب، من ضمن العلامات + +125 +00:10:44,930 --> 00:10:56,330 +الرئيسية، اختبار إثارة القوة الموجبة (positive force induction test) لـ + +126 +00:10:56,330 --> 00:11:01,230 +رفع العين (elevation of the eye). + +127 +00:11:05,090 --> 00:11:10,230 +بالإضافة إلى ذلك (in addition)، يعني + +128 +00:11:10,230 --> 00:11:18,640 +إذا أمسكنا العين وهي مخدرة وحركناها أنفيًا (nasally)، قمنا بـ + +129 +00:11:18,640 --> 00:11:22,320 +تقريب (adduction)، وجئنا لنحركها لأعلى، نجد أن هناك شيء + +130 +00:11:22,320 --> 00:11:25,780 +يقاومنا، في تقييد (restriction)، وكأنه يوجد شيء يمنع العين + +131 +00:11:25,780 --> 00:11:28,880 +من أن ترتفع في التقريب (adduction)، نسميه اختبار إثارة القوة الموجبة (positive force induction test) لرفع العين (elevation of the eye) في + +132 +00:11:28,880 --> 00:11:32,700 +التقريب (adduction). يعني، أنا أمسك العين بملاقط (forceps)، العين + +133 +00:11:32,700 --> 00:11:35,460 +مخدرة، تمام؟ أو تحت التخدير العام (general anesthesia)، هو الأفضل. + +134 +00:11:35,460 --> 00:11:38,620 +تمام؟ أحرك العين أنفيًا (nasally)، ثم أرفعها لأعلى. إذا + +135 +00:11:38,620 --> 00:11:43,870 +ارتفعت العين بسهولة، معناته هذا ليس Brown syndrome. Brown syndrome عبارة عن سندروم ميكانيكي + +136 +00:11:43,870 --> 00:11:51,670 +(mechanical syndrome)، فيه تقييد (restriction) للحركة. يعني، عندما + +137 +00:11:51,670 --> 00:11:55,810 +يحدث ارتخاء (relaxation) أو انقباض (contraction) للعضلة المائلة العلوية (superior oblique)، + +138 +00:11:59,830 --> 00:12:03,590 +سيقصر إذا كان انقباضًا (contraction)، وسيطول إذا كان ماذا؟ + +139 +00:12:03,590 --> 00:12:08,050 +ارتخاء (relaxation). في الحالتين، يجب أن يتحرك الوتر ذهابًا وإيابًا + +140 +00:12:08,050 --> 00:12:12,010 +عبر الـ trochlea. طيب، إذا كان هناك احتكاك، وليس + +141 +00:12:12,010 --> 00:12:16,590 +يسمح له بالحركة، معناته عندما آتي أنا وأمسك العين وأحركها + +142 +00:12:16,590 --> 00:12:20,740 +أنفيًا (nasally) ثم لأعلى (up)، سأجد فيه تقييدًا (restriction) كبيرًا، وليس + +143 +00:12:20,740 --> 00:12:25,260 +مطواعية العين في هذه الحركة، سأشعر بشيء، يعني ليس + +144 +00:12:25,260 --> 00:12:28,780 +سلسًا في الحركة، وأنه يوجد شيء يقاوم حركتي. + +145 +00:12:28,780 --> 00:12:32,240 +فهذا يُسمى اختبار إثارة القوة الموجبة (positive). إحدى أهم العلامات التي + +146 +00:12:32,240 --> 00:12:37,500 +توجد في Brown syndrome. طيب، سنطرح الآن + +147 +00:12:37,500 --> 00:12:42,020 +سؤالاً قبل أن نذهب إلى العلامات الثانوية (minor signs). لكن قبل السؤال + +148 +00:12:42,020 --> 00:12:47,300 +هذا، سنقول، قلنا إن هناك ارتفاع مقيدًا (restricted elevation) في + +149 +00:12:47,300 --> 00:12:52,050 +التقريب (adduction)، وارتفاع مقيد (restricted elevation) أيضًا في الوضع الأساسي (primary) + +150 +00:12:52,050 --> 00:12:57,770 +النظر إلى أعلى (up gaze)، النظر إلى أعلى بشكل مستقيم (straight up)، وارتفاع شبه طبيعي (nearly normal elevation) أثناء + +151 +00:12:57,770 --> 00:13:02,690 +اختبار النظر إلى أعلى بشكل مستقيم (straight up position)، نلاحظ أن العين تقوم بـ + +152 +00:13:02,690 --> 00:13:08,230 +تباعد (divergence)، وكأنه يشكل لدي حرف V، وفعلاً، أحد + +153 +00:13:08,230 --> 00:13:14,510 +أسباب نمط V (V pattern) هو Brown syndrome، تمام؟ هنا قد + +154 +00:13:15,820 --> 00:13:25,020 +يحدث تباعد (divergence) في النظر إلى أعلى، ويشكل لدي نمط V (V pattern). قد + +155 +00:13:25,020 --> 00:13:30,230 +يسأل شخص، لماذا ذكرت فرط عمل العضلة المائلة العلوية (superior oblique over action)؟ أقول، لأن فرط عمل العضلة المائلة العلوية (superior oblique over action)، تمام؟ + +156 +00:13:30,230 --> 00:13:33,790 +قد تسحب العين لأسفل، فهي قوية تعمل فرط عمل (over acting)، فتمنع الـ + +157 +00:13:33,790 --> 00:13:38,450 +عضلة مائلة سفلية (inferior oblique) من القيام بعملها. طيب، قد يقول شخص + +158 +00:13:38,450 --> 00:13:45,750 +ليش؟ طيب، لنفترض أن العضلة المائلة العلوية (superior oblique) طبيعية، لكن يوجد + +159 +00:13:45,750 --> 00:13:48,750 +شلل في العضلة المائلة السفلية (inferior oblique palsy). العضلة المائلة السفلية (inferior oblique) + +160 +00:13:48,750 --> 00:13:56,020 +ترفع العين إلى أين؟ لأعلى (up). إذا كان هناك شلل في العضلة المائلة السفلية (inferior oblique palsy)، و + +161 +00:13:56,020 --> 00:14:01,920 +وضعت هدفًا (target) هنا، تمام؟ هذا الهدف (target) أيضًا لن يرتفع، كيف + +162 +00:14:01,920 --> 00:14:05,420 +أُميّز شلل العضلة المائلة السفلية (inferior oblique palsy) من Brown + +163 +00:14:05,420 --> 00:14:12,180 +syndrome؟ في الحقيقة، يوجد ثلاثة اختلافات مهمة جدًا، تمام؟ قبل هذا + +164 +00:14:12,180 --> 00:14:16,620 +سنضع جدولاً ونرى كيف سنستنتج هذه الثلاثة + +165 +00:14:16,620 --> 00:14:20,620 +اختلافات. سنقول، + +166 +00:14:20,620 --> 00:14:26,180 +Brown syndrome، سنقول شلل في العضلة المائلة السفلية (inferior oblique palsy). يوجد ثلاثة اختلافات، دعونا + +167 + +223 +00:18:23,180 --> 00:18:26,960 +طيب ليش ipsilateral head tilt؟ + +224 +00:18:33,410 --> 00:18:38,990 +و برضه بيكون عندي أنا كمان ايش face turn.. face + +225 +00:18:38,990 --> 00:18:43,370 +turn هيكون وين؟ على الجهة اللي فيها ال brown ولا + +226 +00:18:43,370 --> 00:18:48,990 +عكسها؟ عكسها عكسها عشان تروح العين باتجاه ال + +227 +00:18:48,990 --> 00:18:52,670 +abduction اللي هو more normal اللي هو more normal + +228 +00:18:52,670 --> 00:18:55,250 +طيب + +229 +00:18:58,130 --> 00:19:03,310 +نتسجل الآن تجسيمة Brown Syndrome من ناحية الشدة + +230 +00:19:03,310 --> 00:19:14,910 +من ناحية الشدة mild + +231 +00:19:14,910 --> 00:19:25,830 +moderate و ايش و severe + +232 +00:19:25,830 --> 00:19:39,730 +في الـmild لا يوجد hypotropia ولا down shoot هنا + +233 +00:19:39,730 --> 00:19:50,430 +لا يوجد hypotropia ولكن يوجد down shoot هنا موجود + +234 +00:19:50,430 --> 00:19:52,130 +في هذه الأثناء + +235 +00:20:18,420 --> 00:20:23,940 +واضح؟ نيجي لعلاج Brown syndrome، نيجي لعلاج Brown + +236 +00:20:23,940 --> 00:20:26,160 +syndrome. أول حاجة الـ congenital + +237 +00:20:32,680 --> 00:20:42,160 +spontaneous recovery is possible، ايش + +238 +00:20:42,160 --> 00:20:45,900 +يعني spontaneous recovery is possible، ممكن يشفى + +239 +00:20:45,900 --> 00:20:55,680 +لحاله تمام، الـ inflammatory acquired + +240 +00:20:55,680 --> 00:21:05,000 +inflammatory، علاج للمرض الأساسي، علاج المرض الأساسي + +241 +00:21:05,000 --> 00:21:09,620 +يعني الـ rheumatoid arthritis بدأ أعالجه، تمام، الـ + +242 +00:21:09,620 --> 00:21:14,120 +scleritis بدأ أعالجه، الـ sinusitis بدأ أعالجه، تمام + +243 +00:21:14,120 --> 00:21:17,900 +وبالتالي إذا تم السيطرة على المرض بيشفى الـ Brown + +244 +00:21:17,900 --> 00:21:21,900 +syndrome لحاله أيضًا، الـ inflammatory من ضمن وسائل + +245 +00:21:21,900 --> 00:21:27,280 +العلاج أنه injection of steroid near the trochlea + +246 +00:21:27,280 --> 00:21:33,310 +تمام، injection of steroids، كورتيزون طبعًا، near the + +247 +00:21:33,310 --> 00:21:41,350 +trochlea أو أن نعطيه systemically، oral + +248 +00:21:41,350 --> 00:21:51,330 +steroid. هذا علاج الـ inflammatory، يعني + +249 +00:21:51,330 --> 00:21:56,910 +الـ congenital، spontaneous recovery is possible، طب + +250 +00:21:56,910 --> 00:22:01,580 +لو ما صار recovery، هنحكي عنه بعد شوية، الـ + +251 +00:22:01,580 --> 00:22:04,540 +inflammatory و الـ traumatic ممكن يستفيد من الـ + +252 +00:22:04,540 --> 00:22:07,780 +injection of steroid، حقنة ستيرويد عند التروكليا + +253 +00:22:07,780 --> 00:22:11,400 +في العين المصابة بـ Brown Syndrome، أو نعطي + +254 +00:22:11,400 --> 00:22:18,480 +oral steroid بجرعة حسب يعني وزن المريض، طيب الآن + +255 +00:22:18,480 --> 00:22:25,300 +نيجي للعلاج الجراحي، متى نلجأ للجراحي؟ متى نلجأ للجراحي؟ + +256 +00:22:25,300 --> 00:22:32,260 +حقيقة العلاج الجراحي في الـ mild و في الـ moderate ما + +257 +00:22:32,260 --> 00:22:37,300 +بيلزمش، في الـ mild و في الـ moderate ما بيلزمش، بيلزم + +258 +00:22:37,300 --> 00:22:42,480 +في الـ severe و لما يكون عندي أنا abnormal head + +259 +00:22:42,480 --> 00:22:48,420 +posture يعني significant، لما يكون عندي abnormal + +260 +00:22:48,420 --> 00:22:52,740 +head posture significant، طيب ممكن إنسان يكون عنده + +261 +00:22:52,740 --> 00:22:56,880 +severe Brown syndrome و ما يكونش عنده abnormal head + +262 +00:22:56,880 --> 00:23:01,590 +posture، طبيعي، ساعتها أنا بتوقع أن العين اللي فيها + +263 +00:23:01,590 --> 00:23:05,410 +Brown Syndrome، Amplobopic، آه ما فيش عندي binocular + +264 +00:23:05,410 --> 00:23:09,990 +single vision، فبالتالي هو ما.. بيستعمل.. بيستعمل + +265 +00:23:09,990 --> 00:23:13,490 +monocular vision، وبالتالي ما يحتاجش لـ abnormal + +266 +00:23:13,490 --> 00:23:20,730 +head posture، يا ترى ايش العلاج الجراحي اللي احنا + +267 +00:23:20,730 --> 00:23:25,110 +أو اللي الجراحين ممكن يعملوه لمرضى Brown Syndrome؟ + +268 +00:23:29,720 --> 00:23:33,920 +في أنواع علاجية كثيرة، مش هنأخذ فيها كتير، بس هنطلق + +269 +00:23:33,920 --> 00:23:39,700 +مسمياتها، كانوا + +270 +00:23:39,700 --> 00:23:46,480 +يقولوا اعمل sheathectomy، يعني + +271 +00:23:46,480 --> 00:23:54,020 +الغلاف هذا شيله، تمام؟ بعدين قالوا اعمل tenotomy، + +272 +00:23:54,020 --> 00:24:02,770 +يعني جوا هذا، يعني قطعه، كل واحدة إلها عيوبها وإلها + +273 +00:24:02,770 --> 00:24:09,570 +مميزاتها، وبعدين حط spacer، spacer يعني هنا بدك + +274 +00:24:09,570 --> 00:24:15,890 +تزرع جزء، يعني مادة silicone، تمام، اللي بتطول التندل + +275 +00:24:15,890 --> 00:24:21,590 +عشان يرخي ويصير براحته يتحرك، عبر، ليش الـ space، في + +276 +00:24:21,590 --> 00:24:27,030 +بعض الجراحين أو العلماء في هذا المجال قال أنه بما + +277 +00:24:27,030 --> 00:24:31,370 +أنه بتضعف superior oblique tendon بالعمليات هذه + +278 +00:24:31,370 --> 00:24:34,810 +ممكن يصير عندك superior oblique palsy، اتحول من الـ + +279 +00:24:34,810 --> 00:24:37,690 +Brown syndrome لـ superior oblique weakness على + +280 +00:24:37,690 --> 00:24:41,750 +الآخر، فبعضهم يقترح، قالوا احنا بنعمل هذه العملية في + +281 +00:24:41,750 --> 00:24:45,130 +superior oblique وبرضه بنضعف الـ antagonist + +282 +00:24:45,130 --> 00:24:49,150 +بتاعتها، اللي هي ايش؟ الـ inferior.. الـ inferior + +283 +00:24:49,150 --> 00:24:54,610 +oblique muscle، فبالتالي يعني بعض المدارس بتعتمد.. + +284 +00:24:54,610 --> 00:25:00,010 +بتعتمد الشغل على عضلتي.. الشغل على عضلتي، بنحاول + +285 +00:25:00,010 --> 00:25:05,230 +نعرض فيديو لـ Brown syndrome، كل عضلة فيها sheet + +286 +00:25:05,230 --> 00:25:08,610 +بيحميها وبيمنع التصاقها بـ.. يعني ما يچسبها من + +287 +00:25:08,610 --> 00:25:15,430 +structures، ما هو لما يكون الـ sheet هو اللي.. اللي + +288 +00:25:15,430 --> 00:25:23,530 +يعتقد أنه هو السبب، ساعتها يعني يكون عندنا شيء اللي + +289 +00:25:23,530 --> 00:25:28,210 +ممكن يكون فيه indication، يعني إن شاء الله يدل على شغل + +290 +00:25:28,210 --> 00:25:37,900 +بس شايفين أنتم هناك؟ هدفوا الضوء، بعدين هناك normal + +291 +00:25:37,900 --> 00:25:47,060 +هناك right ولا left؟ بسم الله الرحمن الرحيم، هل + +292 +00:25:47,060 --> 00:25:52,480 +في hypotropia في الـ primary position؟ طيب فيه tilt؟ + +293 +00:25:52,480 --> 00:25:58,520 +ايش رايكم؟ شايفين الـ divergence؟ ها دي ايه؟ أها + +294 +00:25:58,520 --> 00:26:05,960 +أها أها؟ واضحة، ايش هذه؟ right ولا left؟ right، في حد + +295 +00:26:05,960 --> 00:26:09,600 +بيقول left، شايفين في hypotropia في الـ primary + +296 +00:26:09,600 --> 00:26:15,380 +position هنا، أنا عندي الصورة يمكن أوضح شوية، في hypo + +297 +00:26:15,380 --> 00:26:19,140 +بسيطة جدًا، بس، أو المريضة بتتطلع، بس واضح إن الـ left + +298 +00:26:19,140 --> 00:26:22,880 +eye، الـ left eye أعلى شوية من الـ right eye، خلينا + +299 +00:26:22,880 --> 00:26:25,260 +احنا نشغل ثانية والراحة ثانية + +300 +00:26:32,760 --> 00:26:38,260 +هنا الـ elevation في الـ abduction تقريبًا طبيعي، الـ + +301 +00:26:38,260 --> 00:26:41,460 +elevation في الـ straight up واضح أنه في restricted + +302 +00:26:41,460 --> 00:26:43,620 +elevation مع divergence + +303 +00:26:57,570 --> 00:27:09,570 +شايفين فيه restriction في الـ elevation، تمام؟ يسموها + +304 +00:27:09,570 --> 00:27:17,060 +acute Brown syndrome، ايش يعني acute؟ ايش يعني acute؟ + +305 +00:27:17,060 --> 00:27:20,040 +يعني فجأة، امبارح كان كويس، اليوم الصبح معاه Brown + +306 +00:27:20,040 --> 00:27:24,940 +syndrome، غالبًا.. غالبًا بتوقع أنه كان عنده مثلًا + +307 +00:27:24,940 --> 00:27:29,220 +التهاب في الـ paranasal sinuses، تمام؟ وهو اللي أدى + +308 +00:27:29,220 --> 00:27:35,930 +ليه؟ الـ.. الـ acute Brown syndrome، هذا المريض اللي + +309 +00:27:35,930 --> 00:27:41,490 +عنده acute Brown syndrome بده orbital and sinus CT + +310 +00:27:41,490 --> 00:27:45,810 +orbital and sinus CT عشان نبحث عن السبب اللي قد + +311 +00:27:45,810 --> 00:27:51,930 +يؤدي لـ acute Brown syndrome، تمام إن شاء الله؟ طيب يعطيكم + +312 +00:27:51,930 --> 00:27:53,710 +العافية.. يعطيكم العافية diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/4oFZ3xND2sA_postprocess.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/4oFZ3xND2sA_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..586687140a19a4c09acae7d9c6c89c5bfc27b89d --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/4oFZ3xND2sA_postprocess.srt @@ -0,0 +1,1248 @@ +1 +00:00:20,810 --> 00:00:25,450 +بسم الله الرحمن الرحيم اليوم نستنف الحديث عن + +2 +00:00:25,450 --> 00:00:30,530 +special syndrome اللي هو brown syndrome الدكتور + +3 +00:00:30,530 --> 00:00:35,790 +harold brown أعطى اسم ل mechanical syndrome أعطاله + +4 +00:00:35,790 --> 00:00:40,470 +اسم superior oblique tendon sheath syndrome ال + +5 +00:00:40,470 --> 00:00:43,970 +sheath هو ال connective tissue اللي بيشكل الغلاف + +6 +00:00:43,970 --> 00:00:47,730 +للتندن فهذا التندن فيه له sheathفي سندروم معين + +7 +00:00:47,730 --> 00:00:51,330 +بيصير فيه حاجات معينة هنعرفها اليوم الدكتور هارولد + +8 +00:00:51,330 --> 00:00:57,010 +براون يعني أعطى في سنة 1950 اللي هو اسم superior + +9 +00:00:57,010 --> 00:01:01,610 +oblique tendon sheath syndrome اللي أصبح فيما بعد + +10 +00:01:01,610 --> 00:01:06,230 +يعرف باسم brown syndrome طبعا الكل متفق على أن هذا + +11 +00:01:06,230 --> 00:01:11,370 +ال .. السندروم عبارة عن mechanical syndrome + +12 +00:01:11,370 --> 00:01:16,870 +restrictive syndrome بس أنه ال mechanicalproblem + +13 +00:01:16,870 --> 00:01:21,530 +في حركة ال superior oblique tendon موجودة قبل + +14 +00:01:21,530 --> 00:01:25,990 +الدكتور براون كانوا بيعتقدوا الناس انه في + +15 +00:01:25,990 --> 00:01:30,390 +shortening shortening في ال sheet ال anterior part + +16 +00:01:30,390 --> 00:01:33,050 +of the sheet of the superior oblique tendon طبعا + +17 +00:01:33,050 --> 00:01:38,230 +عشان الكلام مايكونش نظري اتحول لشيء يعني مفهوم + +18 +00:01:38,230 --> 00:01:42,790 +بدنا نحاول احنا نسترجع اللي هو رسمة ال superior + +19 +00:01:42,790 --> 00:01:48,550 +oblique muscleاحنا قولنا بتنشأ من عمق ال orbit + +20 +00:01:48,550 --> 00:01:52,590 +above the optic canal و بتمشي بين ال lateral .. + +21 +00:01:52,590 --> 00:01:55,850 +بين ال medial wall و ال superior wall بتتحول ل + +22 +00:01:55,850 --> 00:01:59,770 +tendon قبل ما توصل ل trochlea عند ال trochlea + +23 +00:01:59,770 --> 00:02:02,950 +بتتحول ل .. قبل ال tendon .. قبل ال trochlea عفوا + +24 +00:02:02,950 --> 00:02:07,830 +بتتحول ل tendon و بتمر عبر ال trochlea ك tendon و + +25 +00:02:07,830 --> 00:02:15,170 +بتتسبط في ال upper posterior temporal equator + +26 +00:02:20,650 --> 00:02:24,050 +الناس كانت بتعتقد ان ال sheet اللي بيغطي التندن في + +27 +00:02:24,050 --> 00:02:28,990 +ال anterior part انه بيكون short short مقارنة مع + +28 +00:02:28,990 --> 00:02:34,790 +التندن نفسه أقصر من من التندن فبالتالي بيؤدي إلى + +29 +00:02:34,790 --> 00:02:41,330 +انه فيه مش قادر هذا ال short مش قادر يعني يتحرك + +30 +00:02:41,330 --> 00:02:45,850 +بنفس حركة التندن إلى ان الدكتور براون أثبت بعد ذلك + +31 +00:02:45,850 --> 00:02:50,720 +ان المشكلة مش shortening في ال sheet يعنيالشيء + +32 +00:02:50,720 --> 00:02:55,720 +اللي هو الغطا أو الغلاف مش short لأ بس في embedded + +33 +00:02:55,720 --> 00:03:02,110 +movement ثرودة الرقل يعنيفي تحشير أو عدم استطاعت + +34 +00:03:02,110 --> 00:03:06,430 +حركة بحرية خلال اللي هي البكرة اللي هي الاتروكليا + +35 +00:03:06,430 --> 00:03:09,090 +اللي هي موجودة لها ال superior oblique tendon + +36 +00:03:09,090 --> 00:03:13,250 +فسمها superior oblique tendon sheet syndrome بس مش + +37 +00:03:13,250 --> 00:03:17,950 +ناتج عن ال shortening و أصبح بعد هيك طبعا يسمى + +38 +00:03:17,950 --> 00:03:22,710 +باسم brown syndrome قبل ما نقول إيش ال clinical + +39 +00:03:22,710 --> 00:03:27,270 +picture بتاع ال brown syndromeبنقول إنه في عندنا + +40 +00:03:27,270 --> 00:03:31,150 +congenital brown syndrome وفي عندنا acquired brown + +41 +00:03:31,150 --> 00:03:34,590 +syndrome ال congenital brown syndrome إما بيبقى + +42 +00:03:34,590 --> 00:03:42,790 +idiopathic خلّيني أقول brown syndrome بيكون + +43 +00:03:42,790 --> 00:03:46,970 +congenital وبيكون + +44 +00:03:46,970 --> 00:03:53,230 +طبعا acquired ال + +45 +00:03:53,230 --> 00:03:55,230 +congenital فيه منه idiopathic + +46 +00:03:57,620 --> 00:04:00,880 +يعني غير معروف السبب و في حاجة بيسموها congenital + +47 +00:04:00,880 --> 00:04:03,960 +click + +48 +00:04:03,960 --> 00:04:09,040 +syndrome ايش يعني click زي speed click مظبوط + +49 +00:04:09,040 --> 00:04:14,640 +congenital click syndrome و + +50 +00:04:14,640 --> 00:04:18,120 +كأنه نتيجة ديجي المكان اللي بتحرك فيه ال superior + +51 +00:04:18,120 --> 00:04:23,800 +oblique tendon بيصير زي طرق طقه او ترق تمامنتيجة + +52 +00:04:23,800 --> 00:04:28,340 +انه في اشي بتحرك يعني through narrow space .. + +53 +00:04:28,340 --> 00:04:31,860 +through narrow space اذا في عندي idiopathic و في + +54 +00:04:31,860 --> 00:04:35,400 +عندي يعني congenital eclipse syndrome ال acquired + +55 +00:04:35,400 --> 00:04:40,640 +اما بيكون traumatic او + +56 +00:04:40,640 --> 00:04:45,540 +inflammatory اي + +57 +00:04:45,540 --> 00:04:47,460 +trauma .. اي trauma + +58 +00:04:51,430 --> 00:04:56,750 +نواحي التروكليا هتقدي ل brown syndrome acquired + +59 +00:04:56,750 --> 00:05:01,730 +طبعا ممكن التروما تكون تروما يعني accidental يعني + +60 +00:05:01,730 --> 00:05:06,370 +مش مش مقصودة او هذا و ممكن تكون تروما ناجع عن تدخل + +61 +00:05:06,370 --> 00:05:10,210 +جراحي في منطقة ما من العين بعد مثلا عملية retinal + +62 +00:05:10,210 --> 00:05:13,150 +detachment او بنشتغل على ال media rectus او الى + +63 +00:05:13,150 --> 00:05:18,480 +اخرى بيسموها iatrogenic traumaيعني اللي بيفتثها + +64 +00:05:18,480 --> 00:05:21,920 +اللي هو الكادر الطبي تمام ياتروجينك تروما سواء + +65 +00:05:21,920 --> 00:05:26,360 +تروما عادية أو تروما بواسطة التدخل الجراحي قريب من + +66 +00:05:26,360 --> 00:05:31,460 +الاتروكليا تمام ممكن يقدلي ل traumatic acquired + +67 +00:05:31,460 --> 00:05:37,340 +طبعا brown syndrome ال inflammatory فيها أسباب له + +68 +00:05:37,340 --> 00:05:43,810 +كثيرة زي اللي هو ال scleritisالتهاب الاسكليرة تمام + +69 +00:05:43,810 --> 00:05:49,730 +زي ال rheumatoid arthritis arthritis + +70 +00:05:49,730 --> 00:05:53,550 +وال + +71 +00:05:53,550 --> 00:06:00,130 +pan sinusitis إيش يعني sinusitis؟ التهاب الجيوب + +72 +00:06:00,130 --> 00:06:04,310 +الأنفية ال pan sinusitis التهاب كل الجيوب الأنفية + +73 +00:06:04,310 --> 00:06:10,090 +عن بكرة أبيها تمام؟طبعا أقرب جيب أنفي اللي هو ال + +74 +00:06:10,090 --> 00:06:14,330 +frontal nasal sinus ال frontal nasal sinus جريب + +75 +00:06:14,330 --> 00:06:17,430 +جدا من اللتروكليا ال frontal nasal sinus اللي هو + +76 +00:06:17,430 --> 00:06:20,830 +في المنطقة هاي تحت العظيم أو في التجويف .. التجويف + +77 +00:06:20,830 --> 00:06:25,210 +في العظيم تمام فرار في العظيم إذا التهب و كانت + +78 +00:06:25,210 --> 00:06:30,010 +جدار ال sinus رقيق جدا ممكن يمتد الالتهاب و يصل + +79 +00:06:30,010 --> 00:06:33,550 +لمنطقة اللتروكليا و يعمل لي ايش acquired .. + +80 +00:06:33,550 --> 00:06:40,570 +acquired inflammatorybrown syndrome ببعض + +81 +00:06:40,570 --> 00:06:44,490 +ال inflammatory causes إذا هدي ال inflammation + +82 +00:06:44,490 --> 00:06:49,150 +ممكن ال brown syndrome يروح فبيسموه intermittent + +83 +00:06:49,150 --> 00:06:53,890 +brown syndrome يعني ممكن تسبب هذه الذات الفئة + +84 +00:06:53,890 --> 00:06:58,290 +intermittent لأن + +85 +00:06:58,290 --> 00:07:00,810 +السبب راح brown syndrome + +86 +00:07:10,230 --> 00:07:17,310 +طيب إيش العلامات بتاعت brown syndrome؟ هاي ال + +87 +00:07:17,310 --> 00:07:27,490 +classification في + +88 +00:07:27,490 --> 00:07:35,030 +major signs علامات أساسية كبيرة وفي handy variable + +89 +00:07:35,030 --> 00:07:35,750 +signs + +90 +00:07:39,200 --> 00:07:42,240 +يعني ممكن تكون في بعض مرضى brown syndrome وممكن ما + +91 +00:07:42,240 --> 00:07:51,220 +تكونش في بعض مرضى brown syndrome حقيقة مريض + +92 +00:07:51,220 --> 00:07:58,460 +ال brown syndrome في الغالب بيجينق بالشكل هذا ايش + +93 +00:07:58,460 --> 00:08:03,200 +هذا بسميه ال primary position ايش يعني ارثو في ال + +94 +00:08:03,200 --> 00:08:08,750 +primary position الان في ال up gazeانا بنحكي عن + +95 +00:08:08,750 --> 00:08:14,610 +left brown syndrome في ال right up G زي ال target + +96 +00:08:14,610 --> 00:08:23,850 +عندي تمام مش elevation في ال adoption left brown + +97 +00:08:23,850 --> 00:08:31,590 +syndrome احنا بنحكي عن left brown syndrome تمام + +98 +00:08:31,590 --> 00:08:42,150 +ايضا في ال straight upال elevation مش كامل يعني في + +99 +00:08:42,150 --> 00:08:47,670 +عندي limited elevation in abduction عندي also + +100 +00:08:47,670 --> 00:08:51,670 +limited بس أخف من ال abduction في ال straight up + +101 +00:08:51,670 --> 00:08:58,170 +gears تالت حاجة nearly normal ممكن يكون restricted + +102 +00:08:58,170 --> 00:09:04,200 +nearly normal elevation في ال abductionفي ال + +103 +00:09:04,200 --> 00:09:08,320 +abduction براون ممكن يعمل elevation كويس بعض الكتب + +104 +00:09:08,320 --> 00:09:11,760 +بيقول انه لأ حتى في ال abduction يعني ال + +105 +00:09:11,760 --> 00:09:14,060 +restriction في ال elevation بيكون شديد في ال + +106 +00:09:14,060 --> 00:09:16,780 +abduction بتحسن في ال primary position في ال + +107 +00:09:16,780 --> 00:09:20,860 +straight up و بتحسن أكتر بس مابصالش للطبيعي في بعض + +108 +00:09:20,860 --> 00:09:24,120 +الكتب وبعض الكتب تاني بيقول لأ في normal elevation + +109 +00:09:24,120 --> 00:09:25,420 +in abduction + +110 +00:09:29,380 --> 00:09:36,120 +هذه علامات رئيسية أيضا من ضمن العلامات الرئيسية من + +111 +00:09:36,120 --> 00:09:41,520 +ضمنها وهذه مهمة جدا absence of + +112 +00:09:41,520 --> 00:09:47,800 +superior oblique over actionيعني ممكن إنسان يقول + +113 +00:09:47,800 --> 00:09:51,820 +طب هذه .. هذا ال squint ممكن يكون ناتج عن إن ال + +114 +00:09:51,820 --> 00:09:55,360 +superior oblique اللي في ال N position بتنزل العين + +115 +00:09:55,360 --> 00:09:58,700 +لتحت تكون قوية و عاملة over action فمنع ال + +116 +00:09:58,700 --> 00:10:02,100 +inferior oblique من إنها ترفع العين في ال N مين + +117 +00:10:02,100 --> 00:10:07,420 +اللي بيشتغل superior oblique و ال inferior oblique + +118 +00:10:07,420 --> 00:10:10,780 +في ال N position بيشتغل و ال inferior oblique + +119 +00:10:10,780 --> 00:10:14,440 +بترفع و ال superior oblique بتنزل ليش هم بيشتغلوا + +120 +00:10:14,440 --> 00:10:19,550 +في ال N position؟لأن محورهم ومحور العين بيكونوا + +121 +00:10:19,550 --> 00:10:22,650 +متفقين مع بعض فبتصير ال superior oblique عبارة عن + +122 +00:10:22,650 --> 00:10:25,930 +depressor و ال inferior oblique عبارة عن elevator + +123 +00:10:25,930 --> 00:10:29,930 +وهذا أخدنا احنا فيه حوال واحد تمام من ضمن العلامات + +124 +00:10:29,930 --> 00:10:33,930 +الأساسية عشان أشخص brown syndrome absence of + +125 +00:10:33,930 --> 00:10:37,630 +superior obliqueover action مافيش عندي superior + +126 +00:10:37,630 --> 00:10:41,270 +oblique over action اللي انا اقول ان هذا بسبب + +127 +00:10:41,270 --> 00:10:44,930 +superior oblique over action طيب من ضمن العلامات + +128 +00:10:44,930 --> 00:10:56,330 +الأساسية positive force induction test for + +129 +00:10:56,330 --> 00:11:01,230 +elevation of the eye + +130 +00:11:05,090 --> 00:11:10,230 +in addiction يعني + +131 +00:11:10,230 --> 00:11:18,640 +لو مسكنا العين و هي مخدرة و حركناهاnasally عملنا + +132 +00:11:18,640 --> 00:11:22,320 +adduction و جينا نحركها لفوق بنلاقي في إشي + +133 +00:11:22,320 --> 00:11:25,780 +بيقاومنا في restriction و كأنه في إشي مانع العين + +134 +00:11:25,780 --> 00:11:28,880 +أنها تطلع لفوق في ال adduction بنسميه positive + +135 +00:11:28,880 --> 00:11:32,700 +force induction test for elevation the eye in + +136 +00:11:32,700 --> 00:11:35,460 +adduction يعني أنا بمسك العين ب forceps العين + +137 +00:11:35,460 --> 00:11:38,620 +مخدرة تمام أو ممكن تحت ال binge العامة هو الأفضل + +138 +00:11:38,620 --> 00:11:43,870 +تمام بقى حرك العين nasally بعدين بطلعها لفوقإذا + +139 +00:11:43,870 --> 00:11:48,590 +طلعت العين لفوق بسهولة معناته هذا مش brown + +140 +00:11:48,590 --> 00:11:51,670 +syndrome ال brown syndrome عبارة عن mechanical + +141 +00:11:51,670 --> 00:11:55,810 +syndrome فيه عندي restriction لل movement يعني لما + +142 +00:11:55,810 --> 00:11:59,270 +يصير relaxation أو contraction لل superior oblique + +143 +00:11:59,830 --> 00:12:03,590 +هتقصر إذا كان contraction و هتطول إذا كان إيش + +144 +00:12:03,590 --> 00:12:08,050 +relaxation في الحالتين لازم يتحرك التندن جيئة و + +145 +00:12:08,050 --> 00:12:12,010 +ذهبا عبر لتروكليا طيب إذا كان في إيش محشر و مش + +146 +00:12:12,010 --> 00:12:16,590 +مخليه يتحرك معناته لما أجي أنا أمسك العين و أحركها + +147 +00:12:16,590 --> 00:12:20,740 +نيزلي بعدين up هلاجي فيهrestriction كتير ومش + +148 +00:12:20,740 --> 00:12:25,260 +مطوعاني العين في هذه القضية ححس فيه إشي يعني مش + +149 +00:12:25,260 --> 00:12:28,780 +سلس في الحركة وإنه فيه إشي بيقاوم الحركة بتاعتي + +150 +00:12:28,780 --> 00:12:32,240 +فهذا بتسمى positive واحد أهم العلامات اللي فيها + +151 +00:12:32,240 --> 00:12:37,500 +بعرة في brown syndrome طيب بدنا نسأل حالنا الآن + +152 +00:12:37,500 --> 00:12:42,020 +سؤال قبل ما نروح على ال minor signs بس قبل السؤال + +153 +00:12:42,020 --> 00:12:47,300 +هذا بدنا نقول احنا قولنا restricted elevation في + +154 +00:12:47,300 --> 00:12:52,050 +ال adductionو restricted elevation also in primary + +155 +00:12:52,050 --> 00:12:57,770 +up، straight up و تقريبا normal elevation أثناء + +156 +00:12:57,770 --> 00:13:02,690 +اختبار ال straight up position بنلاحظ العين بتعمل + +157 +00:13:02,690 --> 00:13:08,230 +divergence و كأنه بتشكل عندي حرف V و فعلا أحد + +158 +00:13:08,230 --> 00:13:14,510 +أسباب ال V pattern هو brown syndrome تمام هنا ممكن + +159 +00:13:15,820 --> 00:13:25,020 +يحدث divergence في الابجيز ويتشكل عند V بطل ممكن + +160 +00:13:25,020 --> 00:13:30,230 +انسان يطرح سؤالانت ليش حكيت superior oblique over + +161 +00:13:30,230 --> 00:13:33,790 +action بقول عشان superior oblique over action تمام + +162 +00:13:33,790 --> 00:13:38,450 +ممكن تشد العين لتحت هي over acting قوية فتمنع ال + +163 +00:13:38,450 --> 00:13:42,350 +inferior oblique من أداء عملها طيب ممكن إنسان يقول + +164 +00:13:42,350 --> 00:13:45,750 +لي طيب احنا نفرض ال superior oblique normal بس في + +165 +00:13:45,750 --> 00:13:48,750 +عندي inferior oblique palsy ال inferior oblique + +166 +00:13:48,750 --> 00:13:56,020 +بتطلع العين وين up اذا في inferior oblique palsyو + +167 +00:13:56,020 --> 00:14:01,920 +حطيت target هنا تمام هذا target برضه مش هتطلع كيف + +168 +00:14:01,920 --> 00:14:05,420 +أميز ال inferior oblique palsy من ال brown + +169 +00:14:05,420 --> 00:14:12,180 +syndrome حقيقة فى تلت فروق مهمة جدا تمام قبل هذا + +170 +00:14:12,180 --> 00:14:16,620 +نحط جدول احنا و نشوف كيف احنا بدنا نستنتج التلت + +171 +00:14:16,620 --> 00:14:20,620 +فروق بدنا + +172 +00:14:20,620 --> 00:14:26,180 +نقول brown syndromeهو بدنا نقول inferior oblique + +173 +00:14:26,180 --> 00:14:32,860 +pulse شلل في ال inferior oblique في تلت فروق خلينا + +174 +00:14:32,860 --> 00:14:37,500 +نحكي عن ال butter اللي ممكن تعمليها خلينا نحكي عن + +175 +00:14:37,500 --> 00:14:44,320 +ال forceduction test واش + +176 +00:14:44,320 --> 00:14:49,160 +كمان الفرق + +177 +00:14:49,160 --> 00:14:49,780 +التالت + +178 +00:14:58,680 --> 00:15:02,960 +لأ لأ هنتذكروا ان شاء الله تعالى يترى ال pattern + +179 +00:15:02,960 --> 00:15:06,620 +بتاعة ال inferior oblique ايش بتعمله؟ inferior + +180 +00:15:06,620 --> 00:15:10,360 +oblique policy اقرب انها تعمل a pattern ولا v + +181 +00:15:10,360 --> 00:15:13,800 +pattern وليش؟ + +182 +00:15:13,800 --> 00:15:19,000 +ال inferior oblique من ضمن عملها abduction ولا + +183 +00:15:19,000 --> 00:15:23,740 +abduction؟abduction هي تختبر في ال abduction تعمل + +184 +00:15:23,740 --> 00:15:27,760 +abduction في ال up gas تمام؟ تعمل extortion و + +185 +00:15:27,760 --> 00:15:31,290 +elevation و abductionextortion و elevation و + +186 +00:15:31,290 --> 00:15:35,030 +abduction لما فوق يروح ال abduction العينين + +187 +00:15:35,030 --> 00:15:38,010 +بيروحوا لصالح ال abduction اللي بتعمل ال superior + +188 +00:15:38,010 --> 00:15:42,650 +recti عن ناحيتين تمام؟ اذا بتضم العينين لفوق اذا + +189 +00:15:42,650 --> 00:15:45,370 +صار بلسي في ال inferior oblique مين ال antagonist + +190 +00:15:45,370 --> 00:15:48,310 +بتاعتها؟ ال superior oblique هيصير over action + +191 +00:15:48,310 --> 00:15:52,110 +فيها في ال down gaze بتعمل abduction ال superior + +192 +00:15:52,110 --> 00:15:55,990 +oblique اذا العينين بتضم فوق بتفتح تحت اذا اقرب + +193 +00:15:55,990 --> 00:15:58,310 +انها تعملي a butter strabismus + +194 +00:16:00,730 --> 00:16:07,370 +هنا Brown قلنا إيش؟ V button ال force induction + +195 +00:16:07,370 --> 00:16:13,130 +test لما بمسك العين و بحركها نازلي و بحركها لفوق + +196 +00:16:13,130 --> 00:16:16,130 +في ال inferior oblique pulsae مافيش مشكلة بتاعة في + +197 +00:16:16,130 --> 00:16:19,390 +superior oblique tendon هيكون negative force + +198 +00:16:19,390 --> 00:16:24,550 +induction test negative عفوا هنا Brown syndrome + +199 +00:16:24,550 --> 00:16:28,770 +positive و هنا negative force induction test + +200 +00:16:29,630 --> 00:16:34,030 +التالتة هتيجي ان شاء الله هتذكرها الآن نكمل ال + +201 +00:16:34,030 --> 00:16:42,690 +variable science ال variable science بعض مرضى ال + +202 +00:16:42,690 --> 00:16:47,110 +brown syndrome ممكن يكون عنده hypotropia في ال + +203 +00:16:47,110 --> 00:16:57,770 +primary position بعض + +204 +00:16:57,770 --> 00:16:58,970 +مرضى ال brown syndrome + +205 +00:17:02,320 --> 00:17:07,880 +هنده down shoot in + +206 +00:17:07,880 --> 00:17:14,100 +adduction يعني + +207 +00:17:14,100 --> 00:17:17,040 +لما بيعمل adduction مش بس هنا مابتطلعش و أيضا + +208 +00:17:17,040 --> 00:17:22,160 +بتصير كأنها تحدف لتحت يعني كأنها عايزة تنزل تهتز + +209 +00:17:22,160 --> 00:17:27,140 +باتجاه الأسفل عايزة تنزل لتحتdown shot in + +210 +00:17:27,140 --> 00:17:31,880 +adduction طبعا ال abnormal head posture ممكن يكون + +211 +00:17:31,880 --> 00:17:35,880 +عندى اذا كان عندى ال abnormal head posture بيكون + +212 +00:17:35,880 --> 00:17:43,180 +عندى chin elevation وipsilateral + +213 +00:17:43,180 --> 00:17:46,420 +head + +214 +00:17:46,420 --> 00:17:52,620 +tilt وipsilateral + +215 +00:17:52,620 --> 00:17:55,360 +head tilt ليش chin elevation؟ + +216 +00:17:58,360 --> 00:18:02,200 +عشان أبعد عن المنطقة اللي أنا مش قادر أصلها أنا مش + +217 +00:18:02,200 --> 00:18:05,800 +قادر أطلع up ببعد عن ال up لما يكون chin up + +218 +00:18:05,800 --> 00:18:09,460 +position العينين هتروح على ال inferior field of + +219 +00:18:09,460 --> 00:18:13,680 +vision ال inferior field بتقدر تروحله بكل أريحية + +220 +00:18:13,680 --> 00:18:16,220 +مافيش superior oblique over action ولا أي حاجة في + +221 +00:18:16,220 --> 00:18:19,740 +ال down gaze الأمور كويسة عند ال brown syndrome في + +222 +00:18:19,740 --> 00:18:23,180 +ال down gaze الأمور كويسة عند ال brown syndrome + +223 +00:18:23,180 --> 00:18:26,960 +طيب ليش ipsilateral head tilt؟ + +224 +00:18:33,410 --> 00:18:38,990 +و برار بيكون عندى انا كمان ايش face turn .. face + +225 +00:18:38,990 --> 00:18:43,370 +turn هيكون وين؟ على الجهة اللى فيها ال brown ولا + +226 +00:18:43,370 --> 00:18:48,990 +عكسها؟ عكسها عكسها عشان تروح العين باتجاه ال + +227 +00:18:48,990 --> 00:18:52,670 +abduction اللى هو more normal اللى هو more normal + +228 +00:18:52,670 --> 00:18:55,250 +طيب + +229 +00:18:58,130 --> 00:19:03,310 +تنسجل الآن تجسيمة Lebron Syndrome من ناحية الشدة + +230 +00:19:03,310 --> 00:19:14,910 +من ناحية الشدة mild + +231 +00:19:14,910 --> 00:19:25,830 +moderate و إيش و severe ال + +232 +00:19:25,830 --> 00:19:39,730 +mildلا يوجد hypotropia ولا down shoot هنا + +233 +00:19:39,730 --> 00:19:50,430 +لا يوجد hypotropia ولكن يوجد down shoot هنا موجود + +234 +00:19:50,430 --> 00:19:52,130 +الأثناء + +235 +00:20:18,420 --> 00:20:23,940 +واضح؟ نيجي لعلاج brown syndrome نيجي لعلاج brown + +236 +00:20:23,940 --> 00:20:26,160 +syndrome أول حاجة ال congenital + +237 +00:20:32,680 --> 00:20:42,160 +spontaneous recovery is possible ايش + +238 +00:20:42,160 --> 00:20:45,900 +يعني spontaneous recovery is possible ممكن يشفى + +239 +00:20:45,900 --> 00:20:55,680 +لحاله تمام ال inflammatory acquired + +240 +00:20:55,680 --> 00:21:05,000 +inflammatory علاج للمرض الأساسي علاجالمرض الأساسي + +241 +00:21:05,000 --> 00:21:09,620 +يعني ال rheumatoid arthritis بدأ أعالجه تمام ال + +242 +00:21:09,620 --> 00:21:14,120 +scleritis بدأ أعالجه ال sinusitis بدأ أعالجه تمام + +243 +00:21:14,120 --> 00:21:17,900 +وبالتالي إذا تم السيطرة على المرض بيشفى ال brown + +244 +00:21:17,900 --> 00:21:21,900 +syndrome لحاله ايضا ال inflammatory من ضمن وسائل + +245 +00:21:21,900 --> 00:21:27,280 +العلاج انه injection of steroid near diathropia + +246 +00:21:27,280 --> 00:21:33,310 +تمام injection of steroids كورتازون طبعاnear the + +247 +00:21:33,310 --> 00:21:41,350 +trochlea أو انعطس systemically oral + +248 +00:21:41,350 --> 00:21:51,330 +steroid هذا علاج ال inflammatory يعني + +249 +00:21:51,330 --> 00:21:56,910 +ال congenital spontaneous recovery is possible طب + +250 +00:21:56,910 --> 00:22:01,580 +لو ماصارش recovery هنحكي عنه بعد شويةالـ + +251 +00:22:01,580 --> 00:22:04,540 +inflammatory و الـ traumatic ممكن يستفيد من ال + +252 +00:22:04,540 --> 00:22:07,780 +injection of steroid نحتل استيرويد عند التروكليا + +253 +00:22:07,780 --> 00:22:11,400 +في العين المصابة بـ Billy Brown Syndrome أو نعطي + +254 +00:22:11,400 --> 00:22:18,480 +oral steroid بجرعة حسب يعني وزن الماء طيب الآن + +255 +00:22:18,480 --> 00:22:25,300 +نيجي العلاج الجراحي متى ابن الجالو متى ابن الجالو + +256 +00:22:25,300 --> 00:22:32,260 +حقيقة العلاج الجراحيفي ال mild و في ال moderate ما + +257 +00:22:32,260 --> 00:22:37,300 +بيلزمش في ال mild و في ال moderate ما بيلزمش بيلزم + +258 +00:22:37,300 --> 00:22:42,480 +في ال severe و لما يكون عندي انا abnormal head + +259 +00:22:42,480 --> 00:22:48,420 +posture يعني significant لما يكون عندي abnormal + +260 +00:22:48,420 --> 00:22:52,740 +head posture significant طيب ممكن انسان يكون عنده + +261 +00:22:52,740 --> 00:22:56,880 +severe brown syndrome و مايكونش عنده abnormal head + +262 +00:22:56,880 --> 00:23:01,590 +postureطبيعي ساعتها أنا بتوقع أن العين اللي فيها + +263 +00:23:01,590 --> 00:23:05,410 +Brown Syndrome Ampliobic أه مافيش عندى binocular + +264 +00:23:05,410 --> 00:23:09,990 +single vision فبالتالي هو ما .. بيستعمل .. بيستعمل + +265 +00:23:09,990 --> 00:23:13,490 +monocular vision وبالتالي مابحتاجش لل abnormal + +266 +00:23:13,490 --> 00:23:20,730 +head posture يا ترى إيش العلاج الجراحي اللي إحنا + +267 +00:23:20,730 --> 00:23:25,110 +أو اللي الجرحين ممكن يعملوه لمرضى ل Brown Syndrome + +268 +00:23:29,720 --> 00:23:33,920 +في أنواع علاجية كتيرة مش هنخد فيها كتير بس هنطلق + +269 +00:23:33,920 --> 00:23:39,700 +مسمياتها كانوا + +270 +00:23:39,700 --> 00:23:46,480 +يقولوا اعمل sheafectomy يعني + +271 +00:23:46,480 --> 00:23:54,020 +الغلاف هذا شيله تمام؟ بعدين قالوا اعمل tenotomy + +272 +00:23:54,020 --> 00:24:02,770 +يعني جوا هذا يعني طولهكل واحدة إلها عيوبها و إلها + +273 +00:24:02,770 --> 00:24:09,570 +مميزاتها و بعدين حط spacer .. spacer يعني هنا بدك + +274 +00:24:09,570 --> 00:24:15,890 +تزرع جزء يعني مادةSilicone تمام اللى اتطول التندل + +275 +00:24:15,890 --> 00:24:21,590 +عشان يرخي و يصير براحته يتحرك عبر ليش ال space في + +276 +00:24:21,590 --> 00:24:27,030 +بعض الجرحين او العلماء في هذا المجال قال انه بما + +277 +00:24:27,030 --> 00:24:31,370 +انه بتضعف superior oblique tendon بالعمليات هاي + +278 +00:24:31,370 --> 00:24:34,810 +ممكن يصير عندك superior oblique palsy اتحول من ال + +279 +00:24:34,810 --> 00:24:37,690 +brown syndrome ل superior oblique weakness على + +280 +00:24:37,690 --> 00:24:41,750 +الآخر فبعضه مقترحجال لأ احنا بنعمل هذه القضية في + +281 +00:24:41,750 --> 00:24:45,130 +superior oblique و برضه بنضعف ال antagonist + +282 +00:24:45,130 --> 00:24:49,150 +بتاعتها اللي هي ايش ال inferior .. ال inferior + +283 +00:24:49,150 --> 00:24:54,610 +oblique muscle فبالتالي يعني بعض المدارس بتتعمق .. + +284 +00:24:54,610 --> 00:25:00,010 +تعتمد الشغل على عضلتي .. الشغل على عضلتي بنحاول + +285 +00:25:00,010 --> 00:25:05,230 +نعرض فيديو ل brown syndromeكل مصل في عليها sheet + +286 +00:25:05,230 --> 00:25:08,610 +بيحميها و بيمنع التساقها ب .. يعني ما يحاولها من + +287 +00:25:08,610 --> 00:25:15,430 +structures ما هو لما يكون ال sheet هو اللي .. اللي + +288 +00:25:15,430 --> 00:25:23,530 +يعتقد أنه هو السبب ساعتها يعني يكون عندنا شيء اللي + +289 +00:25:23,530 --> 00:25:28,210 +ممكن يكون فيه indication يعني ان شاء الله يدل شغال + +290 +00:25:28,210 --> 00:25:37,900 +بسشايفين انتكم هناك؟ هدفوا الضوء بعدين هناك normal + +291 +00:25:37,900 --> 00:25:47,060 +هناك right ولا left؟ بسم الله الرحمن الرحيم هل + +292 +00:25:47,060 --> 00:25:52,480 +في hypotropia في ال primary position؟ طيب فيه تلت؟ + +293 +00:25:52,480 --> 00:25:58,520 +إيش رايكوا؟ شايفين ال divergence؟ ها دي إيه؟ أها + +294 +00:25:58,520 --> 00:26:05,960 +أها أها؟واضحة ايش هذه right ولا left right في حد + +295 +00:26:05,960 --> 00:26:09,600 +بيقول left شايفين في hypotropia في ال primary + +296 +00:26:09,600 --> 00:26:15,380 +position هنا انا عند الصورة يمكن اوضح شوية في hypo + +297 +00:26:15,380 --> 00:26:19,140 +بسيطة جدا بس او المريضة بتتطلع بس واضح ان ال left + +298 +00:26:19,140 --> 00:26:22,880 +eye ال left eye اعلى شوية من ال right eye خلينا + +299 +00:26:22,880 --> 00:26:25,260 +احنا نشغل تاني و الراحة تانية + +300 +00:26:32,760 --> 00:26:38,260 +هنا ال elevation في ال abduction تقريبا طبيعي ال + +301 +00:26:38,260 --> 00:26:41,460 +elevation في ال straight up واضح أنه في restricted + +302 +00:26:41,460 --> 00:26:43,620 +elevation مع divergence + +303 +00:26:57,570 --> 00:27:09,570 +شايفين فيه restriction في ال elevation تمام يسموها + +304 +00:27:09,570 --> 00:27:17,060 +acute brown syndrome إيش يعني acute؟إيش يعني حد؟ + +305 +00:27:17,060 --> 00:27:20,040 +يعني فجأة بارح كان كويس اليوم الصبح معاه brown + +306 +00:27:20,040 --> 00:27:24,940 +syndrome غالبا .. غالبا بتوقع أنه كان عندي مثلا + +307 +00:27:24,940 --> 00:27:29,220 +التهاب في ال paranasal sinuses تمام؟ و هو اللي أدى + +308 +00:27:29,220 --> 00:27:35,930 +ليه؟ال .. ال acute brown syndrome هذا المريض اللي + +309 +00:27:35,930 --> 00:27:41,490 +عنده acute brown syndrome بده orbital and sinus CT + +310 +00:27:41,490 --> 00:27:45,810 +orbital and sinus CT عشان نبحث عن السبب اللي قد ل + +311 +00:27:45,810 --> 00:27:51,930 +acute brown syndrome تمام ان شاء الله؟ طيب يعطيكوا + +312 +00:27:51,930 --> 00:27:53,710 +العافية .. يعطيكوا العافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/4oFZ3xND2sA_raw.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/4oFZ3xND2sA_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..586687140a19a4c09acae7d9c6c89c5bfc27b89d --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/4oFZ3xND2sA_raw.srt @@ -0,0 +1,1248 @@ +1 +00:00:20,810 --> 00:00:25,450 +بسم الله الرحمن الرحيم اليوم نستنف الحديث عن + +2 +00:00:25,450 --> 00:00:30,530 +special syndrome اللي هو brown syndrome الدكتور + +3 +00:00:30,530 --> 00:00:35,790 +harold brown أعطى اسم ل mechanical syndrome أعطاله + +4 +00:00:35,790 --> 00:00:40,470 +اسم superior oblique tendon sheath syndrome ال + +5 +00:00:40,470 --> 00:00:43,970 +sheath هو ال connective tissue اللي بيشكل الغلاف + +6 +00:00:43,970 --> 00:00:47,730 +للتندن فهذا التندن فيه له sheathفي سندروم معين + +7 +00:00:47,730 --> 00:00:51,330 +بيصير فيه حاجات معينة هنعرفها اليوم الدكتور هارولد + +8 +00:00:51,330 --> 00:00:57,010 +براون يعني أعطى في سنة 1950 اللي هو اسم superior + +9 +00:00:57,010 --> 00:01:01,610 +oblique tendon sheath syndrome اللي أصبح فيما بعد + +10 +00:01:01,610 --> 00:01:06,230 +يعرف باسم brown syndrome طبعا الكل متفق على أن هذا + +11 +00:01:06,230 --> 00:01:11,370 +ال .. السندروم عبارة عن mechanical syndrome + +12 +00:01:11,370 --> 00:01:16,870 +restrictive syndrome بس أنه ال mechanicalproblem + +13 +00:01:16,870 --> 00:01:21,530 +في حركة ال superior oblique tendon موجودة قبل + +14 +00:01:21,530 --> 00:01:25,990 +الدكتور براون كانوا بيعتقدوا الناس انه في + +15 +00:01:25,990 --> 00:01:30,390 +shortening shortening في ال sheet ال anterior part + +16 +00:01:30,390 --> 00:01:33,050 +of the sheet of the superior oblique tendon طبعا + +17 +00:01:33,050 --> 00:01:38,230 +عشان الكلام مايكونش نظري اتحول لشيء يعني مفهوم + +18 +00:01:38,230 --> 00:01:42,790 +بدنا نحاول احنا نسترجع اللي هو رسمة ال superior + +19 +00:01:42,790 --> 00:01:48,550 +oblique muscleاحنا قولنا بتنشأ من عمق ال orbit + +20 +00:01:48,550 --> 00:01:52,590 +above the optic canal و بتمشي بين ال lateral .. + +21 +00:01:52,590 --> 00:01:55,850 +بين ال medial wall و ال superior wall بتتحول ل + +22 +00:01:55,850 --> 00:01:59,770 +tendon قبل ما توصل ل trochlea عند ال trochlea + +23 +00:01:59,770 --> 00:02:02,950 +بتتحول ل .. قبل ال tendon .. قبل ال trochlea عفوا + +24 +00:02:02,950 --> 00:02:07,830 +بتتحول ل tendon و بتمر عبر ال trochlea ك tendon و + +25 +00:02:07,830 --> 00:02:15,170 +بتتسبط في ال upper posterior temporal equator + +26 +00:02:20,650 --> 00:02:24,050 +الناس كانت بتعتقد ان ال sheet اللي بيغطي التندن في + +27 +00:02:24,050 --> 00:02:28,990 +ال anterior part انه بيكون short short مقارنة مع + +28 +00:02:28,990 --> 00:02:34,790 +التندن نفسه أقصر من من التندن فبالتالي بيؤدي إلى + +29 +00:02:34,790 --> 00:02:41,330 +انه فيه مش قادر هذا ال short مش قادر يعني يتحرك + +30 +00:02:41,330 --> 00:02:45,850 +بنفس حركة التندن إلى ان الدكتور براون أثبت بعد ذلك + +31 +00:02:45,850 --> 00:02:50,720 +ان المشكلة مش shortening في ال sheet يعنيالشيء + +32 +00:02:50,720 --> 00:02:55,720 +اللي هو الغطا أو الغلاف مش short لأ بس في embedded + +33 +00:02:55,720 --> 00:03:02,110 +movement ثرودة الرقل يعنيفي تحشير أو عدم استطاعت + +34 +00:03:02,110 --> 00:03:06,430 +حركة بحرية خلال اللي هي البكرة اللي هي الاتروكليا + +35 +00:03:06,430 --> 00:03:09,090 +اللي هي موجودة لها ال superior oblique tendon + +36 +00:03:09,090 --> 00:03:13,250 +فسمها superior oblique tendon sheet syndrome بس مش + +37 +00:03:13,250 --> 00:03:17,950 +ناتج عن ال shortening و أصبح بعد هيك طبعا يسمى + +38 +00:03:17,950 --> 00:03:22,710 +باسم brown syndrome قبل ما نقول إيش ال clinical + +39 +00:03:22,710 --> 00:03:27,270 +picture بتاع ال brown syndromeبنقول إنه في عندنا + +40 +00:03:27,270 --> 00:03:31,150 +congenital brown syndrome وفي عندنا acquired brown + +41 +00:03:31,150 --> 00:03:34,590 +syndrome ال congenital brown syndrome إما بيبقى + +42 +00:03:34,590 --> 00:03:42,790 +idiopathic خلّيني أقول brown syndrome بيكون + +43 +00:03:42,790 --> 00:03:46,970 +congenital وبيكون + +44 +00:03:46,970 --> 00:03:53,230 +طبعا acquired ال + +45 +00:03:53,230 --> 00:03:55,230 +congenital فيه منه idiopathic + +46 +00:03:57,620 --> 00:04:00,880 +يعني غير معروف السبب و في حاجة بيسموها congenital + +47 +00:04:00,880 --> 00:04:03,960 +click + +48 +00:04:03,960 --> 00:04:09,040 +syndrome ايش يعني click زي speed click مظبوط + +49 +00:04:09,040 --> 00:04:14,640 +congenital click syndrome و + +50 +00:04:14,640 --> 00:04:18,120 +كأنه نتيجة ديجي المكان اللي بتحرك فيه ال superior + +51 +00:04:18,120 --> 00:04:23,800 +oblique tendon بيصير زي طرق طقه او ترق تمامنتيجة + +52 +00:04:23,800 --> 00:04:28,340 +انه في اشي بتحرك يعني through narrow space .. + +53 +00:04:28,340 --> 00:04:31,860 +through narrow space اذا في عندي idiopathic و في + +54 +00:04:31,860 --> 00:04:35,400 +عندي يعني congenital eclipse syndrome ال acquired + +55 +00:04:35,400 --> 00:04:40,640 +اما بيكون traumatic او + +56 +00:04:40,640 --> 00:04:45,540 +inflammatory اي + +57 +00:04:45,540 --> 00:04:47,460 +trauma .. اي trauma + +58 +00:04:51,430 --> 00:04:56,750 +نواحي التروكليا هتقدي ل brown syndrome acquired + +59 +00:04:56,750 --> 00:05:01,730 +طبعا ممكن التروما تكون تروما يعني accidental يعني + +60 +00:05:01,730 --> 00:05:06,370 +مش مش مقصودة او هذا و ممكن تكون تروما ناجع عن تدخل + +61 +00:05:06,370 --> 00:05:10,210 +جراحي في منطقة ما من العين بعد مثلا عملية retinal + +62 +00:05:10,210 --> 00:05:13,150 +detachment او بنشتغل على ال media rectus او الى + +63 +00:05:13,150 --> 00:05:18,480 +اخرى بيسموها iatrogenic traumaيعني اللي بيفتثها + +64 +00:05:18,480 --> 00:05:21,920 +اللي هو الكادر الطبي تمام ياتروجينك تروما سواء + +65 +00:05:21,920 --> 00:05:26,360 +تروما عادية أو تروما بواسطة التدخل الجراحي قريب من + +66 +00:05:26,360 --> 00:05:31,460 +الاتروكليا تمام ممكن يقدلي ل traumatic acquired + +67 +00:05:31,460 --> 00:05:37,340 +طبعا brown syndrome ال inflammatory فيها أسباب له + +68 +00:05:37,340 --> 00:05:43,810 +كثيرة زي اللي هو ال scleritisالتهاب الاسكليرة تمام + +69 +00:05:43,810 --> 00:05:49,730 +زي ال rheumatoid arthritis arthritis + +70 +00:05:49,730 --> 00:05:53,550 +وال + +71 +00:05:53,550 --> 00:06:00,130 +pan sinusitis إيش يعني sinusitis؟ التهاب الجيوب + +72 +00:06:00,130 --> 00:06:04,310 +الأنفية ال pan sinusitis التهاب كل الجيوب الأنفية + +73 +00:06:04,310 --> 00:06:10,090 +عن بكرة أبيها تمام؟طبعا أقرب جيب أنفي اللي هو ال + +74 +00:06:10,090 --> 00:06:14,330 +frontal nasal sinus ال frontal nasal sinus جريب + +75 +00:06:14,330 --> 00:06:17,430 +جدا من اللتروكليا ال frontal nasal sinus اللي هو + +76 +00:06:17,430 --> 00:06:20,830 +في المنطقة هاي تحت العظيم أو في التجويف .. التجويف + +77 +00:06:20,830 --> 00:06:25,210 +في العظيم تمام فرار في العظيم إذا التهب و كانت + +78 +00:06:25,210 --> 00:06:30,010 +جدار ال sinus رقيق جدا ممكن يمتد الالتهاب و يصل + +79 +00:06:30,010 --> 00:06:33,550 +لمنطقة اللتروكليا و يعمل لي ايش acquired .. + +80 +00:06:33,550 --> 00:06:40,570 +acquired inflammatorybrown syndrome ببعض + +81 +00:06:40,570 --> 00:06:44,490 +ال inflammatory causes إذا هدي ال inflammation + +82 +00:06:44,490 --> 00:06:49,150 +ممكن ال brown syndrome يروح فبيسموه intermittent + +83 +00:06:49,150 --> 00:06:53,890 +brown syndrome يعني ممكن تسبب هذه الذات الفئة + +84 +00:06:53,890 --> 00:06:58,290 +intermittent لأن + +85 +00:06:58,290 --> 00:07:00,810 +السبب راح brown syndrome + +86 +00:07:10,230 --> 00:07:17,310 +طيب إيش العلامات بتاعت brown syndrome؟ هاي ال + +87 +00:07:17,310 --> 00:07:27,490 +classification في + +88 +00:07:27,490 --> 00:07:35,030 +major signs علامات أساسية كبيرة وفي handy variable + +89 +00:07:35,030 --> 00:07:35,750 +signs + +90 +00:07:39,200 --> 00:07:42,240 +يعني ممكن تكون في بعض مرضى brown syndrome وممكن ما + +91 +00:07:42,240 --> 00:07:51,220 +تكونش في بعض مرضى brown syndrome حقيقة مريض + +92 +00:07:51,220 --> 00:07:58,460 +ال brown syndrome في الغالب بيجينق بالشكل هذا ايش + +93 +00:07:58,460 --> 00:08:03,200 +هذا بسميه ال primary position ايش يعني ارثو في ال + +94 +00:08:03,200 --> 00:08:08,750 +primary position الان في ال up gazeانا بنحكي عن + +95 +00:08:08,750 --> 00:08:14,610 +left brown syndrome في ال right up G زي ال target + +96 +00:08:14,610 --> 00:08:23,850 +عندي تمام مش elevation في ال adoption left brown + +97 +00:08:23,850 --> 00:08:31,590 +syndrome احنا بنحكي عن left brown syndrome تمام + +98 +00:08:31,590 --> 00:08:42,150 +ايضا في ال straight upال elevation مش كامل يعني في + +99 +00:08:42,150 --> 00:08:47,670 +عندي limited elevation in abduction عندي also + +100 +00:08:47,670 --> 00:08:51,670 +limited بس أخف من ال abduction في ال straight up + +101 +00:08:51,670 --> 00:08:58,170 +gears تالت حاجة nearly normal ممكن يكون restricted + +102 +00:08:58,170 --> 00:09:04,200 +nearly normal elevation في ال abductionفي ال + +103 +00:09:04,200 --> 00:09:08,320 +abduction براون ممكن يعمل elevation كويس بعض الكتب + +104 +00:09:08,320 --> 00:09:11,760 +بيقول انه لأ حتى في ال abduction يعني ال + +105 +00:09:11,760 --> 00:09:14,060 +restriction في ال elevation بيكون شديد في ال + +106 +00:09:14,060 --> 00:09:16,780 +abduction بتحسن في ال primary position في ال + +107 +00:09:16,780 --> 00:09:20,860 +straight up و بتحسن أكتر بس مابصالش للطبيعي في بعض + +108 +00:09:20,860 --> 00:09:24,120 +الكتب وبعض الكتب تاني بيقول لأ في normal elevation + +109 +00:09:24,120 --> 00:09:25,420 +in abduction + +110 +00:09:29,380 --> 00:09:36,120 +هذه علامات رئيسية أيضا من ضمن العلامات الرئيسية من + +111 +00:09:36,120 --> 00:09:41,520 +ضمنها وهذه مهمة جدا absence of + +112 +00:09:41,520 --> 00:09:47,800 +superior oblique over actionيعني ممكن إنسان يقول + +113 +00:09:47,800 --> 00:09:51,820 +طب هذه .. هذا ال squint ممكن يكون ناتج عن إن ال + +114 +00:09:51,820 --> 00:09:55,360 +superior oblique اللي في ال N position بتنزل العين + +115 +00:09:55,360 --> 00:09:58,700 +لتحت تكون قوية و عاملة over action فمنع ال + +116 +00:09:58,700 --> 00:10:02,100 +inferior oblique من إنها ترفع العين في ال N مين + +117 +00:10:02,100 --> 00:10:07,420 +اللي بيشتغل superior oblique و ال inferior oblique + +118 +00:10:07,420 --> 00:10:10,780 +في ال N position بيشتغل و ال inferior oblique + +119 +00:10:10,780 --> 00:10:14,440 +بترفع و ال superior oblique بتنزل ليش هم بيشتغلوا + +120 +00:10:14,440 --> 00:10:19,550 +في ال N position؟لأن محورهم ومحور العين بيكونوا + +121 +00:10:19,550 --> 00:10:22,650 +متفقين مع بعض فبتصير ال superior oblique عبارة عن + +122 +00:10:22,650 --> 00:10:25,930 +depressor و ال inferior oblique عبارة عن elevator + +123 +00:10:25,930 --> 00:10:29,930 +وهذا أخدنا احنا فيه حوال واحد تمام من ضمن العلامات + +124 +00:10:29,930 --> 00:10:33,930 +الأساسية عشان أشخص brown syndrome absence of + +125 +00:10:33,930 --> 00:10:37,630 +superior obliqueover action مافيش عندي superior + +126 +00:10:37,630 --> 00:10:41,270 +oblique over action اللي انا اقول ان هذا بسبب + +127 +00:10:41,270 --> 00:10:44,930 +superior oblique over action طيب من ضمن العلامات + +128 +00:10:44,930 --> 00:10:56,330 +الأساسية positive force induction test for + +129 +00:10:56,330 --> 00:11:01,230 +elevation of the eye + +130 +00:11:05,090 --> 00:11:10,230 +in addiction يعني + +131 +00:11:10,230 --> 00:11:18,640 +لو مسكنا العين و هي مخدرة و حركناهاnasally عملنا + +132 +00:11:18,640 --> 00:11:22,320 +adduction و جينا نحركها لفوق بنلاقي في إشي + +133 +00:11:22,320 --> 00:11:25,780 +بيقاومنا في restriction و كأنه في إشي مانع العين + +134 +00:11:25,780 --> 00:11:28,880 +أنها تطلع لفوق في ال adduction بنسميه positive + +135 +00:11:28,880 --> 00:11:32,700 +force induction test for elevation the eye in + +136 +00:11:32,700 --> 00:11:35,460 +adduction يعني أنا بمسك العين ب forceps العين + +137 +00:11:35,460 --> 00:11:38,620 +مخدرة تمام أو ممكن تحت ال binge العامة هو الأفضل + +138 +00:11:38,620 --> 00:11:43,870 +تمام بقى حرك العين nasally بعدين بطلعها لفوقإذا + +139 +00:11:43,870 --> 00:11:48,590 +طلعت العين لفوق بسهولة معناته هذا مش brown + +140 +00:11:48,590 --> 00:11:51,670 +syndrome ال brown syndrome عبارة عن mechanical + +141 +00:11:51,670 --> 00:11:55,810 +syndrome فيه عندي restriction لل movement يعني لما + +142 +00:11:55,810 --> 00:11:59,270 +يصير relaxation أو contraction لل superior oblique + +143 +00:11:59,830 --> 00:12:03,590 +هتقصر إذا كان contraction و هتطول إذا كان إيش + +144 +00:12:03,590 --> 00:12:08,050 +relaxation في الحالتين لازم يتحرك التندن جيئة و + +145 +00:12:08,050 --> 00:12:12,010 +ذهبا عبر لتروكليا طيب إذا كان في إيش محشر و مش + +146 +00:12:12,010 --> 00:12:16,590 +مخليه يتحرك معناته لما أجي أنا أمسك العين و أحركها + +147 +00:12:16,590 --> 00:12:20,740 +نيزلي بعدين up هلاجي فيهrestriction كتير ومش + +148 +00:12:20,740 --> 00:12:25,260 +مطوعاني العين في هذه القضية ححس فيه إشي يعني مش + +149 +00:12:25,260 --> 00:12:28,780 +سلس في الحركة وإنه فيه إشي بيقاوم الحركة بتاعتي + +150 +00:12:28,780 --> 00:12:32,240 +فهذا بتسمى positive واحد أهم العلامات اللي فيها + +151 +00:12:32,240 --> 00:12:37,500 +بعرة في brown syndrome طيب بدنا نسأل حالنا الآن + +152 +00:12:37,500 --> 00:12:42,020 +سؤال قبل ما نروح على ال minor signs بس قبل السؤال + +153 +00:12:42,020 --> 00:12:47,300 +هذا بدنا نقول احنا قولنا restricted elevation في + +154 +00:12:47,300 --> 00:12:52,050 +ال adductionو restricted elevation also in primary + +155 +00:12:52,050 --> 00:12:57,770 +up، straight up و تقريبا normal elevation أثناء + +156 +00:12:57,770 --> 00:13:02,690 +اختبار ال straight up position بنلاحظ العين بتعمل + +157 +00:13:02,690 --> 00:13:08,230 +divergence و كأنه بتشكل عندي حرف V و فعلا أحد + +158 +00:13:08,230 --> 00:13:14,510 +أسباب ال V pattern هو brown syndrome تمام هنا ممكن + +159 +00:13:15,820 --> 00:13:25,020 +يحدث divergence في الابجيز ويتشكل عند V بطل ممكن + +160 +00:13:25,020 --> 00:13:30,230 +انسان يطرح سؤالانت ليش حكيت superior oblique over + +161 +00:13:30,230 --> 00:13:33,790 +action بقول عشان superior oblique over action تمام + +162 +00:13:33,790 --> 00:13:38,450 +ممكن تشد العين لتحت هي over acting قوية فتمنع ال + +163 +00:13:38,450 --> 00:13:42,350 +inferior oblique من أداء عملها طيب ممكن إنسان يقول + +164 +00:13:42,350 --> 00:13:45,750 +لي طيب احنا نفرض ال superior oblique normal بس في + +165 +00:13:45,750 --> 00:13:48,750 +عندي inferior oblique palsy ال inferior oblique + +166 +00:13:48,750 --> 00:13:56,020 +بتطلع العين وين up اذا في inferior oblique palsyو + +167 +00:13:56,020 --> 00:14:01,920 +حطيت target هنا تمام هذا target برضه مش هتطلع كيف + +168 +00:14:01,920 --> 00:14:05,420 +أميز ال inferior oblique palsy من ال brown + +169 +00:14:05,420 --> 00:14:12,180 +syndrome حقيقة فى تلت فروق مهمة جدا تمام قبل هذا + +170 +00:14:12,180 --> 00:14:16,620 +نحط جدول احنا و نشوف كيف احنا بدنا نستنتج التلت + +171 +00:14:16,620 --> 00:14:20,620 +فروق بدنا + +172 +00:14:20,620 --> 00:14:26,180 +نقول brown syndromeهو بدنا نقول inferior oblique + +173 +00:14:26,180 --> 00:14:32,860 +pulse شلل في ال inferior oblique في تلت فروق خلينا + +174 +00:14:32,860 --> 00:14:37,500 +نحكي عن ال butter اللي ممكن تعمليها خلينا نحكي عن + +175 +00:14:37,500 --> 00:14:44,320 +ال forceduction test واش + +176 +00:14:44,320 --> 00:14:49,160 +كمان الفرق + +177 +00:14:49,160 --> 00:14:49,780 +التالت + +178 +00:14:58,680 --> 00:15:02,960 +لأ لأ هنتذكروا ان شاء الله تعالى يترى ال pattern + +179 +00:15:02,960 --> 00:15:06,620 +بتاعة ال inferior oblique ايش بتعمله؟ inferior + +180 +00:15:06,620 --> 00:15:10,360 +oblique policy اقرب انها تعمل a pattern ولا v + +181 +00:15:10,360 --> 00:15:13,800 +pattern وليش؟ + +182 +00:15:13,800 --> 00:15:19,000 +ال inferior oblique من ضمن عملها abduction ولا + +183 +00:15:19,000 --> 00:15:23,740 +abduction؟abduction هي تختبر في ال abduction تعمل + +184 +00:15:23,740 --> 00:15:27,760 +abduction في ال up gas تمام؟ تعمل extortion و + +185 +00:15:27,760 --> 00:15:31,290 +elevation و abductionextortion و elevation و + +186 +00:15:31,290 --> 00:15:35,030 +abduction لما فوق يروح ال abduction العينين + +187 +00:15:35,030 --> 00:15:38,010 +بيروحوا لصالح ال abduction اللي بتعمل ال superior + +188 +00:15:38,010 --> 00:15:42,650 +recti عن ناحيتين تمام؟ اذا بتضم العينين لفوق اذا + +189 +00:15:42,650 --> 00:15:45,370 +صار بلسي في ال inferior oblique مين ال antagonist + +190 +00:15:45,370 --> 00:15:48,310 +بتاعتها؟ ال superior oblique هيصير over action + +191 +00:15:48,310 --> 00:15:52,110 +فيها في ال down gaze بتعمل abduction ال superior + +192 +00:15:52,110 --> 00:15:55,990 +oblique اذا العينين بتضم فوق بتفتح تحت اذا اقرب + +193 +00:15:55,990 --> 00:15:58,310 +انها تعملي a butter strabismus + +194 +00:16:00,730 --> 00:16:07,370 +هنا Brown قلنا إيش؟ V button ال force induction + +195 +00:16:07,370 --> 00:16:13,130 +test لما بمسك العين و بحركها نازلي و بحركها لفوق + +196 +00:16:13,130 --> 00:16:16,130 +في ال inferior oblique pulsae مافيش مشكلة بتاعة في + +197 +00:16:16,130 --> 00:16:19,390 +superior oblique tendon هيكون negative force + +198 +00:16:19,390 --> 00:16:24,550 +induction test negative عفوا هنا Brown syndrome + +199 +00:16:24,550 --> 00:16:28,770 +positive و هنا negative force induction test + +200 +00:16:29,630 --> 00:16:34,030 +التالتة هتيجي ان شاء الله هتذكرها الآن نكمل ال + +201 +00:16:34,030 --> 00:16:42,690 +variable science ال variable science بعض مرضى ال + +202 +00:16:42,690 --> 00:16:47,110 +brown syndrome ممكن يكون عنده hypotropia في ال + +203 +00:16:47,110 --> 00:16:57,770 +primary position بعض + +204 +00:16:57,770 --> 00:16:58,970 +مرضى ال brown syndrome + +205 +00:17:02,320 --> 00:17:07,880 +هنده down shoot in + +206 +00:17:07,880 --> 00:17:14,100 +adduction يعني + +207 +00:17:14,100 --> 00:17:17,040 +لما بيعمل adduction مش بس هنا مابتطلعش و أيضا + +208 +00:17:17,040 --> 00:17:22,160 +بتصير كأنها تحدف لتحت يعني كأنها عايزة تنزل تهتز + +209 +00:17:22,160 --> 00:17:27,140 +باتجاه الأسفل عايزة تنزل لتحتdown shot in + +210 +00:17:27,140 --> 00:17:31,880 +adduction طبعا ال abnormal head posture ممكن يكون + +211 +00:17:31,880 --> 00:17:35,880 +عندى اذا كان عندى ال abnormal head posture بيكون + +212 +00:17:35,880 --> 00:17:43,180 +عندى chin elevation وipsilateral + +213 +00:17:43,180 --> 00:17:46,420 +head + +214 +00:17:46,420 --> 00:17:52,620 +tilt وipsilateral + +215 +00:17:52,620 --> 00:17:55,360 +head tilt ليش chin elevation؟ + +216 +00:17:58,360 --> 00:18:02,200 +عشان أبعد عن المنطقة اللي أنا مش قادر أصلها أنا مش + +217 +00:18:02,200 --> 00:18:05,800 +قادر أطلع up ببعد عن ال up لما يكون chin up + +218 +00:18:05,800 --> 00:18:09,460 +position العينين هتروح على ال inferior field of + +219 +00:18:09,460 --> 00:18:13,680 +vision ال inferior field بتقدر تروحله بكل أريحية + +220 +00:18:13,680 --> 00:18:16,220 +مافيش superior oblique over action ولا أي حاجة في + +221 +00:18:16,220 --> 00:18:19,740 +ال down gaze الأمور كويسة عند ال brown syndrome في + +222 +00:18:19,740 --> 00:18:23,180 +ال down gaze الأمور كويسة عند ال brown syndrome + +223 +00:18:23,180 --> 00:18:26,960 +طيب ليش ipsilateral head tilt؟ + +224 +00:18:33,410 --> 00:18:38,990 +و برار بيكون عندى انا كمان ايش face turn .. face + +225 +00:18:38,990 --> 00:18:43,370 +turn هيكون وين؟ على الجهة اللى فيها ال brown ولا + +226 +00:18:43,370 --> 00:18:48,990 +عكسها؟ عكسها عكسها عشان تروح العين باتجاه ال + +227 +00:18:48,990 --> 00:18:52,670 +abduction اللى هو more normal اللى هو more normal + +228 +00:18:52,670 --> 00:18:55,250 +طيب + +229 +00:18:58,130 --> 00:19:03,310 +تنسجل الآن تجسيمة Lebron Syndrome من ناحية الشدة + +230 +00:19:03,310 --> 00:19:14,910 +من ناحية الشدة mild + +231 +00:19:14,910 --> 00:19:25,830 +moderate و إيش و severe ال + +232 +00:19:25,830 --> 00:19:39,730 +mildلا يوجد hypotropia ولا down shoot هنا + +233 +00:19:39,730 --> 00:19:50,430 +لا يوجد hypotropia ولكن يوجد down shoot هنا موجود + +234 +00:19:50,430 --> 00:19:52,130 +الأثناء + +235 +00:20:18,420 --> 00:20:23,940 +واضح؟ نيجي لعلاج brown syndrome نيجي لعلاج brown + +236 +00:20:23,940 --> 00:20:26,160 +syndrome أول حاجة ال congenital + +237 +00:20:32,680 --> 00:20:42,160 +spontaneous recovery is possible ايش + +238 +00:20:42,160 --> 00:20:45,900 +يعني spontaneous recovery is possible ممكن يشفى + +239 +00:20:45,900 --> 00:20:55,680 +لحاله تمام ال inflammatory acquired + +240 +00:20:55,680 --> 00:21:05,000 +inflammatory علاج للمرض الأساسي علاجالمرض الأساسي + +241 +00:21:05,000 --> 00:21:09,620 +يعني ال rheumatoid arthritis بدأ أعالجه تمام ال + +242 +00:21:09,620 --> 00:21:14,120 +scleritis بدأ أعالجه ال sinusitis بدأ أعالجه تمام + +243 +00:21:14,120 --> 00:21:17,900 +وبالتالي إذا تم السيطرة على المرض بيشفى ال brown + +244 +00:21:17,900 --> 00:21:21,900 +syndrome لحاله ايضا ال inflammatory من ضمن وسائل + +245 +00:21:21,900 --> 00:21:27,280 +العلاج انه injection of steroid near diathropia + +246 +00:21:27,280 --> 00:21:33,310 +تمام injection of steroids كورتازون طبعاnear the + +247 +00:21:33,310 --> 00:21:41,350 +trochlea أو انعطس systemically oral + +248 +00:21:41,350 --> 00:21:51,330 +steroid هذا علاج ال inflammatory يعني + +249 +00:21:51,330 --> 00:21:56,910 +ال congenital spontaneous recovery is possible طب + +250 +00:21:56,910 --> 00:22:01,580 +لو ماصارش recovery هنحكي عنه بعد شويةالـ + +251 +00:22:01,580 --> 00:22:04,540 +inflammatory و الـ traumatic ممكن يستفيد من ال + +252 +00:22:04,540 --> 00:22:07,780 +injection of steroid نحتل استيرويد عند التروكليا + +253 +00:22:07,780 --> 00:22:11,400 +في العين المصابة بـ Billy Brown Syndrome أو نعطي + +254 +00:22:11,400 --> 00:22:18,480 +oral steroid بجرعة حسب يعني وزن الماء طيب الآن + +255 +00:22:18,480 --> 00:22:25,300 +نيجي العلاج الجراحي متى ابن الجالو متى ابن الجالو + +256 +00:22:25,300 --> 00:22:32,260 +حقيقة العلاج الجراحيفي ال mild و في ال moderate ما + +257 +00:22:32,260 --> 00:22:37,300 +بيلزمش في ال mild و في ال moderate ما بيلزمش بيلزم + +258 +00:22:37,300 --> 00:22:42,480 +في ال severe و لما يكون عندي انا abnormal head + +259 +00:22:42,480 --> 00:22:48,420 +posture يعني significant لما يكون عندي abnormal + +260 +00:22:48,420 --> 00:22:52,740 +head posture significant طيب ممكن انسان يكون عنده + +261 +00:22:52,740 --> 00:22:56,880 +severe brown syndrome و مايكونش عنده abnormal head + +262 +00:22:56,880 --> 00:23:01,590 +postureطبيعي ساعتها أنا بتوقع أن العين اللي فيها + +263 +00:23:01,590 --> 00:23:05,410 +Brown Syndrome Ampliobic أه مافيش عندى binocular + +264 +00:23:05,410 --> 00:23:09,990 +single vision فبالتالي هو ما .. بيستعمل .. بيستعمل + +265 +00:23:09,990 --> 00:23:13,490 +monocular vision وبالتالي مابحتاجش لل abnormal + +266 +00:23:13,490 --> 00:23:20,730 +head posture يا ترى إيش العلاج الجراحي اللي إحنا + +267 +00:23:20,730 --> 00:23:25,110 +أو اللي الجرحين ممكن يعملوه لمرضى ل Brown Syndrome + +268 +00:23:29,720 --> 00:23:33,920 +في أنواع علاجية كتيرة مش هنخد فيها كتير بس هنطلق + +269 +00:23:33,920 --> 00:23:39,700 +مسمياتها كانوا + +270 +00:23:39,700 --> 00:23:46,480 +يقولوا اعمل sheafectomy يعني + +271 +00:23:46,480 --> 00:23:54,020 +الغلاف هذا شيله تمام؟ بعدين قالوا اعمل tenotomy + +272 +00:23:54,020 --> 00:24:02,770 +يعني جوا هذا يعني طولهكل واحدة إلها عيوبها و إلها + +273 +00:24:02,770 --> 00:24:09,570 +مميزاتها و بعدين حط spacer .. spacer يعني هنا بدك + +274 +00:24:09,570 --> 00:24:15,890 +تزرع جزء يعني مادةSilicone تمام اللى اتطول التندل + +275 +00:24:15,890 --> 00:24:21,590 +عشان يرخي و يصير براحته يتحرك عبر ليش ال space في + +276 +00:24:21,590 --> 00:24:27,030 +بعض الجرحين او العلماء في هذا المجال قال انه بما + +277 +00:24:27,030 --> 00:24:31,370 +انه بتضعف superior oblique tendon بالعمليات هاي + +278 +00:24:31,370 --> 00:24:34,810 +ممكن يصير عندك superior oblique palsy اتحول من ال + +279 +00:24:34,810 --> 00:24:37,690 +brown syndrome ل superior oblique weakness على + +280 +00:24:37,690 --> 00:24:41,750 +الآخر فبعضه مقترحجال لأ احنا بنعمل هذه القضية في + +281 +00:24:41,750 --> 00:24:45,130 +superior oblique و برضه بنضعف ال antagonist + +282 +00:24:45,130 --> 00:24:49,150 +بتاعتها اللي هي ايش ال inferior .. ال inferior + +283 +00:24:49,150 --> 00:24:54,610 +oblique muscle فبالتالي يعني بعض المدارس بتتعمق .. + +284 +00:24:54,610 --> 00:25:00,010 +تعتمد الشغل على عضلتي .. الشغل على عضلتي بنحاول + +285 +00:25:00,010 --> 00:25:05,230 +نعرض فيديو ل brown syndromeكل مصل في عليها sheet + +286 +00:25:05,230 --> 00:25:08,610 +بيحميها و بيمنع التساقها ب .. يعني ما يحاولها من + +287 +00:25:08,610 --> 00:25:15,430 +structures ما هو لما يكون ال sheet هو اللي .. اللي + +288 +00:25:15,430 --> 00:25:23,530 +يعتقد أنه هو السبب ساعتها يعني يكون عندنا شيء اللي + +289 +00:25:23,530 --> 00:25:28,210 +ممكن يكون فيه indication يعني ان شاء الله يدل شغال + +290 +00:25:28,210 --> 00:25:37,900 +بسشايفين انتكم هناك؟ هدفوا الضوء بعدين هناك normal + +291 +00:25:37,900 --> 00:25:47,060 +هناك right ولا left؟ بسم الله الرحمن الرحيم هل + +292 +00:25:47,060 --> 00:25:52,480 +في hypotropia في ال primary position؟ طيب فيه تلت؟ + +293 +00:25:52,480 --> 00:25:58,520 +إيش رايكوا؟ شايفين ال divergence؟ ها دي إيه؟ أها + +294 +00:25:58,520 --> 00:26:05,960 +أها أها؟واضحة ايش هذه right ولا left right في حد + +295 +00:26:05,960 --> 00:26:09,600 +بيقول left شايفين في hypotropia في ال primary + +296 +00:26:09,600 --> 00:26:15,380 +position هنا انا عند الصورة يمكن اوضح شوية في hypo + +297 +00:26:15,380 --> 00:26:19,140 +بسيطة جدا بس او المريضة بتتطلع بس واضح ان ال left + +298 +00:26:19,140 --> 00:26:22,880 +eye ال left eye اعلى شوية من ال right eye خلينا + +299 +00:26:22,880 --> 00:26:25,260 +احنا نشغل تاني و الراحة تانية + +300 +00:26:32,760 --> 00:26:38,260 +هنا ال elevation في ال abduction تقريبا طبيعي ال + +301 +00:26:38,260 --> 00:26:41,460 +elevation في ال straight up واضح أنه في restricted + +302 +00:26:41,460 --> 00:26:43,620 +elevation مع divergence + +303 +00:26:57,570 --> 00:27:09,570 +شايفين فيه restriction في ال elevation تمام يسموها + +304 +00:27:09,570 --> 00:27:17,060 +acute brown syndrome إيش يعني acute؟إيش يعني حد؟ + +305 +00:27:17,060 --> 00:27:20,040 +يعني فجأة بارح كان كويس اليوم الصبح معاه brown + +306 +00:27:20,040 --> 00:27:24,940 +syndrome غالبا .. غالبا بتوقع أنه كان عندي مثلا + +307 +00:27:24,940 --> 00:27:29,220 +التهاب في ال paranasal sinuses تمام؟ و هو اللي أدى + +308 +00:27:29,220 --> 00:27:35,930 +ليه؟ال .. ال acute brown syndrome هذا المريض اللي + +309 +00:27:35,930 --> 00:27:41,490 +عنده acute brown syndrome بده orbital and sinus CT + +310 +00:27:41,490 --> 00:27:45,810 +orbital and sinus CT عشان نبحث عن السبب اللي قد ل + +311 +00:27:45,810 --> 00:27:51,930 +acute brown syndrome تمام ان شاء الله؟ طيب يعطيكوا + +312 +00:27:51,930 --> 00:27:53,710 +العافية .. يعطيكوا العافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/6EG8i7wTrko.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/6EG8i7wTrko.srt new file mode 100644 index 0000000000000000000000000000000000000000..1916b98ce2351b15e41ec588a16b9c219fbbd4e1 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/6EG8i7wTrko.srt @@ -0,0 +1,2132 @@ +1 +00:00:21,780 --> 00:00:27,160 +بسم الله الرحمن الرحيم طبعا سنستكمل + +2 +00:00:27,160 --> 00:00:30,980 +إن شاء الله تعالى مقدمة حول اتنين استكمالا لحول + +3 +00:00:30,980 --> 00:00:33,980 +واحد الذي تحدثنا عنه في الفصل الأول، اليوم سنتحدث عن + +4 +00:00:33,980 --> 00:00:40,600 +موضوع غاية في السهولة، وغاية في نفس الوقت في + +5 +00:00:40,600 --> 00:00:47,400 +الحيرة، يعني كثير من الناس يأتون إلى هذا الموضوع، ولا يعرفون + +6 +00:00:47,400 --> 00:00:51,620 +باتخاذ قرار، ما الذي يجب عمله مع المريض؟ الموضوع من كلمتين: + +7 +00:00:51,620 --> 00:00:56,040 +الـheterophoria والـvergence abnormality، طبعا الـ + +8 +00:00:56,040 --> 00:00:58,540 +heterophoria أو اختصارا الفوريا، وهي latent + +9 +00:00:58,540 --> 00:01:02,320 +squint، وهو latent squint، لماذا؟ لأن الـfusional + +10 +00:01:02,320 --> 00:01:06,240 +amplitudes تكفي لـalign the eyes، تمام؟ الـ + +11 +00:01:06,240 --> 00:01:09,320 +convergence abnormalities، وهي الـconvergence + +12 +00:01:09,320 --> 00:01:14,500 +والـdivergence abnormalities، والتي يعني ممكن أن + +13 +00:01:14,500 --> 00:01:17,600 +تتخذ مسميات عديدة، مثل الـconvergence insufficiency، + +14 +00:01:17,600 --> 00:01:21,760 +مثل الـconvergence excess، مثل الـdivergence + +15 +00:01:21,760 --> 00:01:25,440 +insufficiency أو الـdivergence excess، وهذا سنتحدث + +16 +00:01:25,440 --> 00:01:29,460 +عنه، ونتعرف كيف بالضبط نميز بين الأنواع المختلفة + +17 +00:01:29,460 --> 00:01:34,630 +لهذه القضية، هي ليست صعبة، ولكن تحتاج إلى انتباه بسيط. + +18 +00:01:34,630 --> 00:01:38,570 +الـheterophoria سنتحدث عنها لوحدها، الـheterophoria، + +19 +00:01:38,570 --> 00:01:42,230 +أو الحول الخفي، تمام؟ وهو الـphoria اختصارا. + +20 +00:01:42,230 --> 00:01:46,050 +يسمى أو latent squint، قد يأتي المريض بهذه + +21 +00:01:46,050 --> 00:01:52,460 +clinically بـvisual symptoms، هذه الـvisual symptoms + +22 +00:01:52,460 --> 00:01:56,440 +مثل الـasthenopia، الإرهاق البصري، لا يستطيع التركيز، يتعب من + +23 +00:01:56,440 --> 00:02:00,720 +الدراسة، أو من الكمبيوتر، أو من الجوال، تمام؟ قد يشكو + +24 +00:02:00,720 --> 00:02:03,920 +من double vision، قد يشكو من headache، تمام؟ هذه + +25 +00:02:03,920 --> 00:02:08,600 +الأعراض تأتيه نتيجة أنه يعاني من phoria، طبعا + +26 +00:02:08,600 --> 00:02:11,460 +لا تأتيه طوال الوقت، تأتيه في أوقات الـ + +27 +00:02:11,460 --> 00:02:16,940 +stress أو الـpoor health، مجهد، مرهق، متوتر، مريض، إلى + +28 +00:02:16,940 --> 00:02:22,350 +آخره، طبعا هذه الأشياء، الـstress والـpoor health، و + +29 +00:02:22,350 --> 00:02:26,690 +الإجهاد، وإلى آخره، يؤدي إلى أن الـfusional + +30 +00:02:26,690 --> 00:02:30,350 +amplitudes غير كافية لجعل الـlatent squint + +31 +00:02:30,350 --> 00:02:36,810 +latent، تمام؟ فيجاهد على أساس أنه يعني يجعل + +32 +00:02:36,810 --> 00:02:41,830 +الفوريا في مرحلة الفوريا لا تتحول إلى تروبيا، شغله + +33 +00:02:41,830 --> 00:02:47,110 +هذا، ومقاومته للموضوع أن الفوريا تتحول إلى تروبيا، + +34 +00:02:47,110 --> 00:02:49,790 +يجعله يعاني من الأعراض التي تحدثنا عنها، وهي + +35 +00:02:49,790 --> 00:02:55,050 +أستينوبيا، وممكن ديبلوبيا، وممكن صداع، تمام؟ فيمكن + +36 +00:02:55,050 --> 00:02:59,850 +أن ينتج عنده إيزوفوريا أو إكزوفوريا، طبعا هذه + +37 +00:02:59,850 --> 00:03:05,470 +الإيزوفوريا أو الإكزوفوريا تقسم حسب المسافة التي + +38 +00:03:05,470 --> 00:03:10,780 +تبرز فيها أكثر، نحن سنحاول قياسها في الـ9 positions + +39 +00:03:10,780 --> 00:03:14,260 +of gaze، لكن اليوم سنركز على الـtwo positions + +40 +00:03:14,260 --> 00:03:18,240 +أو على الـprimary position والـnear gaze، تمام؟ + +41 +00:03:18,240 --> 00:03:22,800 +يعني شخص نريد أن نقيس له الـphoria على الـnear، و + +42 +00:03:22,800 --> 00:03:26,580 +نريد أن نقيس له إياها على الـdistance، نحن نقول في + +43 +00:03:26,580 --> 00:03:30,880 +عندنا isophoria، و + +44 +00:03:30,880 --> 00:03:34,740 +في عندنا exophoria، بعض المرضى يأتون بـisophoria، و + +45 +00:03:34,740 --> 00:03:38,060 +بعضهم يأتون بـexophoria، هذه الـisophoria + +46 +00:03:41,030 --> 00:03:45,110 +إما أن تكون على الـnear أكثر من الـdistance، أو على الـ + +47 +00:03:45,110 --> 00:03:49,450 +distance أكثر من الـnear، الـexophoria أيضا، إما الـnear + +48 +00:03:49,450 --> 00:03:53,690 +أكثر من الـdistance، أو الـdistance أكثر من الـnear. + +49 +00:03:53,690 --> 00:03:57,390 +ماذا يعني الـnear أكثر، والـ... والـnear أقل زاوية + +50 +00:03:57,390 --> 00:04:01,950 +الحول، زاوية الحول أو الفوريا؟ طيب، كيف نقيس الفوريا؟ + +51 +00:04:01,950 --> 00:04:06,310 +بالـPrism، بالـPrism، بالـPrism cover test، تمام؟ + +52 +00:04:07,340 --> 00:04:11,040 +نفترض مثلا شخص يأتي، عنده esophoria على الـnear مثلا + +53 +00:04:11,040 --> 00:04:16,900 +20 prism، وعلى الـdistance 8 prism، ماذا + +54 +00:04:16,900 --> 00:04:22,780 +نسميه؟ أو كيف التشخيص؟ أريد أن أسميه الآن، أنا عندي الـnear + +55 +00:04:22,780 --> 00:04:31,040 +... الـnear ماذا يحدث فيه في الطبيعة؟ convergence، طيب، + +56 +00:04:31,040 --> 00:04:36,140 +الـnear في convergence، أنا آخذ الرقم الأعلى، الأعلى + +57 +00:04:36,140 --> 00:04:39,860 +وهي الـ20، والـ20، جستها على near، على near، على + +58 +00:04:39,860 --> 00:04:41,500 +near، على near، على near، على near، على near، على + +59 +00:04:41,500 --> 00:04:43,360 +near، على near، على near، على near، على near، على + +60 +00:04:43,360 --> 00:04:50,040 +near، على near، على near، على near، على near، على + +61 +00:04:50,040 --> 00:04:51,000 +near، على near، على near، على near، على near، على + +62 +00:04:51,000 --> 00:04:53,240 +near، على near، على near، على near، على near، على + +63 +00:04:53,240 --> 00:04:59,780 +near، على near، على near، على near، على near، على هي + +64 +00:04:59,780 --> 00:05:03,300 +Esophoria، لكن نوعها convergence excess، عندما + +65 +00:05:03,300 --> 00:05:06,540 +أسمع كلمة convergence excess، الـconvergence + +66 +00:05:06,540 --> 00:05:10,560 +يحدث لعينيه عندما تبدأ في الاقتراب on your target، excess، + +67 +00:05:10,560 --> 00:05:14,460 +يعني زيادة في الـconvergence، إذن هذه الفوريا التي + +68 +00:05:14,460 --> 00:05:16,980 +قستها هي عبارة عن convergence excess + +69 +00:05:16,980 --> 00:05:21,700 +Esophoria، نأتي للحالة الثانية، شخص آخر يأتي + +70 +00:05:21,700 --> 00:05:25,180 +عنده Esophoria، قستها بالـPrism Cover Test، + +71 +00:05:25,180 --> 00:05:29,790 +طلعت على الـdistance مثلا 25 Prism، وعلى near مثلا + +72 +00:05:29,790 --> 00:05:37,230 +12 prism، ماذا تقولون؟ ماذا نسميها هذه؟ ماذا + +73 +00:05:37,230 --> 00:05:41,950 +الـinsufficient؟ الـdivergence، لماذا؟ دائما آخذ + +74 +00:05:41,950 --> 00:05:45,330 +الرقم الأعلى، الرقم الأعلى أين؟ على الـdistance. + +75 +00:05:45,330 --> 00:05:48,030 +طيب، في الـdistance الشخص يكون عنده divergence، أم + +76 +00:05:48,030 --> 00:05:51,470 +convergence؟ divergence، طيب، أنا أنظر إلى شيء بعيد، + +77 +00:05:51,470 --> 00:05:55,550 +كنت أنظر في الأساس إلى شيء قريب، ونقلت عيني إلى شيء + +78 +00:05:55,550 --> 00:05:57,830 +بعيد، يجب أن يصبح من convergence position، يجب أن يصبح + +79 +00:05:57,830 --> 00:06:01,410 +divergence، طيب، هذا الـdivergence الذي من المفترض أن يدل + +80 +00:06:01,410 --> 00:06:06,980 +عينيه للخارج، لا يستطيع أن يبعدهما، معناته عنده + +81 +00:06:06,980 --> 00:06:11,620 +divergence insufficiency، أدت إلى isophoria على الـ + +82 +00:06:11,620 --> 00:06:15,740 +distance، مقياسها 25 prism، تمام؟ إذن هذه الحالة + +83 +00:06:15,740 --> 00:06:20,440 +الثانية نسميها divergence insufficiency، + +84 +00:06:20,440 --> 00:06:27,220 +isophoria، نأتي + +85 +00:06:27,220 --> 00:06:32,350 +إلى الـexophoria، مريض يأتي، عنده exophoria، ويشكو + +86 +00:06:32,350 --> 00:06:36,490 +من أعراض، قست على الـnear، وجدتها 20 prism، وعلى + +87 +00:06:36,490 --> 00:06:40,950 +الـdistance وجدتها 9 prism، أيضا آخذ الرقم + +88 +00:06:40,950 --> 00:06:46,450 +الأعلى... آخذ الرقم الأعلى، الرقم الأعلى أين؟ + +89 +00:06:46,450 --> 00:06:49,150 +على الـnear، على الـnear، من المفترض ماذا يحدث؟ + +90 +00:06:49,150 --> 00:06:52,850 +convergence، لم يحدث convergence، أصبح exophoria 20، + +91 +00:06:52,850 --> 00:06:56,810 +معناته يوجد عندي ضعف في الـconvergence، convergence + +92 +00:06:56,810 --> 00:06:57,570 +insufficiency. + +93 +00:07:06,100 --> 00:07:10,200 +exophoria، هي exophoria، نوعها convergence + +94 +00:07:10,200 --> 00:07:14,420 +insufficiency، وبالتالي عندما أسمع convergence + +95 +00:07:14,420 --> 00:07:17,100 +insufficiency، بدون معرفة الأرقام، convergence + +96 +00:07:17,100 --> 00:07:20,680 +insufficiency، يعني الـconvergence متى يحدث على + +97 +00:07:20,680 --> 00:07:23,900 +near، insufficiency، غير كاف، الـconvergence الـ + +98 +00:07:23,900 --> 00:07:27,280 +convergence ضعيفة على near، معناته أتخيل فورا أن الـ + +99 +00:07:27,280 --> 00:07:30,640 +exophoria التي ستحدث، قياسها على near أعلى من قياسها + +100 +00:07:30,640 --> 00:07:36,000 +على الـdistance، شخص آخر يأتي من الناس، عنده Exophoria، + +101 +00:07:36,000 --> 00:07:39,220 +قستها بالـprison cover test، على الـdistance وعلى near، + +102 +00:07:39,220 --> 00:07:42,940 +على الـdistance طلعت 24 prison، على near طلعت + +103 +00:07:42,940 --> 00:07:47,320 +11 prison، آخذ الرقم الأعلى، أين الرقم الأعلى؟ + +104 +00:07:47,320 --> 00:07:50,020 +على الـdistance، على الـdistance، إذن المشكلة في + +105 +00:07:50,020 --> 00:07:54,230 +الـdivergence، عندي الـdivergence، من المفترض أن ينتقل إلى + +106 +00:07:54,230 --> 00:07:56,990 +من الـconvergence position إلى الـprimary position، إلى + +107 +00:07:56,990 --> 00:08:01,470 +الـortho position، هنا انتقل إلى exo 24، معناته يوجد عندي + +108 +00:08:01,470 --> 00:08:05,270 +divergence زيادة، هذا يسمى divergence excess، + +109 +00:08:05,270 --> 00:08:12,130 +exophoria. + +110 +00:08:12,130 --> 00:08:15,710 +إذن، + +111 +00:08:15,710 --> 00:08:19,760 +الـheterophoria عندما أريد أن أتعامل معها، أريد أن أعرف في + +112 +00:08:19,760 --> 00:08:24,120 +الأول التشخيص السليم، قد أكون أقيس بالـprism + +113 +00:08:24,120 --> 00:08:28,260 +cover test، ممتاز، وأقيس على الـdistance، ممتاز، وعلى near + +114 +00:08:28,260 --> 00:08:31,320 +ممتاز، لكن المشكلة عندي في التسمية، أنا عندي أربعة + +115 +00:08:31,320 --> 00:08:34,940 +تسميات، عندي convergence excess، وعندي + +116 +00:08:34,940 --> 00:08:37,760 +convergence insufficiency، أو يقال لها convergence + +117 +00:08:37,760 --> 00:08:41,580 +weakness، تمام؟ exophoria، عندي divergence + +118 +00:08:41,580 --> 00:08:45,250 +weakness، وعندي divergence excess، يعني الـ + +119 +00:08:45,250 --> 00:08:47,910 +divergence قد يكون زائدا أو ناقصا، والـconvergence + +120 +00:08:47,910 --> 00:08:52,450 +قد يكون زائدا أو ناقصا، إذن عندما أضع التسمية الصحيحة، + +121 +00:08:52,450 --> 00:08:57,110 +أصل إلى العلاج الصحيح، بعض الناس يعتقدون أن أي exophoria، + +122 +00:08:57,110 --> 00:09:01,610 +... أي exophoria، الـorthoptic exercise هو العلاج + +123 +00:09:01,610 --> 00:09:05,230 +الأمثل لها، الـorthoptic exercise، الحالة الوحيدة + +124 +00:09:05,230 --> 00:09:09,900 +التي تنفع فيها هي الـconvergence weakness، لماذا؟ لأن + +125 +00:09:09,900 --> 00:09:13,360 +الـconvergence هنا ضعيف، فهو هذا الذي أريد أن أُحسّنه. + +126 +00:09:13,360 --> 00:09:16,120 +هنا الـconvergence ليس ضعيفا، هنا المشكلة زيادة في الـ + +127 +00:09:16,120 --> 00:09:19,620 +divergence، هنا أعطيه orthoptic exercise، جد ما + +128 +00:09:19,620 --> 00:09:23,580 +تعطيه، لن يفيد، لن... لن يؤثر، من الأنواع الأربعة، + +129 +00:09:23,580 --> 00:09:26,300 +فقط الـconvergence insufficient هي التي تستفيد من + +130 +00:09:26,300 --> 00:09:29,780 +التمارين من الـorthoptic exercise، هذه القضية بدأت + +131 +00:09:29,780 --> 00:09:34,000 +تكون واضحة لنا، التفاصيل الأربعة التي قمنا بها، لماذا؟ + +132 +00:09:34,000 --> 00:09:39,630 +بناء على الفرق بين القياس للـdistance وللـnear، أنا + +133 +00:09:39,630 --> 00:09:44,190 +دائما آخذ الرقم الأعلى، وأرى الرقم الأعلى على الـ + +134 +00:09:44,190 --> 00:09:46,430 +near أم على الـdistance؟ إذا كان الرقم الأعلى على الـ + +135 +00:09:46,430 --> 00:09:48,810 +near، معناته المشكلة مشكلة convergence، يا إما + +136 +00:09:48,810 --> 00:09:52,830 +excess، يا إما weakness، إذا كان الرقم الأعلى هو المرتبط + +137 +00:09:52,830 --> 00:09:56,470 +بقياس الـdistance، معناته مشكلة divergence، إما + +138 +00:09:56,470 --> 00:10:01,710 +weakness أو excess، الآن، قبل أن نقرأ هذا الكلام، + +139 +00:10:01,710 --> 00:10:02,230 +بالفعل، + +140 +00:10:05,020 --> 00:10:09,360 +أعطي هكذا سؤال سريريا ومعا كنا هكذا نحله، نقول + +141 +00:10:09,360 --> 00:10:18,300 +أحمد ومحمود ومحمد و مثلا سامي، هذان الاثنان + +142 +00:10:18,300 --> 00:10:23,160 +الأولان، عندهما esophoria، وهذان الاثنان + +143 +00:10:23,160 --> 00:10:31,600 +الثانيان عندهما exophoria، هنا + +144 +00:10:31,600 --> 00:10:35,950 +على الـnear وعلى الـdistance، دعونا نُجسّمها بالشكل + +145 +00:10:35,950 --> 00:10:40,510 +هذا، لكي نعطي المسميات في النهاية، هنا على الـnear + +146 +00:10:40,510 --> 00:10:46,510 +مثلا 13 Prism، وعلى الـdistance مثلا 25 Prism، هنا + +147 +00:10:46,510 --> 00:10:51,350 +الـisophoria، على الـnear 19 Prism، وعلى الـdistance 7 + +148 +00:10:51,350 --> 00:10:56,910 +Prism، هنا الـexophoria 25 Prism، وعلى الـdistance + +149 +00:10:56,910 --> 00:11:05,410 +10 Prism، هنا 23 Prism، وهنا مثلا 12 Prism، يا ترى، + +150 +00:11:05,410 --> 00:11:10,230 +نأخذ حالة حالة، هؤلاء جميعا phoric، هنا عندي + +151 +00:11:10,230 --> 00:11:15,590 +esophoria، لكن ما اسمها؟ divergence insufficiency + +152 +00:11:15,590 --> 00:11:19,930 +أو weakness، كيف عرفنا؟ الرقم الأعلى على الـdistance، + +153 +00:11:19,930 --> 00:11:22,970 +إذن المشكلة مشكلة الـdivergence، في الـdivergence، + +154 +00:11:22,970 --> 00:11:26,050 +المفترض أن العينين تبتعدان، وليست تقتربان إلى الداخل، إذا الـ + +155 +00:11:26,050 --> 00:11:29,090 +divergence غير كاف، إذن divergence insufficiency أو + +156 +00:11:29,090 --> 00:11:31,930 +divergence weakness، هي نفس الكلمة، نفس المعنى. + +157 +00:11:31,930 --> 00:11:35,110 +divergence weakness أو divergence insufficiency. + +158 +00:11:36,820 --> 00:11:40,880 +الحالة الثانية، convergence excess، بالضبط الرقم + +159 +00:11:40,880 --> 00:11:43,440 +الأعلى على near، إذن المشكلة مشكلة convergence، + +160 +00:11:43,440 --> 00:11:47,440 +convergence، من المفترض أن convergence طبيعي لا يكون فوريا + +161 +00:11:47,440 --> 00:11:51,560 +أو isophoria أكثر، إذن أنت convergence excess، تمام؟ + +162 +00:11:51,560 --> 00:11:56,720 +هنا convergence insufficient، لأنه الرقم الأعلى + +163 +00:11:56,720 --> 00:12:00,000 +على near، إذن مشكلة convergence، بدلا من أن يعمل + +164 +00:12:00,000 --> 00:12:03,280 +convergence، يعمل exophoria 25، معناته ماذا؟ + +165 +00:12:03,280 --> 00:12:06,220 +convergence weakness، هنا تنفع الـorthoptic + +166 +00:12:06,220 --> 00:12:09,520 +exercise، فقط في الـ... في الحالات الأربع، هنا + +167 +00:12:09,520 --> 00:12:14,880 +orthoptic exercise من ضمن العلاج، تمام؟ الحالة + +168 +00:12:14,880 --> 00:12:19,680 +الأخيرة، divergence... divergence exam، لا... لا لا + +169 +00:12:19,680 --> 00:12:29,020 +لا، كلامكم صحيح، هي نفس الشيء، نقل الأرقام هو خطأ + +170 +00:12:29,020 --> 00:12:35,910 +مطبعي، لكن ماذا تقولون؟ divergence excess، divergence + +171 +00:12:35,910 --> 00:12:39,810 +excess، هكذا أصبحت، أما قبل ذلك كانت convergence + +172 +00:12:39,810 --> 00:12:42,290 +insufficiency، تمام؟ divergence excess. + +173 +00:12:45,650 --> 00:12:51,770 +يا ترى كل شيء كيف يُعالج من الأنواع الأربعة من + +174 +00:12:51,770 --> 00:12:55,470 +الـheterophoria؟ إذا الـheterophoria may be present + +175 +00:12:55,470 --> 00:12:58,050 +clinically with associated visual symptoms، + +176 +00:12:58,050 --> 00:13:02,710 +خصوصا في أوقات الـstress، الـpoor health، عندما + +177 +00:13:02,710 --> + +223 +00:16:38,810 --> 00:16:41,110 +.. بدي أعمله orthoptic exercise طيب، وال + +224 +00:16:41,110 --> 00:16:43,490 +refractive error عنده؟ كيف بدي أعالجه إذا كان هو + +225 +00:16:43,490 --> 00:16:47,690 +hypermetropia عدسة plus بُعالجه بعمله full + +226 +00:16:47,690 --> 00:16:51,690 +correction ولا بخليه شوية hypermetropia؟ وليش؟ + +227 +00:16:51,690 --> 00:16:58,330 +إيش رأيكم؟ partial correction، partial correction + +228 +00:16:58,330 --> 00:16:59,610 +صحيح، ليش؟ + +229 +00:17:02,920 --> 00:17:06,980 +ممكن حتى تزيد الـExophoria، أنا بتدخّله شوية + +230 +00:17:06,980 --> 00:17:10,440 +hypermetropia عشان يضطر يعمل accommodation، طب ليش + +231 +00:17:10,440 --> 00:17:13,660 +بده يعمل accommodation لأنه إذا بيزيد الـ + +232 +00:17:13,660 --> 00:17:16,300 +accommodation، هيزيد الـ إيش؟ الـ accommodative + +233 +00:17:16,300 --> 00:17:18,800 +convergence، لأنه في علاقة بينهم، accommodative + +234 +00:17:18,800 --> 00:17:23,970 +convergence، الـ AC/A ratio، أعمل appropriate + +235 +00:17:23,970 --> 00:17:29,010 +correction مناسب للمريض اللي عنده convergence + +236 +00:17:29,010 --> 00:17:32,530 +weakness، اكزوفوريا، لازم أخليه يتطّرر يعمل + +237 +00:17:32,530 --> 00:17:35,830 +accommodation، فبالتالي بعمل under correction + +238 +00:17:36,950 --> 00:17:41,190 +للـhypermetropia، نفرض إجاني مريض بنفس التشخيص بس ميوب + +239 +00:17:41,190 --> 00:17:45,810 +إيش بده أعطيله؟ full correction، تمام، لأنه الميوب + +240 +00:17:45,810 --> 00:17:48,850 +إذا سبت الميوب، مش هيعمل accommodation، عشان أخليه + +241 +00:17:48,850 --> 00:17:51,250 +يعمل accommodation، بده أضاعف الميوب، يا كل اللي + +242 +00:17:51,250 --> 00:17:54,270 +عنده، فبالتالي إن أنت بِتعقّد any significant + +243 +00:17:54,270 --> 00:17:57,110 +refractive error should be appropriately + +244 +00:17:57,110 --> 00:17:59,310 +appropriately corrected + +245 +00:18:03,140 --> 00:18:07,060 +طب، إنسان إحنا استعملنا له مثلًا orthoptic exercise + +246 +00:18:07,060 --> 00:18:11,220 +وعملنا appropriate correction ومازال في عنده + +247 +00:18:11,220 --> 00:18:15,880 +symptoms، إيش يعني symptoms؟ يعني في ..asthenopia + +248 +00:18:15,880 --> 00:18:19,240 +إرهاق بصري، فيه headache، فيه diplopia أو blurring of + +249 +00:18:19,240 --> 00:18:23,560 +vision، تمام، فالـsymptoms ما راحت لا مع الـ + +250 +00:18:23,560 --> 00:18:27,020 +orthoptic exercise ولا مع appropriate correction + +251 +00:18:27,020 --> 00:18:30,400 +of refractive error، في حلول تانية، طبعًا في حلول + +252 +00:18:30,400 --> 00:18:34,220 +تانية ممكن أستعملها، temporary stick on Fresnel + +253 +00:18:34,220 --> 00:18:36,900 +prism، وإحنا أخذنا في الـgeometrical optics أن الـ + +254 +00:18:36,900 --> 00:18:42,710 +Fresnel prism ممكن تستخدم بحيث إنها تعالج يعني بعض + +255 +00:18:42,710 --> 00:18:47,230 +الحالات من الفوريا أو حتى يعني temporarily لحالات + +256 +00:18:47,230 --> 00:18:53,590 +معينة من الـEsotropia، طبعًا maximum بستعمل من عشر + +257 +00:18:53,590 --> 00:18:57,730 +إلى إثنتي عشر prism diopter، split between the two يعني + +258 +00:18:57,730 --> 00:19:01,270 +eyes، يعني ممكن أستعمل ستة وستة، خمسة وخمسة prism + +259 +00:19:01,270 --> 00:19:06,370 +diopters، بعض الحالات اللي ما بتستفيدش على ما سبق + +260 +00:19:06,370 --> 00:19:12,350 +ممكن أضطر لعلاج الفوريا جراحيًا، علاج الفوريا جراحيًا + +261 +00:19:12,350 --> 00:19:16,310 +وخاصة إذا الفوريا المَجازد بتاعها large، المجازد + +262 +00:19:16,310 --> 00:19:20,650 +بتاعها large حد + +263 +00:19:20,650 --> 00:19:27,270 +يسأل إيشي في الـheterophoria؟ طيب المريض الـ + +264 +00:19:27,270 --> 00:19:30,510 +heterophoria لما بيدخل عند العيادة أو المستشفى كيف + +265 +00:19:30,510 --> 00:19:37,530 +يكون وضعه هنا؟ straight، straight، تمام؟ لأنه بالغالب + +266 +00:19:37,530 --> 00:19:41,950 +يعني هذه بتظهر في حالات الـstress أو اللي هو + +267 +00:19:41,950 --> 00:19:45,010 +الإرهاق والـpoor health، نيجي للـvergence + +268 +00:19:45,010 --> 00:19:48,450 +abnormality، إيش تعريف الـvergence movement؟ + +269 +00:19:48,450 --> 00:19:52,490 +ثلاث كلمات لازم تقولها: binocular، binocular، + +270 +00:19:52,490 --> 00:19:58,170 +binocular، binocular، binocular، binocular، binocular + +271 +00:19:58,170 --> 00:20:00,350 +binocular، binocular، binocular، binocular، binocular + +272 +00:20:00,350 --> 00:20:02,590 +binocular، binocular، binocular، binocular، binocular + +273 +00:20:02,590 --> 00:20:04,630 +binocular، binocular، binocular convergence أو + +274 +00:20:04,630 --> 00:20:09,070 +divergence from a convergent position، هل في مشاكل + +275 +00:20:09,070 --> 00:20:11,850 +في الـ في الـ convergence movements ممكن تكون + +276 +00:20:11,850 --> 00:20:17,150 +عنده؟ هل بعض الأشخاص ممكن يكونوا عندهم convergence + +277 +00:20:17,150 --> 00:20:21,130 +abnormalities وفي نفس الوقت ما عندهمش squint، صحيح + +278 +00:20:21,130 --> 00:20:24,810 +بعض المرضى ما عندهمش لا tropia ولا phoria، بس عنده + +279 +00:20:24,810 --> 00:20:29,150 +مشاكل في الـconvergence أو في الـdivergence، تؤدي + +280 +00:20:29,150 --> 00:20:32,610 +إلى أعراض، تؤدي إلى أعراض، الحلقات بدنا نشوف إيش هي + +281 +00:20:32,610 --> 00:20:37,050 +convergence abnormalities، وأول حاجة بدنا نحكيها + +282 +00:20:37,050 --> 00:20:39,810 +convergence insufficiency، الـconvergence + +283 +00:20:39,810 --> 00:20:44,670 +insufficiency، بدناش نلخبطها مع الـconvergence + +284 +00:20:44,670 --> 00:20:50,490 +insufficiency exophoria اللي حكينا عنها قبل شوية + +285 +00:20:50,490 --> 00:20:54,850 +تمام؟ في عندي بس convergence insufficiency أو هنا + +286 +00:20:54,850 --> 00:20:59,540 +weakness، تمام؟ هنا convergence insufficiency أو + +287 +00:20:59,540 --> 00:21:03,880 +weakness بس مش exophoria، إيش الفرق بين العبارة + +288 +00:21:03,880 --> 00:21:08,100 +الأولى والعبارة التانية؟ إنه هنا في عندي squint + +289 +00:21:08,100 --> 00:21:12,420 +خفي، latent squint، هنا بالـprism cover test لا فيه + +290 +00:21:12,420 --> 00:21:16,020 +tropia ولا phoria ولا أي حاجة، طب كيف أنا بعرف إنه + +291 +00:21:16,020 --> 00:21:20,500 +في convergence insufficiency بس symptoms؟ كيف + +292 +00:21:20,500 --> 00:21:31,340 +بنعرف إنه الـconvergence طبيعي؟ الـnear point + +293 +00:21:31,340 --> 00:21:35,140 +of convergence، الـnear point of convergence اللي + +294 +00:21:35,140 --> 00:21:40,440 +في منها subjective وفي منها objective، وتقاس بالـ + +295 +00:21:40,440 --> 00:21:45,860 +rough rule أو بالـsign up to four، بتجيبها بالـ + +296 +00:21:45,860 --> 00:21:49,500 +sign + +297 +00:21:49,500 --> 00:21:56,780 +up to four، ببساطة شديدة .. بالضبط فين وبجربه لغاية + +298 +00:21:56,780 --> 00:22:01,000 +ما .. يعني تحدث إما subjective أو .. يعني + +299 +00:22:01,000 --> 00:22:04,060 +objective، near point of convergence، أحددها و + +300 +00:22:04,060 --> 00:22:08,720 +بقى أجيبها بالمسطرة بقياس يعني عادي، تمام؟ إذا هذا + +301 +00:22:08,720 --> 00:22:10,980 +المريض اللي إحنا هنحكي عنه الآن اللي عنده + +302 +00:22:10,980 --> 00:22:13,480 +convergence insufficiency بس ما عندهوش convergence + +303 +00:22:13,480 --> 00:22:18,080 +weakness exophoria، هو إنسان ما عندهوش phoria ولا + +304 +00:22:18,080 --> 00:22:22,060 +tropia، ما عندهوش squint، بس عنده أعراض، عرفت أنا إنه + +305 +00:22:22,060 --> 00:22:25,060 +عنده convergence weakness من قياسي للـnear point + +306 +00:22:25,060 --> 00:22:29,760 +of convergence، يا ترى مين هدول الناس؟ إيش الأعراض + +307 +00:22:29,760 --> 00:22:32,940 +اللي بتعرضوا إلها وبيشكوا منها؟ إيش العلاج؟ طيب + +308 +00:22:32,940 --> 00:22:36,460 +إذا convergence insufficiency typically affects + +309 +00:22:36,460 --> 00:22:40,140 +individuals with excessive visual demand such as + +310 +00:22:40,140 --> 00:22:43,320 +students، يعني أكتر ناس بتعرضوا للـconvergence + +311 +00:22:43,320 --> 00:22:46,160 +insufficiency هو اللي مطلوب منه يعمل convergence + +312 +00:22:46,160 --> 00:22:49,140 +فترة طويلة، مين اللي مطلوب منه يعمل convergence + +313 +00:22:49,140 --> 00:22:53,420 +فترة طويلة؟ الطلبة، ليش؟ لأنه بيدرس سواء في الجامعة + +314 +00:22:53,420 --> 00:22:56,620 +في المدرسة، بعد الجامعة، بعد المدرسة، بيدرس على + +315 +00:22:56,620 --> 00:22:59,720 +الكمبيوتر كده، ساعة على الجوال، على كتب وإلى آخره + +316 +00:22:59,720 --> 00:23:03,800 +فبالتالي مطلوب منه visual demand عيار كتير، تمام؟ + +317 +00:23:03,800 --> 00:23:07,800 +بيسميه excessive visual demand، أجينا نفحصه بالـ + +318 +00:23:07,800 --> 00:23:10,980 +prism cover test، ما فيش عنده لا فوريا ولا تروبيا + +319 +00:23:10,980 --> 00:23:14,780 +ولا أي نوع من الـsquint، بس العلامة الوحيدة اللي + +320 +00:23:14,780 --> 00:23:17,680 +دلّتنا إنه عنده convergence insufficiency إنه + +321 +00:23:17,680 --> 00:23:21,500 +reduced near point of convergence independent of + +322 +00:23:21,500 --> 00:23:25,400 +any heterophoria، ما عندهوش heterophoria، تمام؟ أجيت + +323 +00:23:25,400 --> 00:23:28,700 +جبت له الـnear point of convergence، لجيتها reduced + +324 +00:23:28,700 --> 00:23:32,530 +يعني بعيدة بعيدة، في الطبيعي الـnear point of + +325 +00:23:32,530 --> 00:23:36,210 +convergence لازم تكون إيش؟ أقرب من عشرة سم، + +326 +00:23:36,210 --> 00:23:38,790 +تمام؟ وما لهاش علاقة في الـbreast biopsy لأنها مش + +327 +00:23:38,790 --> 00:23:42,510 +هي الـnear point of accommodation، تمام؟ فبالتالي + +328 +00:23:42,510 --> 00:23:47,070 +هذه بتكون reduced near point of convergence + +329 +00:23:48,630 --> 00:23:51,790 +العلاج .. العلاج للـconvergence insufficiency + +330 +00:23:51,790 --> 00:23:55,370 +exophoria وللـconvergence insufficiency، لحالة نفس + +331 +00:23:55,370 --> 00:23:59,190 +العلاج، orthoptic exercise، orthoptic exercise + +332 +00:23:59,190 --> 00:24:05,260 +تمام؟ إيش الهدف منه؟ إن أحسن وأجرب الـnear point of + +333 +00:24:05,260 --> 00:24:09,440 +يعني convergence وإن أحسن الـfusional amplitude + +334 +00:24:09,440 --> 00:24:13,300 +الـfusional convergence، أحسنه، تمام، with good + +335 +00:24:13,300 --> 00:24:16,060 +compliance، لما يكون المريض متعاون، الأعراض اللي + +336 +00:24:16,060 --> 00:24:19,660 +بيشكي منها اللي هي الـasthenopia، الـblurring of + +337 +00:24:19,660 --> 00:24:23,120 +vision، الـdiplopia، الـheadache، تمام، ممكن تكون + +338 +00:24:23,120 --> 00:24:27,860 +eliminated within a few weeks، إذا كان ضلت الأعراض + +339 +00:24:27,860 --> 00:24:35,120 +ومش قادر يتحملها، بأعطيه base in prism، عندي أنا + +340 +00:24:35,120 --> 00:24:38,780 +هذا المريض مش قادر يعمل convergence، عنده + +341 +00:24:38,780 --> 00:24:42,120 +convergence insufficiency وما عندهوش exophoria، تمام + +342 +00:24:42,120 --> 00:24:45,400 +يعني هذا just convergence weakness أو convergence + +343 +00:24:45,400 --> 00:24:49,660 +insufficiency، عملت له orthoptic exercise مدة شهرين + +344 +00:24:49,660 --> 00:24:52,840 +مثلًا ومش نافع الأمر معاه، ده ضلت الأعراض زي ما هي + +345 +00:24:52,840 --> 00:24:59,050 +بس، تعمل قاعدة اللي ما بيجيش معاك إيش تعمل؟ تعا معاه + +346 +00:24:59,050 --> 00:25:02,050 +.. إيش يعني تعا معاه؟ يعني إيه مش راضي تيجي لجوا + +347 +00:25:02,050 --> 00:25:06,790 +تعمل convergence؟ بعمله base in prism، الـbase in + +348 +00:25:06,790 --> 00:25:10,330 +prism، بِأَنْجِل الصورة باتجاه الـapex لبرا، لبرا + +349 +00:25:10,330 --> 00:25:13,950 +فلَحظة، هنا الصورة هتنتقل باتجاه الـapex، تمام؟ + +350 +00:25:13,950 --> 00:25:17,570 +وهنا الصورة هتنتقل باتجاه الـapex، فبالتالي بيتخلص + +351 +00:25:17,570 --> 00:25:21,450 +من الأعراض .. بيتخلص من الأعراض، مش إحنا إنسان ممكن + +352 +00:25:21,450 --> 00:25:23,990 +يطرح السؤال، يقول طب ليش إحنا ما نعطي base out بـ + +353 +00:25:23,990 --> 00:25:27,510 +prism عشان نعمل stimulation للـconvergence وإحنا + +354 +00:25:27,510 --> 00:25:29,910 +عملنا stimulation للـconvergence بالـorthoptic + +355 +00:25:29,910 --> 00:25:33,590 +exercise وعمل good compliance وتعاون معانا وعمل + +356 +00:25:33,590 --> 00:25:36,850 +orthoptic exercise بزيادة كمان، ومش راح يتحسن + +357 +00:25:36,850 --> 00:25:41,500 +الأمور، ما تعبّوش أكتر من اللازم، تمام؟ اللي ما بيجيش معاك + +358 +00:25:41,500 --> 00:25:45,000 +بدك تيجي أنت معاه، خلاص، أنا بدي أنجِل الصورة اللي + +359 +00:25:45,000 --> 00:25:48,040 +قدامِه واللي المفروض يعمل عليها convergence، أنجِل + +360 +00:25:48,040 --> 00:25:51,820 +temporarily بواسطة الـprisms عشان العين ما تضطرش + +361 +00:25:51,820 --> 00:25:55,660 +تعمل convergence، يعني صورة هذا الشيء، الـtarget + +362 +00:25:55,660 --> 00:25:59,260 +بالنسبة للعين هي هتيجي تكون مباينة من برا و + +363 +00:25:59,260 --> 00:26:01,840 +بالنسبة للعين هي هتكون مباينة من برا، مش هيصير عنده + +364 +00:26:01,840 --> 00:26:05,740 +double vision، لأ لأنه هتسقط الصورة بواسطة الـprisms + +365 +00:26:05,740 --> 00:26:09,570 +على corresponding retinal points، ومتالي اللي هو + +366 +00:26:09,570 --> 00:26:16,210 +base in الـprisms ممكن تحل المشكلة عنده، هذا + +367 +00:26:16,210 --> 00:26:20,090 +بالنسبة للـconvergence insufficiency، طيب هل ممكن + +368 +00:26:20,090 --> 00:26:22,970 +إنسان يكون عنده convergence insufficiency، إحنا + +369 +00:26:22,970 --> 00:26:26,790 +خلصنا موضوع الفوريا وحكينا الفرق بين convergence + +370 +00:26:26,790 --> 00:26:29,170 +insufficiency exophoria و convergence + +371 +00:26:29,170 --> 00:26:33,190 +insufficiency لحالها، هل ممكن إنسان عنده + +372 +00:26:33,190 --> 00:26:35,670 +convergence insufficiency تكون عنده مشكلة تانية + +373 +00:26:35,670 --> 00:26:39,470 +اسمها accommodative insufficiency، طبعًا ممكن تكون + +374 +00:26:39,470 --> 00:26:42,970 +مسبوقة لـconvergence insufficiency، accommodative + +375 +00:26:42,970 --> 00:26:49,430 +insufficiency، طبعًا is occasionally present، كيف + +376 +00:26:49,430 --> 00:26:52,690 +بعرف إنه في عندي accommodative insufficiency؟ بأجيب + +377 +00:26:52,690 --> 00:26:55,910 +الـnear point of accommodation، الـnear point of + +378 +00:26:55,910 --> 00:27:00,570 +accommodation وبقارنها مع العمر، ليش؟ لأن الـnear + +379 +00:27:00,570 --> 00:27:04,710 +point of accommodation للي عمره مثلًا خمسين سنة مش + +380 +00:27:04,710 --> 00:27:09,070 +زي اللي عمره يعني عشرين سنة، لما إنسان عنده عشرين + +381 +00:27:09,070 --> 00:27:12,150 +سنة ولجيت الـnear point of accommodation عنده + +382 +00:27:12,150 --> 00:27:15,450 +ستين سم، معناته الـaccommodation عنده ضعيف كتير + +383 +00:27:15,450 --> 00:27:19,390 +لذا في عنده accommodative insufficiency، وممكن يكون + +384 +00:27:19,390 --> 00:27:23,010 +عنده convergence insufficiency حسب الـnear point + +385 +00:27:23,010 --> 00:27:25,490 +of accommodation، طيب الـaccommodative + +386 +00:27:25,490 --> 00:27:29,290 +insufficiency ممكن تكون primary يعني idiopathic، مش + +387 +00:27:29,290 --> 00:27:33,130 +معروفة السبب، أو تكون secondary accommodative + +388 +00:27:33,130 --> 00:27:37,110 +insufficiency، يعني سببها إنه اتعرض لعدوى فيروسية و + +389 +00:27:37,110 --> 00:27:40,850 +نشأ عنده بعدين ضعف الـaccommodation، يعني بعد هذه + +390 +00:27:40,850 --> 00:27:44,070 +العدوى الفيروسية، غالبًا الـaccommodative + +391 +00:27:44,070 --> 00:27:49,140 +insufficiency بتكون بتصيب أطفال المدارس، طيب إيش + +392 +00:27:49,140 --> 00:27:52,860 +علاجها؟ الـminimum reading correction، الـminimum + +393 +00:27:52,860 --> 00:27:56,860 +reading correction اللي بيكفي للـclear reading + +394 +00:27:56,860 --> 00:28:02,580 +طبعًا، طالما الـaccommodation هو ضعيف لأ + +395 +00:28:02,580 --> 00:28:05,000 +إحنا ما بنحكيش .. نحكي عن الـaccommodation يعني + +396 +00:28:05,000 --> 00:28:08,340 +طالما الـaccommodation هو ضعيف، معناته إن الـ + +397 +00:28:08,340 --> 00:28:12,220 +reading هيكون مش واضح، فعلاجه بيكون توضيح، وكيف + +398 +00:28:12,220 --> 00:28:17,680 +إحنا بنوضح بالـplus lenses، يعني بدي أوصف يعني اللي + +399 +00:28:17,680 --> 00:28:20,640 +هو الـminimum reading correction is prescribed to + +400 +00:28:20,640 --> 00:28:23,420 +give clear vision، طبعًا الـaccommodative + +401 +00:28:23,420 --> 00:28:28,340 +insufficiency صعب إنه نتخلص منه، يعني بده يظلوا + +402 +00:28:28,340 --> 00:28:30,760 +لابسين نظارات للـreading، بينما الـconvergence + +445 +00:31:56,350 --> 00:32:03,690 +يعني الـ near point of convergence بعيدة، وهيكون + +446 +00:32:03,690 --> 00:32:07,770 +عندي accommodative weakness، الـ near point of + +447 +00:32:07,770 --> 00:32:13,070 +accommodation أيضا بعيدة، وهيكون عندي إيش مدري؟ + +448 +00:32:13,070 --> 00:32:14,390 +أو near fixation. + +449 +00:32:21,470 --> 00:32:27,370 +تمام؟ إذا هذه صفات الـ Neural reflex، هذه reasons، و + +450 +00:32:27,370 --> 00:32:31,590 +اللي قلنا هو نسخة شديدة من الـ accommodative والـ + +451 +00:32:31,590 --> 00:32:35,610 +convergence insufficiency. كيف علاجه؟ لما ما يكونش + +452 +00:32:35,610 --> 00:32:40,970 +عندي neurological signs، علامات يعني تدل على أنه في + +453 +00:32:40,970 --> 00:32:45,630 +خلل عندي في الـ central nervous system. طيب، والأمور + +454 +00:32:45,630 --> 00:32:51,050 +مستقرة، الـ treatment تبدأ تشمل الشغلات التالية، وهنقول + +455 +00:32:51,050 --> 00:32:55,130 +ليش هتشمل الشغلات التالية؟ أول حاجة، reading glasses. + +456 +00:32:55,130 --> 00:32:59,850 +ليش reading glasses؟ عشان أتخلص من إيش؟ من مشاكل + +457 +00:32:59,850 --> 00:33:02,010 +الـ accommodation، مش قادر يعمل accommodation. + +458 +00:33:02,010 --> 00:33:05,470 +بيعطيله reading glasses، الإنسان مش قادر + +459 +00:33:05,470 --> 00:33:08,190 +يعمل accommodation عشان يعمل fixation أو يشوف + +460 +00:33:08,190 --> 00:33:12,930 +بوضوح عن قرب، بيعطيله reading glasses. طيب، الـ base + +461 +00:33:12,930 --> 00:33:18,050 +in prism، عشان base in prism اللي بيجي معاك + +462 +00:33:18,050 --> 00:33:24,210 +تعال معاه base in prisms. طب + +463 +00:33:24,210 --> 00:33:28,730 +ليش ما قلنا الـ orthoptic exercise؟ طالما أنه + +464 +00:33:28,730 --> 00:33:32,890 +المشكلة كبيرة، والـ convergence ضعيف كتير، والـ… + +465 +00:33:32,890 --> 00:33:35,990 +الـ… الـ accommodation مش هتنفع، الـ orthoptic + +466 +00:33:35,990 --> 00:33:39,770 +exercise، فما تجربيهاش من الأساس. يعني هنا orthoptic + +467 +00:33:39,770 --> 00:33:44,990 +exercise have no effect، have no effect. فبالتالي + +468 +00:33:44,990 --> 00:33:49,210 +طيب، base in the prisms و reading glasses، في حاجة + +469 +00:33:49,210 --> 00:33:52,530 +تانية ممكن تساعد، الـ base in the prisms اللي هي + +470 +00:33:52,530 --> 00:33:55,530 +botulinum toxin، Botox. + +471 +00:33:57,590 --> 00:34:01,470 +حقا، عشان أعالج مشكلة الـ convergence weakness، بس + +472 +00:34:01,470 --> 00:34:05,740 +و إنتَ بدك تحقنه في أي عضلات؟ عشان أضعفها بالمرة + +473 +00:34:05,740 --> 00:34:09,240 +بزيادة. احنا بدنا convergence، في الـ lateral rectus + +474 +00:34:09,240 --> 00:34:13,420 +في الناحيتين، بدو يحقن botulinum toxin عشان يحاول + +475 +00:34:13,420 --> 00:34:18,620 +يخفف المشكلة. تمام. طبعا، الـ near reflex paresis، رغم + +476 +00:34:18,620 --> 00:34:24,000 +كل هذه الإجراءات، صعب جداً أنه نتخلص منه، صعب جداً أنه + +477 +00:34:24,000 --> 00:34:28,900 +نتخلص منه، بس ما لا يُدركه كله لا يُتركه جله. + +478 +00:34:32,380 --> 00:34:36,480 +إذا شدت المشكلة في الـ convergence والـ + +479 +00:34:36,480 --> 00:34:40,500 +accommodation، وصارت في لغة الـ maximum بتاعها، يعني + +480 +00:34:40,500 --> 00:34:44,260 +ما فيش أي جزء من الـ convergence بيقدر يعمله، ولا جزء من الـ + +481 +00:34:44,260 --> 00:34:46,620 +accommodation بتاتا بيقدر يبدأ عملية الـ + +482 +00:34:46,620 --> 00:34:50,340 +accommodation أو عملية الـ convergence، بسميه near + +483 +00:34:50,340 --> 00:34:54,740 +reflex paralysis، يعني شلل كامل في الـ near reflex. + +484 +00:34:54,740 --> 00:35:00,240 +in which no convergence or accommodation can be + +485 +00:35:00,240 --> 00:35:04,340 +initiated. تمام؟ طبعا، هذا إيش أسبابه؟ ممكن يكون + +486 +00:35:04,340 --> 00:35:07,620 +functional، يعني psychological. طبعا، functional يعني + +487 +00:35:07,620 --> 00:35:11,640 +ما فيش سبب عضوي، أو ممكن يكون له سبب عضوي في الـ + +488 +00:35:11,640 --> 00:35:17,220 +midbrain. يعني ممكن يتبع head trauma. طالما head + +489 +00:35:17,220 --> 00:35:20,260 +trauma، معناته ممكن بعض الناس تَشفى من الـ head + +490 +00:35:20,260 --> 00:35:24,060 +trauma، ويرجع هذا اللي هو near reflex paralysis + +491 +00:35:24,060 --> 00:35:29,230 +يتحسن، ويصير عنده فيه normal near trial. خلصنا هذه + +492 +00:35:29,230 --> 00:35:33,330 +القضية، بنكون خلصنا كل الشغلات اللي فيها weakness، + +493 +00:35:33,330 --> 00:35:36,150 +سواء convergence weakness، accommodative weakness، + +494 +00:35:36,150 --> 00:35:40,010 +near reflex insufficiency بنوعيه، الـ paresis والـ + +495 +00:35:40,010 --> 00:35:43,830 +paralysis. بدنا نحكي عن النقيد تماماً في الـ vergence + +496 +00:35:43,830 --> 00:35:45,710 +abnormalities، اللي هي الاسبازة. + +497 +00:35:49,540 --> 00:35:52,280 +قلنا هذا الكلام ما لوش علاقة في الـ heterophoria، الـ + +498 +00:35:52,280 --> 00:35:55,860 +heterophoria خلصناها بأنواعها الخمسة، الأربعة زائد + +499 +00:35:55,860 --> 00:36:00,200 +الـ mixed. الأربعة زائد الـ mixed. إذا الـ near reflex + +500 +00:36:00,200 --> 00:36:04,160 +spasm، بنعود بنذكر الـ near reflex هو عبارة عن + +501 +00:36:04,160 --> 00:36:09,120 +accommodation و convergence و meiosis. طيب، spasm of + +502 +00:36:09,120 --> 00:36:14,380 +the near reflex is a functional condition، يعني + +503 +00:36:14,380 --> 00:36:19,040 +psychological condition affecting patients of all + +504 +00:36:19,040 --> 00:36:23,340 +ages، وبالذات females، وبالذات females. إيش + +505 +00:36:23,340 --> 00:36:27,560 +العلامات بتاعته؟ diplopia، blurred vision، headache، + +506 +00:36:27,560 --> 00:36:32,700 +accompanied by esotropia، pseudomyopia، meiosis. + +507 +00:36:32,700 --> 00:36:39,940 +أنه هذا بيصيب جميع الأعمار، functional disease، + +508 +00:36:39,940 --> 00:36:44,160 +يعني psychological، يعني نتيجة stress كتير مثلاً، و + +509 +00:36:44,160 --> 00:36:47,640 +بيصيب جميع الأعمار، وخاصة females. إيش أعراضه؟ بيجي + +510 +00:36:47,640 --> 00:36:51,000 +المريض يشكي من diplopia، double vision، blurred + +511 +00:36:51,000 --> 00:36:55,300 +vision، ممكن تكون المرحلة السابقة للدبلوبيا صداع. + +512 +00:36:55,300 --> 00:36:59,500 +يعني كل هذه الأعراض لها علاقة بالـ near work، بالـ + +513 +00:36:59,500 --> 00:37:03,660 +near work. تمام؟ ممكن هذه تكون مصحوبة بإيزوتروبيا، + +514 +00:37:04,650 --> 00:37:07,150 +لأنه زاد الـ convergence عندي، صار فيه spasm في الـ + +515 +00:37:07,150 --> 00:37:11,730 +convergence. تمام؟ pseudomyopia، لأنه صار عندي spasm + +516 +00:37:11,730 --> 00:37:15,430 +في الـ accommodation، حيديني، بدل ما هو طبيعي، حيديني + +517 +00:37:15,430 --> 00:37:19,150 +كأنه myopic، عمل accommodation زيادة عن اللزوم. طبعا، + +518 +00:37:19,150 --> 00:37:22,970 +و meiosis. the spasm may be triggered when testing + +519 +00:37:22,970 --> 00:37:26,970 +ocular movements. إيش معنى الكلام هذا؟ الـ ocular + +520 +00:37:26,970 --> 00:37:29,390 +movements اللي أنا بعملها testing في كم position؟ + +521 +00:37:29,390 --> 00:37:32,930 +of gaze، eight eccentric position، الـ primary + +522 +00:37:32,930 --> 00:37:35,850 +position. بدي المريض وعيونه في الـ primary + +523 +00:37:35,850 --> 00:37:39,920 +position، في تمام الوضع، أي وضع اللي المفروض في + +524 +00:37:39,920 --> 00:37:43,640 +الطبيعة يصير فيه myosis، الـ convergence في وضع الـ + +525 +00:37:43,640 --> 00:37:46,000 +convergence، لما يكون عامل convergence على near + +526 +00:37:46,000 --> 00:37:49,880 +target، بيصير الـ near triad، ومن ضمنه إيش؟ الـ myosis. + +527 +00:37:49,880 --> 00:37:54,620 +الآن، لو أنا في الـ lateral gaze، لاحظت أن المريض صار + +528 +00:37:54,620 --> 00:37:58,540 +عنده myosis، معناه أن هذه إحدى علامات الـ near + +529 +00:37:58,540 --> 00:38:01,460 +reflex spasm. مش المفروض في الـ side gaze أنه يصير + +530 +00:38:01,460 --> 00:38:07,920 +عندي إيش؟ myosis. طيب، في هنا مقولة، myosis is the key + +531 +00:38:07,920 --> 00:38:12,440 +to diagnosis. myosis هو المفتاح بتاع تشخيص هذه + +532 +00:38:12,440 --> 00:38:18,530 +الحالة. يعني كيف أشخص مني الـ reflex spasm؟ أثناء نظري + +533 +00:38:18,530 --> 00:38:22,470 +للـ pupil في الـ eccentric gaze position، وهذا + +534 +00:38:22,470 --> 00:38:26,770 +بيأتيني رسالة أنه أي إنسان بده يبحث حول vergence + +535 +00:38:26,770 --> 00:38:30,050 +abnormalities أو phoria أو ما إلى ذلك، لازم يكون + +536 +00:38:30,050 --> 00:38:33,770 +دقيق الملاحظة، يعني مش آخد بالي من العين ككل إنها + +537 +00:38:33,770 --> 00:38:37,070 +اتحركت، وفي induction ولا ما فيش induction في vergence، + +538 +00:38:37,070 --> 00:38:40,310 +ولا ما فيش vergence، وإذا كان فيه defect، وأيضاً أطلع الـ + +539 +00:38:40,310 --> 00:38:44,150 +pupil أثناء هذه القضية. طبعا، إذا كان أنا بدي المريض + +540 +00:38:44,150 --> 00:38:47,630 +يتبعني بـ torch، بدي يكون الـ torch قوته مش كبيرة جداً + +541 +00:38:47,630 --> 00:38:51,230 +اللي تحدث miosis. تمام؟ ما يكونش miosis due to + +542 +00:38:51,230 --> 00:38:55,150 +excessive light. ما يكونش miosis… إذا observing + +543 +00:38:55,150 --> 00:39:00,110 +meiosis is the key to diagnosis. كيف أعرف عندي أنه + +544 +00:39:00,110 --> 00:39:03,150 +pseudo-myopia؟ إيش يعني pseudo-myopia؟ يعني myopia + +545 +00:39:03,150 --> 00:39:07,390 +غير حقيقية، مش صحيحة، يعني هو مش myopic. طيب، قد إيش + +546 +00:39:07,390 --> 00:39:10,550 +يعني ممكن يعطيني pseudo-myopia؟ ممكن يعطيني تسعة + +547 +00:39:10,550 --> 00:39:15,530 +درجات؟ عشر درجات؟ ثمان درجات؟ ست درجات؟ آه، ممكن. + +548 +00:39:15,530 --> 00:39:20,450 +بيجي بعض الأطفال عندهم near reflex spasm، بتلاقي هذه + +549 +00:39:20,450 --> 00:39:23,690 +القضية، وهذه الأعراض بعد الـ cycloplegia بتلاقي + +550 +00:39:23,690 --> 00:39:29,390 +مثلاً plus ربع، plus ثلاثة أرباع، وهكذا. تمام؟ هذا الـ + +551 +00:39:29,390 --> 00:39:32,670 +refraction الحقيقي بتاعه، يعني مش اروح أنا أعمله + +552 +00:39:32,670 --> 00:39:35,050 +correction لـ الـ minus، هو الـ minus عشرة، هو عامل + +553 +00:39:35,050 --> 00:39:40,890 +accommodation عشان إيش؟ عشان يعني عنده spasm في الـ + +554 +00:39:40,890 --> 00:39:45,110 +near reflex. إذا refraction with and without + +555 +00:39:45,110 --> 00:39:49,430 +cycloplegia confirms the pseudomyopia which must + +556 +00:39:49,430 --> 00:39:52,270 +not be corrected optically، لأنه لما عملنا له + +557 +00:39:52,270 --> 00:39:54,710 +correction جاء خطأ كبير، ممكن زدنا عليه + +558 +00:39:54,710 --> 00:40:00,260 +accommodation فوق ما هو spasm. كيف احنا نعالج هذا + +559 +00:40:00,260 --> 00:40:05,060 +المريض؟ علاجه بسيط، تمام، بيبدأ بالـ reassurance، إعادة + +560 +00:40:05,060 --> 00:40:08,820 +تطمين المريض، تمام، وأنه أي activity، أي activity + +561 +00:40:08,820 --> 00:40:12,720 +بتخلي عنده near reflex يصير فيه spasm، يبعد عنها. + +562 +00:40:12,720 --> 00:40:16,320 +بمعنى، أنا لما بأجري مثلاً نص ساعة، بيبدأ يصير عندي + +563 +00:40:16,320 --> 00:40:20,160 +الأعراض، ببدأ أشكي. لأ، أجري ربع ساعة، وريح بعدين + +564 +00:40:20,160 --> 00:40:23,300 +أجري ربع ساعة، وريح. يعني أنهي الـ activity اللي + +565 +00:40:23,300 --> 00:40:26,140 +بتبقى لحد ما تشعر أنه بدأت الأعراض، أنهي الـ activity. + +566 +00:40:26,140 --> 00:40:31,520 +طيب، لو ما نفعش، ساعتها أنا أبدأ أعمله cycloplegia + +567 +00:40:31,520 --> 00:40:36,160 +كعلاج، عشان ما يقدرش يعمل accommodation. تمام، وفي + +568 +00:40:36,160 --> 00:40:40,020 +نفس الوقت، أعطيله reading correction. إذا الـ + +569 +00:40:40,020 --> 00:40:43,600 +treatment involves reassurance، تطمين المريض، and + +570 +00:40:43,600 --> 00:40:46,760 +advising the patient to look away and cease the + +571 +00:40:46,760 --> 00:40:50,400 +activity that triggers the response. طب، إذا ما نفعش رغم + +572 +00:40:50,400 --> 00:40:54,380 +هيك، atropine and full reading correction are + +573 +00:40:54,380 --> 00:40:57,320 +prescribed، but it is difficult later to gradually + +574 +00:40:57,590 --> 00:41:01,990 +يعني عيارنا بدينا العلاج، صعب إني أتركه، هيفضل عليه + +575 +00:41:01,990 --> 00:41:05,430 +ممكن سنة يفضل عليه أو سنتين. تمام؟ بس طبعاً مش + +576 +00:41:05,430 --> 00:41:08,370 +بالكثافة اللي بيعطيه في الأول، يعني ممكن أنا أبدأ + +577 +00:41:08,370 --> 00:41:12,530 +بالأتروبين مرتين يومياً، بعد أسبوع أخليه مرة يومياً، + +578 +00:41:12,530 --> 00:41:16,330 +بعد أسبوعين أخليه مثلاً يوم بعد يوم نقطة، وبعدين + +579 +00:41:16,330 --> 00:41:19,310 +أبدأ أعمل weaning بالتدريج. طبعاً بدي أكون في كل هذه + +580 +00:41:19,310 --> 00:41:22,190 +الحالات لابس الـ reading correction، وأكون أنا + +581 +00:41:22,190 --> 00:41:27,660 +متابع حدة الإبصار على الـ distance وعلى الـ near. رغم + +582 +00:41:27,660 --> 00:41:31,860 +هذه الأعراض، ومع العلاج، الـ patients usually seem + +583 +00:41:31,860 --> 00:41:34,720 +to live fairly normal lives despite the signs and + +584 +00:41:34,720 --> 00:41:38,520 +symptoms. رغم الأعراض، يعني حياة المريض يعني بتكون + +585 +00:41:38,520 --> 00:41:41,740 +ماشي حالها، يعني، وأموره يعني ماشية، ما فيش يعني + +586 +00:41:41,740 --> 00:41:47,140 +مشكلة كبيرة. يعني طبعاً عدة مرضى معهم اللي هو near + +587 +00:41:47,140 --> 00:41:50,980 +reflex spasm، ومشيوا على الأتروبين، واتبدل الأتروبين بـ + +588 +00:41:50,980 --> 00:41:54,120 +cyclopentolate، اللي أنا يعني تقريباً بالأسبوع بنجد + +589 +00:41:54,120 --> 00:41:56,780 +نقطة واحدة من الـ cyclopentolate، يعني كأنه بيخدش الـ + +590 +00:41:56,780 --> 00:42:01,820 +treatment، واللي هو الـ… الـ correction بتاعه، يعني + +591 +00:42:01,820 --> 00:42:06,140 +اللي هو الـ reading correction بيلبسه أثناء الـ… + +592 +00:42:06,140 --> 00:42:11,130 +اللي هو الـ near activity، أثناء الـ near activity. الـ + +593 +00:42:11,130 --> 00:42:13,670 +divergence insufficiency، اللي هو آخر موضوع اليوم + +594 +00:42:13,670 --> 00:42:19,670 +عنه، برضه ينقسم لقسمين، divergence paralysis أو + +595 +00:42:19,670 --> 00:42:28,770 +divergence paresis، divergence paresis أو + +596 +00:42:28,770 --> 00:42:33,070 +paralysis، طبعاً + +597 +00:42:33,070 --> 00:42:38,660 +عبارة عن rare condition. ممكن يكون عندي فيه، يعني خلف + +598 +00:42:38,660 --> 00:42:43,360 +هذا الـ disease، فيه عندي neurological disease، زي + +599 +00:42:43,360 --> 00:42:46,780 +إيش؟ زي intracranial space occupying lesion، ونفس + +600 +00:42:46,780 --> 00:42:51,580 +الشيء فيها tumor… intracranial tumor. تمام، أو bleeding + +601 +00:42:51,580 --> 00:42:55,560 +أو cyst أو ما إلى ذلك، يعني… يعني شيء أو مرض + +602 +00:42:55,560 --> 00:43:01,520 +بيشغل الحيز من يعني اللي هو المساحة المخصصة للدماغ. + +603 +00:43:01,520 --> 00:43:05,580 +CVA، cerebrovascular accident، يعني جلطة دماغية، ممكن + +604 +00:43:05,580 --> 00:43:08,600 +تكون في مكان معين، أدت لـ divergence insufficiency. + +605 +00:43:08,600 --> 00:43:12,190 +أو head trauma. وطالما بيقول head trauma، إذا الـ + +606 +00:43:12,190 --> 00:43:16,430 +age اللي بيجي فيه المريض ممكن يكون أي age. تمام؟ + +607 +00:43:16,430 --> 00:43:20,030 +ممكن يكون أي age. إذا presentation may be at any + +608 +00:43:20,030 --> 00:43:23,570 +age and may be difficult to differentiate from sixth + +609 +00:43:23,570 --> 00:43:26,770 +nerve palsy. في الـ sixth nerve palsy، ما فيش divergence. + +610 +00:43:26,770 --> 00:43:31,330 +تمام؟ وهنا ما فيش divergence. طب كيف أفرق هل هذا sixth + +611 +00:43:31,330 --> 00:43:37,230 +nerve palsy ولا يعني divergence insufficiency؟ في + +612 +00:43:37,230 --> 00:43:42,990 +عدة فروق بينهم، أول حاجة هذا عبارة عن concomitant + +613 +00:43:42,990 --> 00:43:49,650 +deviation. concomitant deviation. الـ sixth nerve palsy، + +614 +00:43:49,650 --> 00:43:54,450 +incomitant deviation. الـ sixth nerve palsy، incomitant + +615 +00:43:54,450 --> 00:43:56,710 +deviation. إيش يعني concomitant وإنcomitant؟ + +616 +00:43:59,010 --> 00:44:02,490 +يعني لما بيجي الحول في الـ… في الـ horizontal + +617 +00:44:02,490 --> 00:44:05,450 +gaze، right gaze و left gaze والـ primary position، + +618 +00:44:05,450 --> 00:44:08,570 +في الـ divergence insufficiency، الفروق لا تتعدى + +619 +00:44:08,570 --> 00:44:12,610 +خمسة prism diopter، بينما في الـ sixth nerve palsy، لما + +620 +00:44:12,610 --> 00:44:15,150 +أنا بيكون عند المريض right sixth nerve palsy، و + +6 \ No newline at end of file diff --git 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"temperature": 1.0}, {"id": 13, "seek": 33841, "start": 328.71, "end": 338.41, "text": "وعنير مثلا اتناشر prison إيش رأيكم؟ إيش نسميها هذا؟ بس إيش اللي insufficient؟", "tokens": [2407, 3615, 1863, 13546, 50113, 15040, 1975, 2655, 1863, 33599, 2288, 6168, 11933, 1829, 8592, 12602, 10721, 1829, 24793, 22807, 11933, 1829, 8592, 8717, 38251, 1829, 11296, 23758, 22807, 4724, 3794, 11933, 1829, 8592, 13672, 1829, 41709, 22807], "avg_logprob": -0.27924680404174024, "compression_ratio": 1.158878504672897, "no_speech_prob": 0.0, "words": [{"start": 328.71, "end": 329.35, "word": "وعنير", "probability": 0.441253662109375}, {"start": 329.35, "end": 329.79, "word": " مثلا", "probability": 0.985107421875}, {"start": 329.79, "end": 330.39, "word": " اتناشر", "probability": 0.87421875}, {"start": 330.39, "end": 330.79, "word": " prison", "probability": 0.23486328125}, {"start": 330.79, "end": 333.29, "word": " إيش", "probability": 0.7462565104166666}, {"start": 333.29, "end": 334.01, "word": " 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divergence insufficiency ادت لايزوفوريا على ال distance مقياسها 25 ابريزن تمام؟ اذا هذه الحالة التانية بسميها divergence insufficiency ايزوفوريا نيجي للاكزوفوريا مريض صيني إيجاني", "tokens": [15042, 28543, 2288, 8592, 7251, 3215, 1211, 16095, 20449, 8315, 47395, 8978, 11296, 16472, 16254, 1975, 8315, 47387, 1028, 1245, 42081, 1975, 3215, 2655, 20193, 1829, 11622, 38688, 13063, 25528, 15844, 2423, 4560, 3714, 4587, 25528, 3794, 11296, 3552, 48127, 16572, 11622, 1863, 46811, 10943, 22807, 1975, 15730, 29538, 21542, 6027, 3660, 16712, 7649, 10632, 4724, 38251, 1829, 11296, 47387, 1028, 1245, 42081, 1975, 1829, 11622, 38688, 13063, 25528, 8717, 1829, 7435, 1829, 5296, 15040, 4117, 11622, 38688, 13063, 25528, 3714, 16572, 11242, 20328, 9957, 1829, 11933, 1829, 7435, 7649, 1829], "avg_logprob": -0.2921195551753044, "compression_ratio": 1.6699507389162562, "no_speech_prob": 0.0, "words": [{"start": 364.14, "end": 364.82, "word": "ماقدرش", "probability": 0.8665771484375}, {"start": 364.82, 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تمام؟", "probability": 0.9615885416666666}], "temperature": 1.0}, {"id": 52, "seek": 128120, "start": 1257.46, "end": 1281.2, "text": "هنا convergence insufficiency أو weakness بس مش exophoria إيش الفرق بين العبارة الأولى و العبارة التانية؟ انه هنا في عندى squint خفي latent squint هنا بال prison cover test لا فيه tropia ولا phoria ولا أي حاجة طب كيف أنا بعرف أنه في convergence insufficiency بس symptoms؟ كيف بنعرف", "tokens": [3224, 8315, 32181, 1028, 1245, 42081, 34051, 12772, 4724, 3794, 37893, 454, 404, 2335, 654, 11933, 1829, 8592, 27188, 2288, 4587, 49374, 18863, 3555, 9640, 3660, 16247, 12610, 7578, 4032, 18863, 3555, 9640, 3660, 16712, 7649, 10632, 22807, 16472, 3224, 34105, 8978, 43242, 7578, 2339, 686, 16490, 41185, 48994, 2339, 686, 34105, 20666, 6168, 2060, 1500, 20193, 8978, 3224, 9006, 654, 49429, 903, 8172, 49429, 36632, 11331, 26108, 3660, 23032, 3555, 9122, 33911, 41850, 45030, 28480, 14739, 3224, 8978, 32181, 1028, 1245, 42081, 4724, 3794, 8332, 22807, 9122, 33911, 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{"start": 1273.48, "end": 1273.78, "word": " ولا", "probability": 0.962890625}, {"start": 1273.78, "end": 1274.04, "word": " أي", "probability": 0.8388671875}, {"start": 1274.04, "end": 1274.52, "word": " حاجة", "probability": 0.9978841145833334}, {"start": 1274.52, "end": 1274.92, "word": " طب", "probability": 0.867431640625}, {"start": 1274.92, "end": 1275.18, "word": " كيف", "probability": 0.988525390625}, {"start": 1275.18, "end": 1275.38, "word": " أنا", "probability": 0.80419921875}, {"start": 1275.38, "end": 1275.76, "word": " بعرف", "probability": 0.97216796875}, {"start": 1275.76, "end": 1276.02, "word": " أنه", "probability": 0.6317138671875}, {"start": 1276.02, "end": 1276.12, "word": " في", "probability": 0.9423828125}, {"start": 1276.12, "end": 1276.66, "word": " convergence", "probability": 0.99169921875}, {"start": 1276.66, "end": 1277.66, "word": " insufficiency", "probability": 0.9410807291666666}, {"start": 1277.66, "end": 1278.68, "word": " بس", "probability": 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"probability": 0.9186197916666666}, {"start": 1299.26, "end": 1300.44, "word": " بال", "probability": 0.87451171875}, {"start": 1300.44, "end": 1300.74, "word": " rough", "probability": 0.73583984375}, {"start": 1300.74, "end": 1301.12, "word": " rule", "probability": 0.66845703125}, {"start": 1301.12, "end": 1301.46, "word": " او", "probability": 0.58782958984375}, {"start": 1301.46, "end": 1303.74, "word": " بال", "probability": 0.28271484375}, {"start": 1303.74, "end": 1303.82, "word": " sign", "probability": 0.1322021484375}, {"start": 1303.82, "end": 1303.98, "word": " up", "probability": 0.50244140625}, {"start": 1303.98, "end": 1304.1, "word": " to", "probability": 0.97265625}, {"start": 1304.1, "end": 1304.24, "word": " four", "probability": 0.8671875}, {"start": 1304.24, "end": 1304.76, "word": " بتجيسيها", "probability": 0.7549176897321429}, {"start": 1304.76, "end": 1305.86, "word": " بال", "probability": 0.38671875}, {"start": 1305.86, "end": 1309.5, "word": " sign", "probability": 0.50146484375}, {"start": 1309.5, "end": 1309.64, "word": " up", "probability": 0.962890625}, {"start": 1309.64, "end": 1309.8, "word": " to", "probability": 0.98388671875}, {"start": 1309.8, "end": 1310.0, "word": " four", "probability": 0.94921875}], "temperature": 1.0}, {"id": 54, "seek": 132798, "start": 1312.28, "end": 1327.98, "text": "ببساطة شديدة .. بالظبط فين و بجربه لغاية ما .. يعني تحدث اما subjective او .. يعني objective .. near point of convergence أحددها و بقى أجيسها بالمصطرة بقياس يعني عادي، تمام؟", "tokens": [3555, 3555, 3794, 41193, 3660, 13412, 16254, 41891, 4386, 20666, 19913, 3555, 9566, 8978, 1863, 4032, 4724, 7435, 25513, 3224, 5296, 17082, 995, 10632, 19446, 4386, 37495, 22653, 6055, 24401, 12984, 1975, 15042, 25972, 1975, 2407, 4386, 37495, 22653, 10024, 4386, 2651, 935, 295, 32181, 5551, 24401, 3215, 11296, 4032, 4724, 4587, 7578, 5551, 7435, 1829, 3794, 11296, 20666, 2304, 9381, 9566, 25720, 4724, 4587, 25528, 3794, 37495, 22653, 6225, 995, 16254, 12399, 46811, 10943, 22807], "avg_logprob": -0.2185470825665957, "compression_ratio": 1.4456521739130435, "no_speech_prob": 0.0, "words": [{"start": 1312.28, "end": 1313.1, "word": "ببساطة", "probability": 0.966796875}, {"start": 1313.1, "end": 1313.48, "word": " شديدة", "probability": 0.9475911458333334}, {"start": 1313.48, "end": 1314.02, "word": " ..", "probability": 0.68212890625}, {"start": 1314.02, "end": 1315.4, "word": " بالظبط", "probability": 0.7576141357421875}, {"start": 1315.4, "end": 1315.8, "word": " فين", "probability": 0.5615234375}, {"start": 1315.8, "end": 1315.9, "word": " و", "probability": 0.378173828125}, {"start": 1315.9, "end": 1316.38, "word": " بجربه", "probability": 0.9820556640625}, {"start": 1316.38, "end": 1316.78, "word": " لغاية", "probability": 0.990234375}, {"start": 1316.78, "end": 1317.0, "word": " ما", "probability": 0.8447265625}, {"start": 1317.0, "end": 1317.72, "word": " ..", "probability": 0.61376953125}, {"start": 1317.72, "end": 1318.04, "word": " يعني", "probability": 0.9072265625}, {"start": 1318.04, "end": 1318.68, "word": " تحدث", "probability": 0.9228515625}, {"start": 1318.68, "end": 1318.9, "word": " اما", "probability": 0.614013671875}, {"start": 1318.9, "end": 1319.4, "word": " subjective", "probability": 0.9345703125}, {"start": 1319.4, "end": 1320.16, "word": " او", "probability": 0.77490234375}, {"start": 1320.16, "end": 1320.16, "word": " ..", "probability": 0.63916015625}, {"start": 1320.16, "end": 1321.0, "word": " يعني", "probability": 0.7451171875}, {"start": 1321.0, "end": 1321.66, "word": " objective", "probability": 0.91015625}, {"start": 1321.66, "end": 1322.06, "word": " ..", "probability": 0.437255859375}, {"start": 1322.06, "end": 1322.32, "word": " near", "probability": 0.79736328125}, {"start": 1322.32, "end": 1322.68, "word": " point", "probability": 0.97607421875}, {"start": 1322.68, "end": 1322.82, "word": " of", "probability": 0.98828125}, {"start": 1322.82, "end": 1323.32, "word": " convergence", "probability": 0.98388671875}, {"start": 1323.32, "end": 1323.96, "word": " أحددها", "probability": 0.84576416015625}, {"start": 1323.96, "end": 1324.06, "word": " و", "probability": 0.806640625}, {"start": 1324.06, "end": 1324.24, "word": " بقى", "probability": 0.8273111979166666}, {"start": 1324.24, "end": 1324.54, "word": " أجيسها", "probability": 0.85810546875}, {"start": 1324.54, "end": 1325.12, "word": " بالمصطرة", "probability": 0.82646484375}, {"start": 1325.12, "end": 1326.14, "word": " بقياس", "probability": 0.93408203125}, {"start": 1326.14, "end": 1326.5, "word": " يعني", "probability": 0.943603515625}, {"start": 1326.5, "end": 1327.52, "word": " عادي،", "probability": 0.87451171875}, {"start": 1327.52, "end": 1327.98, "word": " تمام؟", "probability": 0.8328450520833334}], "temperature": 1.0}, {"id": 55, "seek": 135484, "start": 1328.16, "end": 1354.84, "text": "إذا هذا المريض اللي احنا هنحكي عنه الآن اللي عنده convergence insufficiency بس ماعندهوش convergence weakness exophoria هو إنسان ماعندهوش phoria ولا tropia ماعندهوش squint بس عنده أعراض عرفت أنا أنه عنده convergence weakness من قياسي لل near point of convergence يا ترى مين هدول الناس؟ إيش الأعراض اللي بتتعرضوا إلها و بشكوا منها؟ إيش العلاج؟ طيب إذا convergence insufficiency", "tokens": [28814, 15730, 23758, 9673, 16572, 11242, 13672, 1829, 1975, 5016, 8315, 8032, 1863, 5016, 4117, 1829, 18871, 3224, 6024, 48506, 13672, 1829, 43242, 3224, 32181, 1028, 1245, 42081, 4724, 3794, 19446, 3615, 41260, 3224, 2407, 8592, 32181, 12772, 454, 404, 2335, 654, 31439, 36145, 3794, 7649, 19446, 3615, 41260, 3224, 2407, 8592, 903, 8172, 49429, 9006, 654, 19446, 3615, 41260, 3224, 2407, 8592, 2339, 686, 4724, 3794, 43242, 3224, 5551, 3615, 2288, 46958, 6225, 28480, 2655, 41850, 14739, 3224, 43242, 3224, 32181, 12772, 9154, 12174, 25528, 3794, 1829, 24976, 2651, 935, 295, 32181, 35186, 6055, 2288, 7578, 3714, 9957, 8032, 3215, 12610, 2423, 8315, 3794, 22807, 11933, 1829, 8592, 16247, 3615, 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0.632568359375}, {"start": 1330.48, "end": 1330.74, "word": " اللي", "probability": 0.973388671875}, {"start": 1330.74, "end": 1330.98, "word": " عنده", "probability": 0.981201171875}, {"start": 1330.98, "end": 1331.48, "word": " convergence", "probability": 0.98388671875}, {"start": 1331.48, "end": 1332.3, "word": " insufficiency", "probability": 0.8346354166666666}, {"start": 1332.3, "end": 1332.54, "word": " بس", "probability": 0.968505859375}, {"start": 1332.54, "end": 1332.98, "word": " ماعندهوش", "probability": 0.8776041666666666}, {"start": 1332.98, "end": 1333.48, "word": " convergence", "probability": 0.99365234375}, {"start": 1333.48, "end": 1334.16, "word": " weakness", "probability": 0.9326171875}, {"start": 1334.16, "end": 1335.5, "word": " exophoria", "probability": 0.6866455078125}, {"start": 1335.5, "end": 1336.0, "word": " هو", "probability": 0.9375}, {"start": 1336.0, "end": 1336.34, "word": " إنسان", "probability": 0.8732096354166666}, {"start": 1336.34, "end": 1336.9, "word": " ماعندهوش", "probability": 0.9767252604166666}, {"start": 1336.9, "end": 1337.34, "word": " phoria", "probability": 0.5301513671875}, {"start": 1337.34, "end": 1338.08, "word": " ولا", "probability": 0.91650390625}, {"start": 1338.08, "end": 1338.54, "word": " tropia", "probability": 0.55914306640625}, {"start": 1338.54, "end": 1338.94, "word": " ماعندهوش", "probability": 0.9446614583333334}, {"start": 1338.94, "end": 1339.4, "word": " squint", "probability": 0.706787109375}, {"start": 1339.4, "end": 1339.92, "word": " بس", "probability": 0.988525390625}, {"start": 1339.92, "end": 1340.18, "word": " عنده", "probability": 0.975341796875}, {"start": 1340.18, "end": 1340.8, "word": " أعراض", "probability": 0.961181640625}, {"start": 1340.8, "end": 1341.64, "word": " عرفت", "probability": 0.9913736979166666}, {"start": 1341.64, "end": 1341.8, "word": " أنا", "probability": 0.55224609375}, {"start": 1341.8, "end": 1342.06, "word": " أنه", "probability": 0.72412109375}, {"start": 1342.06, "end": 1342.34, "word": " عنده", "probability": 0.986083984375}, {"start": 1342.34, "end": 1342.84, "word": " convergence", "probability": 0.99560546875}, {"start": 1342.84, "end": 1343.4, "word": " weakness", "probability": 0.9658203125}, {"start": 1343.4, "end": 1343.64, "word": " من", "probability": 0.99560546875}, {"start": 1343.64, "end": 1344.14, "word": " قياسي", "probability": 0.956298828125}, {"start": 1344.14, "end": 1344.3, "word": " لل", "probability": 0.7236328125}, {"start": 1344.3, "end": 1344.54, "word": " near", "probability": 0.724609375}, {"start": 1344.54, "end": 1345.06, "word": " point", "probability": 0.97021484375}, {"start": 1345.06, "end": 1345.42, "word": " of", "probability": 0.98193359375}, {"start": 1345.42, "end": 1346.24, "word": " convergence", "probability": 0.978515625}, {"start": 1346.24, "end": 1346.92, "word": " يا", "probability": 0.6875}, {"start": 1346.92, "end": 1347.38, "word": " ترى", "probability": 0.91650390625}, 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"probability": 0.9627278645833334}, {"start": 1351.82, "end": 1352.42, "word": " العلاج؟", "probability": 0.9102783203125}, {"start": 1352.42, "end": 1352.94, "word": " طيب", "probability": 0.9469401041666666}, {"start": 1352.94, "end": 1353.32, "word": " إذا", "probability": 0.861328125}, {"start": 1353.32, "end": 1353.9, "word": " convergence", "probability": 0.994140625}, {"start": 1353.9, "end": 1354.84, "word": " insufficiency", "probability": 0.9222005208333334}], "temperature": 1.0}, {"id": 56, "seek": 138272, "start": 1355.52, "end": 1382.72, "text": "typically affects individuals with excessive visual demand such as students يعني أكتر ناس بتعرضوا لل convergence insufficiency هو اللي مطلوب منه يعمل convergence فترة طويلة مين اللي مطلوب منه يعمل convergence فترة طويلة الطلبة ليش لأنه بديجرى سواء في الجامعة في المدرسة بعد الجامعة بعد المدرسة بديجرى على الكمبيوتر كده ساعة على الجوال على كتب وإلى آخرى فبالتالي مطلوب منه visual demand عنيار كتير", "tokens": [874, 79, 984, 11807, 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{"start": 1562.06, "end": 1562.6, "word": " vision", "probability": 0.9345703125}, {"start": 1562.6, "end": 1562.98, "word": " لأ", "probability": 0.919189453125}, {"start": 1562.98, "end": 1563.58, "word": " لأنه", "probability": 0.8277994791666666}, {"start": 1563.58, "end": 1564.02, "word": " هتسقط", "probability": 0.9599609375}, {"start": 1564.02, "end": 1564.56, "word": " الصورة", "probability": 0.9884440104166666}, {"start": 1564.56, "end": 1565.12, "word": " بواسطة", "probability": 0.98974609375}, {"start": 1565.12, "end": 1565.74, "word": " البرزمات", "probability": 0.9798828125}, {"start": 1565.74, "end": 1565.96, "word": " على", "probability": 0.92724609375}, {"start": 1565.96, "end": 1566.62, "word": " corresponding", "probability": 0.66357421875}, {"start": 1566.62, "end": 1567.2, "word": " retinal", "probability": 0.965087890625}], "temperature": 1.0}, {"id": 65, "seek": 157831, "start": 1567.41, "end": 1578.31, "text": "points ومتالي اللي هو base ان ال prisons ممكن تحل المشكلة عنده هذا بالنسبة لل convergence insufficiency", "tokens": [20552, 4032, 2304, 2655, 6027, 1829, 13672, 1829, 31439, 3096, 16472, 2423, 31396, 3714, 43020, 6055, 5016, 1211, 9673, 8592, 28820, 3660, 43242, 3224, 23758, 20666, 1863, 35457, 3660, 24976, 32181, 1028, 1245, 42081], "avg_logprob": -0.23437499914850507, "compression_ratio": 1.192, "no_speech_prob": 0.0, "words": [{"start": 1567.41, "end": 1567.99, "word": "points", "probability": 0.365478515625}, {"start": 1567.99, "end": 1568.79, "word": " ومتالي", "probability": 0.80546875}, {"start": 1568.79, "end": 1569.31, "word": " اللي", "probability": 0.82470703125}, {"start": 1569.31, "end": 1569.57, "word": " هو", "probability": 0.98681640625}, {"start": 1569.57, "end": 1569.99, "word": " base", "probability": 0.2315673828125}, {"start": 1569.99, "end": 1570.19, "word": " ان", "probability": 0.294677734375}, {"start": 1570.19, "end": 1570.29, "word": " ال", "probability": 0.671875}, {"start": 1570.29, "end": 1570.59, "word": " prisons", "probability": 0.75439453125}, {"start": 1570.59, "end": 1570.99, "word": " ممكن", "probability": 0.985107421875}, {"start": 1570.99, "end": 1571.45, "word": " تحل", "probability": 0.9674479166666666}, {"start": 1571.45, "end": 1572.35, "word": " المشكلة", "probability": 0.9913330078125}, {"start": 1572.35, "end": 1573.71, "word": " عنده", "probability": 0.8203125}, {"start": 1573.71, "end": 1576.21, "word": " هذا", "probability": 0.8857421875}, {"start": 1576.21, "end": 1576.67, "word": " بالنسبة", "probability": 0.8798828125}, {"start": 1576.67, "end": 1576.79, "word": " لل", "probability": 0.69677734375}, {"start": 1576.79, "end": 1577.35, "word": " convergence", "probability": 0.970703125}, {"start": 1577.35, "end": 1578.31, "word": " insufficiency", "probability": 0.8370768229166666}], "temperature": 1.0}, {"id": 66, "seek": 160755, "start": 1579.03, "end": 1607.55, "text": "طيب هل ممكن إنسان يكون عنده convergence insufficiency احنا خلصنا موضوع الفوريا و حكينا الفرق بين convergence insufficiency اكزوفوريا و convergence insufficiency لحالها هل ممكن إنسان عنده convergence insufficiency تكون عنده مشكلة تانية اسمها accommodative insufficiency طبعا ممكن تكون مسحوبة ل convergence insufficiency accommodative insufficiency طبعا is occasionally a present", "tokens": [9566, 1829, 3555, 8032, 1211, 3714, 43020, 36145, 3794, 7649, 7251, 30544, 43242, 3224, 32181, 1028, 1245, 42081, 1975, 5016, 8315, 16490, 1211, 9381, 8315, 3714, 2407, 11242, 45367, 27188, 13063, 25528, 4032, 11331, 4117, 1829, 8315, 27188, 2288, 4587, 49374, 32181, 1028, 1245, 42081, 1975, 4117, 11622, 38688, 13063, 25528, 4032, 32181, 1028, 1245, 42081, 5296, 5016, 6027, 11296, 8032, 1211, 3714, 43020, 36145, 3794, 7649, 43242, 3224, 32181, 1028, 1245, 42081, 6055, 30544, 43242, 3224, 37893, 28820, 3660, 6055, 7649, 10632, 24525, 2304, 11296, 11713, 1166, 1028, 1245, 42081, 23032, 3555, 3615, 995, 3714, 43020, 6055, 30544, 47524, 5016, 37746, 3660, 5296, 32181, 1028, 1245, 42081, 11713, 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خلصنا", "probability": 0.98779296875}, {"start": 1583.39, "end": 1583.73, "word": " موضوع", "probability": 0.9747314453125}, {"start": 1583.73, "end": 1584.15, "word": " الفوريا", "probability": 0.6224772135416666}, {"start": 1584.15, "end": 1584.27, "word": " و", "probability": 0.6865234375}, {"start": 1584.27, "end": 1584.97, "word": " حكينا", "probability": 0.9554443359375}, {"start": 1584.97, "end": 1585.39, "word": " الفرق", "probability": 0.92724609375}, {"start": 1585.39, "end": 1585.71, "word": " بين", "probability": 0.97412109375}, {"start": 1585.71, "end": 1586.79, "word": " convergence", "probability": 0.99365234375}, {"start": 1586.79, "end": 1587.65, "word": " insufficiency", "probability": 0.9322916666666666}, {"start": 1587.65, "end": 1588.47, "word": " اكزوفوريا", "probability": 0.7334391276041666}, {"start": 1588.47, "end": 1588.59, "word": " و", "probability": 0.98291015625}, {"start": 1588.59, "end": 1589.17, "word": " convergence", "probability": 0.990234375}, {"start": 1589.17, "end": 1590.05, "word": " insufficiency", "probability": 0.95556640625}, {"start": 1590.05, "end": 1590.59, "word": " لحالها", "probability": 0.98583984375}, {"start": 1590.59, "end": 1592.29, "word": " هل", "probability": 0.69482421875}, {"start": 1592.29, "end": 1592.61, "word": " ممكن", "probability": 0.99169921875}, {"start": 1592.61, "end": 1592.97, "word": " إنسان", "probability": 0.9104817708333334}, {"start": 1592.97, "end": 1593.19, "word": " عنده", "probability": 0.808837890625}, {"start": 1593.19, "end": 1593.69, "word": " convergence", "probability": 0.99462890625}, {"start": 1593.69, "end": 1594.49, "word": " insufficiency", "probability": 0.9571940104166666}, {"start": 1594.49, "end": 1594.75, "word": " تكون", "probability": 0.7607421875}, {"start": 1594.75, "end": 1594.97, "word": " عنده", "probability": 0.964599609375}, {"start": 1594.97, "end": 1595.43, "word": " مشكلة", "probability": 0.9817708333333334}, {"start": 1595.43, "end": 1595.67, "word": " تانية", "probability": 0.9933268229166666}, {"start": 1595.67, "end": 1596.03, "word": " اسمها", "probability": 0.9420572916666666}, {"start": 1596.03, "end": 1596.73, "word": " accommodative", "probability": 0.92724609375}, {"start": 1596.73, "end": 1597.53, "word": " insufficiency", "probability": 0.9485677083333334}, {"start": 1597.53, "end": 1598.57, "word": " طبعا", "probability": 0.9371337890625}, {"start": 1598.57, "end": 1598.97, "word": " ممكن", "probability": 0.96240234375}, {"start": 1598.97, "end": 1599.47, "word": " تكون", "probability": 0.99169921875}, {"start": 1599.47, "end": 1600.55, "word": " مسحوبة", "probability": 0.7835693359375}, {"start": 1600.55, "end": 1600.63, "word": " ل", "probability": 0.78173828125}, {"start": 1600.63, "end": 1601.07, "word": " convergence", "probability": 0.7255859375}, {"start": 1601.07, "end": 1601.97, "word": " insufficiency", "probability": 0.94482421875}, {"start": 1601.97, "end": 1602.97, "word": " accommodative", "probability": 0.910888671875}, {"start": 1602.97, "end": 1604.19, "word": " insufficiency", "probability": 0.9562174479166666}, {"start": 1604.19, "end": 1605.61, "word": " طبعا", "probability": 0.9608154296875}, {"start": 1605.61, "end": 1605.87, "word": " is", "probability": 0.94970703125}, {"start": 1605.87, "end": 1606.55, "word": " occasionally", "probability": 0.88818359375}, {"start": 1606.55, "end": 1607.21, "word": " a", "probability": 0.48046875}, {"start": 1607.21, "end": 1607.55, "word": " present", "probability": 0.81201171875}], "temperature": 1.0}, {"id": 67, "seek": 163793, "start": 1609.11, "end": 1637.93, "text": "كيف بعرف أنه في عندي accommodative insufficiency؟ بجيس ال near point of accommodation ال near point of accommodation و بقارنها مع العمر ليش؟ لأن ال near point of accommodation للي عمره مثلا خمسين سنة مش زي اللي عمره يعني عشرين سنة لما إنسان عنده عشرين سنة و لجأت ال near point of accommodation عنده ستين صنتي معناته ال accommodation عنده ضعيف كتير لذا في عنده accommodative insufficiency", "tokens": [4117, 33911, 45030, 28480, 14739, 3224, 8978, 18871, 16254, 11713, 1166, 1028, 1245, 42081, 22807, 4724, 7435, 1829, 3794, 2423, 2651, 935, 295, 27363, 2423, 2651, 935, 295, 27363, 4032, 4724, 4587, 9640, 1863, 11296, 20449, 18863, 29973, 32239, 8592, 22807, 5296, 33456, 2423, 2651, 935, 295, 27363, 5296, 20292, 6225, 29973, 3224, 50113, 15040, 16490, 2304, 3794, 9957, 8608, 1863, 3660, 37893, 30767, 1829, 13672, 1829, 6225, 29973, 3224, 37495, 22653, 6225, 46309, 9957, 8608, 1863, 3660, 5296, 15042, 36145, 3794, 7649, 43242, 3224, 6225, 46309, 9957, 8608, 1863, 3660, 4032, 5296, 7435, 10721, 2655, 2423, 2651, 935, 295, 27363, 43242, 3224, 8608, 2655, 9957, 20328, 29399, 1829, 20449, 8315, 47395, 2423, 27363, 43242, 3224, 48812, 3615, 33911, 9122, 2655, 13546, 5296, 15730, 8978, 43242, 3224, 11713, 1166, 1028, 1245, 42081], "avg_logprob": -0.13980263874943094, "compression_ratio": 2.2418032786885247, "no_speech_prob": 0.0, "words": [{"start": 1609.11, "end": 1609.43, "word": "كيف", "probability": 0.98095703125}, {"start": 1609.43, "end": 1609.75, "word": " بعرف", "probability": 0.9638671875}, {"start": 1609.75, "end": 1609.97, "word": " أنه", "probability": 0.427001953125}, {"start": 1609.97, "end": 1610.03, "word": " في", "probability": 0.85107421875}, {"start": 1610.03, "end": 1610.27, "word": " عندي", "probability": 0.752197265625}, {"start": 1610.27, "end": 1610.83, "word": " accommodative", "probability": 0.8994140625}, {"start": 1610.83, "end": 1612.11, "word": " insufficiency؟", "probability": 0.765869140625}, {"start": 1612.11, "end": 1612.69, "word": " بجيس", "probability": 0.9085693359375}, {"start": 1612.69, "end": 1612.81, "word": " ال", "probability": 0.76123046875}, {"start": 1612.81, "end": 1612.97, "word": " near", "probability": 0.64306640625}, {"start": 1612.97, "end": 1613.43, "word": " point", "probability": 0.97607421875}, {"start": 1613.43, "end": 1613.77, "word": " of", "probability": 0.9814453125}, {"start": 1613.77, "end": 1614.55, "word": " accommodation", "probability": 0.9404296875}, {"start": 1614.55, "end": 1615.21, "word": " ال", "probability": 0.333740234375}, {"start": 1615.21, "end": 1615.43, "word": " near", "probability": 0.888671875}, {"start": 1615.43, "end": 1615.71, "word": " point", "probability": 0.9892578125}, {"start": 1615.71, "end": 1615.91, "word": " of", "probability": 0.98486328125}, {"start": 1615.91, "end": 1616.51, "word": " accommodation", "probability": 0.9384765625}, {"start": 1616.51, "end": 1616.69, "word": " و", "probability": 0.54541015625}, {"start": 1616.69, "end": 1617.27, "word": " بقارنها", "probability": 0.98974609375}, {"start": 1617.27, "end": 1617.61, "word": " مع", "probability": 0.99755859375}, {"start": 1617.61, "end": 1619.17, "word": " العمر", "probability": 0.927978515625}, {"start": 1619.17, "end": 1620.13, "word": " ليش؟", "probability": 0.8191731770833334}, {"start": 1620.13, "end": 1620.29, "word": " لأن", "probability": 0.886962890625}, {"start": 1620.29, "end": 1620.37, "word": " ال", "probability": 0.80615234375}, {"start": 1620.37, "end": 1620.57, "word": " near", "probability": 0.92822265625}, {"start": 1620.57, "end": 1620.89, "word": " point", "probability": 0.98486328125}, {"start": 1620.89, "end": 1621.09, "word": " of", "probability": 0.98388671875}, {"start": 1621.09, "end": 1621.79, "word": " accommodation", "probability": 0.9248046875}, {"start": 1621.79, "end": 1622.47, "word": " للي", "probability": 0.8505859375}, {"start": 1622.47, "end": 1622.85, "word": " عمره", "probability": 0.9899088541666666}, {"start": 1622.85, "end": 1623.21, "word": " مثلا", "probability": 0.98779296875}, {"start": 1623.21, "end": 1623.83, "word": " خمسين", "probability": 0.983642578125}, {"start": 1623.83, "end": 1624.25, "word": " سنة", "probability": 0.9939778645833334}, {"start": 1624.25, "end": 1624.71, "word": " مش", "probability": 0.9716796875}, {"start": 1624.71, "end": 1624.93, "word": " زي", "probability": 0.992431640625}, {"start": 1624.93, "end": 1625.07, "word": " اللي", "probability": 0.816162109375}, {"start": 1625.07, "end": 1625.51, "word": " عمره", "probability": 0.9889322916666666}, {"start": 1625.51, "end": 1626.19, "word": " يعني", "probability": 0.90966796875}, {"start": 1626.19, "end": 1626.71, "word": " عشرين", "probability": 0.9578450520833334}, {"start": 1626.71, "end": 1627.03, "word": " سنة", "probability": 0.9947916666666666}, {"start": 1627.03, "end": 1627.29, "word": " لما", "probability": 0.901123046875}, {"start": 1627.29, "end": 1627.71, "word": " إنسان", "probability": 0.85693359375}, {"start": 1627.71, "end": 1628.19, "word": " عنده", "probability": 0.9921875}, {"start": 1628.19, "end": 1629.07, "word": " عشرين", "probability": 0.96435546875}, {"start": 1629.07, "end": 1629.71, "word": " سنة", "probability": 0.99658203125}, {"start": 1629.71, "end": 1629.87, "word": " و", "probability": 0.603515625}, {"start": 1629.87, "end": 1630.19, "word": " لجأت", "probability": 0.7808837890625}, {"start": 1630.19, "end": 1630.31, "word": " ال", "probability": 0.9384765625}, {"start": 1630.31, "end": 1630.55, "word": " near", "probability": 0.9326171875}, {"start": 1630.55, "end": 1630.95, "word": " point", "probability": 0.9833984375}, {"start": 1630.95, "end": 1631.17, "word": " of", "probability": 0.9833984375}, {"start": 1631.17, "end": 1631.73, "word": " accommodation", "probability": 0.94775390625}, {"start": 1631.73, "end": 1632.15, "word": " عنده", "probability": 0.977294921875}, {"start": 1632.15, "end": 1632.61, "word": " ستين", "probability": 0.98193359375}, {"start": 1632.61, "end": 1633.17, "word": " صنتي", "probability": 0.4930826822916667}, {"start": 1633.17, "end": 1633.75, "word": " معناته", "probability": 0.8907877604166666}, {"start": 1633.75, "end": 1633.83, "word": " ال", "probability": 0.7470703125}, {"start": 1633.83, "end": 1634.25, "word": " accommodation", "probability": 0.94921875}, {"start": 1634.25, "end": 1634.67, "word": " عنده", "probability": 0.9716796875}, {"start": 1634.67, "end": 1634.97, "word": " ضعيف", "probability": 0.9230143229166666}, {"start": 1634.97, "end": 1635.45, "word": " كتير", "probability": 0.96630859375}, {"start": 1635.45, "end": 1635.97, "word": " لذا", "probability": 0.556640625}, {"start": 1635.97, "end": 1636.13, "word": " في", "probability": 0.73876953125}, {"start": 1636.13, "end": 1636.43, "word": " عنده", "probability": 0.956787109375}, {"start": 1636.43, "end": 1637.09, "word": " accommodative", "probability": 0.9482421875}, {"start": 1637.09, "end": 1637.93, "word": " insufficiency", "probability": 0.95654296875}], "temperature": 1.0}, {"id": 68, "seek": 166599, "start": 1638.61, "end": 1665.99, "text": "و ممكن يكون عنده convergence insufficiency حسب ال near point of accommodation طيب ال accommodative insufficiency ممكن تكون primary يعني idiopathic مش معروفة السبب أو تكون secondary accommodative insufficiency يعني سببها انه اتعرض لعدوى فيروسية و نشأ 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near reflex paralysis يعني شلل كامل في ال near reflex in which no convergence or accommodation can be initiated تمام؟", "tokens": [28814, 15730, 13412, 3215, 2655, 9673, 8592, 28820, 3660, 8978, 2423, 32181, 4032, 2423, 27363, 4032, 20328, 9640, 2655, 4724, 1211, 17082, 3660, 2423, 6674, 39894, 45761, 11296, 37495, 22653, 19446, 41185, 8592, 36632, 10874, 1863, 3794, 2423, 32181, 4724, 1829, 28543, 2288, 7251, 25957, 43761, 49429, 10874, 1863, 3794, 2423, 27363, 4724, 2655, 9307, 995, 4724, 1829, 28543, 2288, 8592, 7251, 44510, 10721, 6225, 42213, 10632, 2423, 27363, 34051, 6225, 42213, 10632, 2423, 32181, 4724, 38251, 1829, 3224, 2651, 23802, 49507, 37495, 22653, 13412, 1211, 1211, 9122, 10943, 1211, 8978, 2423, 2651, 23802, 294, 597, 572, 32181, 420, 27363, 393, 312, 28578, 46811, 10943, 22807], "avg_logprob": -0.10740362107753754, "compression_ratio": 1.872, "no_speech_prob": 0.0, "words": [{"start": 2072.38, "end": 2072.68, "word": "إذا", "probability": 0.837890625}, {"start": 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b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/6EG8i7wTrko_raw.srt @@ -0,0 +1,2664 @@ +1 +00:00:21,780 --> 00:00:27,160 +بسم الله الرحمن الرحيم طبعا بنستكفل + +2 +00:00:27,160 --> 00:00:30,980 +ان شاء الله تعالى مقدة حوال اتنين استكمالا لحوال + +3 +00:00:30,980 --> 00:00:33,980 +واحد اللي حدناها في الفصل الاول اليوم هنحكي عن + +4 +00:00:33,980 --> 00:00:40,600 +موضوع يعني غاية في السهولة وغاية في نفس الوقت في + +5 +00:00:40,600 --> 00:00:47,400 +الحيرةيعني كتير ناس بتيجي عند هذا الموضوع مش عارفه + +6 +00:00:47,400 --> 00:00:51,620 +تاخد قرار إيش اللي مع المريض الموضوع هو من كلمتين + +7 +00:00:51,620 --> 00:00:56,040 +ال heterophoria و الvergence abnormality طبعا ال + +8 +00:00:56,040 --> 00:00:58,540 +heterophoria أو اختصارا الفوريا اللي هي latent + +9 +00:00:58,540 --> 00:01:02,320 +squint و هو latent squint ليش؟ لأن ال fusion ال + +10 +00:01:02,320 --> 00:01:06,240 +amplitudes تكفي to align the eyes تمام؟ال + +11 +00:01:06,240 --> 00:01:09,320 +convergence abnormalities اللي هي ال convergence + +12 +00:01:09,320 --> 00:01:14,500 +وال divergence abnormalities واللي يعني ممكن يعني + +13 +00:01:14,500 --> 00:01:17,600 +تتخذ مسميات عديدة زي ال convergence insufficient + +14 +00:01:17,600 --> 00:01:21,760 +زي ال convergence excess زي ال divergence + +15 +00:01:21,760 --> 00:01:25,440 +insufficient أو ال divergence excess وهذا هنحكي + +16 +00:01:25,440 --> 00:01:29,460 +عنه ونعرف كيف بالظبط نفرج بين الأنواع المختلفة + +17 +00:01:29,460 --> 00:01:34,630 +بتاعة هذه القضاياهي مش صعبة ولكن بدها انتباه بسيط + +18 +00:01:34,630 --> 00:01:38,570 +ال heterophoria نحكي عنها لحالها ال heterophoria + +19 +00:01:38,570 --> 00:01:42,230 +أو الحوالي الخفي تمام اللي هو ال foria اختصارا + +20 +00:01:42,230 --> 00:01:46,050 +بتسميه او latent skin ممكن يجيني المريض فيها + +21 +00:01:46,050 --> 00:01:52,460 +clinicallyب visual symptoms هذه ال visual symptoms + +22 +00:01:52,460 --> 00:01:56,440 +زي الastinopia الإرهاق البصري مش قادر يركز بتعب من + +23 +00:01:56,440 --> 00:02:00,720 +الدراسة أو من الكمبيوتر أو من الجوال تمام ممكن يشك + +24 +00:02:00,720 --> 00:02:03,920 +من double vision ممكن يشك من headache تمام فهذه + +25 +00:02:03,920 --> 00:02:08,600 +الأعراض بتيجي عنده نتيجة أنه عنده phoria طبعا + +26 +00:02:08,600 --> 00:02:11,460 +مابتيجيش معاه طول الوقت بتيجي معاه في أوقات ال + +27 +00:02:11,460 --> 00:02:16,940 +stress أو ال poor health مجهد مرهق متوتر مريض إلى + +28 +00:02:16,940 --> 00:02:22,350 +آخرهمطبعا هذه الأشياء ال stress و ال poor health و + +29 +00:02:22,350 --> 00:02:26,690 +الإجهاد و إلى آخره بيأدى لحاجة ان ال fusional + +30 +00:02:26,690 --> 00:02:30,350 +amplitudes مش كافية عشان تخلى ال latent squint + +31 +00:02:30,350 --> 00:02:36,810 +latent تمام فبيصير هو يجاهد على أساس انه يعني يخلى + +32 +00:02:36,810 --> 00:02:41,830 +الفوريا في مرحلة الفوريا ماتنقلبش لتروبيا فشغله + +33 +00:02:41,830 --> 00:02:47,110 +هذا و مقاومته لألموضوع أن الفوريا تتحول لتروبيا + +34 +00:02:47,110 --> 00:02:49,790 +بيخلي عنده الأعراض اللي حكينا عنها اللي هي + +35 +00:02:49,790 --> 00:02:55,050 +أستنوبيا و ممكن ديبلوبيا و ممكن هيدل تمام فممكن + +36 +00:02:55,050 --> 00:02:59,850 +ينتج عنده إيزوفوريا أو إكزوفوريا طبعا هذه + +37 +00:02:59,850 --> 00:03:05,470 +الإيزوفوريا أو الإكزوفوريا بتقسم حسب المسافة اللي + +38 +00:03:05,470 --> 00:03:10,780 +بتبرز فيها أكتر احنا هنحاول يقاسفي ال 9 positions + +39 +00:03:10,780 --> 00:03:14,260 +of gaze بس احنا اليوم هنركز على ال two positions + +40 +00:03:14,260 --> 00:03:18,240 +او على ال primary position و ال near gaze تمام؟ + +41 +00:03:18,240 --> 00:03:22,800 +يعني انسان بدنا نجيسله ال phoria على ال near و + +42 +00:03:22,800 --> 00:03:26,580 +بدنا نجيسله إياها على ال distance احنا بنقول في + +43 +00:03:26,580 --> 00:03:30,880 +عندنا isophoria و + +44 +00:03:30,880 --> 00:03:34,740 +في عندنا exophoria بعض المرضى بيجي ب isophoria و + +45 +00:03:34,740 --> 00:03:38,060 +بعضهم بيجي ب exophoria هذه ال isophoria + +46 +00:03:41,030 --> 00:03:45,110 +اما هتكون على النير اكتر من ال distance او على ال + +47 +00:03:45,110 --> 00:03:49,450 +distance اكتر من النير ال exofuria ايضا اما النير + +48 +00:03:49,450 --> 00:03:53,690 +اكتر من ال distance او ال distance اكتر من النير + +49 +00:03:53,690 --> 00:03:57,390 +ايش يعني النير اكتر و ال .. و النير اقل زاوية + +50 +00:03:57,390 --> 00:04:01,950 +الحول زاوية الحول او الفوريا طب ايش بأجيس الفوريا + +51 +00:04:01,950 --> 00:04:06,310 +ب ال Prism ب ال Prism ب ال Prism cover test تمام؟ + +52 +00:04:07,340 --> 00:04:11,040 +نفرض مثلا إنسان إيجى عنده esophoria على النير مثلا + +53 +00:04:11,040 --> 00:04:16,900 +عشرين prism وعلى ال distance تمانية prism إيش + +54 +00:04:16,900 --> 00:04:22,780 +أسميه أو كيف التشخيص بدي أسميه الآن أنا عندي النير + +55 +00:04:22,780 --> 00:04:31,040 +.. النير إيش بيصير فيه في الطبيعة convergence طيب + +56 +00:04:31,040 --> 00:04:36,140 +النير في convergence أنا بمسك الرقم الأعلىالأعلى + +57 +00:04:36,140 --> 00:04:39,860 +هي العشرين والعشرين جستها علوين؟ عن نير، عن نير، ع + +58 +00:04:39,860 --> 00:04:41,500 +نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع + +59 +00:04:41,500 --> 00:04:41,500 +نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع + +60 +00:04:41,500 --> 00:04:43,360 +نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع + +61 +00:04:43,360 --> 00:04:50,040 +نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع + +62 +00:04:50,040 --> 00:04:51,000 +نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع + +63 +00:04:51,000 --> 00:04:53,240 +نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع + +64 +00:04:53,240 --> 00:04:59,780 +نير، ع نير، ع نير، ع نير، ع نير، ع نير، ع نير، عهي + +65 +00:04:59,780 --> 00:05:03,300 +Esophoria بس النوع بتاعها convergence excess لما + +66 +00:05:03,300 --> 00:05:06,540 +بقى أسمع كلمة convergence excess ال convergence + +67 +00:05:06,540 --> 00:05:10,560 +بيصير عنية لما أبدأ أطلع on your target excess + +68 +00:05:10,560 --> 00:05:14,460 +يعني زيادة في ال convergence إذا هذه الفورية اللي + +69 +00:05:14,460 --> 00:05:16,980 +أنا جيستها هي عبارة عن convergence excess + +70 +00:05:16,980 --> 00:05:21,700 +Esophoria نيجي للحالة التانية أنا إنسان تاني إيجي + +71 +00:05:21,700 --> 00:05:25,180 +عنده Esophoria جيستله إياها بال Prism Cover Test + +72 +00:05:25,180 --> 00:05:29,790 +طلعت على ال distance مثلا 25 Prismوعنير مثلا + +73 +00:05:29,790 --> 00:05:37,230 +اتناشر prison إيش رأيكم؟ إيش نسميها هذا؟ بس إيش + +74 +00:05:37,230 --> 00:05:41,950 +اللي insufficient؟ال divergence ليش؟ دائما باخد + +75 +00:05:41,950 --> 00:05:45,330 +الرقم الأعلى الرقم الأعلى guess وين؟ ع ال distance + +76 +00:05:45,330 --> 00:05:48,030 +طب في ال distance الواحد بيصير عنده divergence ولا + +77 +00:05:48,030 --> 00:05:51,470 +convergence؟ divergence طب انا أطلع على إشي بعيد + +78 +00:05:51,470 --> 00:05:55,550 +كنت أطلع بالأساس على إشي جريب و نجلت عيني لإشي + +79 +00:05:55,550 --> 00:05:57,830 +بعيد بدو يصير من convergence position بدو يصير + +80 +00:05:57,830 --> 00:06:01,410 +divergence طب هذا ال divergence اللي المفروض يدل + +81 +00:06:01,410 --> 00:06:06,980 +لعينيا التنتينماقدرش يدلهم معناته فيها اندي انا + +82 +00:06:06,980 --> 00:06:11,620 +divergence insufficiency ادت لايزوفوريا على ال + +83 +00:06:11,620 --> 00:06:15,740 +distance مقياسها 25 ابريزن تمام؟ اذا هذه الحالة + +84 +00:06:15,740 --> 00:06:20,440 +التانية بسميها divergence insufficiency + +85 +00:06:20,440 --> 00:06:27,220 +ايزوفوريا نيجي + +86 +00:06:27,220 --> 00:06:32,350 +للاكزوفوريا مريض صيني إيجانيعنده exophoria و بشكي + +87 +00:06:32,350 --> 00:06:36,490 +من أعراض جست على ال near لجيتها عشرين prism و على + +88 +00:06:36,490 --> 00:06:40,950 +ال distance لجيتها تسعة prism برضه باخد الرقم + +89 +00:06:40,950 --> 00:06:46,450 +الأعلى .. باخد الرقم الأعلى الرقم الأعلى جاس وين؟ + +90 +00:06:46,450 --> 00:06:49,150 +عن ال near .. عن ال near المفروض إيش يصير + +91 +00:06:49,150 --> 00:06:52,850 +convergence ماصارش convergence صار exophoria عشرين + +92 +00:06:52,850 --> 00:06:56,810 +معناته في عندي ضعف في ال convergence convergence + +93 +00:06:56,810 --> 00:06:57,570 +insufficient + +94 +00:07:06,100 --> 00:07:10,200 +exophoria هي exophoria نوعها convergence + +95 +00:07:10,200 --> 00:07:14,420 +insufficiency وبالتالي لما بسمع convergence + +96 +00:07:14,420 --> 00:07:17,100 +insufficiency بدون معرفة الأرقام convergence + +97 +00:07:17,100 --> 00:07:20,680 +insufficiency يعني ال convergence أمتى بيصير عن + +98 +00:07:20,680 --> 00:07:23,900 +near insufficiency مش كافيني ال convergence ال + +99 +00:07:23,900 --> 00:07:27,280 +convergence ضعيفة عن near معناته بتخيل فورا ان ال + +100 +00:07:27,280 --> 00:07:30,640 +exophoria اللي هتصير مجاسها عن near أعلى من مجاسها + +101 +00:07:30,640 --> 00:07:36,000 +على ال distance حجاني صاد من الناسعنده Exophoria + +102 +00:07:36,000 --> 00:07:39,220 +جستها بال prison cover test على ال distance وعنير، + +103 +00:07:39,220 --> 00:07:42,940 +على ال distance طلعت اربع وعشرين prison، عنير طلعت + +104 +00:07:42,940 --> 00:07:47,320 +احداشر prison باخد الرقم الأعلى، وين الرقم الأعلى؟ + +105 +00:07:47,320 --> 00:07:50,020 +على ال distance، على ال distance، اذا المشكلة في + +106 +00:07:50,020 --> 00:07:54,230 +ال divergence هنديال divergence المفروض ينجل لإيه؟ + +107 +00:07:54,230 --> 00:07:56,990 +من ال conversion position ل ال primary position لل + +108 +00:07:56,990 --> 00:08:01,470 +ortho position هنا جالها ل exo 24 معناته في عندي + +109 +00:08:01,470 --> 00:08:05,270 +divergence زيادة هذا بيسموها divergence excess + +110 +00:08:05,270 --> 00:08:12,130 +exophoria + +111 +00:08:12,130 --> 00:08:15,710 +إذن + +112 +00:08:15,710 --> 00:08:19,760 +ال heterophoria لما أنا بدي أتعامل معهابدي أعرف في + +113 +00:08:19,760 --> 00:08:24,120 +الأول التشخيص السليك ممكن أنا أكون بجيس بال prism + +114 +00:08:24,120 --> 00:08:28,260 +cover test ممتاز وبجيس على ال distance ممتاز وعنية + +115 +00:08:28,260 --> 00:08:31,320 +ممتاز بس المشكلة عندي في التسمية أنا في عندي أربع + +116 +00:08:31,320 --> 00:08:34,940 +تسميات في عندي convergence excess وفي عندي + +117 +00:08:34,940 --> 00:08:37,760 +convergence insufficiency أو بيسموها convergence + +118 +00:08:37,760 --> 00:08:41,580 +weakness تمام exophoria في عندي divergence + +119 +00:08:41,580 --> 00:08:45,250 +weakness وفي عندي divergence excessيعني ال + +120 +00:08:45,250 --> 00:08:47,910 +divergence ممكن يكون زيت أو ناقص و ال convergence + +121 +00:08:47,910 --> 00:08:52,450 +ممكن يكون زيت أو ناقص إذا أنا سميت التسمية الصحيحة + +122 +00:08:52,450 --> 00:08:57,110 +بأوصل للعلاج الصحيح في ناس تعتقد أنه أي exophoria + +123 +00:08:57,110 --> 00:09:01,610 +.. أي exophoria ال orthoptic exercise هي العلاج + +124 +00:09:01,610 --> 00:09:05,230 +الأمثل لها ال orthoptic exercise الحالة الوحيدة + +125 +00:09:05,230 --> 00:09:09,900 +اللي بتنفع فيها هي ال convergence weaknessليش؟ لأن + +126 +00:09:09,900 --> 00:09:13,360 +ال convergence اندي ضعيف فهو هذا اللي بدي اجوده + +127 +00:09:13,360 --> 00:09:16,120 +هنا ال convergence مش ضعيف هنا المشكلة زيادة في ال + +128 +00:09:16,120 --> 00:09:19,620 +divergence هنا اعطيله orthoptic exercise جد ما + +129 +00:09:19,620 --> 00:09:23,580 +تعطيله مش هيفيد مش هي .. مش هيأثت فمن الأربع انواع + +130 +00:09:23,580 --> 00:09:26,300 +فقط ال convergence insufficient هي اللي بتستفيد من + +131 +00:09:26,300 --> 00:09:29,780 +الاش من ال orthoptic exercise فهذه القضية بدأت + +132 +00:09:29,780 --> 00:09:34,000 +تكون واضحة لنا التفاصيلات الأربعة احنا عملناها ليش + +133 +00:09:34,000 --> 00:09:39,630 +بناء علىالفرق بين القياس لل distance و لل near أنا + +134 +00:09:39,630 --> 00:09:44,190 +دايما باخد الرقم الأعلى وبشوف الرقم الأعلى على ال + +135 +00:09:44,190 --> 00:09:46,430 +near ولا على ال distance إذا الرقم الأعلى على ال + +136 +00:09:46,430 --> 00:09:48,810 +near معناته المشكلة مشكلة convergence يا إما + +137 +00:09:48,810 --> 00:09:52,830 +excess يا إما weakness إذا الرقم الأعلى هو المرتبط + +138 +00:09:52,830 --> 00:09:56,470 +بقياس ال distance معناته مشكلة divergence إما + +139 +00:09:56,470 --> 00:10:01,710 +weakness أو excess الآن أنا قبل ما نقرأ الكلام هذا + +140 +00:10:01,710 --> 00:10:02,230 +بالدين + +141 +00:10:05,020 --> 00:10:09,360 +أعطي هيك سؤال عالسرير و مع بعض كنا هيك نحله بنقول + +142 +00:10:09,360 --> 00:10:18,300 +أحمد و محمود و محمد و مثلا سامي هنا التانين + +143 +00:10:18,300 --> 00:10:23,160 +الأولانين عندهم esophoria والتانين + +144 +00:10:23,160 --> 00:10:31,600 +التانين عندهم exophoria هنا + +145 +00:10:31,600 --> 00:10:35,950 +على ال near و على ال distanceخلّينا نجسمها بالشكل + +146 +00:10:35,950 --> 00:10:40,510 +هذا عشان نعطي المسميات في النهاية هنا على النير + +147 +00:10:40,510 --> 00:10:46,510 +مثلا 13 Prism وعلى ال distance مثلا 25 Prism هنا + +148 +00:10:46,510 --> 00:10:51,350 +ال isophoria على النير 19 Prism وعلى ال distance 7 + +149 +00:10:51,350 --> 00:10:56,910 +Prism هنا ال exophoria 25 Prism وعلى ال distance + +150 +00:10:56,910 --> 00:11:05,410 +10 Prism هنا 23 Prism وهنا مثلا 12 Prismيا ترى، + +151 +00:11:05,410 --> 00:11:10,230 +نمسك حالة حالة، هدولة كلهم phoric، هنا في عندي + +152 +00:11:10,230 --> 00:11:15,590 +esophoria، بس إيش اسمها؟divergence insufficiency + +153 +00:11:15,590 --> 00:11:19,930 +or weakness كيف عرفنا الرقم الأعلى ع ال distance + +154 +00:11:19,930 --> 00:11:22,970 +إذا المشكلة مشكلة ال divergence في ال divergence + +155 +00:11:22,970 --> 00:11:26,050 +المفروض العينين تعدي اللي مش تدخل لجوة إذا ال + +156 +00:11:26,050 --> 00:11:29,090 +divergence مش كافي إذا divergence insufficiency أو + +157 +00:11:29,090 --> 00:11:31,930 +divergence weakness هي نفس الكلمة نفس المعنى + +158 +00:11:31,930 --> 00:11:35,110 +divergence weakness أو divergence insufficiency + +159 +00:11:36,820 --> 00:11:40,880 +الحالة التانية convergence excess بالظبط الرقم + +160 +00:11:40,880 --> 00:11:43,440 +الأعلى عن نير إذا المشكلة مشكلة convergence + +161 +00:11:43,440 --> 00:11:47,440 +convergence مفروض convergence طبيعي مايصيلش فوريا + +162 +00:11:47,440 --> 00:11:51,560 +أو إيزوفوريا أكتر إذا إنت convergence excess تمام + +163 +00:11:51,560 --> 00:11:56,720 +هنا convergence insufficient لأنه على الرقم الأعلى + +164 +00:11:56,720 --> 00:12:00,000 +عن نير إذا مشكلة convergence بدل ما يعمل + +165 +00:12:00,000 --> 00:12:03,280 +convergence يعمل exofuria 25 معناته إيش + +166 +00:12:03,280 --> 00:12:06,220 +convergence weaknessهنا بتنفع ال orthoptic + +167 +00:12:06,220 --> 00:12:09,520 +exercise فقط في ال .. في الأربع حالات هنا + +168 +00:12:09,520 --> 00:12:14,880 +orthoptic exercise من ضمن العلاج تمام الحالة + +169 +00:12:14,880 --> 00:12:19,680 +الأخيرة divergence .. divergence exam لا .. لا لا + +170 +00:12:19,680 --> 00:12:29,020 +لا كلامكوا صحيح هي نفس الاشي تنقل الأرقام هي خطأ + +171 +00:12:29,020 --> 00:12:35,910 +مطبعي بس إيش رأيكم؟divergence excess divergence + +172 +00:12:35,910 --> 00:12:39,810 +excess هيك صارت اما قبل هيك كانت convergence + +173 +00:12:39,810 --> 00:12:42,290 +insufficiency تمام divergence excess + +174 +00:12:45,650 --> 00:12:51,770 +يترى كل شيء كيف يتعالج من الأربع أنواع من + +175 +00:12:51,770 --> 00:12:55,470 +الهيتروفوريا إذا الهيتروفوريا may be present + +176 +00:12:55,470 --> 00:12:58,050 +clinically with associated visual symptoms + +177 +00:12:58,050 --> 00:13:02,710 +particularly at times of stress, poor health, when + +178 +00:13:02,710 --> 00:13:05,750 +fusional amplitudes are insufficient to maintain + +179 +00:13:05,750 --> 00:13:11,730 +ocular alignment, both esophore and exophorecan be + +180 +00:13:11,730 --> 00:13:14,570 +classified by the distance at which the angle is + +181 +00:13:14,570 --> 00:13:18,510 +greater وين ال angle بتاعة الفورية أعلى بقى اطلع + +182 +00:13:18,510 --> 00:13:21,610 +عليها أعلى في انيار معناته المشكلة مشكلة + +183 +00:13:21,610 --> 00:13:24,490 +convergence أعلى في ال distance معناته المشكلة + +184 +00:13:24,490 --> 00:13:28,950 +مشكلة divergence وبالتالي بينشأ عندي convergence + +185 +00:13:28,950 --> 00:13:34,300 +excessconvergence excess زي الحالة التانية او + +186 +00:13:34,300 --> 00:13:40,220 +weakness زي الحالة الأولى او divergence excess او + +187 +00:13:40,220 --> 00:13:43,360 +divergence weakness هاي الأربع حالات في حالة + +188 +00:13:43,360 --> 00:13:48,960 +بيسموها mixed كيف ال mixed هادي بيجي احنا ناخد + +189 +00:13:48,960 --> 00:13:55,800 +مثال بسيط جدا انسان عنده divergence excess + +190 +00:14:01,590 --> 00:14:09,170 +و convergence axis كيف يعني يعني على ال distance + +191 +00:14:09,170 --> 00:14:15,390 +في عنده اكزوفوريا مثلا نقول خمسة و عشرين بريزم و + +192 +00:14:15,390 --> 00:14:25,070 +عن نير في عنده ايزوفوريا مثلا خمسة عشر بريزمأحنا + +193 +00:14:25,070 --> 00:14:28,610 +هالجهته هنا بنقول مافيش الرقم الأعلى، احنا بنقول + +194 +00:14:28,610 --> 00:14:33,090 +هدوله نوعين من الفوريا مختلفات، بقى على ال + +195 +00:14:33,090 --> 00:14:36,410 +distance المفروض يصير divergence، بس divergence + +196 +00:14:36,410 --> 00:14:39,470 +from a convergent position to the ortho position، + +197 +00:14:39,470 --> 00:14:42,010 +هو مارحش لل ortho position لما اتطلع على distant + +198 +00:14:42,010 --> 00:14:46,490 +target، راح ل Exo25 برزم إذا في عندي divergence + +199 +00:14:46,490 --> 00:14:51,150 +excess على البعيد طب على ال .. على ال near target + +200 +00:14:51,150 --> 00:14:54,050 +المفروض يعمل convergence بس convergence طبيعي + +201 +00:14:54,050 --> 00:14:58,110 +مايكونش فوريا يعني مايكونش أكتر من اللازم هو عمره + +202 +00:14:58,110 --> 00:15:04,710 +isofuria 25 .. 15 برزم فعنده هذا mixed يعني فوريا + +203 +00:15:04,710 --> 00:15:09,300 +عنده mixedطبعا ممكن بعض المرضى يجيب vertical + +204 +00:15:09,300 --> 00:15:12,680 +phoria وإن كان هذا نادر، غالبا يكونوا هذه المرضى + +205 +00:15:12,680 --> 00:15:15,720 +يكون عندهم abnormal ocular motility ال vertical + +206 +00:15:15,720 --> 00:15:20,080 +squint سواء فيوريا أو تروبيا، غالبا يكون مصاحب ب + +207 +00:15:20,080 --> 00:15:23,720 +abnormal ocular motility يترى علاج الفوريا + +208 +00:15:23,720 --> 00:15:28,550 +بأنواعها إيش؟يعني أفضل علاج طبعا أول علاج ال + +209 +00:15:28,550 --> 00:15:32,310 +orthoptic exercise أو ال orthoptic treatment is of + +210 +00:15:32,310 --> 00:15:35,870 +most value in convergence weakness exophoria + +211 +00:15:35,870 --> 00:15:39,170 +convergence weakness exophoria فقط هي اللي بتنفع + +212 +00:15:39,170 --> 00:15:42,770 +فيها ال orthoptic exerciseبستخدمهاش و بتعيبش مريضي + +213 +00:15:42,770 --> 00:15:48,810 +على شيء مش مناسب له تمام هذه شغلة الشغلة التانية + +214 +00:15:48,810 --> 00:15:51,470 +any significant refractive error should be + +215 +00:15:51,470 --> 00:15:54,910 +appropriately corrected هنا بدنا نقف شوية بنات إيش + +216 +00:15:54,910 --> 00:15:59,710 +يعني appropriately corrected؟ لازم يُعطى + +217 +00:15:59,710 --> 00:16:04,510 +refractive correction مناسب للحالة بمعنى الإنسان + +218 +00:16:04,510 --> 00:16:10,520 +اللي عنده مثلا exophoriaexophoria على ال near أكتر + +219 +00:16:10,520 --> 00:16:14,280 +من ال distance تمام هذا عنده convergence weakness + +220 +00:16:14,280 --> 00:16:22,800 +نمسك الحالة هذه هذا المريض ممكن يكون أحد أمرين إما + +221 +00:16:22,800 --> 00:16:27,460 +hyper metroid مثلا + +222 +00:16:27,460 --> 00:16:34,650 +أو ميول لما بنحكي appropriate correctionهذا عنده + +223 +00:16:34,650 --> 00:16:38,810 +exophoria اذا انا عشان اعالج ال exophoria بدي ازود + +224 +00:16:38,810 --> 00:16:41,110 +.. بدي اعمله orthoptic exercise طيب و ال + +225 +00:16:41,110 --> 00:16:43,490 +refractive error عنده كيف بدي اعالجه اذا كان هو + +226 +00:16:43,490 --> 00:16:47,690 +hypermetropia عدسة plus بعلجه بعمله full + +227 +00:16:47,690 --> 00:16:51,690 +correction ولا بخليله شوية hypermetropia و ليش؟ + +228 +00:16:51,690 --> 00:16:58,330 +ايش رأيكم؟ partial correction partial correction + +229 +00:16:58,330 --> 00:16:59,610 +صحيح ليش؟ + +230 +00:17:02,920 --> 00:17:06,980 +ممكن حتى تزيد ال Exophoria انا بتدخلي عنده شوية + +231 +00:17:06,980 --> 00:17:10,440 +hypermetropia عشان يضطر يعمل accommodation طب ليش + +232 +00:17:10,440 --> 00:17:13,660 +بده يعمل accommodation لأنه اذا بيزيد ال + +233 +00:17:13,660 --> 00:17:16,300 +accommodation هيزيد ال ايش ال accommodative + +234 +00:17:16,300 --> 00:17:18,800 +convergence لأنه في علاقة بينهم accommodative + +235 +00:17:18,800 --> 00:17:23,970 +convergence ال AC على A ratioأعمل appropriate + +236 +00:17:23,970 --> 00:17:29,010 +correction مناسب للمريض اللي عنده convergence + +237 +00:17:29,010 --> 00:17:32,530 +weakness اكزوفوريا لازم أخليه يتطر يعمل + +238 +00:17:32,530 --> 00:17:35,830 +accommodation فبالتالي بعمل under correction + +239 +00:17:36,950 --> 00:17:41,190 +للhyper metro نفرض ايه جمريت بنفس التشخيص بس ميوب + +240 +00:17:41,190 --> 00:17:45,810 +ايش بده اعطيله full correction تمام لأنه الميوب + +241 +00:17:45,810 --> 00:17:48,850 +اذا سبت ميوب مش هيعمل accommodation عشان اخليه + +242 +00:17:48,850 --> 00:17:51,250 +يعمل accommodation بده اضايع الميوب يا كل اللي + +243 +00:17:51,250 --> 00:17:54,270 +عنده فبالتالي ان انت بيعقضية any significant + +244 +00:17:54,270 --> 00:17:57,110 +refractive error should be appropriately + +245 +00:17:57,110 --> 00:17:59,310 +appropriately corrected + +246 +00:18:03,140 --> 00:18:07,060 +طب انسان احنا استعملنا له مثلا orthoptic exercise + +247 +00:18:07,060 --> 00:18:11,220 +وعملنا appropriate correction و ما زال في عنده + +248 +00:18:11,220 --> 00:18:15,880 +symptoms، ايش يعني symptoms؟ يعني في ..astinopia + +249 +00:18:15,880 --> 00:18:19,240 +إرهاق بصري فيه headache فيه dyplopia أو playing of + +250 +00:18:19,240 --> 00:18:23,560 +vision تمام فال symptoms ما راحت لا مع ال + +251 +00:18:23,560 --> 00:18:27,020 +orthoptic exercise ولا مع appropriate correction + +252 +00:18:27,020 --> 00:18:30,400 +of refractive error في حلول تانية طبعا في حلول + +253 +00:18:30,400 --> 00:18:34,220 +تانية ممكن استعمله temporary stick on Fresnel + +254 +00:18:34,220 --> 00:18:36,900 +prism واحنا أخدنا في ال geometrical optics أن ال + +255 +00:18:36,900 --> 00:18:42,710 +Fresnel prismممكن تستخدم بحيث انها تعالج يعني بعض + +256 +00:18:42,710 --> 00:18:47,230 +الحالات من الفوري او حتى يعني temporarily لحالات + +257 +00:18:47,230 --> 00:18:53,590 +معينة من ال Esquimطبعا maximum بستعمل من عشر + +258 +00:18:53,590 --> 00:18:57,730 +الاتناشر prism diopter split between the two يعني + +259 +00:18:57,730 --> 00:19:01,270 +eyes يعني ممكن استعمل ستة و ستة خمسة و خمسة prism + +260 +00:19:01,270 --> 00:19:06,370 +dioptersبعض الحالات اللى مابتستفيدة على ما سبق + +261 +00:19:06,370 --> 00:19:12,350 +ممكن أضطر لعلاج الفوريا جراحيا علاج الفوريا جراحيا + +262 +00:19:12,350 --> 00:19:16,310 +و خاصة إذا الفوريا المجازد بتاعها large المجازد + +263 +00:19:16,310 --> 00:19:20,650 +بتاعها large حد + +264 +00:19:20,650 --> 00:19:27,270 +يسأل إشي في ال heterofuria؟ طيب المريض ال + +265 +00:19:27,270 --> 00:19:30,510 +heterofuria لما بيدخل عند العيادة أو المستشفى كيف + +266 +00:19:30,510 --> 00:19:37,530 +يكون وضعه هنا؟straight straight تمام؟ لأنه بالغالب + +267 +00:19:37,530 --> 00:19:41,950 +يعني هذه بتظهر في حالات ال stress أو اللي هو + +268 +00:19:41,950 --> 00:19:45,010 +الإرهاق و ال poor health نيجي لل virgins + +269 +00:19:45,010 --> 00:19:48,450 +abnormality إيش تعريف ال virgins movement؟ + +270 +00:19:48,450 --> 00:19:52,490 +binocular تلت كلمات لازم تقول binocular binocular + +271 +00:19:52,490 --> 00:19:58,170 +binocular binocular binocular binocular binocular + +272 +00:19:58,170 --> 00:20:00,350 +binocular binocular binocular binocular binocular + +273 +00:20:00,350 --> 00:20:02,590 +binocular binocular binocular binocular binocular + +274 +00:20:02,590 --> 00:20:04,630 +binocular binocular binocularconvergence او + +275 +00:20:04,630 --> 00:20:09,070 +divergence from a convergent position هل في مشاكل + +276 +00:20:09,070 --> 00:20:11,850 +في ال .. في ال convergence movements ممكن تكون + +277 +00:20:11,850 --> 00:20:17,150 +عنده؟ هل بعض الأشخاص ممكن يكونوا عندهم convergence + +278 +00:20:17,150 --> 00:20:21,130 +abnormalities وفي نفس الوقت ماعندهمش squint صحيح + +279 +00:20:21,130 --> 00:20:24,810 +بعض المرضى ماعندهمش لا tropia ولا فوريا بس عنده + +280 +00:20:24,810 --> 00:20:29,150 +مشاكل في ال convergence او في ال divergenceتؤدي + +281 +00:20:29,150 --> 00:20:32,610 +إلى أعراض تؤدي إلى أعراض الحلقات بدنا نشوف إيش هي + +282 +00:20:32,610 --> 00:20:37,050 +convergence abnormalities وأول حاجة بدنا نحكيها + +283 +00:20:37,050 --> 00:20:39,810 +convergence insufficiency ال convergence + +284 +00:20:39,810 --> 00:20:44,670 +insufficiency بدناش نلخبطها مع ال convergence + +285 +00:20:44,670 --> 00:20:50,490 +insufficiency exophoria اللي حكينا عنها قبل شوية + +286 +00:20:50,490 --> 00:20:54,850 +تمام؟ في عندي بس convergence insufficiency أو هنا + +287 +00:20:54,850 --> 00:20:59,540 +weakness تمام؟هنا convergence insufficiency أو + +288 +00:20:59,540 --> 00:21:03,880 +weakness بس مش exophoria إيش الفرق بين العبارة + +289 +00:21:03,880 --> 00:21:08,100 +الأولى و العبارة التانية؟ انه هنا في عندى squint + +290 +00:21:08,100 --> 00:21:12,420 +خفي latent squint هنا بال prison cover test لا فيه + +291 +00:21:12,420 --> 00:21:16,020 +tropia ولا phoria ولا أي حاجة طب كيف أنا بعرف أنه + +292 +00:21:16,020 --> 00:21:20,500 +في convergence insufficiency بس symptoms؟ كيف + +293 +00:21:20,500 --> 00:21:31,340 +بنعرفإنه ال convergence طبيعي ال near point + +294 +00:21:31,340 --> 00:21:35,140 +of convergence ال near point of convergence اللي + +295 +00:21:35,140 --> 00:21:40,440 +في منها subjective و في منها objective و تقاس بال + +296 +00:21:40,440 --> 00:21:45,860 +rough rule او بال sign up to four بتجيسيها بال + +297 +00:21:45,860 --> 00:21:49,500 +sign + +298 +00:21:49,500 --> 00:21:56,780 +up to fourببساطة شديدة .. بالظبط فين و بجربه لغاية + +299 +00:21:56,780 --> 00:22:01,000 +ما .. يعني تحدث اما subjective او .. يعني + +300 +00:22:01,000 --> 00:22:04,060 +objective .. near point of convergence أحددها و + +301 +00:22:04,060 --> 00:22:08,720 +بقى أجيسها بالمصطرة بقياس يعني عادي، تمام؟إذا هذا + +302 +00:22:08,720 --> 00:22:10,980 +المريض اللي احنا هنحكي عنه الآن اللي عنده + +303 +00:22:10,980 --> 00:22:13,480 +convergence insufficiency بس ماعندهوش convergence + +304 +00:22:13,480 --> 00:22:18,080 +weakness exophoria هو إنسان ماعندهوش phoria ولا + +305 +00:22:18,080 --> 00:22:22,060 +tropia ماعندهوش squint بس عنده أعراض عرفت أنا أنه + +306 +00:22:22,060 --> 00:22:25,060 +عنده convergence weakness من قياسي لل near point + +307 +00:22:25,060 --> 00:22:29,760 +of convergence يا ترى مين هدول الناس؟ إيش الأعراض + +308 +00:22:29,760 --> 00:22:32,940 +اللي بتتعرضوا إلها و بشكوا منها؟ إيش العلاج؟ طيب + +309 +00:22:32,940 --> 00:22:36,460 +إذا convergence insufficiencytypically affects + +310 +00:22:36,460 --> 00:22:40,140 +individuals with excessive visual demand such as + +311 +00:22:40,140 --> 00:22:43,320 +students يعني أكتر ناس بتعرضوا لل convergence + +312 +00:22:43,320 --> 00:22:46,160 +insufficiency هو اللي مطلوب منه يعمل convergence + +313 +00:22:46,160 --> 00:22:49,140 +فترة طويلة مين اللي مطلوب منه يعمل convergence + +314 +00:22:49,140 --> 00:22:53,420 +فترة طويلة الطلبة ليش لأنه بديجرى سواء في الجامعة + +315 +00:22:53,420 --> 00:22:56,620 +في المدرسة بعد الجامعة بعد المدرسة بديجرى على + +316 +00:22:56,620 --> 00:22:59,720 +الكمبيوتر كده ساعة على الجوال على كتب وإلى آخرى + +317 +00:22:59,720 --> 00:23:03,800 +فبالتالي مطلوب منه visual demand عنيار كتيرتمام؟ + +318 +00:23:03,800 --> 00:23:07,800 +بيسميه excessive visual demand أجينا نفحصه بال + +319 +00:23:07,800 --> 00:23:10,980 +Prism cover test مافيش عنده لا فوريا ولا تروبيا + +320 +00:23:10,980 --> 00:23:14,780 +ولا أي نوع من ال اسكوينت بس العلامة الوحيدة اللي + +321 +00:23:14,780 --> 00:23:17,680 +دلتنا أنه عنده convergence insufficiency انه + +322 +00:23:17,680 --> 00:23:21,500 +reduced near point of convergence independent of + +323 +00:23:21,500 --> 00:23:25,400 +any heterophoria ماعندهوش heterophoria تمام؟ أجيت + +324 +00:23:25,400 --> 00:23:28,700 +جسمله ال near point of convergence لجيتها reduced + +325 +00:23:28,700 --> 00:23:32,530 +يعني بعيدةبعيدة، في الطبيعي ال near point of + +326 +00:23:32,530 --> 00:23:36,210 +convergence لازم تكون ايش؟ اقرب من عشرة صنطي، + +327 +00:23:36,210 --> 00:23:38,790 +تمام؟ و مالهاش علاقة في ال breast biopsy لأنها مش + +328 +00:23:38,790 --> 00:23:42,510 +هي ال near point of accommodation، تمام؟ فبالتالي + +329 +00:23:42,510 --> 00:23:47,070 +هذه بتكون reduced near point of convergence + +330 +00:23:48,630 --> 00:23:51,790 +العلاج .. العلاج لل convergence insufficiency + +331 +00:23:51,790 --> 00:23:55,370 +exophoria ولل convergence insufficiency لحالة نفس + +332 +00:23:55,370 --> 00:23:59,190 +العلاج orthoptic exercise .. orthoptic exercise + +333 +00:23:59,190 --> 00:24:05,260 +تمام؟إيش الهدف منه إن أحسن و أجرب ال near point of + +334 +00:24:05,260 --> 00:24:09,440 +يعني convergence و أن أحسن ال fusional amplitude + +335 +00:24:09,440 --> 00:24:13,300 +ال fusional convergence أحسنه تمام with good + +336 +00:24:13,300 --> 00:24:16,060 +compliance لما يكون المريض متعاون الأعراض اللي + +337 +00:24:16,060 --> 00:24:19,660 +بيشكي منها اللي هي الastinopia ال blurring of + +338 +00:24:19,660 --> 00:24:23,120 +vision الdiplopia ال headache تمام ممكن تكون + +339 +00:24:23,120 --> 00:24:27,860 +eliminated within a few weeks إذا كان ضلت الأعراض + +340 +00:24:27,860 --> 00:24:35,120 +و مش قادر يتحملهاباعطيله base in prison عندى انا + +341 +00:24:35,120 --> 00:24:38,780 +هذا المريض مش قادر يعمل convergence عنده + +342 +00:24:38,780 --> 00:24:42,120 +convergence insufficiency وماعندهش exophoria تمام + +343 +00:24:42,120 --> 00:24:45,400 +يعني هذا just convergence weakness او convergence + +344 +00:24:45,400 --> 00:24:49,660 +insufficiency عملتله orthoptic exercise مدة شهرين + +345 +00:24:49,660 --> 00:24:52,840 +مثلا ومش نافع الأمر معاها ده ضلت الأعراف زى ما هم + +346 +00:24:52,840 --> 00:24:59,050 +بس تعمل قاعدة اللى مابيجيش معاكإيش تعمل؟ تعا معا + +347 +00:24:59,050 --> 00:25:02,050 +.. إيش يعني تعا معا؟ يعني إيه مش راضي تيجي لجوا + +348 +00:25:02,050 --> 00:25:06,790 +تعمل convergence؟ بعمله base in prison ال base in + +349 +00:25:06,790 --> 00:25:10,330 +prison بنجله الصورة باتجاه ال apex لبرا لبرا + +350 +00:25:10,330 --> 00:25:13,950 +فلانتين هنا الصورة هتنتقل باتجاه ال apex تمام؟ + +351 +00:25:13,950 --> 00:25:17,570 +وهنا الصورة هتنتقل باتجاه ال apex فبالتالي بيتخلص + +352 +00:25:17,570 --> 00:25:21,450 +من الأعراض .. بيتخلص من الأعراضمش احنا انسان ممكن + +353 +00:25:21,450 --> 00:25:23,990 +يطرح السؤال يقول طب ليش احنا ما نعطي base out ب + +354 +00:25:23,990 --> 00:25:27,510 +prism عشان نعمل stimulation لل convergence و احنا + +355 +00:25:27,510 --> 00:25:29,910 +عملنا stimulation لل convergence بال orthoptic + +356 +00:25:29,910 --> 00:25:33,590 +exercise و عمل good compliance و تعاون معانا و عمل + +357 +00:25:33,590 --> 00:25:36,850 +orthoptic exercise بزيادة كمان و مش راري اتحسن + +358 +00:25:36,850 --> 00:25:41,500 +الأموربتعبوش أكتر من اللازم تمام اللي مابيجيش معاك + +359 +00:25:41,500 --> 00:25:45,000 +بدك تيجي أنت معاه خلاص أنا بدي أنجله الصورة اللي + +360 +00:25:45,000 --> 00:25:48,040 +قدامه و اللي المفروض يعمل عليها convergence أنجله + +361 +00:25:48,040 --> 00:25:51,820 +temporarily بواسطة البرزمات عشان العين ماتضطرش + +362 +00:25:51,820 --> 00:25:55,660 +تعمل convergence يعني صورة هذا الشيء ال target + +363 +00:25:55,660 --> 00:25:59,260 +بالنسبة للعين هي هتيجي تكون مباينة من برا و + +364 +00:25:59,260 --> 00:26:01,840 +بالنسبة للعين هي هتكون مباينة من برا مش هيصير عنده + +365 +00:26:01,840 --> 00:26:05,740 +double vision لأ لأنه هتسقط الصورة بواسطة البرزمات + +366 +00:26:05,740 --> 00:26:09,570 +على corresponding retinalpoints ومتالي اللي هو + +367 +00:26:09,570 --> 00:26:16,210 +base ان ال prisons ممكن تحل المشكلة عنده هذا + +368 +00:26:16,210 --> 00:26:20,090 +بالنسبة لل convergence insufficiencyطيب هل ممكن + +369 +00:26:20,090 --> 00:26:22,970 +إنسان يكون عنده convergence insufficiency احنا + +370 +00:26:22,970 --> 00:26:26,790 +خلصنا موضوع الفوريا و حكينا الفرق بين convergence + +371 +00:26:26,790 --> 00:26:29,170 +insufficiency اكزوفوريا و convergence + +372 +00:26:29,170 --> 00:26:33,190 +insufficiency لحالها هل ممكن إنسان عنده + +373 +00:26:33,190 --> 00:26:35,670 +convergence insufficiency تكون عنده مشكلة تانية + +374 +00:26:35,670 --> 00:26:39,470 +اسمها accommodative insufficiency طبعا ممكن تكون + +375 +00:26:39,470 --> 00:26:42,970 +مسحوبة ل convergence insufficiency accommodative + +376 +00:26:42,970 --> 00:26:49,430 +insufficiency طبعا is occasionally a presentكيف + +377 +00:26:49,430 --> 00:26:52,690 +بعرف أنه في عندي accommodative insufficiency؟ بجيس + +378 +00:26:52,690 --> 00:26:55,910 +ال near point of accommodation ال near point of + +379 +00:26:55,910 --> 00:27:00,570 +accommodation و بقارنها مع العمر ليش؟ لأن ال near + +380 +00:27:00,570 --> 00:27:04,710 +point of accommodation للي عمره مثلا خمسين سنة مش + +381 +00:27:04,710 --> 00:27:09,070 +زي اللي عمره يعني عشرين سنة لما إنسان عنده عشرين + +382 +00:27:09,070 --> 00:27:12,150 +سنة و لجأت ال near point of accommodation عنده + +383 +00:27:12,150 --> 00:27:15,450 +ستين صنتي معناته ال accommodation عنده ضعيف كتير + +384 +00:27:15,450 --> 00:27:19,390 +لذا في عنده accommodative insufficiencyو ممكن يكون + +385 +00:27:19,390 --> 00:27:23,010 +عنده convergence insufficiency حسب ال near point + +386 +00:27:23,010 --> 00:27:25,490 +of accommodation طيب ال accommodative + +387 +00:27:25,490 --> 00:27:29,290 +insufficiency ممكن تكون primary يعني idiopathic مش + +388 +00:27:29,290 --> 00:27:33,130 +معروفة السبب أو تكون secondary accommodative + +389 +00:27:33,130 --> 00:27:37,110 +insufficiency يعني سببها انه اتعرض لعدوى فيروسية و + +390 +00:27:37,110 --> 00:27:40,850 +نشأ عنده بعدين ضعف ال accommodation يعني بعد هذه + +391 +00:27:40,850 --> 00:27:44,070 +العدوى الفيروسية غالبا ال accommodative + +392 +00:27:44,070 --> 00:27:49,140 +insufficiency بتكونبتصيب أطفال المدارس طيب إيش + +393 +00:27:49,140 --> 00:27:52,860 +علاجها ال minimum reading correction ال minimum + +394 +00:27:52,860 --> 00:27:56,860 +reading correction اللي بيكفي لل clear reading + +395 +00:27:56,860 --> 00:28:02,580 +طبعا طالما ال accommodation هو ضعيف لأ + +396 +00:28:02,580 --> 00:28:05,000 +احنا مابنحكيش .. نحكي عن ال accommodation يعني + +397 +00:28:05,000 --> 00:28:08,340 +طالما ال accommodation هو ضعيف معناته اني ال + +398 +00:28:08,340 --> 00:28:12,220 +reading هيكون مش واضح فعلاجه بيكون توضيح و كيف + +399 +00:28:12,220 --> 00:28:17,680 +احنا بنوضحبال plus lenses يعني بدي أوصف يعني اللي + +400 +00:28:17,680 --> 00:28:20,640 +هو ال minimum reading correction is prescribed to + +401 +00:28:20,640 --> 00:28:23,420 +give clear vision طبعا ال accommodative + +402 +00:28:23,420 --> 00:28:28,340 +insufficiency صعب انه نتخلص منها يعني بده يظلوا + +403 +00:28:28,340 --> 00:28:30,760 +لابس نضرات لل reading بينما ال convergence + +404 +00:28:30,760 --> 00:28:34,260 +insufficiency في كثير من الأحيان بتستجيب لل + +405 +00:28:34,260 --> 00:28:37,760 +orthoptic exercise و بتتعالج + +406 +00:28:40,560 --> 00:28:45,100 +نرتب أمورنا كالقادمة أول علاة لل convergence + +407 +00:28:45,100 --> 00:28:49,320 +abnormalities اللي هي convergence insufficiency + +408 +00:28:49,320 --> 00:28:56,160 +تسجلوا هذا عندكم يا بنات علاجه على الترتيب + +409 +00:28:56,160 --> 00:29:03,440 +Orthoptic exercise Prisms + +410 +00:29:03,440 --> 00:29:05,700 +Surgery + +411 +00:29:07,350 --> 00:29:09,910 +في الأحيان الأخيرة لما تكون large deviation بدها + +412 +00:29:09,910 --> 00:29:15,150 +surgery تاني نوع accommodative insufficiency هذا + +413 +00:29:15,150 --> 00:29:23,570 +مش virgins abnormalities بس بتكون مصحوبة مراد ال + +414 +00:29:23,570 --> 00:29:26,250 +accommodative insufficiency قلنا إلها نوعين ال + +415 +00:29:26,250 --> 00:29:30,810 +primary مش معروفة السبب ال secondary بعد viral + +416 +00:29:30,810 --> 00:29:35,990 +infection إيش علاجها minimum reading correction + +417 +00:29:47,880 --> 00:29:53,100 +الان في حاجة تالتة بيسموها near reflex + +418 +00:29:53,100 --> 00:29:59,640 +insufficiency ال + +419 +00:29:59,640 --> 00:30:02,840 +near reflex إيش هو؟ التلاتة ال myosis و ال + +420 +00:30:02,840 --> 00:30:05,700 +convergence .. convergence myosis و accommodation + +421 +00:30:05,700 --> 00:30:11,080 +accommodation و myosis تمام؟ طيب ليش هنا مفصلين؟ و + +422 +00:30:11,080 --> 00:30:14,280 +ليش هنا مجموعين ك near reflex insufficiency؟ ال + +423 +00:30:14,280 --> 00:30:20,420 +near reflex insufficiency عبارة عنمجمعتين او يقسم + +424 +00:30:20,420 --> 00:30:26,280 +إلى مجمعتين باريزيز يعني شلل جزء و paralysis شلل + +425 +00:30:26,280 --> 00:30:33,300 +كله تمام اذا ال near reflex insufficiency عبارة عن + +426 +00:30:33,300 --> 00:30:36,800 +اما بيكون paralysis او paralysis ال paralysis of + +427 +00:30:36,800 --> 00:30:44,560 +the near reflex هو عبارة عننسخة مقوّاة و نسخة + +428 +00:30:44,560 --> 00:30:48,420 +شديدة من ال convergence و ال accommodative + +429 +00:30:48,420 --> 00:30:51,720 +insufficiency يعني لما يكون عندي convergence + +430 +00:30:51,720 --> 00:30:54,460 +insufficiency بسيط و accommodative insufficiency + +431 +00:30:54,460 --> 00:30:57,180 +بسيط بسميه convergence insufficiency مع + +432 +00:30:57,180 --> 00:31:00,020 +accommodative insufficiency لما يكون الاتنين + +433 +00:31:01,290 --> 00:31:06,630 +exaggerated شديدات شوية بقى بقى بطل أطلق عليهم + +434 +00:31:06,630 --> 00:31:10,430 +التعريف هذا بصير أسميه neo reflex paralysis يعني + +435 +00:31:10,430 --> 00:31:14,290 +شلل كأنه في عندي شلل جزء في ال neo reflex اللي هو + +436 +00:31:14,290 --> 00:31:18,250 +بتضمن ال accommodation و ال convergence تمام؟ كيف + +437 +00:31:18,250 --> 00:31:24,320 +أعرفه؟كيف أعرف؟ و في علامات مميزة له أنه عند ما + +438 +00:31:24,320 --> 00:31:27,800 +يعمل convergence كيف يعمل convergence؟ بجربله + +439 +00:31:27,800 --> 00:31:32,760 +target المفروض يصير الـnear triad convergence + +440 +00:31:32,760 --> 00:31:36,860 +accommodation و meiosis إذا صار ميديريازيز و هو + +441 +00:31:36,860 --> 00:31:40,560 +بتطلع على ال .. عن near target معناته أنا عندي صار + +442 +00:31:40,560 --> 00:31:44,020 +إشي عكس ما هو مطلوب إذا الـ mediaryazis may be + +443 +00:31:44,020 --> 00:31:49,730 +seen on attempted near fixationتمام؟ إذا هيكون + +444 +00:31:49,730 --> 00:31:52,250 +عندي في ال near reflex insufficiency أو ال near + +445 +00:31:52,250 --> 00:31:56,350 +reflex barriers هيكون عندي convergence weakness + +446 +00:31:56,350 --> 00:32:03,690 +يعني ال near point of convergence بعيدة و هيكون + +447 +00:32:03,690 --> 00:32:07,770 +عندي accommodative weakness ال near point of + +448 +00:32:07,770 --> 00:32:13,070 +accommodation أيضا بعيدة و هيكون عندي إيش مدريازز + +449 +00:32:13,070 --> 00:32:14,390 +أو near fixation + +450 +00:32:21,470 --> 00:32:27,370 +تمام؟ إذا هذه صفات الـ Neural reflex ده reasons و + +451 +00:32:27,370 --> 00:32:31,590 +اللي قلنا هو نسخة شديدة من ال accommodative و ال + +452 +00:32:31,590 --> 00:32:35,610 +convergence insufficiency كيف علاجه؟ لما مايكونش + +453 +00:32:35,610 --> 00:32:40,970 +عندى neurological signs علامات يعني تدل على إنه في + +454 +00:32:40,970 --> 00:32:45,630 +خلل عندى في ال central nervous system طيب و الأمور + +455 +00:32:45,630 --> 00:32:51,050 +مستقرة ل treatmentبدأ تشمل الشغلات التالية و هنقول + +456 +00:32:51,050 --> 00:32:55,130 +ليش هتشمل الشغلات التالية أول حاجة reading glasses + +457 +00:32:55,130 --> 00:32:59,850 +ليش reading glasses؟ عشان أتخلص من إيش؟ من مشاكل + +458 +00:32:59,850 --> 00:33:02,010 +ال accommodation مش قادر يعمل accommodation + +459 +00:33:02,010 --> 00:33:05,470 +بيعطيله glasses reading glasses الإنسان مش قادر + +460 +00:33:05,470 --> 00:33:08,190 +يعمل accommodation عشان يعمل fixation أو يشوف + +461 +00:33:08,190 --> 00:33:12,930 +بوضوح عن نير بيعطيله reading glasses طيب ال base + +462 +00:33:12,930 --> 00:33:18,050 +in the presentعشان base in prism اللي بيجيش معاك + +463 +00:33:18,050 --> 00:33:24,210 +تعال معاه base in prisms طب + +464 +00:33:24,210 --> 00:33:28,730 +ليش ما قولنا ال orthoptic exercise؟طالما انه + +465 +00:33:28,730 --> 00:33:32,890 +المشكلة كبيرة و ال convergence ضعيف كتير و ال .. + +466 +00:33:32,890 --> 00:33:35,990 +ال .. ال accommodation مش هتنفع ال orthoptic + +467 +00:33:35,990 --> 00:33:39,770 +exercise فما تجربيهاش من الأساس يعني هنا orthoptic + +468 +00:33:39,770 --> 00:33:44,990 +exercise have no effect have no effect فبالتالي + +469 +00:33:44,990 --> 00:33:49,210 +طيب base in the prisms و reading glasses في حاجة + +470 +00:33:49,210 --> 00:33:52,530 +تانية ممكن تساعد ال base in the prisms اللي هي + +471 +00:33:52,530 --> 00:33:55,530 +botulinium toxin Botox + +472 +00:33:57,590 --> 00:34:01,470 +حقا عشان اعالج مشكلة ال convergence weakness بس + +473 +00:34:01,470 --> 00:34:05,740 +وان بده احقنه في أي عضلات؟عشان أضعفها بالمرة + +474 +00:34:05,740 --> 00:34:09,240 +بزيادة احنا بدنا convergence في ال lateral rectus + +475 +00:34:09,240 --> 00:34:13,420 +في الناحيتين بدو يفقن botulinum toxin عشان يحاول + +476 +00:34:13,420 --> 00:34:18,620 +يخفف المشكلة تمام طبعا ال neon reflex باريزيس رغم + +477 +00:34:18,620 --> 00:34:24,000 +كل هذه الإجراءات صعب جدا انه نتخلص منه صعب جدا انه + +478 +00:34:24,000 --> 00:34:28,900 +نتخلص منه بس ما لا يدركه كله لا يتركه جله + +479 +00:34:32,380 --> 00:34:36,480 +إذا شدت المشكلة في ال convergence و ال + +480 +00:34:36,480 --> 00:34:40,500 +accommodation و صارت بلغة ال maximum بتاعها يعني + +481 +00:34:40,500 --> 00:34:44,260 +مافيش أي جنس ال convergence بيقدر يعمله ولا جنس ال + +482 +00:34:44,260 --> 00:34:46,620 +accommodation بتاتا بيقدرش يبدأ عملية ال + +483 +00:34:46,620 --> 00:34:50,340 +accommodation أو عملية ال convergence بسميه near + +484 +00:34:50,340 --> 00:34:54,740 +reflex paralysis يعني شلل كامل في ال near reflex + +485 +00:34:54,740 --> 00:35:00,240 +in which no convergence or accommodation can be + +486 +00:35:00,240 --> 00:35:04,340 +initiated تمام؟طبعا هذا إيش أسبابه؟ ممكن يكون + +487 +00:35:04,340 --> 00:35:07,620 +functional يعني psychological طبعا functional يعني + +488 +00:35:07,620 --> 00:35:11,640 +مافيش سبب عضوى أو ممكن يكون له سبب عضوى في ال + +489 +00:35:11,640 --> 00:35:17,220 +midbrain يعني ممكن يتبع head trauma طالما head + +490 +00:35:17,220 --> 00:35:20,260 +trauma معناته ممكن بعض الناس تشفى من ال head + +491 +00:35:20,260 --> 00:35:24,060 +trauma ويرجع هذا اللي هو near reflex paralysis + +492 +00:35:24,060 --> 00:35:29,230 +يتحسن و يصير عنده فيه normal near trialخلصنا هذه + +493 +00:35:29,230 --> 00:35:33,330 +القضية، بنكون خلصنا كل الشغلات اللي فيها weakness، + +494 +00:35:33,330 --> 00:35:36,150 +سواء convergence weakness، accommodative weakness، + +495 +00:35:36,150 --> 00:35:40,010 +near reflex insufficiency بنوعيه، ال paresis و ال + +496 +00:35:40,010 --> 00:35:43,830 +paralysis بدنا نحكي عن النقيد تماما في الvergence + +497 +00:35:43,830 --> 00:35:45,710 +abnormalities اللي هي الاسبازة + +498 +00:35:49,540 --> 00:35:52,280 +قلنا هذا الكلام مالوش علاقة في ال heterophoria ال + +499 +00:35:52,280 --> 00:35:55,860 +heterophoria خلصناها بأنواعها الخمسة الأربعة زائد + +500 +00:35:55,860 --> 00:36:00,200 +ال mixed الأربعة زائد ال mixed إذا ال near reflex + +501 +00:36:00,200 --> 00:36:04,160 +spasm بنعود بنذكر ال near reflex هو عبارة عن + +502 +00:36:04,160 --> 00:36:09,120 +accommodation و convergence و meiosis طيب spasm of + +503 +00:36:09,120 --> 00:36:14,380 +the near reflex is a functional condition يعني + +504 +00:36:14,380 --> 00:36:19,040 +psychological conditionaffecting patients of all + +505 +00:36:19,040 --> 00:36:23,340 +ages و بالذات الفيميلز و بالذات الفيميلز ايش + +506 +00:36:23,340 --> 00:36:27,560 +العلمات بتاعته تبلوبيا blurred vision headache + +507 +00:36:27,560 --> 00:36:32,700 +accompanied by esotropia pseudomyopia meiosis + +508 +00:36:32,700 --> 00:36:39,940 +انهيت هذا بيصيب جميع الأعمار functional disease + +509 +00:36:39,940 --> 00:36:44,160 +يعني psychological يعني نتيجة stress كتير مثلاو + +510 +00:36:44,160 --> 00:36:47,640 +بيصيب جميع الأعمار و خاصة الفيميلز إيش أعراضه بيجي + +511 +00:36:47,640 --> 00:36:51,000 +المريض يشكي من دبلوبيا double vision blurred + +512 +00:36:51,000 --> 00:36:55,300 +vision ممكن تكون المرحلة السابقة للدبلوبيا صداع + +513 +00:36:55,300 --> 00:36:59,500 +يعني كل هذه الأعراض لها علاقة بال near work بال + +514 +00:36:59,500 --> 00:37:03,660 +near work تمام؟ ممكن هذه تكون مساحبة بإيزوتروبيا + +515 +00:37:04,650 --> 00:37:07,150 +لأنه زاد ال convergence عندي صار فيه spasm في ال + +516 +00:37:07,150 --> 00:37:11,730 +convergence تمام؟ pseudomyopia لأنه صار عندي spasm + +517 +00:37:11,730 --> 00:37:15,430 +في ال accommodation حيديني بدل ما هو طبيعي حيديني + +518 +00:37:15,430 --> 00:37:19,150 +كأنه myopic عمل accommodation زيادة عن اللزوم طبعا + +519 +00:37:19,150 --> 00:37:22,970 +و meiosisthe spasm may be triggered when testing + +520 +00:37:22,970 --> 00:37:26,970 +ocular movements، إيش معناة الكلام هذا؟ ال ocular + +521 +00:37:26,970 --> 00:37:29,390 +movements اللي أنا بعملها testing في أكم position + +522 +00:37:29,390 --> 00:37:32,930 +of guests، eight eccentric position، ال primary + +523 +00:37:32,930 --> 00:37:35,850 +position، بدين المريض و العينيه في ال primary + +524 +00:37:35,850 --> 00:37:39,920 +position، في تمام أوضةأي وضع اللي المفروض في + +525 +00:37:39,920 --> 00:37:43,640 +الطبيعة يصير فيه myosis ال convergence في وضع ال + +526 +00:37:43,640 --> 00:37:46,000 +convergence لما يكون عامل convergence ع near + +527 +00:37:46,000 --> 00:37:49,880 +target بيصير ال near triad ومن ضمنه ايش ال myosis + +528 +00:37:49,880 --> 00:37:54,620 +الان لو انا في ال lateral gaze لاحظت ان المريض صار + +529 +00:37:54,620 --> 00:37:58,540 +عنده myosis معناه ان هذه احدى العلامات لل near + +530 +00:37:58,540 --> 00:38:01,460 +reflex spasm مش المفروض في ال side gaze انه يصير + +531 +00:38:01,460 --> 00:38:07,920 +عندى ايش myosis طيب في هنا مقولةmyosis is the key + +532 +00:38:07,920 --> 00:38:12,440 +to diagnosis myosis هو المفتاح بتاع تشخيص هذه + +533 +00:38:12,440 --> 00:38:18,530 +الحالة يعني كيف أشخص مني ال reflex spasm أثناءنظري + +534 +00:38:18,530 --> 00:38:22,470 +لل pupil في ال eccentric gaze position وهذا + +535 +00:38:22,470 --> 00:38:26,770 +بيأتيني رسالة انه اي انسان بده يبحث حول او virgins + +536 +00:38:26,770 --> 00:38:30,050 +abnormalities او فوريا او ما إلى ذلك لازم يكون + +537 +00:38:30,050 --> 00:38:33,770 +دقيق الملاحظة يعني مش اخد بالي من العين ككل انها + +538 +00:38:33,770 --> 00:38:37,070 +اتحركت وفي induction ولا مافيش induction في virgin + +539 +00:38:37,070 --> 00:38:40,310 +ولا مافيش virgin وإذا كان في defect وأيضا أطلع ال + +540 +00:38:40,310 --> 00:38:44,150 +pupil أثناء هذه القضية طبعا إذا كان انا بده المريض + +541 +00:38:44,150 --> 00:38:47,630 +يتبعني ب torchبدي يكون ال torch قوته مش كبيرة جدا + +542 +00:38:47,630 --> 00:38:51,230 +اللي تحدث لميوزس، تمام؟ مايكونش ميوزس due to + +543 +00:38:51,230 --> 00:38:55,150 +excessive light، مايكونش ميوزس .. اذا observing + +544 +00:38:55,150 --> 00:39:00,110 +meiosis is the key to diagnosis كيف اعرف عندي انه + +545 +00:39:00,110 --> 00:39:03,150 +pseudo-miopia؟ اش يعني pseudo-miopia؟ يعني ميوبيا + +546 +00:39:03,150 --> 00:39:07,390 +غير حقيقية، مش صحيح، يعني هو مش myopic طيب، كداش + +547 +00:39:07,390 --> 00:39:10,550 +يعني ممكن يعطيني pseudo-miopia؟ ممكن يعطيني تسعة + +548 +00:39:10,550 --> 00:39:15,530 +درجات؟عشر درجات؟ تمان درجات؟ ست درجات؟ أه ممكن + +549 +00:39:15,530 --> 00:39:20,450 +بيجي بعض الأطفال عندهم neo reflex spasm بتلاقي هذه + +550 +00:39:20,450 --> 00:39:23,690 +القضية و هذه الأعراض بعد ال cycloplegia بتلاقي + +551 +00:39:23,690 --> 00:39:29,390 +مثلا plus ربع plus تلات تربع و هكذا تمام؟هذا ال + +552 +00:39:29,390 --> 00:39:32,670 +refraction الحقيقي بتاعه يعني مش اروح انا اعمله + +553 +00:39:32,670 --> 00:39:35,050 +correction ل ال minus هو ال minus عشرة هو عامل + +554 +00:39:35,050 --> 00:39:40,890 +accommodation عشان إيش عشان يعني عنده spasm في ال + +555 +00:39:40,890 --> 00:39:45,110 +near reflex إذا refraction with and without + +556 +00:39:45,110 --> 00:39:49,430 +cycloplegia confirms the pseudomyopia which must + +557 +00:39:49,430 --> 00:39:52,270 +not be corrected optically لأنه لما عملنا له + +558 +00:39:52,270 --> 00:39:54,710 +correction جاء خطأ كبير ممكن زدنا عليه + +559 +00:39:54,710 --> 00:40:00,260 +accommodation فوق ما هو spasmكيف احنا نعالج هذا + +560 +00:40:00,260 --> 00:40:05,060 +المريض علاجه بسيط تمام بيبدأ بال reassurance إعادة + +561 +00:40:05,060 --> 00:40:08,820 +تطمين المريض تمام و أنه أي activity أي activity + +562 +00:40:08,820 --> 00:40:12,720 +بتخلي عنده نية reflex يصير فيه spasm يبعد عنها + +563 +00:40:12,720 --> 00:40:16,320 +بمعنى انا لما بجرى مثلا نص ساعة بيبدأ يصير عندي + +564 +00:40:16,320 --> 00:40:20,160 +الأعراض ببدأ أشكي لأ اجرى ربع ساعة و ريح بعدين + +565 +00:40:20,160 --> 00:40:23,300 +اجرى ربع ساعة و ريح يعني انهي ال activity اللي + +566 +00:40:23,300 --> 00:40:26,140 +بتبقى لحد ما تشعر انه بدت الأعراض انهي ال activity + +567 +00:40:26,140 --> 00:40:31,520 +طيب لو مانفعشساعتها انا بدأ اعمله Cycloblegia + +568 +00:40:31,520 --> 00:40:36,160 +كعلاج عشان مايقدرش يعمل accommodation تمام و في + +569 +00:40:36,160 --> 00:40:40,020 +نفس الوقت اعطيله reading correction إذا ال + +570 +00:40:40,020 --> 00:40:43,600 +treatment involves reassurance تطمين المرض and + +571 +00:40:43,600 --> 00:40:46,760 +advising the patient to look away and seize the + +572 +00:40:46,760 --> 00:40:50,400 +activity that triggers the response طب إذا دلت رغم + +573 +00:40:50,400 --> 00:40:54,380 +هيك atropine and full reading correction are + +574 +00:40:54,380 --> 00:40:57,320 +prescribed but it is difficult later to abundantly + +575 +00:40:57,590 --> 00:41:01,990 +يعني عيارنا بدينا العلاج صعب إن أتركه هيضل عليه + +576 +00:41:01,990 --> 00:41:05,430 +ممكن سنة يضل عليه أو سنتين تمام؟ بس طبعا مش + +577 +00:41:05,430 --> 00:41:08,370 +بالكثافة اللي بيعطيه في الأول يعني ممكن أنا أبدأ + +578 +00:41:08,370 --> 00:41:12,530 +بالاتربيل مرتين يوميا بعد أسبوع أخليه مرة يوميا + +579 +00:41:12,530 --> 00:41:16,330 +بعد أسبوعين أخليه مثلا يوم بعد يوم نقطة و بعدين + +580 +00:41:16,330 --> 00:41:19,310 +أبدأ أعمل weaning بالتدريج طبعا بدي أكون في كل هذه + +581 +00:41:19,310 --> 00:41:22,190 +الحالات لابس ال reading correction و أكون أنا + +582 +00:41:22,190 --> 00:41:27,660 +متابع حدة الإبصار على ال distance و على النيررغم + +583 +00:41:27,660 --> 00:41:31,860 +هذه الأعراض و مع العلاج ال patients usually seem + +584 +00:41:31,860 --> 00:41:34,720 +to live fairly normal life despite the signs and + +585 +00:41:34,720 --> 00:41:38,520 +symptoms رغم الأعراض يعني حياة المريض يعني بتكون + +586 +00:41:38,520 --> 00:41:41,740 +ماشي حالها يعني و أموره يعني ماشية مافيش يعني + +587 +00:41:41,740 --> 00:41:47,140 +مشكلة كبيرةيعني طبعنا عدة مرضى معهم اللي هو near + +588 +00:41:47,140 --> 00:41:50,980 +reflex spasm ومشي على الأترابين واتبدل الأترابين ب + +589 +00:41:50,980 --> 00:41:54,120 +Cyclopentylate اللي انا يعني تقريبا بالاسبوع بنجد + +590 +00:41:54,120 --> 00:41:56,780 +نقطة واحدة من ال Cyclopentylate يعني كأنه بيخدش ال + +591 +00:41:56,780 --> 00:42:01,820 +treatment و اللي هو ال .. ال correction بتاعه يعني + +592 +00:42:01,820 --> 00:42:06,140 +اللي هو ال reading correction بيلبسه أثناء ال .. + +593 +00:42:06,140 --> 00:42:11,130 +اللي هو ال near activity أثناء ال near activityال + +594 +00:42:11,130 --> 00:42:13,670 +divergence insufficiency اللي هو آخر موضوع اليوم + +595 +00:42:13,670 --> 00:42:19,670 +عنه برضه ينقسم لقسمين divergence paralysis او + +596 +00:42:19,670 --> 00:42:28,770 +divergence paralysis divergence paralysis او + +597 +00:42:28,770 --> 00:42:33,070 +paralysis طبعا + +598 +00:42:33,070 --> 00:42:38,660 +عبارة عن rare conditionممكن يكون عندى فيه يعني خلف + +599 +00:42:38,660 --> 00:42:43,360 +هذا ال disease فيه عندى neurological disease زي + +600 +00:42:43,360 --> 00:42:46,780 +إيش؟ زي intracranial space occupying lesion و نفسط + +601 +00:42:46,780 --> 00:42:51,580 +فيها tumor .. intracranial tumor تمام أوbleeding + +602 +00:42:51,580 --> 00:42:55,560 +او cyst او ما إلى ذلك يعني .. يعني شيء او مرض + +603 +00:42:55,560 --> 00:43:01,520 +بيشوي الحيز من يعني اللي هو المساحة المخصصة للدماغ + +604 +00:43:01,520 --> 00:43:05,580 +CVA cerebrovascular accident يعني جلطة دماغية ممكن + +605 +00:43:05,580 --> 00:43:08,600 +تكون في مكان معين اتدى ل divergence insufficiency + +606 +00:43:08,600 --> 00:43:12,190 +او head traumaو طالما بيقول hit the torna اذا ال + +607 +00:43:12,190 --> 00:43:16,430 +age اللي بيجي فيه المريض ممكن يكون اي age تمام؟ + +608 +00:43:16,430 --> 00:43:20,030 +ممكن يكون اي age اذا presentation may be at any + +609 +00:43:20,030 --> 00:43:23,570 +age and may be difficult to differentiate from 6 + +610 +00:43:23,570 --> 00:43:26,770 +nerve pulse في ال 6 nerve pulse مافيش divergence + +611 +00:43:26,770 --> 00:43:31,330 +تمام؟ و هنا مافيش divergence طب كيف افرف هل هذا 6 + +612 +00:43:31,330 --> 00:43:37,230 +nerve pulse ولايعني divergence insufficiency في + +613 +00:43:37,230 --> 00:43:42,990 +عدة فروق بينهم أول حاجة هذا عبارة عن concomitant + +614 +00:43:42,990 --> 00:43:49,650 +deviation concomitant deviation ال six nerve palsy + +615 +00:43:49,650 --> 00:43:54,450 +incomitant deviation ال six nerve palsy incomitant + +616 +00:43:54,450 --> 00:43:56,710 +deviation ايش يعني concomitant و incomitant + +617 +00:43:59,010 --> 00:44:02,490 +يعني لما بيجيس الحول في ال .. في ال horizontal + +618 +00:44:02,490 --> 00:44:05,450 +gaze، right gaze و left gaze و ال primary position + +619 +00:44:05,450 --> 00:44:08,570 +في ال divergence insufficiency الفروق لا تتعدى + +620 +00:44:08,570 --> 00:44:12,610 +خمسة prism ضيوبة، بينما في ال six nerve pulsae لما + +621 +00:44:12,610 --> 00:44:15,150 +أنا بيكون عند المريض right six nerve pulsae و + +622 +00:44:15,150 --> 00:44:20,500 +بتطلع ال rightبيصير مجاز ال deviation كبير جدا لما + +623 +00:44:20,500 --> 00:44:23,800 +بتطلع على ال primary position بجلب لما بتطلع على + +624 +00:44:23,800 --> 00:44:27,140 +left gaze اللي هي اتجاه ال normal يعني هنا مجاز و + +625 +00:44:27,140 --> 00:44:30,060 +هنا مجاز يختلف عنه كتير و هنا مجاز يختلف عنه اكتر + +626 +00:44:30,060 --> 00:44:33,360 +و اكتر فبالتالي incompetent deviation فهذه احد + +627 +00:44:33,360 --> 00:44:37,640 +الفروق المهمة جدا برضه من ضمن الفروق اللي انا بقدر + +628 +00:44:37,640 --> 00:44:42,710 +اختبرها و اللي عساسها اجاكم سؤال في الامتحانفي + +629 +00:44:42,710 --> 00:44:46,150 +حوال واحد abduction movements مافيش داعي اختبرها + +630 +00:44:46,150 --> 00:44:48,670 +اذا كان ال divergence .. ال divergence movements + +631 +00:44:48,670 --> 00:44:52,690 +يعني طبيعي هل هذا صح ولا لا؟ لازم اختبرها لازم + +632 +00:44:52,690 --> 00:44:56,330 +اختبرها يعني لازم اختبر ال three types of هذا في + +633 +00:44:56,330 --> 00:44:58,930 +ال divergence insufficiency في ال divergence + +634 +00:44:58,930 --> 00:45:02,150 +insufficiency لما بغطي عين من ال internet ال + +635 +00:45:02,150 --> 00:45:05,310 +abduction طبيعي لأن ال abduction حاجة و ال + +636 +00:45:05,310 --> 00:45:09,310 +divergence حاجة كلمة divergence يعني divergence ال + +637 +00:45:09,310 --> 00:45:12,290 +divergence برجع للتعريف ايش هي ال divergence؟ + +638 +00:45:12,400 --> 00:45:18,400 +بينوكيولار، Simultaneous Disjunctive Movement، + +639 +00:45:18,400 --> 00:45:23,900 +الدكشن، منوكيولار محرك في طريقة محددة للغاز، يعني + +640 +00:45:23,900 --> 00:45:28,520 +ممكن الدكشن تكونو ال .. و ال divergence يكون مش + +641 +00:45:28,520 --> 00:45:30,700 +طبيعي؟ اه ممكن زي في حالة ال divergence + +642 +00:45:30,700 --> 00:45:34,060 +insufficient .. insufficiency مافيش divergence او + +643 +00:45:34,060 --> 00:45:37,600 +ضعيف ال divergence بس ال abduction شغال هذه بتميز + +644 +00:45:37,600 --> 00:45:40,620 +بينما في ال six nerve palsy مافيش abduction .. + +645 +00:45:40,620 --> 00:45:43,380 +مافيش abduction طبعا حسب شدة ال six nerve palsy + +646 +00:45:43,380 --> 00:45:50,300 +تمام فهذه إحدى الفروق إذا الفرق التالت هنا في ال + +647 +00:45:50,300 --> 00:45:55,740 +divergence .. تعبتوا أنتوا؟في ال divergence + +648 +00:45:55,740 --> 00:45:59,120 +insufficiency ال divergence amplitude ال fusional + +649 +00:45:59,120 --> 00:46:01,740 +divergence amplitude اللي بجيسها إما بال prison + +650 +00:46:01,740 --> 00:46:05,540 +bar أو بال sin of two four بتكون محدودة جداً كدهش + +651 +00:46:05,540 --> 00:46:11,580 +ال divergence amplitude عن نير وعال distance؟ ستة + +652 +00:46:11,580 --> 00:46:17,360 +لأ ستة عال distance؟ ستة لأ وعال 25 عن نير 25 كتير + +653 +00:46:17,360 --> 00:46:22,970 +شويةمن 14 تقريبا ل 20 على النيار وعلى ال distance + +654 +00:46:22,970 --> 00:46:26,730 +تقريبا من 6 ل 10 او 6 ل 12 بريزم ديوبتر هدف + +655 +00:46:26,730 --> 00:46:29,750 +الطبيعي في الناس اللي عندهم divergence + +656 +00:46:29,750 --> 00:46:33,170 +insufficiency و هنرجع لها في العمل انجيزة تمام في + +657 +00:46:33,170 --> 00:46:34,870 +الناس اللي عندهم divergence insufficiency هذه + +658 +00:46:34,870 --> 00:46:37,790 +الكيمية بتكون اجليلة كتير يعني ممكن واحد اتنين + +659 +00:46:37,790 --> 00:46:41,110 +تلاتة بريزم ديوبتر يعني ضعيفة جدا فبالتالي هذه + +660 +00:46:41,110 --> 00:46:45,350 +احدى الفروق عن six nerve palsy it is difficult to + +661 +00:46:45,350 --> 00:46:49,530 +treat ال divergence insufficiency صعب تعالجإذا إيش + +662 +00:46:49,530 --> 00:46:53,030 +بده أعمل؟ ال prisms are the best option طب إيش بحط + +663 +00:46:53,030 --> 00:46:56,170 +ال prism based out ولا based in؟ based out صحيح + +664 +00:46:56,170 --> 00:46:59,270 +ليش؟ عشان أنجله الصورة لجوا هو مش قادر يعمل + +665 +00:46:59,270 --> 00:47:03,790 +divergence بس قادر يعمل convergence تمام؟ يعطيكوا + +666 +00:47:03,790 --> 00:47:04,390 +ألف عافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/EDPQa2NqDSg_raw.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/EDPQa2NqDSg_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..6662588c3fc5946dca9da65f1ad6e1695577d65e --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/EDPQa2NqDSg_raw.srt @@ -0,0 +1,1896 @@ +1 +00:00:20,820 --> 00:00:24,040 +بسم الله الرحمن الرحيم اليوم عندنا ال fourth nerve + +2 +00:00:24,040 --> 00:00:27,640 +palsy او superior oblique palsy طبعا هي the most + +3 +00:00:27,640 --> 00:00:32,460 +common ocular motor nerve palsy بنقابلها عند + +4 +00:00:32,460 --> 00:00:36,420 +المرضى اللي هي superior oblique palsy امتى اتوقع + +5 +00:00:36,420 --> 00:00:39,360 +ان الانسان عنده superior oblique palsy في عندي تلت + +6 +00:00:39,360 --> 00:00:43,340 +شغلات الشغل الأولى ان يكون عندى vertical diplopia + +7 +00:00:43,340 --> 00:00:48,340 +absence of toses and characteristic head posture + +8 +00:00:48,990 --> 00:00:53,330 +الإنسان إيجاني عنده vertical diplopia روحكم من + +9 +00:00:53,330 --> 00:00:57,410 +vertical diplopia مافيش tosis يعني ال tosis هتتوقع + +10 +00:00:57,410 --> 00:01:01,850 +third nerve pulse و في نفس الوقت في head tilt معين + +11 +00:01:01,850 --> 00:01:07,450 +ماتتخذه فهذا strongly suggestive يعني ل fourth + +12 +00:01:07,450 --> 00:01:10,530 +nerve pulse و لازم أبدأ أفحص المريض عشان أشوف هل + +13 +00:01:10,530 --> 00:01:14,550 +في فعلا fourth nerve pulse ولا لا حقيقة الأمر ال + +14 +00:01:14,550 --> 00:01:17,810 +fourth nerve pulse ممكن يكون congenital أو ممكن + +15 +00:01:17,810 --> 00:01:22,360 +يكون acquiredوهو التفريق بينهم بيتطلب يعني معرفة + +16 +00:01:22,360 --> 00:01:26,800 +بعض الأشياء أو العلامات وممكن يكون unilateral او + +17 +00:01:26,800 --> 00:01:31,420 +ممكن يكون bilateral يعني من ضمن الأشياء اللي + +18 +00:01:31,420 --> 00:01:34,600 +بتساعدني في تشخيص ال congenital fourth nerve + +19 +00:01:34,600 --> 00:01:37,440 +pulsing أو superior و peak pulsing قضية ال old + +20 +00:01:37,440 --> 00:01:41,400 +photo ال old photo لما انا باطلبها من مراحل عمري + +21 +00:01:41,400 --> 00:01:45,740 +مختلفة وبشوف فيها ال characteristic هتلتمام؟ بتدل + +22 +00:01:45,740 --> 00:01:48,920 +عندي ان الهت تلب موجود من فترة طويلة و انها دي + +23 +00:01:48,920 --> 00:01:53,400 +بالغالب congenital fourth nerve بلسي ايضا لما + +24 +00:01:53,400 --> 00:01:57,880 +بلاحظوا انه في عندي facial asymmetry يعني الجزء من + +25 +00:01:57,880 --> 00:02:01,420 +الوجه من ال face او ال mid face بالاخرى اللي على + +26 +00:02:01,420 --> 00:02:04,880 +جهة البلسي بيكون نامي اكتر من الجزء اللي عليه ال + +27 +00:02:04,880 --> 00:02:07,780 +hit tilt ال chronic hit tilt لو تصورنا انه في + +28 +00:02:07,780 --> 00:02:11,740 +عندنا left sided hit tilt اذا كان هذا chronic من + +29 +00:02:11,740 --> 00:02:17,720 +يعنيال early years of life و كبر المريض مع هذه + +30 +00:02:17,720 --> 00:02:23,040 +العلة فبالتالي بيكون عندى هنا ال face أقل نموا من + +31 +00:02:23,040 --> 00:02:25,860 +اللى هو ال side التانى وبالتالي فى عندى ال + +32 +00:02:25,860 --> 00:02:33,040 +symmetrical head tilt او ال symmetrical face ايضا + +33 +00:02:33,040 --> 00:02:36,420 +ال fusional amplitudes ال vertical fusional + +34 +00:02:36,420 --> 00:02:40,420 +amplitudes فى الطبيعى قداشأتنين لتلاتة prison + +35 +00:02:40,420 --> 00:02:45,000 +بعدها بيصير diplopia لما بلاقي أنا large vertical + +36 +00:02:45,000 --> 00:02:48,140 +fusional amplitude بتوقع أنه في عندي long standing + +37 +00:02:48,140 --> 00:02:52,640 +يعني superior oblique pulse هذه الشغلات بتساعدني + +38 +00:02:52,640 --> 00:02:56,100 +على معرفة أو تمييز ال congenital fourth nerve + +39 +00:02:56,100 --> 00:03:00,920 +pulse من ال acquired fourth nerve pulse في تقسيمة + +40 +00:03:00,920 --> 00:03:04,220 +تانية لل fourth nerve pulse اللي هي unilateral أو + +41 +00:03:04,220 --> 00:03:08,750 +bilateralو في بعض الأحيان بنعطي مصطلح masked + +42 +00:03:08,750 --> 00:03:12,970 +bilateral masked bilateral اذا في عندي unilateral + +43 +00:03:12,970 --> 00:03:18,190 +و bilateral و في عندي masked bilateral لما بيكون + +44 +00:03:18,190 --> 00:03:25,430 +عندي ال masked bilateral superior + +45 +00:03:25,430 --> 00:03:32,920 +oblique pulse بيكون عنديعالجهتين في superior + +46 +00:03:32,920 --> 00:03:36,360 +oblique pulsae بس في عين أكتر بكتير من العين + +47 +00:03:36,360 --> 00:03:40,540 +التانية وبالتالي + +48 +00:03:40,540 --> 00:03:46,020 +بتبين و كأنها unilateral fourth nerve pulsae + +49 +00:03:46,020 --> 00:03:48,760 +superior oblique under action كتير على العين + +50 +00:03:48,760 --> 00:03:52,740 +الشمال مقارنة مع superior oblique under action + +51 +00:03:52,740 --> 00:03:55,900 +بتبين و كأنه هذه العين طبيعية فهذه بتسمى muscle + +52 +00:03:55,900 --> 00:04:00,420 +bilateral superior oblique pulsaeكيف اميز من ال + +53 +00:04:00,420 --> 00:04:07,060 +unilateral من ال bilateral في علامات كتيرة للتمييز + +54 +00:04:07,060 --> 00:04:10,160 +بس قبل ما نخد في موضوع اميز من ال unilateral من ال + +55 +00:04:10,160 --> 00:04:13,700 +bilateral ما هي علامات ال superior oblique pulse + +56 +00:04:13,700 --> 00:04:18,960 +ما هي علامات ال superior oblique pulse اذا هنا ضرب + +57 +00:04:18,960 --> 00:04:26,460 +لمثال left superior oblique pulse يقول اول علامة + +58 +00:04:26,460 --> 00:04:30,350 +ان left hypertrobialeft over right in the primary + +59 +00:04:30,350 --> 00:04:34,490 +position لما تكون ال uninvolved eye اللي هي ال + +60 +00:04:34,490 --> 00:04:37,590 +right eye fixated لما تكون هذه fixating بتكون هذه + +61 +00:04:37,590 --> 00:04:44,630 +hypertrophic ليش؟ لأن عندي .. عندي two elevators + +62 +00:04:44,630 --> 00:04:47,730 +شغالين و one depressor اللي هو ال superior rectus + +63 +00:04:47,730 --> 00:04:51,690 +والsuperior oblique .. ال superior oblique بلس + +64 +00:04:51,690 --> 00:04:53,850 +تمام؟ + +65 +00:04:55,830 --> 00:04:58,430 +فبالتاني لما تكون العين السليمة fixed setting + +66 +00:04:58,430 --> 00:05:01,410 +بيكون عندى hypertropia في العين اللى فيها superior + +67 +00:05:01,410 --> 00:05:06,570 +oblique palsy تمام؟ lift limitation in depression + +68 +00:05:06,570 --> 00:05:10,250 +in adduction معروف انه في ال adduction لو عملنا in + +69 +00:05:10,250 --> 00:05:15,510 +and down مابتقدرش تنزل لأنه مين المسئول عن انزال + +70 +00:05:15,510 --> 00:05:21,570 +العين في ال in وال superior obliqueLimitation + +71 +00:05:21,570 --> 00:05:24,330 +السبيرو روبليك مش جادرة تنزل العين في ال in + +72 +00:05:24,330 --> 00:05:27,830 +position إذا هذه العالمة جقولة Hypertropia في ال + +73 +00:05:27,830 --> 00:05:30,270 +primary position لما تكون العين السليمة fixated + +74 +00:05:30,270 --> 00:05:34,850 +Decreased depression and addiction ليش؟ لأن في + +75 +00:05:34,850 --> 00:05:38,090 +عندي سبيرو روبليك weakness سبيرو روبليك weakness + +76 +00:05:38,090 --> 00:05:43,330 +بما أن السبيرو روبليك ال functions بتاعتها + +77 +00:05:43,330 --> 00:05:47,030 +Intortion و depression + +78 +00:05:51,290 --> 00:05:56,950 +و abduction بما أن ال intorsion صار weak ستصبح + +79 +00:05:56,950 --> 00:06:00,470 +المسألة لصالح ال antagonist بتاعتها ال inferior + +80 +00:06:00,470 --> 00:06:04,650 +oblique اللي بتعملي إيش extortion إذا في عندي من + +81 +00:06:04,650 --> 00:06:08,710 +ضمن العلامات extortion و هنعرف كيف احنا بواسطة أي + +82 +00:06:08,710 --> 00:06:12,450 +test يعني نفحص ال extortion تمام + +83 +00:06:14,620 --> 00:06:18,060 +طبعا نرجع للعلامة الأولى اللي هي ال hypertropia في + +84 +00:06:18,060 --> 00:06:23,320 +ال primary position هذه ال hypertropia لما المريض + +85 +00:06:23,320 --> 00:06:29,620 +يتطلع نيزلي بالنسبة له لما المريض يتطلع نيزلي يعني + +86 +00:06:29,620 --> 00:06:34,620 +يتطلع ال right side ايه تتوقع ال hypertropia تصير؟ + +87 +00:06:34,620 --> 00:06:40,040 +بتزيد، ليش؟أجى فى منطقة تعمل إيش ال oblique + +88 +00:06:40,040 --> 00:06:43,520 +muscles و ال oblique muscles اللى هم ال antagonist + +89 +00:06:43,520 --> 00:06:46,580 +ال inferior oblique و ال superior oblique بما أن + +90 +00:06:46,580 --> 00:06:50,500 +ال superior oblique weak معناته هيقدى ل increased + +91 +00:06:50,500 --> 00:06:54,820 +hypertropia فى unlocking the opposite side انا + +92 +00:06:54,820 --> 00:06:57,940 +عندي left superior oblique weakness لما بتطلع على + +93 +00:06:57,940 --> 00:07:01,860 +ال right بتزيد ال hypertropia لما بتطلع to the + +94 +00:07:01,860 --> 00:07:02,560 +same side + +95 +00:07:07,780 --> 00:07:12,460 +فيش hypertropia فيش hypertropia ليش؟ لأن هنا راح + +96 +00:07:12,460 --> 00:07:15,740 +على منطقة عمل ال vertical recti و اللي هم طبيعية + +97 +00:07:15,740 --> 00:07:19,560 +ال superior rectus و ال inferior rectus طيب عشان + +98 +00:07:19,560 --> 00:07:23,420 +انا اتذكر هذه القضية ال hypertropia اللي في ال + +99 +00:07:23,420 --> 00:07:27,720 +primary position بتزيد على ال contralateral side و + +100 +00:07:27,720 --> 00:07:35,060 +اللي على ال ipsilateral side في مصطلح اسمه وغ wars + +101 +00:07:35,060 --> 00:07:37,460 +on + +102 +00:07:38,290 --> 00:07:44,930 +opposite gaze يعني + +103 +00:07:44,930 --> 00:07:48,230 +بيصير أسوأ الوضع على ال opposite gaze عندنا + +104 +00:07:48,230 --> 00:07:51,110 +المشكلة في ال left eye معناته على ال right gaze + +105 +00:07:51,110 --> 00:07:57,430 +على ال right gaze يعني بتصير الوضع أسوأ يعني ال + +106 +00:07:57,430 --> 00:08:05,010 +hypertrophia بتزيد ال hypertrophia بتزيد أيضا + +107 +00:08:05,010 --> 00:08:06,210 +من ضمن العلامات + +108 +00:08:09,260 --> 00:08:12,800 +لمّا أعمل tilting للمريض اللي عنده left superior + +109 +00:08:12,800 --> 00:08:17,480 +oblique pulse على نفس الناحية أو أعمل tilting على + +110 +00:08:17,480 --> 00:08:22,080 +الناحية التانية، يترى وين الوضع بيكون أحسن وين + +111 +00:08:22,080 --> 00:08:27,340 +الوضع بيكون أسوأ، على ال left أش بيصير أحسن، لأ + +112 +00:08:27,340 --> 00:08:35,470 +أسوأ بيصير، هتزيد الhyperotropiaتمام احنا lift + +113 +00:08:35,470 --> 00:08:38,890 +احنا بنحكي عن ال left superior oblique pulse تمام + +114 +00:08:38,890 --> 00:08:42,270 +لما + +115 +00:08:42,270 --> 00:08:47,550 +ال left hit التل العينين التانية هيلفوا عكسه هذه + +116 +00:08:47,550 --> 00:08:51,150 +هتعمل entortion entortion يعني ال entertar muscles + +117 +00:08:51,150 --> 00:08:55,530 +هي اللي هتشتغل superior rectus و superior oblique + +118 +00:08:55,530 --> 00:08:59,580 +طب ال superior oblique weakساعتها العين هتطلع على + +119 +00:08:59,580 --> 00:09:03,480 +فوق طيب انا مستعد اللي في الامتحان مش جادر اركز في + +120 +00:09:03,480 --> 00:09:17,040 +الموضوع تمام vote beta on opposite tilt يعني + +121 +00:09:17,040 --> 00:09:22,000 +الوضع بيصير أحسن في ال opposite tilt تمام + +122 +00:09:26,210 --> 00:09:29,790 +معناته لما أعمل إبسي lateral tilt بيصير أسوأ بيصير + +123 +00:09:29,790 --> 00:09:34,210 +أسوأ فلما بنقول lift superior oblique palsy إيش ال + +124 +00:09:34,210 --> 00:09:37,830 +tilt؟ هتقولي Contralateral tilt تمام؟ ليش؟ لأنه + +125 +00:09:37,830 --> 00:09:42,010 +بيصير better on contralateral tilt و هنفهم ليش شو + +126 +00:09:42,010 --> 00:09:47,630 +بيعمل القضية طيب + +127 +00:09:47,630 --> 00:09:53,520 +نيجي نفهم ال abnormal head postureاحنا اللي قولنا + +128 +00:09:53,520 --> 00:09:56,960 +ال abnormal head posture هو عبارة عن compensatory + +129 +00:09:56,960 --> 00:10:02,780 +head posture عشان إيه؟ عشان نلغي الدبلوغيا نتخلص + +130 +00:10:02,780 --> 00:10:05,240 +من الدبلوغيا يعني نستعيد ال binocular single + +131 +00:10:05,240 --> 00:10:10,120 +vision يا ترى المريض اللي عنده left superior + +132 +00:10:10,120 --> 00:10:15,880 +oblique palsy left superior oblique palsy أيتلت + +133 +00:10:15,880 --> 00:10:21,220 +هيتخذ عشان يعمل intortion لل I تمام عشان يعمل + +134 +00:10:21,220 --> 00:10:25,580 +intortion لل I أو يخفف من ال X cyclotortion في + +135 +00:10:25,580 --> 00:10:29,080 +Contralateral head tilt Contralateral head tilt + +136 +00:10:29,080 --> 00:10:35,340 +Right sided head tilt ساعتها هذه العين اللي هي + +137 +00:10:35,340 --> 00:10:38,720 +أصلا بسبب السبيل وال Oblique pulse عاملة extortion + +138 +00:10:38,720 --> 00:10:43,750 +أنا بروح معاها في اتجاه ال extortionأنا بروح معها + +139 +00:10:43,750 --> 00:10:46,610 +في اتجاه ال extortion يعني هى شده باتجاه ال + +140 +00:10:46,610 --> 00:10:51,270 +extortion فانا بخليه يلزمها ال extortion عشان يكون + +141 +00:10:51,270 --> 00:10:55,650 +و كأنه طبيعى و كأنه طبيعى بعمل contralateral head + +142 +00:10:55,650 --> 00:11:00,290 +tilt ساعتها ال lift I هتعمل extortion وهو المطلوب + +143 +00:11:00,290 --> 00:11:03,770 +لأن هو اللى جادرة تعمله هو اللى جادرة تعمله اذا فى + +144 +00:11:03,770 --> 00:11:08,050 +عندي contralateral head tiltعشان أبعد عن منطقة عمل + +145 +00:11:08,050 --> 00:11:10,450 +ال superior oblique التانية اللي هي بتعمل + +146 +00:11:10,450 --> 00:11:14,330 +depression بعمل chin down position، ليش؟ عشان لإنك + +147 +00:11:14,330 --> 00:11:17,250 +تروح up، ابعيد عن ال superior oblique اللي بتعملي + +148 +00:11:17,250 --> 00:11:21,490 +depression، تمام؟ ال fast turn هيكون عن ناحية + +149 +00:11:21,490 --> 00:11:26,040 +التانية ولا على نفس الناحية؟عن ناحية التانية ليش؟ + +150 +00:11:26,040 --> 00:11:30,120 +عشان تعمل العين abduction تروحة منطقة عمل ال recti + +151 +00:11:30,120 --> 00:11:35,140 +اذا عشان العين مش قادرة تعمل depression في عندي an + +152 +00:11:35,140 --> 00:11:37,820 +abduction the face is turned to the right and the + +153 +00:11:37,820 --> 00:11:42,300 +chin is depressed Contralateral tilt Contralateral + +154 +00:11:42,300 --> 00:11:46,240 +face turn و chin depression Contralateral tilt + +155 +00:11:47,470 --> 00:11:51,250 +Contralateral tilt Contralateral faceturn + +156 +00:11:51,250 --> 00:11:53,690 +Contralateral tilt Contralateral faceturn + +157 +00:11:53,690 --> 00:11:57,070 +Contralateral + +158 +00:11:57,070 --> 00:12:01,870 +faceturn Contralateral + +159 +00:12:01,870 --> 00:12:06,770 +faceturn Contralateral faceturn Contralateral + +160 +00:12:06,770 --> 00:12:13,710 +faceturn Contralateral faceturn + +161 +00:12:13,710 --> 00:12:16,870 +Contralateral faceturn + +162 +00:12:17,660 --> 00:12:23,460 +superior oblique pulse فيه يعني نعمل هيك جدول بسيط + +163 +00:12:23,460 --> 00:12:32,740 +ال unilateral و ال bilateral من العلامات الأشياء + +164 +00:12:32,740 --> 00:12:37,280 +المهمة في التمييز أول حاجة قضية ال v butter في ال + +165 +00:12:37,280 --> 00:12:42,480 +unilateral little if any v butter + +166 +00:12:46,240 --> 00:12:49,940 +يعني ممكن إذا كان يكون خفيف كتير مايصارش ل V + +167 +00:12:49,940 --> 00:12:53,120 +butter بينما في ال bilateral بيكون عندي في V + +168 +00:12:53,120 --> 00:12:58,260 +butter strabismus ليش؟ لأن عندي bilateral superior + +169 +00:12:58,260 --> 00:13:01,560 +oblique pulse العينين ال abduction هيروح منهم في + +170 +00:13:01,560 --> 00:13:05,300 +ال down gate و ال antagonists بتاعتهم ال inferior + +171 +00:13:05,300 --> 00:13:07,280 +oblique و ال inferior oblique فوق هيعملوا + +172 +00:13:07,280 --> 00:13:13,900 +abduction بزيادة فهتشكل عندي V butter هاي أول شغلة + +173 +00:13:13,900 --> 00:13:20,060 +الشغلة التانيةالـ X-cyclotortion هنا الـ X + +174 +00:13:20,060 --> 00:13:25,480 +-cyclotortion بيكون + +175 +00:13:25,480 --> 00:13:30,220 +أكتر من تلاتة degree بس عادة أقل من خمسة degree + +176 +00:13:30,220 --> 00:13:36,020 +هنا أكتر من خمسة degree وإذا وصل عشرة degree or + +177 +00:13:36,020 --> 00:13:40,580 +more بيكون highly diagnostic إيش يعني highly + +178 +00:13:40,580 --> 00:13:43,780 +diagnostic يعني لما الإنسان بفحصله + +179 +00:13:46,370 --> 00:13:50,530 +الـ X-Cyclotoxin بواسطة الـ Double Madox Root الـ + +180 +00:13:50,530 --> 00:13:54,130 +Double Madox Root و هناخده في العمل أو أخدناه في + +181 +00:13:54,130 --> 00:13:57,950 +العمل تمام و بلاقي عنده عشرة degree or more + +182 +00:13:57,950 --> 00:14:01,090 +بالغالب هذا عنده bilateral superior oblique pulse + +183 +00:14:01,090 --> 00:14:05,730 +بالغالب عنده bilateral superior oblique pulse يا + +184 +00:14:05,730 --> 00:14:11,350 +إيش برضه من الحاجات اللي بتساعدني على الهدأ هنا ال + +185 +00:14:11,350 --> 00:14:15,630 +free step test اللي هنشرحه اليوم شرحناه في حوال + +186 +00:14:15,630 --> 00:14:16,090 +واحد + +187 +00:14:19,710 --> 00:14:24,690 +لأجابة بيكون positive on the side of involvement + +188 +00:14:24,690 --> 00:14:30,730 +هنشرحه + +189 +00:14:30,730 --> 00:14:37,650 +بس أنا أعتقد شرحنا هنا bilaterally positive three + +190 +00:14:37,650 --> 00:14:38,630 +step test + +191 +00:14:50,320 --> 00:15:01,020 +هنا فندس objective فندس x cyclotorsion هنحكي + +192 +00:15:01,020 --> 00:15:04,460 +إيش هي ال objective فندس x cyclotorsion هنا + +193 +00:15:04,460 --> 00:15:10,980 +positive على الناحيتين objective فندس x + +194 +00:15:10,980 --> 00:15:11,820 +cyclotorsion + +195 +00:15:14,300 --> 00:15:17,720 +بنحكي بس عن ال .. الكلمة الأخيرة هذه لما بنحكي + +196 +00:15:17,720 --> 00:15:21,960 +احنا لما دراستا ال eye anatomy بنقول أنه أعلى ال + +197 +00:15:21,960 --> 00:15:27,580 +optic nerve ولا ال macula ال optic nerve ال macula + +198 +00:15:27,580 --> 00:15:33,860 +جاية temporal ولا nasal؟ temporal حقيقة قمة ال .. + +199 +00:15:33,860 --> 00:15:37,340 +ال macula أو ال fovea بتمر في التلت الأسفل لل + +200 +00:15:37,340 --> 00:15:42,140 +optic nerve طيب لو لجينا هاي temporal وهاي nasal + +201 +00:15:42,140 --> 00:15:46,240 +نفرض هذه العين اليمنىتمام؟ هاي .. هاي الأنف وهاي + +202 +00:15:46,240 --> 00:15:50,280 +العين اليوم لو لجينا الماكولا نازلة كتير معناته + +203 +00:15:50,280 --> 00:15:54,220 +العين لافة X cyclotoxin صح ولا لا؟ يعني لو لجينا + +204 +00:15:54,220 --> 00:15:59,720 +الماكولا هنا تمام؟ بال indirect ophthalmoscope + +205 +00:15:59,720 --> 00:16:05,640 +معناته إيش؟ ده إيش رأيكم في المنظر هذا؟ احنا بنطلع + +206 +00:16:05,640 --> 00:16:09,480 +في ال indirect ophthalmoscope و لجينا الماكولا هنا + +207 +00:16:10,390 --> 00:16:15,730 +لأ هذا ال X-torsion ليش؟ لأن ال indirect + +208 +00:16:15,730 --> 00:16:20,630 +ophthalmoscope بيجلب الصورة فكل ما كانت الماكولا + +209 +00:16:20,630 --> 00:16:25,150 +أعلى كل ما كانت هي فعلا أوطى و بالتالي بيكون عندي + +210 +00:16:25,150 --> 00:16:29,350 +objective fundus X-cyclotorsion ممكن تنعمل under + +211 +00:16:29,350 --> 00:16:32,650 +general anesthesia أثناء عمل مريض نايم أو يعمل + +212 +00:16:32,650 --> 00:16:37,870 +fixation بالعين التانية السليمة و أشوف أناكمية X + +213 +00:16:37,870 --> 00:16:42,090 +-cyclotortion بتسمى objective يعني ال line التخيلة + +214 +00:16:42,090 --> 00:16:46,190 +اللي بمرفق أعلى الفوفيا المفروض يقطع يعني أنا في + +215 +00:16:46,190 --> 00:16:49,650 +عندي هنا مافيش تقاطع تمام فبالتالي أنا كل ما كانت + +216 +00:16:49,650 --> 00:16:52,670 +الماكلة أعلى بالمنظر كل ما كان في عندي X + +217 +00:16:52,670 --> 00:16:56,050 +-cyclotortion objective fundus X-cyclotortion هذه + +218 +00:16:56,050 --> 00:16:58,310 +القضية في ال unilateral fourth nerve pulsae + +219 +00:16:58,310 --> 00:17:01,190 +حلاحظها في العين اللي فيها البلس و في ال bilateral + +220 +00:17:01,190 --> 00:17:05,650 +حلاحظها في العينتين حلاحظها في العينتين كيف أجيس + +221 +00:17:06,610 --> 00:17:10,150 +كمية ال X-cyclotorsion بواسطة المادوكس روت ال + +222 +00:17:10,150 --> 00:17:14,630 +double Maddox rod تمام و بضل انا اعدل لغاية ما + +223 +00:17:14,630 --> 00:17:18,070 +يصير عندي one line تمام و بالتالي مايكونش في + +224 +00:17:18,070 --> 00:17:26,810 +tilting بالنسبة لل line بالنسبة لل line الآخر بدنا + +225 +00:17:26,810 --> 00:17:33,120 +نحكي الآن حكي عنالـ special test طبعا الـ + +226 +00:17:33,120 --> 00:17:35,940 +bilateral الـ bilateral بيكون في ال down case في + +227 +00:17:35,940 --> 00:17:41,940 +عنده إيزوتروبيا in down case إيزوتروبيا in down + +228 +00:17:41,940 --> 00:17:42,300 +case + +229 +00:17:45,300 --> 00:17:47,940 +بالذات ال isotropia بتكون واضحة في ال down gaze + +230 +00:17:47,940 --> 00:17:51,320 +ليش؟ لأنها منطقة عمل ال superior obliques عن + +231 +00:17:51,320 --> 00:17:54,780 +ناحيتين و ال abduction بتاعها على الناحيتين في ال + +232 +00:17:54,780 --> 00:17:58,120 +down gaze راح فهيصير لصالح ال abduction اللي + +233 +00:17:58,120 --> 00:18:02,600 +بتعمله ال inferior recti فهتزيد ال isotropia في ال + +234 +00:18:02,600 --> 00:18:06,140 +bilateral force nerve policy في ال down gaze ده + +235 +00:18:06,140 --> 00:18:10,500 +نيجي نحكي عن ال three step test و اللي هو مهم + +236 +00:18:10,500 --> 00:18:15,770 +للغايةوعمله بسيط بس تفسيره هو اللي بده الانتباه .. + +237 +00:18:15,770 --> 00:18:22,190 +تفسيره هو اللي بده الانتباه .. اي إنسان بيكون عنده + +238 +00:18:22,190 --> 00:18:29,570 +vertical deviation و suspected palsy بروحش + +239 +00:18:29,570 --> 00:18:34,190 +انا اعطيله ال diagnosis سريع .. ايش احنا شايفين؟ + +240 +00:18:36,230 --> 00:18:40,090 +هذه بدي أنصح نصيحة ما .. مانحطش التشخيص + +241 +00:18:40,090 --> 00:18:44,950 +hypertropia أو hypotropia وإنما نوصف توصيف لغوي + +242 +00:18:44,950 --> 00:18:51,290 +هذه بتسمى left over right left over right لأنه + +243 +00:18:51,290 --> 00:18:54,710 +ممكن فعلا تكون left hypertropia أو حقيقة الأمر + +244 +00:18:54,710 --> 00:19:00,880 +right hypotropiaالان انا عشان اكون دقيق في ملاحظتي + +245 +00:19:00,880 --> 00:19:04,520 +او في تشخيصي بدي اعرف هي هل فعلا هي left + +246 +00:19:04,520 --> 00:19:08,520 +hypertropia ولا right hypo طب بس انا شايف ال right + +247 +00:19:08,520 --> 00:19:12,040 +كانها straight بس هي ممكن تكون right hypo و bitter + +248 +00:19:12,040 --> 00:19:15,900 +seeing eye طلعت عشان تعمل fixation فحسب hearing + +249 +00:19:15,900 --> 00:19:19,240 +low طلعت high اذا انا لسه مابعرفش مين ال bitter + +250 +00:19:19,240 --> 00:19:23,080 +seeing eye هي ممكن الامر يكون حقيقة الامر الطبيعي + +251 +00:19:23,080 --> 00:19:28,570 +هي ال leftوال right هي اللي فيها المشكلة فيها + +252 +00:19:28,570 --> 00:19:31,570 +hypotropia بس ليش أنا شوفت المنظر؟ ليش المريض دخل + +253 +00:19:31,570 --> 00:19:35,050 +علي بالمنظر هذا؟ هو عامل fixation ممكن تكون هي + +254 +00:19:35,050 --> 00:19:38,370 +better seeing eye ومضطر يعمل فيها fixation أوضح + +255 +00:19:38,370 --> 00:19:41,450 +الصورة فيها فإذا طلعت high من وضع ال hypo لل + +256 +00:19:41,450 --> 00:19:44,690 +straight حسب hearing له هذه هتطلع على ال ash لل up + +257 +00:19:44,690 --> 00:19:48,230 +gaze إذا الأفضل أعطي تشخيص .. قبل ما أعطي تشخيص + +258 +00:19:48,230 --> 00:19:52,830 +أوصف توصيف أدبي أنا شايف ال left فوق ال rightحقيقة + +259 +00:19:52,830 --> 00:19:58,030 +ليش انا بدي اكتب الكلمة high عشان اسأل نفسي سؤال، + +260 +00:19:58,030 --> 00:20:02,430 +يا ترى إيش اللي بيخلي ال left over right؟ إما خلل + +261 +00:20:02,430 --> 00:20:05,490 +في ال elevators بتاعة ال right eye خلى ال + +262 +00:20:05,490 --> 00:20:09,330 +elevators تنزل، weakness، نحكي عن weakness، نحكيش + +263 +00:20:09,330 --> 00:20:13,090 +عن over action إما weakness في ال elevator اللي هم + +264 +00:20:13,090 --> 00:20:17,430 +superior rectus و ال inferior oblique، تمام؟ weak + +265 +00:20:19,810 --> 00:20:25,490 +أو weakness في ال depressor اللي هم ال inferior + +266 +00:20:25,490 --> 00:20:28,770 +rectus وال superior oblique يكون واحدة منهم ويبقى + +267 +00:20:28,770 --> 00:20:33,650 +اذا في مجال الاتهام بتاعي في أربع عضلات متهمات + +268 +00:20:33,650 --> 00:20:39,090 +الآن هذه أول خطوة في ال three step test في عندي + +269 +00:20:39,090 --> 00:20:42,030 +انا بدي أحقق مع أربع عضلات الأربع عضلات اللي بدي + +270 +00:20:42,030 --> 00:20:45,290 +أحقق معهم إذا كان في عندي weakness في واحدة من + +271 +00:20:45,290 --> 00:20:49,640 +هدول ساعتها العين هتسير هيبقىبلاش هذه العين سليمة + +272 +00:20:49,640 --> 00:20:53,600 +إذا عندي weakness في واحدة من ال depressors بتاعة + +273 +00:20:53,600 --> 00:20:56,600 +ال left eye ساعتها العين هتطلع لصالح ال elevators + +274 +00:20:56,600 --> 00:21:00,840 +بتاعتها إذا weakness في أي واحدة من الأربعة هيؤدي + +275 +00:21:00,840 --> 00:21:05,000 +إلى ما مفاده left over right الآن هدول الأربعة في + +276 +00:21:05,000 --> 00:21:07,420 +الخطوة التانية من ال free step test لنختصرهم + +277 +00:21:07,420 --> 00:21:12,520 +لاتنينو بعدين بدنا نختصرهم لإيش؟ لواحدة تمام؟ هذه + +278 +00:21:12,520 --> 00:21:15,480 +الخطوة الأولى في ال free step test الخطوة التانية + +279 +00:21:15,480 --> 00:21:18,940 +بخلي المريض يتطلع على ال right و بخليه يتطلع على + +280 +00:21:18,940 --> 00:21:23,300 +ال left عشان أشوف هاي المريض يتطلع على ال right + +281 +00:21:23,300 --> 00:21:29,820 +زادت ال hypertropia أو بلاش نقول ال hypertropia + +282 +00:21:29,820 --> 00:21:35,540 +زادت ال left over right زادت + +283 +00:21:35,540 --> 00:21:36,860 +on right gaze + +284 +00:21:40,910 --> 00:21:47,370 +وعال left gaze راحت طيب بعدى بقول هدولة الأربعة + +285 +00:21:47,370 --> 00:21:50,610 +اللى موجودين عندى بدي أوزعهم على الأربعة position + +286 +00:21:50,610 --> 00:21:54,370 +في ال out position مين من هدولة بيشتغل؟ superior + +287 +00:21:54,370 --> 00:21:59,840 +rectusفي ال in position مين من هدولة بيشتغل؟ + +288 +00:21:59,840 --> 00:22:04,380 +superior oblique هنا في ال out position في ال in + +289 +00:22:04,380 --> 00:22:08,160 +position عفوا مين بيشتغل؟ inferior oblique و هنا + +290 +00:22:08,160 --> 00:22:13,120 +ال inferior rectus طب طالما اتحسن الوضع هنا إذا + +291 +00:22:13,120 --> 00:22:16,420 +هدولة خرجوا برا دائرة الاتحام، دل عندى اللي + +292 +00:22:16,420 --> 00:22:19,260 +بيخليلي في ال right gaze اللي بيخليلي في ال right + +293 +00:22:19,260 --> 00:22:22,070 +gaze، هدا هنعيدوا الكلام، بس ركزوا معايااللي + +294 +00:22:22,070 --> 00:22:25,850 +بيخللي في ال right case تستمر وضعية ال left over + +295 +00:22:25,850 --> 00:22:29,190 +right إما ال superior rectus ضعيفة و عشان هيك هذه + +296 +00:22:29,190 --> 00:22:33,090 +العين نازلة فبتبين هذه فوجيها أو ال superior + +297 +00:22:33,090 --> 00:22:37,410 +oblique ضعيفة فال inferior oblique بترفعها يعني + +298 +00:22:37,410 --> 00:22:40,170 +إما ضعف ال superior rectus أو ضعف ال superior + +299 +00:22:40,170 --> 00:22:43,990 +oblique تمام؟ الآن بيظل الخطوة التالتة هدول عندي + +300 +00:22:43,990 --> 00:22:49,350 +ماتهمين و هدول هطلعوا إيش براءة تمام؟ الآن التالت + +301 +00:22:50,180 --> 00:22:54,580 +الخطوة التالتة بدأ أشوف مين اللي involved بدأ أعمل + +302 +00:22:54,580 --> 00:23:06,100 +head tilt مرة لليشمال و مرة لليمين احنا + +303 +00:23:06,100 --> 00:23:13,740 +قلنا في حوال واحد تمام في حوال واحد حكينا انه + +304 +00:23:13,740 --> 00:23:16,940 +دائما العينتين بتدور عكس دوران الرأس writing + +305 +00:23:16,940 --> 00:23:18,220 +reflexes مظبوط + +306 +00:23:23,140 --> 00:23:27,080 +إذا الرأس دارت لليمين العينتين هتلف للشمال إذا + +307 +00:23:27,080 --> 00:23:30,580 +الرأس دارت للشمال العينتين هتلف لليمين عشان تظل + +308 +00:23:30,580 --> 00:23:36,780 +البيئة الخارجية للصورة ثابتة طيب اللي بيحافظ على + +309 +00:23:36,780 --> 00:23:41,860 +العينتين في مستوى بعضهم العضلات المعنية إما بال + +310 +00:23:41,860 --> 00:23:44,680 +intortion أو بال extortion إذا صار في العين + +311 +00:23:44,680 --> 00:23:48,280 +intortion زي هذا المنظر ساعتها عضل ال intorter + +312 +00:23:48,280 --> 00:23:51,020 +muscles اللي هي superior rectus وال superior + +313 +00:23:51,020 --> 00:23:56,750 +oblique هيموازنة بعضها أو هى اللى بتشتغل هنا ال + +314 +00:23:56,750 --> 00:23:59,650 +inferior rectus و ال inferior oblique انا معنى بال + +315 +00:23:59,650 --> 00:24:03,370 +left eye لانه انا شاعر فيها المشكلة تمام و معنى + +316 +00:24:03,370 --> 00:24:05,770 +بال right eye لانه ممكن لسه تكون هى المشكلة + +317 +00:24:05,770 --> 00:24:10,210 +superior rectus طيب الان الخلل ظهر وين في ال right + +318 +00:24:10,210 --> 00:24:14,670 +تلت ولا في ال left تلت في ال left تلت اذا في ال + +319 +00:24:14,670 --> 00:24:20,640 +left tilt ظهر تمامنجي نمسك عين عين، تمام؟ العين + +320 +00:24:20,640 --> 00:24:23,940 +هاي عضلات ال intuition هي اللي اشتغلت، مين عضلات + +321 +00:24:23,940 --> 00:24:28,780 +ال intuition؟ superior rectus و superior oblique + +322 +00:24:28,780 --> 00:24:31,480 +هل ال superior oblique من ضمن الاتهام في ال left + +323 +00:24:31,480 --> 00:24:35,940 +eye؟ اه من ضمن ماتهمه، اه طيب، الان هنا مين + +324 +00:24:35,940 --> 00:24:42,020 +العضلات اللي اشتغلت؟ inferior rectus و inferior + +325 +00:24:42,020 --> 00:24:44,720 +oblique في ال right eye هل في ضال inferior rectus + +326 +00:24:44,720 --> 00:24:47,240 +و inferior oblique؟ إذا أنا ماليش علاقة فيهم هدولة + +327 +00:24:48,810 --> 00:24:52,550 +إذن بما أنه المشكلة ضايلة عندي في ال superior + +328 +00:24:52,550 --> 00:24:54,370 +rectus و ال superior oblique و صار في عندي + +329 +00:24:54,370 --> 00:24:57,750 +hypertropia معناته العضلة المتهمة في ال left eye + +330 +00:24:57,750 --> 00:25:01,410 +لضالة superior oblique هي العضلة اللي أنا معنى + +331 +00:25:01,410 --> 00:25:06,610 +انياش و اللي هي فيها ال pulse طيب ليش هنا ماصارش؟ + +332 +00:25:06,610 --> 00:25:10,970 +ممكن حد يقول طب ما ال superior rectus ممكن تكون هي + +333 +00:25:10,970 --> 00:25:14,580 +أمتى بتتفعل ال superior rectus في ال right eye؟في + +334 +00:25:14,580 --> 00:25:17,780 +ال right تلقى اشتغل ال intuition هنا superior + +335 +00:25:17,780 --> 00:25:20,680 +rectus و superior oblique في ال right التنتين + +336 +00:25:20,680 --> 00:25:25,260 +طبيعيته عشان هيك ماصارش ولا حاجة هذا ال three step + +337 +00:25:25,260 --> 00:25:31,040 +test تنفيذ ال three step test في دقيقة ممكن اعمله + +338 +00:25:31,040 --> 00:25:34,340 +بس تفسيره هو اللي بياخد واجت بس مع ال واجت واحد + +339 +00:25:34,340 --> 00:25:38,660 +بتعود هذا نعيده مرة تانية لتأكيد المعلومة + +340 +00:25:43,230 --> 00:25:48,290 +ما نمرش علينا في حوال واحد طيب بسيط نمسك حاجة + +341 +00:25:48,290 --> 00:25:54,750 +تانية ايش المنظر اللي شايفينه right over left + +342 +00:25:54,750 --> 00:26:01,130 +right over left right over left هذا الصحيح ممكن + +343 +00:26:01,130 --> 00:26:07,910 +ينتج عن ايش ضعف في من ضعف في ال depressor هنا + +344 +00:26:11,020 --> 00:26:16,960 +أو بالـ elevator واحدة + +345 +00:26:16,960 --> 00:26:20,460 +منهم إذا ضعفت هتأديلي للمنظر اللي هو بيسموه right + +346 +00:26:20,460 --> 00:26:25,060 +over left هدول الأربعة بدي أختصرهم لاتنين بخلي + +347 +00:26:25,060 --> 00:26:29,040 +المريض يتطلع على اليمين ويتطلع على الشمال هيو + +348 +00:26:29,040 --> 00:26:35,500 +بتطلع على الشمال مثلا هيو بتطلع على اليمين + +349 +00:26:39,900 --> 00:26:42,140 +أنا اخترقت مشكلة تانية غير ال superior oblique + +350 +00:26:42,140 --> 00:26:47,000 +pulse بس عشان ندخل ال free step test تمام؟ طيب علي + +351 +00:26:47,000 --> 00:26:51,240 +شمال مين من العضلات هذه هتشتغل؟ في ال abduction + +352 +00:26:51,240 --> 00:26:55,100 +مين هيشتغل؟ superior rectus وفي ال abduction مين + +353 +00:26:55,100 --> 00:27:04,800 +هيشتغل؟ هل في مشكلة؟ لأ إذا هدولة براها تبتخد من + +354 +00:27:04,800 --> 00:27:09,440 +العضلات اللي ذكرناهاظالمين عندى هنا في ال adoption + +355 +00:27:09,440 --> 00:27:15,920 +ال inferior oblique و ال inferior rectus طيب + +356 +00:27:15,920 --> 00:27:20,440 +لما ال inferior oblique تضعف هتسير العين في ال in + +357 +00:27:20,440 --> 00:27:24,100 +positionلتحت نازلة لإيش؟ لأن ال antagonist عندها + +358 +00:27:24,100 --> 00:27:26,740 +ال superior oblique اللي احنا مش كاتبين اسمها هتشد + +359 +00:27:26,740 --> 00:27:30,120 +العين لتحت اذا كان هذا ضعيف او ان هذه تكون طبيعية + +360 +00:27:30,120 --> 00:27:33,340 +و ال inferior rectus ضعيفة فال superior rectus + +361 +00:27:33,340 --> 00:27:36,700 +هترفع العين لفوق في الجهتين سواء هي ضعيفة او هي + +362 +00:27:36,700 --> 00:27:41,420 +ضعيفة هيقديلي ل right over left ل right over left + +363 +00:27:41,420 --> 00:27:45,940 +اذا دل عندي عضلتين متهمات طيب + +364 +00:28:02,520 --> 00:28:08,940 +مين تحكيلي مين العضلة اللى صفت معها و ليش ال + +365 +00:28:08,940 --> 00:28:15,840 +inferior oblique هي العضلة ايش + +366 +00:28:15,840 --> 00:28:21,200 +رأيكوا inferior + +367 +00:28:21,200 --> 00:28:25,940 +oblique بلسي تفسريلي + +368 +00:28:25,940 --> 00:28:31,620 +إياها ال right over left ضال في ال left tilt + +369 +00:28:36,470 --> 00:28:42,470 +Inferior rectus إيش معناته؟ ال inferior rectus في + +370 +00:28:42,470 --> 00:28:48,310 +أي عين؟ في ال left في ال left آه ال inferior + +371 +00:28:48,310 --> 00:28:54,870 +rectus بس هي مش متهمة عندنا لأ + +372 +00:28:54,870 --> 00:29:02,770 +مش غلط لو + +373 +00:29:02,770 --> 00:29:08,030 +خلينا احنا بدنا نفرض جدلًاانه ال inferior rectus + +374 +00:29:08,030 --> 00:29:10,570 +زي ما انتوا بتحكوا في ال right eye هي اللي فيها + +375 +00:29:10,570 --> 00:29:16,450 +بلسي تمام؟ هي اللي فيها بلسي تمام؟ انا اشكرا سامة + +376 +00:29:16,450 --> 00:29:20,730 +هنا right over left ال inferior rectus extorter + +377 +00:29:20,730 --> 00:29:24,590 +ولا entorter? extorter ..extorter هنا قولنا طبيعي + +378 +00:29:24,590 --> 00:29:28,550 +مظبوط هنا + +379 +00:29:28,550 --> 00:29:33,520 +.. هنامين اللي بيصير فيه stimulation؟ الاكستورشن + +380 +00:29:33,520 --> 00:29:36,540 +ولا الانتورشن الاكستورشن الاكستورشن مين الاكستورتر + +381 +00:29:36,540 --> 00:29:40,900 +muscles ال inferior rectus ال inferior rectus و ال + +382 +00:29:40,900 --> 00:29:43,160 +inferior oblique اللي احنا مش ذاكرينها مش مقصود + +383 +00:29:43,160 --> 00:29:45,820 +فيها ال inferior oblique بتاعة ال left eye بتاعة + +384 +00:29:45,820 --> 00:29:49,240 +ال right eye لأنهم مش متوازنات طلعت العين لأن هنا + +385 +00:29:49,240 --> 00:29:52,580 +في inferior rectus pulsae تمام inferior rectus + +386 +00:29:52,580 --> 00:29:56,780 +pulsae اذا صفة عندي inferior rectus المتهمة طيب + +387 +00:29:56,780 --> 00:30:01,490 +لما عملنا right sided head tiltبتشوف ال inferior + +388 +00:30:01,490 --> 00:30:04,010 +oblique هنا ال inferior oblique صارت extortion + +389 +00:30:04,010 --> 00:30:07,330 +تمام اتوازنت هي و ال inferior rectus في العين + +390 +00:30:07,330 --> 00:30:10,970 +الشمال وبالتالي مافيش مشكلة في ال inferior oblique + +391 +00:30:10,970 --> 00:30:13,850 +هنا انا المشكلة عندي في ال inferior rectus ناخد + +392 +00:30:13,850 --> 00:30:23,770 +مثال تالت و لا كفاية مش سامع تمام طب بنأكدها بمثال + +393 +00:30:23,770 --> 00:30:25,430 +انتوا تحلوا انتوا تحلوا + +394 +00:30:31,600 --> 00:30:38,860 +إيش رأيكم؟ left over right إيش العضلات اللي متهمة؟ + +395 +00:30:38,860 --> 00:30:41,900 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +396 +00:30:41,900 --> 00:30:42,000 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +397 +00:30:42,000 --> 00:30:44,020 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +398 +00:30:44,020 --> 00:30:46,300 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +399 +00:30:46,300 --> 00:30:46,300 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +400 +00:30:46,300 --> 00:30:46,320 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +401 +00:30:46,320 --> 00:30:46,320 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +402 +00:30:46,320 --> 00:30:46,820 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +403 +00:30:46,820 --> 00:30:46,920 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +404 +00:30:46,920 --> 00:30:51,600 +الفنتس .. الفنتس .. الفنتس .. الفنتس .. الفنتس .. + +405 +00:31:00,370 --> 00:31:02,190 +طالما انتقلنا في superior oblique و inferior + +406 +00:31:02,190 --> 00:31:10,190 +rectus superior oblique هنا؟ لأ لأ لأ هنا هنا هنا + +407 +00:31:10,190 --> 00:31:12,890 +ايش اكتب؟ superior oblique و inferior rectus ايش + +408 +00:31:12,890 --> 00:31:15,590 +اكتب للعضلتين هدولة؟ inferior rectus inferior + +409 +00:31:15,590 --> 00:31:20,130 +rectus و ايش اكتب للعضلتين هدولة؟ inferior oblique + +410 +00:31:20,130 --> 00:31:23,170 +inferior oblique مين ضال هنا عن ناحية هاي؟ هنا + +411 +00:31:23,170 --> 00:31:27,130 +superior oblique superior oblique و هنا inferior + +412 +00:31:27,130 --> 00:31:34,780 +rectusو هنا superior rectus هدولة طلعوا براء واضح؟ + +413 +00:31:34,780 --> 00:31:38,120 +طيب، ضال عندي هذا إما في inferior rectus في left + +414 +00:31:38,120 --> 00:31:46,580 +eye و إما في inferior oblique في right eye + +415 +00:31:46,580 --> 00:31:54,400 +إيش + +416 +00:31:54,400 --> 00:32:01,890 +رأيك؟ المشكلة وين؟فى ال left tilt فى ال left tilt + +417 +00:32:01,890 --> 00:32:06,090 +طبعا ال left tilt صار فى عندي left over right أكتر + +418 +00:32:06,090 --> 00:32:09,250 +هذه العين entortion مين ال entorters? + +419 +00:32:12,270 --> 00:32:15,830 +superior rectus و ال superior إيش? oblique هل هم + +420 +00:32:15,830 --> 00:32:19,190 +متهمات؟ لأ معناته المشكلة مش فى العين هذه هذه + +421 +00:32:19,190 --> 00:32:25,190 +العين extortion مين ال extorters? inferior rectusو + +422 +00:32:25,190 --> 00:32:28,750 +inferior oblique هل ال inferior oblique متهمة اه + +423 +00:32:28,750 --> 00:32:31,350 +في العين اليمين ال inferior oblique متهمة لأنها + +424 +00:32:31,350 --> 00:32:34,630 +ضعيفة شدتها ال inferior rectus في هذه العين لتحت + +425 +00:32:34,630 --> 00:32:38,010 +فظل left over right اذا انا عندي inferior oblique + +426 +00:32:38,010 --> 00:32:44,350 +بلصق واضح عندي inferior oblique بلصق في العمل + +427 +00:32:44,350 --> 00:32:50,490 +هنضرب امثلة لتثبيت الوضع ان شاء الله تعرفطيب كيف + +428 +00:32:50,490 --> 00:32:54,110 +نعالج او متى نعالج ال superior oblique pulse؟ متى + +429 +00:32:54,110 --> 00:32:58,050 +نعالج ال superior oblique pulse؟ في indications + +430 +00:32:58,050 --> 00:33:06,530 +عندي زي ال abnormal head posture زي ال diplopia زي + +431 +00:33:06,530 --> 00:33:14,590 +ال astinopia و هنحكي عنها ليش و + +432 +00:33:14,590 --> 00:33:17,230 +زي اللي هو ال vertical deviation significant + +433 +00:33:17,230 --> 00:33:26,790 +vertical deviationفي ال primary position ليش + +434 +00:33:26,790 --> 00:33:29,810 +بيصير عند مرضى superior oblique pulse أستنوبيا + +435 +00:33:29,810 --> 00:33:36,250 +superior oblique تشغل في ال down gaze و لما قضية + +436 +00:33:36,250 --> 00:33:39,890 +ال reading أو التعامل مع الجوال أو مع أي target + +437 +00:33:39,890 --> 00:33:44,280 +جريب عادة بيكون في شويه ال down gaze و بالتاليلما + +438 +00:33:44,280 --> 00:33:47,840 +يكون ال depression بيعاني في ال .. في ال down gaze + +439 +00:33:47,840 --> 00:33:50,880 +بسبب أن ال superior oblique depression effect راح، + +440 +00:33:50,880 --> 00:33:54,640 +ساعتها بيكون عندي أسطنوبيا و بالذات لما يكون عندي + +441 +00:33:54,640 --> 00:33:59,180 +bilateral fourth nerve bulge إيش العمليات اللي + +442 +00:33:59,180 --> 00:34:02,420 +بتنعمل لهذه القضية؟ اذا هذه ال indication اللي انا + +443 +00:34:02,420 --> 00:34:07,890 +.. او قبل هذا، هل في علاج غير جراحي؟أه ممكن إذا + +444 +00:34:07,890 --> 00:34:11,510 +كان زاوية اللي اللي هو الحوال بسيطة جدا ممكن + +445 +00:34:11,510 --> 00:34:15,010 +أستعمل ال friendly prism تمام؟ يعني ك as + +446 +00:34:15,010 --> 00:34:19,050 +temporizing major طبعا الكتير من العمليات اللي + +447 +00:34:19,050 --> 00:34:22,190 +فيها superior oblique palsy لأن ال antagonist اللي + +448 +00:34:22,190 --> 00:34:26,250 +هي ال inferior oblique بتكون over acting من أشهر + +449 +00:34:26,250 --> 00:34:33,650 +العمليات من عمل weakening of ipsilateral inferior + +450 +00:34:33,650 --> 00:34:34,410 +oblique muscle + +451 +00:34:37,720 --> 00:34:45,160 +تمام؟ لو ما كفاش هذا بنعمل superior oblique tendon + +452 +00:34:45,160 --> 00:34:51,160 +tuck tuck إيش يعني؟ تاني .. تاني عشان أقوي أو + +453 +00:34:51,160 --> 00:34:55,600 +بنعمل بدل superior oblique tendon tuck + +454 +00:34:55,600 --> 00:35:03,460 +contralateral inferior rectus recession برخل + +455 +00:35:03,460 --> 00:35:06,360 +inferior rectus عن ناحيتناأنا إنسان عنده + +456 +00:35:06,360 --> 00:35:09,560 +hypertrophia نتيجة عن superior oblique palsy في ال + +457 +00:35:09,560 --> 00:35:14,700 +right eye بضعف ال inferior oblique عشان تنزل ال + +458 +00:35:14,700 --> 00:35:20,100 +hypertrophia تمام؟ ممكن لو ما كفاش هذا الكلام أرخي + +459 +00:35:20,100 --> 00:35:22,820 +ال inferior rectus على العين التاني عشان العين + +460 +00:35:22,820 --> 00:35:26,600 +هيتطلع و هيتنزل شوية و يصير عندى أنا ممكن هذه + +461 +00:35:26,600 --> 00:35:29,120 +الترخيطة تكون unadjustable suture + +462 +00:35:32,750 --> 00:35:37,590 +بلزمني أعمل أكتر من عملية حسب قياس الحول في ال + +463 +00:35:37,590 --> 00:35:40,950 +primary position هل هو أكتر من خمستاشر prism + +464 +00:35:40,950 --> 00:35:44,870 +-diopter-hyperotropia ولا أقل من خمستاشر prism + +465 +00:35:44,870 --> 00:35:48,710 +-diopter-hyperotropia عادة الأقل من خمستاشر prism + +466 +00:35:48,710 --> 00:35:51,810 +-diopter-hyperotropia بيكفي أنه نعمل ال inferior + +467 +00:35:51,810 --> 00:35:54,650 +oblique weakening procedure و عادة بتكون ال + +468 +00:35:54,650 --> 00:35:59,130 +procedure كافيةالمرار هذا النوع من العمليات كله مش + +469 +00:35:59,130 --> 00:36:02,830 +هو المشكلة المشكلة بيكون في قضية ال X-cyclotortion + +470 +00:36:02,830 --> 00:36:06,790 +و خاصة في ال bilateral superior oblique pulse + +471 +00:36:06,790 --> 00:36:10,690 +بنعمل حاجة بنسميها Herada-eto procedure عشان تحسين + +472 +00:36:10,690 --> 00:36:15,210 +ال intortion بتاع superior oblique muscle وهذه + +473 +00:36:15,210 --> 00:36:19,230 +هنتكلم عنها ان شاء الله تعالى في العمل و ممكن نجيب + +474 +00:36:19,230 --> 00:36:21,810 +فيديو عالية و يعطيكوا الف عافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/L2o3vt-o0wY.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/L2o3vt-o0wY.srt new file mode 100644 index 0000000000000000000000000000000000000000..eec9cd08e8ede3345d79b051464bb9497386d84a --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/L2o3vt-o0wY.srt @@ -0,0 +1,1583 @@ +1 +00:00:20,890 --> 00:00:25,090 +بسم الله، احنا راح اليوم هناخد، بعد ما خلصنا ال + +2 +00:00:25,090 --> 00:00:29,510 +Exotropia، هناخد اللي هي special syndromes هذه + +3 +00:00:29,510 --> 00:00:34,230 +special syndromes، يعني هتمر معانا بعضها بشكل مش + +4 +00:00:34,230 --> 00:00:40,310 +قليل، بالعكس، يعني هتكون منتشرة نوعا ما، وغالبيتها + +5 +00:00:40,310 --> 00:00:43,270 +العظمة بينتمي... المكانش كلها بينتمي لـ ال + +6 +00:00:43,270 --> 00:00:47,490 +incompetent strabismus، يعني إيه الحول الغير متجانس + +7 +00:00:47,490 --> 00:00:51,590 +و بالذات... بالذات لموضوع اللي هو الـ restrictive + +8 +00:00:51,590 --> 00:00:55,690 +strabismus، طبعا قبل ما نبلش في الـ... في الـ special + +9 +00:00:55,690 --> 00:01:00,070 +syndromes، نقول إنه في الطبيعي... في الطبيعي أن + +10 +00:01:00,070 --> 00:01:05,710 +عضلة من عضلات العين أو من عضلات الوجه، لازم يجيلها + +11 +00:01:05,710 --> 00:01:08,290 +normal innervation من المكان اللي المفروض هي تستلم + +12 +00:01:08,290 --> 00:01:11,790 +الـ innervation منه. هنضرب مثال على ذلك، مثلا الـ + +13 +00:01:11,790 --> 00:01:14,450 +media rectus muscle، لازم في الطبيعة أن يصلها من + +14 +00:01:14,450 --> 00:01:18,790 +الـ third nerve، مش من أي nerve تاني، تمام. الـ levator + +15 +00:01:18,790 --> 00:01:22,310 +palpebra superioris برضه من الـ third nerve. الـ + +16 +00:01:22,310 --> 00:01:26,090 +orbicularis oculi muscle لازم يجيها من الـ facial + +17 +00:01:26,090 --> 00:01:30,390 +nerve. فبالتالي، أثبتت الدراسات الجينية و الـ + +18 +00:01:30,390 --> 00:01:33,610 +neuropathological studies أن في بعض الأمراض أو + +19 +00:01:33,610 --> 00:01:39,180 +بعض الـ syndromes بيكون عندي خلل خلقي في الـ + +20 +00:01:39,180 --> 00:01:42,000 +innervation، يعني الـ innervation جاي من المكان مش + +21 +00:01:42,000 --> 00:01:46,720 +المفروض ييجي منه، تمام؟ هذه الأمراض جمعوها تحت + +22 +00:01:46,720 --> 00:01:51,880 +مصطلح عام اسمه congenital cranial disinervation + +23 +00:01:51,880 --> 00:01:59,160 +disorders. Congenital cranial + +24 +00:01:59,160 --> 00:02:02,380 +disinervation + +25 +00:02:02,380 --> 00:02:02,780 +disorders + +26 +00:02:08,500 --> 00:02:16,390 +disorder، يعني الأمراض أو العلل اللي بتكون مصاحبة + +27 +00:02:16,390 --> 00:02:19,890 +بخلل في الـ... في الـ innervation اللي جاي من الجمجمة + +28 +00:02:19,890 --> 00:02:23,270 +أو من الدماغ، تمام، من الـ central nervous system، و + +29 +00:02:23,270 --> 00:02:25,830 +اللي هي هذه الأمراض بتكون congenital بالأساس، يعني + +30 +00:02:25,830 --> 00:02:30,170 +هي شغلة خلقية اتكونت عند طفل معين، تمام، أو أثناء + +31 +00:02:30,170 --> 00:02:33,830 +المرحلة الجنينية، العضلات بدل ما تستلم الـ + +32 +00:02:33,830 --> 00:02:36,590 +innervation من مكانه الطبيعي أو من نواة العصب اللي + +33 +00:02:36,590 --> 00:02:41,660 +مفروض يغذيها، استلمت من مكان آخر، يعني غير المكان + +34 +00:02:41,660 --> 00:02:46,360 +الطبيعي. طبعا هذه بتشمل يعني أمراض كتير، من ضمنها... + +35 +00:02:46,360 --> 00:02:49,840 +من ضمنها الـ Duane syndrome اللي هو موضوعنا اليوم. + +36 +00:02:49,840 --> 00:02:55,740 +من ضمنها الـ Möbius syndrome، من ضمنها congenital + +37 +00:02:55,740 --> 00:02:59,970 +fibrosis of extraocular muscles، من ضمنها الـ Marcus + +38 +00:02:59,970 --> 00:03:04,610 +Gunn jaw-winking syndrome، الـ congenital ptosis، و الـ + +39 +00:03:04,610 --> 00:03:08,670 +congenital facial palsy. كل هذه بيجمعها المصطلح + +40 +00:03:08,670 --> 00:03:11,930 +العام اللي بنسميه congenital cranial disinervation + +41 +00:03:11,930 --> 00:03:17,610 +disorder. نيجي نحكي عن مرض كتير هنقابله في حياتنا + +42 +00:03:17,610 --> 00:03:21,210 +العملية اللي هو Duane retraction syndrome. لما + +43 +00:03:21,210 --> 00:03:26,230 +بيكون في كلمة معينة في عنوان المرض، هذه الكلمة + +44 +00:03:26,230 --> 00:03:30,990 +بيكون لها الأثر الأكبر. لما بقول Duane syndrome، و + +45 +00:03:30,990 --> 00:03:34,370 +بعدين بقول Duane retraction syndrome، يعني أهم + +46 +00:03:34,370 --> 00:03:37,530 +علامة من علامات Duane retraction of the globe. + +47 +00:03:37,530 --> 00:03:41,970 +Retraction يعني رجوع الـ globe أو العين في الـ orbit. + +48 +00:03:41,970 --> 00:03:47,510 +رجوعها لجوة. هذا المرض، احنا قلنا أثناء ما درسنا حول + +49 +00:03:47,510 --> 00:03:50,450 +واحد، أن حركات العين في الطبيعي هي عبارة عن + +50 +00:03:50,450 --> 00:03:55,680 +rotational movement، يعني نقطة أو محور أو نقطة + +51 +00:03:55,680 --> 00:03:59,340 +المركز بتاع كرة العين بتضل ثابتة، و العين بتلف + +52 +00:03:59,340 --> 00:04:03,040 +يمين و شمال و فوق و تحت، و extorsion و intorsion، و + +53 +00:04:03,040 --> 00:04:08,580 +النقطة نفسها ثابتة. هذا المرض بيصيرش فيه ثبات + +54 +00:04:08,580 --> 00:04:11,460 +لكرة العين، بالعكس، بتصير في عين دي حاجة اسمها + +55 +00:04:11,460 --> 00:04:15,440 +translational أو حركة إزاحية، translational + +56 +00:04:15,440 --> 00:04:19,990 +movement. نتيجة انقباض الـ medial rectus و الـ lateral + +57 +00:04:19,990 --> 00:04:24,970 +rectus مع بعض في نفس اللحظة. بيطلع ذلك استنتاج + +58 +00:04:24,970 --> 00:04:29,610 +منطقي جدا، أن Duane syndrome لا يخضع لـ Sherrington's law. + +59 +00:04:29,610 --> 00:04:33,630 +Sherrington's law، وهذا هنجيله بالتفصيل. بيقول إذا انقبضت + +60 +00:04:33,630 --> 00:04:37,220 +عضلة، الـ antagonist بتاعها لازم إيش؟ لازم يصير له + +61 +00:04:37,220 --> 00:04:40,620 +relaxation بنفس القدر اللي صار... يعني contraction + +62 +00:04:40,620 --> 00:04:44,080 +في العضلة التانية. طالما انقبضت الـ medial rectus + +63 +00:04:44,080 --> 00:04:46,820 +و الـ antagonist بتاعتها، الـ lateral rectus، انقبضوا في نفس + +64 +00:04:46,820 --> 00:04:51,320 +الوقت، معناته عندي هتحصل عدة حاجات. أول حاجة هذا + +65 +00:04:51,320 --> 00:04:55,740 +الكلام لا ينطبق عليه Sherrington's law، هذا يعني يرفض + +66 +00:04:55,740 --> 00:04:59,440 +الخضوع لـ Sherrington's law. هاي قضية. طالما انقبضوا عضلتين + +67 +00:04:59,440 --> 00:05:02,120 +في نفس الوقت، إذا الـ rotation هذا مش ممكن، أما + +68 +00:05:02,120 --> 00:05:06,920 +الإزاحة ممكنة. وهذا سبب التسمية Duane retraction + +69 +00:05:06,920 --> 00:05:11,770 +syndrome. العين لما تكون في وضع معين، العين لما تكون + +70 +00:05:11,770 --> 00:05:15,150 +في وضع معين، بتكون لاجئة للشفون من إنهم يضموا على + +71 +00:05:15,150 --> 00:05:18,950 +بعض، لما بترجع العين بيضمه، فبيصير narrowing للـ + +72 +00:05:18,950 --> 00:05:22,690 +palpebral fissure، يعني شيء بيؤدي لشيء. إذا حبينا + +73 +00:05:22,690 --> 00:05:28,100 +نستنتج هيك منطقي، يعني إيش السبب؟ أن بيصير co + +74 +00:05:28,100 --> 00:05:31,660 +-contraction، يعني انقباض متزامن للـ lateral rectus + +75 +00:05:31,660 --> 00:05:37,980 +و الـ medial rectus مع بعض. بيغذيهم نفس المنطقة من + +76 +00:05:37,980 --> 00:05:40,760 +الدماغ، يعني الـ third cranial nerve اللي هو في + +77 +00:05:40,760 --> 00:05:44,120 +الطبيعي بيغذي الـ medial rectus، في هذه الحالة أيضا + +78 +00:05:44,120 --> 00:05:48,320 +راح يغذي الـ lateral rectus. السبب أن الـ sixth nerve + +79 +00:05:48,320 --> 00:05:52,750 +nucleus اما مش متكونة أو hypoplastic، ضعيفة التكوين. + +80 +00:05:52,750 --> 00:05:57,010 +فبالتالي الـ lateral rectus بتبحث عن تغذية عصبية من + +81 +00:05:57,010 --> 00:06:00,390 +مكان تاني، اللي بيبعث لهذه التغذية العصبية هو الـ + +82 +00:06:00,390 --> 00:06:03,770 +third cranial nerve. لما يصير stimulation للـ third + +83 +00:06:03,770 --> 00:06:07,710 +cranial nerve، بيصير عندي co-contraction، وهذا سبب + +84 +00:06:07,710 --> 00:06:11,590 +التسمية Duane syndrome. أنا شاكك فيه Duane syndrome + +85 +00:06:11,590 --> 00:06:15,250 +ومافيش فيه retraction، ما بقدرش أسميه Duane syndrome. الـ + +86 +00:06:15,250 --> 00:06:19,630 +hallmark، العلامة المميزة لـ Duane syndrome، لازم يكون + +87 +00:06:19,630 --> 00:06:23,610 +retraction of the globe. امتى بينشط الـ third nerve + +88 +00:06:23,610 --> 00:06:29,750 +عند الـ abduction ولا في الـ adduction؟ الـ + +89 +00:06:29,750 --> 00:06:33,370 +third nerve، امتى بينشط؟ في الـ abduction ولا في الـ + +90 +00:06:33,370 --> 00:06:38,010 +adduction؟ بالظبط. إذا الـ narrowing، الـ narrowing و + +91 +00:06:38,010 --> 00:06:42,290 +الـ retraction بيصير في الـ abduction. لما الإنسان هذا + +92 +00:06:42,290 --> 00:06:46,770 +يحاول يعمل abduction، لما يحاول يعمل abduction، + +93 +00:06:46,770 --> 00:06:51,030 +المفروض الـ third nerve يريح، هو فعلا بيريح، تمام؟ بس + +94 +00:06:51,030 --> 00:06:54,570 +مافيش، الـ lateral rectus تنقبض، ليش؟ لأن الـ lateral + +95 +00:06:54,570 --> 00:06:58,670 +rectus عشان تنقبض، نواة العصب السادس لازم تبعت للـ + +96 +00:06:58,670 --> 00:07:04,200 +lateral rectus عشان ينقبض. إذا هيك احنا باختصار + +97 +00:07:04,200 --> 00:07:07,260 +سريع جدا، لخصنا Duane syndrome، الآن بدنا نرجع لكل + +98 +00:07:07,260 --> 00:07:11,420 +الكلام اللي حكيناه بالتفصيل، و بشكل أوضح إن شاء الله. + +99 +00:07:11,420 --> 00:07:17,040 +تعالوا، الـ Duane syndrome هو عبارة عن retraction + +100 +00:07:17,040 --> 00:07:20,620 +syndrome. فيه عندنا failure of innervation of the + +101 +00:07:20,620 --> 00:07:24,960 +lateral rectus by the sixth nerve، with anomalous + +102 +00:07:24,960 --> 00:07:28,320 +innervation of the lateral rectus by fibers from + +103 +00:07:28,320 --> 00:07:31,900 +the third nerve. هذا الـ condition، Duane syndrome، + +104 +00:07:31,900 --> 00:07:36,580 +غالبا بيكون bilateral، بس عادة بتكون عين واضحة فيها + +105 +00:07:36,580 --> 00:07:40,100 +Duane syndrome، و العين التانية very subtle، يعني بده + +106 +00:07:40,100 --> 00:07:43,200 +ملاحظة دقيقة جدا، عشان اللحظة، لدرجة أن كتير من + +107 +00:07:43,200 --> 00:07:47,340 +الناس عند الفحص السريع ممكن يفكروا أن العين التانية + +108 +00:07:47,340 --> 00:07:51,650 +سليمة، ما فيش فيها مشكلة. Some children have + +109 +00:07:51,650 --> 00:07:54,890 +associated congenital defects such as perceptive + +110 +00:07:54,890 --> 00:07:58,550 +deafness and speech disorder. طبعا هذا ما له علاقة + +111 +00:07:58,550 --> 00:08:02,330 +في تخصصنا، ولكن له علاقة. أعرف أن كل حالة Duane + +112 +00:08:02,330 --> 00:08:05,210 +syndrome لازم أعملها consultation لطبيب الأنف + +113 +00:08:05,210 --> 00:08:08,330 +و الأذن و الحنجرة، عشان موضوع الـ perceptive + +114 +00:08:08,330 --> 00:08:12,210 +deafness و speech disorder، عشان يتابع معاها. ليس كل + +115 +00:08:12,210 --> 00:08:16,210 +حالة ستصاب بهذه القضية، ولكن بعضهم... بعضهم بيصاب. + +116 +00:08:16,210 --> 00:08:19,210 +فبالتالي أنا كل حالة بتظهر علي، بابعتها عشان أتأكد + +117 +00:08:19,210 --> 00:08:24,230 +و إذا كان في مشكلة، هو بيتاخد الإجراءات المناسبة. كيف + +118 +00:08:24,230 --> 00:08:28,330 +أنا أحط... يعني تشخيص Duane syndrome، حقيقة + +119 +00:08:28,330 --> 00:08:31,850 +Duane syndrome، يعني عندي تلات أنواع من Duane + +120 +00:08:31,850 --> 00:08:35,010 +syndrome، بتشترك في حاجات كتير و تختلف في بعض + +121 +00:08:35,010 --> 00:08:41,090 +الحاجات. طبعا في الـ primary position، غالبا... غالبا + +122 +00:08:41,090 --> 00:08:46,310 +بيكون عندي straight eyes، تمام؟ و binocular single + +123 +00:08:46,310 --> 00:08:51,210 +vision، بس مع شوية face turned بسيطة. يا ترى إذا + +124 +00:08:51,210 --> 00:08:55,910 +قولنا الـ left eye فيها دوام، هي الواضحة فيها + +125 +00:08:55,910 --> 00:09:01,610 +الدوام، الـ face turned، و إني بدي أكون؟ لأ، ليه؟ الـ + +126 +00:09:01,610 --> 00:09:04,810 +abduction، ممكن؟ الـ abduction مش ممكن. ليش الـ + +127 +00:09:04,810 --> 00:09:08,810 +abduction مش ممكن؟ عشان الـ abduction، عشان يصير + +128 +00:09:08,810 --> 00:09:13,330 +لازم تشتغل نواة العصب السادس، يتوصل للسادس، يوصل للـ + +129 +00:09:13,330 --> 00:09:15,850 +lateral rectus. الـ lateral rectus في الـ abduction + +130 +00:09:15,850 --> 00:09:19,730 +بتشتغلش. طب و الـ medial rectus في الـ abduction برضه + +131 +00:09:19,730 --> 00:09:23,870 +بتشتغلش، لأنها بتريح، مظبوط. إذا أول علامة restricted + +132 +00:09:23,870 --> 00:09:28,950 +abduction، ممكن يكون complete or partial. هذا في الـ + +133 +00:09:28,950 --> 00:09:31,930 +primary position، و طالما ما فيش abduction، + +134 +00:09:35,250 --> 00:09:39,190 +معناته the head turns where the eye cannot. إيش + +135 +00:09:39,190 --> 00:09:42,570 +يعني؟ العين مش قادرة تروح، الليفتد وين عندي؟ + +136 +00:09:42,570 --> 00:09:46,110 +العين مش قادرة تروح في الـ abduction، ليش بيروح + +137 +00:09:46,110 --> 00:09:50,030 +مكانها؟ عشان العين تنتقل على الناحية اللي بتقدر هي + +138 +00:09:50,030 --> 00:09:54,330 +تروح عليها، تمام؟ إذا left face turned، عشان يحافظ + +139 +00:09:54,330 --> 00:09:57,470 +على الـ binocular single vision. أول علامة + +140 +00:09:57,470 --> 00:10:00,950 +restricted abduction. كيف بعرفها؟ + +141 +00:10:04,660 --> 00:10:07,500 +مع widening للـ palpebral fissure. روح نقول ليش + +142 +00:10:07,500 --> 00:10:11,520 +widening للـ palpebral fissure؟ فتحة العين بترجع + +143 +00:10:11,520 --> 00:10:18,600 +لوضعها الطبيعي أو بتفتح، تمام. الـ adduction ممكن + +144 +00:10:18,600 --> 00:10:24,400 +يكون طبيعي، بس إيش؟ و ممكن يكون mildly restricted، مع + +145 +00:10:24,400 --> 00:10:27,900 +narrowing للـ palpebral fissure. أنا رسمته mildly + +146 +00:10:27,900 --> 00:10:33,890 +restricted، تمام. العين بتضم كتير، ليش؟ هذا بتطلع هيك + +147 +00:10:33,890 --> 00:10:37,970 +و هذا بتطلع هيك. إذا عندي complete أو nearly + +148 +00:10:37,970 --> 00:10:42,880 +complete restricted abduction، هي علامة من علامات + +149 +00:10:42,880 --> 00:10:45,560 +الدوين. في الـ abduction بيصير narrowing، لأنه في الـ + +150 +00:10:45,560 --> 00:10:48,820 +abduction الـ medial rectus بتنقبط، و الـ lateral + +151 +00:10:48,820 --> 00:10:53,760 +rectus بتنقبط، فالعين بتدخل لجوة. بعض المرضى دخول + +152 +00:10:53,760 --> 00:10:57,520 +العين لجوة ملاحظ بشكل شديد، بيكون عنده Duane syndrome + +153 +00:10:57,520 --> 00:11:01,660 +شديد. و بعضهم يعني يدوب ملاحظ، بس ضروري أن أنا أكون + +154 +00:11:01,660 --> 00:11:05,440 +عند دقة ملاحظة، لألاحظ موضوع الـ narrowing. كيف أعرف + +155 +00:11:05,440 --> 00:11:08,520 +الـ retraction؟ أمرره بعرفه بالـ narrowing للـ palpebral + +156 +00:11:08,520 --> 00:11:12,080 +fissure. لما بتطلع باتجاه الـ abduction بتيجي العين + +157 +00:11:12,080 --> 00:11:15,480 +شوية. لما بتطلع باتجاه الـ abduction العين بتجفّ، + +158 +00:11:15,480 --> 00:11:19,160 +تعملش abduction، بس العين بتوسع، هي حقيقة ما وسعت، هي + +159 +00:11:19,160 --> 00:11:22,540 +رجعت لوضعها الطبيعي. ليش؟ لما بترخي الـ medial rectus + +160 +00:11:22,540 --> 00:11:25,320 +و بترخي الـ lateral rectus، العين بترجع لمكانها + +161 +00:11:25,320 --> 00:11:31,140 +الطبيعي، اللي هو مرونة الـ tissue بتتحكم فيه. بيعمل + +162 +00:11:31,140 --> 00:11:35,840 +abduction. التنتين بينقبضوا، ليش التنتين بينقبضوا؟ + +163 +00:11:35,840 --> 00:11:40,500 +عشان التنين وصلهم تحفيز عصبية و عملوا co + +164 +00:11:40,500 --> 00:11:44,420 +-contraction. co-contraction. إذا restricted + +165 +00:11:44,420 --> 00:11:48,040 +abduction، غالبا الـ abduction لو فيه restriction + +166 +00:11:48,040 --> 00:11:52,440 +بيكون partial، و قليل جدا أن يكون عند الـ abduction + +167 +00:11:52,440 --> 00:11:55,940 +مش موجود. الـ abduction مش موجود، okay. بس الـ + +168 +00:11:55,940 --> 00:12:00,290 +abduction قليل جدا أن يكون مش موجود. أهم علامة، هاني + +169 +00:12:00,290 --> 00:12:04,410 +نكتب عليها، أهم علامة retraction of the globe on + +170 +00:12:04,410 --> 00:12:08,810 +abduction. السبب + +171 +00:12:08,810 --> 00:12:14,110 +retraction، يعني رجوع للخلف، انكماش. السبب co + +172 +00:12:14,110 --> 00:12:17,930 +-contraction of the medial and lateral recti. هذا + +173 +00:12:17,930 --> 00:12:20,570 +بيؤدي لـ narrowing of the palpebral fissure، زي ما + +174 +00:12:20,570 --> 00:12:24,150 +الرسمة بتوضح. ممكن الـ narrowing يكون very severe، + +175 +00:12:24,150 --> 00:12:27,870 +يعني تحسي أن العين كانها مغمضة تماما، كأنها انطبقت + +176 +00:12:27,870 --> 00:12:31,530 +الشفون على بعض. السب + +223 +00:15:54,480 --> 00:15:58,300 +أهم علامة أنه في retraction وفي narrowing للببرة + +224 +00:15:58,300 --> 00:16:01,520 +الفشرة، رجع عامل abduction، هتفتح العين والعين + +225 +00:16:01,520 --> 00:16:04,820 +تقعد في مكانها اللي كانت فيه قبل عملية ال + +226 +00:16:04,820 --> 00:16:08,020 +abduction، بعضهم في abduction، في abduction + +227 +00:16:08,020 --> 00:16:11,040 +بيصير عندهم إما upshoot أو downshoot، وبعضهم + +228 +00:16:11,040 --> 00:16:15,060 +مابيصيرش هذه القضية، وبعضهم مابيصيرش هذه القضية + +229 +00:16:19,250 --> 00:16:22,090 +في كمان علامة قبل ما نبدأ في الـ classification + +230 +00:16:22,090 --> 00:16:26,910 +بتاع Duane أنه defective convergence لو في عين فيها + +231 +00:16:26,910 --> 00:16:31,830 +Duane syndrome، نفرض الـ left eye فيها Duane syndrome + +232 +00:16:31,830 --> 00:16:36,170 +وجربنا near target من هذا الوجه، هذا البني آدم اللي + +233 +00:16:36,170 --> 00:16:39,410 +عنده Duane، بنلاحظ أن العين اللي تبدو سليمة تعمل + +234 +00:16:39,410 --> 00:16:43,130 +convergence على الـ near target، والعين اللي فيها + +235 +00:16:43,130 --> 00:16:46,670 +Duane واقفة مكانها مش راضية تعمل convergence، إذا + +236 +00:16:46,670 --> 00:16:50,990 +العلامة اللي بعدين اللي هي defective convergence in + +237 +00:16:50,990 --> 00:16:53,930 +which the affected eye remains fixed in the primary + +238 +00:16:53,930 --> 00:16:57,490 +position while the unaffected eye is converging + +239 +00:16:57,490 --> 00:17:02,890 +تمام؟ وهذه من ضمن العلامات، وهذه من ضمن العلامات، طيب + +240 +00:17:02,890 --> 00:17:08,070 +نيجي إحنا تصنيف Duane syndrome، بنقسم الـ Duane syndrome لـ + +241 +00:17:08,070 --> 00:17:12,450 +three types، type one هو الأكثر شيوعاً، type two هو + +242 +00:17:12,450 --> 00:17:19,130 +الأقل شيوعاً، وtype three، التانية والتلاتة، type one + +243 +00:17:19,130 --> 00:17:24,590 +وtype two وtype three، إحنا قلنا شرط أساسي عشان + +244 +00:17:24,590 --> 00:17:27,590 +أحط تشخيص الـ Duane، لابد يكون retraction of the globe + +245 +00:17:27,590 --> 00:17:31,070 +on adduction، يعني قضية الـ retraction مفروغ منها + +246 +00:17:31,070 --> 00:17:37,430 +retraction on adduction، وهذه نفس الشيء، وهذه نفس + +247 +00:17:37,430 --> 00:17:49,470 +الشيء، طيب هنا limited abduction + +248 +00:17:49,470 --> 00:17:53,630 +هنا + +249 +00:17:53,630 --> 00:18:01,590 +limited abduction، هنا limited abduction and + +250 +00:18:01,590 --> 00:18:02,210 +abduction + +251 +00:18:10,550 --> 00:18:15,350 +هذه أحد الفروق بين Duane one وبين Duane one وDuane + +252 +00:18:15,350 --> 00:18:19,550 +two وبين Duane الـ three، هنا most common يعني أكثر + +253 +00:18:19,550 --> 00:18:23,950 +حالات عملية حلجية هم Duane one، type one، تمام، most + +254 +00:18:23,950 --> 00:18:31,010 +common في الـ Duane، تمام، هنا least common، هنا + +255 +00:18:31,010 --> 00:18:33,230 +بين الأثنين جاي، بس الأثنين + +256 +00:18:37,020 --> 00:18:40,060 +اللي هو رقم اثنين ورقم ثلاثة مقارنة مع رقم واحد + +257 +00:18:40,060 --> 00:18:44,040 +يُعتبروا يعني، rarely يُعتبروا rarely، يعني ممكن أكثر من + +258 +00:18:44,040 --> 00:18:47,680 +خمسة وثمانين في المئة من حالات الـ Duane من type one + +259 +00:18:47,680 --> 00:18:50,840 +والباقي كله من type two وtype three، type three + +260 +00:18:50,840 --> 00:19:02,840 +أكثر من type two، كـ prevalence في + +261 +00:19:02,840 --> 00:19:12,590 +الـ primary position، هذه straight أو mild exo، هنا + +262 +00:19:12,590 --> 00:19:19,550 +straight أو mild exo، هنا + +263 +00:19:19,550 --> 00:19:28,110 +straight أو mild exo، لو + +264 +00:19:28,110 --> 00:19:32,130 +جينا نسأل يا ترى لو في head turn، لو في head turn + +265 +00:19:32,130 --> 00:19:39,370 +هنا بيكون باتجاه العين المصابة، هنا بيكون عكس + +266 +00:19:39,370 --> 00:19:44,910 +المصابة، هنا باتجاه العين المصابة، تمام؟ ليش هنا عكس + +267 +00:19:44,910 --> 00:19:49,290 +المصابة؟ لأن المصابة بتعمل abduction، يعني بتقدر + +268 +00:19:49,290 --> 00:19:52,310 +تعمل .. بتقدرش تعمل abduction، هو بيبعد عن منطقة الـ + +269 +00:19:52,310 --> 00:19:57,430 +abduction، فبعيد عن العين المصابة، بيودي رأسه، تمام؟ + +270 +00:19:57,430 --> 00:20:01,450 +إذا الـ head position، إذا كان موجود الـ head posture + +271 +00:20:01,450 --> 00:20:08,590 +هنا باتجاه العين المصابة، هنا عكسها، هنا معاها + +272 +00:20:08,590 --> 00:20:15,710 +باتجاهها، واضح ليش يا بنات؟ + +273 +00:20:15,710 --> 00:20:18,830 +الآن + +274 +00:20:18,830 --> 00:20:24,070 +ده نسأل حالنا سؤال، يا ترى ليش بعضهم بيكون limited + +275 +00:20:24,070 --> 00:20:27,570 +abduction، وبعضهم limited abduction، وبعضهم limited + +276 +00:20:27,570 --> 00:20:33,010 +abduction and abduction؟ بعض العلماء عزا السبب إلى + +277 +00:20:33,010 --> 00:20:37,980 +كمية الـ innervation اللي بيبعتها الـ third cranial + +278 +00:20:37,980 --> 00:20:41,220 +nerve للـ lateral rectus، هو مش المفروض يبعتلها + +279 +00:20:41,220 --> 00:20:45,740 +بالأساس، المفروض يتاخد من العصب السادس، هو بعتلها + +280 +00:20:45,740 --> 00:20:50,320 +فهو كمية الشيء اللي بعتلها هي حسب كرم العصب الثالث + +281 +00:20:50,320 --> 00:20:57,610 +إذا بعتلها أقل هتكون one، إذا بعتلها أكثر مما يبقى + +282 +00:20:57,610 --> 00:21:00,490 +لنفسِه، يعني الكريم أكثر من اللازم، وهذا ندرة في + +283 +00:21:00,490 --> 00:21:04,610 +الناس، مظبوط، فبالتالي أيضاً هذه أندر شيء أن تصير الـ + +284 +00:21:04,610 --> 00:21:08,530 +lateral rectus هي المسيطرة على التغذية اللي + +285 +00:21:08,530 --> 00:21:11,990 +وصلت لها من الـ third nerve، تمام، فبيصير الـ abduction + +286 +00:21:13,010 --> 00:21:18,010 +هو اللي شغال أكثر من اللزوم، هنا إذا كنتم + +287 +00:21:18,010 --> 00:21:22,150 +إخوة فتقاسموا، هذا حتى إيش .. حتى إحنا يعني نضل + +288 +00:21:22,150 --> 00:21:25,990 +متذكرين كيف موضوع .. يعني إيش اللي limited وإيش + +289 +00:21:25,990 --> 00:21:29,210 +اللي مش .. مش limited، عادة الأكثر شيء عن لما أنا + +290 +00:21:29,210 --> 00:21:33,030 +بدي أكرم إنسان، أكرمه بشيء بسيط من اللي عنده، + +291 +00:21:33,030 --> 00:21:36,230 +مابكرمهوش بكل اللي عنده، هذا ال .. هذا ال .. الشيء + +292 +00:21:36,230 --> 00:21:40,480 +المنطقي، لدرجة يعني، الآن الشيء النادر جداً أن أعطيه + +293 +00:21:40,480 --> 00:21:46,380 +شغل أكثر، يعني حاجات من عندي أكثر من ما أبقى لنفسي + +294 +00:21:46,380 --> 00:21:51,620 +والشيء المتوسط، الندرة أن أعطيه، يعني إذا كنتم إخوة + +295 +00:21:51,620 --> 00:21:56,840 +فتقاسموا، وإذا كنتم إخوة فتقاسموا، طيب نجي هنا بس عشان + +296 +00:21:56,840 --> 00:22:01,080 +نقول type one هو الأكثر شيوعاً، صفته limited أو + +297 +00:22:01,080 --> 00:22:02,320 +absent abduction + +298 +00:22:04,720 --> 00:22:08,520 +limited abduction أو absent abduction، normal أو + +299 +00:22:08,520 --> 00:22:13,320 +mildly limited abduction، تمام، عفواً، normal أو + +300 +00:22:13,320 --> 00:22:17,000 +mildly limited abduction، هذه ما كتبناهاش الـ + +301 +00:22:17,000 --> 00:22:22,180 +abduction، تقريباً الـ abduction normal أو mildly + +302 +00:22:22,180 --> 00:22:26,500 +limited، تمام، في الـ primary position، إما بتكون + +303 +00:22:26,500 --> 00:22:32,250 +straight أو mild esotropia أو mild esotropia، Type 2 + +304 +00:22:32,250 --> 00:22:38,130 +هو الأقل شيوعاً، limited abduction، normal أو + +305 +00:22:38,130 --> 00:22:44,390 +mildly limited abduction، طبعاً وقلنا عنه الأقل + +306 +00:22:44,390 --> 00:22:47,070 +شيوعاً، في الـ primary position، العينين بيكونوا إما + +307 +00:22:47,070 --> 00:22:50,070 +straight أو slight exotropia + +308 +00:22:52,160 --> 00:22:56,180 +limited abduction and abduction، تمام، في الـ primary + +309 +00:22:56,180 --> 00:23:01,560 +position، بيكون straight أو mild esotropia أو mild + +310 +00:23:01,560 --> 00:23:06,600 +esotropia، بنقول الـ underlying pathophysiology is + +311 +00:23:06,600 --> 00:23:09,680 +similar in the three types، وهي + +312 +00:23:12,320 --> 00:23:16,740 +retraction ناتج عن co-contraction، ناتج عن + +313 +00:23:16,740 --> 00:23:20,100 +innervation from one source، اللي هو الـ third nerve + +314 +00:23:20,100 --> 00:23:24,420 +تمام، فبالتالي الـ difference بينهم being due to the + +315 +00:23:24,420 --> 00:23:27,920 +inequality in the degree of anomaly in the + +316 +00:23:27,920 --> 00:23:30,700 +innervation of the lateral rectus and medial rectus + +317 +00:23:30,700 --> 00:23:34,520 +حسب كل واحدة قد إيش أخدت نصيب من الـ third nerve، ينشأ + +318 +00:23:34,520 --> 00:23:37,780 +عندي الثلاث أنواع، في النوع الأول الـ medial rectus + +319 +00:23:37,780 --> 00:23:40,400 +هي المهيمنة أكثر، في النوع الثاني الـ lateral rectus + +320 +00:23:40,400 --> 00:23:44,180 +هي المهيمنة أكثر، في النوع الثالث الأثنين متساويين في + +321 +00:23:44,180 --> 00:23:48,920 +الـ innervation، كيف نعمل management ل .. اللي هو + +322 +00:23:48,920 --> 00:23:54,580 +الإنسان اللي عنده Duane syndrome، أو هل كل مريض عنده + +323 +00:23:54,580 --> 00:23:59,080 +Duane syndrome بيحتاج منه لتدخل سواء جراحي أو غير + +324 +00:23:59,080 --> 00:24:04,590 +جراحي، إحنا بنقول غالبية الـ young children بيضلوا + +325 +00:24:04,590 --> 00:24:07,410 +عاملين binocular single vision ومستمتعين بالـ + +326 +00:24:07,410 --> 00:24:10,970 +binocular single vision مع شوية abnormal head + +327 +00:24:10,970 --> 00:24:14,170 +posture، faceturn بسيط، لا يؤثر أو يعني مش كتير + +328 +00:24:14,170 --> 00:24:21,120 +يعني .. يعني مزعج، طبعاً هذا الـ head posture عشان + +329 +00:24:21,120 --> 00:24:24,780 +يعوضني عن الـ lateral rectus weakness، طبعاً الـ + +330 +00:24:24,780 --> 00:24:29,140 +surgery امتى أنا بستعملها؟ لما يكون في عندي loss of + +331 +00:24:29,140 --> 00:24:32,840 +binocular function، كيف أنا بعرفها؟ هو بجي أعمل في + +332 +00:24:32,840 --> 00:24:38,040 +الـ cover test بسيط، راح عدل .. راح عدل فجأة، عدل، فأنت هو + +333 +00:24:38,040 --> 00:24:42,460 +عمل .. بالضبط هو صار عنده loss of الـ binocular + +334 +00:24:42,460 --> 00:24:47,910 +single vision، تمام، هذا بأعرفه by failure to + +335 +00:24:47,910 --> 00:24:53,430 +continue to use an abnormal head posture، طيب في الـ + +336 +00:24:53,430 --> 00:24:56,150 +adults والـ children over the age of 8 years + +337 +00:24:56,150 --> 00:25:02,480 +السيرجري ممكن أستعملها عشان يكون يعني أتخلص من الـ + +338 +00:25:02,480 --> 00:25:05,160 +head posture إذا كان unacceptable يعني severe + +339 +00:25:05,160 --> 00:25:08,240 +head turn مثلاً للـ right .. للـ right أو للـ left + +340 +00:25:08,240 --> 00:25:12,980 +واضح جداً عشان أتخلص منه، تمام؟ بيؤدي أيضاً إلى أنه هذا الـ + +341 +00:25:12,980 --> 00:25:15,840 +.. الـ head turn، يعمل neck discomfort، يعني إزعاج + +342 +00:25:15,840 --> 00:25:19,420 +في ال .. في عضلات الرقبة، أو في شد أو كده، يعني + +343 +00:25:19,420 --> 00:25:24,040 +ساعتها بيكون مش بس cosmetically، وأيضاً لأنه مزعج + +344 +00:25:24,040 --> 00:25:28,020 +بالنسبة لعضلات الرقبة، تمام، أيضاً الـ unacceptable + +345 +00:25:28,020 --> 00:25:31,080 +upshoot أو downshoot، اللي كل ما يطلع الجنب بتلاقي + +346 +00:25:31,080 --> 00:25:35,460 +عينه إتّجهت لفوق أو لتحت بشكل ملحوظ جداً، فهذا أيضاً + +347 +00:25:35,460 --> 00:25:39,980 +بتجرى له عمليات، أو الناس اللي عندها Down syndrome و + +348 +00:25:39,980 --> 00:25:44,300 +مافيش head turn، الـ head posture طبيعي، بس عنده + +349 +00:25:44,300 --> 00:25:47,480 +severe narrowing، يعني تقريباً الشفتين بتغمض على + +350 +00:25:47,480 --> 00:25:50,900 +بعضها، تمام، نتيجة أنه في عنده severe globe + +351 +00:25:50,900 --> 00:25:53,960 +retraction، هذا ما بنتركش لأنه cosmetically very + +352 +00:25:53,960 --> 00:25:58,220 +unacceptable، وبالتالي هذا ممكن يعني نعمله عملية + +353 +00:25:58,220 --> 00:26:02,200 +نساعد في هذه القضية، طيب إيش أنواع العمليات اللي + +354 +00:26:02,200 --> 00:26:06,940 +ممكن تصير في هذه القضية؟ لو إحنا مسكناها، يعني مشكلة + +355 +00:26:06,940 --> 00:26:11,860 +مشكلة، الحاجة الوحيدة اللي بدنا نقنع فيها الأهل، إن + +356 +00:26:11,860 --> 00:26:15,500 +العلم لليوم ما إخترع وسيلة جراحية أو غير جراحية + +357 +00:26:15,500 --> 00:26:21,560 +تخلي المريض يقدر يعمل abduction لحاله، طبعاً ممكن + +358 +00:26:21,560 --> 00:26:25,060 +إنسان يسأل، Duane syndrome type 2 بيعمل abduction + +359 +00:26:25,060 --> 00:26:28,220 +لحاله، okay، بيعمل abduction لحاله، هذا الـ least + +360 +00:26:28,220 --> 00:26:32,420 +common، هذا very very rare، يُعتبر الـ Duane syndrome ككل + +361 +00:26:32,420 --> 00:26:34,760 +مقارنة مع أنواع الحالات الثانية اللي هي الـ + +362 +00:26:34,760 --> 00:26:37,720 +comitant أو concomitant types of strabismus، الـ + +363 +00:26:37,720 --> 00:26:43,640 +eso وال exo، يُعتبر rare، هذا Duane ككل، ويُعتبر Duane type + +364 +00:26:43,640 --> 00:26:47,960 +2 very very rare، بالنسبة لـ Duane one فما بالك + +365 +00:26:47,960 --> 00:26:50,940 +بالنسبة لأنواع الحالات، يعني ممكن الإنسان ما يجابلهوش + +366 +00:26:50,940 --> 00:26:54,900 +في حياته مرة أو أقل، أو ربما ما يجابلهوش بالمرة، تمام + +367 +00:26:54,900 --> 00:26:59,880 +القضية الأساسية اللي ما نفهمهاش، مافيش إمكانية لـ .. + +368 +00:26:59,880 --> 00:27:03,740 +اللي هو إحنا بنحكي mostly عن Duane one، mostly، تمام + +369 +00:27:03,740 --> 00:27:07,040 +اللي هو مافيش فيه abduction، مافيش إمكانية نعمل + +370 +00:27:07,040 --> 00:27:12,040 +abduction، طب كيف .. كيف حالها هذه؟ هذه مالهاش حل + +371 +00:27:12,040 --> 00:27:16,940 +طيب أقولها مالهاش حل وخلاص للأهل؟ طبعاً إحنا في + +372 +00:27:16,940 --> 00:27:21,680 +شغلات اسمها ما لا يُدرك كله لا يُدرك جله، الآن + +373 +00:27:21,680 --> 00:27:26,040 +في .. في شغلات يعني حياتنا العملية بتحتمها، لو قلنا + +374 +00:27:26,040 --> 00:27:30,200 +قد إيش فينا positions of gaze، ثمانية بالإضافة للـ + +375 +00:27:30,200 --> 00:27:33,120 +primary position، تصحى أكثر two positions لازمين + +376 +00:27:33,120 --> 00:27:37,740 +لنا، إحنا بنحكي عن الاثنين، الـ primary position هو + +377 +00:27:37,740 --> 00:27:41,520 +أكثر شيء، بدي أمشي، بدي أسوق سيارتي، بدي أتفرج على + +378 +00:27:41,520 --> 00:27:45,000 +التلفزيون، بدي أطلع المحاضرة، إلى آخره، والـ down + +379 +00:27:45,000 --> 00:27:48,340 +gaze، بدي أقرأ، بدي أكتب، بدي أشوف الجوال، بدي + +380 +00:27:48,340 --> 00:27:51,940 +أكل، بدي أشرب، إلى آخره، تمام؟ فبالتالي هدول أكثر + +381 +00:27:51,940 --> 00:27:55,100 +two positions بستخدمهم، الآن الـ lateral position + +382 +00:27:55,100 --> 00:27:58,770 +بستخدمه أقل بكثير من الـ primary position والـ down + +383 +00:27:58,770 --> 00:28:01,990 +gaze، لما يكون عندي مشكلة مش قادرة أتخلص منها في الـ + +384 +00:28:01,990 --> 00:28:04,830 +lateral position، ممكن يكون head turn بسيط أو أن + +385 +00:28:04,830 --> 00:28:07,710 +أنا أعمل turn، إذا كان اه، يعني مافيش إنسان بيجي جنب + +386 +00:28:07,710 --> 00:28:12,450 +إنسان جنب بعض وبيقعد يتحدث ووجوههم مثلاً على شيء + +387 +00:28:12,450 --> 00:28:15,690 +target ثاني، إذا أنا أبدأ أتحدث مع زميلي أو مع + +388 +00:28:15,690 --> 00:28:19,310 +والدي إلى آخره لفترة طويلة، لما نيجي ندير حالنا + +389 +00:28:19,310 --> 00:28:22,430 +على بعض وبدينا نتحدث، يعني يعني المشكلة مابتظهرش + +390 +00:28:22,430 --> 00:28:26,140 +إلا لحظات بسيطة، طيب إيش اللي ممكن علاجه إذا كان أنا + +391 +00:28:26,140 --> 00:28:29,360 +الـ abduction مش قادر أعمله؟ في عندي مشاكل كتيرة + +392 +00:28:29,360 --> 00:28:32,060 +ممكن أعالجها، الـ retraction ممكن يتعالج إذا كانوا + +393 +00:28:32,060 --> 00:28:38,960 +significant، الـ abnormal head posture ممكن يتعالج إذا + +394 +00:28:38,960 --> 00:28:43,780 +كانوا significant، تمام، والـ upshoot والـ down + +395 +00:28:43,780 --> 00:28:44,860 +shoot ممكن يتعالج + +396 +00:28:51,270 --> 00:28:55,810 +طبعاً الأساس في علاج الـ retraction ناتج عن إيش؟ + +397 +00:28:55,810 --> 00:28:59,150 +Co-contraction، يعني عضلتين انقبضوا وجروا العين + +398 +00:28:59,150 --> 00:29:03,910 +ل + +445 +00:32:06,010 --> 00:32:09,570 +فوق عشان تعملي up shoot أو down shoot فكانت ال + +446 +00:32:09,570 --> 00:32:13,110 +procedure المقترحة أنه نعمل split في ال lateral + +447 +00:32:13,110 --> 00:32:18,560 +rectus طبعا مش على طولها كلها يعني الجزء الأمامي + +448 +00:32:18,560 --> 00:32:21,900 +منها بنعمل فيه split بنجسم هيكا و بنبعده عن بعض + +449 +00:32:21,900 --> 00:32:25,300 +بعض الكتب بتقول نبعده عشرين ملي متر عن بعض البعض + +450 +00:32:25,300 --> 00:32:28,560 +فبيصير لو كانت تنزلق العين لتحت هذا الجزء من + +451 +00:32:28,560 --> 00:32:31,640 +العضلة اللي جاها لو كانت تنزلق لفوق هذا الجزء من + +452 +00:32:31,640 --> 00:32:34,940 +العضلة يشدها لموضعها الطبيعي فهذه بيسموها Y + +453 +00:32:34,940 --> 00:32:39,740 +procedure وعملية ناجحة جدا طبعا في حالة ال up + +454 +00:32:39,740 --> 00:32:44,290 +shoot و ال down shoot إذا بدنا نفهم قضية أنه إحنا + +455 +00:32:44,290 --> 00:32:47,910 +في ال Edwin Syndrome مش ممكن نحقق القضية الرئيسية + +456 +00:32:47,910 --> 00:32:50,670 +أنه ليها مش قادرة تعمل abduction السبب إنها مش + +457 +00:32:50,670 --> 00:32:54,170 +قادرة تعمل abduction إن ال sixth cranial nerve مش + +458 +00:32:54,170 --> 00:32:57,910 +واصل إنه يغضيها failure of innervation from the + +459 +00:32:57,910 --> 00:33:00,510 +sixth cranial nerve وإن هذه ال innervation اللي + +460 +00:33:00,510 --> 00:33:04,910 +بتصلها بتصلها كإيش؟ كصدقة من إيش؟ من ال third + +461 +00:33:04,910 --> 00:33:12,800 +cranial nerve نشوف احنا يعني فيديو لل .. للغة + +462 +00:33:12,800 --> 00:33:17,920 +لدوان Is he + +463 +00:33:17,920 --> 00:33:22,360 +just put his head straight for me? Good, good boy, + +464 +00:33:22,420 --> 00:33:26,440 +now if you keep looking for me, that's excellent + +465 +00:33:26,440 --> 00:33:29,120 +Just look right .. straight ahead at my fingers + +466 +00:33:29,120 --> 00:33:31,600 +here look, can you see? Now watch where my + +467 +00:33:31,600 --> 00:33:35,120 +finger's going, right over that way, as far around + +468 +00:33:35,120 --> 00:33:38,350 +as you can go حسنًا يا عزيزي، الآن عالقًا في الوسط، + +469 +00:33:38,350 --> 00:33:40,350 +و الأن إبقى مستخدما عن أين يدي يذهب من هذا الطريق. + +470 +00:33:41,470 --> 00:33:43,710 +جيد يا رايان، جيد جدًا، أبقى رأسك مستخدما يا + +471 +00:33:43,710 --> 00:33:49,010 +عزيزي، أبقى حاليًا هناك، حسنًا يا عزيزي، أنا + +472 +00:33:49,010 --> 00:33:54,550 +حاليًا هناك الآن، تبقى حاليًا هناك، تبقى حاليًا + +473 +00:33:54,550 --> 00:34:00,810 +هناك، تبقى حاليًا هناك، تبقى حاليًا هناك، تبقى + +474 +00:34:00,810 --> 00:34:03,530 +حاليًا هناك، تبقى حاليًا هناك، تبقى حاليًا هناك، + +475 +00:34:03,530 --> 00:34:07,980 +تبقى حاليًا هناك، تبقى حاليًا well done and now go + +476 +00:34:07,980 --> 00:34:12,040 +straight up in the sky and then go straight down + +477 +00:34:12,040 --> 00:34:15,520 +again good and what I want you to keep doing is + +478 +00:34:15,520 --> 00:34:20,360 +looking towards my camera and now look right over + +479 +00:34:20,360 --> 00:34:22,920 +that way as far as you can go right over that way + +480 +00:34:22,920 --> 00:34:27,820 +and then back and right this way good lad that's + +481 +00:34:27,820 --> 00:34:28,140 +smart + +482 +00:34:56,070 --> 00:35:00,930 +بريلينت دي chill up a little bit that's great now + +483 +00:35:00,930 --> 00:35:04,130 +look at her good lord that's much better + +484 +00:35:07,700 --> 00:35:11,860 +and over the other side as + +485 +00:35:11,860 --> 00:35:19,080 +far as you can look down it's pretty and we + +486 +00:35:19,080 --> 00:35:21,740 +don't know where the position is so just keep + +487 +00:35:21,740 --> 00:35:27,060 +looking at the camera ان شاء الله تعالى تمام، + +488 +00:35:27,060 --> 00:35:28,140 +يعطيكوا الف عافية diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/L2o3vt-o0wY_raw.json b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/L2o3vt-o0wY_raw.json new file mode 100644 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حكيناه بالتفصيل وبشكل اوضح ان شاء الله تعالى ال Dwan Syndrome هو عبارة عن Retraction Syndrome فيه عندنا failure of innervation of the lateral rectus by the sixth nerve", "tokens": [3615, 8592, 7649, 7251, 1863, 4587, 36150, 12399, 1975, 15730, 39896, 4117, 1975, 5016, 8315, 4724, 47283, 2655, 9381, 9640, 8608, 16572, 3615, 10874, 28259, 5296, 9778, 9381, 8315, 413, 7916, 44545, 12399, 6024, 48506, 47525, 8315, 8717, 47341, 3615, 5296, 28820, 2423, 28820, 10943, 13672, 1829, 11331, 4117, 1829, 8315, 3224, 20666, 2655, 5172, 9381, 26895, 46599, 8592, 28820, 1975, 2407, 11242, 5016, 16472, 13412, 16606, 21984, 37279, 6027, 7578, 2423, 413, 7916, 44545, 31439, 6225, 3555, 9640, 3660, 18871, 11495, 26766, 44545, 8978, 3224, 43242, 8315, 7763, 295, 7284, 11116, 295, 264, 25128, 11048, 301, 538, 264, 15102, 16355], "avg_logprob": -0.1775428899655155, "compression_ratio": 1.5591836734693878, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 420.2, "end": 420.6, "word": "عشان", 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لدوين سندروم والعين التانية very subtle يعني بده ملاحظة دقيقة جدا عشان اللحظة لدرجة ان كتير من الناس عند الفحص السريع ممكن يفكر ان العين التانية سليمة مافيش فيها مشكلة", "tokens": [11820, 24769, 11553, 7284, 11116, 295, 264, 25128, 11048, 301, 538, 25252, 490, 264, 2636, 16355, 23758, 2423, 4188, 5296, 3215, 2407, 9957, 8608, 41260, 2288, 20498, 32771, 6027, 3555, 995, 4724, 1829, 30544, 38772, 4724, 3794, 6225, 18513, 3660, 39894, 30544, 6225, 9957, 4032, 46958, 5016, 8978, 11296, 5296, 3215, 2407, 9957, 8608, 41260, 2288, 20498, 16070, 3615, 9957, 16712, 7649, 10632, 588, 13743, 37495, 22653, 47525, 3224, 3714, 15040, 5016, 19913, 3660, 11778, 38436, 28671, 10874, 28259, 6225, 8592, 7649, 13672, 5016, 19913, 3660, 5296, 3215, 47341, 3660, 16472, 9122, 2655, 13546, 9154, 2423, 8315, 3794, 43242, 27188, 5016, 9381, 21136, 16572, 3615, 3714, 43020, 7251, 5172, 37983, 16472, 18863, 9957, 16712, 7649, 10632, 8608, 20292, 46007, 19446, 41185, 8592, 8978, 11296, 37893, 28820, 3660], 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children و ال adults ال older children يعني above 10 years و ال adults اللي هو ال adjustable suture technique عشان ما اعملش أيش يعني strabismus بالعملية بتاعتى دل عند ال up shoot و ال down shoot بنعمل حاجة بيسموها y procedure", "tokens": [2655, 4587, 16572, 3555, 995, 27554, 310, 22376, 4032, 4724, 14851, 25957, 1211, 23032, 16572, 28671, 20666, 1863, 35457, 3660, 24976, 4906, 2227, 4032, 2423, 8865, 2423, 4906, 2227, 37495, 22653, 3673, 1266, 924, 4032, 2423, 8865, 13672, 1829, 31439, 2423, 27804, 43489, 540, 6532, 6225, 8592, 7649, 19446, 1975, 25957, 1211, 8592, 36632, 8592, 37495, 22653, 2148, 65, 25327, 20666, 25957, 1211, 10632, 39894, 995, 34268, 7578, 11778, 1211, 43242, 2423, 493, 3076, 4032, 2423, 760, 3076, 44945, 25957, 1211, 11331, 26108, 3660, 4724, 1829, 38251, 2407, 11296, 288, 10747], "avg_logprob": -0.24949048070803934, "compression_ratio": 1.5767634854771784, "no_speech_prob": 0.0, "words": [{"start": 1892.06, "end": 1892.64, "word": "تقريبا", "probability": 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his head straight for me? Good, good boy, now if you keep looking for me, that's excellent Just look right .. straight ahead at my fingers here look, can you see? 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+Exotropia هناخد اللي هي special syndromes هذه + +3 +00:00:29,510 --> 00:00:34,230 +special syndromes يعني هتمر معانا بعضها بشكل مش + +4 +00:00:34,230 --> 00:00:40,310 +قليل بالعكس يعني هتكون منتشرة نوعا ما وغالبيتها + +5 +00:00:40,310 --> 00:00:43,270 +العظمة بينتمي .. المكانش كلها بينتمي ل ال + +6 +00:00:43,270 --> 00:00:47,490 +incompetent strabismusيعني إيه الحول، الغير متجانس + +7 +00:00:47,490 --> 00:00:51,590 +و بالذات .. بالذات لموضوع اللي هو ال restrictive + +8 +00:00:51,590 --> 00:00:55,690 +strabismus طبعا قبل ما نبلش في ال .. في ال special + +9 +00:00:55,690 --> 00:01:00,070 +syndromes نقول إنه في الطبيعي .. في الطبيعي أي + +10 +00:01:00,070 --> 00:01:05,710 +عضلة من عضلات العين أو من عضلات الوجه لازم يجيلها + +11 +00:01:05,710 --> 00:01:08,290 +normal innervation من المكان اللي المفروض هي تسلم + +12 +00:01:08,290 --> 00:01:11,790 +ال innervation منهفبنضرب مثال على ذلك مثلا ال + +13 +00:01:11,790 --> 00:01:14,450 +media rectus muscle لازم في الطبيعة انه يصلها من + +14 +00:01:14,450 --> 00:01:18,790 +ال third nerve مش من اي nerve تاني تمام ال levator + +15 +00:01:18,790 --> 00:01:22,310 +palpebra superioris برضه من ال third nerve ال + +16 +00:01:22,310 --> 00:01:26,090 +orbicularis oculi muscle لازم يجيها من ال facial + +17 +00:01:26,090 --> 00:01:30,390 +nerve فبالتالي في أثبتت الدراسات الجينية و ال + +18 +00:01:30,390 --> 00:01:33,610 +neuropathological studies أنه بي بعض الأمراض أو + +19 +00:01:33,610 --> 00:01:39,180 +بعض ال syndromesبيكون عندي خلل خلقي في ال + +20 +00:01:39,180 --> 00:01:42,000 +innervation يعني ال innervation جاي من المكان مش + +21 +00:01:42,000 --> 00:01:46,720 +المفروض ييجي منه تمام؟ هذه الأمراض جمعوها تحت + +22 +00:01:46,720 --> 00:01:51,880 +مصطلح عام اسمه congenital cranial disinervation + +23 +00:01:51,880 --> 00:01:59,160 +disorders congenital cranial + +24 +00:01:59,160 --> 00:02:02,380 +disinervation + +25 +00:02:02,380 --> 00:02:02,780 +disorders + +26 +00:02:08,500 --> 00:02:16,390 +disorder يعني الأمراضاو العلال اللى بتكون مصاحبة + +27 +00:02:16,390 --> 00:02:19,890 +بخلل في ال .. في ال innervation اللى جاي من الجمجم + +28 +00:02:19,890 --> 00:02:23,270 +او من الدماغ تمام من ال central nervous system و + +29 +00:02:23,270 --> 00:02:25,830 +اللى هى هذه الأمراض بتكون congenital بالاساس يعني + +30 +00:02:25,830 --> 00:02:30,170 +هى شغلة خلقية اتكونت عن طفل معين تمام او اثناء + +31 +00:02:30,170 --> 00:02:33,830 +المرحلة الجنينية العضلسين بدل ما تسلم ال + +32 +00:02:33,830 --> 00:02:36,590 +innervation من مكانه الطبيعى او من نواة العصب اللى + +33 +00:02:36,590 --> 00:02:41,660 +مفروض يغذيهااستلمت من مكان آخر يعني غير المكان + +34 +00:02:41,660 --> 00:02:46,360 +الطبيعي طبعا هذه بتشمل يعني أمراض كتير من ضمنها .. + +35 +00:02:46,360 --> 00:02:49,840 +من ضمنها ال Edwin syndrome اللي هو موضوعنا اليوم + +36 +00:02:49,840 --> 00:02:55,740 +من ضمنها ال mobius syndrome من ضمنها congenital + +37 +00:02:55,740 --> 00:02:59,970 +fibrosis of extraocular musclesمن ضمنها ال marcus + +38 +00:02:59,970 --> 00:03:04,610 +gun jaw-winking syndrome ال congenital ptosis و ال + +39 +00:03:04,610 --> 00:03:08,670 +congenital facial palsy كل هذه بيجمعها المصطلح + +40 +00:03:08,670 --> 00:03:11,930 +العام اللي بنسميه congenital cranial disinervation + +41 +00:03:11,930 --> 00:03:17,610 +disorder نيجي نحكي عن مرض كتير هنقابله في حياتنا + +42 +00:03:17,610 --> 00:03:21,210 +العملية اللي هو ledwine retraction syndrome لما + +43 +00:03:21,210 --> 00:03:26,230 +بيكون في كلمة معينة في عنوان المرض هذه الكلمة + +44 +00:03:26,230 --> 00:03:30,990 +بيكون لها الأثر الأكبرلمّا بقول Edwin Syndrome و + +45 +00:03:30,990 --> 00:03:34,370 +بعدين بقول Edwin Retraction Syndrome يعني أهم + +46 +00:03:34,370 --> 00:03:37,530 +علامة من علامات Edwin Retraction of the globe + +47 +00:03:37,530 --> 00:03:41,970 +Retraction يعني رجوع لل globe أو العين في ال orbit + +48 +00:03:41,970 --> 00:03:47,510 +رجوحها لجوة هذا المرض احنا قلنا أثناء ما درسنا حول + +49 +00:03:47,510 --> 00:03:50,450 +واحد ان حركات العين في الطبيعي هي عبارة عن + +50 +00:03:50,450 --> 00:03:55,680 +rotational movement يعني نقطة او محورأو نقطة + +51 +00:03:55,680 --> 00:03:59,340 +المركز بتاع كرة العين بتضالها ثابتة و العين بتلف + +52 +00:03:59,340 --> 00:04:03,040 +يمين و شمال و فوق و تحت و extortion و extortion و + +53 +00:04:03,040 --> 00:04:08,580 +النقطة high نفسها ثابتة هذا المرض بيصيرش فيه ثبات + +54 +00:04:08,580 --> 00:04:11,460 +لكرة العين بالعكس بتصير في عين دي حاجة اسمها + +55 +00:04:11,460 --> 00:04:15,440 +translational أو حركة إزاحية translational + +56 +00:04:15,440 --> 00:04:19,990 +movementنتيجة انقباض ال media rectus وال lateral + +57 +00:04:19,990 --> 00:04:24,970 +rectus مع بعض في نفس اللحظة بيطلوا ذلك استنتاج + +58 +00:04:24,970 --> 00:04:29,610 +منطقي جدا انه لدوين سندروم لا يخضع لشيرنجتون لاو + +59 +00:04:29,610 --> 00:04:33,630 +شيرنجتون لاو وهذا هنجيله بالتفصيل بيقول اذا انقبضت + +60 +00:04:33,630 --> 00:04:37,220 +عضلاء ال antagonist بتاعها لازم ايش؟لازم يصير له + +61 +00:04:37,220 --> 00:04:40,620 +relaxation بنفس القدر اللي صار .. يعني contraction + +62 +00:04:40,620 --> 00:04:44,080 +في العضلة التانية طالما انقبضت ال media rectus + +63 +00:04:44,080 --> 00:04:46,820 +والانتاجونيستة حالات ال rectus انقبضوا في نفس + +64 +00:04:46,820 --> 00:04:51,320 +الوقتمعناته عندي هتحصل عدة حاجات أول حاجة هذا + +65 +00:04:51,320 --> 00:04:55,740 +الكلام لا ينطبق عليه شيرنجتون له هذا يعني يرفض + +66 +00:04:55,740 --> 00:04:59,440 +الخضوع لشيرنجتون له هاي قضية طالما انقبضوا عضلتين + +67 +00:04:59,440 --> 00:05:02,120 +في نفس الوقت إذا ال rotation هذا مش ممكن أما + +68 +00:05:02,120 --> 00:05:06,920 +الإزاحة ممكنة وهذا سبب التسمية Dwayne Retraction + +69 +00:05:06,920 --> 00:05:11,770 +Syndromeالعين لما تكون في وضع معين، العين لما تكون + +70 +00:05:11,770 --> 00:05:15,150 +في وضع معين بتكون لاجئة للشفون من إنهم يضموا على + +71 +00:05:15,150 --> 00:05:18,950 +بعض، لما بترجع العين بيضمه فبيصير narrowing لل + +72 +00:05:18,950 --> 00:05:22,690 +palpebral fissure، يعني شيء بيؤدي لشيء، إذا حبينا + +73 +00:05:22,690 --> 00:05:28,100 +نستنتج هيك منطقي يعني إيش السبب؟انه بيصير co + +74 +00:05:28,100 --> 00:05:31,660 +-contraction يعني انقباض متزامن لل lateral rectus + +75 +00:05:31,660 --> 00:05:37,980 +والmedial rectus مع بعض بيغزيهم نفس المنطقة من + +76 +00:05:37,980 --> 00:05:40,760 +الدماغ يعني ال third cranial nerve اللي هو في + +77 +00:05:40,760 --> 00:05:44,120 +الطبيعي بيغذي ال medial rectus في هذه الحالة أيضا + +78 +00:05:44,120 --> 00:05:48,320 +راح يغذي ال lateral rectus السبب ان ال six nerve + +79 +00:05:48,320 --> 00:05:52,750 +nucleusأما مش متكونة أو hypoplastic، ضعيفة التكوين + +80 +00:05:52,750 --> 00:05:57,010 +فبالتالي ال lateral rectus بتبحث عن تخضيه عصبية من + +81 +00:05:57,010 --> 00:06:00,390 +مكان تاني اللي بيبعث لهذه التخضيه العصبية هو ال + +82 +00:06:00,390 --> 00:06:03,770 +third cranial nerve لما يصير stimulation لل third + +83 +00:06:03,770 --> 00:06:07,710 +cranial nerve بيصير عندي co contraction وهذا سبب + +84 +00:06:07,710 --> 00:06:11,590 +التسمير أي دوين سندروم أنا شاكك فيه دوين سندروم + +85 +00:06:11,590 --> 00:06:15,250 +ومافيش فيه retractionبقدرش أسميه Dwan Syndrome ال + +86 +00:06:15,250 --> 00:06:19,630 +hallmark العلامة المميزة ل Dwan Syndrome لازم يكون + +87 +00:06:19,630 --> 00:06:23,610 +Retraction of the globe امتى بينشط ال third nerve + +88 +00:06:23,610 --> 00:06:29,750 +عند ال abduction و لا في ال abduction ال + +89 +00:06:29,750 --> 00:06:33,370 +third nerve امتى بينشط في ال abduction و لا في ال + +90 +00:06:33,370 --> 00:06:38,010 +abduction بالظبط اذا ال narrowing ال narrowing و + +91 +00:06:38,010 --> 00:06:42,290 +ال retraction بيصير في ال abductionلما الإنسان هذا + +92 +00:06:42,290 --> 00:06:46,770 +يحاول يعمل abduction لما يحاول يعمل abduction + +93 +00:06:46,770 --> 00:06:51,030 +المفروض ال third nerve يريح هو فعلا بيريح تمام؟ بس + +94 +00:06:51,030 --> 00:06:54,570 +فيش lateral rectus تنقبض ليش؟ لأن ال lateral + +95 +00:06:54,570 --> 00:06:58,670 +rectus عشان تنقبض نواة العصب السادس لازم تبعت لل + +96 +00:06:58,670 --> 00:07:04,200 +lateral rectusعشان ينقبل، اذا هيك احنا باختصار + +97 +00:07:04,200 --> 00:07:07,260 +سريع جدا لخصنا Dwan Syndrome، الآن بدنا نرجع لكل + +98 +00:07:07,260 --> 00:07:11,420 +الكلام اللي حكيناه بالتفصيل وبشكل اوضح ان شاء الله + +99 +00:07:11,420 --> 00:07:17,040 +تعالى ال Dwan Syndrome هو عبارة عن Retraction + +100 +00:07:17,040 --> 00:07:20,620 +Syndrome فيه عندنا failure of innervation of the + +101 +00:07:20,620 --> 00:07:24,960 +lateral rectus by the sixth nervewith anomalous + +102 +00:07:24,960 --> 00:07:28,320 +innervation of the lateral rectus by fibers from + +103 +00:07:28,320 --> 00:07:31,900 +the third nerve هذا ال condition لدوين سندروم + +104 +00:07:31,900 --> 00:07:36,580 +غالبا بيكون bilateral بس عادة بتكون عين واضح فيها + +105 +00:07:36,580 --> 00:07:40,100 +لدوين سندروم والعين التانية very subtle يعني بده + +106 +00:07:40,100 --> 00:07:43,200 +ملاحظة دقيقة جدا عشان اللحظة لدرجة ان كتير من + +107 +00:07:43,200 --> 00:07:47,340 +الناس عند الفحص السريع ممكن يفكر ان العين التانية + +108 +00:07:47,340 --> 00:07:51,650 +سليمة مافيش فيها مشكلةsome children have + +109 +00:07:51,650 --> 00:07:54,890 +associated congenital defects such as perceptive + +110 +00:07:54,890 --> 00:07:58,550 +deafness and speech disorder طبعا هذا مالوش علاقة + +111 +00:07:58,550 --> 00:08:02,330 +في تخصصنا ولكن إله علاقة أعرف أنه كل حالة Edwin + +112 +00:08:02,330 --> 00:08:05,210 +Syndrome لازم أعملها consultation لطبيب الأنف + +113 +00:08:05,210 --> 00:08:08,330 +والأذن والحنجرة عشان الموضوعالـ Perceptive + +114 +00:08:08,330 --> 00:08:12,210 +Deafness و Speech Disorder عشان يتبع معاها ليس كل + +115 +00:08:12,210 --> 00:08:16,210 +حالة ستصاب بهذه القضية ولكن بعضهم .. بعضهم بيصاب + +116 +00:08:16,210 --> 00:08:19,210 +فبالتالي أنا كل حالة بتبور علي بابعتها عشان أتأكد + +117 +00:08:19,210 --> 00:08:24,230 +وإذا كان في مشكلة هو بيتاخد الإجراءات المناسبة كيف + +118 +00:08:24,230 --> 00:08:28,330 +أنا أحط .. يعني تشخيص Ledouin Syndrome حقيقة + +119 +00:08:28,330 --> 00:08:31,850 +Ledouin Syndrome يعني عندي تلت أنواع من Ledouin + +120 +00:08:31,850 --> 00:08:35,010 +Syndrome تشترك في حاجات كتيرة و تختلف في بعض + +121 +00:08:35,010 --> 00:08:41,090 +الحاجاتطبعا في ال primary position غالبا .. غالبا + +122 +00:08:41,090 --> 00:08:46,310 +بيكون عندي straight eyes تمام؟ و binocular single + +123 +00:08:46,310 --> 00:08:51,210 +vision بس مع شوية face turned بسيطة، يا ترى إذا + +124 +00:08:51,210 --> 00:08:55,910 +قولنا ال left eye فيها دوام، هي الواضح فيها + +125 +00:08:55,910 --> 00:09:01,610 +الدوام، ال face turned واني بدي أكون؟لأ ليه؟ ال + +126 +00:09:01,610 --> 00:09:04,810 +abduction ممكن ال abduction مش ممكن ليش ال + +127 +00:09:04,810 --> 00:09:08,810 +abduction مش ممكن؟ عشان ال abduction عشان يصير + +128 +00:09:08,810 --> 00:09:13,330 +لازم تشتغل نوات العصب السادس يتوصل للسادس يوصل لل + +129 +00:09:13,330 --> 00:09:15,850 +lateral rectus ال lateral rectus في ال abduction + +130 +00:09:15,850 --> 00:09:19,730 +بتشتغلش طب و ال medial rectus في ال abduction برضه + +131 +00:09:19,730 --> 00:09:23,870 +بتشتغلش لأنها بتريح مظبوط إذا أول علامة restricted + +132 +00:09:23,870 --> 00:09:28,950 +abduction ممكن يكون complete or partialهذا في ال + +133 +00:09:28,950 --> 00:09:31,930 +primary position و طالما مافيش abduction + +134 +00:09:35,250 --> 00:09:39,190 +معناته the head turns where the eye cannot إيش + +135 +00:09:39,190 --> 00:09:42,570 +يعني؟ العين مش قادرة تروح، اللي lifted وين عندي؟ + +136 +00:09:42,570 --> 00:09:46,110 +العين مش قادرة تروح في ال abduction ليش بيروح + +137 +00:09:46,110 --> 00:09:50,030 +مكانها؟ عشان العين تنتقل على الناحية اللي بتقدر هي + +138 +00:09:50,030 --> 00:09:54,330 +تروح عليها، تمام؟ إذا left face turned عشان يحافظ + +139 +00:09:54,330 --> 00:09:57,470 +على ال binocular single vision أول علامة + +140 +00:09:57,470 --> 00:10:00,950 +restricted abduction كيف بعرفها؟ + +141 +00:10:04,660 --> 00:10:07,500 +مع widening للbulbiparal fissure روح نقول ليش + +142 +00:10:07,500 --> 00:10:11,520 +widening للbulbiparal fissure فتحة العين بترجع + +143 +00:10:11,520 --> 00:10:18,600 +لوضعها الطبيعي أو بتفتح تمام ال adduction ممكن + +144 +00:10:18,600 --> 00:10:24,400 +يكون طبيعي بس إيش و ممكن يكون mildly restricted مع + +145 +00:10:24,400 --> 00:10:27,900 +narrowing للbulbiparal fissure أنا رسمته mildly + +146 +00:10:27,900 --> 00:10:33,890 +restricted تمام العين بتضم كتير ليش؟هذا بتطلع هيك + +147 +00:10:33,890 --> 00:10:37,970 +وهذا بتطلع هيك، إذا عندي complete أو nearly + +148 +00:10:37,970 --> 00:10:42,880 +completerestricted abduction هي علامة من علامات + +149 +00:10:42,880 --> 00:10:45,560 +الدوين في ال abduction بيصير narrowing لأنه في ال + +150 +00:10:45,560 --> 00:10:48,820 +abduction ال media rectus بتنقبط و ال lateral + +151 +00:10:48,820 --> 00:10:53,760 +rectus بتنقبط فالعين بتدخل لجوة بعض المرضى دخول + +152 +00:10:53,760 --> 00:10:57,520 +العين لجوة ملاحظ بشكل شديد بيكون عنده دوين سندروم + +153 +00:10:57,520 --> 00:11:01,660 +شديد و بعضهم يعني يدوب ملاحظ بس ضروري أن انا أكون + +154 +00:11:01,660 --> 00:11:05,440 +عند دقة ملاحظة لألاحظ موضوع ال narrowingكيف اعرف + +155 +00:11:05,440 --> 00:11:08,520 +ال retraction؟ امرر بعرفه بال narrowing للبلبرة + +156 +00:11:08,520 --> 00:11:12,080 +الفشر لما بتطلع باتجاه ال abduction بتديجي العين + +157 +00:11:12,080 --> 00:11:15,480 +شوية لما بتطلع باتجاه ال abduction العين بتجف + +158 +00:11:15,480 --> 00:11:19,160 +تعملش abduction بس العين بتوسع هي حقيقة ما وسعت هي + +159 +00:11:19,160 --> 00:11:22,540 +رجعت لوضعها الطبيعي ليش؟ لما بترخي ال media rectus + +160 +00:11:22,540 --> 00:11:25,320 +و بترخي ال lateral rectus العين بترجع لمكانها + +161 +00:11:25,320 --> 00:11:31,140 +الطبيعي اللي هو مرونة ال tissue بتتحكم فيهبيعمل + +162 +00:11:31,140 --> 00:11:35,840 +abduction التنتين بينقبضوا ليش التنتين بينقبضوا؟ + +163 +00:11:35,840 --> 00:11:40,500 +عشان التنين وصلهم ترزيح عصبية وعملوا co + +164 +00:11:40,500 --> 00:11:44,420 +-contraction co-contraction اذا restricted + +165 +00:11:44,420 --> 00:11:48,040 +abduction غالبا ال abduction لو فيه restriction + +166 +00:11:48,040 --> 00:11:52,440 +بيكون partial وجليل جدا انه يكون عند ال abduction + +167 +00:11:52,440 --> 00:11:55,940 +مش موجود ال abduction مش موجود okay بس ال + +168 +00:11:55,940 --> 00:12:00,290 +abduction جليل جدا انه يكون مش موجودأهم علامة هاني + +169 +00:12:00,290 --> 00:12:04,410 +نكتب عليها أهم علامة Retraction of the globe on + +170 +00:12:04,410 --> 00:12:08,810 +abduction السبب + +171 +00:12:08,810 --> 00:12:14,110 +Retraction يعني رجوع للخلف انك ماشيالسبب co + +172 +00:12:14,110 --> 00:12:17,930 +-contraction of the medial and lateral recti هذا + +173 +00:12:17,930 --> 00:12:20,570 +بيؤدي ل narrowing of the belpebral fissure زي ما + +174 +00:12:20,570 --> 00:12:24,150 +الرسمة بتوضح ممكن ال narrowing يكون very severe + +175 +00:12:24,150 --> 00:12:27,870 +يعني تحسي أن العين كانها مغمضة تماما كأنها انطبقت + +176 +00:12:27,870 --> 00:12:31,530 +الشفون علي بعض السبب أن ال retraction كتير الرجوع + +177 +00:12:31,530 --> 00:12:34,990 +كتير مافيش إشي تلجي الشفون فبتسكر الشفون كل ما كان + +178 +00:12:34,990 --> 00:12:38,070 +ال retraction أكتر كل ما كان ال narrowing أكتر + +179 +00:12:38,070 --> 00:12:38,730 +تمام؟ + +180 +00:12:43,220 --> 00:12:47,220 +إذا ال degree of global attraction ممكن تكون gross + +181 +00:12:47,220 --> 00:12:52,780 +يعني شديدة أو very subtle حسب شدة ادوين syndrome + +182 +00:12:52,780 --> 00:12:56,180 +طيب لما يحاول هذا اللي عمل abduction يعمل + +183 +00:12:56,180 --> 00:13:01,790 +abduction مرة تانية بيصير إيش البلببرة الفشرopens + +184 +00:13:01,790 --> 00:13:05,450 +and the globe assumes it's normal position ترجع لل + +185 +00:13:05,450 --> 00:13:08,230 +normal position بتاعتها بس مش مانعه انه هو حاول + +186 +00:13:08,230 --> 00:13:11,110 +يعمل upduction هيقدر يعمل هو هتيجي عنده اما في + +187 +00:13:11,110 --> 00:13:14,810 +النص أو بعد المنتصف بقليل حسب شدة ال restriction + +188 +00:13:14,810 --> 00:13:20,450 +بتاع ال upduction تمام؟ في + +189 +00:13:20,450 --> 00:13:23,510 +بعض المرضى اللي عندهم Dwan Syndrome عندهم up shoot + +190 +00:13:23,510 --> 00:13:28,350 +او down shoot في ال upduction نشوف هذا المريض عنده + +191 +00:13:28,350 --> 00:13:41,060 +Dwan Syndromeبال right eye بال right eye ايش + +192 +00:13:41,060 --> 00:13:45,460 +شايفين؟ طلعت لفوق، بعض الناس ممكن خطأ ان يفكروا ان + +193 +00:13:45,460 --> 00:13:49,980 +هذه inferior oblique over action، هذه ليست ليست + +194 +00:13:49,980 --> 00:13:53,240 +inferior oblique over action، هذه twin syndrome مع + +195 +00:13:53,240 --> 00:13:57,920 +up shoot مع up shootإيش سبب ال upshot هال gate + +196 +00:13:57,920 --> 00:14:02,020 +هنحكي بعض المرضى بيكون عنده downshot طبعا هنا لازم + +197 +00:14:02,020 --> 00:14:05,480 +طالما هذه راحة adoption هذه هتكون راحة abduction + +198 +00:14:05,480 --> 00:14:14,260 +هذا عنده righted vein أيضا righted vein نزلت + +199 +00:14:14,260 --> 00:14:20,380 +العين لتحته downshot حقيقةالتفسير بتاع ال up shoot + +200 +00:14:20,380 --> 00:14:24,220 +و ال down shoot في ال adduction النظريات الطبية + +201 +00:14:24,220 --> 00:14:28,560 +بتقول ان ال lateral rectus بتكون very tight على + +202 +00:14:28,560 --> 00:14:33,320 +سطح العين يعني شده كتير فلما ال media rectus تعمل + +203 +00:14:33,320 --> 00:14:38,340 +adduction ال lateral rectus اما بتنزلق تحت العينأو + +204 +00:14:38,340 --> 00:14:41,140 +تنزلك فوق العين ال .. ال .. ال insertion بتاعها + +205 +00:14:41,140 --> 00:14:46,160 +ثابت بس جسم العضلة بنزلك أما فوق أو تحت العين وهذه + +206 +00:14:46,160 --> 00:14:50,160 +النظرية كتير من الناس اعتمدها و بنى عليها طريقة + +207 +00:14:50,160 --> 00:14:54,560 +العلاج الجراحى اللى هنجي نحكي عنها في حينه تمام؟ + +208 +00:14:54,560 --> 00:14:58,700 +مع أنه بعض العلماء قالوا احنا خلينا نعمل صور رنين + +209 +00:14:58,700 --> 00:15:03,620 +مغناطيسيللمرضى اللى عندهم ادوين اثناء عملية ال + +210 +00:15:03,620 --> 00:15:06,960 +adoption و عندهم upshot او downshot فوجدوا مش في + +211 +00:15:06,960 --> 00:15:10,900 +كل الحالات بتكون ال abduction و ال adoption عفوا + +212 +00:15:10,900 --> 00:15:13,880 +عملية ال adoption عملية الانزلاق مش موجودة في كل + +213 +00:15:13,880 --> 00:15:18,160 +الحالات تمام فجالوا انه ممكن تكون فعلا في قضية + +214 +00:15:18,160 --> 00:15:21,780 +انزلاق و ممكن يكون في سبب اخر لسه مش معروف لنا + +215 +00:15:21,780 --> 00:15:26,040 +تمام اذا بعض المرضى بيكون عندهم upshot او downshot + +216 +00:15:26,040 --> 00:15:30,490 +في ال adoption في ال adoptionنرتب كلامنا لدوان في + +217 +00:15:30,490 --> 00:15:33,810 +ال primary position بيكون ortho مع شوية face term + +218 +00:15:33,810 --> 00:15:37,430 +يعني binocular single vision بعضهم بيكون شوية ezo + +219 +00:15:37,430 --> 00:15:41,950 +و قليل منهم جدا بيكون exo هذا هنجيله في أنواع + +220 +00:15:41,950 --> 00:15:47,010 +لدوان طيب لما يعمل abduction معنى مافيش عندي + +221 +00:15:47,010 --> 00:15:51,620 +abduction restricted abductionلمّا يعمل abduction، + +222 +00:15:51,620 --> 00:15:54,480 +في abduction أو mildly restricted abduction، بس + +223 +00:15:54,480 --> 00:15:58,300 +أهم علامة أنه في retraction وفي narrowing للببرة + +224 +00:15:58,300 --> 00:16:01,520 +الفشرة، رجع عامل abduction، هتفتح العين و العين + +225 +00:16:01,520 --> 00:16:04,820 +تقعد في مكانها اللي كانت فيه قبل عملية ال + +226 +00:16:04,820 --> 00:16:08,020 +abduction، بعضهم في ال abduction، في ال abduction + +227 +00:16:08,020 --> 00:16:11,040 +بيصير عندهم اما upshot أو downshot، وبعضهم + +228 +00:16:11,040 --> 00:16:15,060 +مابيصيرش هذه القضية، وبعضهم مابيصيرش هذه القضية + +229 +00:16:19,250 --> 00:16:22,090 +في كمان علامة قبل ما نبدأ في ال classification + +230 +00:16:22,090 --> 00:16:26,910 +بتاع Duen انه defective convergence لو في عين فيها + +231 +00:16:26,910 --> 00:16:31,830 +Duen syndrome نفرض ال left eye فيها Duen syndrome + +232 +00:16:31,830 --> 00:16:36,170 +وجربنا near target من هذا الوجه هذا البني ادم اللي + +233 +00:16:36,170 --> 00:16:39,410 +عنده Duen بنلاحظ ان العين اللي تبدو سليمة تعمل + +234 +00:16:39,410 --> 00:16:43,130 +convergenceعلى الـ near target والعين اللي فيها + +235 +00:16:43,130 --> 00:16:46,670 +دوين واقفة مكانها مش راضية تعمل convergence إذا + +236 +00:16:46,670 --> 00:16:50,990 +العلمة اللي بعدين اللي هي defective convergence in + +237 +00:16:50,990 --> 00:16:53,930 +which affected eye remains fixed in the primary + +238 +00:16:53,930 --> 00:16:57,490 +position while the unaffected eye is converging + +239 +00:16:57,490 --> 00:17:02,890 +تمام؟ وهذه من ضمن العلمات وهذه من ضمن العلمات طيب + +240 +00:17:02,890 --> 00:17:08,070 +نيجي احنا تجسيمة دوين سندروميقسم الدوين سندروم لـ + +241 +00:17:08,070 --> 00:17:12,450 +three types type one هو الأكثر شيوعا type two هو + +242 +00:17:12,450 --> 00:17:19,130 +الأقل شيوعا و type three التانية و تلاتة type one + +243 +00:17:19,130 --> 00:17:24,590 +و type two و type three احنا قلنا شرط أساسي عشان + +244 +00:17:24,590 --> 00:17:27,590 +احط تشريس الدوين لابد يكون retraction of the globe + +245 +00:17:27,590 --> 00:17:31,070 +on adduction يعني قضية ال retraction مفروغ منها + +246 +00:17:31,070 --> 00:17:37,430 +retraction on adduction و هذه نفس الشيءو هذه نفس + +247 +00:17:37,430 --> 00:17:49,470 +الشيء طيب هنا limited abduction + +248 +00:17:49,470 --> 00:17:53,630 +هنا + +249 +00:17:53,630 --> 00:18:01,590 +limited abduction هنا limited abduction and + +250 +00:18:01,590 --> 00:18:02,210 +abduction + +251 +00:18:10,550 --> 00:18:15,350 +هذه أحد الفروق بين دوان one و بين دوان one و دوان + +252 +00:18:15,350 --> 00:18:19,550 +two و بين دوان ال three هنا most common يعني أكتر + +253 +00:18:19,550 --> 00:18:23,950 +حالات عملية حلجية هم دوان one type one تمام most + +254 +00:18:23,950 --> 00:18:31,010 +common في الدوان تمام هنا least common هنا + +255 +00:18:31,010 --> 00:18:33,230 +بين الأتنين جاي، بس الاتنين + +256 +00:18:37,020 --> 00:18:40,060 +اللي هو رقم اتنين و رقم تلاتة مقارنة مع رقم واحد + +257 +00:18:40,060 --> 00:18:44,040 +يعتبروا يعني رين يعتبروا رين يعني ممكن اكتر من + +258 +00:18:44,040 --> 00:18:47,680 +خمسة و تمانين في المية من حالات الدوان من type one + +259 +00:18:47,680 --> 00:18:50,840 +و الباقي كله من type two و type three type three + +260 +00:18:50,840 --> 00:19:02,840 +اكتر من type two ك prevalence في + +261 +00:19:02,840 --> 00:19:12,590 +ال primary position هذه straightor mild ezo هنا + +262 +00:19:12,590 --> 00:19:19,550 +straight or mild ezo هنا + +263 +00:19:19,550 --> 00:19:28,110 +straight or mild ezo لو + +264 +00:19:28,110 --> 00:19:32,130 +جينا نسأل يا ترى لو في face tear لو في face tear + +265 +00:19:32,130 --> 00:19:39,370 +هنا بيكون باتجاه العين المصابةهنا بيكون عكس + +266 +00:19:39,370 --> 00:19:44,910 +المصابة هنا باتجاه العين المصابة تمام؟ ليش هنا عكس + +267 +00:19:44,910 --> 00:19:49,290 +المصابة؟ لأن المصابة بتعمل abduction يعني بتقدر + +268 +00:19:49,290 --> 00:19:52,310 +تعمل .. بتقدرش تعمل abduction هو بيبعد عن منطقة ال + +269 +00:19:52,310 --> 00:19:57,430 +abduction فبعيد عن العين المصابة بيودي راسه تمام؟ + +270 +00:19:57,430 --> 00:20:01,450 +إذا ال head position إذا كان موجود ال head posture + +271 +00:20:01,450 --> 00:20:08,590 +هنا باتجاه العين المصابة هنا عكسهاهنا معاها + +272 +00:20:08,590 --> 00:20:15,710 +باتجاهها واضح ليش يا بنات؟ + +273 +00:20:15,710 --> 00:20:18,830 +الآن + +274 +00:20:18,830 --> 00:20:24,070 +ده نسأل حالنا سؤال يا ترى ليش بعضهم بيكون limited + +275 +00:20:24,070 --> 00:20:27,570 +abduction وبعضهم limited abduction وبعضهم limited + +276 +00:20:27,570 --> 00:20:33,010 +abduction and abduction؟ بعض العلماء عززت سبب إلى + +277 +00:20:33,010 --> 00:20:37,980 +كمية ال innovation اللي بيبعتهاالـ third cranial + +278 +00:20:37,980 --> 00:20:41,220 +nerve لـ lateral rectus هو مش المفروض يبعتلها + +279 +00:20:41,220 --> 00:20:45,740 +بالاساس المفروض يتاخد من العصب السادس هو بعتلها + +280 +00:20:45,740 --> 00:20:50,320 +فهو كمية الاشي اللي بعتلها هي حسب كرم العصب الثالث + +281 +00:20:50,320 --> 00:20:57,610 +إذا بعتلها أقل هتكونone إذا بيعتلها أكتر مما أبقى + +282 +00:20:57,610 --> 00:21:00,490 +لنفسه يعني الكريم أكتر من اللازم وهذا ندرة في + +283 +00:21:00,490 --> 00:21:04,610 +الناس مظبوط فبالتالي أيضا هذه أندر شيء أن تصير ال + +284 +00:21:04,610 --> 00:21:08,530 +lateral rectus هي المسيطرة على التغذية اللي + +285 +00:21:08,530 --> 00:21:11,990 +وصلالها من ال third nerve تمام فبيصير ال abduction + +286 +00:21:13,010 --> 00:21:18,010 +هو اللي شغال أكتر من الأدد، هنا إذا كان ان كنتم + +287 +00:21:18,010 --> 00:21:22,150 +أخوة فتقاسم، هذا حتى إيش .. حتى احنا يعني نضل + +288 +00:21:22,150 --> 00:21:25,990 +متذكرين كيف موضوع .. يعني إيش اللي limited و إيش + +289 +00:21:25,990 --> 00:21:29,210 +اللي مش .. مش limited عادة الأكتر شيء عن لما أنا + +290 +00:21:29,210 --> 00:21:33,030 +بدي أكرم إنسان بكرمه بشيء بسيط من اللي عنده، + +291 +00:21:33,030 --> 00:21:36,230 +مابكرمهش بكل اللي عنده، هذا ال .. هذا ال .. الشيء + +292 +00:21:36,230 --> 00:21:40,480 +المنطقي لدرج يعنيالان الاشي النادر جدا ان اعطيله + +293 +00:21:40,480 --> 00:21:46,380 +شغل اكتر يعني حاجات من عندي اكتر من ما ابقي لنفسي + +294 +00:21:46,380 --> 00:21:51,620 +و الشئ المتوسط الندرا ان اعطيله يعني ان كنتم اخوة + +295 +00:21:51,620 --> 00:21:56,840 +فتقاسم و ان كنتم اخوة فتقاسم طيب نيجي هنا بس عسري + +296 +00:21:56,840 --> 00:22:01,080 +ان نقول type one هو ال most common صفته limited or + +297 +00:22:01,080 --> 00:22:02,320 +absent abduction + +298 +00:22:04,720 --> 00:22:08,520 +limited abduction أو absent abduction normal or + +299 +00:22:08,520 --> 00:22:13,320 +mildly limited abduction تمام عفوا normal or + +300 +00:22:13,320 --> 00:22:17,000 +mildly limited abduction هذه ما كتبنهاش ال + +301 +00:22:17,000 --> 00:22:22,180 +abduction تقريبا ال abduction normal او mildly + +302 +00:22:22,180 --> 00:22:26,500 +limited تمام في ال primary position اما بتكون + +303 +00:22:26,500 --> 00:22:32,250 +straight او mild esotropia او mild esotropiaType 2 + +304 +00:22:32,250 --> 00:22:38,130 +هو الـ least common limited abduction normal أو + +305 +00:22:38,130 --> 00:22:44,390 +mildly limited abduction طبعا وقلنا عنه ال least + +306 +00:22:44,390 --> 00:22:47,070 +common في ال primary position العينين بيكونوا اما + +307 +00:22:47,070 --> 00:22:50,070 +straight او slight اكزوتروبيا + +308 +00:22:52,160 --> 00:22:56,180 +limited abduction and abduction تمام في ال primary + +309 +00:22:56,180 --> 00:23:01,560 +position بيكون straight او mild esotropia او mild + +310 +00:23:01,560 --> 00:23:06,600 +esotropia بنقول ال underlying pathophysiology is + +311 +00:23:06,600 --> 00:23:09,680 +similar in the three types وهي + +312 +00:23:12,320 --> 00:23:16,740 +retraction ناتج عن co contraction ناتج عن + +313 +00:23:16,740 --> 00:23:20,100 +innovation from one source اللي هو ال third nerve + +314 +00:23:20,100 --> 00:23:24,420 +تمام فبالتالي ال difference بينهم being due to the + +315 +00:23:24,420 --> 00:23:27,920 +inequality in the degree of anomaly in the + +316 +00:23:27,920 --> 00:23:30,700 +innovation of the lateral rectus and medial rectus + +317 +00:23:30,700 --> 00:23:34,520 +حسب كل واحدة جديش أخدت نصيب من ال third nerve ينشأ + +318 +00:23:34,520 --> 00:23:37,780 +عندى التلات أنواع في النوع الأول ال media rectus + +319 +00:23:37,780 --> 00:23:40,400 +هي المهدأ أكتر في النوع التاني ال lateral rectus + +320 +00:23:40,400 --> 00:23:44,180 +هي المهدأ أكتر في النوع التالتالاتنين متساويين في + +321 +00:23:44,180 --> 00:23:48,920 +ال inner vision كيف نعمل management ل .. اللي هو + +322 +00:23:48,920 --> 00:23:54,580 +الإنسان اللي عنده Dwan Syndrome أو هل كل مرضي عنده + +323 +00:23:54,580 --> 00:23:59,080 +Dwan Syndrome بيحتاج منه لتدخل سواء جراحي أو غير + +324 +00:23:59,080 --> 00:24:04,590 +جراحيأحنا بنقول غالبية ال young children بيضلوا + +325 +00:24:04,590 --> 00:24:07,410 +عاملين binocular single vision و مستمتعين بال + +326 +00:24:07,410 --> 00:24:10,970 +binocular single vision مع شوية abnormal head + +327 +00:24:10,970 --> 00:24:14,170 +posture، faceturn بسيط، لا يؤثر أو يعني مش كتير + +328 +00:24:14,170 --> 00:24:21,120 +يعني .. يعني مزعجطبعا هذا ال head posture عشان + +329 +00:24:21,120 --> 00:24:24,780 +يعوضني عن ال lateral rectus weakness طبعا ال + +330 +00:24:24,780 --> 00:24:29,140 +surgery امتى انا بستعملها لما يكون في عندي loss of + +331 +00:24:29,140 --> 00:24:32,840 +binocular function كيف انا بعرفها هو بجي اعمل في + +332 +00:24:32,840 --> 00:24:38,040 +ال stern بسيط راح عدل .. راح عدل فجأة عدل فانت هو + +333 +00:24:38,040 --> 00:24:42,460 +عمل .. بالظبط هو صار عنده loss of ال binocular + +334 +00:24:42,460 --> 00:24:47,910 +single vision تمامهذا بأعرفه by failure to + +335 +00:24:47,910 --> 00:24:53,430 +continue to use an abnormal head posture طيب في ال + +336 +00:24:53,430 --> 00:24:56,150 +adults و ال children over the age of 80 years + +337 +00:24:56,150 --> 00:25:02,480 +السيرجيري ممكن استعملها عشانيكون يعني أتخلص من ال + +338 +00:25:02,480 --> 00:25:05,160 +head posture إذا كانه unacceptable يعني severe + +339 +00:25:05,160 --> 00:25:08,240 +face tear مثلا لل right .. لل right أو لل left + +340 +00:25:08,240 --> 00:25:12,980 +واضح جدا عشان أتخلص منه تمام؟ بيبدحيف إنه هذا ال + +341 +00:25:12,980 --> 00:25:15,840 +.. ال face tear نعمل لي neck discomfort يعني إزعاج + +342 +00:25:15,840 --> 00:25:19,420 +في ال .. في عضلات الرجب أو في شداد أو كدهيعني + +343 +00:25:19,420 --> 00:25:24,040 +ساعتها بيكون مش بس cosmetically و ايضا لأنه مزعج + +344 +00:25:24,040 --> 00:25:28,020 +بالنسبة لعضلات الرقبة تمام ايضا ال unacceptable + +345 +00:25:28,020 --> 00:25:31,080 +upshoot او down shoot اللي كل ما يطلع الجنب بتلاقي + +346 +00:25:31,080 --> 00:25:35,460 +عينه حدثت لفوق او لتحت بشكل ملحوظ جدا فهذا ايضا + +347 +00:25:35,460 --> 00:25:39,980 +بتجرأله عمليات او الناس اللي عندها Down syndrome و + +348 +00:25:39,980 --> 00:25:44,300 +مافيش head turnالـ head posture طبيعي بس عنده + +349 +00:25:44,300 --> 00:25:47,480 +severe narrowing يعني تقريبا الشفون بتغمض على + +350 +00:25:47,480 --> 00:25:50,900 +بعضها تمام نتيجة انه في عنده severe globe + +351 +00:25:50,900 --> 00:25:53,960 +retraction هذا مابنتركش انه لأنه cosmetically very + +352 +00:25:53,960 --> 00:25:58,220 +unacceptable وبالتالي هذا ممكن يعني ينعمله عملية + +353 +00:25:58,220 --> 00:26:02,200 +يتساعد في هذه القضية طيب ايش أنواع العمليات اللي + +354 +00:26:02,200 --> 00:26:06,940 +ممكن تصير في هذه القضية لو احنا مسكنها يعني مشكلة + +355 +00:26:06,940 --> 00:26:11,860 +مشكلة الحاجة الوحيدة اللي بدنا نقنع فيها الأهلإن + +356 +00:26:11,860 --> 00:26:15,500 +العلم لليوم ما اخترع وسيلة جراحية أو غير جراحية + +357 +00:26:15,500 --> 00:26:21,560 +يخلي المريض يقدر يعمل abduction لحاله طبعا ممكن + +358 +00:26:21,560 --> 00:26:25,060 +إنسان يسأل دوين سندروم type 2 بيعمل abduction + +359 +00:26:25,060 --> 00:26:28,220 +لحاله okay بيعمل abduction لحاله هذا the least + +360 +00:26:28,220 --> 00:26:32,420 +common هذا very very rare يعتبر الدوين سندروم ككل + +361 +00:26:32,420 --> 00:26:34,760 +مقارنة مع أنواع الحوالي التانية اللي هي ال + +362 +00:26:34,760 --> 00:26:37,720 +commitant أو ال concomitant types of strabismus ال + +363 +00:26:37,720 --> 00:26:43,640 +ISO والEXOيعتبر rare هذا دوين ككل ويعتبر دوين type + +364 +00:26:43,640 --> 00:26:47,960 +2 very .. very rare بالنسبة لدوين one فما بالك + +365 +00:26:47,960 --> 00:26:50,940 +بالنسبة لانواع الحوار يعني ممكن الإنسان مايجابلوش + +366 +00:26:50,940 --> 00:26:54,900 +في حياته مرة أو أقل أو ربما مايجابلوش بالمرة تمام + +367 +00:26:54,900 --> 00:26:59,880 +القضية الأساسية اللي ما نفهمها مافيش إمكانية ل .. + +368 +00:26:59,880 --> 00:27:03,740 +اللي هو احنا بنحكي mostly عن دوين one mostly تمام + +369 +00:27:03,740 --> 00:27:07,040 +اللي هو مافيش فيه abduction مافيش إمكانية نعمل + +370 +00:27:07,040 --> 00:27:12,040 +abductionطب كيف .. كيف حالها هذه؟ هذه مالهاش حل + +371 +00:27:12,040 --> 00:27:16,940 +طيب أقولها مالهاش حل و خلاص للأهل؟ طبعا احنا في + +372 +00:27:16,940 --> 00:27:21,680 +شغلات اسمها ما لا يدركوا كله لا يدركوا جلهم الآن + +373 +00:27:21,680 --> 00:27:26,040 +في .. في شغلات يعني حياتنا العملية بتحتمها لو قلنا + +374 +00:27:26,040 --> 00:27:30,200 +قداش فينا positions of gays تمانية بالاضافة لل + +375 +00:27:30,200 --> 00:27:33,120 +primary position تصحى أكتر two positions لازمين + +376 +00:27:33,120 --> 00:27:37,740 +إلنالأ احنا بنحكي بالعنتين ال primary position هو + +377 +00:27:37,740 --> 00:27:41,520 +أكتر شيء، بدي أمشي، بدي أسوق سيارتي، بدي أتفرج على + +378 +00:27:41,520 --> 00:27:45,000 +التلفزيون، بدي أطلع المحاضرة، إلى آخرى و ال down + +379 +00:27:45,000 --> 00:27:48,340 +gaze، بدي أقرأ، بدي أكتب، بدي أشوف الجوال، بدي + +380 +00:27:48,340 --> 00:27:51,940 +أكل، بدي أشرب، إلى آخرى، تمام؟ فبالتالي هدولة أكتر + +381 +00:27:51,940 --> 00:27:55,100 +two positions بستعملهم، الآن ال lateral position + +382 +00:27:55,100 --> 00:27:58,770 +بستعمله أقل بكتير من ال primary positionو ال down + +383 +00:27:58,770 --> 00:28:01,990 +gaze لما يكون عندي مشكلة مش قادرة اتخلص منها في ال + +384 +00:28:01,990 --> 00:28:04,830 +lateral position ممكن يكون face turn بسيط او ان + +385 +00:28:04,830 --> 00:28:07,710 +انا اعمل turn اذا كان اه يعني مافيش انسان بيجي جنب + +386 +00:28:07,710 --> 00:28:12,450 +انسان جنب بعض و بيقعد يتحدث و وجوههم مثلا على شيء + +387 +00:28:12,450 --> 00:28:15,690 +target تاني اذا انا ابدا اتحدث مع أزميلي او مع + +388 +00:28:15,690 --> 00:28:19,310 +والدي إلى اخرى لفترة طويلة لما لاجينا ديرنا حالنا + +389 +00:28:19,310 --> 00:28:22,430 +على بعض و بدينا نتحدث يعني يعني المشكلة مابتظهر + +390 +00:28:22,430 --> 00:28:26,140 +الا لحظات بسيطةطيب إيش اللي ممكن علاجه إذا كان أنا + +391 +00:28:26,140 --> 00:28:29,360 +ال abduction مش قادر أعمله؟ في عندي مشاكل كتيرة + +392 +00:28:29,360 --> 00:28:32,060 +ممكن أعالجها ال retraction ممكن يتعالج إذا كانوا + +393 +00:28:32,060 --> 00:28:38,960 +civil ال abnormal head posture ممكن يتعالج إذا + +394 +00:28:38,960 --> 00:28:43,780 +كانوا significant تمام و ال up shoot و ال down + +395 +00:28:43,780 --> 00:28:44,860 +shoot ممكن يتعالج + +396 +00:28:51,270 --> 00:28:55,810 +طبعا الأساس في العلاج ال retraction ناتج عن ايش؟ + +397 +00:28:55,810 --> 00:28:59,150 +Co-contraction يعني عضلتين انقبضوا وجروا العين + +398 +00:28:59,150 --> 00:29:03,910 +لداخل ال orbit لأن التنتين لازم يترخوا يعني احنا + +399 +00:29:03,910 --> 00:29:06,970 +بدأنا .. احنا نخرج عن العلاج التقليدي الجراحي + +400 +00:29:06,970 --> 00:29:10,330 +لموضوع ال concomitants trapezomas ال aesotropia و + +401 +00:29:10,330 --> 00:29:12,990 +ال exo في ال aeso و في ال exo بنقول لما بنرخي عضلة + +402 +00:29:12,990 --> 00:29:16,710 +اللي عجبالها بنشدها لأن التنتين بدنا نرخيهم و + +403 +00:29:16,710 --> 00:29:21,150 +بكمية مناسبة ممكن تكون كمية كبيرة تمامع أساس + +404 +00:29:21,150 --> 00:29:24,450 +التنتين لما ينقبضوا مايعملوش effect كتير و مايجروش + +405 +00:29:24,450 --> 00:29:27,330 +العين لجوة ممكن ماأتخلصش من ال retraction على + +406 +00:29:27,330 --> 00:29:31,550 +الآخر بس بخففه كتير بحيث أنه دخول العين بيجل كتير + +407 +00:29:31,550 --> 00:29:33,890 +و ال narrowing هذا اللي هو cosmetically + +408 +00:29:33,890 --> 00:29:37,390 +unacceptable بيصير نوعا ما مقبول أو ممكن يكون + +409 +00:29:37,390 --> 00:29:43,080 +بطريقة كويسة مقبولrecession of horizontal recti + +410 +00:29:43,080 --> 00:29:46,880 +ممكن يخلصني من ال retraction حسب كمية هدى ال + +411 +00:29:46,880 --> 00:29:52,000 +retraction ال abnormal head posture العمليات + +412 +00:29:52,000 --> 00:29:56,420 +الجراحية اللى بتجرى عليه وين الوجه رايح العينين + +413 +00:29:56,420 --> 00:29:59,160 +رايحين عن ناحية اللى بيقدروا يروحوا عليها هذه + +414 +00:29:59,160 --> 00:30:03,620 +الناحية هذه الناحية بتدخل العينين صعب اللهم يروحوا + +415 +00:30:03,620 --> 00:30:07,260 +عليها عشان يعدل ال headيعني وين بيحبوا اللي انت + +416 +00:30:07,260 --> 00:30:11,140 +يعني يروحوا انا بدي ابعدهم عن المنطق اللي هم + +417 +00:30:11,140 --> 00:30:13,680 +حابينه يعني ال letter of recta الصينية بدي اقرا + +418 +00:30:13,680 --> 00:30:18,020 +فيها كتير تمام؟ اه الان بس بدي اخد في بالي note + +419 +00:30:18,020 --> 00:30:26,940 +هذه ال note يمنع منعا باتن counter indicated ان + +420 +00:30:26,940 --> 00:30:32,420 +اعمل resection counter indicated ان اعمل resection + +421 +00:30:32,420 --> 00:30:35,980 +لعضلةزي ال lateral rectus في العين اللي فيها Dwan + +422 +00:30:35,980 --> 00:30:40,900 +Syndrome لأن هذا هيزيد ال retraction تقصير العضلة + +423 +00:30:40,900 --> 00:30:43,420 +هيزيد ال retraction طب أنا بدأ أتخلص من ال + +424 +00:30:43,420 --> 00:30:48,680 +retraction تمام فبالتالي طيب أنا بدأ أبعد العين عن + +425 +00:30:48,680 --> 00:30:50,980 +المنطقة اللي هي رايحة عليها بنعمل حاجة اسمها + +426 +00:30:50,980 --> 00:30:54,620 +unequal recession يعني برخي مثلا ال lateral rectus + +427 +00:30:54,620 --> 00:30:58,660 +كمية أكبر مما برخيال media rectus بس في النهاية + +428 +00:30:58,660 --> 00:31:03,100 +التنتين اترخوا و unequal عشان تعدل العين عشان تعدل + +429 +00:31:03,100 --> 00:31:06,840 +العين طب ال primary position مش هتروح العين كيف؟ + +430 +00:31:06,840 --> 00:31:10,420 +ال primary position هتصير العين رايحة لفترةهذا كله + +431 +00:31:10,420 --> 00:31:14,060 +يعني بتعتمد على ال dose اللي انا ال dose الجراحي + +432 +00:31:14,060 --> 00:31:17,060 +كم اللي رخيت و كم اللي رخيت و في العين التانية إيش + +433 +00:31:17,060 --> 00:31:20,420 +اشتغلت تمام؟ و بالنهاية الأمر زي ما حكينا كان + +434 +00:31:20,420 --> 00:31:23,620 +ميزان يعني إذا رخيت هنا و رخيت هنا ممكن أرخي + +435 +00:31:23,620 --> 00:31:27,360 +مقابلهم تمام؟ في العين السليمة عساس أنه بالنهاية + +436 +00:31:27,360 --> 00:31:30,800 +أحقق في ال primary position أنه يكون عندى يعني .. + +437 +00:31:32,060 --> 00:31:36,100 +تقريبا Orthotopia و بستعمل طريقة بالنسبة لل older + +438 +00:31:36,100 --> 00:31:39,320 +children و ال adults ال older children يعني above + +439 +00:31:39,320 --> 00:31:42,700 +10 years و ال adults اللي هو ال adjustable suture + +440 +00:31:42,700 --> 00:31:46,980 +technique عشان ما اعملش أيش يعني strabismus + +441 +00:31:46,980 --> 00:31:50,860 +بالعملية بتاعتى دل عند ال up shoot و ال down shoot + +442 +00:31:50,860 --> 00:31:54,200 +بنعمل حاجة بيسموها y procedure + +443 +00:31:56,750 --> 00:32:01,630 +أحنا قلنا كتير من العلماء بيقولوا أنه ال tight + +444 +00:32:01,630 --> 00:32:06,010 +lateral rectus بتنزلق على سطح العين أما تحتها أو + +445 +00:32:06,010 --> 00:32:09,570 +فوق عشان تعملي up shoot أو down shoot فكانت ال + +446 +00:32:09,570 --> 00:32:13,110 +procedure المقترحة أنه نعمل split في ال lateral + +447 +00:32:13,110 --> 00:32:18,560 +rectusطبعا مش على طولها كلها يعني الجزء الأمامي + +448 +00:32:18,560 --> 00:32:21,900 +منها بنعمل فيه split بنجسم هيكا و بنبعده عن بعض + +449 +00:32:21,900 --> 00:32:25,300 +بعض الكتب بتقول نبعده عشرين ملي متر عن بعض البعض + +450 +00:32:25,300 --> 00:32:28,560 +فبيصير لو كانت تنزلق العين لتحت هذا الجزء من + +451 +00:32:28,560 --> 00:32:31,640 +العضلة اللي جاها لو كانت تنزلق لفوق هذا الجزء من + +452 +00:32:31,640 --> 00:32:34,940 +العضلة يشدها لموضعها الطبيعي فهذه بيسموها Y + +453 +00:32:34,940 --> 00:32:39,740 +procedure وعملية ناجحة جدا طبعا في حالة ال up + +454 +00:32:39,740 --> 00:32:44,290 +shoot و ال down shootإذا بدنا نفهم قضية أنه إحنا + +455 +00:32:44,290 --> 00:32:47,910 +في ال Edwin Syndrome مش ممكن نحقق القضية الرئيسية + +456 +00:32:47,910 --> 00:32:50,670 +أنه ليها مش قادرة تعمل abduction السبب إنها مش + +457 +00:32:50,670 --> 00:32:54,170 +قادرة تعمل abduction إن ال six cranial nerve مش + +458 +00:32:54,170 --> 00:32:57,910 +واصل إنه يغضيها failure of innervation from the + +459 +00:32:57,910 --> 00:33:00,510 +six cranial nerve وإن هذه ال innervation اللي + +460 +00:33:00,510 --> 00:33:04,910 +بتصلها بتصلها كإيش؟ كصدقة من إيش؟ من ال third + +461 +00:33:04,910 --> 00:33:12,800 +cranial nerveنشوف احنا يعني فيديو لل .. لللغة + +462 +00:33:12,800 --> 00:33:17,920 +لدوان Is he + +463 +00:33:17,920 --> 00:33:22,360 +just put his head straight for me? Good, good boy, + +464 +00:33:22,420 --> 00:33:26,440 +now if you keep looking for me, that's excellent + +465 +00:33:26,440 --> 00:33:29,120 +Just look right .. straight ahead at my fingers + +466 +00:33:29,120 --> 00:33:31,600 +here look, can you see? Now watch where my + +467 +00:33:31,600 --> 00:33:35,120 +finger's going, right over that way, as far around + +468 +00:33:35,120 --> 00:33:38,350 +as you can goحسنًا يا عزيزي، الآن عالقًا في الوسط، + +469 +00:33:38,350 --> 00:33:40,350 +و الأن إبقى مستخدما عن أين يدي يذهب من هذا الطريق. + +470 +00:33:41,470 --> 00:33:43,710 +جيد يا رايان، جيد جدًا، أبقى رأسك مستخدما يا + +471 +00:33:43,710 --> 00:33:49,010 +عزيزي، أبقى حاليًا هناك، حسنًا يا عزيزي، أنا + +472 +00:33:49,010 --> 00:33:54,550 +حاليًا هناك الآن، تبقى حاليًا هناك، تبقى حاليًا + +473 +00:33:54,550 --> 00:34:00,810 +هناك، تبقى حاليًا هناك، تبقى حاليًا هناك، تبقى + +474 +00:34:00,810 --> 00:34:03,530 +حاليًا هناك، تبقى حاليًا هناك، تبقى حاليًا هناك، + +475 +00:34:03,530 --> 00:34:07,980 +تبقى حاليًا هناك، تبقى حاليًwell done and now go + +476 +00:34:07,980 --> 00:34:12,040 +straight up in the sky and then go straight down + +477 +00:34:12,040 --> 00:34:15,520 +again good and what I want you to keep doing is + +478 +00:34:15,520 --> 00:34:20,360 +looking towards my camera and now look right over + +479 +00:34:20,360 --> 00:34:22,920 +that way as far as you can go right over that way + +480 +00:34:22,920 --> 00:34:27,820 +and then back and right this way good lad that's + +481 +00:34:27,820 --> 00:34:28,140 +smart + +482 +00:34:56,070 --> 00:35:00,930 +بريلينت دي chill up a little bit that's great now + +483 +00:35:00,930 --> 00:35:04,130 +look at her good lord that's much better + +484 +00:35:07,700 --> 00:35:11,860 +and over the other side as + +485 +00:35:11,860 --> 00:35:19,080 +far as you can look down it's pretty and we + +486 +00:35:19,080 --> 00:35:21,740 +don't know where the position is so just keep + +487 +00:35:21,740 --> 00:35:27,060 +looking at the camera ان شاء الله تعالى تمام، + +488 +00:35:27,060 --> 00:35:28,140 +يعطيكوا الف عافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/Usj3G1MVP6E.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/Usj3G1MVP6E.srt new file mode 100644 index 0000000000000000000000000000000000000000..582d835dfc9af98d0068da8add6e8351453b7776 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/Usj3G1MVP6E.srt @@ -0,0 +1,1900 @@ +1 +00:00:20,690 --> 00:00:24,730 +بسم الله الرحمن الرحيم اليوم موضوعنا اللي هو عن ال + +2 +00:00:24,730 --> 00:00:29,510 +alphabetical pattern في الـ strabismus طبعا بدها + +3 +00:00:29,510 --> 00:00:34,170 +مقدمة بسيطة. أول حاجة بدنا نأخذ بالنا أن الـ + +4 +00:00:34,170 --> 00:00:38,290 +alphabet patterns عبارة عن horizontal deviation و + +5 +00:00:38,290 --> 00:00:41,660 +ليست vertical deviation. ممكن بعض الناس يخطئ أن + +6 +00:00:41,660 --> 00:00:46,160 +يَستقبِلها أو يظن أن هي vertical deviation. لأ هي + +7 +00:00:46,160 --> 00:00:49,520 +horizontal deviation. بس في فرق في القياس بين الـ up + +8 +00:00:49,520 --> 00:00:53,300 +gaze والـ horizontal deviation في الـ primary position + +9 +00:00:53,300 --> 00:00:58,600 +والـ down gaze. لما يكون الـ ISO أو الـ EXO في فروقات + +10 +00:00:58,600 --> 00:01:02,740 +بينهم أثناء ما بنجيزهم للمريض وهو بيطلع لفوق أو هو + +11 +00:01:02,740 --> 00:01:06,460 +بيطلع لدغري أو هو بيطلع لتحت. معناته ممكن ينشأ عندي + +12 +00:01:06,460 --> 00:01:10,900 +تحت شروط معينة اللي هو الـ alphabetical patterns. + +13 +00:01:10,900 --> 00:01:14,940 +طبعا الـ alphabetical patterns قياسها في الـ up gaze + +14 +00:01:14,940 --> 00:01:18,860 +وفي الـ down gaze. مش في الـ extreme up gaze أو في + +15 +00:01:18,860 --> 00:01:22,600 +الـ extreme down gaze. طبعا اتفق على أنه من الـ + +16 +00:01:22,600 --> 00:01:26,080 +primary position up بمقدار خمسة وعشرين degree + +17 +00:01:26,080 --> 00:01:32,320 +looking up. تقاس في هذا الـ... يعني الـ position و + +18 +00:01:32,320 --> 00:01:35,740 +أيضا down from primary position برضه خمسة وعشرين + +19 +00:01:35,740 --> 00:01:39,560 +degree. إذا في عندي فروقات بين الـ up gaze والـ down + +20 +00:01:39,560 --> 00:01:44,320 +gaze، بيصير عندي أنا اللي هو ممكن ينشأ alphabetical + +21 +00:01:44,320 --> 00:01:48,780 +patterns. طبعا في alphabetical patterns شائعة و + +22 +00:01:48,780 --> 00:01:51,720 +بنجابلها كتير في حالات الـ strabismus زي الـ A + +23 +00:01:51,720 --> 00:01:55,380 +pattern والـ V pattern. وفي حالات يعني أو... أو + +24 +00:01:55,380 --> 00:02:00,720 +نادرة بس ممكن نجابلها زي الـ Y button والـ + +25 +00:02:00,720 --> 00:02:04,180 +X button والـ lambda button. تمام؟ يعني وكل هذه + +26 +00:02:04,180 --> 00:02:09,320 +بيحكموني في أني اسمي هذا الـ strabismus وفقا لأي من + +27 +00:02:09,320 --> 00:02:14,660 +الحروف هذه اللاتينية. تمام؟ بناء على قياس في + +28 +00:02:14,660 --> 00:02:18,390 +الـ up gaze في الـ primary position وفي الـ down gaze. + +29 +00:02:18,390 --> 00:02:22,950 +بعد إذن، عشان نفهم موضوع ليش بيصير الـ alphabetical + +30 +00:02:22,950 --> 00:02:25,850 +pattern، بدنا نسترجع مع بعض اللي هو الـ functions + +31 +00:02:25,850 --> 00:02:30,110 +بتاعة الـ extraocular muscles، وبالذات مش كل الـ + +32 +00:02:30,110 --> 00:02:34,550 +extraocular muscles، إنما الـ vertically acting + +33 +00:02:34,550 --> 00:02:37,950 +muscles. اللي هي أربعة muscles عندنا: two elevators و + +34 +00:02:37,950 --> 00:02:39,170 +two depressors. + +35 +00:02:41,580 --> 00:02:46,140 +الـ two elevators: الـ superior rectus والـ inferior + +36 +00:02:46,140 --> 00:02:51,520 +oblique. الـ two depressors: الـ inferior rectus والـ + +37 +00:02:51,520 --> 00:02:56,160 +superior oblique. هنا أنا رسمتهم حسب الـ action + +38 +00:02:56,160 --> 00:03:00,000 +الحقيقي بتاعهم. مش حسب الـ testing position. مش حسب + +39 +00:03:00,000 --> 00:03:04,880 +الـ testing position. طبعا كل vertically acting + +40 +00:03:04,880 --> 00:03:09,710 +muscle لها secondary horizontal action. يعني إيش الـ + +41 +00:03:09,710 --> 00:03:13,150 +horizontal action بتاع الـ superior rectus؟ + +42 +00:03:13,150 --> 00:03:17,810 +abduction. abduction. abduction. abduction. + +43 +00:03:17,810 --> 00:03:19,070 +abduction. abduction. abduction. + +44 +00:03:19,070 --> 00:03:20,310 +abduction. abduction. abduction. abduction. + +45 +00:03:20,310 --> 00:03:20,490 +abduction. abduction. abduction. abduction. + +46 +00:03:20,490 --> 00:03:20,590 +abduction. abduction. abduction. abduction. + +47 +00:03:20,590 --> 00:03:21,810 +abduction. abduction. abduction. + +48 +00:03:21,810 --> 00:03:22,470 +abduction. abduction. abduction. + +49 +00:03:22,470 --> 00:03:24,490 +abduction. abduction. abduction. abduction. + +50 +00:03:24,490 --> 00:03:29,710 +abduction. + +51 +00:03:29,710 --> 00:03:36,830 +abduction. abduction. + +52 +00:03:42,510 --> 00:03:46,830 +adduction. وهنا abduction. إذا الـ oblique muscles + +53 +00:03:46,830 --> 00:03:53,510 +abductors، والـ vertical recti abductors. اليوم احنا + +54 +00:03:53,510 --> 00:03:57,730 +بلزمنا هذا الـ secondary action عشان أفهم كيف بتصير + +55 +00:03:57,730 --> 00:04:03,010 +الـ... نيجي في الأول نحكي عن الـ normal. لما الـ + +56 +00:04:03,010 --> 00:04:07,110 +normal person بيطلع في الـ up gaze، اللي بتشارك في + +57 +00:04:07,110 --> 00:04:12,160 +الـ elevation: الـ two elevators اللي هو الـ superior + +58 +00:04:12,160 --> 00:04:15,260 +rectus والـ inferior oblique. وهنا أيضًا الـ + +59 +00:04:15,260 --> 00:04:18,260 +superior rectus والـ inferior oblique. إذن هما + +60 +00:04:18,260 --> 00:04:21,460 +synergistic muscles في الـ elevation. بس الـ + +61 +00:04:21,460 --> 00:04:24,140 +horizontal action بتاعهم أو الـ horizontal vector + +62 +00:04:24,140 --> 00:04:28,640 +بتاعهم متضاد. بمعنى الـ superior rectus صحيح بترفع + +63 +00:04:28,640 --> 00:04:33,120 +بس بتعمل adduction، والـ inferior oblique بترفع + +64 +00:04:33,120 --> 00:04:37,600 +صحيح، بستعمل upduck. الـ abduction effect بتاع الـ + +65 +00:04:37,600 --> 00:04:40,820 +superior rectus بيوزّن الـ abduction effect بتاع الـ + +66 +00:04:40,820 --> 00:04:43,740 +inferior oblique muscles. فبتطلع straight up بدون + +67 +00:04:43,740 --> 00:04:47,980 +ما تفتح أكتر وبدون ما تضم يعني أكتر. تمام؟ هذا في + +68 +00:04:47,980 --> 00:04:51,600 +الـ normal person. أيضا في الـ normal person لما بنزل + +69 +00:04:51,600 --> 00:04:57,200 +بتطلع لتحت في الـ two depressors + +70 +00:04:57,200 --> 00:05:05,660 +عنده اللي هم الـ inferior... آسف... superior oblique + +71 +00:05:05,660 --> 00:05:09,900 +والـ inferior rectus. والـ inferior rectus والـ + +72 +00:05:09,900 --> 00:05:14,120 +superior oblique. الاثنين synergistic في الـ + +73 +00:05:14,120 --> 00:05:17,140 +depression. الاثنين بيساعدوا بعض في الـ depression. بس + +74 +00:05:17,140 --> 00:05:20,180 +الـ horizontal action بتاعهم متضاد. الـ superior + +75 +00:05:20,180 --> 00:05:22,900 +oblique بتعمل abduction، والـ inferior rectus + +76 +00:05:22,900 --> 00:05:26,050 +بتعمل adduction. الـ inferior rectus بتعمل adduction، والـ + +77 +00:05:26,050 --> 00:05:29,090 +superior oblique بتعمل abduction. الـ abduction اللي + +78 +00:05:29,090 --> 00:05:33,490 +بتعملها الـ inferior rectus بوزّنها وبضادها الـ + +79 +00:05:33,490 --> 00:05:35,970 +abduction اللي بتعملها الـ superior oblique. فبتنزل + +80 +00:05:35,970 --> 00:05:40,610 +العين بالتساوي لتحت بدون ما تضم وبدون ما تفتح. لو + +81 +00:05:40,610 --> 00:05:45,490 +عندي صار خلل في الـ action بتاعة أي من الـ + +82 +00:05:45,490 --> 00:05:51,300 +vertically acting muscles، إذا كان هذا الخلل قوة + +83 +00:05:51,300 --> 00:05:54,640 +معناته هذه العضلة بتقوى في جميع الـ functions بتاعتها. + +84 +00:05:54,640 --> 00:05:59,160 +ما فيش حاجة اسمها عضلة الـ elevation بتاعها صار أقوى + +85 +00:05:59,160 --> 00:06:02,500 +والـ abduction effect بتاعها ضال زي ما هو. يعني لما + +86 +00:06:02,500 --> 00:06:06,660 +بيقول superior rectus مثلا over action، معناته كل + +87 +00:06:06,660 --> 00:06:09,800 +الـ functions بتاعتها over acting. ساعتها هتصير + +88 +00:06:09,800 --> 00:06:15,170 +العين وهي بتطلع لجوه لفوق بتيجي لجوه شوية. ليش؟ لأن + +89 +00:06:15,170 --> 00:06:18,070 +الـ action بتاع الـ abduction يفوق بتاع الـ superior + +90 +00:06:18,070 --> 00:06:21,610 +rectus، لأنها over acting muscle. يفوق الـ abduction + +91 +00:06:21,610 --> 00:06:25,730 +بتاع الـ inferior oblique، لأنها normally acting + +92 +00:06:25,730 --> 00:06:28,790 +muscle. تمام؟ فبالتالي لما بنقول في خلل في الـ + +93 +00:06:28,790 --> 00:06:32,750 +function بتاعة عضلة معينة، معناته الخلل بيصيب كل الـ + +94 +00:06:32,750 --> 00:06:35,350 +functions بتاعتها: الـ function الرئيسية والـ + +95 +00:06:35,350 --> 00:06:38,630 +functions الفرعية التانية أو الـ horizontal action + +96 +00:06:38,630 --> 00:06:42,630 +بتاعها. طب هذا الخلل ممكن يكون over action، وممكن + +97 +00:06:42,630 --> 00:06:46,710 +يكون under action. ساعتها الـ horizontal effect + +98 +00:06:46,710 --> 00:06:50,730 +بتاعها بيضعف وبيروح لصالح العضلة المقابلة، لصالح + +99 +00:06:50,730 --> 00:06:54,810 +العضلة المقابلة. إذا احنا فهمنا هذه القضية، بنفهم إيش + +100 +00:06:54,810 --> 00:06:57,990 +الأسباب بتاعة الـ A pattern وإيش الأسباب بتاعة الـ V + +101 +00:06:57,990 --> 00:07:04,910 +pattern. بدنا نضرب مثال بسيط على هذه القضية. بنقول + +102 +00:07:04,910 --> 00:07:10,850 +لو إنسان عنده superior oblique palsy، نفرض مثلا + +103 +00:07:10,850 --> 00:07:15,550 +bilateral superior oblique palsy، يعني under action + +104 +00:07:15,550 --> 00:07:16,990 +في الـ superior oblique muscle. + +105 +00:07:20,170 --> 00:07:23,570 +قبل ما نرسم، بدنا نحكي نقول bilateral superior + +106 +00:07:23,570 --> 00:07:27,370 +oblique palsy أو bilateral fourth nerve palsy، يعني + +107 +00:07:27,370 --> 00:07:30,130 +الـ superior oblique muscle weak هنا وweak هنا. + +108 +00:07:30,130 --> 00:07:34,510 +under acting. مين الـ antagonistic muscles بتاعتها؟ + +109 +00:07:34,510 --> 00:07:38,630 +الـ inferior oblique. عادة لما بلسي بتطول، إيش بيصير + +110 +00:07:38,630 --> 00:07:42,290 +في الـ antagonistic muscle؟ بيصير over acting، لأنها + +111 +00:07:42,290 --> 00:07:46,230 +contracted. لأنها contracted. إذا بينشأ عندي، بما أن + +112 +00:07:46,230 --> 00:07:48,790 +عندي bilateral superior oblique palsy، عندي + +113 +00:07:48,790 --> 00:07:54,030 +bilateral inferior oblique over acting. هل الـ over + +114 +00:07:54,030 --> 00:07:57,230 +action بتاع الـ inferior oblique بيصيب بس الـ action + +115 +00:07:57,230 --> 00:07:59,710 +الواحد بتاع الـ elevation بتاعها ولا كل الـ actions + +116 +00:07:59,710 --> 00:08:03,610 +بتاعتها؟ تمام؟ إذا لما هذا المريض اللي عنده الـ + +117 +00:08:03,610 --> 00:08:10,010 +inferior oblique over acting في الـ elevation، الـ + +118 +00:08:10,010 --> 00:08:15,790 +abduction بتاع الـ inferior oblique هيفوق + +119 +00:08:15,790 --> 00:08:22,400 +هيفوق. أنا رسمت ثلاثة أسهم. هيفوق الـ abduction بتاع الـ + +120 +00:08:22,400 --> 00:08:24,960 +superior rectus. إذا العينين فوق، إيش مالهم؟ + +121 +00:08:24,960 --> 00:08:34,220 +بيفتحوا، تمام؟ نيجي للـ down gaze. مين اللي فيه بلسة؟ + +122 +00:08:34,220 --> 00:08:36,400 +الـ superior oblique muscle. + +123 +00:08:43,010 --> 00:08:45,970 +الـ inferior rectus عادي، والـ superior oblique + +124 +00:08:45,970 --> 00:08:50,210 +عادي، والـ abduction effect بتاعها هيضعف. أنا رسمته + +125 +00:08:50,210 --> 00:09:01,450 +سهل متقدر، وهيصير لصالح الـ inferior rectus. ساعتها + +126 +00:09:01,450 --> 00:09:05,130 +العين هتضم لجوه، لأن الـ horizontal action بتاع الـ + +127 +00:09:05,130 --> 00:09:09,960 +inferior rectus muscle هيفوق، فوق الـ abduction + +128 +00:09:09,960 --> 00:09:12,420 +بتاع الـ superior oblique. لأن الـ superior oblique + +129 +00:09:12,420 --> 00:09:14,920 +ضعيفة. طب ضعيفة بـ function واحدة ولا بكل الـ + +130 +00:09:14,920 --> 00:09:20,000 +functions؟ كل الـ functions. إذا الاثنين تحت هيضموا، وفوق + +131 +00:09:20,000 --> 00:09:27,100 +إيش هيصير فيهم؟ إيش هيتكون عندي؟ هيتكون عندي إيش؟ V + +132 +00:09:27,100 --> 00:09:34,980 +pattern. هيتكون عندي V pattern. طيب نضرب مثال A. بدنا نقول + +133 +00:09:34,980 --> 00:09:41,900 +مثلا superior oblique over action. primary superior + +134 +00:09:41,900 --> 00:09:48,860 +oblique over action. عضلة طبيعتها قوية في الـ down + +135 +00:09:48,860 --> 00:09:56,380 +gaze، over acting. + +136 +00:09:56,380 --> 00:09:57,900 +superior oblique muscle. + +137 +00:10:02,760 --> 00:10:06,900 +over acting superior oblique muscle. الـ abduction + +138 +00:10:06,900 --> 00:10:15,480 +effect بتاعها هيفوق + +139 +00:10:15,480 --> 00:10:18,820 +الـ abduction بتاع الـ inferior rectus. هتفتح العين + +140 +00:10:18,820 --> 00:10:22,840 +لبرا. وبالتالي نرسمها. هدف الـ down gaze هتفتح العين + +141 +00:10:22,840 --> 00:10:28,000 +لبرا. ولو + +142 +00:10:28,000 --> 00:10:30,720 +كان عندي ضعف في الـ inferior oblique + +143 +00:10:33,660 --> 00:10:38,300 +هيضموا لجوه بسبب الـ abduction effect بتاعة superior + +144 +00:10:38,300 --> 00:10:41,780 +rectus muscles. إذا كان عند الـ inferior oblique الـ + +145 +00:10:41,780 --> 00:10:47,740 +abduction effect بتاعها ضعيف فهيتشكل عندي إيه؟ إيه + +146 +00:10:47,740 --> 00:10:53,560 +pattern. إذا السبب الأول والرئيسي، السبب الأول + +147 +00:10:53,560 --> 00:11:00,660 +والرئيسي في الـ alphabetical pattern هو dysfunction + +148 +00:11:06,410 --> 00:11:16,870 +of vertically acting muscles. تمام؟ + +149 +00:11:16,870 --> 00:11:22,970 +طيب السبب الثاني... السبب الثاني أو المجموعة + +150 +00:11:22,970 --> 00:11:31,790 +الثانية من الأسباب: abnormal position of muscle + +151 +00:11:31,790 --> 00:11:36,050 +pulleys. + +152 +00:11:38,490 --> 00:11:43,730 +البكرات العضلية اللي تعتبر effective origin of the + +153 +00:11:43,730 --> 00:11:48,150 +muscle of the extraocular muscle. هذه البكرات + +154 +00:11:48,150 --> 00:11:52,520 +العضلية اللي عبارة عن dense or condensation of + +155 +00:11:52,520 --> 00:11:57,000 +connective tissue ناحية الـ equator بتحيط بالعضلّة + +156 +00:11:57,000 --> 00:12:01,040 +بترتكز عليها العضلة أثناء أداء مهمتها. لو هذا الـ + +157 +00:12:01,040 --> 00:12:04,740 +muscle pulley تقدم أو تأخر عن موضعه الطبيعي، ممكن + +158 +00:12:04,740 --> 00:12:09,900 +ينشأ عندي alphabetical + +159 +00:12:09,900 --> 00:12:16,140 +pattern. ثالث شيء: abnormalities + +160 +00:12:21,760 --> 00:12:29,580 +in orbital anatomy. يعني + +161 +00:12:29,580 --> 00:12:34,840 +خاصة في الـ craniosynostosis + +162 +00:12:34,840 --> 00:12:40,740 +اللي + +163 +00:12:40,740 --> 00:12:48,360 +بيكون في عندي فيها shallow orbits. تمام؟ + +164 +00:12:48,980 --> 00:12:53,420 +نيجي احنا نشوف إيش اللي بيحصل معانا. الـ V or A + +165 +00:12:53,420 --> 00:12:56,980 +patterns اللي هم الأكثر شيوعا. may occur when the + +166 +00:12:56,980 --> 00:13:01,020 +relative contribution، المساهمة النسبية، of the + +167 +00:13:01,020 --> 00:13:04,420 +superior rectus and inferior oblique to elevation + +168 +00:13:05,070 --> 00:13:08,250 +أو المساهمة النسبية للـ inferior rectus والـ + +169 +00:13:08,250 --> 00:13:12,530 +superior oblique to depression are abnormal. يعني + +170 +00:13:12,530 --> 00:13:15,030 +الاثنين بيساهموا في الـ elevation، بس واحدة ضعيفة و + +171 +00:13:15,030 --> 00:13:19,010 +واحدة قوية. تمام؟ بما أن واحدة ضعيفة وواحدة قوية، + +172 +00:13:19,010 --> 00:13:21,990 +الضعيفة الـ horizontal action بتاعها هيشد باتجاهها + +173 +00:13:23,300 --> 00:13:26,460 +والقوية، والضعيفة الـ horizontal action بتاعها مش + +174 +00:13:26,460 --> 00:13:30,520 +هيقدر يقاوم. فهتروح العين وهي طالعة لفوق أو وهي + +175 +00:13:30,520 --> 00:13:34,260 +نازلة لتحت باتجاه العضلة الأقوى. باتجاه العضلة الأقوى + +176 +00:13:34,260 --> 00:13:37,780 +اللي الـ horizontal action بتاعها أيضا أقوى. تمام؟ + +177 +00:13:37,780 --> 00:13:42,380 +resulting in abnormal balance of their horizontal + +178 +00:13:42,380 --> 00:13:47,200 +vectors in up and down gazes. they can be caused + +179 +00:13:47,200 --> 00:13:50,220 +also by anomalies in the position of the rectus + +180 +00:13:50,220 --> 00:13:56,000 +muscles. leading to abnormal lines of action of the + +181 +00:13:56,000 --> 00:14:01,160 +muscles. هذه هي الأسباب بتاعة الـ A والـ V pattern. + +182 +00:14:01,160 --> 00:14:06,120 +كيف أنا أقيم هل الإنسان عنده A pattern ولا V + +183 +00:14:06,120 --> 00:14:09,900 +pattern ولا X pattern؟ بنجيز الـ horizontal + +184 +00:14:09,900 --> 00:14:13,640 +deviation، ون + +223 +00:17:17,290 --> 00:17:24,060 +داخلة كتير في الـ .. الـ up gaze العين داخلة شوية + +224 +00:17:24,060 --> 00:17:28,120 +الفرق بينهم جاداش تمانيت عشر prison ثمانية وعشرين + +225 +00:17:28,120 --> 00:17:31,920 +ناقص عشرة تمانيت عشر prison ممكن بعض حالات الـ V + +226 +00:17:31,920 --> 00:17:40,340 +-pattern إيزوتروبيا نلاقيها في الـ up gaze zero + +227 +00:17:40,340 --> 00:17:43,240 +إيش يعني zero؟ يعني straight eyes في الـ up gaze + +228 +00:17:43,240 --> 00:17:49,910 +تمام؟ سؤال بسيط، يا ترى هل المريض هذا ممكن يأخذ + +229 +00:17:49,910 --> 00:17:54,290 +abnormal head posture وإذا كان ممكن، ليش؟ إيش + +230 +00:17:54,290 --> 00:17:59,190 +بيأخذ؟ chin .. chin down position ليش؟ عشان يخفف + +231 +00:17:59,190 --> 00:18:04,520 +العدد الأقل، ليش؟ عشان يستعيد الـ binocular single + +232 +00:18:04,520 --> 00:18:07,460 +vision يعني هذا الوضع بيحقق له الـ binocular single + +233 +00:18:07,460 --> 00:18:11,440 +vision فبتلاقي بيعمل chin down position أي مريض + +234 +00:18:11,440 --> 00:18:14,260 +عنده horizontal deviation وما أخذ abnormal head + +235 +00:18:14,260 --> 00:18:19,420 +posture particularly يعني تمام، قضية الـ chin up و + +236 +00:18:19,420 --> 00:18:23,760 +chin down أتوقع أنه يكون عنده alphabetical pattern + +237 +00:18:23,760 --> 00:18:28,620 +يعني عنده إما chin up أو chin down بيعملها عشان + +238 +00:18:28,620 --> 00:18:34,030 +يخفف من إيش اللي هو الإسكوزة اللي هي طب يا ترى + +239 +00:18:34,030 --> 00:18:38,650 +الـ V pattern خلينا نضرب مثال ثاني على الـ exotropia + +240 +00:18:38,650 --> 00:18:46,770 +على الـ exotropia عندنا على مريض عمره مثلاً خمسة عشر + +241 +00:18:46,770 --> 00:18:54,350 +سنة عنده في الـ down gaze خليني + +242 +00:18:54,350 --> 00:19:00,150 +نقول exotropia أربعة prism تمام بالـ alternate + +243 +00:19:00,150 --> 00:19:05,010 +cover test في الـ .. في الـ straight gaze في عنده + +244 +00:19:05,010 --> 00:19:11,730 +اكزوتروبيا خمسة عشر prison وفي الـ up gaze فيه + +245 +00:19:11,730 --> 00:19:20,390 +اكزوتروبيا ثلاثين prison إيش هذا؟ هذا V pattern + +246 +00:19:20,390 --> 00:19:26,220 +اكزوتروبيا .. هذا V pattern exotropia ليش؟ لأن الفرق + +247 +00:19:26,220 --> 00:19:30,120 +بين الـ up gaze والـ down gaze أكثر من خمسة عشر + +248 +00:19:30,120 --> 00:19:37,200 +برزم أكثر من خمسة عشر برزم نضرب مثال ثالث، مريض + +249 +00:19:37,200 --> 00:19:46,540 +عنده إيزوتروبيا في + +250 +00:19:46,540 --> 00:19:52,800 +الـ up gaze سبعة prism في الـ primary position + +251 +00:19:56,550 --> 00:20:01,670 +في عندنا اثنا عشر prism في الـ down gaze طبعاً إيزو + +252 +00:20:01,670 --> 00:20:05,710 +تروبيا .. إيزوتروبيا في كل الأحوال في الـ down gaze + +253 +00:20:05,710 --> 00:20:15,610 +عندنا أربعة عشر prism إيزوتروبيا إيش الفرق؟ إذا + +254 +00:20:15,610 --> 00:20:19,690 +ما انطبقش التعريف عندي، طب هذا إيش أسميه؟ just + +255 +00:20:19,690 --> 00:20:23,110 +isotropic يعني كأنه horizontal deviation بدون ما + +256 +00:20:23,110 --> 00:20:26,050 +أسميه alphabetical pattern بدون ما أسميه + +257 +00:20:26,050 --> 00:20:30,990 +alphabetical pattern يا ترى إيش الأسباب بتاعة الـ V + +258 +00:20:30,990 --> 00:20:34,970 +-Pattern Squint سواء V-Pattern Esotropia أو V + +259 +00:20:34,970 --> 00:20:38,850 +-Pattern Exotropia السبب الأول inferior oblique + +260 +00:20:38,850 --> 00:20:42,490 +over action associated with fourth nerve palsy + +261 +00:20:42,490 --> 00:20:45,950 +وهذا رسمناه وضربنا عليه مثال لما يكون عندي fourth + +262 +00:20:45,950 --> 00:20:49,750 +nerve palsy في الـ down gaze العينين تضم لجوا لأن + +263 +00:20:49,750 --> 00:20:52,370 +الـ abduction effect بتاع الـ superior oblique راح + +264 +00:20:52,900 --> 00:20:55,840 +واللي دخل العنين لجوا الـ horizontal action بتاع الـ + +265 +00:20:55,840 --> 00:20:59,100 +inferior recti هدف الـ down gaze في الـ up gaze + +266 +00:20:59,100 --> 00:21:02,000 +طالما عندي superior oblique بلصي الـ antagonist + +267 +00:21:02,000 --> 00:21:04,700 +بتاعتهم اللي هي الـ inferior oblique هتصير over + +268 +00:21:04,700 --> 00:21:08,340 +acting مع الوقت تمام، وبالتالي الـ horizontal action + +269 +00:21:08,340 --> 00:21:11,320 +بتاع الـ inferior oblique فوق حق يخلي العنين تفتح + +270 +00:21:11,320 --> 00:21:16,430 +لبراه فوق فتحت وتحت ضمت فبالتالي هتشكل عندي الـ V + +271 +00:21:16,430 --> 00:21:21,090 +pattern اللي هو Strabismus superior oblique under + +272 +00:21:21,090 --> 00:21:24,590 +action بدون بلسي with subsequent inferior oblique + +273 +00:21:24,590 --> 00:21:27,750 +over action هذه بنشوفها في الـ early onset + +274 +00:21:27,750 --> 00:21:31,470 +esotropia وفي معظم اللي هو أنواع الـ Esotropia + +275 +00:21:31,470 --> 00:21:35,370 +تمام؟ which is seen in infantile esotropia as well + +276 +00:21:35,370 --> 00:21:40,370 +as other childhood esotropias غالباً .. غالباً هدول + +277 +00:21:40,370 --> 00:21:43,310 +الأطفال بيكون عندهم في الـ up gaze ممكن تلاحظي أنه + +278 +00:21:43,310 --> 00:21:46,730 +العينين straight حتى ممكن هدول يشكلوا مشكلة في + +279 +00:21:46,730 --> 00:21:50,490 +الفحص كيف الطفل جاي بـ chin down position بعض ما + +280 +00:21:50,490 --> 00:21:54,290 +ممكن يفكر أنه الطفل خجول أو هو ما ينتبهش للـ + +281 +00:21:54,290 --> 00:21:58,190 +abnormal head posture ويعمل الفحص بالـ chin down + +282 +00:21:58,190 --> 00:22:01,680 +position والعينين straight وما يطلعش أنه يعمل + +283 +00:22:01,680 --> 00:22:05,740 +الفحص في الـ down gaze وهذه الحالات بتمر ومش .. مش + +284 +00:22:05,740 --> 00:22:11,920 +نادرة لأ بالعكس ممكن توجد بشكل يعني يعني متوفرة هذه + +285 +00:22:11,920 --> 00:22:15,620 +الحالات وبالتالي ضروري أنا أفحص في .. مش بس في الـ + +286 +00:22:15,620 --> 00:22:18,640 +position اللي ماهو هذا الطفل وأعدله وأضع الـ head و + +287 +00:22:18,640 --> 00:22:22,180 +وكمان أفحصه في الـ down gaze هنلاقي significant + +288 +00:22:22,180 --> 00:22:25,500 +إيزوتروبيا في الـ down gaze وفي الـ up gaze بنلاقي + +289 +00:22:25,500 --> 00:22:29,540 +تقريباً ortho أو mild إيزوتروبيا ضروري نأخذ بالنا + +290 +00:22:29,540 --> 00:22:33,120 +لأنه عنده V pattern إيزوتروبيا لأنه عنده V pattern + +291 +00:22:33,120 --> 00:22:34,500 +إيزوتروبيا + +292 +00:22:37,320 --> 00:22:40,420 +الـ superior rectus under action لما يكون عندي + +293 +00:22:40,420 --> 00:22:43,020 +weakness في الـ superior rectus الـ superior rectus + +294 +00:22:43,020 --> 00:22:48,400 +الـ horizontal action بتاعها إيش الدكشن؟ الدكشن إذا + +295 +00:22:48,400 --> 00:22:51,280 +صار weakness في الـ superior rectus الدكشن هذا بيخف + +296 +00:22:51,280 --> 00:22:54,440 +لصالح الـ abduction اللي بتعمله الـ inferior oblique + +297 +00:22:54,440 --> 00:22:58,160 +في الناحية في الناحيتين ففي الـ up gaze هتفتح + +298 +00:22:58,160 --> 00:23:02,640 +العينين لفوق وهيبدأ يتشكل لي إيش؟ الـ V pattern + +299 +00:23:02,640 --> 00:23:07,560 +أيضاً الـ Brown syndrome حكينا أثناء looking up في + +300 +00:23:07,560 --> 00:23:10,580 +restriction عندي في الـ straight up فالعين اللي + +301 +00:23:10,580 --> 00:23:13,680 +فيها restriction بتحاول تعمل divergence يعني تروح + +302 +00:23:13,680 --> 00:23:17,700 +على المكان اللي ممكن هي تطلع فيه لفوق وبتشكل عندي + +303 +00:23:17,700 --> 00:23:21,060 +الـ Brown syndrome من ضمن الحاجات المميزة له أنه + +304 +00:23:21,060 --> 00:23:25,080 +بيعمل لي إيش؟ V pattern المجموعة الثالثة من الأسباب + +305 +00:23:25,080 --> 00:23:28,540 +اللي ذكرناها اللي هي orbital يعني anatomy + +306 +00:23:28,540 --> 00:23:32,020 +abnormality في الـ orbital anatomy واللي بيكون + +307 +00:23:32,020 --> 00:23:36,440 +فيه shallow orbits يعني الـ orbit مش عميقة يعني + +308 +00:23:36,440 --> 00:23:40,800 +ضحلة مش عميقة تمام هذه مجموعة من الأمراض بيسموها + +309 +00:23:40,800 --> 00:23:44,740 +craniosynostosis يعني الالتئام المبكر لعظام + +310 +00:23:44,740 --> 00:23:48,520 +الجمجمة تمام فبالتالي فيش فرصة لنمو الـ orbits + +311 +00:23:48,520 --> 00:23:53,100 +بيكون فيه بروز للعينين كل هذه الأمراض اللي بتندرج + +312 +00:23:53,100 --> 00:23:57,080 +تحت الـ craniosynostosis بتعمل V pattern exotropia + +313 +00:23:57,080 --> 00:23:59,820 +V pattern exotropia + +314 +00:24:04,350 --> 00:24:09,290 +مع Proptosis و + +315 +00:24:09,290 --> 00:24:12,410 +بتتذكروا الـ seminar اللي انعمل على الـ Proptosis + +316 +00:24:12,410 --> 00:24:16,290 +هذه من الأشياء اللي وراثتها autosomal dominant و + +317 +00:24:16,290 --> 00:24:19,850 +بتعمل V pattern exotropia بيكون فيها bilateral + +318 +00:24:19,850 --> 00:24:25,450 +proptosis ليش؟ لأن الـ orbit مش كافية لاستيعابها + +319 +00:24:25,450 --> 00:24:28,570 +يعني shallow orbit الـ orbit حجمها صغير فبالتالي + +320 +00:24:28,570 --> 00:24:33,610 +العين بتكون جزء كبير منها برة تمام ممكن العين كلها + +321 +00:24:33,610 --> 00:24:36,810 +تكون .. كل مقلة العين تكون طالعة لبره لأن بيكون + +322 +00:24:36,810 --> 00:24:42,810 +very shallow orbits إيش + +323 +00:24:42,810 --> 00:24:48,630 +علاج .. إيش علاج الـ V pattern strabismus سواء eso + +324 +00:24:48,630 --> 00:24:53,430 +أو exotropia؟ في حقيقة قانون للعلاج .. القانون + +325 +00:24:53,430 --> 00:24:59,570 +للعلاج بيقول رقم واحد: إذا كان في عندي oblique + +326 +00:24:59,570 --> 00:25:03,510 +muscle dysfunction إيش يعني oblique muscle + +327 +00:25:03,510 --> 00:25:06,290 +dysfunction؟ يا إما over action يا إما under + +328 +00:25:06,290 --> 00:25:17,690 +action تمام؟ لابد أن يعالج أولاً لأن + +329 +00:25:17,690 --> 00:25:21,290 +إذا عالجته، بعالج الخلل الناتج عن الـ horizontal + +330 +00:25:21,290 --> 00:25:28,330 +action بتاع الـ oblique muscles تمام؟ + +331 +00:25:28,330 --> 00:25:34,380 +بمعنى لما بنقول both inferior oblique over action + +332 +00:25:34,380 --> 00:25:44,080 +ناتج عن both eyes superior oblique under action هذه + +333 +00:25:44,080 --> 00:25:50,600 +هتعمل لي A ولا V pattern؟ + +334 +00:25:50,600 --> 00:25:58,780 +فهي إذا مش A فهي V هما abductor بس هذه abductor + +335 +00:25:58,780 --> 00:26:03,220 +فوق وهي over acting يعني الـ abduction فوق هيكون + +336 +00:26:03,220 --> 00:26:07,300 +قوي وهذه abductor تحت، الـ abductor تحت هيكون ضعيف، + +337 +00:26:07,300 --> 00:26:12,180 +يعني العينين هتضم تحت، هتفتح فوق، هتعمل V pattern، + +338 +00:26:12,180 --> 00:26:17,950 +تمام؟ إذا هذه العضلة قوية لازم أضعفها إذا هذه + +339 +00:26:17,950 --> 00:26:22,810 +العضلة ضعيفة ممكن أحتاج أني أقويها تمام؟ إذا عملت + +340 +00:26:22,810 --> 00:26:26,350 +القضية هذه جراحياً بيصير حاجة بنسميها collapse للـ + +341 +00:26:26,350 --> 00:26:31,330 +pattern collapse يعني هبوط للـ pattern يعني بتعدل الوضع و + +342 +00:26:31,330 --> 00:26:34,190 +بيصير في الـ up gaze وفي الـ down gaze وكأنه زي الـ + +343 +00:26:34,190 --> 00:26:36,770 +primary position ما فيش هذه الفروقات الكتيرة وبعدين + +344 +00:26:36,770 --> 00:26:41,950 +بتعامل مع الـ eso أو الـ exo عادي بطريقة روتينية + +345 +00:26:41,950 --> 00:26:44,750 +عادي إذا كان eso ممكن أعمل recession للـ medial + +346 +00:26:44,750 --> 00:26:48,510 +recti إذا كان exo ممكن أعمل recession للـ lateral + +347 +00:26:48,510 --> 00:26:54,300 +recti وهكذا تمام فبالتالي القانون القانون أول حاجة + +348 +00:26:54,300 --> 00:26:56,740 +في الـ A pattern والـ V pattern في الـ alphabetical + +349 +00:26:56,740 --> 00:26:59,500 +pattern إذا في عندي خلل في الـ oblique muscles + +350 +00:26:59,500 --> 00:27:03,460 +لابد أن يعالج هذا الخلل تفضلي طب إحنا مش هيتعدل + +351 +00:27:03,460 --> 00:27:07,520 +الـ eso في الـ gaze ده؟ لأ مش بشرط أنه يتعدل الـ eso + +352 +00:27:07,520 --> 00:27:12,260 +مش بشرط أنه يتعدل الـ eso لأ هو ممكن يتعدل في الـ up + +353 +00:27:12,260 --> 00:27:14,940 +gaze أو في الـ down gaze بس ما يتعدلش في الـ primary + +354 +00:27:14,940 --> 00:27:18,920 +position تمام؟ ويعني كتب كثيرة ودراسات كثيرة بتقول + +355 +00:27:18,920 --> 00:27:24,420 +الجراحة اللي بتجرى على الـ oblique muscles لا تؤثر + +356 +00:27:24,420 --> 00:27:27,680 +على وضع العين في الـ primary position لا تؤثر على + +357 +00:27:27,680 --> 00:27:30,440 +وضع العين في الـ primary position إحنا بنقول + +358 +00:27:30,440 --> 00:27:34,160 +bilateral inferior oblique over action معناته في + +359 +00:27:34,160 --> 00:27:39,050 +الـ up gaze العينين نتيجة أنه زيادة قوة في الـ + +360 +00:27:39,050 --> 00:27:43,570 +inferior oblique وطالما زادت قوتها زادت كل الـ + +361 +00:27:43,570 --> 00:27:46,290 +functions بتاعتها بما فيها الـ horizontal action + +362 +00:27:46,290 --> 00:27:49,410 +بتاعها أنت لما بتضعف الـ inferior oblique muscle + +363 +00:27:49,410 --> 00:27:52,330 +أنت بتضعف كل الـ functions بتاعتها فبالتالي الـ + +364 +00:27:52,330 --> 00:27:55,510 +abduction في الـ up gaze راح في الـ up gaze لما + +365 +00:27:55,510 --> 00:27:58,870 +تحاول تأخذ العين لبره بيكون ضعف فبالتالي بيصير + +366 +00:27:58,870 --> 00:28:03,780 +collapse للـ V اللي بتعمله لو قويت أنا .. لو قويت + +367 +00:28:03,780 --> 00:28:07,900 +أنا الـ superior oblique بتحسن الـ abduction بتاعها + +368 +00:28:07,900 --> 00:28:14,230 +فبيصير في الـ down gaze هنا الـ V بدأت تضم هنا وعشان + +369 +00:28:14,230 --> 00:28:18,370 +قوة الـ superior oblique بدأت تشتغل كـ abductor مرة + +370 +00:28:18,370 --> 00:28:23,890 +ثانية تمام شدتها فإسعتها ضمن فوق وبدأ يفتح من تحت + +371 +00:28:23,890 --> 00:28:27,550 +بيصير collapse للـ pattern بتاعة الـ pattern تمام بتاعة + +372 +00:28:27,550 --> 00:28:31,010 +الـ pattern ممكن إنسان يقول يعني طب إيش جاداش الكمية + +373 +00:28:31,010 --> 00:28:34,170 +اللي ممكن أنا أعدل فيها لو أنا ضعفت الـ inferior + +374 +00:28:34,170 --> 00:28:39,230 +oblique يا ترى الـ up gaze جاداش هتضم ليا الدراسات + +375 +00:28:39,230 --> 00:28:42,890 +بتقول إنه إذا ضعفنا الـ inferior oblique من 10 إلى 15 + +376 +00:28:42,890 --> 00:28:46,690 +prism ممكن أضم العين طيب الـ superior oblique لو أنا + +377 +00:28:46,690 --> 00:28:52,170 +قويتها ممكن في الـ down gaze أكسب من 35 في بعض + +378 +00:28:52,170 --> 00:28:56,590 +الدراسات إلى 45 prism هذه كمية هائلة كمية هائلة إنه + +379 +00:28:56,590 --> 00:28:59,890 +أنا أقوى الـ superior oblique muscle وأحصل على + +380 +00:28:59,890 --> 00:29:04,560 +abduction يعني الضمام هذا ممكن يروح يختفي تماماً + +381 +00:29:04,560 --> 00:29:10,040 +إذا ظل عندي residual eso أو exo في الـ primary + +382 +00:29:10,040 --> 00:29:15,080 +position ساعتها ممكن أنا later on أنا أشتغله أو + +383 +00:29:15,080 --> 00:29:17,640 +إذا كان بدأ أشتغله قُدم إجراء ويكون + +384 +00:29:17,640 --> 00:29:20,160 +المريض أضحت وممكن أعمله على adjustable + +385 +00:29:20,160 --> 00:29:25,540 +strabismus surgery فبالتالي القانون بيقول نرجع + +386 +00:29:25,540 --> 00:29:30,610 +للقانون إذا في oblique muscle dysfunction لابد أن + +387 +00:29:30,610 --> 00:29:33,870 +أتعامل معها بالأول لأنها هي بتكون الغالب هي السبب + +388 +00:29:33,870 --> 00:29:38,030 +في أنه يكون عندي alphabetical pattern طيب لو + +389 +00:29:38,030 --> 00:29:44,310 +مافيش عندي oblique muscle dysfunction بدي أتعامل + +390 +00:29:44,310 --> 00:29:52,590 +بالطريقة الثانية if there is no oblique + +391 +00:29:52,590 --> 00:29:58,520 +muscle dysfunction الـ oblique muscles طبيعية بس + +392 +00:29:58,520 --> 00:30:03,260 +عندي A pattern أو V pattern ناتج عن سبب ثاني زي مثلاً + +393 +00:30:03,260 --> 00:30:10,020 +الـ muscle pulley بدأت أعمل عملية إيزوتروبيا or + +394 +00:30:10,020 --> 00:30:15,400 +اكزوتروبيا حسب اللي عندي with a transposition مع + +395 +00:30:15,400 --> 00:30:22,400 +نقل للعضلات طب وين بدي أنقلها؟ في قاعدة لنقل + +396 +00:30:22,400 --> 00:30:32,340 +العضلات في هذه القضية في قاعدة اسمها mail قاعدة + +397 +00:30:32,340 --> 00:30:39,020 +mail إيش يعني قاعدة mail؟ نفسرها mail medial rectus + +398 +00:30:39,020 --> 00:30:42,680 +apex + +399 +00:30:42,680 --> 00:30:49,160 +بدها تروح لقمة الـ pattern لما بنقول V pattern هاي + +400 +00:30:49,160 --> 00:30:52,560 +حرف الـ V الـ medial rectus في الـ V pattern + +445 +00:34:19,250 --> 00:34:21,690 +على الكلمة هاي، هاي التشخيص الرئيسي عنده، عنده + +446 +00:34:21,690 --> 00:34:25,330 +Exotropia، إذا في الـ Exotropia، إذا بدأ أشتغل على + +447 +00:34:25,330 --> 00:34:31,790 +العينتين، بدأ أرخي الـ two lateral recti، هاي الـ two + +448 +00:34:31,790 --> 00:34:35,870 +lateral rectus muscle، جابل الترخية تمام؟ هاي الـ + +449 +00:34:35,870 --> 00:34:39,950 +two lateral rectus muscle، جابل الترخية، بدي أرفعهم + +450 +00:34:39,950 --> 00:34:44,390 +ولا هنزلهم؟ بدي أرفعهم، ليش؟ لأن الـ lateral rectus + +451 +00:34:44,390 --> 00:34:48,210 +بده تروح عند حافة الـ pattern، الـ pattern هو ماخد زي + +452 +00:34:48,210 --> 00:34:51,950 +شكل حرف الـ V، حافة حرف الـ V لفوق، إذا الـ lateral + +453 +00:34:51,950 --> 00:34:56,130 +rectus بده تطلع لفوق، و بده تترخى، ترجع لورا مثلا + +454 +00:34:56,130 --> 00:35:01,330 +بدي أرخيها 6 ميلي مثلا، برضه بمقدار نصف عرض العضلة، و + +455 +00:35:01,330 --> 00:35:05,930 +هنا نفس الشيء، لو بدأ أشغل على عين واحدة، بدأ أجسس + +456 +00:35:05,930 --> 00:35:09,470 +الـ media rectus، و أشدها، و بدل ما هي هنا طبعا أنا + +457 +00:35:09,470 --> 00:35:15,170 +أشيل جزء منها، بدأ أنزله لتحت، دايما الـ media اللي + +458 +00:35:15,170 --> 00:35:19,530 +بتروح ناحية الـ apex بتاعة الحرف، أي حرف، الحرف اللي + +459 +00:35:19,530 --> 00:35:24,630 +بيشبه شكل الـ V، هذا ليش بنسميه V pattern، إيزو + +460 +00:35:24,630 --> 00:35:28,550 +أو اكزو، لأن هذا الشكل، وكأنه أنت في تحركك من + +461 +00:35:28,550 --> 00:35:33,650 +الأعلى للأسفل، إما عملة حرف V أو عملة حرف A، وفي + +462 +00:35:33,650 --> 00:35:37,350 +أنواع نادرة ممكن تنزل عادي و تعمل اللي هو lambda + +463 +00:35:37,350 --> 00:35:41,920 +pattern، أو تنزل هيك و تعمل الـ Y pattern، و الاخرين، أو + +464 +00:35:41,920 --> 00:35:44,980 +تعمل الـ X pattern، تمام، و هذه مش موضوعنا اليوم، احنا + +465 +00:35:44,980 --> 00:35:47,640 +مركزين على أكثر الأنواع شيوعا اللي هي الـ V pattern + +466 +00:35:47,640 --> 00:35:51,560 +و الـ A pattern، طيب هذا بالنسبة لـ V pattern + +467 +00:35:51,560 --> 00:35:55,640 +إكزوتروبيا، وحكينا عن الـ V pattern، إيزوتروبيا تمام + +468 +00:35:56,270 --> 00:35:59,770 +هدول بعملهم فورا؟ لأ، بعد ما أتأكد إنه مافيش + +469 +00:35:59,770 --> 00:36:02,430 +oblique muscle dysfunction، لأن إذا في عندي oblique + +470 +00:36:02,430 --> 00:36:06,670 +muscle dysfunction، تعالج أولا، يعاد تقييم الحال + +471 +00:36:06,670 --> 00:36:10,410 +وهو الأفضل، يعني أنا بـ .. بـ .. يعني باعتمد قضية إنه + +472 +00:36:10,410 --> 00:36:13,010 +أنا بستعمل مع الـ oblique muscle dysfunction في + +473 +00:36:13,010 --> 00:36:16,710 +عملية منفردة، ثم بعيد تقييم الحال في الـ primary + +474 +00:36:16,710 --> 00:36:20,570 +position، و باخد القرار قد ايش بدي أشتغل بعد هيك، طيب + +475 +00:36:20,570 --> 00:36:27,840 +الآن أنا عندي إيه pattern؟ إيزوتروبيا تمام؟ A pattern، + +476 +00:36:28,040 --> 00:36:31,660 +Esotropia، إيش بدأ أعمل في الـ A pattern؟ بدأ أعمل + +477 +00:36:31,660 --> 00:36:36,100 +في الـ Esotropia، إن أرخي الـ two media recti، وين بدأ + +478 +00:36:36,100 --> 00:36:40,620 +أوديهم الـ two media recti؟ لا تحت، ولا فوق؟ لا + +479 +00:36:40,620 --> 00:36:44,760 +فوق تمام؟ ليش فوق؟ لأن الـ Apex بتاع حرف الـ A + +480 +00:36:44,760 --> 00:36:49,800 +لفوق، فوق، فبالتالي برخيهم و بارفعهم، كده إيش بدأ + +481 +00:36:49,800 --> 00:36:55,800 +أرفعهم؟ عشرة سنتي؟ نص عرض العضلة، نص عرض العضلة، لو + +482 +00:36:55,800 --> 00:36:58,620 +اشتغلت على عضلة واحدة، برخي الـ media rectus و + +483 +00:36:58,620 --> 00:37:02,420 +برفعها لفوق، وبشد الـ lateral rectus، و بنزلها لتحت + +484 +00:37:02,420 --> 00:37:07,900 +بمقدار نصف عرض العضلة، نصف عرض العضلة، طبعا، إلا + +485 +00:37:07,900 --> 00:37:10,800 +إذا كان في عندي oblique muscle dysfunction، هاي + +486 +00:37:10,800 --> 00:37:13,460 +اللي المرة التالتة احنا بنذكرها عشان ما ننساهاش + +487 +00:37:16,830 --> 00:37:21,370 +نص عرض العضلة، فإذا كان هناك درجات لـ V pattern و A + +488 +00:37:21,370 --> 00:37:24,750 +pattern، لأ، حتى لو فيه درجات لـ V pattern و A + +489 +00:37:24,750 --> 00:37:27,870 +pattern، الدراسات بتقول إنه نص عرض العضلة، أحيانا + +490 +00:37:27,870 --> 00:37:32,730 +أحيانا، يعني بنتجاوز هذه القضية، بس في بعض الأحيان + +491 +00:37:32,730 --> 00:37:35,830 +خارج موضوع الـ A pattern و V pattern، بنجل كل الـ + +492 +00:37:35,830 --> 00:37:39,810 +tendon، full tendon width، ممكن أنجله أبعد من full + +493 +00:37:39,810 --> 00:37:43,050 +tendon width، بتذكروا في موضوع اللي هو الـ monocular + +494 +00:37:43,050 --> 00:37:46,780 +elevation deficit، لما أنا في الـ NAPS procedure، لما + +495 +00:37:46,780 --> 00:37:49,200 +بنجل الـ media rectus و الـ lateral rectus و بحطهم + +496 +00:37:49,200 --> 00:37:51,360 +جنب الـ superior rectus عشان يشاركوا في الـ + +497 +00:37:51,360 --> 00:37:54,580 +elevation، إذا عندي weak superior rectus muscle + +498 +00:37:54,580 --> 00:37:58,460 +فهذه القضية، الـ teaching إنه القاعدة العامة إنه بدي + +499 +00:37:58,460 --> 00:38:02,600 +أنجل half tendon width، half tendon width، تمام؟ إذا + +500 +00:38:02,600 --> 00:38:06,540 +هذه الـ treatment بتاعة الـ إيش؟ واستعرضنا بتاعة اللي + +501 +00:38:06,540 --> 00:38:10,800 +هو الأسباب بتاعة الـ V pattern، بالنسبة للـ A pattern + +502 +00:38:13,700 --> 00:38:16,300 +واضح، احنا هنا الـ V pattern، قبل ما نخلصه، إنه الـ + +503 +00:38:16,300 --> 00:38:20,000 +media rectus، لأن حرف الـ V قمته لتحت، الـ media + +504 +00:38:20,000 --> 00:38:23,340 +rectus، إذا إن شغل عليها، بده إياها تنزل لتحت، سواء + +505 +00:38:23,340 --> 00:38:27,040 +recession أو resection، تمام، سواء ISO أو EXO، تمام + +506 +00:38:27,040 --> 00:38:30,200 +طيب، و أيضا الـ lateral rectus في الـ V pattern لازم + +507 +00:38:30,200 --> 00:38:35,060 +تطلع فوق، سواء recession أو resection، لأنه حسب اللي + +508 +00:38:35,060 --> 00:38:40,640 +هو الحرف، ما بيملي عليها، أسباب، أسباب الـ A pattern + +509 +00:38:41,770 --> 00:38:44,830 +primary superior oblique over action، superior + +510 +00:38:44,830 --> 00:38:48,290 +oblique depression بتعمل، بس أيضا الـ horizontal action + +511 +00:38:48,290 --> 00:38:52,810 +بتاعها abduction، ففي الـ down gaze بتفتح العين لبرا + +512 +00:38:52,810 --> 00:38:55,230 +في الـ down gaze، إذا فيها اندي superior oblique + +513 +00:38:55,230 --> 00:38:59,150 +over action، يعني أحد أسباب اللي هو الـ A pattern + +514 +00:38:59,150 --> 00:39:03,390 +superior oblique over action، عادة اللي بيكون مصاحب + +515 +00:39:03,390 --> 00:39:06,750 +بـ exodeviation في الـ primary position، و بزيد الـ + +516 +00:39:06,750 --> 00:39:09,870 +exo لتحت، نتيجة الـ abduction effect بتاع الـ + +517 +00:39:09,870 --> 00:39:13,200 +superior oblique، إذا في عندي inferior oblique under + +518 +00:39:13,200 --> 00:39:17,620 +action، العينين هتضم فوق، و بالتالي هيكون عندي، إذا + +519 +00:39:17,620 --> 00:39:19,640 +كان في inferior oblique palsy، هيكون في عندي + +520 +00:39:19,640 --> 00:39:23,880 +subsequent superior oblique over action، و بتذكروا + +521 +00:39:23,880 --> 00:39:27,680 +في الفروق بين الـ inferior oblique palsy و الـ brown + +522 +00:39:27,680 --> 00:39:31,680 +syndrome، قلنا + +523 +00:39:31,680 --> 00:39:35,820 +هذه بتعمل V pattern، و هذه بتعمل A pattern، و اللي + +524 +00:39:35,820 --> 00:39:41,890 +هي وردة عيننا، الـ A، الـ inferior rectus under action + +525 +00:39:41,890 --> 00:39:44,470 +الـ inferior rectus في الـ down gaze فيه إلها + +526 +00:39:44,470 --> 00:39:48,130 +adaptation effect، إذا صارت under acting muscle، الـ + +527 +00:39:48,130 --> 00:39:52,430 +inferior rectus مش هتقدر توازن العين، وهيصير لصالح + +528 +00:39:52,430 --> 00:39:55,730 +الـ superior oblique اللي بتعمل العين لبرا، فبالتالي + +529 +00:39:55,730 --> 00:40:01,770 +هذا أحد الأسباب اللي هي بتاعة الـ A pattern، كيف + +530 +00:40:01,770 --> 00:40:06,820 +علاج الـ A pattern بالضبط زي علاج الـ .. الـ V pattern + +531 +00:40:06,820 --> 00:40:09,840 +أول حاجة بتطلع الـ oblique muscle dysfunction، إذا + +532 +00:40:09,840 --> 00:40:13,260 +موجودة، لازم أعالجها في الأول، خلصت من علاج الـ + +533 +00:40:13,260 --> 00:40:16,520 +oblique muscle dysfunction، بتعامل مع الحال كـ .. + +534 +00:40:16,520 --> 00:40:21,320 +يعني .. يعني Strabismus عادي، تمام، إذا كان مافيش + +535 +00:40:21,320 --> 00:40:25,670 +oblique muscle dysfunction، بتتبع قاعدة، الـ media على + +536 +00:40:25,670 --> 00:40:28,430 +الـ apex بتاع الـ A، يعني هتطلع لفوق في + +537 +00:40:28,430 --> 00:40:31,290 +حالة الـ A pattern، و الـ lateral على الـ edge بتاعة + +538 +00:40:31,290 --> 00:40:34,770 +الحرف، الحرف الـ A، الـ edge بتاعته لتحت، وساعتها بدها + +539 +00:40:34,770 --> 00:40:39,350 +تنزل لتحت، الـ common teaching إنه نص tendon width، نص + +540 +00:40:39,350 --> 00:40:46,570 +tendon width، إيزو + +541 +00:40:46,570 --> 00:40:48,150 +تروبيا في الـ primary position؟ + +542 +00:40:51,360 --> 00:40:55,520 +ليش ميّنة راسك؟ عشان الـ cross-fixation في + +543 +00:40:55,520 --> 00:41:00,800 +ال infant، الـلي هو الـ tropia، الـ abduction عندك كويس، لما + +544 +00:41:00,800 --> 00:41:04,240 +ماسك الراس كويس، straight في الـ up gaze، ease of + +545 +00:41:04,240 --> 00:41:08,180 +الـ down gaze، inferior oblique over action + +546 +00:41:32,210 --> 00:41:36,310 +أمام؟ okay، يعطيكوا ألف عافية، في هذا الموقع، أنا + +547 +00:41:36,310 --> 00:41:39,530 +بنصحكم تزوروا الموقع المصري للحوَل، الدكتور جمال + +548 +00:41:39,530 --> 00:41:44,550 +الدين أحمد صبحي، أستاذ دكتور طبعا، فالته في علم + +549 +00:41:44,550 --> 00:41:48,370 +الحوَل، أمام بيعمل، يعني في حاجة اسمها case of the + +550 +00:41:48,370 --> 00:41:51,130 +week، يعني يمكن في فوق المية حالة، و بيعملها نقاش + +551 +00:41:51,130 --> 00:41:56,330 +بعثت له أنا من هنا طبعا حالتين، اشتغل واحدة منهم + +552 +00:41:56,330 --> 00:41:58,330 +جراحة، والتانية طبعا طلب مبلغ + +553 +00:42:01,640 --> 00:42:05,020 +فأجلناها شوية، عبر ما ظروف الأهل تتحسن، أو نصير احنا + +554 +00:42:05,020 --> 00:42:09,560 +نقدر نعمل، بس لا شك إنه يعني علمه رائع جدا، في + +555 +00:42:09,560 --> 00:42:13,160 +المؤتمر الأخير، حاولت ألاقيه، ما لاقيتوش، في الـ 2012، + +556 +00:42:13,160 --> 00:42:16,900 +فبنصحكوا تزوروا الموقع المصري للحوَل، الدكتور جمال + +557 +00:42:16,900 --> 00:42:17,360 +الدين + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/Usj3G1MVP6E_postprocess.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/Usj3G1MVP6E_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..d9a8de0e8e91ee5f076440de5d820b85fa680e40 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/Usj3G1MVP6E_postprocess.srt @@ -0,0 +1,2228 @@ +1 +00:00:20,690 --> 00:00:24,730 +بسم الله الرحمن الرحيم اليوم موضوعنا اللي هو عن ال + +2 +00:00:24,730 --> 00:00:29,510 +alphabetical pattern في ال strabismus طبعا بدها + +3 +00:00:29,510 --> 00:00:34,170 +مقدمة بسيطة اول حاجة بدنا ناخد بالنا انه ال + +4 +00:00:34,170 --> 00:00:38,290 +alphabet patterns عبارة عن horizontal deviation و + +5 +00:00:38,290 --> 00:00:41,660 +ليست vertical deviationممكن بعض الناس خطأ ان + +6 +00:00:41,660 --> 00:00:46,160 +تستقبلها او تظن ان هي vertical deviation لأ هي + +7 +00:00:46,160 --> 00:00:49,520 +horizontal deviation بس في فرق في القياس بين ال up + +8 +00:00:49,520 --> 00:00:53,300 +gaze لل horizontal deviation ال primary position + +9 +00:00:53,300 --> 00:00:58,600 +وال down gaze لما يكون ال ISO او ال EXO في فروقات + +10 +00:00:58,600 --> 00:01:02,740 +بينهمأثناء ما بنجيزهم للمريض و هو بتطلع لفوق أو هو + +11 +00:01:02,740 --> 00:01:06,460 +بتطلع لدغري أو هو بتطلع لتحت معناته ممكن ينشأ عندي + +12 +00:01:06,460 --> 00:01:10,900 +تحت شروط معينة اللي هو ال alphabetical patterns + +13 +00:01:10,900 --> 00:01:14,940 +طبعا ال alphabetical patterns قياسها في ال up gaze + +14 +00:01:14,940 --> 00:01:18,860 +و في ال down gaze مش في ال extreme up gaze أو في + +15 +00:01:18,860 --> 00:01:22,600 +ال extreme down gaze طبعا اتفق على أنه من ال + +16 +00:01:22,600 --> 00:01:26,080 +primary position up بمقدار خمسة و عشرين degree + +17 +00:01:26,080 --> 00:01:32,320 +looking upتقاس في هذا ال .. يعني ال position و + +18 +00:01:32,320 --> 00:01:35,740 +ايضا down from primary position برضه خمسة و عشرين + +19 +00:01:35,740 --> 00:01:39,560 +degree اذا في عندي فروقات بين ال up gaze و ال down + +20 +00:01:39,560 --> 00:01:44,320 +gaze بيصير عندي انا اللي هو ممكن ينشأ alphabetical + +21 +00:01:44,320 --> 00:01:48,780 +patterns طبعا في alphabetical patterns شائعة و + +22 +00:01:48,780 --> 00:01:51,720 +بنجولها كتير في حالات ال strabismus زي ال a + +23 +00:01:51,720 --> 00:01:55,380 +pattern و ال v patternو في حالات يعني او .. او + +24 +00:01:55,380 --> 00:02:00,720 +buttons نادرة بس ممكن نجابلها زي ال Y button و ال + +25 +00:02:00,720 --> 00:02:04,180 +X button و ال lambda button تمام يعني و كل هذه + +26 +00:02:04,180 --> 00:02:09,320 +بيحكمني في اني اسمي هذا ال Strapismus وفق لأي من + +27 +00:02:09,320 --> 00:02:14,660 +الأحرف هذه اللاتينية تمام بناء على جداش القياس في + +28 +00:02:14,660 --> 00:02:18,390 +ال up gazeفي ال primary position و في ال down case + +29 +00:02:18,390 --> 00:02:22,950 +بعد إذي عشان نفهم موضوع ليش بيصير ال alphabetical + +30 +00:02:22,950 --> 00:02:25,850 +pattern بدنا نسترجع مع بعض اللي هو ال functions + +31 +00:02:25,850 --> 00:02:30,110 +بتاعة ال extraocular muscles و بالذات مش كل ال + +32 +00:02:30,110 --> 00:02:34,550 +extraocular muscles إنما ال vertically acting + +33 +00:02:34,550 --> 00:02:37,950 +muscles اللي هي أربعة muscles عنا two elevators و + +34 +00:02:37,950 --> 00:02:39,170 +two depressors + +35 +00:02:41,580 --> 00:02:46,140 +ال two elevators ال superior rectus وال inferior + +36 +00:02:46,140 --> 00:02:51,520 +oblique ال two depressors ال inferior rectus وال + +37 +00:02:51,520 --> 00:02:56,160 +superior oblique هنا أنا رسمتهم حسب ال action + +38 +00:02:56,160 --> 00:03:00,000 +الحقيقي بتاعهم مش حسب ال testing position مش حسب + +39 +00:03:00,000 --> 00:03:04,880 +ال testing position طبعا كل vertically acting + +40 +00:03:04,880 --> 00:03:09,710 +muscle لها secondary horizontal actionيعني ايش ال + +41 +00:03:09,710 --> 00:03:13,150 +horizontal action بتاع ال superior rectus؟ + +42 +00:03:13,150 --> 00:03:17,810 +abduction .. abduction .. abduction .. abduction + +43 +00:03:17,810 --> 00:03:19,070 +.. abduction .. abduction .. abduction .. + +44 +00:03:19,070 --> 00:03:20,310 +abduction .. abduction .. abduction .. abduction + +45 +00:03:20,310 --> 00:03:20,490 +abduction .. abduction .. abduction .. abduction + +46 +00:03:20,490 --> 00:03:20,590 +abduction .. abduction .. abduction .. abduction + +47 +00:03:20,590 --> 00:03:21,810 +.. abduction .. abduction .. abduction .. + +48 +00:03:21,810 --> 00:03:22,470 +.. abduction .. abduction .. abduction .. + +49 +00:03:22,470 --> 00:03:24,490 +abduction .. abduction .. abduction .. abduction + +50 +00:03:24,490 --> 00:03:29,710 +.. abduction .. + +51 +00:03:29,710 --> 00:03:36,830 +abduction .. abduction + +52 +00:03:42,510 --> 00:03:46,830 +adduction و هنا abduction اذا ال oblique muscles + +53 +00:03:46,830 --> 00:03:53,510 +abductors و ال vertical recti abductors اليوم احنا + +54 +00:03:53,510 --> 00:03:57,730 +بلزمنا هذا ال secondary action عشان افهم كيف بتصير + +55 +00:03:57,730 --> 00:04:03,010 +الهدا نيجي في الأول نحكي عن ال normal لما ال + +56 +00:04:03,010 --> 00:04:07,110 +normal person بتطلع في ال up gates اللي بتشارك في + +57 +00:04:07,110 --> 00:04:12,160 +ال elevation ال two elevators اللي هوال superior + +58 +00:04:12,160 --> 00:04:15,260 +rectus و ال inferior oblique و هنا أيضًا ال + +59 +00:04:15,260 --> 00:04:18,260 +superior rectus و ال inferior oblique إذن هما + +60 +00:04:18,260 --> 00:04:21,460 +synergistic muscles في ال elevation بس ال + +61 +00:04:21,460 --> 00:04:24,140 +horizontal action بتاعهم أو ال horizontal vector + +62 +00:04:24,140 --> 00:04:28,640 +بتاعهم متضاد بمعنى ال superior rectus صحيح بترفع + +63 +00:04:28,640 --> 00:04:33,120 +بس بتعمل adduction و ال inferior oblique بترفع + +64 +00:04:33,120 --> 00:04:37,600 +صحيح بستعمل upduck ال adoption effect بتاع ال + +65 +00:04:37,600 --> 00:04:40,820 +superior rectus بيوزي ال adoption effect بتاع ال + +66 +00:04:40,820 --> 00:04:43,740 +inferior oblique muscles فبتطلع straight up بدون + +67 +00:04:43,740 --> 00:04:47,980 +ما تفتح أكتر و بدون ما تضم يعني أكتر تمام هذا في + +68 +00:04:47,980 --> 00:04:51,600 +ال normal person أيضا في ال normal person لما بنزل + +69 +00:04:51,600 --> 00:04:57,200 +بتطلع لتحت في two depressors + +70 +00:04:57,200 --> 00:05:05,660 +عندهاللي هم ال inferior .. أسف .. superior oblique + +71 +00:05:05,660 --> 00:05:09,900 +وال inferior rectus وال inferior rectus وال + +72 +00:05:09,900 --> 00:05:14,120 +superior oblique التنين synergistic في ال + +73 +00:05:14,120 --> 00:05:17,140 +depression التنين بيساعدوا بعض في ال depression بس + +74 +00:05:17,140 --> 00:05:20,180 +ال horizontal action بتاعهم متضاد ال superior + +75 +00:05:20,180 --> 00:05:22,900 +oblique abduction بتعمل وال inferior rectus + +76 +00:05:22,900 --> 00:05:26,050 +abductionInferior rectus بتعمل abduction و ال + +77 +00:05:26,050 --> 00:05:29,090 +superior oblique بتعمل abduction ال abduction اللي + +78 +00:05:29,090 --> 00:05:33,490 +بتعملليها ال inferior rectus بوزيقش و بضاده ال + +79 +00:05:33,490 --> 00:05:35,970 +abduction اللي بتعمل ال superior oblique فبتنزل + +80 +00:05:35,970 --> 00:05:40,610 +العين بالتزان لتحت بدون ما تضم و بدون ما تفتح لو + +81 +00:05:40,610 --> 00:05:45,490 +عندي صار خلل في ال action بتاعة أي من ال + +82 +00:05:45,490 --> 00:05:51,300 +vertically acting muscles إذا كان هذا الخللقوة + +83 +00:05:51,300 --> 00:05:54,640 +معناته هذه العضلة بتقوى بجميع ال functions بتاعتها + +84 +00:05:54,640 --> 00:05:59,160 +مافيش حاجة اسمها عضلة ال elevation بتاعها صار أقوى + +85 +00:05:59,160 --> 00:06:02,500 +و ال adduction effect بتاعها ضال زي ما هو يعني لما + +86 +00:06:02,500 --> 00:06:06,660 +بيقول superior rectus مثلا over action معناته كل + +87 +00:06:06,660 --> 00:06:09,800 +ال functions بتاعتها over acting ساعتها هتصير + +88 +00:06:09,800 --> 00:06:15,170 +العين و هي بتطلع لجوه لفوقبتيجي لجوه شوية ليش؟ لأن + +89 +00:06:15,170 --> 00:06:18,070 +ال action بتاع ال abduction يفوق بتاع ال superior + +90 +00:06:18,070 --> 00:06:21,610 +rectus لأنها over acting muscle يفوق ال abduction + +91 +00:06:21,610 --> 00:06:25,730 +بتاع ال inferior oblique لأنها normally acting + +92 +00:06:25,730 --> 00:06:28,790 +muscle تمام؟ فبالتالي لما بنقول في خلل في ال + +93 +00:06:28,790 --> 00:06:32,750 +function بتاعة عضلة معمعناته الخلل يصيب كل ال + +94 +00:06:32,750 --> 00:06:35,350 +functions بتاعتها ال function الرئيسية وال + +95 +00:06:35,350 --> 00:06:38,630 +functions الفرعية التانية أو ال horizontal action + +96 +00:06:38,630 --> 00:06:42,630 +بتاعها طب هذا الخلل ممكن يكون over action وممكن + +97 +00:06:42,630 --> 00:06:46,710 +يكون under action ساعتها ال horizontal effect + +98 +00:06:46,710 --> 00:06:50,730 +بتاعها بيضعف و بيروح لصالح العضلة المقابلة لصالح + +99 +00:06:50,730 --> 00:06:54,810 +العضلة المقابلةإذا احنا فهمنا هذه القضية بنفهم إيش + +100 +00:06:54,810 --> 00:06:57,990 +الأسباب بتاعة ال A pattern وإيش الأسباب بتاعة ال V + +101 +00:06:57,990 --> 00:07:04,910 +pattern بدنا نضرب مثال بسيط على هذه القضية بنقول + +102 +00:07:04,910 --> 00:07:10,850 +لو إنسان عنده superior oblique palsy نفرض مثلا + +103 +00:07:10,850 --> 00:07:15,550 +bilateral superior oblique palsy يعني under action + +104 +00:07:15,550 --> 00:07:16,990 +في ال superior oblique muscle + +105 +00:07:20,170 --> 00:07:23,570 +قبل ما نرسم بنا نحكي نقول bilateral superior + +106 +00:07:23,570 --> 00:07:27,370 +oblique palsy او bilateral fourth nerve palsy يعني + +107 +00:07:27,370 --> 00:07:30,130 +ال superior oblique muscle weak هنا و weak هنا + +108 +00:07:30,130 --> 00:07:34,510 +under acting مين ال antagonistic muscles بتاعتها + +109 +00:07:34,510 --> 00:07:38,630 +ال inferior oblique عادة لما بلسي بتطول ايش بيصير + +110 +00:07:38,630 --> 00:07:42,290 +في ال antagonistic muscle بيصير over acting لأنها + +111 +00:07:42,290 --> 00:07:46,230 +contracted لأنها contracted اذا بينشأ عندي بما ان + +112 +00:07:46,230 --> 00:07:48,790 +عندي bilateral superior oblique palsy عندي + +113 +00:07:48,790 --> 00:07:54,030 +bilateralInferior oblique over acting هل ال over + +114 +00:07:54,030 --> 00:07:57,230 +action بتاع ال inferior oblique بيصيب بس action + +115 +00:07:57,230 --> 00:07:59,710 +واحد بتاع ال elevation بتاعها ولا كل ال actions + +116 +00:07:59,710 --> 00:08:03,610 +بتاعتها تمام اذا لما هذا المريض اللي عنده ال + +117 +00:08:03,610 --> 00:08:10,010 +inferior oblique over acting في ال elevation ال + +118 +00:08:10,010 --> 00:08:15,790 +abduction بتاع ال inferior oblique هيفوق + +119 +00:08:15,790 --> 00:08:22,400 +هيفوق انا رسمت تلت أسهمهيفوق ال adoption بتاع ال + +120 +00:08:22,400 --> 00:08:24,960 +superior rectus، إذا العينتين فوق إيش مالهم؟ + +121 +00:08:24,960 --> 00:08:34,220 +بيفتح، تمام؟ نيجي لل down gaze، مين اللي فيه بلسة؟ + +122 +00:08:34,220 --> 00:08:36,400 +ال superior oblique muscle + +123 +00:08:43,010 --> 00:08:45,970 +الـ Inferior Rectus عادى والـ Superior Oblique + +124 +00:08:45,970 --> 00:08:50,210 +عادى والـ Abduction Effect بتاعها هيضعف أنا رسمته + +125 +00:08:50,210 --> 00:09:01,450 +سهل متقدر و هيصير لصالح الـ Inferior Rectus ساعتها + +126 +00:09:01,450 --> 00:09:05,130 +العين هتضم لجوه لأن الـ Horizontal Action بتاع الـ + +127 +00:09:05,130 --> 00:09:09,960 +Inferior Rectus muscle يفوقيا فوق ال abstraction + +128 +00:09:09,960 --> 00:09:12,420 +بتاع ال superhero ربليك لإن ال superhero ربليك + +129 +00:09:12,420 --> 00:09:14,920 +ضعيفة طب ضعيفة ب function واحدة ولا بكل ال + +130 +00:09:14,920 --> 00:09:20,000 +functions كل ال functions إذا الأنتين تحت هيضموا و + +131 +00:09:20,000 --> 00:09:27,100 +فوق إيش هيصير فيهم إيش اتكون عندي اتكون عندي إيش V + +132 +00:09:27,100 --> 00:09:34,980 +بطل اتكون عندي V بطل طيب نضرب مثال A بدنا نقول + +133 +00:09:34,980 --> 00:09:41,900 +مثلاsuperior oblique over action primary superior + +134 +00:09:41,900 --> 00:09:48,860 +oblique over action عضلة طبيعتها قوية في ال down + +135 +00:09:48,860 --> 00:09:56,380 +case over acting + +136 +00:09:56,380 --> 00:09:57,900 +superior oblique muscle + +137 +00:10:02,760 --> 00:10:06,900 +over acting superior oblique muscle ال abduction + +138 +00:10:06,900 --> 00:10:15,480 +effect بتاعها هيفوق + +139 +00:10:15,480 --> 00:10:18,820 +ال abduction بتاع ال inferior rectus هتفتح العين + +140 +00:10:18,820 --> 00:10:22,840 +لبرا وبالتالي نرسمها هدف ال down gaze هتفتح العين + +141 +00:10:22,840 --> 00:10:28,000 +لبرا ولو + +142 +00:10:28,000 --> 00:10:30,720 +كان عندي ضعف في ال inferior oblique + +143 +00:10:33,660 --> 00:10:38,300 +هيضموا لجوة بسبب ال adoption effect بتاعة superior + +144 +00:10:38,300 --> 00:10:41,780 +rectus muscles اذا كان عند ال inferior oblique ال + +145 +00:10:41,780 --> 00:10:47,740 +adoption effect بتاعها ضعيف فهيتشكل عند ايه ايه + +146 +00:10:47,740 --> 00:10:53,560 +pattern اذا السبب الأول والرئيسي السبب الأول + +147 +00:10:53,560 --> 00:11:00,660 +والرئيسي في ال alphabetical pattern هو dysfunction + +148 +00:11:06,410 --> 00:11:16,870 +of vertically acting muscles تمام؟ + +149 +00:11:16,870 --> 00:11:22,970 +طيب السبب التاني .. السبب التاني أو المجموعة + +150 +00:11:22,970 --> 00:11:31,790 +التانية من الأسباب abnormal position of muscle + +151 +00:11:31,790 --> 00:11:36,050 +ulis + +152 +00:11:38,490 --> 00:11:43,730 +البكرات العضلية اللى تعتبر effective origin of the + +153 +00:11:43,730 --> 00:11:48,150 +muscle of the extraocular muscle هذه البكرات + +154 +00:11:48,150 --> 00:11:52,520 +العضلية اللى عبارة عن denseor condensation of + +155 +00:11:52,520 --> 00:11:57,000 +connective tissue ناحية ال equator بتحيط بالعضلة + +156 +00:11:57,000 --> 00:12:01,040 +بترتكز عليها العضلة أثناء أداء مهمها لو هذا ال + +157 +00:12:01,040 --> 00:12:04,740 +muscle pulley جدّم أو أخر عن موضعه الطبيعي ممكن + +158 +00:12:04,740 --> 00:12:09,900 +ينشأ عندي alphabetical + +159 +00:12:09,900 --> 00:12:16,140 +pattern تالت شئ abnormalities + +160 +00:12:21,760 --> 00:12:29,580 +in orbital anatomy يعني + +161 +00:12:29,580 --> 00:12:34,840 +خاصة في ال craniosynostosis + +162 +00:12:34,840 --> 00:12:40,740 +اللي + +163 +00:12:40,740 --> 00:12:48,360 +بيكون في عندى فيها shallow orbits تمام؟ + +164 +00:12:48,980 --> 00:12:53,420 +نجي احنا نشوف ايش اللي بيحصل معانا ال V or A + +165 +00:12:53,420 --> 00:12:56,980 +patterns اللي هم الأكتر شيوعان may occur when the + +166 +00:12:56,980 --> 00:13:01,020 +relative contribution المساهمة النسبية of the + +167 +00:13:01,020 --> 00:13:04,420 +superior rectus and inferior oblique to elevation + +168 +00:13:05,070 --> 00:13:08,250 +أو المساهمة النسبية للـ inferior rectus والـ + +169 +00:13:08,250 --> 00:13:12,530 +superior oblique to depression are abnormal يعني + +170 +00:13:12,530 --> 00:13:15,030 +التنين بيساهموا في ال elevation بس واحدة ضعيفة و + +171 +00:13:15,030 --> 00:13:19,010 +واحدة قوية تمام؟ بما أن واحدة ضعيفة و واحدة قوية + +172 +00:13:19,010 --> 00:13:21,990 +لضعيفة ال horizontal action بتاعها هيشد باتجاهها + +173 +00:13:23,300 --> 00:13:26,460 +والقوية والضعيفة ال horizontal action بتاعها مش + +174 +00:13:26,460 --> 00:13:30,520 +هيقدر يقاوم فهتروح العين و هي طالع على فوق او و هي + +175 +00:13:30,520 --> 00:13:34,260 +نزلة تحت باتجاه العضلة الأقوى باتجاه العضلة الأقوى + +176 +00:13:34,260 --> 00:13:37,780 +اللي ال horizontal action بتاعها أيضا أقوى تمام + +177 +00:13:37,780 --> 00:13:42,380 +resulting in abnormal balance of their horizontal + +178 +00:13:42,380 --> 00:13:47,200 +vectors in up and down gears they can be caused + +179 +00:13:47,200 --> 00:13:50,220 +also by anomalies in the position of the rectus + +180 +00:13:50,220 --> 00:13:56,000 +muscleLeading to abnormal lines of action of the + +181 +00:13:56,000 --> 00:14:01,160 +muscles هذه هي الأسباب بتاعة ال A و ال V pattern + +182 +00:14:01,160 --> 00:14:06,120 +كيف أنا أقيم هل الإنسان عنده A pattern و لا V + +183 +00:14:06,120 --> 00:14:09,900 +pattern و لا X pattern؟بانجيس ال horizontal + +184 +00:14:09,900 --> 00:14:13,640 +deviation و ننتبه لكلمة ال horizontal deviation في + +185 +00:14:13,640 --> 00:14:17,200 +ال primary position و في ال up gaze خمسة و عشرين + +186 +00:14:17,200 --> 00:14:20,200 +degree from the primary position و في ال down gaze + +187 +00:14:20,200 --> 00:14:23,840 +ايضا خمسة و عشرين degree from the primary position + +188 +00:14:23,840 --> 00:14:30,020 +تمام؟ بانجيس هذه القضية طبعا هذه القضية ممكن تحدث + +189 +00:14:30,020 --> 00:14:33,620 +regardless of whether a deviation is concomitant + +190 +00:14:33,620 --> 00:14:35,060 +or incomitant + +191 +00:14:38,910 --> 00:14:42,710 +superior oblique palsy هل هي concomitant ولا + +192 +00:14:42,710 --> 00:14:47,370 +incomitant deviation؟ incomitant هو الشللي ومعروف + +193 +00:14:47,370 --> 00:14:51,290 +ان ال incomitant strabismus يعني mostly اما بيكون + +194 +00:14:51,290 --> 00:14:54,370 +paralytic او restrictive mostly بيكون اما + +195 +00:14:54,370 --> 00:14:59,890 +paralytic او restrictive هل + +196 +00:14:59,890 --> 00:15:04,290 +كل فرق بين ال up gaze و ال down gaze في ال + +197 +00:15:04,290 --> 00:15:08,740 +horizontal deviation؟باعتبره V butter او A butter + +198 +00:15:08,740 --> 00:15:12,300 +فيه شروط للاعتبار طبعا لما نيجي نحكي عن ال V + +199 +00:15:12,300 --> 00:15:17,140 +butter لما احنا بنجيس ال horizontal deviation ايش + +200 +00:15:17,140 --> 00:15:20,580 +هو ال horizontal deviation اما ايزو ترابية او اكزو + +201 +00:15:20,580 --> 00:15:24,300 +ترابية لما بنجيسه في ال up gaze و في ال down gaze + +202 +00:15:24,300 --> 00:15:28,520 +و بنلاقي الفارق اكتر من أو يساوي 15 بريزم ديوبتر + +203 +00:15:28,520 --> 00:15:35,500 +تمامساعتها ممكن اسمي اللي عندي V button اكزوتروبيا + +204 +00:15:35,500 --> 00:15:40,600 +او ايزوتروبيا or + +205 +00:15:40,600 --> 00:15:45,180 +V button اكزوتروبيا + +206 +00:15:47,460 --> 00:15:52,080 +بمعنى في ال Exotropia في ال V Pattern Exotropia في + +207 +00:15:52,080 --> 00:15:56,040 +ال Up Gaze العينين بيكونوا فاتحين أكتر من ال Down + +208 +00:15:56,040 --> 00:16:01,720 +Gaze طب قداش الفرق 15 Prism فأكثر 15 Prism فأكثر + +209 +00:16:01,720 --> 00:16:06,950 +تمامأقل من 15 بريسم بقى أسميهاش V pattern لأنه في + +210 +00:16:06,950 --> 00:16:10,030 +physiological variation between up gaze و down + +211 +00:16:10,030 --> 00:16:13,470 +gaze و ال up gaze بيفتح أكتر عادة من ال down gaze + +212 +00:16:13,470 --> 00:16:18,790 +تمام؟ إذا في عندي deviation الفرق بين ال up gaze و + +213 +00:16:18,790 --> 00:16:25,250 +ال down gaze 15 بريسم فأكتر ساعتها أنا بسميهاش V + +214 +00:16:25,250 --> 00:16:30,330 +pattern نجي نضرب مثال حسن مريض عنده + +215 +00:16:32,870 --> 00:16:39,230 +إيزو ترابيا عشرة بريزم في ال up gaze في ال primary + +216 +00:16:39,230 --> 00:16:46,210 +position إيزو ترابيا بتصير خمسة و عشرين بريزم في + +217 +00:16:46,210 --> 00:16:50,370 +ال down gaze إيزو + +218 +00:16:50,370 --> 00:16:56,450 +ترابيا بتصير بتصير + +219 +00:16:56,450 --> 00:17:01,350 +تمانية و عشرين بريزم هل هذا V pattern إيزو ترابيا + +220 +00:17:01,350 --> 00:17:02,290 +و ليش؟ + +221 +00:17:06,470 --> 00:17:10,190 +ليش؟ الفرق بده ينحسب مش بين ال up و ال primary و + +222 +00:17:10,190 --> 00:17:17,290 +ال down اذا في ال down في عندي easo تمانية و عشرين + +223 +00:17:17,290 --> 00:17:24,060 +داخلة كتير في ال .. ال up guessالعين داخلة شوية + +224 +00:17:24,060 --> 00:17:28,120 +الفرق بينهم جداش تمانت عشر prison تمانية و عشرين + +225 +00:17:28,120 --> 00:17:31,920 +ناقص عشرة تمانت عشر prison ممكن بعض حالات ال V + +226 +00:17:31,920 --> 00:17:40,340 +-butter إيزوتروبيا نلاقيها في ال up gaze zero + +227 +00:17:40,340 --> 00:17:43,240 +إيش يعني zero يعني straight eyes في ال up gaze + +228 +00:17:43,240 --> 00:17:49,910 +تمام؟سؤاليك بسيط، يا ترى هل المريض هذا ممكن ياخد + +229 +00:17:49,910 --> 00:17:54,290 +abnormal head posture وإذا كان ممكن، ليش؟ إيش + +230 +00:17:54,290 --> 00:17:59,190 +بياخد؟ chin .. chin down position ليش؟ عشان يخفع + +231 +00:17:59,190 --> 00:18:04,520 +عديد الأقل، ليش؟عشان يستعيد ال binocular single + +232 +00:18:04,520 --> 00:18:07,460 +vision يعني هذا الوضع بيحققله ال binocular single + +233 +00:18:07,460 --> 00:18:11,440 +vision فبتلاقي بيعمل chin down position اي مريض + +234 +00:18:11,440 --> 00:18:14,260 +عنده horizontal deviation ومااخد abnormal head + +235 +00:18:14,260 --> 00:18:19,420 +posture particularly يعني تمام قضية ال chin up و + +236 +00:18:19,420 --> 00:18:23,760 +chin down اتوقع انه يكون عنده alphabetical pattern + +237 +00:18:23,760 --> 00:18:28,620 +يعني عنده اما chin up او chin down بيعملها عشان + +238 +00:18:28,620 --> 00:18:34,030 +يخفف من اياشمن اللي هو الاسكونة اللي هي طب يا ترى + +239 +00:18:34,030 --> 00:18:38,650 +ال V pattern خلينا نضرب مثال تاني على ال exotropia + +240 +00:18:38,650 --> 00:18:46,770 +على ال exotropia عندنا علي مريض عمره مثلا خمستاشر + +241 +00:18:46,770 --> 00:18:54,350 +سنة عنده في ال down case خليني + +242 +00:18:54,350 --> 00:19:00,150 +نقول exotropia أربعة presentتمام بال alternate + +243 +00:19:00,150 --> 00:19:05,010 +cover test في ال .. في ال straight case في عنده + +244 +00:19:05,010 --> 00:19:11,730 +اكزوتروبيا خمستاشر prison وفي ال up case فيه + +245 +00:19:11,730 --> 00:19:20,390 +اكزوتروبيا تلاتين prison إيش هدى؟ هدى V بطر + +246 +00:19:20,390 --> 00:19:26,220 +اكزوتروبيا .. هدى V بطر اكزوتروبيا ليش؟لأن الفرق + +247 +00:19:26,220 --> 00:19:30,120 +بين ال up gaze و ال down gaze أكتر من خمس أشهر + +248 +00:19:30,120 --> 00:19:37,200 +برزم أكتر من خمس أشهر برزم نضرب مثال تالت مريض + +249 +00:19:37,200 --> 00:19:46,540 +عنده إيزوتروبيا في + +250 +00:19:46,540 --> 00:19:52,800 +ال up فينا سبعة برزم في ال primary position + +251 +00:19:56,550 --> 00:20:01,670 +في عندنا اتناشر prism في ال downcase طبعا إيزو + +252 +00:20:01,670 --> 00:20:05,710 +تروبيا .. إيزو تروبيا في كل الأحوال في ال downcase + +253 +00:20:05,710 --> 00:20:15,610 +عندنا اربعتاشر prism إيزو تروبيا إيش الفرق؟ إذا + +254 +00:20:15,610 --> 00:20:19,690 +ماانطبقش التعريف عندي، طب هذا إيش أسميه؟just + +255 +00:20:19,690 --> 00:20:23,110 +isotropic يعني كأنه horizontal deviation بدون ما + +256 +00:20:23,110 --> 00:20:26,050 +أسميه alphabetical pattern بدون ما أسميه + +257 +00:20:26,050 --> 00:20:30,990 +alphabetical patternيا ترى إيش الأسباب بتاعة ال V + +258 +00:20:30,990 --> 00:20:34,970 +-Pattern Squint سواء V-Pattern Esotropia أو V + +259 +00:20:34,970 --> 00:20:38,850 +-Pattern Exotropia السبب الأول inferior oblique + +260 +00:20:38,850 --> 00:20:42,490 +over action associated with fourth nerve pulse + +261 +00:20:42,490 --> 00:20:45,950 +وهذا رسمناه وضربنا عليه مثال لما يكون عندي fourth + +262 +00:20:45,950 --> 00:20:49,750 +nerve pulse في ال down gaze العينين حضم لجوا لأن + +263 +00:20:49,750 --> 00:20:52,370 +ال abduction effect بتاع ال superior oblique راح + +264 +00:20:52,900 --> 00:20:55,840 +واللي دخل العنين لجوا ال horizontal action بتاع ال + +265 +00:20:55,840 --> 00:20:59,100 +inferior recti هدف ال down gaze في ال up gaze + +266 +00:20:59,100 --> 00:21:02,000 +طالما عندي superior oblique بلصي ال antagonist + +267 +00:21:02,000 --> 00:21:04,700 +بتاعتهم اللي هي ال inferior oblique هتصير over + +268 +00:21:04,700 --> 00:21:08,340 +acting مع الوقت تمام وبالتالي ال horizontal action + +269 +00:21:08,340 --> 00:21:11,320 +بتاع ال inferior oblique فوق حق يخلي العنين تفتح + +270 +00:21:11,320 --> 00:21:16,430 +لبرافوق فتحت و تحت ضمت فبالتالي هتشكل عندي ال V + +271 +00:21:16,430 --> 00:21:21,090 +pattern اللي هو Strabismus superior oblique under + +272 +00:21:21,090 --> 00:21:24,590 +action بدون بلسي with subsequent inferior oblique + +273 +00:21:24,590 --> 00:21:27,750 +over action هذه بنشوفها في ال early onset + +274 +00:21:27,750 --> 00:21:31,470 +esotropia و في معظماللي هو أنواع الـ Esotropia + +275 +00:21:31,470 --> 00:21:35,370 +تمام؟ which is seen in infantile esotropia as well + +276 +00:21:35,370 --> 00:21:40,370 +as other childhood esotropias غالبا .. غالبا هدول + +277 +00:21:40,370 --> 00:21:43,310 +الأطفال بيكون عندهم في ال up gaze ممكن تلاحظي أنه + +278 +00:21:43,310 --> 00:21:46,730 +العينين straight حتى ممكن هدول يشكلوا مشكلة في + +279 +00:21:46,730 --> 00:21:50,490 +الفحص كيف الطفل جاي ب chin down position بعض ما + +280 +00:21:50,490 --> 00:21:54,290 +ممكن يفكر أنه الطفل خجلان أو هو ماينتبهش لل + +281 +00:21:54,290 --> 00:21:58,190 +abnormal head posture ويعمل الفحص بال chin down + +282 +00:21:58,190 --> 00:22:01,680 +positionو العينين straight و مايتطلعش أنه يعمل + +283 +00:22:01,680 --> 00:22:05,740 +الفحص في ال down case وهذه الحالات بتمر و مش .. مش + +284 +00:22:05,740 --> 00:22:11,920 +نادرة لأ بالعكس ممكن توجد بشكل يعنييعني متوفرة هذه + +285 +00:22:11,920 --> 00:22:15,620 +الحالات وبالتالي ضروري انا افحص في .. مش بس في ال + +286 +00:22:15,620 --> 00:22:18,640 +position اللي ماهده الطفل و اعدله و اضع ال head و + +287 +00:22:18,640 --> 00:22:22,180 +كمان افحصه في ال down gaze هنلاقي significant + +288 +00:22:22,180 --> 00:22:25,500 +ازوتروبيا في ال down gaze و في ال up gaze بنلاقي + +289 +00:22:25,500 --> 00:22:29,540 +تقريبا ortho او mild ازوتروبيا ضروري ناخد بالنا + +290 +00:22:29,540 --> 00:22:33,120 +لأنه عنده V pattern ازوتروبيا لأنه عنده V pattern + +291 +00:22:33,120 --> 00:22:34,500 +ازوتروبيا + +292 +00:22:37,320 --> 00:22:40,420 +ال superior rectus under action لما يكون عندي + +293 +00:22:40,420 --> 00:22:43,020 +weakness في ال superior rectus ال superior rectus + +294 +00:22:43,020 --> 00:22:48,400 +ال horizontal action بتاعها إيش الدكشن الدكشن إذا + +295 +00:22:48,400 --> 00:22:51,280 +صار weakness في ال superior rectus الدكشن هذا بيخف + +296 +00:22:51,280 --> 00:22:54,440 +لصالح ال abduction اللي بتعمله ال inferior oblique + +297 +00:22:54,440 --> 00:22:58,160 +في الناحية في الناحيتين ففي ال up gaze هتفتح + +298 +00:22:58,160 --> 00:23:02,640 +العينين لفوق و هيبدأ يتشكل لي ال إيش ال V button + +299 +00:23:02,640 --> 00:23:07,560 +أيضا ال brown syndrome حكينا أثناء looking upفي + +300 +00:23:07,560 --> 00:23:10,580 +restriction عندى في ال straight up فالعين اللى + +301 +00:23:10,580 --> 00:23:13,680 +فيها restriction بتحاول تعمل divergence يعني تروح + +302 +00:23:13,680 --> 00:23:17,700 +على المكان اللى ممكن هى تطلع فيه لفوق وبتشكل عندى + +303 +00:23:17,700 --> 00:23:21,060 +ال brown syndrome من ضمن الحاجات المميزة له انه + +304 +00:23:21,060 --> 00:23:25,080 +بيعمل لي ايش V button المجموعة التالتة من الأسباب + +305 +00:23:25,080 --> 00:23:28,540 +اللى ذكرناها اللى هى orbital يعني anatomy + +306 +00:23:28,540 --> 00:23:32,020 +abnormality في ال orbital anatomy و اللى بيكون + +307 +00:23:32,020 --> 00:23:36,440 +فيها shallow orbitsيعني ال orbit مش عميقة يعني + +308 +00:23:36,440 --> 00:23:40,800 +ضحلة مش عميقة تمام هذه مجموعة من الأمراض بيسموها + +309 +00:23:40,800 --> 00:23:44,740 +craniosynostosis يعني الالتئام المبكر لعظام + +310 +00:23:44,740 --> 00:23:48,520 +الجمجمة تمام فبالتالي فيش فرصة لنمو ال orbits + +311 +00:23:48,520 --> 00:23:53,100 +بيكون فيه بروز للعينتين كل هذه الأمراض اللي بتندرج + +312 +00:23:53,100 --> 00:23:57,080 +تحت ال craniosynostosis بتعملي V pattern exotropia + +313 +00:23:57,080 --> 00:23:59,820 +V pattern exotropia + +314 +00:24:04,350 --> 00:24:09,290 +مع Proptosis و + +315 +00:24:09,290 --> 00:24:12,410 +بتتذكروا ال seminar اللى انعمل على ال Proptosis + +316 +00:24:12,410 --> 00:24:16,290 +هذه من الأشياء اللى توريثها autosomal dominant و + +317 +00:24:16,290 --> 00:24:19,850 +بتعمل V pattern exotropia بيكون فيها bilateral + +318 +00:24:19,850 --> 00:24:25,450 +proptosis ليش؟ لأن ال orbit مش كافية لاستيعابي + +319 +00:24:25,450 --> 00:24:28,570 +يعني shallow orbit ال orbit حجمها صغير فبالتالي + +320 +00:24:28,570 --> 00:24:33,610 +العين بتكون جزء كبير منها برا تمامممكن العين كلها + +321 +00:24:33,610 --> 00:24:36,810 +تكون .. كل مقلة العين تكون طالعة لبرا لإن بكون + +322 +00:24:36,810 --> 00:24:42,810 +very shallow organs إيش + +323 +00:24:42,810 --> 00:24:48,630 +علاج .. إيش علاج ال V pattern strabismus سواء ezo + +324 +00:24:48,630 --> 00:24:53,430 +أو exotropia؟ في حقيقة قانون للعلاج .. القانون + +325 +00:24:53,430 --> 00:24:59,570 +للعلاج بيقول رقم واحد إذا كان في عندي oblique + +326 +00:24:59,570 --> 00:25:03,510 +muscle dysfunctionإيش يعني oblique muscle + +327 +00:25:03,510 --> 00:25:06,290 +dysfunction؟ يا إما over action يا إما under + +328 +00:25:06,290 --> 00:25:17,690 +action تمام؟ لابد أن يعالج أولا لأن + +329 +00:25:17,690 --> 00:25:21,290 +إذا عالجته، بعالج الخلل الناتج عن ال horizontal + +330 +00:25:21,290 --> 00:25:28,330 +action بتاع ال oblique muscles تمام؟ + +331 +00:25:28,330 --> 00:25:34,380 +بمعنى لما بنقول both Iinferior oblique over action + +332 +00:25:34,380 --> 00:25:44,080 +ناتج عن both eye superior oblique under action هذه + +333 +00:25:44,080 --> 00:25:50,600 +هتعمللي A ولا V بطر؟ + +334 +00:25:50,600 --> 00:25:58,780 +فهي إذا مش A فانتوا Vهما abductor بس هذه abductor + +335 +00:25:58,780 --> 00:26:03,220 +فوق وهي over acting يعني ال abduction فوق هيكون + +336 +00:26:03,220 --> 00:26:07,300 +قوي وهذه abductor تحت، ال abductor تحت هيكون ضعيف، + +337 +00:26:07,300 --> 00:26:12,180 +يعني الآنين هتضم تحت، هتفتح فوق، هتعمل V pattern، + +338 +00:26:12,180 --> 00:26:17,950 +تمام؟ إذا هذه العضلة قوية لازم أضعفهاإذا هذه + +339 +00:26:17,950 --> 00:26:22,810 +العضلة ضعيفة ممكن أحتاج أني أقويها تمام؟ إذا عملت + +340 +00:26:22,810 --> 00:26:26,350 +القضية هذه جراحيا بيصير حاجة بنسميها collapse لل + +341 +00:26:26,350 --> 00:26:31,330 +buttercollapse يعني هبوط للبطير يعني بتعدر الوضع و + +342 +00:26:31,330 --> 00:26:34,190 +بيسير في ال up gaze و في ال down gaze و كأنه زي ال + +343 +00:26:34,190 --> 00:26:36,770 +primary position مافيش هالفروقات الكتيرة و بعدين + +344 +00:26:36,770 --> 00:26:41,950 +بتعامل مع ال ISO او ال EXO عادي بطريقة روتينية + +345 +00:26:41,950 --> 00:26:44,750 +عادي اذا كان ISO ممكن اعمل recession لل media + +346 +00:26:44,750 --> 00:26:48,510 +recti اذا كان EXO ممكن اعمل recession لل lateral + +347 +00:26:48,510 --> 00:26:54,300 +recti و هكذا تمام فبالتالي القانونالقانون أول حاجة + +348 +00:26:54,300 --> 00:26:56,740 +في ال A pattern و ال V pattern في ال alphabetical + +349 +00:26:56,740 --> 00:26:59,500 +pattern إذا في عندي خلال في ال oblique muscles + +350 +00:26:59,500 --> 00:27:03,460 +لابد أن يعالج هذا الخلال اتفضلي طب احنا مش هيتعدل + +351 +00:27:03,460 --> 00:27:07,520 +ال E's في ال G's ده؟ لأ مش بشرط انه يتعدل ال E's + +352 +00:27:07,520 --> 00:27:12,260 +مش بشرط انه يتعدل ال E's لأ هو ممكن يتعدل في ال up + +353 +00:27:12,260 --> 00:27:14,940 +G's او في ال down G's بس متعدلش في ال primary + +354 +00:27:14,940 --> 00:27:18,920 +position تمام؟ويعني كتب كتيرة ودراسات كتيرة بتقول + +355 +00:27:18,920 --> 00:27:24,420 +الجراحة اللى بتجرى على ال oblique muscles لا تؤثر + +356 +00:27:24,420 --> 00:27:27,680 +على وضع العين في ال primary position لا تؤثر على + +357 +00:27:27,680 --> 00:27:30,440 +وضع العين في ال primary position احنا بنقول + +358 +00:27:30,440 --> 00:27:34,160 +bilateral inferior oblique over action معناته في + +359 +00:27:34,160 --> 00:27:39,050 +ال up gaze العينيننتيجة انه زيادة قوة في ال + +360 +00:27:39,050 --> 00:27:43,570 +inferior oblique و طالما زادت قوتها زادت كل ال + +361 +00:27:43,570 --> 00:27:46,290 +functions بتاعتها بما فيها ال horizontal action + +362 +00:27:46,290 --> 00:27:49,410 +بتاعها انت لما بتضعف ال inferior oblique muscle + +363 +00:27:49,410 --> 00:27:52,330 +انت بتضعف كل ال functions بتاعتها فبالتالي ال + +364 +00:27:52,330 --> 00:27:55,510 +abduction في ال up gaze داها في ال up gaze لما + +365 +00:27:55,510 --> 00:27:58,870 +تحاول تاخد العين لبرا بيكون ضعف فبالتالي بيصير + +366 +00:27:58,870 --> 00:28:03,780 +collapse لل Vاللي بتعمله لو قويت انا .. لو قويت + +367 +00:28:03,780 --> 00:28:07,900 +انا ال superior oblique بتحسن ال abduction بتاعها + +368 +00:28:07,900 --> 00:28:14,230 +فبصير في ال down gaze هنا ال Vبدأت تضمن هنا وعشان + +369 +00:28:14,230 --> 00:28:18,370 +قوات ال superior oblique بدأت تشتغل ك abductor مرة + +370 +00:28:18,370 --> 00:28:23,890 +تانية تمام شدتها فاسعتها ضمن فوق وبدأ يفتح من تحت + +371 +00:28:23,890 --> 00:28:27,550 +بيصير collapse لل pattern بطة ال pattern تمام بطة + +372 +00:28:27,550 --> 00:28:31,010 +ال pattern ممكن إنسان يقول يعني طب إيش جداش الكمية + +373 +00:28:31,010 --> 00:28:34,170 +اللي ممكن أنا تتعدل فيها لو أنا ضعفت ال inferior + +374 +00:28:34,170 --> 00:28:39,230 +oblique يا طرف ال up gas جداش هتضم لياالدراسات + +375 +00:28:39,230 --> 00:28:42,890 +بتقول إنه إذا ضعفنا ال inferior oblique من 10 ل 15 + +376 +00:28:42,890 --> 00:28:46,690 +Prism ممكن أضم الآن طيب ال superior oblique لو أنا + +377 +00:28:46,690 --> 00:28:52,170 +جوتها ممكن في ال down gaze أكسب من 35 في بعض + +378 +00:28:52,170 --> 00:28:56,590 +الدراسات ل 45 Prism هذه كمية هائلة كمية هائلة إنه + +379 +00:28:56,590 --> 00:28:59,890 +أنا أقوى ال superior oblique muscle و أحصل على + +380 +00:28:59,890 --> 00:29:04,560 +abductionيعني الضمامان هذا ممكن يروح يختفي تماما + +381 +00:29:04,560 --> 00:29:10,040 +إذا ضال عندي residual إيزو أو إكزو في ال primary + +382 +00:29:10,040 --> 00:29:15,080 +position ساعتها ممكن أنا later on أنا أشتغله أو + +383 +00:29:15,080 --> 00:29:17,640 +إذا كان بدأ أشتغله قد سامي ال procedure و يكون + +384 +00:29:17,640 --> 00:29:20,160 +المريض أضالت و ممكن أعمله على adjustable + +385 +00:29:20,160 --> 00:29:25,540 +strabismus surgery فبالتالي القانون بيقول نرجع + +386 +00:29:25,540 --> 00:29:30,610 +للقانون إذا فيoblique muscle dysfunction لابد أن + +387 +00:29:30,610 --> 00:29:33,870 +اتعامل معها بالأول لأنه هي بتكون الغالب هي السبب + +388 +00:29:33,870 --> 00:29:38,030 +في انه اتكون عندى alphabetical pattern طيب لو + +389 +00:29:38,030 --> 00:29:44,310 +مافيش عندى oblique muscle dysfunction بدى اتعامل + +390 +00:29:44,310 --> 00:29:52,590 +بالطريقة التانية if there is no oblique + +391 +00:29:52,590 --> 00:29:58,520 +muscle dysfunctionالـ oblique muscles طبيعية بس + +392 +00:29:58,520 --> 00:30:03,260 +عندي a button او v button ناتج عن سبب تاني زي مثلا + +393 +00:30:03,260 --> 00:30:10,020 +ال muscle pulley بدأ اعمل عملية ايزوتروبيا or + +394 +00:30:10,020 --> 00:30:15,400 +اكزوتروبيا حسب اللي عندي with a transposition مع + +395 +00:30:15,400 --> 00:30:22,400 +نقل للعضلات طب وين بدأ انجلها؟ في قاعدة لنقل + +396 +00:30:22,400 --> 00:30:32,340 +العضلات في هذه القضيةفي قاعدة اسمها mail قاعدة + +397 +00:30:32,340 --> 00:30:39,020 +mail ايش يعني قاعدة mail نفسرها mail media rectus + +398 +00:30:39,020 --> 00:30:42,680 +apex + +399 +00:30:42,680 --> 00:30:49,160 +بدها تروح لقمة ال butter لما بنقول v butter هاي + +400 +00:30:49,160 --> 00:30:52,560 +حرف ال v ال media rectus في ال v butter بدها تروح + +401 +00:30:52,560 --> 00:30:55,800 +لقمة حرف ال v وين قمة حرف ال v لتحت بدها نزلها + +402 +00:30:55,800 --> 00:31:02,100 +لتحتو ال lateral rectus بده + +403 +00:31:02,100 --> 00:31:07,360 +تروح لل edge بتاعة الحرف لل edge بتاعة الحرف أو في + +404 +00:31:07,360 --> 00:31:10,560 +كتب تانية بيقول لل empty space بتاع الحرف ال empty + +405 +00:31:10,560 --> 00:31:15,240 +space وين + +406 +00:31:15,240 --> 00:31:20,410 +حفة حرف ال V؟لفوق يعني بدي أنزل ال media rectus + +407 +00:31:20,410 --> 00:31:25,410 +لتحت أو بدي أرفع .. طيب ماشي نيجي نطبق عمليا هذا + +408 +00:31:25,410 --> 00:31:30,870 +الكلام .. نيجي نطبق عمليا هذا الكلام بنقول كالقادة + +409 +00:31:30,870 --> 00:31:38,550 +مريض صين عنده V button esotropia + +410 +00:31:40,190 --> 00:31:43,630 +إيش بدنا نعمله عملية جراحية؟ بتطلع كلمة Esotropia + +411 +00:31:43,630 --> 00:31:46,910 +هي الحوال الرئيسي ال pattern مش هو الحوال ال + +412 +00:31:46,910 --> 00:31:50,610 +pattern هو فرق القياس بين فوق و تحت بس هذا المريض + +413 +00:31:50,610 --> 00:31:54,850 +عيلته أنه عنده Esotropia في ال Esotropia إيش بنعمل + +414 +00:31:54,850 --> 00:31:59,870 +إحنا؟ يعني إما بنرخي ال two media recta أو بنشتغل + +415 +00:31:59,870 --> 00:32:02,470 +على عين واحدة بدنا نفرض إن إحنا بنرخي ال two media + +416 +00:32:02,470 --> 00:32:07,430 +recta هاي أنا عندي العين وهي ال media rectus + +417 +00:32:07,430 --> 00:32:12,160 +بالأساسو هاي ال media rectus ع الناحية التانية و + +418 +00:32:12,160 --> 00:32:19,200 +هاي العين تمام هي كثرة micro كلها هاي عندي العين و + +419 +00:32:19,200 --> 00:32:21,020 +هاي ال media rectus ع الناحية التانية بدي أرخيها + +420 +00:32:21,020 --> 00:32:26,420 +برخيها طب أنا عندي V button رخيتها بس إيش بدي + +421 +00:32:26,420 --> 00:32:31,120 +أعملها بدي أنزلها جداش أنزلها نص عرض العضلة هاي + +422 +00:32:31,120 --> 00:32:35,750 +أنا رخيتها رجعتها لورارجعتها مثلا تلاتة ملي أو + +423 +00:32:35,750 --> 00:32:40,610 +أربعة ملي و نزلتها بمقدار نصف عرضة half tendon + +424 +00:32:40,610 --> 00:32:49,770 +width half tendon width و هنا رخيتها مثلا و نزلتها + +425 +00:32:49,770 --> 00:32:54,150 +بكون أنا نزلتها باتجاه ال apex بتاعة الحرف media + +426 +00:32:54,150 --> 00:33:00,150 +بتطرع ال apex طب ليش أنا رخيتها؟ ليش ماشدتهاش؟عشان + +427 +00:33:00,150 --> 00:33:03,990 +ISO .. عشان ISO .. أنا عشان ما اتخربطش بأنسك إيش + +428 +00:33:03,990 --> 00:33:07,190 +العلة الأساسية، هل ISO ولا EXO؟ ال horizontal + +429 +00:33:07,190 --> 00:33:10,070 +deviation in general سواء في ال alphabetical + +430 +00:33:10,070 --> 00:33:12,630 +pattern أو في غير ال alphabetical pattern هو عبارة + +431 +00:33:12,630 --> 00:33:16,010 +يا إيزو تروفيا، يا إكزو، فيش حاجة تالتة، فيش + +432 +00:33:16,010 --> 00:33:19,650 +horizontal تالت، يا إيزو بتدخل لجوة، يا إما إكزو + +433 +00:33:19,650 --> 00:33:23,390 +بتطلع لبلاالإيزو معروفة إما بدي أرخي ال two media + +434 +00:33:23,390 --> 00:33:26,430 +recta أو بدي أشتغل على عين واحدة أرخي ال media + +435 +00:33:26,430 --> 00:33:29,570 +rectus و أشد ال lateral rectus طب بنفع أشتغل على + +436 +00:33:29,570 --> 00:33:33,790 +عين واحدة أرخي ال media rectus هي رخينا ال media + +437 +00:33:33,790 --> 00:33:37,430 +rectus تمام و نزلناها طب لو بدي أشد ال lateral + +438 +00:33:37,430 --> 00:33:42,150 +rectus أجس منها جزء و بعدين أشدها أحط الجزء التاني + +439 +00:33:42,150 --> 00:33:48,190 +أجربه هنا تمام بدي أرفعه و يصير أعلى هاي الوضع + +440 +00:33:48,190 --> 00:33:52,210 +الجديد هيصيرطبعا جسّينا منها جزء إذا بننزل ال + +441 +00:33:52,210 --> 00:33:56,810 +media rectus و بنرفع ال lateral rectus برضه بمقدار + +442 +00:33:56,810 --> 00:34:01,850 +نصف عرض التندن أو نصف عرض العضلة هذا بالنسبة لل V + +443 +00:34:01,850 --> 00:34:07,650 +pattern إيزوتروبيا طب نيجي لل V pattern إكزوتروبيا + +444 +00:34:15,470 --> 00:34:19,250 +نقول سين من الناس عنده V pattern Exotropia بتطلع + +445 +00:34:19,250 --> 00:34:21,690 +على الكلمة هاي هاي التشخيص الرئيسي عنده عنده + +446 +00:34:21,690 --> 00:34:25,330 +Exotropia إذا في ال Exotropia إذا بدأ أشتغل على + +447 +00:34:25,330 --> 00:34:31,790 +العينتين بدأ أرخي ال two lateral recti هاي ال two + +448 +00:34:31,790 --> 00:34:35,870 +lateral rectus muscle جابل الترخية تمام؟ هاي ال + +449 +00:34:35,870 --> 00:34:39,950 +two lateral rectus muscle جابل الترخيةبدي أرفعهم + +450 +00:34:39,950 --> 00:34:44,390 +ولا هنزلهم؟ بدي أرفعهم ليش؟ لأن ال lateral rectus + +451 +00:34:44,390 --> 00:34:48,210 +بده تروح عند حافة ال pattern ال pattern هو ماخد زي + +452 +00:34:48,210 --> 00:34:51,950 +شكل حرف ال V حافة حرف ال V لفوق إذا ال lateral + +453 +00:34:51,950 --> 00:34:56,130 +rectus بده تطلع لفوق و بده تترخى ترجع لورا مثلا + +454 +00:34:56,130 --> 00:35:01,330 +بدي أرخيها 6 ميلي مثلابرضه بمقدار نصف عرض العضلة و + +455 +00:35:01,330 --> 00:35:05,930 +هنا نفس الشيء لو بدأ أشغل على عين واحدة بدأ أجسس + +456 +00:35:05,930 --> 00:35:09,470 +ال media rectus و أشدها و بدل ما هي هنا طبعا أنا + +457 +00:35:09,470 --> 00:35:15,170 +أشيل جزء منها بدأ أنزلهالتحت دايما ال media اللي + +458 +00:35:15,170 --> 00:35:19,530 +بتروح ناحية ال apex بتاعة الحرف أي حرف الحرف اللي + +459 +00:35:19,530 --> 00:35:24,630 +بيشبه شكل ال butter هذا ليش بنسميه V butter ايزو + +460 +00:35:24,630 --> 00:35:28,550 +او اكزو لأن هذا الشكل و كأنه انت في تحركك من + +461 +00:35:28,550 --> 00:35:33,650 +الأعلى للأسفل اما عملة حرف V او عملة حرف A وفي + +462 +00:35:33,650 --> 00:35:37,350 +أنواع نادرة ممكن تنزل عادي و تعمل اللي هو lambda + +463 +00:35:37,350 --> 00:35:41,920 +butter او تنزل هيك و تعمل ال Y butter و الاخرينأو + +464 +00:35:41,920 --> 00:35:44,980 +تعمل ال X pattern تمام و هذه مش موضوعنا اليوم احنا + +465 +00:35:44,980 --> 00:35:47,640 +مركزين على اكثر الأنواع شيوعا اللي هي ال V pattern + +466 +00:35:47,640 --> 00:35:51,560 +و ال A pattern طيب هذا بالنسبة ل V pattern + +467 +00:35:51,560 --> 00:35:55,640 +إكزوتروبيا و حكينا عن ال V pattern إيزوتروبيا تمام + +468 +00:35:56,270 --> 00:35:59,770 +هدول بعملهم فورا؟ لأ بعد ما اتأكد انه مافيش + +469 +00:35:59,770 --> 00:36:02,430 +oblique muscle dysfunction لأن اذا في عندي oblique + +470 +00:36:02,430 --> 00:36:06,670 +muscle dysfunction تعالج أولا يعاد تقييم الحوال + +471 +00:36:06,670 --> 00:36:10,410 +وهو الأفضل يعني انا ب .. ب .. يعني باعتمد قضية انه + +472 +00:36:10,410 --> 00:36:13,010 +انا بستعامل مع ال oblique muscle dysfunction في + +473 +00:36:13,010 --> 00:36:16,710 +عملية منفردة ثم بعيد تقييم الحوال في ال primary + +474 +00:36:16,710 --> 00:36:20,570 +position و باخد القرار جديش بدي أشتغل بعد هيك طيب + +475 +00:36:20,570 --> 00:36:27,840 +الآن انا عندي ايه بطر؟ إيزوتروبياتمام؟ A pattern, + +476 +00:36:28,040 --> 00:36:31,660 +Esotropia إيش بدأ أعمل في ال A pattern؟ بدأ أعمل + +477 +00:36:31,660 --> 00:36:36,100 +في ال Esotropia إن أرخي ال two media recti وين بدأ + +478 +00:36:36,100 --> 00:36:40,620 +اوديهم ال two media recti؟ لا تحت ولا لا فوق؟ لا + +479 +00:36:40,620 --> 00:36:44,760 +فوق تمام؟ ليش لا فوق؟ لأن ال Apex تعت حرف ال A + +480 +00:36:44,760 --> 00:36:49,800 +لفوق لفوق فبالتالي برخيهم و بارفعهم، كده إيش بدأ + +481 +00:36:49,800 --> 00:36:55,800 +أرفعهم؟ عشرة صنطة؟نص عرض العضلة، نص عرض العضلة، لو + +482 +00:36:55,800 --> 00:36:58,620 +اشتغلت على عضلة واحدة برخي ال media rectus و + +483 +00:36:58,620 --> 00:37:02,420 +برفعها لفوق وبشد ال lateral rectus و بنزلها لتحت + +484 +00:37:02,420 --> 00:37:07,900 +بمقدار نصف عرض العضلة، نصف عرض العضلة، طبعا الا + +485 +00:37:07,900 --> 00:37:10,800 +إذا كان في عندي oblique muscle dysfunction هاي + +486 +00:37:10,800 --> 00:37:13,460 +اللي المرة التالتة احنا بنذكرها عشان ما ننساهاش + +487 +00:37:16,830 --> 00:37:21,370 +نص عرض العضلة فإذا كان هناك درجات ل V pattern و A + +488 +00:37:21,370 --> 00:37:24,750 +pattern لأ حتى لو فيه درجات ل V pattern و A + +489 +00:37:24,750 --> 00:37:27,870 +pattern الدراسات بتقول إنه نص عرض العضلة أحيانا + +490 +00:37:27,870 --> 00:37:32,730 +أحيانا يعني بنتجاوز هذه القضية بس في بعض الأحيان + +491 +00:37:32,730 --> 00:37:35,830 +خارج موضوع ال A pattern و V pattern بنجل كل ال + +492 +00:37:35,830 --> 00:37:39,810 +tendon full tendon width ممكن أنجله أبعد من full + +493 +00:37:39,810 --> 00:37:43,050 +tendon width بتذكروا في موضوع اللي هو ال monocular + +494 +00:37:43,050 --> 00:37:46,780 +elevation deficit لما أنا في ال NAPS procedureلما + +495 +00:37:46,780 --> 00:37:49,200 +بنجل ال media rectus و ال lateral rectus و بحطهم + +496 +00:37:49,200 --> 00:37:51,360 +جنب ال superior rectus عشان يشاركوا في ال + +497 +00:37:51,360 --> 00:37:54,580 +elevation إذا عندي weak superior rectus muscle + +498 +00:37:54,580 --> 00:37:58,460 +فهذه القضية ال teaching أنه القاعدة العامة أنه بدي + +499 +00:37:58,460 --> 00:38:02,600 +أنجل half tendon width half tendon width تمام؟ إذا + +500 +00:38:02,600 --> 00:38:06,540 +هذه ال treatment بتاعة ال إيش واستعرضنا بتاعة اللي + +501 +00:38:06,540 --> 00:38:10,800 +هو الأسباب بتاعة ال V butter بالنسبة لل A butter + +502 +00:38:13,700 --> 00:38:16,300 +واضح احنا هنا ال V pattern قبل ما نخلصه انه ال + +503 +00:38:16,300 --> 00:38:20,000 +media rectus لان حرف ال V قمته لتحت ال media + +504 +00:38:20,000 --> 00:38:23,340 +rectus اذا ان شغل عليها بده ياش تنزل لتحت سواء + +505 +00:38:23,340 --> 00:38:27,040 +recession او resection تمام سواء ISO او EXO تمام + +506 +00:38:27,040 --> 00:38:30,200 +طيب و ايضا ال lateral rectus في ال V pattern لازم + +507 +00:38:30,200 --> 00:38:35,060 +تطلع فوق سواء recession او resection لانه حسب اللي + +508 +00:38:35,060 --> 00:38:40,640 +هو الحرف ما بيملي عليها أسباب أسباب ال A pattern + +509 +00:38:41,770 --> 00:38:44,830 +primary superior oblique over action superior + +510 +00:38:44,830 --> 00:38:48,290 +oblique دبريشن بتعمل بس أيضا ال horizontal action + +511 +00:38:48,290 --> 00:38:52,810 +بتاعها abduction ففي ال down gaze بتفتح العين لبرا + +512 +00:38:52,810 --> 00:38:55,230 +في ال down gaze إذا فيها اندي superior oblique + +513 +00:38:55,230 --> 00:38:59,150 +over action يعني أحد أسباب اللي هو ال a butter + +514 +00:38:59,150 --> 00:39:03,390 +superior oblique over action عادة اللي بيكون مصاحب + +515 +00:39:03,390 --> 00:39:06,750 +ب exodeviation في ال primary position و بزيد ال + +516 +00:39:06,750 --> 00:39:09,870 +exo لتحت نتيجة ال abduction effect بتاع ال + +517 +00:39:09,870 --> 00:39:13,200 +superior obliqueإذا في عندي inferior oblique under + +518 +00:39:13,200 --> 00:39:17,620 +action العينين هتضم فوق و بالتالي هيكون عندي إذا + +519 +00:39:17,620 --> 00:39:19,640 +كان في inferior oblique بلسي هيكون في عندي + +520 +00:39:19,640 --> 00:39:23,880 +subsequent superior oblique over action و بتذكروا + +521 +00:39:23,880 --> 00:39:27,680 +في الفروق بين ال inferior oblique بلسي و ال brown + +522 +00:39:27,680 --> 00:39:31,680 +syndrome قلنا + +523 +00:39:31,680 --> 00:39:35,820 +هذه بتعمل V pattern و هذه بتعمل A pattern و اللي + +524 +00:39:35,820 --> 00:39:41,890 +هي وردة عيننا ال Aالـ inferior rectus under action + +525 +00:39:41,890 --> 00:39:44,470 +الـ inferior rectus في الـ down gaze فيه إلها + +526 +00:39:44,470 --> 00:39:48,130 +adoption effect إذا صارت under acting muscle الـ + +527 +00:39:48,130 --> 00:39:52,430 +inferior rectus مش هتقدر توازن العين و هيصير لصالح + +528 +00:39:52,430 --> 00:39:55,730 +ال superior oblique اللي بتعمل العين لبرا فبالتالي + +529 +00:39:55,730 --> 00:40:01,770 +هذا أحد الأسباب اللي هي بتاعة ال A pattern كيف + +530 +00:40:01,770 --> 00:40:06,820 +علاج ال A pattern بالضبط زي علاج ال ..ال V button + +531 +00:40:06,820 --> 00:40:09,840 +أول حاجة بتطلع ال oblique muscle dysfunction إذا + +532 +00:40:09,840 --> 00:40:13,260 +موجودة لازم أعالجها في الأول خلصت من علاج ال + +533 +00:40:13,260 --> 00:40:16,520 +oblique muscle dysfunction بتعامل مع الحوال ك .. + +534 +00:40:16,520 --> 00:40:21,320 +يعني .. يعني Strabismus عادي تمام إذا كان مافيش + +535 +00:40:21,320 --> 00:40:25,670 +oblique muscle dysfunction بتتبع قاعدة maleال + +536 +00:40:25,670 --> 00:40:28,430 +media على ال apex بتاع ال a يعني هتطلع لفوق في + +537 +00:40:28,430 --> 00:40:31,290 +حالة ال a button و ال lateral على ال edge بتاعة + +538 +00:40:31,290 --> 00:40:34,770 +الحرف الحرف ال a ال edge بتاعته لتحت و ساعتها بدها + +539 +00:40:34,770 --> 00:40:39,350 +تنزل لتحت ال common teaching أنه نص تندن width نص + +540 +00:40:39,350 --> 00:40:46,570 +تندن width إيزا + +541 +00:40:46,570 --> 00:40:48,150 +تربيا في ال primary position؟ + +542 +00:40:51,360 --> 00:40:55,520 +ليش ميّنة راسك؟ عشان ال cross-fixation في + +543 +00:40:55,520 --> 00:41:00,800 +الانفانطاليز التلوبي، ال abduction عندك كويس، لما + +544 +00:41:00,800 --> 00:41:04,240 +ماسك الراس كويس، straight في ال up gaze، ease of + +545 +00:41:04,240 --> 00:41:08,180 +ال down، inferior oblique over action + +546 +00:41:32,210 --> 00:41:36,310 +أمام؟ okay يعطيكوا ألف عافية في هذا موقع أنا + +547 +00:41:36,310 --> 00:41:39,530 +بنصحكم تزوروا الموقع المصري للحوال الدكتور جمال + +548 +00:41:39,530 --> 00:41:44,550 +الدين أحمد صبحي أستاذ دكتور طبعا فالته في علم + +549 +00:41:44,550 --> 00:41:48,370 +الحوال أمام بيعمل يعني في حاجة اسمها case of the + +550 +00:41:48,370 --> 00:41:51,130 +week يعني يمكن في فوق الميت حالة و بيعملها نقاش + +551 +00:41:51,130 --> 00:41:56,330 +بعثتله أنا من هنا طبعا حالتين اشتغل واحدة منهم + +552 +00:41:56,330 --> 00:41:58,330 +جراحة والتانية طبعا طلب مبلغ + +553 +00:42:01,640 --> 00:42:05,020 +فأجلناها شويه عبر ما ظروف الأهل تتحسن أو نصير احنا + +554 +00:42:05,020 --> 00:42:09,560 +نقدر نعمل بس لا شك انه يعني علمه رائع جدا، في + +555 +00:42:09,560 --> 00:42:13,160 +المؤتمر الأخير حاولت ألاجيه، مالاجيتوش في ال 2012، + +556 +00:42:13,160 --> 00:42:16,900 +فبنصحكوا تزوروا الموقع المصري للحوش، الدكتور جمال + +557 +00:42:16,900 --> 00:42:17,360 +بنينسون + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/bjFbUYITFls_raw.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/bjFbUYITFls_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..d1209ee11c47205b0f762f7ff3424eca263bf8a3 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/bjFbUYITFls_raw.srt @@ -0,0 +1,2524 @@ +1 +00:00:21,210 --> 00:00:24,550 +بسم الله الرحمن الرحيم موضوعنا اليوم اللي هو ال + +2 +00:00:24,550 --> 00:00:28,870 +accommodative esotropia طبعا من الإسم واضح أن + +3 +00:00:28,870 --> 00:00:32,970 +الموضوع مشكلة مرتبطة بموضوع ال accommodation طبعا + +4 +00:00:32,970 --> 00:00:36,310 +لو نقول accommodative esotropia يعني ال + +5 +00:00:36,310 --> 00:00:40,450 +accommodation أدى لنوع من ال esotropia تسمت باسمه + +6 +00:00:40,450 --> 00:00:44,870 +معروف أنه أي إنسان طبيعي بده يتطلع على شيء قريب أو + +7 +00:00:44,870 --> 00:00:48,590 +near target لازم يعمل accommodation بمجرد ما يعمل + +8 +00:00:48,590 --> 00:00:51,680 +accommodationلازم يصفوا بهذا ال accommodation + +9 +00:00:51,680 --> 00:00:54,820 +accommodative convergence بالذات النوع اللي بنسميه + +10 +00:00:54,820 --> 00:00:58,760 +accommodative convergence طب ليش احنا كناس طبيعيين + +11 +00:00:58,760 --> 00:01:01,220 +لما بنعمل accommodative convergence على near + +12 +00:01:01,220 --> 00:01:06,420 +target مابصيرش معنى إيزو تروبيا؟ تمام؟اللي بيفرق + +13 +00:01:06,420 --> 00:01:09,140 +بين الإنسان الطبيعي و بين الإنسان اللي عنده + +14 +00:01:09,140 --> 00:01:12,520 +accommodative esotropia هي تالت شغلة احنا قلنا + +15 +00:01:12,520 --> 00:01:16,720 +near target بتطلب accommodation هاي أول شغلة ال + +16 +00:01:16,720 --> 00:01:18,900 +accommodation بتطلب الشغلة التانية اللي هي + +17 +00:01:18,900 --> 00:01:22,720 +accommodative convergence الآن الشغلة التالتة اللي + +18 +00:01:22,720 --> 00:01:25,240 +احنا بنفرق كناس طبيعي عن هدول الناس اللي عندهم + +19 +00:01:25,240 --> 00:01:29,860 +accommodative esotropia انه الفيوجينال divergence + +20 +00:01:29,860 --> 00:01:33,640 +اللي بيمسك العين انها ماتخشش لجوة زيادةالـ + +21 +00:01:33,640 --> 00:01:37,060 +fusional divergence لما كنا بنحكي عن ال fusional + +22 +00:01:37,060 --> 00:01:40,340 +vergences كنا الفيوجينال دايفيرجنس بمنع ال + +23 +00:01:40,340 --> 00:01:43,480 +aesotropia و الفيوجينال كونفيرجنس بمنع ال + +24 +00:01:43,480 --> 00:01:47,660 +aesotropia هدول عندهم الفيوجينال دايفيرجنس مش كافي + +25 +00:01:47,660 --> 00:01:53,020 +اللي يمنع ال convergence من انه يصير بزيادة و يصير + +26 +00:01:53,020 --> 00:01:58,620 +aesotropia اذا في عندي انا تلت شغلات near target + +27 +00:01:58,620 --> 00:02:00,560 +بدوا accommodation + +28 +00:02:06,850 --> 00:02:09,390 +و ال accommodation إيش بده؟ accommodative + +29 +00:02:09,390 --> 00:02:15,010 +convergence لابد يعني حتى ما تتحولش القضية كلها لأ + +30 +00:02:15,010 --> 00:02:20,230 +accommodative esotropia لابد يكون عندي good + +31 +00:02:20,230 --> 00:02:25,330 +fusional divergence fusional divergence خليني أقول + +32 +00:02:25,330 --> 00:02:28,910 +مش good خليني أقول sufficient sufficient يعني كافي + +33 +00:02:28,910 --> 00:02:32,970 +إذا كان insufficient fusional divergence معناته + +34 +00:02:32,970 --> 00:02:37,380 +العينين ده حولوا لجوة و مافيش إشييعني حد من دخولهم + +35 +00:02:37,380 --> 00:02:42,200 +ويخلّي دخولهم طبيعي ومنطقي فبالتالي بتنشأ عندي + +36 +00:02:42,200 --> 00:02:46,400 +Esotropia بالنهاية لو سألنا إيش السبب في هذه ال + +37 +00:02:46,400 --> 00:02:48,980 +Esotropia اللي نشهد؟ موضوع ال accommodation فعشانك + +38 +00:02:48,980 --> 00:02:53,480 +تسمع بال accommodative esotropia طبعا طالما + +39 +00:02:53,480 --> 00:02:57,300 +accommodative esotropia ولو جينا سألنا نفسنا سؤال + +40 +00:02:57,300 --> 00:03:01,470 +هل هي congenital ولا acquired؟acquired .. acquired + +41 +00:03:01,470 --> 00:03:06,070 +الإنسان طالما بدى يعمل accommodation بدى يتطلع على + +42 +00:03:06,070 --> 00:03:09,890 +targets صغيرة تمام ألعاب أو كده أو بدى يكتب مثلا + +43 +00:03:09,890 --> 00:03:13,670 +في الروضة معناته هذه ال accommodative esotropia هي + +44 +00:03:13,670 --> 00:03:18,410 +كلها بكل أنواعها عبارة عن acquired esotropia وقلنا + +45 +00:03:18,410 --> 00:03:21,710 +السبب فيها أنه مابيكونش diffusional divergence + +46 +00:03:21,710 --> 00:03:25,110 +كافي فبالتالي بيصير accommodation accommodative + +47 +00:03:25,110 --> 00:03:29,540 +convergenceبتالي إيزوتروبيا؟ أه مافيششي fusional + +48 +00:03:29,540 --> 00:03:32,780 +divergence اللي يلجأ شوية و يخلي العينين ماتخشش + +49 +00:03:32,780 --> 00:03:37,780 +أكتر من اللازم طبعا في منها أنواع كتيرة بس معروف + +50 +00:03:37,780 --> 00:03:41,320 +طبعا مين أكتر refractive error بتطلب موضوع ال + +51 +00:03:41,320 --> 00:03:44,440 +accommodation ال hypermetropia و هدول الناس + +52 +00:03:44,440 --> 00:03:48,560 +هلاجيهم غالبيتهم العظمه hypermetropic إلا في حالات + +53 +00:03:48,560 --> 00:03:52,280 +نادرة هنحكي عنها في حينها في حينها إذا ال + +54 +00:03:52,280 --> 00:03:57,240 +accommodative isotropia ال near visionبيشمل عملية + +55 +00:03:57,240 --> 00:03:59,840 +ال accommodation وال convergence طبعا ال + +56 +00:03:59,840 --> 00:04:03,720 +accommodationأحنا بنعرف أنها تغيير الـ curvature + +57 +00:04:03,720 --> 00:04:06,780 +بتاعة الـ crystalline lens عشان توضح صورة الـ near + +58 +00:04:06,780 --> 00:04:10,320 +target عشان تعطي power للعين أكتر refractive power + +59 +00:04:10,320 --> 00:04:15,440 +وبالتالي تصير الصورة ع الشبكية focus تمام طبعا + +60 +00:04:15,440 --> 00:04:18,580 +بمجرد ما ينسان يدعم ال accommodation فورا ال + +61 +00:04:18,580 --> 00:04:21,980 +convergence بيشتغل لأن في بينهم علاقة علاقة تردية + +62 +00:04:21,980 --> 00:04:24,520 +كل ما زاد ال accommodation هيزيد ال accommodated + +63 +00:04:24,520 --> 00:04:28,900 +convergence إذا simultaneously the eyes convergein + +64 +00:04:28,900 --> 00:04:33,200 +order to fixate biphovially on the target طبعا ال + +65 +00:04:33,200 --> 00:04:37,160 +accommodation وال convergence مربوطين رابط كم + +66 +00:04:37,160 --> 00:04:41,480 +بالعلاقة اللي بنسميها AC على A ratio طبعا + +67 +00:04:41,480 --> 00:04:46,180 +abnormalities of the AC على A ratio بتقدر أنواع + +68 +00:04:46,180 --> 00:04:51,740 +معينة من ال accommodative esotropia نيجي لتقسيم ال + +69 +00:04:51,740 --> 00:04:56,380 +accommodative esotropia ال accommodative esotropia + +70 +00:04:57,420 --> 00:05:01,960 +تقسم لتلت أنواع أول نوعين والتالت بيشمل الأول + +71 +00:05:01,960 --> 00:05:07,360 +والتاني refractive و + +72 +00:05:07,360 --> 00:05:11,040 +non refractive + +73 +00:05:11,040 --> 00:05:19,860 +و mixed يعني بيشمل refractive زائد non refractive + +74 +00:05:19,860 --> 00:05:27,560 +طيب ال refractive بينجسم لجسمينfully accommodative + +75 +00:05:27,560 --> 00:05:37,520 +و partially accommodative الـ + +76 +00:05:37,520 --> 00:05:45,640 +non refractive هو سببه high AC على A ratio في منه + +77 +00:05:45,640 --> 00:05:54,320 +نوعين أيضا convergence excess وhypo + +78 +00:05:54,320 --> 00:05:55,160 +accommodative + +79 +00:05:58,880 --> 00:06:07,320 +convergence excess هنيجي احنا نشرح كل نوع بالتدريج + +80 +00:06:07,320 --> 00:06:11,220 +و هنلاقي ان الأمر بسيط جدا احنا قلنا لاكمداتي في + +81 +00:06:11,220 --> 00:06:15,140 +إيزو تروبيا ال pathophysiology بتاعتها تلت شغلات + +82 +00:06:15,920 --> 00:06:19,060 +كيف يعني بتصير؟ بتصير إنه في عندي accommodation + +83 +00:06:19,060 --> 00:06:21,760 +أدى ال accommodative convergence هذا ال + +84 +00:06:21,760 --> 00:06:23,820 +accommodative convergence مافيش fusional + +85 +00:06:23,820 --> 00:06:27,360 +divergence اللي يمنعه من أنه يدخل العين أكتر من + +86 +00:06:27,360 --> 00:06:31,220 +اللازم يجوز فبتنشأ الisotropia الآن ماسبب هذا ال + +87 +00:06:31,220 --> 00:06:35,260 +accommodation؟ ماسبب هذا ال accommodation؟ لما + +88 +00:06:35,260 --> 00:06:38,340 +بنقول refractive accommodative isotropia معناته + +89 +00:06:38,340 --> 00:06:42,420 +refractive error أو بالأحرى الhypermetropia هي + +90 +00:06:42,420 --> 00:06:49,010 +السبب هي السبب هدول الناسممكن ييجوا كعمر بين ست + +91 +00:06:49,010 --> 00:06:56,990 +شهور لسبع سنوات بس غالبا بيجيني في عمر سنتين و نص + +92 +00:06:56,990 --> 00:07:01,970 +لتلت سنوات هنا أكتر عدد منهم بيجي في عمر سنتين و + +93 +00:07:01,970 --> 00:07:07,090 +نص لتلت سنوات الآن في بعض الأطفال اللي عندهم + +94 +00:07:07,090 --> 00:07:10,170 +refractive accommodative esotropia بيجي في عمر + +95 +00:07:10,170 --> 00:07:14,290 +أربع شهوريعني very early بيجي بس مش هذه القاعدة + +96 +00:07:14,290 --> 00:07:18,210 +القاعدة انه هاي ال range اللي بيجي ليه يعني العمر + +97 +00:07:18,210 --> 00:07:22,390 +بتاع refractive accommodative esotropia بتكون في + +98 +00:07:22,390 --> 00:07:26,470 +هذا ال range طبعا من اسمهم refractive + +99 +00:07:26,470 --> 00:07:29,390 +accommodative esotropia يعني عنده refractive error + +100 +00:07:29,390 --> 00:07:32,390 +يعني بالعربي عنده refractive error اللي بسبب ال + +101 +00:07:32,390 --> 00:07:39,000 +accommodation عنده mini plus 2لعند plus 7 في + +102 +00:07:39,000 --> 00:07:42,960 +الغالب اللي هو إيش ال refractive error نيجي الأن + +103 +00:07:42,960 --> 00:07:47,360 +احنا نتوقف دقيقة هنا عشان نشرح القضية الانسان اللي + +104 +00:07:47,360 --> 00:07:52,380 +عنده plus 2 ديوبتر hypermetropia لما يتطلع على + +105 +00:07:52,380 --> 00:07:57,050 +distant target لازم يدلto diopter of accommodation + +106 +00:07:57,050 --> 00:08:02,910 +لما يطلع على near target بده يبزل اكتر و اكتر حسب + +107 +00:08:02,910 --> 00:08:06,650 +ال near target هل هو عباعد نص متر تولت متر ربع متر + +108 +00:08:06,650 --> 00:08:11,350 +الى اخرى فبالتالي هدول الناس بيصير عندهم السبب + +109 +00:08:11,350 --> 00:08:14,730 +الرئيسي ال hypermetropy قدت لل accommodation قدت + +110 +00:08:14,730 --> 00:08:17,970 +لل accommodative convergence كل هذا الكلام + +111 +00:08:17,970 --> 00:08:24,850 +ماعندهوش كفايةfusional divergence فأدى لإيزوتروبيا + +112 +00:08:24,850 --> 00:08:27,650 +اللى بنسميها refractive accommodative إيزوتروبيا + +113 +00:08:27,650 --> 00:08:31,310 +إذا الموضوع بسيط جدا طيب ليش جسموها ل fully + +114 +00:08:31,310 --> 00:08:34,350 +accommodative و partially accommodative حقيقة + +115 +00:08:34,350 --> 00:08:39,170 +الأمر التجسيم ناتج بعد العلاج طبعا العلاج إيش بده + +116 +00:08:39,170 --> 00:08:44,510 +يكوننضارة بدي امنع الاشي اللي اضطر لها ان تعمل + +117 +00:08:44,510 --> 00:08:47,290 +accommodation انا بدي اركز بالنيابة عنه لان احنا + +118 +00:08:47,290 --> 00:08:50,130 +جولنا ال accommodation تغير في ال curvature بتاع + +119 +00:08:50,130 --> 00:08:53,570 +ال crystalline lens عشان تزيد قوتها ناجسها اتنين + +120 +00:08:53,570 --> 00:08:56,050 +ديوبتر انا بدي اعطيها اتنين ديوبتر ناجسها سبعة + +121 +00:08:56,050 --> 00:08:58,390 +ديوبتر انا بدي اعطيها ناجسها خمسة انا بدي اعطيها + +122 +00:08:58,390 --> 00:09:01,070 +فوجدوا ان العلاج في هذه الحالة + +123 +00:09:15,030 --> 00:09:23,950 +الان اعطيت هذا الانسان full correctionلما بفحصه و + +124 +00:09:23,950 --> 00:09:27,550 +هو لابس ال full correction هيصف في .. في .. في + +125 +00:09:27,550 --> 00:09:30,370 +مجموعة من المجموعتين fully accommodative يعني + +126 +00:09:30,370 --> 00:09:34,970 +بتصلح تماما بالنضارة يعني بيصير مافيش عنده squint + +127 +00:09:34,970 --> 00:09:38,610 +بالنضارة لا ع ال distance ولا عنها يعني ع ال + +128 +00:09:38,610 --> 00:09:42,890 +distance بيصير تقريبا ortho او orthoوعن نيار نفس + +129 +00:09:42,890 --> 00:09:46,150 +الشيء تمام فهذا بسميه fully accommodative يعني + +130 +00:09:46,150 --> 00:09:51,090 +استجاب تماما لعلاج السبب الرئيسي للموضوع كله اللي + +131 +00:09:51,090 --> 00:09:54,330 +هو ايش ال accommodation موضوع ال accommodation مين + +132 +00:09:54,330 --> 00:09:57,770 +اللي عمل ال accommodation بالنيابة عن عينه النضارة + +133 +00:09:57,770 --> 00:10:01,690 +ال lenses تمام فبالتالي بتصلح تماما بيصير على ال + +134 +00:10:01,690 --> 00:10:06,590 +distance و النيار CC + +135 +00:10:06,590 --> 00:10:09,470 +يعني بالنضارة نسك و انت تمام + +136 +00:10:12,780 --> 00:10:15,720 +الـ partially accommodative من اسمها partially + +137 +00:10:15,720 --> 00:10:20,300 +accommodative لأ انت بتعطيله ال full correction بس + +138 +00:10:20,300 --> 00:10:24,400 +بتلاحظي انه مابتصلحش الحوال كله بيضال جزء منه + +139 +00:10:24,400 --> 00:10:28,840 +بيضال جزء منه بمعنى لو فرضنا عنده مثلا تلاتين + +140 +00:10:28,840 --> 00:10:32,640 +prism esotropia وعطيناله ال full correction صفة + +141 +00:10:32,640 --> 00:10:36,100 +خمستاشر prism esotropia هذا معناته partially + +142 +00:10:36,100 --> 00:10:41,240 +accommodative esotropia يا ترى ليش بعض الناس + +143 +00:10:42,410 --> 00:10:45,530 +partially accommodative ليش مثلا انا صلحتله كل ال + +144 +00:10:45,530 --> 00:10:49,450 +refractive error ليش ما يصير زي و زي النوع الأول + +145 +00:10:49,450 --> 00:10:53,590 +fully accommodative هنا في نظريتين او يعني + +146 +00:10:53,590 --> 00:10:57,670 +اعتقادين بالنسبة لهذه القضية هذه القضية ال + +147 +00:10:57,670 --> 00:11:02,370 +partially accommodative الاعتقاد الأول انه تأخرفي + +148 +00:11:02,370 --> 00:11:05,990 +ارتداء النضارة وهذه رسالة لنا ايش هنتأخر في ارتداء + +149 +00:11:05,990 --> 00:11:12,470 +النضارة الاهل لاحظوا انه في عمر سنتين و نص الطفل + +150 +00:11:12,470 --> 00:11:17,890 +عندهم امرار عينين تدخل لجوه وامرار بتعدل اذا بيطلع + +151 +00:11:17,890 --> 00:11:21,630 +او بيركز في لعبة او في اشي تدخل عينيه لجوه لما + +152 +00:11:21,630 --> 00:11:24,990 +مابيركزش او بتطلع اشي بعيد مثلا بتعدل جزئيا + +153 +00:11:24,990 --> 00:11:31,060 +فالحوال عنده Intermittent واتأخروافي تلبيسه نضارة + +154 +00:11:31,060 --> 00:11:35,020 +بناء على نصيحة اللي هو الإنسان اللي اشتغل معهم هذه + +155 +00:11:35,020 --> 00:11:40,240 +الحالة تمام التأخرفي علاج الـ Accommodative + +156 +00:11:40,240 --> 00:11:43,220 +Esotropia الـ Refractive Accommodative Esotropia + +157 +00:11:43,220 --> 00:11:47,520 +ولو لأسابيع بسيطة ممكن يخلي جزء من الحوال مايتصلحش + +158 +00:11:47,520 --> 00:11:50,800 +بال correction صار جزء بتصلح بال correction وجزء + +159 +00:11:50,800 --> 00:11:54,060 +بتصلحش بال correction زي الأرقام اللي احنا + +160 +00:11:54,060 --> 00:11:58,620 +شايفينها ايش هذا بيعطينا رسالة انه بمجرد ما اكتشف + +161 +00:11:58,620 --> 00:12:03,360 +انا كفاحس انه في طفل عنده Refractive Accommodative + +162 +00:12:03,360 --> 00:12:07,580 +Esotropia ال full correction بدون اي تأخيرالـ full + +163 +00:12:07,580 --> 00:12:12,060 +correction بدون أي تأخير تمام نصبر عليه شوية ما + +164 +00:12:12,060 --> 00:12:17,580 +نصبرش عليهش لأ ما نصبرش بده يلبس النضارة و يلبسها + +165 +00:12:17,580 --> 00:12:22,280 +طول النهار و يلبسها طول النهار حتى يظل في خانة الـ + +166 +00:12:22,280 --> 00:12:26,600 +fully accommodative esotropia بعض المقولة تانية أو + +167 +00:12:26,600 --> 00:12:31,300 +حقيقة علمية تانية أو نظرية تانية أن هنا تأخر في + +168 +00:12:31,300 --> 00:12:35,740 +العلاج النظرية التانية بتقول أن هذه esotropia + +169 +00:12:38,060 --> 00:12:41,500 +وصار بعديها accommodative component يعني هي + +170 +00:12:41,500 --> 00:12:45,020 +إيزوتروبيا مش accommodative بالأساس و بعد إكس + +171 +00:12:45,020 --> 00:12:49,280 +انضاف لها accommodative يعني إيش component + +172 +00:12:49,280 --> 00:12:55,880 +accommodative component كيف هدا الكلام ساق انسان + +173 +00:12:55,880 --> 00:12:59,720 +عمره سنتين ال refractive error بتاعه within normal + +174 +00:12:59,720 --> 00:13:06,830 +يعني مثلا plus واحد و نص كده و عنده إيزوتروبياكبر + +175 +00:13:06,830 --> 00:13:10,870 +تمام احنا معروف الطفل لما بيكبر ال curve بتاع ال + +176 +00:13:10,870 --> 00:13:14,890 +hypermetropia بيزيد بالذات بين عمره سنتين و ست + +177 +00:13:14,890 --> 00:13:19,190 +سنوات تمام فلما الاجي انا على الفحص انه بعد سنة + +178 +00:13:19,190 --> 00:13:22,110 +صار عمره تالت سنين و عنده مثلا plus تلاتة او plus + +179 +00:13:22,110 --> 00:13:27,070 +اربعة بدي اصلحله يعني بالغالب هيتصلح جزء من الحوال + +180 +00:13:27,070 --> 00:13:30,830 +تمام مش هيتصلح الحوال كله فهيصف في المجموعة + +181 +00:13:30,830 --> 00:13:33,370 +التانية اذا عندي ال accommodative esotropia + +182 +00:13:33,370 --> 00:13:37,340 +المجموعة الكبيرة الأولى منها ايشrefractive الـ + +183 +00:13:37,340 --> 00:13:40,720 +refractive تنقسم لـ fully accommodative و + +184 +00:13:40,720 --> 00:13:42,680 +partially accommodative الـ fully accommodative + +185 +00:13:42,680 --> 00:13:47,080 +بتصلح تماما بالنضارة at all distances كيف أعرف أنه + +186 +00:13:47,080 --> 00:13:50,760 +تصلح قياس الحوال بالنضارة على ال distance و على ال + +187 +00:13:50,760 --> 00:13:55,340 +near مافيش عندي squint تمام و فحوصات ال stereopsis + +188 +00:13:55,340 --> 00:13:58,740 +اللي بأجريها إليه يعني بتعطي good stereopsis ال + +189 +00:13:58,740 --> 00:14:03,490 +partially accommodative بيجيلبس مابتصلحش بالنضارة + +190 +00:14:03,490 --> 00:14:07,750 +كاملا تمام جزء منه بتصلح بالنضارة وجزء مابتصلحش + +191 +00:14:07,750 --> 00:14:11,270 +بالنضارة إيش أعمل للجزء الأخير هذا اللي مابتصلحش + +192 +00:14:11,270 --> 00:14:15,510 +بالنضارة هنحكي عنه في ال treatment نيجي للمجموعة + +193 +00:14:15,510 --> 00:14:20,470 +الإمرار بتلخبط شوية اللي هي مجموعة ال non + +194 +00:14:20,470 --> 00:14:25,190 +refractive يعني لو بدنا نسأل سؤال لو بدنا نسأل + +195 +00:14:25,190 --> 00:14:32,030 +سؤال احنا قولنا ال accommodative isotropiaفي منها + +196 +00:14:32,030 --> 00:14:35,330 +refractive هذه اتكلمنا عنها و في منها non + +197 +00:14:35,330 --> 00:14:39,860 +refractiveالـ non refractive إيش يعني non + +198 +00:14:39,860 --> 00:14:44,500 +refractive؟ يعني مافيش refractive error بس في + +199 +00:14:44,500 --> 00:14:48,040 +accommodation ولا مافيش؟ لابد يكون لأن كلها تندرج + +200 +00:14:48,040 --> 00:14:51,760 +تحت كلمة accommodative بس هنا السبب مش ال + +201 +00:14:51,760 --> 00:14:53,940 +refractive error يعني ال refractive error ممكن + +202 +00:14:53,940 --> 00:14:58,120 +يكون طبيعي ومناسب لعمر الطفل اللي عنده non + +203 +00:14:58,120 --> 00:15:01,800 +refractive accommodative esotropia الآن السبب + +204 +00:15:01,800 --> 00:15:07,200 +بتاعها high AC على A ratiohigh AC على ايه ال ratio + +205 +00:15:07,200 --> 00:15:11,180 +احنا قولنا ايش هو ال AC على ايه ال ratio ال + +206 +00:15:11,180 --> 00:15:15,560 +accommodative convergence على ال accommodation + +207 +00:15:15,560 --> 00:15:20,620 +يعني قداش بيصير عندي convergence لكل one diopter + +208 +00:15:20,620 --> 00:15:24,460 +of accommodation النسبة الطبيعية من تلاتة لخمسة + +209 +00:15:24,460 --> 00:15:30,000 +برزم diopter لكل واحد diopter of accommodation طيب + +210 +00:15:30,000 --> 00:15:33,220 +لما بقول high AC على ايه ال ratio نفرض تمانية + +211 +00:15:33,220 --> 00:15:37,730 +لواحد النسبةمعناته هذا القفل اللي عنده تمانية + +212 +00:15:37,730 --> 00:15:43,450 +لواحد تمام عشان يطلع ع target عبوعد متر تمام لازم + +213 +00:15:43,450 --> 00:15:46,610 +يبذل واحد diopter of accommodation إذا تخيلنا أنه + +214 +00:15:46,610 --> 00:15:50,090 +M تروب تمام مافيش عنده refractive error واحنا + +215 +00:15:50,090 --> 00:15:54,830 +سميناها إيش non refractive مقابل هذه التمانية بده + +216 +00:15:54,830 --> 00:15:59,070 +يبذل إيش تمانية prism مقابل ال one diopter بده + +217 +00:15:59,070 --> 00:16:03,340 +يبذل تمانية prismof convergence طب لو بدى تطلع على + +218 +00:16:03,340 --> 00:16:09,220 +بعد ربع متر ع target بدى يبذل قداش ربع متر بدى + +219 +00:16:09,220 --> 00:16:14,180 +يبذل اربعة diopters of accommodation مقلوب المسافة + +220 +00:16:14,180 --> 00:16:17,600 +مصبوط اربعة diopters of accommodation معناته بدى + +221 +00:16:17,600 --> 00:16:21,440 +يبذل convergence اتنين و تلاتين برزم ديوبتر عينى + +222 +00:16:21,440 --> 00:16:24,060 +بدهم يدخلوا لجوا طبعا هذا هيكون + +223 +00:16:27,030 --> 00:16:31,130 +يعني أكتر من الـ fusional divergence بتاعه هتنشأ + +224 +00:16:31,130 --> 00:16:34,930 +إيزوتروبيا خصائص الإيزوتروبيا في الـ non + +225 +00:16:34,930 --> 00:16:38,610 +refractive اللي بيميزها عن ال refractive الفرق بين + +226 +00:16:38,610 --> 00:16:40,930 +ال distance measurement و ال near measurement + +227 +00:16:40,930 --> 00:16:46,150 +تمام؟ احنا قلنا هذا مرتبط بال high AC على A ratio + +228 +00:16:46,150 --> 00:16:48,990 +و ال AC على A ratio شغله في ال near لأنه + +229 +00:16:48,990 --> 00:16:52,890 +accommodation تمام؟ مش في ال distance إذا لجينا + +230 +00:16:52,890 --> 00:16:57,760 +فرق بين ال distance و ال nearإذا وجدنا إيزوتروبيا + +231 +00:16:57,760 --> 00:17:02,080 +في النيار أكتر فرق أكتر من عشر بريزم بدأ أتوقع + +232 +00:17:02,080 --> 00:17:06,160 +high EC على high ratio بمعنى حسن جستيلو + +233 +00:17:06,160 --> 00:17:08,780 +الإيزوتروبيا على ال distance طلعت عشرين بريزم + +234 +00:17:08,780 --> 00:17:14,960 +عشرين بريزم وعلى النيارالإيزو تروبيا على النيار + +235 +00:17:14,960 --> 00:17:18,860 +طلعت اربعين بريزم جداش الفرق بينهم اكتر من عشرة + +236 +00:17:18,860 --> 00:17:22,040 +ايش اللي خليها تزيد الإيزو تروبيا على النيار لازم + +237 +00:17:22,040 --> 00:17:27,980 +اتوقع ان في عندى high AC على A ratio + +238 +00:17:27,980 --> 00:17:35,600 +طيب هذا ال high AC على A ratio مش شرط انه يكون فيه + +239 +00:17:35,600 --> 00:17:40,240 +refractive errorبالعكس بعضهم بيكون في عنده mild + +240 +00:17:40,240 --> 00:17:44,020 +hypermetropia مناسبة لسنه مش أكتر من ال plus اتنين + +241 +00:17:44,020 --> 00:17:47,700 +اتنين و ربع تمام مناسبة لعمر الطفل بعتبرهاش + +242 +00:17:47,700 --> 00:17:51,520 +hypermetropia significant و ممكن يكون M-troph و + +243 +00:17:51,520 --> 00:17:55,550 +بعضهم حتى even ممكن يكون myopicrefraction عنده + +244 +00:17:55,550 --> 00:17:59,530 +تمام ومع ذلك بيكون عنده إيزوتروبيا على النيار أكتر + +245 +00:17:59,530 --> 00:18:03,130 +من ال distance بمقدار يفوق العشراء prison diopter + +246 +00:18:03,130 --> 00:18:08,090 +إذا بتوقع high AC على A ratio هذا السبب فيها هذا + +247 +00:18:08,090 --> 00:18:12,910 +السبب فيها طب إيش الفايدة من تقسيمها فايدة من + +248 +00:18:12,910 --> 00:18:16,470 +تقسيمها high refractive و non refractive أعرف + +249 +00:18:16,470 --> 00:18:20,670 +وسيلة العلاج أعرف وسيلة العلاج طيب قبل ما نقول + +250 +00:18:20,670 --> 00:18:27,540 +وسيلة العلاجبنقول عن شغلة معينة احنا بنقول high A + +251 +00:18:27,540 --> 00:18:37,860 +C على A ratio اذا قلنا احنا سين على صد هو كسر متى + +252 +00:18:37,860 --> 00:18:43,200 +يكبر هذا الكسر؟ اذا كبر البصد يعني اذا زادت سين + +253 +00:18:43,200 --> 00:18:51,680 +اذا زادت سين او اذا قلت صد مظبوط + +254 +00:18:53,610 --> 00:18:58,630 +لما بينجس المقام الكثير كله بيزيد لما بيزيد البسط + +255 +00:18:58,630 --> 00:19:03,230 +الكثير كله بيزيد بمعنى لما بنقول ال accommodative + +256 +00:19:03,230 --> 00:19:06,570 +convergence ع ال accommodation ratio هذا كله ال + +257 +00:19:06,570 --> 00:19:10,910 +ratio امتى بيزيد اما لما يزيد ال convergence او + +258 +00:19:10,910 --> 00:19:14,850 +لما يقلل ال accommodation يضعف ال accommodation + +259 +00:19:14,850 --> 00:19:20,310 +اذا كان ال AC على A ratio زايد بسبب زيادة ال + +260 +00:19:20,310 --> 00:19:23,390 +accommodative convergence بتسمى convergence excess + +261 +00:19:25,030 --> 00:19:29,690 +non refractive accommodative esotropia due to + +262 +00:19:29,690 --> 00:19:38,290 +convergence axis وحنقول كيف نفرج بينهم إذا زاد هذا + +263 +00:19:38,290 --> 00:19:41,430 +الكمية هذه زادت كلها نتيجة ان ال accommodation + +264 +00:19:41,430 --> 00:19:46,430 +ضعيف بتسمى hypo accommodative convergence axis + +265 +00:19:46,430 --> 00:19:48,810 +هنشرح كل واحدة على حدة + +266 +00:19:51,680 --> 00:19:54,620 +هاي سر التجسيمة ل convergence excess وhypo + +267 +00:19:54,620 --> 00:19:58,180 +accommodative convergence excess نرجع نشرحها + +268 +00:19:58,180 --> 00:20:03,020 +بالتدريج البطيء إيجى حسن عن مؤسسة أو العيادة عن + +269 +00:20:03,020 --> 00:20:07,960 +مؤسسة الصحية عنده إيزوتروبيا عمره تلت سنين عنده + +270 +00:20:07,960 --> 00:20:12,060 +إيزوتروبيا جسناها على ال distance لجناها خمستاشر + +271 +00:20:12,060 --> 00:20:16,740 +prism على ال near لجناها خمسة خليني أقول سبعة + +272 +00:20:16,740 --> 00:20:23,060 +وعشرين prism متوقع أنه يكون عندهAC على ALCO قبل ما + +273 +00:20:23,060 --> 00:20:26,880 +نقول في أي مجموعة عملنا له refractive error طلع + +274 +00:20:26,880 --> 00:20:30,640 +واحد وخمسة وسبعين في المية ضيوبة في ال both eye + +275 +00:20:30,640 --> 00:20:33,460 +هذا مش significant hypermetropia اللي اقول هذا + +276 +00:20:33,460 --> 00:20:36,560 +refractive accommodative هذا non refractive بس + +277 +00:20:36,560 --> 00:20:40,600 +accommodative كيف عرفت انه accommodative بدليل انه + +278 +00:20:40,600 --> 00:20:43,560 +زاد عن near و ال near هو اللي بلزم ال + +279 +00:20:43,560 --> 00:20:47,380 +accommodation طيب الان صار عندى هذا اسمه non + +280 +00:20:47,380 --> 00:20:50,060 +refractive non refractive + +281 +00:20:53,340 --> 00:20:58,660 +non refractive accommodative + +282 +00:20:58,660 --> 00:21:05,160 +esotropia بس تحت اي band بده ينزل بده اشوف هل ال + +283 +00:21:05,160 --> 00:21:08,860 +accommodation عنده ضعيف ولا ال convergence عنده + +284 +00:21:08,860 --> 00:21:13,400 +زائد انا من فرق ال near وال distance بقول انه عنده + +285 +00:21:13,400 --> 00:21:16,940 +high AC على A ratio هذه متفق عليها بس بضل احطه تحت + +286 +00:21:16,940 --> 00:21:20,240 +اي band من البنات في حاجة درسناها في حوال واحد + +287 +00:21:20,240 --> 00:21:24,860 +اسمها ال near point of accommodationإيش يعني ال + +288 +00:21:24,860 --> 00:21:29,720 +near point of accommodation؟ أقرب نقطة بيقدر يعمل + +289 +00:21:29,720 --> 00:21:35,260 +عليها clear focus و بتنجس بال RAF rule فالطبيعي + +290 +00:21:35,260 --> 00:21:38,720 +هذه ال near point of accommodation بتكون متناسبة + +291 +00:21:38,720 --> 00:21:44,040 +مع السن حسن سنه قداش؟ تلت سنوات أو أربع سنوات أو + +292 +00:21:44,040 --> 00:21:48,480 +خمس سنوات تمام فحصله ال near point of + +293 +00:21:48,480 --> 00:21:54,870 +accommodation اللي جيتها عشرين صنطيبعيدة معناته ال + +294 +00:21:54,870 --> 00:21:57,850 +accommodation عنده ضعيف مش جادر يعمل accommodation + +295 +00:21:57,850 --> 00:22:03,250 +طيب الإنسان اللي مش جادر يعمل accommodation يعني + +296 +00:22:03,250 --> 00:22:09,730 +مش جادر يوضح إيش الصورة إدماغه إيش هيعمل؟ هيعطي + +297 +00:22:09,730 --> 00:22:17,120 +order لل accommodation بزيادة تمام؟ مش جادرمش قادر + +298 +00:22:17,120 --> 00:22:22,300 +يعمل accommodation، هيضل الدماغ يعطي إرساليات + +299 +00:22:22,300 --> 00:22:26,400 +وشحنات عصبية عشان يع .. لل crystalline lens + +300 +00:22:26,400 --> 00:22:30,260 +للcellular ring عشان يعمل accommodation وفي نفس + +301 +00:22:30,260 --> 00:22:34,940 +الوقت الدماغ طالما بعت لل accommodation هيبعت لل + +302 +00:22:34,940 --> 00:22:38,200 +accommodative convergence فهيصير في عندي over + +303 +00:22:38,200 --> 00:22:41,740 +convergenceال convergence بيلبي و ال accommodation + +304 +00:22:41,740 --> 00:22:45,880 +مش قادر يلبيه تمام ال convergence بيلبي يعني بيقدر + +305 +00:22:45,880 --> 00:22:49,240 +ينفذ ال order بتاع الدماغ فبيصير over convergence + +306 +00:22:49,240 --> 00:22:53,020 +سببه ضعف ال accommodation فبيسموه hypo + +307 +00:22:53,020 --> 00:22:57,040 +accommodative convergence excess هو convergence + +308 +00:22:57,040 --> 00:23:00,060 +excess نتج بالأساس عن ضعف ال accommodation + +309 +00:23:00,060 --> 00:23:04,680 +فبالتالي بقول حسن بالمواصفات هاي عنده non + +310 +00:23:04,680 --> 00:23:10,840 +refractive accommodative esotropia نهج عنhigh AC + +311 +00:23:10,840 --> 00:23:14,980 +على A ratio اللي بدوره ناتج عن ضعف المقام اللي هو + +312 +00:23:14,980 --> 00:23:20,360 +ال accommodation إحسين عنده نفس المواصفات بس اللهم + +313 +00:23:20,360 --> 00:23:23,000 +لما جيستلوا ال near point of accommodation طلعت + +314 +00:23:23,000 --> 00:23:30,350 +سبعة صندوق طبيعية طبيعية طبيعية تمام الآنعنده high + +315 +00:23:30,350 --> 00:23:32,970 +AC على A ratio معناته عنده ال convergence اللي + +316 +00:23:32,970 --> 00:23:35,670 +زايد طب كيف عرفت أنه ال accommodation مش ضايق + +317 +00:23:35,670 --> 00:23:40,390 +normal near point of accommodation بمعنى هدول + +318 +00:23:40,390 --> 00:23:44,470 +اتنين بيفرجوا عن بعض فقط في ال NPA near point of + +319 +00:23:44,470 --> 00:23:47,730 +accommodation في الأولاني لازم تكون طبيعية و في + +320 +00:23:47,730 --> 00:23:52,130 +التاني لازم تكون ابعيدة ابعيدة مش نجيب إنسان مثلا + +321 +00:23:52,960 --> 00:23:56,240 +عمره اربعين سنة ونقول هذا عنده hypo accommodative + +322 +00:23:56,240 --> 00:23:59,300 +لأنها مثلا عنده على اربعين سانتي ال near point of + +323 +00:23:59,300 --> 00:24:02,200 +accommodation هذا حسب السنة ال near point of + +324 +00:24:02,200 --> 00:24:05,900 +accommodation بتبعد وبينشأ بعديها القضية ايش + +325 +00:24:05,900 --> 00:24:12,980 +leprospiopia طيب نضرب مثال تاني مثال تاني عشان + +326 +00:24:12,980 --> 00:24:18,740 +تتضح الأمور الآن علي عنده ايزوترابيا على ال + +327 +00:24:18,740 --> 00:24:25,600 +distanceسبعتاشر Prism عمره طبعا ست سنوات وعلى + +328 +00:24:25,600 --> 00:24:32,130 +النية عنده خمسة و تلاتين Prism، إيش تتوقعوا؟لسه + +329 +00:24:32,130 --> 00:24:37,730 +مابنقولش نام refractive عنده plus خمسة في العين + +330 +00:24:37,730 --> 00:24:41,350 +اليمين و plus ستة في العين الشمال هذا بيصفي ايش + +331 +00:24:41,350 --> 00:24:47,130 +mixed هذا بيصفي mixed انا بالمثال هذا بس بدي اوضح + +332 +00:24:47,130 --> 00:24:49,570 +انه ال mixed عبارة عن refractive يعني + +333 +00:24:49,570 --> 00:24:53,930 +hypermetropiaالها دور في قضية ال ISO و non + +334 +00:24:53,930 --> 00:24:57,790 +refractive ايضا عنده المشكلتين عنده high AC على + +335 +00:24:57,790 --> 00:25:00,590 +air ratio و عنده refractive error فبالتالي لما + +336 +00:25:00,590 --> 00:25:05,310 +بنرجع بنذكر حالنا بال accommodative isotropy ككل + +337 +00:25:05,310 --> 00:25:09,290 +نرسم شجرتها الشجرة refractive و non refractive و + +338 +00:25:09,290 --> 00:25:12,010 +mixed ايش المقصود بال refractive؟ accommodative + +339 +00:25:12,010 --> 00:25:16,170 +isotropy ال accommodation الناتج عن ال refractive + +340 +00:25:16,170 --> 00:25:17,950 +error مين ال refractive error اللي بيعمللي + +341 +00:25:17,950 --> 00:25:20,710 +accommodation؟ هل هو الميوبيا؟الميوبيا بالعكس + +342 +00:25:20,710 --> 00:25:23,650 +بتريح ال accommodation إذا ال hypermetropia هي + +343 +00:25:23,650 --> 00:25:27,690 +اللي بتعمل كل ما زادت ال hypermetropia كل ما زاد + +344 +00:25:27,690 --> 00:25:30,590 +الحاجة لل accommodation عشان أوضح الصورة على ال + +345 +00:25:30,590 --> 00:25:35,210 +retina طيب زاد ال accommodation تلقائي لازم يزيد + +346 +00:25:35,210 --> 00:25:39,230 +ال convergence مافيش indifusional divergence يعمل + +347 +00:25:39,230 --> 00:25:42,630 +control للموضوع فبتصير إيش إيزوتروبياإذا + +348 +00:25:42,630 --> 00:25:46,090 +الإيزوتروبيا على ال distance على النيار متساوية أو + +349 +00:25:46,090 --> 00:25:49,010 +متقاربة، مافيش فارق كبير بينهم، أقل من عشرة + +350 +00:25:49,010 --> 00:25:52,250 +الفارق، معناته إيش؟ هذه refractive نتجة عن + +351 +00:25:52,250 --> 00:25:56,010 +refractive error الآن إذا كان فيه فارق أكتر من + +352 +00:25:56,010 --> 00:26:00,050 +عشرة prism، هذه non refractive طبعا إذا كان + +353 +00:26:00,050 --> 00:26:02,950 +refractive error طبيعي، يعني واحد، واحد و نص، واحد + +354 +00:26:02,950 --> 00:26:06,960 +و ربع، واحد و تلت تربع، مازادش عن اتنينممكن يكون + +355 +00:26:06,960 --> 00:26:09,640 +عندى mixed اه ممكن يكون عندى mixed ممكن يكون عندى + +356 +00:26:09,640 --> 00:26:13,620 +high AC على A ratio وفي نفس الواجهة refractive + +357 +00:26:13,620 --> 00:26:17,220 +error عالى ال refractive error عالى بده full + +358 +00:26:17,220 --> 00:26:20,720 +correction حسب السن طبعا وال non refractive لسه + +359 +00:26:20,720 --> 00:26:25,120 +هنحكي عنه في إيش في حينه في ال treatmentإذا في + +360 +00:26:25,120 --> 00:26:29,200 +عندي refractive و non refractive و mixed ال non + +361 +00:26:29,200 --> 00:26:32,660 +refractive عفوا لها نوعين كيف أفرج بين النوعين + +362 +00:26:32,660 --> 00:26:37,060 +النوعين هم إما convergence excess نتيجة إنه ال AC + +363 +00:26:37,060 --> 00:26:42,720 +زايد ال AC هو اللي زايدأو hypo-accomodative + +364 +00:26:42,720 --> 00:26:45,480 +convergence excess الـ accommodation هو اللي ضعيف + +365 +00:26:45,480 --> 00:26:50,420 +إذا هذا زاد هيقدر أن الكسر كله يزيد إذا هذا ضعف + +366 +00:26:50,420 --> 00:26:54,160 +برضه هيقدر أن الكسر كله يزيد فبالتالي بتصفي عندي + +367 +00:26:54,160 --> 00:26:57,900 +AC على A ratio الفرق الوحيد بين الاتنين لازم + +368 +00:26:57,900 --> 00:27:03,420 +against the near point of accommodation + +369 +00:27:03,420 --> 00:27:06,600 +الـ mixed اللي هي refractive و non refractive + +370 +00:27:07,470 --> 00:27:12,050 +بأعطيش قراري إلا لما أخلص كل الفحص لأنه ممكن يكون + +371 +00:27:12,050 --> 00:27:16,010 +عندي high AC على A ratio وفي نفس الوقت في عندي بعض + +372 +00:27:16,010 --> 00:27:19,230 +الـcyclopedia طلع refractive error عالي فبسميهاش + +373 +00:27:19,230 --> 00:27:21,770 +non refractive بسميها mixed بسميها mixed + +374 +00:27:21,770 --> 00:27:29,330 +accommodative Esorotropia يا ترى يعني إيش العلاج + +375 +00:27:29,330 --> 00:27:34,850 +بتاع هدولة التلت أصناف العلاج بسيط جدا بدأنا احنا + +376 +00:27:34,850 --> 00:27:40,320 +نحكي عنه نرجع نكتبهنا Refractive, Accumulative, + +377 +00:27:40,740 --> 00:27:46,440 +Esotropia قولنا Fully Accumulative و Partially + +378 +00:27:46,440 --> 00:27:51,380 +Accumulative الـ + +379 +00:27:51,380 --> 00:27:58,980 +Fully Accumulative Full Cycloblgic Refraction + +380 +00:27:58,980 --> 00:28:05,180 +إذا أنا عملت بال Auto Refractometer الرقم اللي + +381 +00:28:05,180 --> 00:28:12,500 +بيطلع معايا بديك تحطيهبليك تحطيهطلع 12 plus 12 تحط + +382 +00:28:12,500 --> 00:28:17,100 +ال plus 12 ما تخافيش انك تحطه و بالذات تحت عمر 6 + +383 +00:28:17,100 --> 00:28:21,780 +سنوات و بالذات تحت عمر 6 سنوات بتذكره في آخر حول + +384 +00:28:21,780 --> 00:28:25,860 +واحد لما جولنا when to prescribe تحت عمر 6 سنوات و + +385 +00:28:25,860 --> 00:28:28,920 +عنده esotropia يعني accommodative esotropia لابد + +386 +00:28:28,920 --> 00:28:32,220 +من ياخد full cycloplegic refraction الآن اذا انا + +387 +00:28:32,220 --> 00:28:34,880 +عملت ال refraction بواسطة ال retinoscope بس ال + +388 +00:28:34,880 --> 00:28:37,980 +working distance اللي بتنخصن و هي اصلا عادة احنا + +389 +00:28:37,980 --> 00:28:42,780 +بنخصمها في كلفي كل الحالات تأثير السيكلوبليجيك لأ + +390 +00:28:42,780 --> 00:28:46,560 +بدك تعطي ال full cycloblogic refraction عشان تمنع + +391 +00:28:46,560 --> 00:28:49,840 +أي نوع من ال accommodation لأن هذه سببه ال + +392 +00:28:49,840 --> 00:28:53,100 +accommodation انا بدي أشيل عن الدماغ موضوع ال + +393 +00:28:53,100 --> 00:28:56,340 +accommodation ليش بدي أشيل عن الدماغ عشان مايصيرش + +394 +00:28:56,340 --> 00:29:00,000 +convergence ليش بديش يصير convergence لأن مافيش + +395 +00:29:00,000 --> 00:29:03,500 +اندفيوجينال divergence كافي ليمنع الisotropia + +396 +00:29:03,500 --> 00:29:07,790 +فبالتالي انا بدي أشيل موضوعال accommodation بيصير + +397 +00:29:07,790 --> 00:29:11,310 +عشان توضيح الصورة ع الشبكية انا هوضحله بواسطة ال + +398 +00:29:11,310 --> 00:29:14,870 +plus lenses اللي تعمل focusing على ال retina + +399 +00:29:14,870 --> 00:29:20,350 +وبالتالي توضح الأمور طيب الآن بعد سن ست سنوات بدأ + +400 +00:29:20,350 --> 00:29:25,930 +أعمل weaning فطام عن النضارة بالتدريج تمام بمعنى + +401 +00:29:25,930 --> 00:29:35,650 +نضرب مثال على ذلك انسان .. انسان في عمر سنتينلسن + +402 +00:29:35,650 --> 00:29:42,670 +خمس سنوات تمام بيلبس plus 4 بدون ال plus 4 بدون ال + +403 +00:29:42,670 --> 00:29:47,010 +plus 4 عنده esotropia على ال distance وعلى النير + +404 +00:29:47,010 --> 00:29:52,670 +عشرين prison تمام سيسي على ال distance وعلى النير + +405 +00:29:52,670 --> 00:29:58,910 +مثلا orthon يعني مافيش عنده ولا حاجة الآن لما بلغ + +406 +00:29:58,910 --> 00:30:03,370 +سن الخمس سنوات ضالت الأربعة أربعة بس أنا جربت + +407 +00:30:03,370 --> 00:30:08,010 +بالتلاتة أفحصهملجيت انه على ال distance و النيار + +408 +00:30:08,010 --> 00:30:12,850 +بيعطيني اربعة Prism Diopter Esotropia بعطيله ال + +409 +00:30:12,850 --> 00:30:16,990 +ash التلاتة ليش بعطيله التلاتة؟ طب ما هيضل عنده + +410 +00:30:16,990 --> 00:30:21,550 +نتفة ash؟Esotropia بدي أبدأ أدرب ال fusional + +411 +00:30:21,550 --> 00:30:25,350 +divergence اللي عنده انه يبدأ يشتغل مابنفعش أسيبه + +412 +00:30:25,350 --> 00:30:29,630 +زي هذا فبالتالي انا الأربعة أربعة بتحقيقلي Ortho + +413 +00:30:29,630 --> 00:30:33,590 +بس هذه جريبة جدا من ال Ortho وهذه هتعمل مش هتكون + +414 +00:30:33,590 --> 00:30:37,550 +تجيلة كتير على دماغه قضية الأربعة Prism اللي هو + +415 +00:30:37,550 --> 00:30:40,210 +Esotropia على ال distance انية هيبدأ يعمل ال + +416 +00:30:40,210 --> 00:30:43,870 +fusional يمرر ال fusional divergence عنده ومع مرور + +417 +00:30:43,870 --> 00:30:48,060 +الوقت أنا التلاتة هذه ممكن أنزلهاو بعد هيك يعني + +418 +00:30:48,060 --> 00:30:51,700 +ممكن انا اشيل النضارة اذا ببدأ في عملية ال + +419 +00:30:51,700 --> 00:30:55,220 +weighing يعني + +420 +00:30:55,220 --> 00:30:59,300 +بعد سن الست سنوات بحيث انه بالتدريج انا اعمل فطام + +421 +00:30:59,300 --> 00:31:04,880 +عن النضارة و ابدأ اخففليها طبعا انا يكون عندي + +422 +00:31:05,330 --> 00:31:09,470 +حاجتين اتبعهم نظبط و انا بانزل فيه قياس النضارة + +423 +00:31:09,470 --> 00:31:13,110 +يعني بعد ما انازله قياس النضارة بدي اشوف ايش وضع + +424 +00:31:13,110 --> 00:31:17,590 +ال squint ال ISO و بدي اشوف وضع ال vision يعني مش + +425 +00:31:17,590 --> 00:31:19,950 +.. مش اشي على حساب اشي يعني اذا ال vision مقبول + +426 +00:31:19,950 --> 00:31:23,910 +عندي و مااختلفش كتير بين ال plus 4 و ال plus 3 او + +427 +00:31:23,910 --> 00:31:28,270 +ضال زي ما هو انا بخليه يلبس ال plus 3 على اساس انه + +428 +00:31:28,270 --> 00:31:31,910 +ايش يبدأ يعمل و ينشط ال fusional divergence عشان + +429 +00:31:31,910 --> 00:31:35,360 +مايضالش طول حياته على النضارةالـ partial + +430 +00:31:35,360 --> 00:31:39,300 +accommodative esotropia قلنا بتتصلح جزءيا بالنضارة + +431 +00:31:39,300 --> 00:31:43,380 +يعني كانت مثلا اربعين prism صفة تمانتاشر prism ايش + +432 +00:31:43,380 --> 00:31:48,200 +اعمل في ال تمانتاشر prism اكتير من اللي هو المدارس + +433 +00:31:48,200 --> 00:31:52,460 +الطبية بتقول انه هذه المدارس الطبية بتقول حسب + +434 +00:31:52,460 --> 00:31:58,310 +الزاوية اللي دلت وحسب رغبة الاهلفي هذه القضية يعني + +435 +00:31:58,310 --> 00:32:02,450 +طبعا احنا جراحيا اذا قررنا جراحة هذا المريض ممكن + +436 +00:32:02,450 --> 00:32:06,050 +يتتابع لغاية ما يطلب هو او يطلب اهله ان يجرأ له + +437 +00:32:06,050 --> 00:32:11,110 +عملية العملية تجرأ فقط على الجزء اللي ضايل بمعنى + +438 +00:32:11,110 --> 00:32:17,780 +ال 40 هشغل على 18 فقط مش على ال 40 كلها تمامبدهم + +439 +00:32:17,780 --> 00:32:21,540 +يفهموا الاهل تماما انه انا لما بشغل على التمنتاش + +440 +00:32:21,540 --> 00:32:25,760 +بيصير الطفل هادق و هو لابس النضارة Ortho Fish Skin + +441 +00:32:25,760 --> 00:32:29,240 +لما بيشتح النضارة الجزء اللي بتصلح بالنضارة اللي + +442 +00:32:29,240 --> 00:32:36,500 +هو ال 22 Prism تمام بتبين .. بتبين طبعا في هدول + +443 +00:32:36,500 --> 00:32:42,580 +التشخيصين لابد من الحث الدائم للاهل انه لابد من + +444 +00:32:42,580 --> 00:32:46,880 +ارتداء النضارة طول النهارطول النهار طبعا .. دكتور + +445 +00:32:46,880 --> 00:32:50,040 +لو سمحلي .. لو طالما يعني بتصلح بالجراحة يعني ليه + +446 +00:32:50,040 --> 00:32:53,580 +ما أصلح كل الأربعية؟ كيف؟ طالما بتصلح يعني + +447 +00:32:53,580 --> 00:32:56,100 +بالجراحة ليه ما أصلح كل الأربعية؟ بالظبط عشان + +448 +00:32:56,100 --> 00:32:59,660 +مايصيرش عندك consecutive exotropia بمعنى .. بمعنى + +449 +00:32:59,660 --> 00:33:03,760 +طبعا احنا عارفين إيش يعني consecutive exotropia + +450 +00:33:03,760 --> 00:33:08,700 +طبعا؟ الآن إنسان عنده plus 6 plus 6 أنت بتعتقدي + +451 +00:33:08,700 --> 00:33:13,930 +هذا ال plus 6بيقدر يشوف 6 على 6 بدون نضارة؟ صعب .. + +452 +00:33:13,930 --> 00:33:16,670 +صعب جدا انه يشوف 6 على 6 لأنه عنده high refractive + +453 +00:33:16,670 --> 00:33:22,310 +error هذا ب .. SC الإيزوتروبي عنده 40 برزم CC + +454 +00:33:22,310 --> 00:33:26,930 +الإيزوتروبي عنده 18 برزم okay؟ الأعلى و انت + +455 +00:33:26,930 --> 00:33:31,230 +اشتغلتي على الأربعين بيصير و هو شالح النضارة Ortho + +456 +00:33:31,990 --> 00:33:35,690 +بس ال vision عنده مش ستة ع ستة بدك تلبسي نضارة + +457 +00:33:35,690 --> 00:33:39,510 +هيصير consecutive exotropic وعشان هيك خدوها كقاعدة + +458 +00:33:39,510 --> 00:33:45,610 +في جميع أنواع الحوال الحوال بنشغل لما تاخد القياس + +459 +00:33:45,610 --> 00:33:51,610 +بالنضارة بالنضارة ببنشغل الاشي اللي بتصلح بالنضارة + +460 +00:33:51,610 --> 00:33:54,470 +كقاعدة الاشي اللي بتصلح بالنضارة فيشقله جراحة حوال + +461 +00:33:54,470 --> 00:33:58,550 +الاشي اللي بتصلحاش بالنضارة هو اللي بيجرى عليه + +462 +00:33:58,550 --> 00:34:05,020 +الحوالالـ fully accommodative مالوش أي جراحة، إله + +463 +00:34:05,020 --> 00:34:10,140 +نضارة فقط، بيصير السؤال التالي، هل .. أمتى هشلح + +464 +00:34:10,140 --> 00:34:15,010 +النضارة؟إيش بداء للنضارة؟ هل ألبس contact lenses؟ + +465 +00:34:15,010 --> 00:34:20,050 +هل أعمل LASIK في سن معين مثلا؟ إلى آخرين أما اللي + +466 +00:34:20,050 --> 00:34:22,650 +بدنا نفهمه تماما fully accommodative اللي علاجه + +467 +00:34:22,650 --> 00:34:26,630 +نضارة علاجه نضارة فقط اللي علاجه جراحة زي مثلا + +468 +00:34:26,630 --> 00:34:30,330 +قلنا early onset esotropia المحاضرة اللي فاتت احنا + +469 +00:34:30,330 --> 00:34:33,930 +قلنا التدخل الجراحي هو الحل الصحيح والحل اللي هو + +470 +00:34:33,930 --> 00:34:38,810 +ال ideal تمام؟ الآن ال partially accommodativeجزء + +471 +00:34:38,810 --> 00:34:42,090 +منها بتصلح بالنضارة والجزء الآخر مابتصلحش هذا + +472 +00:34:42,090 --> 00:34:45,950 +الجزء اللي بتصلحش بتبدو عملية جراحية توقيت العملية + +473 +00:34:45,950 --> 00:34:49,750 +برتبط بشغلتين كمية ال residual squint اللي ضايلة + +474 +00:34:49,750 --> 00:34:56,420 +كدهش ضال باقي كتير جدا ولا جليل ورغبة الأهلبدهم + +475 +00:34:56,420 --> 00:34:59,800 +يفهموا الأهل أيضا حتى مع رغبتهم لو أنه مثلا قرر + +476 +00:34:59,800 --> 00:35:04,540 +جراحة تدخل جراحي أنه الجراحة هتجرى على الجزء اللي + +477 +00:35:04,540 --> 00:35:07,800 +ضايل بمعنى و هو لابس النضارة هيبين عينيه كويسين و + +478 +00:35:07,800 --> 00:35:11,060 +أورثو بينما و هو شالح النضارة الجزء اللي بتصلح + +479 +00:35:11,060 --> 00:35:14,600 +بالنضارة هو اللي هيبين تمام فبالتالي هذه القضية + +480 +00:35:14,600 --> 00:35:21,660 +بدا تكون واضحة جدا ضال بس نحكي نقطة هنا في ال ..في + +481 +00:35:21,660 --> 00:35:26,760 +الموضوع ال .. ال accommodative esotropia عشان ما + +482 +00:35:26,760 --> 00:35:33,520 +ننساش بعض الناس هتستغربوا جدا بعض الناس في ال .. + +483 +00:35:33,520 --> 00:35:36,880 +في ال refractive accommodative esotropia بيجي عنده + +484 +00:35:36,880 --> 00:35:42,140 +plus 4 plus 4 و esotropia مقدارها تقريبا يعني جميل + +485 +00:35:42,140 --> 00:35:47,760 +35 ل40 prism diopterبيجي حالة تانية بعدها بتفوت + +486 +00:35:47,760 --> 00:35:56,080 +عندك عنده plus 10 و plus 9 و Ortho عارفين + +487 +00:35:56,080 --> 00:36:02,180 +تفسير الموضوع هذا لأ + +488 +00:36:02,180 --> 00:36:06,040 +مش قضية fusional divergence مش قضية fusional + +489 +00:36:06,040 --> 00:36:09,980 +divergence الان هذا ال plus 4 plus 4 ايزو المفروض + +490 +00:36:09,980 --> 00:36:15,250 +اتوقع ان هذا ايزو اكتر منه تمامالسبب في ذلك .. + +491 +00:36:15,250 --> 00:36:18,590 +السبب في ذلك القضية من ال accommodation إيش الهدف + +492 +00:36:18,590 --> 00:36:24,290 +منها؟ توضيح ال retinal image إذا كان الدماغ بذل + +493 +00:36:24,290 --> 00:36:29,210 +جهده عمل maximum accommodation وما أداش هذا لتوضيح + +494 +00:36:29,210 --> 00:36:32,510 +ال retinal image العينين بتريح، الدماغ خلاص أنا + +495 +00:36:32,510 --> 00:36:36,470 +بأطلب من العينين تعمل maximum accommodation عشان + +496 +00:36:36,470 --> 00:36:39,210 +توضح ال retinal image إذا ما وضحتش ال retinal + +497 +00:36:39,210 --> 00:36:42,300 +imageمش ضروري نعمل لا accommodation ولا + +498 +00:36:42,300 --> 00:36:46,040 +convergence يعني قضية ال .. ال accommodative + +499 +00:36:46,040 --> 00:36:50,000 +ايزوتروبيا كلها شغلات عشان انا تصلني صورة واضحة + +500 +00:36:50,000 --> 00:36:55,760 +على ال retinaتمام فبتبدأ سلسلة accommodation اه ال + +501 +00:36:55,760 --> 00:36:58,020 +accommodation كافي بس ال accommodation اذا اشتغل + +502 +00:36:58,020 --> 00:37:01,360 +قولا واحد ان لازم يشتغل ال convergence معاه تمام + +503 +00:37:01,360 --> 00:37:04,020 +ال convergence اشتغل ال fusional divergence + +504 +00:37:04,020 --> 00:37:07,820 +المفروض يعمله control عشان مايزيدش عن حده طيب ال + +505 +00:37:07,820 --> 00:37:10,460 +accommodation اشتغل ال maximum بتاعه مش قادر يوضح + +506 +00:37:10,460 --> 00:37:14,800 +ال retina ال image اللي plus عشرة ال image خلف ال + +507 +00:37:14,800 --> 00:37:18,830 +retina كتيرعشان تجيبه عادة انك تبذل plus 10 + +508 +00:37:18,830 --> 00:37:22,410 +diopter accommodation وهذا ممكن مايكونش في الإمكان + +509 +00:37:22,410 --> 00:37:25,970 +انه يبذل ويزيد قوة ال crystalline lens بمقدار plus + +510 +00:37:25,970 --> 00:37:29,650 +10 ديوبتر وبالتالي مش هيقدر يوضح فهو هتلاقي ايش + +511 +00:37:29,650 --> 00:37:35,070 +عدل مش معناته انه مابدوش تصليح مش معناته انه + +512 +00:37:35,070 --> 00:37:39,230 +مابدوش تصليح هذا بده تصليح عشان ال vision ممكن لما + +513 +00:37:39,230 --> 00:37:45,250 +تصلحيهتبدأ تلاحظ أنه بدأ يصير عنده إيزوتروبيا فهذه + +514 +00:37:45,250 --> 00:37:49,430 +القضية بدأت تشكل إنه حيرة السبب فيها إنه هذا جدر + +515 +00:37:49,430 --> 00:37:53,370 +يوضح فضله ماسك في ال accommodation وما دمه ماسك في + +516 +00:37:53,370 --> 00:37:55,910 +ال accommodation ال convergence شغال و ال fusional + +517 +00:37:55,910 --> 00:37:59,090 +divergence مش قادر يعمل control فهذا نشأ عنده و + +518 +00:37:59,090 --> 00:38:02,670 +هذا لم ينشأ عنده فتكون عندنا واضحة القضية نجي + +519 +00:38:02,670 --> 00:38:08,090 +لعلاج ال non refractive ال + +520 +00:38:08,090 --> 00:38:11,450 +non refractive accommodativeبقدر أحكي عنها مع + +521 +00:38:11,450 --> 00:38:15,150 +اليومتين بسيطات جدا، هتوضح إيش طريقة العلاج، هي + +522 +00:38:15,150 --> 00:38:17,730 +non-refractive، مافيش refractive قره، وهي + +523 +00:38:17,730 --> 00:38:20,350 +accommodative، إذا في accommodation، ال + +524 +00:38:20,350 --> 00:38:24,790 +accommodation يا بنات بيصير عوان، عن نير، إذا بدي + +525 +00:38:24,790 --> 00:38:28,010 +أنا لما الطفل يتطلع على نير target، مايصيرش عنده + +526 +00:38:28,010 --> 00:38:32,880 +accommodation، كيف؟بال by focal ممتازين جدا صحيح + +527 +00:38:32,880 --> 00:38:36,580 +جدا يعني انا هادي ال non refractive اللي هي high + +528 +00:38:36,580 --> 00:38:40,000 +AC على A ratio بديش يعمل accommodation حتى لو + +529 +00:38:40,000 --> 00:38:42,800 +ماكانش عنده refractive error هو اللي ماعندهش + +530 +00:38:42,800 --> 00:38:47,290 +refractive error بيعمل accommodationكلنا بنعمل + +531 +00:38:47,290 --> 00:38:51,430 +accommodation تمام، إذا أنا إنسان in مترو وابدأ + +532 +00:38:51,430 --> 00:38:54,710 +أطلع أتولت متر لازم أبلغ .. أبلغ plus تلاتة، ده + +533 +00:38:54,710 --> 00:38:58,250 +يبتر، أنا هذا البني آدم اللي عنده non refractive + +534 +00:38:58,250 --> 00:39:01,730 +مش هصلحله refractive error على ال distance، بس + +535 +00:39:01,730 --> 00:39:06,050 +هصلحلهما هو مطلوب منه من accommodation انا هعمله + +536 +00:39:06,050 --> 00:39:09,810 +عنه بواسطة ال buy focus اذا ال near add عنده بيكون + +537 +00:39:09,810 --> 00:39:14,850 +plus 2.5 ل plus 3 حسب المسافة اللي هو بيجرى عليها + +538 +00:39:14,850 --> 00:39:18,670 +او بيشتغل عليها او بيلعب فيها تمام فبالتالي plus 2 + +539 +00:39:18,670 --> 00:39:25,190 +.5 ل plus 3 يعني من 40 cm ل 33 cm بيضاف add له + +540 +00:39:25,190 --> 00:39:29,170 +وساعتها هتكون ال near و ال distance نفس الاشي طب + +541 +00:39:29,170 --> 00:39:33,300 +لو انه mixedبدي اعطيله الـ Refractive Correction + +542 +00:39:33,300 --> 00:39:37,080 +الـ Full Cycloblgic Correction و اضيف الـ Add لـ + +543 +00:39:37,080 --> 00:39:41,180 +Near لـ Near Segment بمعنى نضرب أمثلة على ذلك + +544 +00:39:41,180 --> 00:39:45,280 +بنقول حسن عنده Non Refractive Accumulative + +545 +00:39:45,280 --> 00:39:49,960 +Esotropia تمام؟ الآن هذه الـ Non Refractive على ال + +546 +00:39:49,960 --> 00:39:57,900 +distance أربعة prison و على النيادتلاتين prism هذا + +547 +00:39:57,900 --> 00:40:01,840 +high AC على اي ratio ولا لأ طيب لو فرضنا ان ال + +548 +00:40:01,840 --> 00:40:04,800 +near و ال distance اربعة prism ايش بيلزموه؟ ولا + +549 +00:40:04,800 --> 00:40:07,780 +حاجة بيلزموش ولا حاجة ماعندوش refractive error + +550 +00:40:07,780 --> 00:40:13,940 +significant هذا بده يلبس bifocal تمام consecutive + +551 +00:40:13,940 --> 00:40:17,260 +او executive عفوا executive type ايش يعني ال + +552 +00:40:17,260 --> 00:40:23,270 +executive type؟اللي هو ال E-style تمام بحيث انه + +553 +00:40:23,270 --> 00:40:29,890 +بالظبط انه يعمل ال crossing هذا الحد بين ال + +554 +00:40:29,890 --> 00:40:32,450 +distance segment و ال near segment يعمل ال + +555 +00:40:32,450 --> 00:40:34,790 +crossing بعض الكتب بتحكي انه لازم يعمل ال crossing + +556 +00:40:34,790 --> 00:40:38,390 +لنص ال pupil و الكتب التانية بتحكي انه لل lower + +557 +00:40:38,390 --> 00:40:45,130 +border of pupil بده يعمل طبعا throw bifocal لبسناه + +558 +00:40:45,130 --> 00:40:49,540 +bifocal و حطناله في ال near تلاتة تمامThrough + +559 +00:40:49,540 --> 00:40:52,740 +Bifocal على الـ distance أربعة بريزم وعن نير أربعة + +560 +00:40:52,740 --> 00:41:00,320 +بريزم إيش رأيكم؟ هذه result ممتازة جدا جدا تمام؟ + +561 +00:41:00,320 --> 00:41:06,520 +وبالتالي هذا قضية القضية التانية إحسين عنده نفس + +562 +00:41:06,520 --> 00:41:13,120 +القضية إحسين عنده عشرين + +563 +00:41:13,120 --> 00:41:16,020 +بريزم وانا هنا خمسة و تلاتين بريزم عنده + +564 +00:41:16,020 --> 00:41:22,180 +hypermetropia plus أربعةفي كل عين كيف نكتبله وصفة + +565 +00:41:22,180 --> 00:41:28,490 +او عمره تلت سنوات؟ ايش رأيكم؟بتعطي full correction + +566 +00:41:28,490 --> 00:41:33,130 +على ال distance plus 4 تمام و بتضيف فجها ال add + +567 +00:41:33,130 --> 00:41:37,890 +يعني بتصير نضارته ك bifocal plus 4 و ال add هنا + +568 +00:41:37,890 --> 00:41:42,030 +هتصار .. هتصار كلها total plus 7 اللي هي ال 4 مع + +569 +00:41:42,030 --> 00:41:45,210 +ال plus 3 هتلاقي أنه على ال near و على ال distance + +570 +00:41:45,210 --> 00:41:49,070 +صار أموره كويسة فهذا في ال mixed هذا يسمى mixed + +571 +00:41:49,650 --> 00:41:52,190 +لأنه عنده Refractive Error Significant Refractive + +572 +00:41:52,190 --> 00:41:56,150 +Error وعنده High AC على A Ratio اللي هو الفرج أنه + +573 +00:41:56,150 --> 00:41:59,890 +على الـ Near الـ ESO أكتر من .. تفرج أكتر من عشرة + +574 +00:41:59,890 --> 00:42:06,030 +Prism عن ال distance فبالتالي لكل حالة بتعامل هذا + +575 +00:42:06,030 --> 00:42:10,230 +الآن ضال في العلاج أنه هنا في أربع أنواع من + +576 +00:42:10,230 --> 00:42:14,430 +العلاجات أفضل علاج اللي هو الـ Bifoca أفضل علاج هو + +577 +00:42:14,430 --> 00:42:15,070 +الـ Bifoca + +578 +00:42:27,830 --> 00:42:34,590 +في تلت أنواع من العلاجات التانية زي cholinesterase + +579 +00:42:34,590 --> 00:42:42,230 +inhibitors هذه + +580 +00:42:42,230 --> 00:42:49,730 +أدوية بتعمل myosisفبتعمل حاجة بنسميها peripheral + +581 +00:42:49,730 --> 00:42:52,470 +accommodation بدون ما تعمل central accommodation + +582 +00:42:52,470 --> 00:42:57,770 +تمام و ممكن إذا الطفل مش متعاون على لبس النضارة + +583 +00:42:57,770 --> 00:43:03,290 +ممكن يستعملها تمام مرة واحدة في اليوم على فترات + +584 +00:43:03,290 --> 00:43:07,230 +طويلة مش كتير .. مش كتير ناس بتستعمل هذه لأنه لها + +585 +00:43:07,230 --> 00:43:11,850 +.. لها مساوء فبالتالي يعني بس .. يعني هنذكرها + +586 +00:43:11,850 --> 00:43:19,920 +عندنا هنا تمام العلاج التالت جراحهمعروف أن الـ + +587 +00:43:19,920 --> 00:43:23,920 +bifocal .. سجلوا عندكم الـ bifocal lenses بتنفع + +588 +00:43:23,920 --> 00:43:29,000 +لما يكون ال AC على A ratio high بس مش high كتير مش + +589 +00:43:29,000 --> 00:43:33,260 +high كتير يعني سبعة تمانية تمام أما لما يكون very + +590 +00:43:33,260 --> 00:43:37,540 +high ال AC على A ratio العلاج الأفضل هو الجراحة + +591 +00:43:37,540 --> 00:43:40,340 +إرخاء ال media rectus و ال media rectus في + +592 +00:43:40,340 --> 00:43:43,240 +الناحيتين اللي هم مسؤولين عن موضوع ال convergence + +593 +00:43:43,240 --> 00:43:47,540 +بيعدل و بيعمل normalization لل AC على A ratio + +594 +00:43:50,290 --> 00:43:55,190 +الوسيلة الرابعة observation إيش يعني observation؟ + +595 +00:43:55,190 --> 00:43:58,730 +بس المتابعة بدون I يعني بعطيله ال distance + +596 +00:43:58,730 --> 00:44:03,230 +correction و بعطيلوش bifocal للنير إيش وجهة النظر + +597 +00:44:03,230 --> 00:44:07,070 +الأخيرة يعني؟ يعني .. يعني و هو لابس ال correction + +598 +00:44:07,070 --> 00:44:10,490 +إحسين اللي هو ال plus 4 على حالها بدون bifocal + +599 +00:44:10,490 --> 00:44:16,450 +هنلاقي مثلا هو على ال distance صار اتنين prism و + +600 +00:44:16,450 --> 00:44:24,300 +على النير مثلا عشرين prismووجهة النظر .. ووجهة + +601 +00:44:24,300 --> 00:44:27,400 +النظر تاعت الناس اللي بتتبع موضوع ال observation + +602 +00:44:27,400 --> 00:44:29,600 +في هذا النوع من ال esotropia اللي هي ال non + +603 +00:44:29,600 --> 00:44:32,380 +refractive اللي فيها ال high AC على A ratio يقولك + +604 +00:44:32,380 --> 00:44:36,300 +طالما على مسافة من المسافات اتحقق ال fusion و ال + +605 +00:44:36,300 --> 00:44:42,180 +stereopsis خلاص الدماغ هيتعود انه هو بتطلع بعيدفي + +606 +00:44:42,180 --> 00:44:45,540 +عنده Stereopsis و هيتطور لـ Stereopsis طيب و عن + +607 +00:44:45,540 --> 00:44:49,540 +جريب بقولك مش مشكلة لأنه بيضلش الإنسان 24 ساعة + +608 +00:44:49,540 --> 00:44:53,020 +يتطلع على الجريب بتطلع على بعيد و على بعيد و على + +609 +00:44:53,020 --> 00:44:56,160 +الأبعد و على الجريب يعني بتنقل طالما في مسافات + +610 +00:44:56,160 --> 00:44:59,060 +بتحقيقلي إنه فيه fusion إنه فيه Stereopsis أنا + +611 +00:44:59,060 --> 00:45:03,360 +بستنى لما يكبر طيب إيش لما يكبر هيحصل؟ هيصير + +612 +00:45:03,360 --> 00:45:07,990 +Normalization تلقائيلل AC على A Ratio هذا وجهة + +613 +00:45:07,990 --> 00:45:12,630 +نظرهم إذا في عندي أربع وسائل معتمدة ال bifocal هي + +614 +00:45:12,630 --> 00:45:16,790 +الوسيئة الأكتر شيوعا كولينيستيريز inhibitors عبارة + +615 +00:45:16,790 --> 00:45:20,630 +عن جطرة وفي إلها مشاكل طبعا وإلها طرق استعمال + +616 +00:45:22,450 --> 00:45:26,310 +السيرجيري لما يكون عندى very high AC على A ratio + +617 +00:45:26,310 --> 00:45:30,650 +والobservation إذا النضارة اللى هى الـ monofocal + +618 +00:45:30,650 --> 00:45:34,230 +بتاعة ال distance تمام حققت لإنه ع ال distance في + +619 +00:45:34,230 --> 00:45:38,610 +عندى fusion وفي عندى stereopsis النيار خلّيه ISO + +620 +00:45:38,610 --> 00:45:43,310 +هذه وجهة نظر رابعة تمام فبالتالي عندى هذه الأربعة + +621 +00:45:43,310 --> 00:45:48,570 +ال mixed طبعا ال mixed علاجه بيشمل العلاجين بيشمل + +622 +00:45:48,570 --> 00:45:53,030 +العلاجين وضربنا الآن أربعةللـ distance و سبعة + +623 +00:45:53,030 --> 00:45:58,650 +لانهيار هذا في ال mix تمام + +624 +00:45:58,650 --> 00:46:04,890 +هيك + +625 +00:46:04,890 --> 00:46:08,690 +احنا بنكون خلصنا ال accommodative esotropia + +626 +00:46:08,690 --> 00:46:15,770 +ماننساش قضية + +627 +00:46:15,770 --> 00:46:21,130 +ال winningوماننساش قضية مهمة جدا، أي أمبيوبيا + +628 +00:46:21,130 --> 00:46:26,230 +مصاحبة لأي نوع من هذه الأنواع، لابد من علاجها + +629 +00:46:26,230 --> 00:46:29,630 +بالطرق اللي احنا بنعالج فيها الأمبيوبيا، وإذا + +630 +00:46:29,630 --> 00:46:33,130 +احتجنا جراحة، عادة الجراحة بتاتله علاج الأمبيوبيا، + +631 +00:46:33,130 --> 00:46:38,450 +بتاتله علاج الأمبيوبيا، واضح؟ يعطيكوا ألف عافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dhHgVwn19IM_postprocess.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dhHgVwn19IM_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..c6dade4267f6ed1497c408b91502b26dca58720d --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dhHgVwn19IM_postprocess.srt @@ -0,0 +1,1436 @@ +1 +00:00:20,770 --> 00:00:23,990 +بسم الله الرحمن الرحيم بنكمل ال special syndromes + +2 +00:00:23,990 --> 00:00:26,630 +بعد ما أخدنا ledwane syndrome أو ledwane + +3 +00:00:26,630 --> 00:00:31,070 +retraction syndrome و ال brown syndrome و اليوم + +4 +00:00:31,070 --> 00:00:34,590 +نيجي لموضوع جديد اللي هو monocular elevation + +5 +00:00:34,590 --> 00:00:40,090 +deficit ال monocular elevation deficit له اسم قديم + +6 +00:00:40,090 --> 00:00:43,510 +حقيقة هذا الاسم القديم مش مناسب كانوا يسموه double + +7 +00:00:43,510 --> 00:00:49,500 +elevator palsy double elevator palsy فبالتالييعني + +8 +00:00:49,500 --> 00:01:01,580 +نكتب الاسم هذا double elevator balsa طيب ليش هذا + +9 +00:01:01,580 --> 00:01:06,380 +الاسم مش مناسب؟ طبعا زمان كان يستعمل هذا الاسم مش + +10 +00:01:06,380 --> 00:01:10,840 +مناسب لأنه إيش بنفهم كلمة elevator؟ رافعة double + +11 +00:01:10,840 --> 00:01:14,260 +elevator لما الرافعين بتعين العين؟ عندي أكم + +12 +00:01:14,260 --> 00:01:18,030 +elevator في العين؟اللي هو ال inferior oblique وال + +13 +00:01:18,030 --> 00:01:22,270 +superior rectus تمام؟ لما أنا بقرأ اسم مرضى بال + +14 +00:01:22,270 --> 00:01:25,730 +elevator palsy معناته بفهم ان العلة اما في + +15 +00:01:25,730 --> 00:01:29,370 +superior rectus او ال inferior oblique او اتنين مع + +16 +00:01:29,370 --> 00:01:34,110 +بعض زي ما بيعني الاسم حقيقة يعني أثبتت الدراسات و + +17 +00:01:34,110 --> 00:01:36,130 +أثبتت العمليات الجراحية المجرعة + +18 +00:01:39,140 --> 00:01:44,140 +بإنه هذا القضية مش صحيحة في .. في .. في كل الأحوال + +19 +00:01:44,140 --> 00:01:49,460 +ولكن .. ولكن اكتير من حالات ال double elevator + +20 +00:01:49,460 --> 00:01:53,640 +policy بتكون مصاحبة بتاعة inferior rectusيعني هاي + +21 +00:01:53,640 --> 00:01:58,480 +شد كتير فبالتالي مش معطية مجال لعملية ال elevation + +22 +00:01:58,480 --> 00:02:02,880 +انها تتم في العين بشكل سليم فاستبدل ال double + +23 +00:02:02,880 --> 00:02:06,740 +elevator palsy بالاسم الأصح وهو monocular + +24 +00:02:06,740 --> 00:02:10,320 +elevation deficit يعني فيه اندي elevation deficit + +25 +00:02:10,460 --> 00:02:14,820 +خلل في ال elevation في عين من العينتين وهذا الخلل + +26 +00:02:14,820 --> 00:02:18,200 +بيشمل جميع ال positions of gaze of elevation في + +27 +00:02:18,200 --> 00:02:23,140 +عين دي three up and out up and up and in تمام يعني + +28 +00:02:23,140 --> 00:02:26,220 +في ال abduction العين مابترفعش في ال straight head + +29 +00:02:26,220 --> 00:02:29,860 +position العين مابترفعش وفي ال abduction أيضا + +30 +00:02:29,860 --> 00:02:34,160 +مابترفعش وهك احنا بنقدر نميزها عن ايش عن brown + +31 +00:02:34,160 --> 00:02:38,020 +syndrome احنا ب brown syndrome حكينا ان لو انسان + +32 +00:02:38,020 --> 00:02:43,110 +عنده brown syndrome في العين اليمينفي العين اليمين + +33 +00:02:43,110 --> 00:02:46,730 +فيش + +34 +00:02:46,730 --> 00:02:51,070 +elevation في ال abduction في ال straight up + +35 +00:02:51,070 --> 00:02:55,570 +position ال elevation أقل بس برضه مش كامل في ال + +36 +00:02:55,570 --> 00:02:58,890 +abduction بالنسبة للعين اليمين ممكن يكون normal + +37 +00:02:58,890 --> 00:03:04,670 +elevation تمام؟ اذا فش elevation هنايعني أحسن من + +38 +00:03:04,670 --> 00:03:08,150 +ال adduction بس still مافيش elevation وفي ال + +39 +00:03:08,150 --> 00:03:11,870 +abduction في elevation عاد ال monocular elevation + +40 +00:03:11,870 --> 00:03:17,050 +deficit مافيش أبدا .. مافيش أبدا elevation في ال + +41 +00:03:17,050 --> 00:03:20,230 +three positions تمام؟ في ال three positions لما + +42 +00:03:20,230 --> 00:03:24,150 +بنقول في ال .. في ال adduction مافيش elevation وفي + +43 +00:03:24,150 --> 00:03:27,590 +ال abduction أيضا مافيش elevation وفي ال primary + +44 +00:03:27,590 --> 00:03:31,990 +position مافيش elevationيعني فيش امكانية انه يرفع + +45 +00:03:31,990 --> 00:03:37,030 +عينه تمام في التلت أوضاع هادي يعني بتقوللي انه في + +46 +00:03:37,030 --> 00:03:41,630 +عندى مشكلة ممكن اسميها monocular elevation deficit + +47 +00:03:41,630 --> 00:03:46,170 +يا ترى ايش الأعراض و ايش التقسيمات بتاعة ال + +48 +00:03:46,170 --> 00:03:51,430 +monocular elevation deficit حقيقة it is thought to + +49 +00:03:51,430 --> 00:03:54,250 +be caused by either tight or contracted inferior + +50 +00:03:54,250 --> 00:03:58,800 +rectusهذا أحد الأسباب or hypoplastic or + +51 +00:03:58,800 --> 00:04:03,160 +ineffective superior rectus muscle أو كليهما معنى + +52 +00:04:03,160 --> 00:04:07,420 +بمعنى بعض التقسيمة نبلش في التقسيمة قبل ما نحكي + +53 +00:04:07,420 --> 00:04:12,560 +الأعراض بعض المرضى بيكون يعني ال monocular + +54 +00:04:12,560 --> 00:04:17,020 +elevation deficit ناتج عن tight او contracted + +55 +00:04:17,020 --> 00:04:23,800 +inferior rectus hypoplastic او weak + +56 +00:04:26,470 --> 00:04:33,090 +superior rectus أو بيكون عندي combination of + +57 +00:04:33,090 --> 00:04:38,630 +one and two تمام؟ وممكن أنا أميز بينهم clinically + +58 +00:04:38,630 --> 00:04:43,330 +بواسطة بعض الفحوصات اللي ممكن أجريها إذا هدولة + +59 +00:04:43,330 --> 00:04:47,390 +التلت أنواع هي التقسيمات بتاعة ال monocular + +60 +00:04:47,390 --> 00:04:50,910 +elevation deficit يا ترى إيش الأعراض أو ال + +61 +00:04:50,910 --> 00:04:56,570 +science؟أول عرض وهذا رسمنا a profound inability to + +62 +00:04:56,570 --> 00:04:59,690 +elevate one eye مافيش إمكانية في إحدى العنتين + +63 +00:04:59,690 --> 00:05:03,270 +المصابة بهذه القضية مافيش إمكانية لرفعها مافيش + +64 +00:05:03,270 --> 00:05:06,890 +إمكانية لرفعها طيب يا ترى مافيش إمكانية لرفعها في + +65 +00:05:06,890 --> 00:05:11,390 +ال adduction ولا في ال primary straight up ولا في + +66 +00:05:11,390 --> 00:05:15,370 +ال abduction في كله في كله يعني ال abnormality of + +67 +00:05:15,370 --> 00:05:18,550 +up gaze persists across the horizontal plane from + +68 +00:05:18,550 --> 00:05:22,090 +abduction to adduction مافيش إمكانيةخلّيه يعمل + +69 +00:05:22,090 --> 00:05:25,750 +abduction ويرفع عينه مابقدرش يرفع عينه straight up + +70 +00:05:25,750 --> 00:05:30,010 +مابقدرش يرفع عينه في ال abduction أيضا مابقدرش + +71 +00:05:30,010 --> 00:05:33,150 +فبالتالي ال abnormality بتستمر عبر ال horizontal + +72 +00:05:33,150 --> 00:05:38,650 +plane طيب في عندنا تلت الحلات بتكون orthophoria أو + +73 +00:05:38,650 --> 00:05:41,410 +orthotopia في ال primary position معناته التلتين + +74 +00:05:41,410 --> 00:05:48,970 +بتكون hypotropia التلتين بيكونوا hypotropiaفي ال + +75 +00:05:48,970 --> 00:05:51,430 +primary position العيلة اللي مش قادرة ترفع مش بس + +76 +00:05:51,430 --> 00:05:54,830 +تكون مش قادرة ترفعه أيضا hypotropic تمام تلت + +77 +00:05:54,830 --> 00:05:57,150 +الحالات بيكون ortho في ال primary position + +78 +00:05:57,150 --> 00:06:04,110 +وتلتينها بيكون hypotropia ليش hypotropia؟ عشان + +79 +00:06:04,110 --> 00:06:09,360 +يروح على المنطقة اللي بيقدر يروح عليهاعشان يروح + +80 +00:06:09,360 --> 00:06:12,460 +طالما ما اقدرش اعمل elevation معناته المجال اللي + +81 +00:06:12,460 --> 00:06:15,780 +عندي ان اعمل depression طيب يا ترى ايش ال abnormal + +82 +00:06:15,780 --> 00:06:19,200 +head posture المتوقع في هذه الحالة chin up + +83 +00:06:19,200 --> 00:06:24,180 +position عشان يود عينيه تنتين ل .. اللي .. اللي هو + +84 +00:06:24,180 --> 00:06:26,620 +ال inferior field و اللي هو بيقدر يشتغل في ال + +85 +00:06:26,620 --> 00:06:31,080 +inferior field بكل أريحية تمام؟ اذا عندي + +86 +00:06:31,080 --> 00:06:34,160 +orthophoria in the primary position in about one + +87 +00:06:34,160 --> 00:06:39,940 +third of cases ال chin elevationعشان نعمل fusion + +88 +00:06:39,940 --> 00:06:43,140 +in down gaze و نستمتع بال binocular single vision + +89 +00:06:43,140 --> 00:06:47,140 +اكتير من الناس اللي عندهم monocular elevation + +90 +00:06:47,140 --> 00:06:52,320 +deficit بيكون عنده مش + +91 +00:06:52,320 --> 00:06:58,620 +بس hypotropia و ايضا toses و ايضا toses بس هذا ال + +92 +00:06:58,620 --> 00:07:03,180 +toses في كثير من الأحيان بيكون pseudo toses معروف + +93 +00:07:03,180 --> 00:07:07,590 +ان الانسان في ال down gazeبتنزل الجفن الأعلى + +94 +00:07:07,590 --> 00:07:13,230 +وبالتالي ضروري نفرق بين toses حقيقي و pseudo toses + +95 +00:07:13,230 --> 00:07:18,660 +كيف أفرق بينهم؟covering the other eye نعمل تغطية + +96 +00:07:18,660 --> 00:07:21,920 +للعين السليمة if هذا pseudotosis العين اللي فيها + +97 +00:07:21,920 --> 00:07:24,620 +monocular elevation deficit هتعمل fixation لل + +98 +00:07:24,620 --> 00:07:28,840 +primary position فبتحسن التوزيس و بيروح تماما طبعا + +99 +00:07:28,840 --> 00:07:33,060 +هذا طالما pseudotosis مش لازم يجراله أي تدخل جراحي + +100 +00:07:33,060 --> 00:07:36,360 +و إلا حيصير عندي exposure و حيصير عندي led + +101 +00:07:36,360 --> 00:07:39,940 +retraction كتير لأنه أجريت عملية مش لازمة في هذه + +102 +00:07:39,940 --> 00:07:42,300 +القضية تفضلي + +103 +00:07:45,820 --> 00:07:49,420 +هي hypotropic لأسباب معينة ممكن أحد الأسباب هي + +104 +00:07:49,420 --> 00:07:54,550 +التقسيمات tight inferior rectus تمام؟فمش هيصير فيه + +105 +00:07:54,550 --> 00:07:56,890 +balance عندى بين ال superior rectus و الهدى يعني + +106 +00:07:56,890 --> 00:08:00,210 +مش بس مجرد انها مش قادرة ترفع لأ و هتنزل كمان يعني + +107 +00:08:00,210 --> 00:08:03,650 +تلتين الحالات هتكون hypotropic في ال primary + +108 +00:08:03,650 --> 00:08:06,430 +position و عشان هيك هتلاقي هيجي بت chin up + +109 +00:08:06,430 --> 00:08:10,250 +position عشان يعني يحاول يروح لل field اللي بيقدر + +110 +00:08:10,250 --> 00:08:14,850 +فيه يكون العينين مافيش فيهم misalignment ضروري + +111 +00:08:14,850 --> 00:08:18,830 +افرج بين ال true toses و ال pseudotoses تمام + +112 +00:08:18,830 --> 00:08:23,380 +بتقضية العين السليمةإذا صارت يعني المخدة fixation + +113 +00:08:23,380 --> 00:08:29,340 +و راح ال toses معناته هذا toses مؤقت نتيجة + +114 +00:08:29,340 --> 00:08:33,100 +الhypotropia وهذا مش toses حقيقي وبالتالي مش لازم + +115 +00:08:33,100 --> 00:08:38,360 +يعني يعمل .. يعمل تدخل جراحي بالنسبةهل بعض الحالات + +116 +00:08:38,360 --> 00:08:41,300 +بتاعت ال monocular elevation deficit بيكون عندها + +117 +00:08:41,300 --> 00:08:44,980 +true ptosis؟ طبعا ممكن يكون عندنا true ptosis وهذا + +118 +00:08:44,980 --> 00:08:48,300 +مش هيروح لما تغطي العين السنينة بيكون عندنا فعلا + +119 +00:08:48,300 --> 00:08:52,820 +associated with ptosis وهذا بده تدخل جراحي بس تدخل + +120 +00:08:52,820 --> 00:08:57,530 +الجراحي في وقته بعد ما نحل مشكلةاللي هو ال astra + +121 +00:08:57,530 --> 00:09:03,090 +business تمام طيب بعض الحالات بيكون عندها توزيز + +122 +00:09:03,090 --> 00:09:06,670 +حقيقي من نوع بنسميه Marcus Gun Joe Winking + +123 +00:09:06,670 --> 00:09:12,810 +Syndrome Marcus Gun Joe Winking Syndrome هذا نوع + +124 +00:09:12,810 --> 00:09:13,590 +من ال توزيز + +125 +00:09:24,230 --> 00:09:28,890 +انه بيكون عندى true ptosis بس بمجرد ما يبدأ في + +126 +00:09:28,890 --> 00:09:33,490 +المضغ او يفتح تمه تمام بيرتفع ال ptosis يعني هذا + +127 +00:09:33,490 --> 00:09:37,230 +النوع من ال ptosis ممكن يوجد عند بعض المرضى اللي + +128 +00:09:37,230 --> 00:09:40,830 +عندهم monocular elevation deficit فمهمتي انا افرج + +129 +00:09:40,830 --> 00:09:43,870 +هل في عندى true ptosis و لا pseudo ptosis و اذا + +130 +00:09:43,870 --> 00:09:47,770 +true ptosis هل هو marcus ganz-joinking syndrome و + +131 +00:09:47,770 --> 00:09:55,500 +لا just ptosis يعني عادي و حقيقي تمام طيبقبل ما + +132 +00:09:55,500 --> 00:10:00,980 +نقول treatment يا ترى كيف أميز بين tight inferior + +133 +00:10:00,980 --> 00:10:05,240 +rectus أو hypoplastic or weak superior rectus أو + +134 +00:10:05,240 --> 00:10:10,040 +combination of the two قبل ما نقول كيف نفرق بينهم، + +135 +00:10:10,040 --> 00:10:12,980 +بدنا نحكي عن حاجة دي، حاجة بيسموها forced + +136 +00:10:12,980 --> 00:10:18,480 +induction test حاجة + +137 +00:10:18,480 --> 00:10:20,320 +اسمها forced generation test + +138 +00:10:27,210 --> 00:10:32,350 +في ال force induction test طبعا هذا يجرى بالغالب + +139 +00:10:32,350 --> 00:10:35,210 +تحت ال general anesthesia أو إذا كان المريض متعاون + +140 +00:10:35,210 --> 00:10:38,350 +كتير بنعمله topical anesthesia أو بنجري له الفحص + +141 +00:10:38,350 --> 00:10:42,210 +هذا لازم يكون المريض صاحي لأن هذا بده أن المريض هو + +142 +00:10:42,210 --> 00:10:45,830 +اللي يقوم بالحركة هنا أنا بحرك العين passive يعني + +143 +00:10:45,830 --> 00:10:50,630 +بامسكهاب two forceps بملغتين جراحيين و بحركها لل + +144 +00:10:50,630 --> 00:10:54,090 +position اللي انا بعتقد انه فيه restriction او + +145 +00:10:54,090 --> 00:10:57,030 +paralysis تمام يعني بمسك العين بحركها مثلا في ال + +146 +00:10:57,030 --> 00:11:00,870 +brown مسكنها حركناها نزل و بعدين حركناها up شعرنا + +147 +00:11:00,870 --> 00:11:03,720 +بال restriction معناته هذا positiveforce induction + +148 +00:11:03,720 --> 00:11:07,120 +test ال force generation test انا بمسك العينين + +149 +00:11:07,120 --> 00:11:10,440 +بحركهاش و بخلي المريض يتطلع في الجهة اللي انا + +150 +00:11:10,440 --> 00:11:15,980 +بديها اذا حسيت انه في قاعد العين بتحرك و انا مسكها + +151 +00:11:15,980 --> 00:11:21,960 +فيه يعني حاجة بتشد فيا تمام معناته انهفي power لل + +152 +00:11:21,960 --> 00:11:26,720 +muscle وهذا ال power بتشتغل و بتحاول تقاوم و وضع + +153 +00:11:26,720 --> 00:11:30,280 +الثبات اللي انا وضعها فيه يعني انا بمسك العين بال + +154 +00:11:30,280 --> 00:11:33,980 +forceps و مابحركاش ابدا بس بطلب من المريض مثلا اذا + +155 +00:11:33,980 --> 00:11:37,420 +بدأ اختبر ال superior rectus بقوله يطلع فوق تمام؟ + +156 +00:11:37,810 --> 00:11:41,650 +إذا حسيت أن العين بتشد حالها من مني من ملاجتي + +157 +00:11:41,650 --> 00:11:45,290 +الجراحية بتشد حالها لفوق معناته في إلها قوة معناته + +158 +00:11:45,290 --> 00:11:50,490 +هذه ال muscle مش weak هذه ال muscle مش weak طيب + +159 +00:11:50,490 --> 00:11:55,270 +نيجي احنا نفرج من التلاتة وفقا لبعض العلامات اللي + +160 +00:11:55,270 --> 00:11:58,190 +ممكن تفيدنا بناء على ال force induction test و + +161 +00:11:58,190 --> 00:12:05,650 +force generation test نيجي بنقول إنسان حسن مثلا + +162 +00:12:05,650 --> 00:12:12,970 +عندهmonocular elevation deficit ناتج عن ايش عن + +163 +00:12:12,970 --> 00:12:17,850 +tight inferior rectus + +164 +00:12:17,850 --> 00:12:26,270 +اول حاجة ال force induction test ايش + +165 +00:12:26,270 --> 00:12:32,110 +هيكون عنده positive ولا negative يعني لو انا مسكت + +166 +00:12:32,110 --> 00:12:35,830 +عين حسناللي فيها ال monocular elevation deficit + +167 +00:12:35,830 --> 00:12:39,310 +عنده tight inferior rectus شده و جيت مسكتها و + +168 +00:12:39,310 --> 00:12:42,950 +حاولت ارفعها لفوق هتقاوم ولا مش هتقاوم؟ اذا في + +169 +00:12:42,950 --> 00:12:46,830 +عندي positive forceduction test عشان نرفع عليه + +170 +00:12:46,830 --> 00:12:52,550 +تمام؟ اذا ال forceduction عنده ايش؟ positive لو + +171 +00:12:52,550 --> 00:12:55,990 +جينا ننتقل أحسين أنه عنده نفس الحالة نفس التشخيص + +172 +00:12:55,990 --> 00:12:58,550 +monocular elevation deficit بس ناتج عن weak + +173 +00:12:58,550 --> 00:13:03,240 +superior rectus ايش وضع ال forceduction test؟هقدر + +174 +00:13:03,240 --> 00:13:07,660 +ارفع العين لفوق؟ لأ هقدر ارفعها وببساطة شديدة weak + +175 +00:13:07,660 --> 00:13:10,560 +superior rectus و normal inferior rectus مش + +176 +00:13:10,560 --> 00:13:15,640 +هتقومني تمام؟ مش هتقومني زي حالة الحلقة الأولى اذا + +177 +00:13:15,640 --> 00:13:21,700 +هنا عندي هيكون ايش؟ negative forced induction test + +178 +00:13:21,700 --> 00:13:25,660 +okay + +179 +00:13:25,660 --> 00:13:30,240 +طيب نيجي لل force generation test تمام ال force + +180 +00:13:30,240 --> 00:13:36,940 +generation testهنا tight inferior rectus بس ال + +181 +00:13:36,940 --> 00:13:41,070 +superior rectus هناnormal superior rectus هنا + +182 +00:13:41,070 --> 00:13:44,070 +normal صحيح ال inferior rectus طيب بس ال superior + +183 +00:13:44,070 --> 00:13:47,850 +rectus مش فيها pulse تمام لو أنا مسكت العين في ال + +184 +00:13:47,850 --> 00:13:51,690 +primary position تمام تحت ال topical anesthesia و + +185 +00:13:51,690 --> 00:13:54,610 +خليتها ثابتة في ال primary position و قلت للمريض + +186 +00:13:54,610 --> 00:13:59,550 +الأول اطلع لفوق هحس انه في اشي بيشد من الملجط + +187 +00:13:59,550 --> 00:14:03,190 +الجراحي في اشي بيشد لفوق يعني هو بيحاول يبذل جهد + +188 +00:14:03,190 --> 00:14:05,650 +اذا عندي ال fourth generation + +189 +00:14:09,790 --> 00:14:15,110 +أيضا positive تمام يعني هحاس أنه في شغل بتقدي + +190 +00:14:15,110 --> 00:14:19,770 +العين بالاتجاه اللي فوق تمام هنا لو أمسكت العين في + +191 +00:14:19,770 --> 00:14:22,630 +ال primary position و قلتله ارفع في عندي weak + +192 +00:14:22,630 --> 00:14:25,630 +superior rectus مش هحاس فهيكون عندي negative + +193 +00:14:25,630 --> 00:14:27,850 +fourth generation test + +194 +00:14:33,500 --> 00:14:38,640 +في حاجة تالتة ممكن نفرج بين النوعين فيها تمام قضية + +195 +00:14:38,640 --> 00:14:46,940 +ال bills phenomenon ايش هي ال bills phenomenon لما + +196 +00:14:46,940 --> 00:14:52,900 +احاول افتح الشفون تمام و اقول للمريض سكر عينك يعني + +197 +00:14:52,900 --> 00:14:57,100 +بشدة تمام هتلاقي العينتين طلعوا لفوق ك reflex هذا + +198 +00:14:57,100 --> 00:15:00,440 +مسمى positive bills phenomenon ال bills phenomenon + +199 +00:15:00,440 --> 00:15:01,100 +هنا negative + +200 +00:15:04,350 --> 00:15:08,310 +لأن الـ tight inferior rectusf تمنع هذه القضية أن + +201 +00:15:08,310 --> 00:15:18,030 +تحصل هنا positive Bell's phenomenon واضح + +202 +00:15:18,030 --> 00:15:25,210 +بالنسبة + +203 +00:15:29,330 --> 00:15:32,950 +هتطلع هتطلع جاسدك يعني ليش انت ال bills فين و فين + +204 +00:15:32,950 --> 00:15:35,490 +احنا لما بنقول weeks superior rectus مش معناته + +205 +00:15:35,490 --> 00:15:38,550 +انها من هي بالمرة تمام مش معناته انها من هي .. من + +206 +00:15:38,550 --> 00:15:44,170 +هي بالمرة طيب نيجي لل treatment بتاعة ال monocular + +207 +00:15:44,170 --> 00:15:48,910 +elevation deficit نيجي لل treatment يعني بتاعة ال + +208 +00:15:48,910 --> 00:15:54,790 +.. ال monocular elevation deficit هاي اتفضل ياال + +209 +00:15:54,790 --> 00:15:58,210 +بيلز فينومينون انه لما بحاول انا افتح الجفون تمام + +210 +00:15:58,210 --> 00:16:02,050 +و بقول للمريض يسكر عينيه بشدة العينين بتطلع لفوق + +211 +00:16:02,050 --> 00:16:05,930 +تحت الجفن الأعلى تمام هتكون عنا negative هنا في + +212 +00:16:05,930 --> 00:16:08,370 +الحالة الأولى و هتكون عندى positive في الحالة + +213 +00:16:08,370 --> 00:16:14,290 +التانية تمام الان ل treatment ل treatment ممكن + +214 +00:16:14,290 --> 00:16:19,010 +استعمل base up prism جدام العين المصابة جدام العين + +215 +00:16:19,010 --> 00:16:28,200 +المصابة base up prismأوممكن تجري جراحة او ممكن + +216 +00:16:28,200 --> 00:16:31,780 +تجري جراحة ايش ال indication لل treatment يكون + +217 +00:16:31,780 --> 00:16:34,560 +عندي hypotropia في ال primary position او + +218 +00:16:34,560 --> 00:16:38,860 +significant chin up يعني position عشان اتخلص منهم + +219 +00:16:38,860 --> 00:16:42,460 +و استعيد استعيد اللي هو ال binocular single vision + +220 +00:16:42,460 --> 00:16:45,680 +في ال primary position اما بدأ استعمل base up + +221 +00:16:45,680 --> 00:16:51,180 +prism او بدأ اجري جراحة لهذا المريض اللي هو عنده + +222 +00:16:51,180 --> 00:16:57,210 +monocular elevation deficit طيبإيش أنواع الجراحات + +223 +00:16:57,210 --> 00:17:02,730 +اللي ممكن تجرى في هذه القضية؟ عندي حسب السبب إذا + +224 +00:17:02,730 --> 00:17:07,470 +كان ال inferior rectus tight إيش بدنا نعمل؟ بدنا + +225 +00:17:07,470 --> 00:17:14,170 +نعمل recession لل inferior rectus طيب + +226 +00:17:14,170 --> 00:17:19,170 +وإذا كان weak superior rectus؟ لأ مش resection + +227 +00:17:22,960 --> 00:17:32,280 +حقيقة في procedure بيسموها NAPS PROCEDURE NAPS + +228 +00:17:32,280 --> 00:17:35,860 +PROCEDURE هاي ال superior rectus بأجيب ال media + +229 +00:17:35,860 --> 00:17:43,680 +rectus و ال lateral rectus بأشيلهم من مكانهم و + +230 +00:17:43,680 --> 00:17:49,120 +بثبتهم جنب ال superior rectus عشان يساهموا في ال + +231 +00:17:49,120 --> 00:17:53,070 +elevation في ال elevation تمامفبالتالي ساعتها + +232 +00:17:53,070 --> 00:17:57,390 +بيصير عندي elevation يعني للعين بيصير عندي ال + +233 +00:17:57,390 --> 00:18:00,290 +superior rectus و هتساهم معاها ال medial rectus و + +234 +00:18:00,290 --> 00:18:17,410 +ال lateral rectus نعرض فيديو الآن could you + +235 +00:18:17,410 --> 00:18:19,930 +look around to the right without moving your head + +236 +00:18:20,700 --> 00:18:31,760 +ترك عيونك تذهب إلى أقل من الممكن تفضل تفضل + +237 +00:18:31,760 --> 00:18:39,160 +تفضل + +238 +00:18:39,160 --> 00:18:45,680 +تفضل + +239 +00:18:45,680 --> 00:18:49,820 +تفضل تفضل تفضل تفضل تفضل + +240 +00:18:53,720 --> 00:18:58,200 +موبيا السندروم موبيا السندروم very rare disease + +241 +00:18:58,200 --> 00:19:03,320 +very rare disease Sporadic طبعا Sporadic يعني + +242 +00:19:03,320 --> 00:19:07,470 +مافيش فيه توريث تمامcongenital sporadic condition + +243 +00:19:07,470 --> 00:19:11,110 +فيه إلو ocular features وفيه إلو systemic features + +244 +00:19:11,110 --> 00:19:15,770 +ال ocular features عبارة عن bilateral sex nerve + +245 +00:19:15,770 --> 00:19:19,030 +pulsae تمام و horizontal gaze pulsae بتكون في + +246 +00:19:19,030 --> 00:19:24,850 +خمسين في المية من الحلال تمام bilateral + +247 +00:19:24,850 --> 00:19:32,960 +sex nerve pulsae مع horizontal gaze pulsaeيعني ال + +248 +00:19:32,960 --> 00:19:37,260 +horizontal vergence مش موجودة تمام و bilateral sex + +249 +00:19:37,260 --> 00:19:43,100 +nerve palsy أيضا بيكون عندي asymmetrical facial + +250 +00:19:43,100 --> 00:19:46,060 +nerve palsy facial nerve palsy عاليمين و عالشمال + +251 +00:19:46,060 --> 00:19:50,980 +بيطيني يعني بيكون asymmetrical و بيأدي لإنه ممكن + +252 +00:19:50,980 --> 00:19:55,000 +العين ماتسكرش أثناء النوم و تعابير الوجه بتروح + +253 +00:19:55,000 --> 00:20:01,510 +بيسموها mask like facemask-like face كأن واحد لابس + +254 +00:20:01,510 --> 00:20:08,150 +mask mask-like face اذا عندي bilateral sex nerve + +255 +00:20:08,150 --> 00:20:15,490 +palsy وايضا horizontal .. horizontal .. gaze palsy + +256 +00:20:15,490 --> 00:20:19,970 +ب 50% من الحلال ايضا asymmetrical facial nerve + +257 +00:20:19,970 --> 00:20:22,570 +palsy خلينا احنا نعد احنا قولنا bilateral sex + +258 +00:20:22,570 --> 00:20:30,110 +nerve palsy facial nerve palsy تمامأيضا في ال + +259 +00:20:30,110 --> 00:20:33,450 +systemic features بيكون عنده tenth and twelfth + +260 +00:20:33,450 --> 00:20:37,710 +nerve بلسة ال Vegas nerve و ال hypoglossal nerve + +261 +00:20:37,710 --> 00:20:45,550 +هذا بيقدي ل atrophy of the tongue يعني + +262 +00:20:45,550 --> 00:20:50,250 +ضمور في اللسان بيكون اللسان صغير و متجعت تمام + +263 +00:20:50,250 --> 00:20:54,190 +bilateral + +264 +00:20:54,190 --> 00:20:58,310 +facial pulse غالبا asymmetrical و مش complete + +265 +00:20:58,870 --> 00:21:03,670 +بتعطيني mask-like facial expression مع problems + +266 +00:21:03,670 --> 00:21:07,070 +with lid closure وهذا ممكن يؤدي ل dry eye ممكن + +267 +00:21:07,070 --> 00:21:14,130 +يؤدي ل dry eye ممكن يكون عندي paresis في العاشر + +268 +00:21:14,130 --> 00:21:19,110 +وممكن في التاسع اللي هو ال glossopharyngeal nerve + +269 +00:21:19,110 --> 00:21:26,890 +تمام + +270 +00:21:28,320 --> 00:21:32,380 +طبعا ال 12th cranial nerve إذا صار فيه بلسة بيقدي + +271 +00:21:32,380 --> 00:21:38,120 +ل atrophy of the tongue في عندي تخلف عقلي بسيط + +272 +00:21:38,120 --> 00:21:42,120 +mild mental handicap ممكن يكون عندي limb anomalies + +273 +00:21:42,120 --> 00:21:43,340 +limb anomalies + +274 +00:21:49,890 --> 00:21:53,430 +حقيقة بعض العلماء بيقولوا هذا ال mobius syndrome + +275 +00:21:53,430 --> 00:21:58,190 +هو عبارة ينتمي إلى عائلة من ال syndromes بيكون + +276 +00:21:58,190 --> 00:22:02,890 +فيها عندنا lymph anomalies بالاضافة ل orofacial + +277 +00:22:02,890 --> 00:22:07,910 +anomalies ويعني mental handicap ومن ضمنها ال + +278 +00:22:07,910 --> 00:22:11,530 +mobius syndrome ومن ضمنها بيكون ال Poland syndrome + +279 +00:22:11,530 --> 00:22:17,370 +ال Poland يضاف لأن absence of pectoralis muscle + +280 +00:22:21,140 --> 00:22:24,180 +مش موجودة ال pectoralis muscle اللي هي عضلة الصدر + +281 +00:22:24,180 --> 00:22:29,060 +عضلة الصدر تمام بتكون مش موجودة طبعا احنا بهمنا + +282 +00:22:29,060 --> 00:22:33,120 +بالنسبة للبصريات و العيون انه ايش العلامات اللي + +283 +00:22:33,120 --> 00:22:37,060 +انا ممكن اعرف فيها اللي هو ال mobius syndrome انه + +284 +00:22:37,060 --> 00:22:40,340 +عندي bilateral sex nerve palsy عندي horizontal + +285 +00:22:40,340 --> 00:22:47,580 +gaze palsy في 50% من الحالات عندي اللي هو facial + +286 +00:22:47,580 --> 00:22:48,600 +nerve palsy + +287 +00:33:05,160 --> 00:33:07,900 +بيكون عندي horizontal gaze palsy زي ما حكينا + +288 +00:33:07,900 --> 00:33:11,940 +وبيكون عندي facial palsy عن ناحيتين بس بيكون + +289 +00:33:11,940 --> 00:33:17,640 +asymmetrical وبيعطي يعني face او mask like facial + +290 +00:33:17,640 --> 00:33:21,920 +expression عرض الفيديو هنقجله + +291 +00:33:24,650 --> 00:33:27,930 +واضح ال atrophy of the tongue ضروري انا اطلب من + +292 +00:33:27,930 --> 00:33:32,610 +الاهل او من الطفل او من المريض طبعا هيك ال closure + +293 +00:33:32,610 --> 00:33:36,390 +شبه complete في الناحية اليمين وطبعا يعني severe + +294 +00:33:36,390 --> 00:33:39,790 +يعني facial palsy في الناحية الشمال طبعا ال facial + +295 +00:33:39,790 --> 00:33:42,610 +nerve بيغذي ال orbicularis oculi muscle عشان هيك + +296 +00:33:42,610 --> 00:33:46,910 +مش قادر يسكر عينه أثناء تغميد العين وبالتالي ممكن + +297 +00:33:46,910 --> 00:33:49,690 +يتعرض ل ال exposure ويصير عنده exposure + +298 +00:33:49,690 --> 00:33:56,650 +keratopathy atrophy of the tongueيعني طبعا very + +299 +00:33:56,650 --> 00:34:02,750 +rare الحمد لله انه very rare نيجي لها congenital + +300 +00:34:02,750 --> 00:34:08,250 +fibrosis of extraocular muscles يعني هذا سندروم + +301 +00:34:08,250 --> 00:34:14,990 +rare non-progressive غالبا autosomal dominant بعض + +302 +00:34:14,990 --> 00:34:18,610 +الحالات بتكون autosomal recessive توريثها متنحي بس + +303 +00:34:18,610 --> 00:34:21,880 +كتير منها بتكون autosomal dominantبيكون عندى + +304 +00:34:21,880 --> 00:34:25,260 +bilateral ptosis .. bilateral ptosis .. severe + +305 +00:34:25,260 --> 00:34:30,620 +ptosis and restrictive external ophthalmoplegiaمن + +306 +00:34:30,620 --> 00:34:33,720 +اسمها ophthalmoblidia يعني شلل في حركة العين + +307 +00:34:33,720 --> 00:34:36,380 +restrictive نتيجة ال restriction لأن في عندى + +308 +00:34:36,380 --> 00:34:39,980 +fibrosis في ال oxtraocular muscles بعض الحالات + +309 +00:34:39,980 --> 00:34:43,060 +بتكون خفيفة يعني ال fibrosis بيكون مقصورة على عضلة + +310 +00:34:43,060 --> 00:34:46,920 +من العضلات وبعض الحالات بتكون bilateral وشاملة كل + +311 +00:34:46,920 --> 00:34:50,100 +العضلات يعني اتناشر عضلة ست عضلات هنا وست عضلات + +312 +00:34:50,100 --> 00:34:54,280 +هنا بتكون fibrosed وبالتاليمجالي العينتين انهم + +313 +00:34:54,280 --> 00:34:59,800 +يتحركوا تقريبا بيكون معدوم و بالذات ال vertical + +314 +00:34:59,800 --> 00:35:07,280 +movement بتكون severely restricted هذه + +315 +00:35:07,280 --> 00:35:17,700 +من ضمن العلامات bilateral severe doses ممكن + +316 +00:35:17,700 --> 00:35:22,420 +يجي monocular و ممكن يكون binocular العين العين + +317 +00:35:25,420 --> 00:35:33,860 +المصابة طبعا تكون فيها toses وانتوزز هنا بيكون + +318 +00:35:33,860 --> 00:35:42,480 +العين تان أو عين تحت ال horizontal meridian بعشرة + +319 +00:35:42,480 --> 00:35:46,680 +degree تقريبا يعني في وضع تحت ال horizontal + +320 +00:35:46,680 --> 00:35:51,760 +meridian بعشرة degreeيعني صعب جدا انه يرفع above + +321 +00:35:51,760 --> 00:35:54,580 +ال horizontal meridian او ال horizontal plane + +322 +00:35:54,580 --> 00:35:59,000 +تمام؟ اذا in the primary position each eye .. each + +323 +00:35:59,000 --> 00:36:03,580 +eye is fixed below the horizontal meridian by 10 + +324 +00:36:03,580 --> 00:36:09,200 +degree الhypotropic eye ممكن تكون straight و ممكن + +325 +00:36:09,200 --> 00:36:14,180 +تكون exo و ممكن تكون esotropic .. esotropic + +326 +00:36:17,240 --> 00:36:21,000 +طيب قديش في معاهم مجلة الحركة العرضية horizontal + +327 +00:36:21,000 --> 00:36:26,100 +movement ممكن تكون full movement و ممكن absent بس + +328 +00:36:26,100 --> 00:36:29,860 +الحركة الرأسية severely restricted .. severely + +329 +00:36:29,860 --> 00:36:35,620 +restricted ال + +330 +00:36:35,620 --> 00:36:38,640 +vertical movements are always severely restricted + +331 +00:36:38,640 --> 00:36:42,300 +مافيش إمكانية to elevate the eyes above the + +332 +00:36:42,300 --> 00:36:48,130 +horizontal planeطبعا في الوضعية هاي غالبا بيكون + +333 +00:36:48,130 --> 00:36:51,070 +عندى absence of binocular vision and ampliopia + +334 +00:36:51,070 --> 00:36:57,210 +ممكن تكون و هتكون هي ايش نوع هال ampliopia؟ + +335 +00:36:57,210 --> 00:37:02,710 +اه في العين تان نعم ممكن تكون في العين تان او .. + +336 +00:37:02,710 --> 00:37:06,630 +او العين اللي more او اللي .. اللي هو less used + +337 +00:37:06,630 --> 00:37:09,800 +for fixation تمام؟العين اللى preferred for + +338 +00:37:09,800 --> 00:37:13,660 +fixation ممكن تكون افضل في ال vision تمام absence + +339 +00:37:13,660 --> 00:37:16,500 +of binocular vision and amblyopia ايش بيكون نوع ال + +340 +00:37:16,500 --> 00:37:20,700 +amblyopia هنا Strabismic amblyopia Strabismic + +341 +00:37:20,700 --> 00:37:26,320 +amblyopia Strabismic amblyopia طيب ايش ممكن نعمله + +342 +00:37:26,320 --> 00:37:31,480 +جراحة هي عندنا مثلا Exotropia مع congenital + +343 +00:37:31,480 --> 00:37:33,680 +fibrosis of extraocular muscles + +344 +00:37:40,020 --> 00:37:43,620 +طيب إيش علاج ال congenital fibrosis of extraocular + +345 +00:37:43,620 --> 00:37:49,440 +muscles؟ الجراحة، العلاج الجراحي، بس بدنا نتأكد إن + +346 +00:37:49,440 --> 00:37:53,780 +حتى الجراحة ما بتعملش علاج كامل للموضوع، يعني ممكن + +347 +00:37:53,780 --> 00:37:58,300 +إن الجراحة تأدي للنتيجة، يعني تعتبر جيدة إنه في ال + +348 +00:37:58,300 --> 00:38:02,210 +primary position يكون في NDHstraight eyes ونوع من + +349 +00:38:02,210 --> 00:38:05,550 +ال binocular single vagina بس مش في كل الأوضاع + +350 +00:38:05,550 --> 00:38:08,430 +..مش في كل الأوضاع آخر حاجة عندنا اللي هي + +351 +00:38:08,430 --> 00:38:11,230 +الastrabismus fixus من اسمه fixus يعني يعني + +352 +00:38:11,230 --> 00:38:15,270 +fixation يعني ال eye fixed مابتتحركش في عندنا + +353 +00:38:15,270 --> 00:38:19,410 +convergentStrabismus fixus معناته العينتين + +354 +00:38:19,410 --> 00:38:22,830 +convergent وممسكين مافيش اي حركة يعني بيضلوا في + +355 +00:38:22,830 --> 00:38:26,430 +وضع ال ISO وهذا نتيجة fibrous tightening of the + +356 +00:38:26,430 --> 00:38:30,130 +medial recti او في انه divergence Strabismus fixus + +357 +00:38:30,130 --> 00:38:34,470 +وهذا يعني بيكون ال fibrous tightening of the + +358 +00:38:34,470 --> 00:38:38,150 +lateral recti of the lateral recti طبعا very rare + +359 +00:38:38,150 --> 00:38:42,970 +disease حد يسأل سؤال ويعطيكوا العافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dhHgVwn19IM_raw.json b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dhHgVwn19IM_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..3194cacaf6b6e5fe47d0aa85506051dc8a8a22e7 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dhHgVwn19IM_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4785, "start": 20.77, "end": 47.85, "text": "بسم الله الرحمن الرحيم بنكمل ال special syndromes بعد ما أخدنا ledwane syndrome أو ledwane retraction syndrome و ال brown syndrome و اليوم نيجي لموضوع جديد اللي هو monocular elevation deficit ال monocular elevation deficit له اسم قديم حقيقة هذا الاسم القديم مش مناسب كانوا يسموه double elevator palsy double elevator palsy فبالتالي", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 44945, 24793, 1211, 2423, 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"text": "بإنه هذا القضية مش صحيحة في .. في .. في كل الأحوال ولكن .. ولكن اكتير من حالات ال double elevator policy بتكون مصاحبة بتاعة inferior rectus", "tokens": [3555, 28814, 1863, 3224, 23758, 25062, 11242, 10632, 37893, 20328, 5016, 1829, 5016, 3660, 8978, 4386, 8978, 4386, 8978, 28242, 16247, 5016, 2407, 6027, 35525, 19452, 4386, 35525, 19452, 1975, 4117, 2655, 13546, 9154, 11331, 6027, 9307, 2423, 3834, 18782, 3897, 39894, 30544, 3714, 9381, 39319, 49401, 39894, 995, 27884, 24249, 11048, 301], "avg_logprob": -0.1488715280537252, "compression_ratio": 1.3503184713375795, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 99.14, "end": 100.14, "word": "بإنه", "probability": 0.8419189453125}, {"start": 100.14, "end": 101.14, "word": " هذا", "probability": 0.654296875}, {"start": 101.14, "end": 101.64, "word": " القضية", "probability": 0.9845377604166666}, {"start": 101.64, "end": 101.84, "word": " مش", "probability": 0.95556640625}, {"start": 101.84, "end": 102.32, "word": " 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فاستبدل ال double elevator palsy بالاسم الأصح وهو monocular elevation deficit يعني فيه اندي elevation deficit", "tokens": [40228, 22653, 8032, 47302, 13412, 3215, 9122, 2655, 13546, 6156, 3555, 6027, 2655, 6027, 1829, 37893, 20449, 9566, 10632, 3714, 7435, 6027, 5296, 25957, 1211, 10632, 2423, 25827, 16472, 11296, 6055, 39237, 8978, 18863, 9957, 4724, 8592, 28820, 8608, 20292, 2304, 6156, 995, 14851, 44510, 1211, 2423, 3834, 18782, 43806, 88, 20666, 32277, 2304, 16247, 9381, 5016, 37037, 2407, 1108, 905, 1040, 25827, 22132, 37495, 22653, 8978, 3224, 16472, 16254, 25827, 22132], "avg_logprob": -0.18022260600573395, "compression_ratio": 1.5585106382978724, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 113.06, "end": 113.42, "word": "يعني", "probability": 0.92333984375}, {"start": 113.42, "end": 113.64, "word": " هاي", "probability": 0.6357421875}, {"start": 113.64, "end": 114.0, "word": " شد", "probability": 0.840576171875}, {"start": 114.0, "end": 114.4, "word": " كتير", 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"end": 423.88, "word": " في", "probability": 0.9423828125}, {"start": 423.88, "end": 424.02, "word": " ال", "probability": 0.8994140625}, {"start": 424.02, "end": 424.24, "word": " down", "probability": 0.87548828125}, {"start": 424.24, "end": 424.66, "word": " gaze", "probability": 0.951171875}], "temperature": 1.0}, {"id": 17, "seek": 43455, "start": 426.13, "end": 434.55, "text": "بتنزل الجفن الأعلى وبالتالي ضروري نفرق بين toses حقيقي و pseudo toses كيف أفرق بينهم؟", "tokens": [3555, 2655, 1863, 11622, 1211, 25724, 5172, 1863, 16247, 3615, 23942, 46599, 6027, 2655, 6027, 1829, 48812, 2288, 13063, 1829, 8717, 5172, 2288, 4587, 49374, 281, 6196, 11331, 38436, 38436, 4032, 35899, 281, 6196, 9122, 33911, 5551, 5172, 2288, 4587, 49374, 16095, 22807], "avg_logprob": -0.22052556411786514, "compression_ratio": 1.308411214953271, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 426.13, "end": 426.77, "word": "بتنزل", "probability": 0.9802734375}, {"start": 426.77, "end": 427.17, "word": " الجفن", "probability": 0.9264322916666666}, {"start": 427.17, "end": 427.59, "word": " الأعلى", "probability": 0.9571940104166666}, {"start": 427.59, "end": 428.43, "word": " وبالتالي", "probability": 0.9123046875}, {"start": 428.43, "end": 429.13, "word": " ضروري", "probability": 0.9456787109375}, {"start": 429.13, "end": 429.55, "word": " نفرق", "probability": 0.61163330078125}, {"start": 429.55, "end": 429.87, "word": " بين", "probability": 0.978515625}, {"start": 429.87, "end": 430.79, "word": " toses", "probability": 0.260894775390625}, {"start": 430.79, "end": 431.47, "word": " حقيقي", "probability": 0.9812825520833334}, {"start": 431.47, "end": 432.45, "word": " و", "probability": 0.90087890625}, {"start": 432.45, "end": 432.79, "word": " pseudo", "probability": 0.4951171875}, {"start": 432.79, "end": 433.23, "word": " toses", "probability": 0.657470703125}, {"start": 433.23, "end": 433.47, "word": " كيف", "probability": 0.91259765625}, {"start": 433.47, "end": 433.93, "word": " أفرق", "probability": 0.85546875}, {"start": 433.93, "end": 434.55, "word": " بينهم؟", "probability": 0.9807942708333334}], "temperature": 1.0}, {"id": 18, "seek": 46230, "start": 436.2, "end": 462.3, "text": "covering the other eye نعمل تغطية للعين السليمة if هذا pseudotosis العين اللي فيها monocular elevation deficit هتعمل fixation لل primary position فبتحسن التوزيس و بيروح تماما طبعا هذا طالما pseudotosis مش لازم يجراله أي تدخل جراحي و إلا حيصير عندي exposure و حيصير عندي led retraction كتير لأنه أجريت عملية مش لازمة في هذه القضية تفضلي", "tokens": [12516, 278, 264, 661, 3313, 8717, 25957, 1211, 6055, 17082, 9566, 10632, 24976, 3615, 9957, 21136, 20292, 46007, 498, 23758, 25505, 532, 310, 8211, 18863, 9957, 13672, 1829, 8978, 11296, 1108, 905, 1040, 25827, 22132, 8032, 2655, 25957, 1211, 3191, 399, 24976, 6194, 2535, 6156, 3555, 2655, 5016, 3794, 1863, 16712, 2407, 11622, 1829, 3794, 4032, 4724, 13546, 2407, 5016, 46811, 10943, 995, 23032, 3555, 3615, 995, 23758, 23032, 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438.24, "end": 438.66, "word": " تغطية", "probability": 0.98388671875}, {"start": 438.66, "end": 439.02, "word": " للعين", "probability": 0.9348958333333334}, {"start": 439.02, "end": 439.48, "word": " السليمة", "probability": 0.966796875}, {"start": 439.48, "end": 439.64, "word": " if", "probability": 0.447998046875}, {"start": 439.64, "end": 439.84, "word": " هذا", "probability": 0.55908203125}, {"start": 439.84, "end": 440.66, "word": " pseudotosis", "probability": 0.729461669921875}, {"start": 440.66, "end": 441.5, "word": " العين", "probability": 0.985107421875}, {"start": 441.5, "end": 441.66, "word": " اللي", "probability": 0.7998046875}, {"start": 441.66, "end": 441.92, "word": " فيها", "probability": 0.979248046875}, {"start": 441.92, "end": 442.44, "word": " monocular", "probability": 0.8258463541666666}, {"start": 442.44, "end": 442.94, "word": " elevation", "probability": 0.9833984375}, {"start": 442.94, "end": 443.4, "word": " deficit", "probability": 0.8505859375}, {"start": 443.4, "end": 443.9, "word": " هتعمل", "probability": 0.9637451171875}, {"start": 443.9, "end": 444.44, "word": " fixation", "probability": 0.91064453125}, {"start": 444.44, "end": 444.62, "word": " لل", "probability": 0.62255859375}, {"start": 444.62, "end": 445.0, "word": " primary", "probability": 0.83837890625}, {"start": 445.0, "end": 445.54, "word": " position", "probability": 0.97900390625}, {"start": 445.54, "end": 446.32, "word": " فبتحسن", "probability": 0.963623046875}, {"start": 446.32, "end": 446.84, "word": " التوزيس", "probability": 0.65579833984375}, {"start": 446.84, "end": 447.28, "word": " و", "probability": 0.9619140625}, {"start": 447.28, "end": 447.6, "word": " بيروح", "probability": 0.8641357421875}, {"start": 447.6, "end": 448.26, "word": " تماما", "probability": 0.9954427083333334}, {"start": 448.26, "end": 448.84, "word": " طبعا", "probability": 0.955078125}, {"start": 448.84, "end": 449.1, "word": " هذا", "probability": 0.8251953125}, {"start": 449.1, "end": 449.96, "word": " طالما", "probability": 0.98583984375}, {"start": 449.96, "end": 450.62, "word": " pseudotosis", "probability": 0.815673828125}, {"start": 450.62, "end": 450.86, "word": " مش", "probability": 0.98046875}, {"start": 450.86, "end": 451.3, "word": " لازم", "probability": 0.9930013020833334}, {"start": 451.3, "end": 451.76, "word": " يجراله", "probability": 0.93779296875}, {"start": 451.76, "end": 451.96, "word": " أي", "probability": 0.61865234375}, {"start": 451.96, "end": 452.58, "word": " تدخل", "probability": 0.9952392578125}, {"start": 452.58, "end": 453.06, "word": " جراحي", "probability": 0.973876953125}, {"start": 453.06, "end": 453.26, "word": " و", "probability": 0.88818359375}, {"start": 453.26, "end": 453.46, "word": " إلا", "probability": 0.6629638671875}, {"start": 453.46, "end": 453.92, "word": " حيصير", "probability": 0.883544921875}, {"start": 453.92, "end": 454.32, "word": " عندي", "probability": 0.7578125}, {"start": 454.32, "end": 455.34, "word": " exposure", "probability": 0.8076171875}, {"start": 455.34, "end": 455.6, "word": " و", "probability": 0.9716796875}, {"start": 455.6, "end": 455.94, "word": " حيصير", "probability": 0.85003662109375}, {"start": 455.94, "end": 456.16, "word": " عندي", "probability": 0.90283203125}, {"start": 456.16, "end": 456.36, "word": " led", "probability": 0.35986328125}, {"start": 456.36, "end": 456.88, "word": " retraction", "probability": 0.880126953125}, {"start": 456.88, "end": 457.34, "word": " كتير", "probability": 0.9713541666666666}, {"start": 457.34, "end": 457.76, "word": " لأنه", "probability": 0.9261067708333334}, {"start": 457.76, "end": 458.16, "word": " أجريت", "probability": 0.9459228515625}, {"start": 458.16, "end": 458.64, "word": " عملية", "probability": 0.9861653645833334}, {"start": 458.64, "end": 458.98, "word": " مش", "probability": 0.98828125}, {"start": 458.98, "end": 459.5, "word": " لازمة", "probability": 0.994140625}, {"start": 459.5, "end": 459.74, "word": " في", "probability": 0.9765625}, {"start": 459.74, "end": 459.94, "word": " هذه", "probability": 0.7841796875}, {"start": 459.94, "end": 460.46, "word": " القضية", "probability": 0.99365234375}, {"start": 460.46, "end": 462.3, "word": " تفضلي", "probability": 0.8214111328125}], "temperature": 1.0}, {"id": 19, "seek": 47278, "start": 465.82, "end": 472.78, "text": "هي hypotropic لأسباب معينة ممكن أحد الأسباب هي التقسيمات tight inferior rectus تمام؟", "tokens": [3224, 1829, 7420, 310, 39173, 5296, 10721, 35457, 16758, 20449, 9957, 3660, 3714, 43020, 5551, 24401, 16247, 35457, 16758, 39896, 16712, 4587, 3794, 32640, 9307, 4524, 24249, 11048, 301, 46811, 10943, 22807], "avg_logprob": -0.12819602272727273, "compression_ratio": 1.1759259259259258, "no_speech_prob": 0.0, "words": [{"start": 465.82, "end": 466.2, "word": "هي", "probability": 0.929443359375}, {"start": 466.2, "end": 467.0, "word": " hypotropic", "probability": 0.7410481770833334}, {"start": 467.0, "end": 467.6, "word": " لأسباب", "probability": 0.976806640625}, {"start": 467.6, "end": 468.1, "word": " معينة", "probability": 0.9938151041666666}, {"start": 468.1, "end": 468.44, "word": " ممكن", "probability": 0.8994140625}, {"start": 468.44, "end": 468.76, "word": " أحد", "probability": 0.96875}, {"start": 468.76, "end": 469.28, "word": " الأسباب", "probability": 0.9972330729166666}, {"start": 469.28, "end": 469.42, "word": " هي", "probability": 0.96728515625}, {"start": 469.42, "end": 470.38, "word": " التقسيمات", "probability": 0.94013671875}, {"start": 470.38, "end": 470.88, "word": " tight", "probability": 0.3330078125}, {"start": 470.88, "end": 471.34, "word": " inferior", "probability": 0.96044921875}, {"start": 471.34, "end": 471.9, "word": " rectus", "probability": 0.946533203125}, {"start": 471.9, "end": 472.78, "word": " تمام؟", "probability": 0.9041341145833334}], "temperature": 1.0}, {"id": 20, "seek": 50089, "start": 473.53, "end": 500.89, "text": "فمش هيصير فيه balance عندى بين ال superior rectus و الهدى يعني مش بس مجرد انها مش قادرة ترفع لأ و هتنزل كمان يعني تلتين الحالات هتكون hypotropic في ال primary position و عشان هيك هتلاقي هيجي بت chin up position عشان يعني يحاول يروح لل field اللي بيقدر فيه يكون العينين مافيش فيهم misalignment ضروري افرج بين ال true toses و ال pseudotoses تمام بتقضية العين السليمة", "tokens": [5172, 2304, 8592, 39896, 9381, 13546, 8978, 3224, 4772, 43242, 7578, 49374, 2423, 13028, 11048, 301, 4032, 2423, 3224, 3215, 7578, 37495, 22653, 37893, 4724, 3794, 3714, 7435, 2288, 3215, 16472, 11296, 37893, 12174, 18513, 25720, 6055, 28480, 3615, 5296, 10721, 4032, 8032, 2655, 1863, 11622, 1211, 9122, 2304, 7649, 37495, 22653, 6055, 1211, 2655, 9957, 21542, 6027, 9307, 8032, 2655, 30544, 7420, 310, 39173, 8978, 2423, 6194, 2535, 4032, 6225, 8592, 7649, 39896, 4117, 8032, 2655, 15040, 38436, 39896, 7435, 1829, 39894, 14210, 493, 2535, 6225, 8592, 7649, 37495, 22653, 7251, 5016, 995, 12610, 7251, 32887, 5016, 24976, 2519, 13672, 1829, 4724, 1829, 28543, 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brown مسكنها حركناها نزل و بعدين حركناها up شعرنا بال restriction معناته هذا positive", "tokens": [3555, 732, 3464, 1878, 4724, 42213, 17082, 2655, 9957, 10874, 23557, 5016, 1829, 9957, 4032, 4724, 5016, 31747, 11296, 24976, 2535, 13672, 1829, 1975, 8315, 4724, 34268, 28543, 16472, 3224, 8978, 3224, 29529, 1975, 2407, 49507, 46811, 10943, 37495, 22653, 4724, 2304, 3794, 4117, 18863, 9957, 4724, 5016, 31747, 11296, 50113, 15040, 8978, 2423, 6292, 47524, 19452, 11296, 11331, 31747, 8315, 11296, 8717, 11622, 1211, 4032, 39182, 9957, 11331, 31747, 8315, 11296, 493, 13412, 3615, 2288, 8315, 20666, 29529, 20449, 8315, 47395, 23758, 3353], "avg_logprob": -0.18529411764705883, "compression_ratio": 1.6780487804878048, "no_speech_prob": 0.0, "words": [{"start": 647.05, "end": 647.31, "word": "ب", "probability": 0.640625}, {"start": 647.31, "end": 647.51, "word": " two", "probability": 0.165771484375}, {"start": 647.51, "end": 648.19, "word": " forceps", "probability": 0.8212890625}, {"start": 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rectus بس ال superior rectus هنا", "tokens": [3224, 8315, 4524, 24249, 11048, 301, 4724, 3794, 2423, 13028, 11048, 301, 34105], "avg_logprob": -0.33593750851494925, "compression_ratio": 1.0892857142857142, "no_speech_prob": 0.0, "words": [{"start": 811.94, "end": 812.3, "word": "هنا", "probability": 0.73193359375}, {"start": 812.3, "end": 812.64, "word": " tight", "probability": 0.2093505859375}, {"start": 812.64, "end": 813.14, "word": " inferior", "probability": 0.95556640625}, {"start": 813.14, "end": 813.74, "word": " rectus", "probability": 0.9677734375}, {"start": 813.74, "end": 815.34, "word": " بس", "probability": 0.6700439453125}, {"start": 815.34, "end": 816.94, "word": " ال", "probability": 0.5380859375}, {"start": 816.94, "end": 817.34, "word": " superior", "probability": 0.90625}, {"start": 817.34, "end": 817.82, "word": " rectus", "probability": 0.973876953125}, {"start": 817.82, "end": 818.06, "word": " هنا", "probability": 0.9501953125}], "temperature": 1.0}, {"id": 35, 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ال bills phenomenon لما احاول افتح الشفون تمام و اقول للمريض سكر عينك يعني بشدة تمام هتلاقي العينتين طلعوا لفوق ك reflex هذا مسمى positive bills phenomenon ال bills phenomenon هنا negative", "tokens": [41185, 11331, 26108, 3660, 6055, 6027, 2655, 3660, 3714, 43020, 8717, 5172, 47341, 49374, 28239, 45367, 9957, 8978, 11296, 46811, 10943, 12174, 11242, 10632, 2423, 12433, 14029, 1975, 1829, 8592, 39896, 2423, 12433, 14029, 5296, 15042, 1975, 5016, 995, 12610, 1975, 5172, 2655, 5016, 2423, 8592, 5172, 11536, 46811, 10943, 4032, 1975, 39648, 5296, 19528, 16572, 11242, 8608, 37983, 6225, 9957, 4117, 37495, 22653, 4724, 8592, 41891, 46811, 10943, 8032, 2655, 15040, 38436, 18863, 9957, 2655, 9957, 23032, 1211, 3615, 14407, 5296, 5172, 30543, 9122, 23802, 23758, 3714, 38251, 7578, 3353, 12433, 14029, 2423, 12433, 14029, 34105, 3671], "avg_logprob": -0.1450441928222926, "compression_ratio": 1.7955555555555556, "no_speech_prob": 0.0, "words": [{"start": 873.5, "end": 873.72, "word": "في", 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39184, 4524, 24249, 11048, 301, 69, 6055, 27842, 3615, 29538, 25062, 11242, 10632, 14739, 6055, 5016, 36520, 34105, 3353, 11485, 311, 14029, 4032, 46958, 5016, 20666, 1863, 35457, 3660], "avg_logprob": -0.3025568181818182, "compression_ratio": 1.0873015873015872, "no_speech_prob": 0.0, "words": [{"start": 904.35, "end": 904.77, "word": "لأن", "probability": 0.905517578125}, {"start": 904.77, "end": 905.05, "word": " الـ", "probability": 0.4110107421875}, {"start": 905.05, "end": 905.29, "word": " tight", "probability": 0.467529296875}, {"start": 905.29, "end": 905.79, "word": " inferior", "probability": 0.94482421875}, {"start": 905.79, "end": 906.31, "word": " rectusf", "probability": 0.6286214192708334}, {"start": 906.31, "end": 906.99, "word": " تمنع", "probability": 0.8826497395833334}, {"start": 906.99, "end": 907.73, "word": " هذه", "probability": 0.93896484375}, {"start": 907.73, "end": 908.17, "word": " القضية", "probability": 0.9934895833333334}, {"start": 908.17, "end": 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a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dhHgVwn19IM_raw.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dhHgVwn19IM_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..c6dade4267f6ed1497c408b91502b26dca58720d --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dhHgVwn19IM_raw.srt @@ -0,0 +1,1436 @@ +1 +00:00:20,770 --> 00:00:23,990 +بسم الله الرحمن الرحيم بنكمل ال special syndromes + +2 +00:00:23,990 --> 00:00:26,630 +بعد ما أخدنا ledwane syndrome أو ledwane + +3 +00:00:26,630 --> 00:00:31,070 +retraction syndrome و ال brown syndrome و اليوم + +4 +00:00:31,070 --> 00:00:34,590 +نيجي لموضوع جديد اللي هو monocular elevation + +5 +00:00:34,590 --> 00:00:40,090 +deficit ال monocular elevation deficit له اسم قديم + +6 +00:00:40,090 --> 00:00:43,510 +حقيقة هذا الاسم القديم مش مناسب كانوا يسموه double + +7 +00:00:43,510 --> 00:00:49,500 +elevator palsy double elevator palsy فبالتالييعني + +8 +00:00:49,500 --> 00:01:01,580 +نكتب الاسم هذا double elevator balsa طيب ليش هذا + +9 +00:01:01,580 --> 00:01:06,380 +الاسم مش مناسب؟ طبعا زمان كان يستعمل هذا الاسم مش + +10 +00:01:06,380 --> 00:01:10,840 +مناسب لأنه إيش بنفهم كلمة elevator؟ رافعة double + +11 +00:01:10,840 --> 00:01:14,260 +elevator لما الرافعين بتعين العين؟ عندي أكم + +12 +00:01:14,260 --> 00:01:18,030 +elevator في العين؟اللي هو ال inferior oblique وال + +13 +00:01:18,030 --> 00:01:22,270 +superior rectus تمام؟ لما أنا بقرأ اسم مرضى بال + +14 +00:01:22,270 --> 00:01:25,730 +elevator palsy معناته بفهم ان العلة اما في + +15 +00:01:25,730 --> 00:01:29,370 +superior rectus او ال inferior oblique او اتنين مع + +16 +00:01:29,370 --> 00:01:34,110 +بعض زي ما بيعني الاسم حقيقة يعني أثبتت الدراسات و + +17 +00:01:34,110 --> 00:01:36,130 +أثبتت العمليات الجراحية المجرعة + +18 +00:01:39,140 --> 00:01:44,140 +بإنه هذا القضية مش صحيحة في .. في .. في كل الأحوال + +19 +00:01:44,140 --> 00:01:49,460 +ولكن .. ولكن اكتير من حالات ال double elevator + +20 +00:01:49,460 --> 00:01:53,640 +policy بتكون مصاحبة بتاعة inferior rectusيعني هاي + +21 +00:01:53,640 --> 00:01:58,480 +شد كتير فبالتالي مش معطية مجال لعملية ال elevation + +22 +00:01:58,480 --> 00:02:02,880 +انها تتم في العين بشكل سليم فاستبدل ال double + +23 +00:02:02,880 --> 00:02:06,740 +elevator palsy بالاسم الأصح وهو monocular + +24 +00:02:06,740 --> 00:02:10,320 +elevation deficit يعني فيه اندي elevation deficit + +25 +00:02:10,460 --> 00:02:14,820 +خلل في ال elevation في عين من العينتين وهذا الخلل + +26 +00:02:14,820 --> 00:02:18,200 +بيشمل جميع ال positions of gaze of elevation في + +27 +00:02:18,200 --> 00:02:23,140 +عين دي three up and out up and up and in تمام يعني + +28 +00:02:23,140 --> 00:02:26,220 +في ال abduction العين مابترفعش في ال straight head + +29 +00:02:26,220 --> 00:02:29,860 +position العين مابترفعش وفي ال abduction أيضا + +30 +00:02:29,860 --> 00:02:34,160 +مابترفعش وهك احنا بنقدر نميزها عن ايش عن brown + +31 +00:02:34,160 --> 00:02:38,020 +syndrome احنا ب brown syndrome حكينا ان لو انسان + +32 +00:02:38,020 --> 00:02:43,110 +عنده brown syndrome في العين اليمينفي العين اليمين + +33 +00:02:43,110 --> 00:02:46,730 +فيش + +34 +00:02:46,730 --> 00:02:51,070 +elevation في ال abduction في ال straight up + +35 +00:02:51,070 --> 00:02:55,570 +position ال elevation أقل بس برضه مش كامل في ال + +36 +00:02:55,570 --> 00:02:58,890 +abduction بالنسبة للعين اليمين ممكن يكون normal + +37 +00:02:58,890 --> 00:03:04,670 +elevation تمام؟ اذا فش elevation هنايعني أحسن من + +38 +00:03:04,670 --> 00:03:08,150 +ال adduction بس still مافيش elevation وفي ال + +39 +00:03:08,150 --> 00:03:11,870 +abduction في elevation عاد ال monocular elevation + +40 +00:03:11,870 --> 00:03:17,050 +deficit مافيش أبدا .. مافيش أبدا elevation في ال + +41 +00:03:17,050 --> 00:03:20,230 +three positions تمام؟ في ال three positions لما + +42 +00:03:20,230 --> 00:03:24,150 +بنقول في ال .. في ال adduction مافيش elevation وفي + +43 +00:03:24,150 --> 00:03:27,590 +ال abduction أيضا مافيش elevation وفي ال primary + +44 +00:03:27,590 --> 00:03:31,990 +position مافيش elevationيعني فيش امكانية انه يرفع + +45 +00:03:31,990 --> 00:03:37,030 +عينه تمام في التلت أوضاع هادي يعني بتقوللي انه في + +46 +00:03:37,030 --> 00:03:41,630 +عندى مشكلة ممكن اسميها monocular elevation deficit + +47 +00:03:41,630 --> 00:03:46,170 +يا ترى ايش الأعراض و ايش التقسيمات بتاعة ال + +48 +00:03:46,170 --> 00:03:51,430 +monocular elevation deficit حقيقة it is thought to + +49 +00:03:51,430 --> 00:03:54,250 +be caused by either tight or contracted inferior + +50 +00:03:54,250 --> 00:03:58,800 +rectusهذا أحد الأسباب or hypoplastic or + +51 +00:03:58,800 --> 00:04:03,160 +ineffective superior rectus muscle أو كليهما معنى + +52 +00:04:03,160 --> 00:04:07,420 +بمعنى بعض التقسيمة نبلش في التقسيمة قبل ما نحكي + +53 +00:04:07,420 --> 00:04:12,560 +الأعراض بعض المرضى بيكون يعني ال monocular + +54 +00:04:12,560 --> 00:04:17,020 +elevation deficit ناتج عن tight او contracted + +55 +00:04:17,020 --> 00:04:23,800 +inferior rectus hypoplastic او weak + +56 +00:04:26,470 --> 00:04:33,090 +superior rectus أو بيكون عندي combination of + +57 +00:04:33,090 --> 00:04:38,630 +one and two تمام؟ وممكن أنا أميز بينهم clinically + +58 +00:04:38,630 --> 00:04:43,330 +بواسطة بعض الفحوصات اللي ممكن أجريها إذا هدولة + +59 +00:04:43,330 --> 00:04:47,390 +التلت أنواع هي التقسيمات بتاعة ال monocular + +60 +00:04:47,390 --> 00:04:50,910 +elevation deficit يا ترى إيش الأعراض أو ال + +61 +00:04:50,910 --> 00:04:56,570 +science؟أول عرض وهذا رسمنا a profound inability to + +62 +00:04:56,570 --> 00:04:59,690 +elevate one eye مافيش إمكانية في إحدى العنتين + +63 +00:04:59,690 --> 00:05:03,270 +المصابة بهذه القضية مافيش إمكانية لرفعها مافيش + +64 +00:05:03,270 --> 00:05:06,890 +إمكانية لرفعها طيب يا ترى مافيش إمكانية لرفعها في + +65 +00:05:06,890 --> 00:05:11,390 +ال adduction ولا في ال primary straight up ولا في + +66 +00:05:11,390 --> 00:05:15,370 +ال abduction في كله في كله يعني ال abnormality of + +67 +00:05:15,370 --> 00:05:18,550 +up gaze persists across the horizontal plane from + +68 +00:05:18,550 --> 00:05:22,090 +abduction to adduction مافيش إمكانيةخلّيه يعمل + +69 +00:05:22,090 --> 00:05:25,750 +abduction ويرفع عينه مابقدرش يرفع عينه straight up + +70 +00:05:25,750 --> 00:05:30,010 +مابقدرش يرفع عينه في ال abduction أيضا مابقدرش + +71 +00:05:30,010 --> 00:05:33,150 +فبالتالي ال abnormality بتستمر عبر ال horizontal + +72 +00:05:33,150 --> 00:05:38,650 +plane طيب في عندنا تلت الحلات بتكون orthophoria أو + +73 +00:05:38,650 --> 00:05:41,410 +orthotopia في ال primary position معناته التلتين + +74 +00:05:41,410 --> 00:05:48,970 +بتكون hypotropia التلتين بيكونوا hypotropiaفي ال + +75 +00:05:48,970 --> 00:05:51,430 +primary position العيلة اللي مش قادرة ترفع مش بس + +76 +00:05:51,430 --> 00:05:54,830 +تكون مش قادرة ترفعه أيضا hypotropic تمام تلت + +77 +00:05:54,830 --> 00:05:57,150 +الحالات بيكون ortho في ال primary position + +78 +00:05:57,150 --> 00:06:04,110 +وتلتينها بيكون hypotropia ليش hypotropia؟ عشان + +79 +00:06:04,110 --> 00:06:09,360 +يروح على المنطقة اللي بيقدر يروح عليهاعشان يروح + +80 +00:06:09,360 --> 00:06:12,460 +طالما ما اقدرش اعمل elevation معناته المجال اللي + +81 +00:06:12,460 --> 00:06:15,780 +عندي ان اعمل depression طيب يا ترى ايش ال abnormal + +82 +00:06:15,780 --> 00:06:19,200 +head posture المتوقع في هذه الحالة chin up + +83 +00:06:19,200 --> 00:06:24,180 +position عشان يود عينيه تنتين ل .. اللي .. اللي هو + +84 +00:06:24,180 --> 00:06:26,620 +ال inferior field و اللي هو بيقدر يشتغل في ال + +85 +00:06:26,620 --> 00:06:31,080 +inferior field بكل أريحية تمام؟ اذا عندي + +86 +00:06:31,080 --> 00:06:34,160 +orthophoria in the primary position in about one + +87 +00:06:34,160 --> 00:06:39,940 +third of cases ال chin elevationعشان نعمل fusion + +88 +00:06:39,940 --> 00:06:43,140 +in down gaze و نستمتع بال binocular single vision + +89 +00:06:43,140 --> 00:06:47,140 +اكتير من الناس اللي عندهم monocular elevation + +90 +00:06:47,140 --> 00:06:52,320 +deficit بيكون عنده مش + +91 +00:06:52,320 --> 00:06:58,620 +بس hypotropia و ايضا toses و ايضا toses بس هذا ال + +92 +00:06:58,620 --> 00:07:03,180 +toses في كثير من الأحيان بيكون pseudo toses معروف + +93 +00:07:03,180 --> 00:07:07,590 +ان الانسان في ال down gazeبتنزل الجفن الأعلى + +94 +00:07:07,590 --> 00:07:13,230 +وبالتالي ضروري نفرق بين toses حقيقي و pseudo toses + +95 +00:07:13,230 --> 00:07:18,660 +كيف أفرق بينهم؟covering the other eye نعمل تغطية + +96 +00:07:18,660 --> 00:07:21,920 +للعين السليمة if هذا pseudotosis العين اللي فيها + +97 +00:07:21,920 --> 00:07:24,620 +monocular elevation deficit هتعمل fixation لل + +98 +00:07:24,620 --> 00:07:28,840 +primary position فبتحسن التوزيس و بيروح تماما طبعا + +99 +00:07:28,840 --> 00:07:33,060 +هذا طالما pseudotosis مش لازم يجراله أي تدخل جراحي + +100 +00:07:33,060 --> 00:07:36,360 +و إلا حيصير عندي exposure و حيصير عندي led + +101 +00:07:36,360 --> 00:07:39,940 +retraction كتير لأنه أجريت عملية مش لازمة في هذه + +102 +00:07:39,940 --> 00:07:42,300 +القضية تفضلي + +103 +00:07:45,820 --> 00:07:49,420 +هي hypotropic لأسباب معينة ممكن أحد الأسباب هي + +104 +00:07:49,420 --> 00:07:54,550 +التقسيمات tight inferior rectus تمام؟فمش هيصير فيه + +105 +00:07:54,550 --> 00:07:56,890 +balance عندى بين ال superior rectus و الهدى يعني + +106 +00:07:56,890 --> 00:08:00,210 +مش بس مجرد انها مش قادرة ترفع لأ و هتنزل كمان يعني + +107 +00:08:00,210 --> 00:08:03,650 +تلتين الحالات هتكون hypotropic في ال primary + +108 +00:08:03,650 --> 00:08:06,430 +position و عشان هيك هتلاقي هيجي بت chin up + +109 +00:08:06,430 --> 00:08:10,250 +position عشان يعني يحاول يروح لل field اللي بيقدر + +110 +00:08:10,250 --> 00:08:14,850 +فيه يكون العينين مافيش فيهم misalignment ضروري + +111 +00:08:14,850 --> 00:08:18,830 +افرج بين ال true toses و ال pseudotoses تمام + +112 +00:08:18,830 --> 00:08:23,380 +بتقضية العين السليمةإذا صارت يعني المخدة fixation + +113 +00:08:23,380 --> 00:08:29,340 +و راح ال toses معناته هذا toses مؤقت نتيجة + +114 +00:08:29,340 --> 00:08:33,100 +الhypotropia وهذا مش toses حقيقي وبالتالي مش لازم + +115 +00:08:33,100 --> 00:08:38,360 +يعني يعمل .. يعمل تدخل جراحي بالنسبةهل بعض الحالات + +116 +00:08:38,360 --> 00:08:41,300 +بتاعت ال monocular elevation deficit بيكون عندها + +117 +00:08:41,300 --> 00:08:44,980 +true ptosis؟ طبعا ممكن يكون عندنا true ptosis وهذا + +118 +00:08:44,980 --> 00:08:48,300 +مش هيروح لما تغطي العين السنينة بيكون عندنا فعلا + +119 +00:08:48,300 --> 00:08:52,820 +associated with ptosis وهذا بده تدخل جراحي بس تدخل + +120 +00:08:52,820 --> 00:08:57,530 +الجراحي في وقته بعد ما نحل مشكلةاللي هو ال astra + +121 +00:08:57,530 --> 00:09:03,090 +business تمام طيب بعض الحالات بيكون عندها توزيز + +122 +00:09:03,090 --> 00:09:06,670 +حقيقي من نوع بنسميه Marcus Gun Joe Winking + +123 +00:09:06,670 --> 00:09:12,810 +Syndrome Marcus Gun Joe Winking Syndrome هذا نوع + +124 +00:09:12,810 --> 00:09:13,590 +من ال توزيز + +125 +00:09:24,230 --> 00:09:28,890 +انه بيكون عندى true ptosis بس بمجرد ما يبدأ في + +126 +00:09:28,890 --> 00:09:33,490 +المضغ او يفتح تمه تمام بيرتفع ال ptosis يعني هذا + +127 +00:09:33,490 --> 00:09:37,230 +النوع من ال ptosis ممكن يوجد عند بعض المرضى اللي + +128 +00:09:37,230 --> 00:09:40,830 +عندهم monocular elevation deficit فمهمتي انا افرج + +129 +00:09:40,830 --> 00:09:43,870 +هل في عندى true ptosis و لا pseudo ptosis و اذا + +130 +00:09:43,870 --> 00:09:47,770 +true ptosis هل هو marcus ganz-joinking syndrome و + +131 +00:09:47,770 --> 00:09:55,500 +لا just ptosis يعني عادي و حقيقي تمام طيبقبل ما + +132 +00:09:55,500 --> 00:10:00,980 +نقول treatment يا ترى كيف أميز بين tight inferior + +133 +00:10:00,980 --> 00:10:05,240 +rectus أو hypoplastic or weak superior rectus أو + +134 +00:10:05,240 --> 00:10:10,040 +combination of the two قبل ما نقول كيف نفرق بينهم، + +135 +00:10:10,040 --> 00:10:12,980 +بدنا نحكي عن حاجة دي، حاجة بيسموها forced + +136 +00:10:12,980 --> 00:10:18,480 +induction test حاجة + +137 +00:10:18,480 --> 00:10:20,320 +اسمها forced generation test + +138 +00:10:27,210 --> 00:10:32,350 +في ال force induction test طبعا هذا يجرى بالغالب + +139 +00:10:32,350 --> 00:10:35,210 +تحت ال general anesthesia أو إذا كان المريض متعاون + +140 +00:10:35,210 --> 00:10:38,350 +كتير بنعمله topical anesthesia أو بنجري له الفحص + +141 +00:10:38,350 --> 00:10:42,210 +هذا لازم يكون المريض صاحي لأن هذا بده أن المريض هو + +142 +00:10:42,210 --> 00:10:45,830 +اللي يقوم بالحركة هنا أنا بحرك العين passive يعني + +143 +00:10:45,830 --> 00:10:50,630 +بامسكهاب two forceps بملغتين جراحيين و بحركها لل + +144 +00:10:50,630 --> 00:10:54,090 +position اللي انا بعتقد انه فيه restriction او + +145 +00:10:54,090 --> 00:10:57,030 +paralysis تمام يعني بمسك العين بحركها مثلا في ال + +146 +00:10:57,030 --> 00:11:00,870 +brown مسكنها حركناها نزل و بعدين حركناها up شعرنا + +147 +00:11:00,870 --> 00:11:03,720 +بال restriction معناته هذا positiveforce induction + +148 +00:11:03,720 --> 00:11:07,120 +test ال force generation test انا بمسك العينين + +149 +00:11:07,120 --> 00:11:10,440 +بحركهاش و بخلي المريض يتطلع في الجهة اللي انا + +150 +00:11:10,440 --> 00:11:15,980 +بديها اذا حسيت انه في قاعد العين بتحرك و انا مسكها + +151 +00:11:15,980 --> 00:11:21,960 +فيه يعني حاجة بتشد فيا تمام معناته انهفي power لل + +152 +00:11:21,960 --> 00:11:26,720 +muscle وهذا ال power بتشتغل و بتحاول تقاوم و وضع + +153 +00:11:26,720 --> 00:11:30,280 +الثبات اللي انا وضعها فيه يعني انا بمسك العين بال + +154 +00:11:30,280 --> 00:11:33,980 +forceps و مابحركاش ابدا بس بطلب من المريض مثلا اذا + +155 +00:11:33,980 --> 00:11:37,420 +بدأ اختبر ال superior rectus بقوله يطلع فوق تمام؟ + +156 +00:11:37,810 --> 00:11:41,650 +إذا حسيت أن العين بتشد حالها من مني من ملاجتي + +157 +00:11:41,650 --> 00:11:45,290 +الجراحية بتشد حالها لفوق معناته في إلها قوة معناته + +158 +00:11:45,290 --> 00:11:50,490 +هذه ال muscle مش weak هذه ال muscle مش weak طيب + +159 +00:11:50,490 --> 00:11:55,270 +نيجي احنا نفرج من التلاتة وفقا لبعض العلامات اللي + +160 +00:11:55,270 --> 00:11:58,190 +ممكن تفيدنا بناء على ال force induction test و + +161 +00:11:58,190 --> 00:12:05,650 +force generation test نيجي بنقول إنسان حسن مثلا + +162 +00:12:05,650 --> 00:12:12,970 +عندهmonocular elevation deficit ناتج عن ايش عن + +163 +00:12:12,970 --> 00:12:17,850 +tight inferior rectus + +164 +00:12:17,850 --> 00:12:26,270 +اول حاجة ال force induction test ايش + +165 +00:12:26,270 --> 00:12:32,110 +هيكون عنده positive ولا negative يعني لو انا مسكت + +166 +00:12:32,110 --> 00:12:35,830 +عين حسناللي فيها ال monocular elevation deficit + +167 +00:12:35,830 --> 00:12:39,310 +عنده tight inferior rectus شده و جيت مسكتها و + +168 +00:12:39,310 --> 00:12:42,950 +حاولت ارفعها لفوق هتقاوم ولا مش هتقاوم؟ اذا في + +169 +00:12:42,950 --> 00:12:46,830 +عندي positive forceduction test عشان نرفع عليه + +170 +00:12:46,830 --> 00:12:52,550 +تمام؟ اذا ال forceduction عنده ايش؟ positive لو + +171 +00:12:52,550 --> 00:12:55,990 +جينا ننتقل أحسين أنه عنده نفس الحالة نفس التشخيص + +172 +00:12:55,990 --> 00:12:58,550 +monocular elevation deficit بس ناتج عن weak + +173 +00:12:58,550 --> 00:13:03,240 +superior rectus ايش وضع ال forceduction test؟هقدر + +174 +00:13:03,240 --> 00:13:07,660 +ارفع العين لفوق؟ لأ هقدر ارفعها وببساطة شديدة weak + +175 +00:13:07,660 --> 00:13:10,560 +superior rectus و normal inferior rectus مش + +176 +00:13:10,560 --> 00:13:15,640 +هتقومني تمام؟ مش هتقومني زي حالة الحلقة الأولى اذا + +177 +00:13:15,640 --> 00:13:21,700 +هنا عندي هيكون ايش؟ negative forced induction test + +178 +00:13:21,700 --> 00:13:25,660 +okay + +179 +00:13:25,660 --> 00:13:30,240 +طيب نيجي لل force generation test تمام ال force + +180 +00:13:30,240 --> 00:13:36,940 +generation testهنا tight inferior rectus بس ال + +181 +00:13:36,940 --> 00:13:41,070 +superior rectus هناnormal superior rectus هنا + +182 +00:13:41,070 --> 00:13:44,070 +normal صحيح ال inferior rectus طيب بس ال superior + +183 +00:13:44,070 --> 00:13:47,850 +rectus مش فيها pulse تمام لو أنا مسكت العين في ال + +184 +00:13:47,850 --> 00:13:51,690 +primary position تمام تحت ال topical anesthesia و + +185 +00:13:51,690 --> 00:13:54,610 +خليتها ثابتة في ال primary position و قلت للمريض + +186 +00:13:54,610 --> 00:13:59,550 +الأول اطلع لفوق هحس انه في اشي بيشد من الملجط + +187 +00:13:59,550 --> 00:14:03,190 +الجراحي في اشي بيشد لفوق يعني هو بيحاول يبذل جهد + +188 +00:14:03,190 --> 00:14:05,650 +اذا عندي ال fourth generation + +189 +00:14:09,790 --> 00:14:15,110 +أيضا positive تمام يعني هحاس أنه في شغل بتقدي + +190 +00:14:15,110 --> 00:14:19,770 +العين بالاتجاه اللي فوق تمام هنا لو أمسكت العين في + +191 +00:14:19,770 --> 00:14:22,630 +ال primary position و قلتله ارفع في عندي weak + +192 +00:14:22,630 --> 00:14:25,630 +superior rectus مش هحاس فهيكون عندي negative + +193 +00:14:25,630 --> 00:14:27,850 +fourth generation test + +194 +00:14:33,500 --> 00:14:38,640 +في حاجة تالتة ممكن نفرج بين النوعين فيها تمام قضية + +195 +00:14:38,640 --> 00:14:46,940 +ال bills phenomenon ايش هي ال bills phenomenon لما + +196 +00:14:46,940 --> 00:14:52,900 +احاول افتح الشفون تمام و اقول للمريض سكر عينك يعني + +197 +00:14:52,900 --> 00:14:57,100 +بشدة تمام هتلاقي العينتين طلعوا لفوق ك reflex هذا + +198 +00:14:57,100 --> 00:15:00,440 +مسمى positive bills phenomenon ال bills phenomenon + +199 +00:15:00,440 --> 00:15:01,100 +هنا negative + +200 +00:15:04,350 --> 00:15:08,310 +لأن الـ tight inferior rectusf تمنع هذه القضية أن + +201 +00:15:08,310 --> 00:15:18,030 +تحصل هنا positive Bell's phenomenon واضح + +202 +00:15:18,030 --> 00:15:25,210 +بالنسبة + +203 +00:15:29,330 --> 00:15:32,950 +هتطلع هتطلع جاسدك يعني ليش انت ال bills فين و فين + +204 +00:15:32,950 --> 00:15:35,490 +احنا لما بنقول weeks superior rectus مش معناته + +205 +00:15:35,490 --> 00:15:38,550 +انها من هي بالمرة تمام مش معناته انها من هي .. من + +206 +00:15:38,550 --> 00:15:44,170 +هي بالمرة طيب نيجي لل treatment بتاعة ال monocular + +207 +00:15:44,170 --> 00:15:48,910 +elevation deficit نيجي لل treatment يعني بتاعة ال + +208 +00:15:48,910 --> 00:15:54,790 +.. ال monocular elevation deficit هاي اتفضل ياال + +209 +00:15:54,790 --> 00:15:58,210 +بيلز فينومينون انه لما بحاول انا افتح الجفون تمام + +210 +00:15:58,210 --> 00:16:02,050 +و بقول للمريض يسكر عينيه بشدة العينين بتطلع لفوق + +211 +00:16:02,050 --> 00:16:05,930 +تحت الجفن الأعلى تمام هتكون عنا negative هنا في + +212 +00:16:05,930 --> 00:16:08,370 +الحالة الأولى و هتكون عندى positive في الحالة + +213 +00:16:08,370 --> 00:16:14,290 +التانية تمام الان ل treatment ل treatment ممكن + +214 +00:16:14,290 --> 00:16:19,010 +استعمل base up prism جدام العين المصابة جدام العين + +215 +00:16:19,010 --> 00:16:28,200 +المصابة base up prismأوممكن تجري جراحة او ممكن + +216 +00:16:28,200 --> 00:16:31,780 +تجري جراحة ايش ال indication لل treatment يكون + +217 +00:16:31,780 --> 00:16:34,560 +عندي hypotropia في ال primary position او + +218 +00:16:34,560 --> 00:16:38,860 +significant chin up يعني position عشان اتخلص منهم + +219 +00:16:38,860 --> 00:16:42,460 +و استعيد استعيد اللي هو ال binocular single vision + +220 +00:16:42,460 --> 00:16:45,680 +في ال primary position اما بدأ استعمل base up + +221 +00:16:45,680 --> 00:16:51,180 +prism او بدأ اجري جراحة لهذا المريض اللي هو عنده + +222 +00:16:51,180 --> 00:16:57,210 +monocular elevation deficit طيبإيش أنواع الجراحات + +223 +00:16:57,210 --> 00:17:02,730 +اللي ممكن تجرى في هذه القضية؟ عندي حسب السبب إذا + +224 +00:17:02,730 --> 00:17:07,470 +كان ال inferior rectus tight إيش بدنا نعمل؟ بدنا + +225 +00:17:07,470 --> 00:17:14,170 +نعمل recession لل inferior rectus طيب + +226 +00:17:14,170 --> 00:17:19,170 +وإذا كان weak superior rectus؟ لأ مش resection + +227 +00:17:22,960 --> 00:17:32,280 +حقيقة في procedure بيسموها NAPS PROCEDURE NAPS + +228 +00:17:32,280 --> 00:17:35,860 +PROCEDURE هاي ال superior rectus بأجيب ال media + +229 +00:17:35,860 --> 00:17:43,680 +rectus و ال lateral rectus بأشيلهم من مكانهم و + +230 +00:17:43,680 --> 00:17:49,120 +بثبتهم جنب ال superior rectus عشان يساهموا في ال + +231 +00:17:49,120 --> 00:17:53,070 +elevation في ال elevation تمامفبالتالي ساعتها + +232 +00:17:53,070 --> 00:17:57,390 +بيصير عندي elevation يعني للعين بيصير عندي ال + +233 +00:17:57,390 --> 00:18:00,290 +superior rectus و هتساهم معاها ال medial rectus و + +234 +00:18:00,290 --> 00:18:17,410 +ال lateral rectus نعرض فيديو الآن could you + +235 +00:18:17,410 --> 00:18:19,930 +look around to the right without moving your head + +236 +00:18:20,700 --> 00:18:31,760 +ترك عيونك تذهب إلى أقل من الممكن تفضل تفضل + +237 +00:18:31,760 --> 00:18:39,160 +تفضل + +238 +00:18:39,160 --> 00:18:45,680 +تفضل + +239 +00:18:45,680 --> 00:18:49,820 +تفضل تفضل تفضل تفضل تفضل + +240 +00:18:53,720 --> 00:18:58,200 +موبيا السندروم موبيا السندروم very rare disease + +241 +00:18:58,200 --> 00:19:03,320 +very rare disease Sporadic طبعا Sporadic يعني + +242 +00:19:03,320 --> 00:19:07,470 +مافيش فيه توريث تمامcongenital sporadic condition + +243 +00:19:07,470 --> 00:19:11,110 +فيه إلو ocular features وفيه إلو systemic features + +244 +00:19:11,110 --> 00:19:15,770 +ال ocular features عبارة عن bilateral sex nerve + +245 +00:19:15,770 --> 00:19:19,030 +pulsae تمام و horizontal gaze pulsae بتكون في + +246 +00:19:19,030 --> 00:19:24,850 +خمسين في المية من الحلال تمام bilateral + +247 +00:19:24,850 --> 00:19:32,960 +sex nerve pulsae مع horizontal gaze pulsaeيعني ال + +248 +00:19:32,960 --> 00:19:37,260 +horizontal vergence مش موجودة تمام و bilateral sex + +249 +00:19:37,260 --> 00:19:43,100 +nerve palsy أيضا بيكون عندي asymmetrical facial + +250 +00:19:43,100 --> 00:19:46,060 +nerve palsy facial nerve palsy عاليمين و عالشمال + +251 +00:19:46,060 --> 00:19:50,980 +بيطيني يعني بيكون asymmetrical و بيأدي لإنه ممكن + +252 +00:19:50,980 --> 00:19:55,000 +العين ماتسكرش أثناء النوم و تعابير الوجه بتروح + +253 +00:19:55,000 --> 00:20:01,510 +بيسموها mask like facemask-like face كأن واحد لابس + +254 +00:20:01,510 --> 00:20:08,150 +mask mask-like face اذا عندي bilateral sex nerve + +255 +00:20:08,150 --> 00:20:15,490 +palsy وايضا horizontal .. horizontal .. gaze palsy + +256 +00:20:15,490 --> 00:20:19,970 +ب 50% من الحلال ايضا asymmetrical facial nerve + +257 +00:20:19,970 --> 00:20:22,570 +palsy خلينا احنا نعد احنا قولنا bilateral sex + +258 +00:20:22,570 --> 00:20:30,110 +nerve palsy facial nerve palsy تمامأيضا في ال + +259 +00:20:30,110 --> 00:20:33,450 +systemic features بيكون عنده tenth and twelfth + +260 +00:20:33,450 --> 00:20:37,710 +nerve بلسة ال Vegas nerve و ال hypoglossal nerve + +261 +00:20:37,710 --> 00:20:45,550 +هذا بيقدي ل atrophy of the tongue يعني + +262 +00:20:45,550 --> 00:20:50,250 +ضمور في اللسان بيكون اللسان صغير و متجعت تمام + +263 +00:20:50,250 --> 00:20:54,190 +bilateral + +264 +00:20:54,190 --> 00:20:58,310 +facial pulse غالبا asymmetrical و مش complete + +265 +00:20:58,870 --> 00:21:03,670 +بتعطيني mask-like facial expression مع problems + +266 +00:21:03,670 --> 00:21:07,070 +with lid closure وهذا ممكن يؤدي ل dry eye ممكن + +267 +00:21:07,070 --> 00:21:14,130 +يؤدي ل dry eye ممكن يكون عندي paresis في العاشر + +268 +00:21:14,130 --> 00:21:19,110 +وممكن في التاسع اللي هو ال glossopharyngeal nerve + +269 +00:21:19,110 --> 00:21:26,890 +تمام + +270 +00:21:28,320 --> 00:21:32,380 +طبعا ال 12th cranial nerve إذا صار فيه بلسة بيقدي + +271 +00:21:32,380 --> 00:21:38,120 +ل atrophy of the tongue في عندي تخلف عقلي بسيط + +272 +00:21:38,120 --> 00:21:42,120 +mild mental handicap ممكن يكون عندي limb anomalies + +273 +00:21:42,120 --> 00:21:43,340 +limb anomalies + +274 +00:21:49,890 --> 00:21:53,430 +حقيقة بعض العلماء بيقولوا هذا ال mobius syndrome + +275 +00:21:53,430 --> 00:21:58,190 +هو عبارة ينتمي إلى عائلة من ال syndromes بيكون + +276 +00:21:58,190 --> 00:22:02,890 +فيها عندنا lymph anomalies بالاضافة ل orofacial + +277 +00:22:02,890 --> 00:22:07,910 +anomalies ويعني mental handicap ومن ضمنها ال + +278 +00:22:07,910 --> 00:22:11,530 +mobius syndrome ومن ضمنها بيكون ال Poland syndrome + +279 +00:22:11,530 --> 00:22:17,370 +ال Poland يضاف لأن absence of pectoralis muscle + +280 +00:22:21,140 --> 00:22:24,180 +مش موجودة ال pectoralis muscle اللي هي عضلة الصدر + +281 +00:22:24,180 --> 00:22:29,060 +عضلة الصدر تمام بتكون مش موجودة طبعا احنا بهمنا + +282 +00:22:29,060 --> 00:22:33,120 +بالنسبة للبصريات و العيون انه ايش العلامات اللي + +283 +00:22:33,120 --> 00:22:37,060 +انا ممكن اعرف فيها اللي هو ال mobius syndrome انه + +284 +00:22:37,060 --> 00:22:40,340 +عندي bilateral sex nerve palsy عندي horizontal + +285 +00:22:40,340 --> 00:22:47,580 +gaze palsy في 50% من الحالات عندي اللي هو facial + +286 +00:22:47,580 --> 00:22:48,600 +nerve palsy + +287 +00:33:05,160 --> 00:33:07,900 +بيكون عندي horizontal gaze palsy زي ما حكينا + +288 +00:33:07,900 --> 00:33:11,940 +وبيكون عندي facial palsy عن ناحيتين بس بيكون + +289 +00:33:11,940 --> 00:33:17,640 +asymmetrical وبيعطي يعني face او mask like facial + +290 +00:33:17,640 --> 00:33:21,920 +expression عرض الفيديو هنقجله + +291 +00:33:24,650 --> 00:33:27,930 +واضح ال atrophy of the tongue ضروري انا اطلب من + +292 +00:33:27,930 --> 00:33:32,610 +الاهل او من الطفل او من المريض طبعا هيك ال closure + +293 +00:33:32,610 --> 00:33:36,390 +شبه complete في الناحية اليمين وطبعا يعني severe + +294 +00:33:36,390 --> 00:33:39,790 +يعني facial palsy في الناحية الشمال طبعا ال facial + +295 +00:33:39,790 --> 00:33:42,610 +nerve بيغذي ال orbicularis oculi muscle عشان هيك + +296 +00:33:42,610 --> 00:33:46,910 +مش قادر يسكر عينه أثناء تغميد العين وبالتالي ممكن + +297 +00:33:46,910 --> 00:33:49,690 +يتعرض ل ال exposure ويصير عنده exposure + +298 +00:33:49,690 --> 00:33:56,650 +keratopathy atrophy of the tongueيعني طبعا very + +299 +00:33:56,650 --> 00:34:02,750 +rare الحمد لله انه very rare نيجي لها congenital + +300 +00:34:02,750 --> 00:34:08,250 +fibrosis of extraocular muscles يعني هذا سندروم + +301 +00:34:08,250 --> 00:34:14,990 +rare non-progressive غالبا autosomal dominant بعض + +302 +00:34:14,990 --> 00:34:18,610 +الحالات بتكون autosomal recessive توريثها متنحي بس + +303 +00:34:18,610 --> 00:34:21,880 +كتير منها بتكون autosomal dominantبيكون عندى + +304 +00:34:21,880 --> 00:34:25,260 +bilateral ptosis .. bilateral ptosis .. severe + +305 +00:34:25,260 --> 00:34:30,620 +ptosis and restrictive external ophthalmoplegiaمن + +306 +00:34:30,620 --> 00:34:33,720 +اسمها ophthalmoblidia يعني شلل في حركة العين + +307 +00:34:33,720 --> 00:34:36,380 +restrictive نتيجة ال restriction لأن في عندى + +308 +00:34:36,380 --> 00:34:39,980 +fibrosis في ال oxtraocular muscles بعض الحالات + +309 +00:34:39,980 --> 00:34:43,060 +بتكون خفيفة يعني ال fibrosis بيكون مقصورة على عضلة + +310 +00:34:43,060 --> 00:34:46,920 +من العضلات وبعض الحالات بتكون bilateral وشاملة كل + +311 +00:34:46,920 --> 00:34:50,100 +العضلات يعني اتناشر عضلة ست عضلات هنا وست عضلات + +312 +00:34:50,100 --> 00:34:54,280 +هنا بتكون fibrosed وبالتاليمجالي العينتين انهم + +313 +00:34:54,280 --> 00:34:59,800 +يتحركوا تقريبا بيكون معدوم و بالذات ال vertical + +314 +00:34:59,800 --> 00:35:07,280 +movement بتكون severely restricted هذه + +315 +00:35:07,280 --> 00:35:17,700 +من ضمن العلامات bilateral severe doses ممكن + +316 +00:35:17,700 --> 00:35:22,420 +يجي monocular و ممكن يكون binocular العين العين + +317 +00:35:25,420 --> 00:35:33,860 +المصابة طبعا تكون فيها toses وانتوزز هنا بيكون + +318 +00:35:33,860 --> 00:35:42,480 +العين تان أو عين تحت ال horizontal meridian بعشرة + +319 +00:35:42,480 --> 00:35:46,680 +degree تقريبا يعني في وضع تحت ال horizontal + +320 +00:35:46,680 --> 00:35:51,760 +meridian بعشرة degreeيعني صعب جدا انه يرفع above + +321 +00:35:51,760 --> 00:35:54,580 +ال horizontal meridian او ال horizontal plane + +322 +00:35:54,580 --> 00:35:59,000 +تمام؟ اذا in the primary position each eye .. each + +323 +00:35:59,000 --> 00:36:03,580 +eye is fixed below the horizontal meridian by 10 + +324 +00:36:03,580 --> 00:36:09,200 +degree الhypotropic eye ممكن تكون straight و ممكن + +325 +00:36:09,200 --> 00:36:14,180 +تكون exo و ممكن تكون esotropic .. esotropic + +326 +00:36:17,240 --> 00:36:21,000 +طيب قديش في معاهم مجلة الحركة العرضية horizontal + +327 +00:36:21,000 --> 00:36:26,100 +movement ممكن تكون full movement و ممكن absent بس + +328 +00:36:26,100 --> 00:36:29,860 +الحركة الرأسية severely restricted .. severely + +329 +00:36:29,860 --> 00:36:35,620 +restricted ال + +330 +00:36:35,620 --> 00:36:38,640 +vertical movements are always severely restricted + +331 +00:36:38,640 --> 00:36:42,300 +مافيش إمكانية to elevate the eyes above the + +332 +00:36:42,300 --> 00:36:48,130 +horizontal planeطبعا في الوضعية هاي غالبا بيكون + +333 +00:36:48,130 --> 00:36:51,070 +عندى absence of binocular vision and ampliopia + +334 +00:36:51,070 --> 00:36:57,210 +ممكن تكون و هتكون هي ايش نوع هال ampliopia؟ + +335 +00:36:57,210 --> 00:37:02,710 +اه في العين تان نعم ممكن تكون في العين تان او .. + +336 +00:37:02,710 --> 00:37:06,630 +او العين اللي more او اللي .. اللي هو less used + +337 +00:37:06,630 --> 00:37:09,800 +for fixation تمام؟العين اللى preferred for + +338 +00:37:09,800 --> 00:37:13,660 +fixation ممكن تكون افضل في ال vision تمام absence + +339 +00:37:13,660 --> 00:37:16,500 +of binocular vision and amblyopia ايش بيكون نوع ال + +340 +00:37:16,500 --> 00:37:20,700 +amblyopia هنا Strabismic amblyopia Strabismic + +341 +00:37:20,700 --> 00:37:26,320 +amblyopia Strabismic amblyopia طيب ايش ممكن نعمله + +342 +00:37:26,320 --> 00:37:31,480 +جراحة هي عندنا مثلا Exotropia مع congenital + +343 +00:37:31,480 --> 00:37:33,680 +fibrosis of extraocular muscles + +344 +00:37:40,020 --> 00:37:43,620 +طيب إيش علاج ال congenital fibrosis of extraocular + +345 +00:37:43,620 --> 00:37:49,440 +muscles؟ الجراحة، العلاج الجراحي، بس بدنا نتأكد إن + +346 +00:37:49,440 --> 00:37:53,780 +حتى الجراحة ما بتعملش علاج كامل للموضوع، يعني ممكن + +347 +00:37:53,780 --> 00:37:58,300 +إن الجراحة تأدي للنتيجة، يعني تعتبر جيدة إنه في ال + +348 +00:37:58,300 --> 00:38:02,210 +primary position يكون في NDHstraight eyes ونوع من + +349 +00:38:02,210 --> 00:38:05,550 +ال binocular single vagina بس مش في كل الأوضاع + +350 +00:38:05,550 --> 00:38:08,430 +..مش في كل الأوضاع آخر حاجة عندنا اللي هي + +351 +00:38:08,430 --> 00:38:11,230 +الastrabismus fixus من اسمه fixus يعني يعني + +352 +00:38:11,230 --> 00:38:15,270 +fixation يعني ال eye fixed مابتتحركش في عندنا + +353 +00:38:15,270 --> 00:38:19,410 +convergentStrabismus fixus معناته العينتين + +354 +00:38:19,410 --> 00:38:22,830 +convergent وممسكين مافيش اي حركة يعني بيضلوا في + +355 +00:38:22,830 --> 00:38:26,430 +وضع ال ISO وهذا نتيجة fibrous tightening of the + +356 +00:38:26,430 --> 00:38:30,130 +medial recti او في انه divergence Strabismus fixus + +357 +00:38:30,130 --> 00:38:34,470 +وهذا يعني بيكون ال fibrous tightening of the + +358 +00:38:34,470 --> 00:38:38,150 +lateral recti of the lateral recti طبعا very rare + +359 +00:38:38,150 --> 00:38:42,970 +disease حد يسأل سؤال ويعطيكوا العافية + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dzOz6fInXBo.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dzOz6fInXBo.srt new file mode 100644 index 0000000000000000000000000000000000000000..425b9c5fbc274e194b1f4986f6acccc7391f789a --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dzOz6fInXBo.srt @@ -0,0 +1,2106 @@ +1 +00:00:21,430 --> 00:00:24,850 +بسم الله الرحمن الرحيم اليوم حضرتنا إن شاء الله + +2 +00:00:24,850 --> 00:00:30,510 +تعالى عن الـ exotropias بأنواعها، الـ exotropia اللي + +3 +00:00:30,510 --> 00:00:34,610 +هي outward deviation of the eyes، في عندنا منها + +4 +00:00:34,610 --> 00:00:39,310 +أنواع، اللي هي الـ constant أو الـ early onset أو الـ + +5 +00:00:39,310 --> 00:00:43,330 +congenital exotropia، وهذه هنقارنها إن شاء الله + +6 +00:00:43,330 --> 00:00:47,250 +تعالى مع الـ early onset esotropia، في علامات مشتركة + +7 +00:00:47,250 --> 00:00:54,360 +طبعًا في أشياء يعني مختلفة، وفي عندنا الـ intermittent + +8 +00:00:54,360 --> 00:00:56,800 +exotropia، وفي عندنا الـ sensory أو الـ secondary + +9 +00:00:56,800 --> 00:01:00,820 +exotropia، وفي عندنا الـ consecutive exotropia، وفي + +10 +00:01:00,820 --> 00:01:03,840 +الـ exotropia بتاعة اللي هو الـ incompetent + +11 +00:01:03,840 --> 00:01:08,180 +strabismus، زي دوين سندروم type 2، زي third nerve + +12 +00:01:08,180 --> 00:01:12,040 +palsy إلى آخره، تمام، الـ constant أو الـ early onset + +13 +00:01:12,040 --> 00:01:18,730 +exotropia، الـ presentation بيكون at birth، يعني من حين + +14 +00:01:18,730 --> 00:01:21,750 +ما يولد الطفل بيكون عنده constant large angle + +15 +00:01:21,750 --> 00:01:28,050 +exotropia من حين الولادة، طبعًا إذا بنتذكر الـ early + +16 +00:01:28,050 --> 00:01:31,090 +onset exotropia within the first six months of + +17 +00:01:31,090 --> 00:01:35,930 +life، هنا يعني from the first day after birth، تمام، + +18 +00:01:35,930 --> 00:01:41,170 +يكون واضح اللي هو الـ exotropia في الجهتين، هنا في + +19 +00:01:41,170 --> 00:01:45,350 +عندي normal refraction متناسب مع عمر الطفل، وفي الـ + +20 +00:01:45,350 --> 00:01:48,210 +early onset esotropia أيضًا normal refraction + +21 +00:01:48,210 --> 00:01:52,670 +متناسب مع عمر الطفل، large and constant angle، و + +22 +00:01:52,670 --> 00:01:55,910 +هناك large and constant angle، بس هنا exo، هناك + +23 +00:01:55,910 --> 00:02:01,350 +esotropia، الـ DVD maybe present، وأيضًا الـ fear of + +24 +00:02:01,350 --> 00:02:03,550 +oblique over action ممكن تكون موجودة في الـ + +25 +00:02:03,550 --> 00:02:07,050 +exotropia، وأيضًا هي تعتبر من ضمن علامات الـ early + +26 +00:02:07,050 --> 00:02:11,530 +onset esotropia، الـ neurological anomalies هنا + +27 +00:02:11,530 --> 00:02:15,010 +موجودة أو متوقع أن تكون موجودة، أو frequently + +28 +00:02:15,010 --> 00:02:19,450 +present، بينما في الـ early onset إيزوتروبيا قلنا + +29 +00:02:19,450 --> 00:02:22,670 +healthy infant، healthy infant، يعني ما فيش عنده أي + +30 +00:02:22,670 --> 00:02:26,330 +مشاكل صحية ثانية، هذه من الشغلات اللي بتختلف فيها + +31 +00:02:26,330 --> 00:02:29,990 +الإيزوتروبيا الـ early onset مع الإكسوتروبيا، طبعًا + +32 +00:02:29,990 --> 00:02:33,270 +الـ early onset، طبعًا في الـ treatment في الاثنين + +33 +00:02:33,270 --> 00:02:37,290 +بيتفقوا أنه surgical treatment للجهتين، هناك ممكن + +34 +00:02:37,290 --> 00:02:41,570 +أشغال على medial recession، by medial recession، أو + +35 +00:02:42,830 --> 00:02:45,990 +medial rectus resection، و lateral rectus resection، + +36 +00:02:45,990 --> 00:02:50,350 +وهنا العكس.. هنا العكس تمام.. هنا العكس طبعًا + +37 +00:02:50,350 --> 00:02:55,030 +لازم أنتبه لشغلة معينة، اللي هي secondary exotropia، + +38 +00:02:55,030 --> 00:02:58,530 +أو sensory exotropia، ما يكونش بالأساس الطفل عنده + +39 +00:02:58,530 --> 00:03:01,830 +secondary أو sensory، قلنا sensory exotropia، يعني + +40 +00:03:01,830 --> 00:03:06,090 +مرض له علاقة بالـ decreased vision، تمام؟ عشان + +41 +00:03:06,090 --> 00:03:09,550 +هيك الـ fundus examination is mandatory، سواء في الـ + +42 +00:03:09,550 --> 00:03:12,830 +إيزوتروبيا أو الـ exotropia أو أي نوع من أنواع الـ + +43 +00:03:12,830 --> 00:03:16,250 +extra business، لو حبينا نعمل جدول هيك بس عشان نثبت + +44 +00:03:16,250 --> 00:03:22,150 +معلوماتنا هنا، ونقول الـ early onset esotropia، والـ + +45 +00:03:22,150 --> 00:03:27,410 +early onset exotropia، هنا esotropia طبعًا early + +46 +00:03:27,410 --> 00:03:33,770 +onset، وهنا exotropia early onset، تمام، هنا الـ + +47 +00:03:33,770 --> 00:03:35,930 +onset within the first six months + +48 +00:03:40,960 --> 00:03:48,680 +of life، هنا at birth، هنا + +49 +00:03:48,680 --> 00:03:54,820 +large and constant angle، هناك + +50 +00:03:54,820 --> 00:03:59,060 +نفس الشيء، + +51 +00:03:59,060 --> 00:04:05,000 +هنا + +52 +00:04:05,000 --> 00:04:10,110 +عندنا DVD، و inferior oblique over action ممكن تكون + +53 +00:04:10,110 --> 00:04:15,250 +موجودة، وهنا أيضًا DVD، و inferior oblique over + +54 +00:04:15,250 --> 00:04:20,670 +action ممكن تكون موجودة، normal refractive error + +55 +00:04:20,670 --> 00:04:24,370 +بالنسبة لعمر الطفل، وهنا نفس الشيء، normal + +56 +00:04:24,370 --> 00:04:30,450 +refractive error بالنسبة لعمر الطفل، هنا في عندي + +57 +00:04:30,450 --> 00:04:36,460 +healthy child أو healthy infant، هنا غالبًا بيكون + +58 +00:04:36,460 --> 00:04:42,340 +عندي neurological anomalies، neurological disease، + +59 +00:04:42,340 --> 00:04:45,940 +أو craniofacial anomalies، هنا العلاج surgical + +60 +00:04:45,940 --> 00:04:56,400 +treatment، وهنا العلاج surgical treatment، طبعًا + +61 +00:04:56,400 --> 00:05:02,540 +الـ fundus examination must be done in both، يعني + +62 +00:05:02,540 --> 00:05:06,320 +diseases، نجي للموضوع الأكبر اللي هو الـ + +63 +00:05:06,320 --> 00:05:12,340 +intermittent exotropia، حقيقة الحول.. الحول بصورة + +64 +00:05:12,340 --> 00:05:18,700 +عامة، مش بس الـ exotropia، الحول بصورة عامة من ناحية + +65 +00:05:18,700 --> 00:05:22,920 +موضوع الـ fusion ممكن أقسمه لثلاثة أنواع، + +66 +00:05:29,770 --> 00:05:33,470 +إذا بنتكلم على الحول بالنسبة لموضوع الـ fusion، + +67 +00:05:33,470 --> 00:05:39,450 +بنتكلم عن ثلاثة أشياء، بنتكلم عن phoria، بنتكلم عن + +68 +00:05:39,450 --> 00:05:45,070 +intermittent tropia، وبنتكلم + +69 +00:05:45,070 --> 00:05:50,430 +عن tropia أو constant tropia، هنا الـ fusion شغال + +70 +00:05:50,430 --> 00:05:59,040 +وقوي، fusion يعني يعمل بقوة بحيث أنه أي deviation + +71 +00:05:59,040 --> 00:06:02,900 +بيخليه في مرحلة الـ phoria، الخفاء، تمام، أنه ما بتظهرش، + +72 +00:06:02,900 --> 00:06:07,960 +امتى بقدر أعرف أنه عند هذا الإنسان phoria؟ أن أعمل + +73 +00:06:07,960 --> 00:06:10,960 +breaking للـ fusion بوسطة الـ cover test أو أي + +74 +00:06:10,960 --> 00:06:14,420 +وسيلة بتعمل breaking للـ fusion، الـ intermittent + +75 +00:06:14,420 --> 00:06:22,100 +tropia في مراحل الـ stress والـ illness والإرهاق، + +76 +00:06:22,100 --> 00:06:29,510 +إلى آخره، تمام، الحالة بيصير عندي deviation، تمام، بس + +77 +00:06:29,510 --> 00:06:33,950 +يروح الـ illness أو الـ stress أو ينتبه الطفل، تمام، + +78 +00:06:33,950 --> 00:06:38,830 +بترجع لوضع الـ orthotropia، إذا بيصير breaking للـ fusion + +79 +00:06:38,830 --> 00:06:44,470 +لحظات، breaking للـ fusion، هنا + +80 +00:06:44,470 --> 00:06:50,190 +عندي manifest tropia، يعني الـ fusion break، راح الـ + +81 +00:06:50,190 --> 00:06:54,150 +fusion، راح، عندي ما فيش fusion، وبالتالي عندي الحول + +82 +00:06:54,150 --> 00:06:58,870 +ظاهر ودائم، ودائمًا بلاحظه على المريض، نيجي نحكي عن + +83 +00:06:58,870 --> 00:07:01,950 +الـ intermittent exotropia، الـ intermittent + +84 +00:07:01,950 --> 00:07:09,090 +exotropia، متى بتبدأ؟ يعني من عمر الطفل في أي لحظات + +85 +00:07:09,090 --> 00:07:12,370 +بتبدأ من عمر الطفل؟ أو في أي عمر؟ الـ intermittent + +86 +00:07:12,370 --> 00:07:18,690 +exotropia عادة بتيجي على عمر تقريبًا سنتين، هذه بتبدأ + +87 +00:07:18,690 --> 00:07:23,550 +ليس كان intermittent tropia، لأ، كان intermittent exophoria، وهي + +88 +00:07:23,550 --> 00:07:26,270 +بيصير لها breaks down to exotropia under + +89 +00:07:26,270 --> 00:07:30,430 +conditions of visual inattention، أو في الـ bright + +90 +00:07:30,430 --> 00:07:35,770 +light، وهذا بيجعل الطفل يسكر إحدى عينيه، وأيضًا بتيجي + +91 +00:07:35,770 --> 00:07:39,390 +في مرحلة الـ fatigue أو الـ illness، أي شيء بيشكل + +92 +00:07:39,390 --> 00:07:43,210 +ثقل على الـ fusion اللي بيقوم فيه الدماغ، تمام؟ ممكن + +93 +00:07:43,210 --> 00:07:46,810 +يحول الـ exophoria لـ intermittent exotropia، + +94 +00:07:46,810 --> 00:07:50,170 +بنسميهاش constant لأنها بتيجي للحظات، وبعدين لما + +95 +00:07:50,170 --> 00:07:53,550 +بينتبه أو بيروح المؤثر اللي كسر الـ fusion، هيرجع + +96 +00:07:53,550 --> 00:07:59,370 +بيرجع الوضع للـ orthotropia، أو بيرجع لمرحلة exophoria، إيش + +97 +00:07:59,370 --> 00:08:03,430 +العلامات بتاعة الـ intermittent exotropia؟ عادة.. + +98 +00:08:03,430 --> 00:08:06,570 +عادة الطفل يكون عنده straight eyes، مع binocular + +99 +00:08:06,570 --> 00:08:10,570 +single vision، غالبية الوقت من النهار، في لحظات + +100 +00:08:10,570 --> 00:08:16,250 +معينة، لما ينعس أو يسرح، تمام، أو تحت stress أو مرض، + +101 +00:08:16,250 --> 00:08:20,850 +تمام، بيصير عنده manifest exotropia، تمام؟ يعني الطفل + +102 +00:08:20,850 --> 00:08:27,470 +بيغيب عن الوضعية السليمة، تمام؟ + +103 +00:08:27,470 --> 00:08:34,870 +في لحظات معينة، إحدى العينين بتصير exo، تمام؟ الأهل + +104 +00:08:34,870 --> 00:08:38,130 +بيحكوا طبعًا في الـ history، أنه بمجرد ما بنبه الطفل، + +105 +00:08:38,130 --> 00:08:44,050 +يكون سرحان أو مركز في شيء معين أو نعس، تمام؟ بنلاحظ + +106 +00:08:44,050 --> 00:08:48,290 +عليه المنظر هذا، تمام؟ بمجرد ما نبهه بتعدل عينيه + +107 +00:08:48,290 --> 00:08:52,790 +تمامًا، ما كأنه شيء لم يكن، طبعًا + +108 +00:08:53,870 --> 00:08:57,750 +في اللحظة هالـ العين الـ squinting بيصير فيها إيش؟ + +109 +00:08:57,750 --> 00:09:01,090 +بتصبر، عشان ما يصير عشان ما يصير عندي double vision، طبعًا الـ + +110 +00:09:01,090 --> 00:09:03,570 +control of squint varies with the distance of + +111 +00:09:03,570 --> 00:09:08,350 +fixation، طبعًا لما إحنا نيجي نُصنّف الـ intermittent + +112 +00:09:08,350 --> 00:09:13,650 +exotropia، بنصنفها على أساس قد إيش الدماغ قادر يعمل + +113 +00:09:13,650 --> 00:09:18,430 +control على أي مسافة، هنيجي لهذا الكلام الآن، تمام؟ + +114 +00:09:18,430 --> 00:09:20,830 +يعني بتنقسم لثلاثة أنواع، + +115 +00:09:29,530 --> 00:09:31,730 +عندي الـ classification بتاعة الـ intermittent + +116 +00:09:31,730 --> 00:09:40,470 +exotropia، distance exotropia، و near exotropia، و + +117 +00:09:40,470 --> 00:09:44,050 +non-specific exotropia، هنيجي نحكي عنهم، طبعًا الـ + +118 +00:09:44,050 --> 00:09:49,210 +intermittent exotropia كلهم طبعًا intermittent، + +119 +00:09:49,210 --> 00:09:53,850 +بمعنى بيجيني الطفل بالغالب straight، بالغالب + +120 +00:09:53,850 --> 00:09:57,490 +straight eyes، بس في عندي تقسيمة لهم، distance + +121 +00:09:57,490 --> 00:09:58,410 +exotropia، + +122 +00:10:01,150 --> 00:10:06,930 +و non-specific، و + +123 +00:10:06,930 --> 00:10:14,650 +near exotropia، طبعًا لهم أسماء ثانية قديمة، تمام، الـ + +124 +00:10:14,650 --> 00:10:17,870 +distance exotropia، بعض الكتب بتسميها divergence + +125 +00:10:17,870 --> 00:10:23,110 +excess exotropia، الـ + +126 +00:10:23,110 --> 00:10:27,370 +non-specific، بعض الكتب بتسميها basic exotropia، و + +127 +00:10:27,370 --> 00:10:30,740 +الـ near أحسن تكون convergence insufficiency + +128 +00:10:30,740 --> 00:10:35,420 +exotropia، دائمًا + +129 +00:10:35,420 --> 00:10:39,040 +بدنا إحنا يعني عشان ما نتوهش في الموضوع، الـ + +130 +00:10:39,040 --> 00:10:44,060 +classification، عادة الاسم اللي بينعطى لـ type معين + +131 +00:10:44,060 --> 00:10:47,780 +من الحول بيبقى له علاقة في القياس، لما بقول near + +132 +00:10:47,780 --> 00:10:50,580 +exotropia، يعني exotropia عن near أكثر منها ع الـ + +133 +00:10:50,580 --> 00:10:55,200 +distance، لما بقول distance exotropia، معناته الـ + +134 +00:10:55,200 --> 00:10:58,210 +distance الـ exo أكثر من الـ near، لما بقول non + +135 +00:10:58,210 --> 00:11:01,230 +specific، يعني مش مميزة، لا هي distance ولا هي near، + +136 +00:11:01,230 --> 00:11:04,090 +يعني تقريبًا equal على الـ distance وعلى الـ near، + +137 +00:11:04,090 --> 00:11:08,090 +فالأمر ما فيش فيه صعوبة، التقسيمة حسب الـ control، + +138 +00:11:08,090 --> 00:11:11,370 +يعني إيش الـ control؟ يعني حسب قد إيش الـ fusion شغال، + +139 +00:11:11,370 --> 00:11:14,570 +وبيسيطر على الحول، يعني هل بيقدر يسيطر عليه على + +140 +00:11:14,570 --> 00:11:18,170 +الـ distance؟ وما بيقدرش يسيطر عليه عن near، إذا + +141 +00:11:18,170 --> 00:11:20,410 +ما بيقدرش يسيطر عليه عن near، هيصير عندي near + +142 +00:11:20,410 --> 00:11:24,930 +exotropia، تمام؟ هل بيسيطر عليه عن near أكثر من الـ + +143 +00:11:24,930 --> 00:11:28,050 +distance؟ معناته هيصير عندي distance exotropia، لو + +144 +00:11:28,050 --> 00:11:31,790 +الدماغ بيسيطر على البعدين بنفس الدرجة، هيظل عندي + +145 +00:11:31,790 --> 00:11:36,910 +non-specific exotropia، طيب الآن نيجي نحكي عن كل + +146 +00:11:36,910 --> 00:11:43,070 +واحدة، الحالة الـ distance exotropia، حقيقة بتنقسم + +147 +00:11:43,070 --> 00:11:43,670 +لقسمين، + +148 +00:11:46,150 --> 00:11:51,870 +true distance، و simulated، إيش يعني simulated؟ مش + +149 +00:11:51,870 --> 00:11:58,450 +محفوظ، لأ، مش stimulated، simulated، يحاكي، يشبه، تمام، أو + +150 +00:11:58,450 --> 00:12:02,930 +يحاكي، simulated distance exotropia، هنا true + +151 +00:12:02,930 --> 00:12:07,830 +distance exotropia، و simulated distance exotropia، + +152 +00:12:07,830 --> 00:12:15,430 +حقيقة إحنا بدنا نضرب مثل حتى تتضح الأمور، بنقول حسن + +153 +00:12:17,960 --> 00:12:24,540 +طفل عمره أربع سنوات، جابوا أهله على العيادة بيشكوا + +154 +00:12:24,540 --> 00:12:28,570 +أنه في لحظات معينة عين من عينيه بتطلع على برة، كلمة + +155 +00:12:28,570 --> 00:12:31,670 +في لحظات معينة عين من عينيه بتطلع لبرا، معناته أنا + +156 +00:12:31,670 --> 00:12:35,590 +بتوقع أنه intermittent exotropia، intermittent، عشان + +157 +00:12:35,590 --> 00:12:39,770 +كلمة لحظات، مش دائمًا، ولبرا معناته exotropia، الآن + +158 +00:12:39,770 --> 00:12:42,830 +وظيفتي أفحص، من ضمن الفحوصات اللي بدي أفحصها لازم + +159 +00:12:42,830 --> 00:12:46,590 +أفحصها على الـ distance وعلى الـ near، فحصته على الـ + +160 +00:12:46,590 --> 00:12:51,230 +distance، لقيته 40 prism exotropia، فحصته على + +161 +00:12:51,230 --> 00:12:56,130 +الـ near، لقيته 20 prism exotropia، إذا هذه + +162 +00:12:56,130 --> 00:13:00,720 +distance exotropia، بس بدي آخذ في بالي هل هي فعلًا + +163 +00:13:00,720 --> 00:13:05,660 +حقيقة distance exotropia ولا في سبب آخر ما لوش + +164 +00:13:05,660 --> 00:13:09,180 +علاقة بموضوع الإكزوتروبيا كـ exotropia، ولكن إله + +165 +00:13:09,180 --> 00:13:14,880 +علاقة بتقليل الـ angle على الـ near، تمام، تدخل حتى يجعل + +166 +00:13:14,880 --> 00:13:19,680 +الـ near أقل من الـ distance، نعيد الكلام ثاني حتى نركز + +167 +00:13:19,680 --> 00:13:23,450 +في الموضوع، حسن إحنا متفقين أنه لازم أنه عنده + +168 +00:13:23,450 --> 00:13:27,850 +intermittent exotropia تحت خانة الـ distance، بس يا + +169 +00:13:27,850 --> 00:13:31,450 +ترى هل هو فعلًا distance exotropia ولا في عامل + +170 +00:13:31,450 --> 00:13:36,090 +خارجي أثر على الـ near measurement، خلها أقل ما هو + +171 +00:13:36,090 --> 00:13:39,650 +العامل الخارجي اللي ممكن يتدخل في قياس الـ + +172 +00:13:39,650 --> 00:13:45,910 +exotropia، الـ AC/A ratio، لو قلنا حسن الـ AC/A ratio + +173 +00:13:45,910 --> 00:13:50,730 +عنده عالي، معناته عن near، الـ near إحنا بنجيبه + +174 +00:13:50,730 --> 00:13:53,690 +على 33 سم، يعني ثلث متر، يعني بده + +175 +00:13:53,690 --> 00:13:57,830 +3 ديوبتر of accommodation، حسن بما أنه طفل عمره + +176 +00:13:57,830 --> 00:14:00,230 +أربع سنوات بيقدر يعمل 3 ديوبتر of + +177 +00:14:00,230 --> 00:14:03,650 +accommodation، بس لأن الـ AC/A ratio عنده 9/1، + +178 +00:14:03,650 --> 00:14:07,590 +الـ + +223 +00:17:15,810 --> 00:17:20,610 +لطفل على near object تمام، في بعض الأطفال أو بعض + +224 +00:17:20,610 --> 00:17:24,950 +المرضى عندهم high tenacious proximal convergence + +225 +00:17:24,950 --> 00:17:30,190 +يعني مقاومته لحدوث الـ exotropia عنده قوية جدا + +226 +00:17:30,190 --> 00:17:35,850 +فبالتالي، طالما هذا شيء متحكم فيه centrally، لازم أعمل + +227 +00:17:35,850 --> 00:17:41,930 +الـ breaking للـ diffusion لفترة طويلة، تمام، أعمل الـ + +228 +00:17:41,930 --> 00:17:45,890 +breaking للـ diffusion لفترة طويلة. هذا الطفل لو + +229 +00:17:45,890 --> 00:17:51,910 +غطيت عينه لمدة ساعة، زمان إحدى العينين، وعدت قياس الـ + +230 +00:17:51,910 --> 00:17:57,010 +near angle، هلاقيها نفس الـ distance angle، إذا في + +231 +00:17:57,010 --> 00:18:03,580 +عندي شغلتين ممكن تتحكم في التشخيص. هذا طيب، بدي أنا + +232 +00:18:03,580 --> 00:18:09,180 +نحكي سيناريو كالآتي: هذا السيناريو لابد من + +233 +00:18:09,180 --> 00:18:14,760 +اتباعه مع أي حالة distance-exotropia. أحمد خمس + +234 +00:18:14,760 --> 00:18:19,160 +سنوات، intermittent-exotropia حسب الـ history. بدأنا + +235 +00:18:19,160 --> 00:18:22,320 +القياس عنه على الـ distance خمسة وثلاثين، على الـ + +236 +00:18:22,320 --> 00:18:27,840 +near ثمانٍ وثلاثون. هل هذا distance-exotropia؟ هذا + +237 +00:18:27,840 --> 00:18:32,200 +distance تحت العنوان الكبير، آه distance، يا ترى هل + +238 +00:18:32,200 --> 00:18:36,600 +هو true ولا simulated؟ عشان أقول true، لازم يمر في + +239 +00:18:36,600 --> 00:18:41,580 +مرحلتين اختبار. هذه الـ near angle، أول مرحلة، أول شيء + +240 +00:18:41,580 --> 00:18:46,420 +بدي أحط +3 قدام العينين. ليش؟ عشان أستثني الـ + +241 +00:18:46,420 --> 00:18:51,360 +AC/A ratio. حطيت +3 و +3، دلت الـ + +242 +00:18:51,360 --> 00:18:55,820 +angle 18. إذا مش موضوع AC/A ratio، بروح على + +243 +00:18:55,820 --> 00:18:58,960 +استثناء الشيء الثاني. ببدأ أستثني أنه يمكن هذا عنده + +244 +00:18:58,960 --> 00:19:02,620 +الـ proximal convergence بيقاوم بشدة موضوع الـ + +245 +00:19:02,620 --> 00:19:09,780 +exotropia. غطيت له عينه بعد +3 +3. تغطية يعني + +246 +00:19:09,780 --> 00:19:15,140 +تغطية عين من العينين لمدة ساعة، تمام. أعادت بعد + +247 +00:19:15,140 --> 00:19:20,980 +الساعة قياس الـ near angle، نفس الشيء 18 prism. هذا + +248 +00:19:20,980 --> 00:19:26,180 +true distance exotropic. طيب، نفس السيناريو، بس عند + +249 +00:19:26,180 --> 00:19:32,480 +الخطوة الأخيرة، جيت الـ near angle بعد ساعة من + +250 +00:19:32,480 --> 00:19:38,840 +التغطية، صارت 31 prism. إيش رأيكم؟ simulated. لأ، صارت + +251 +00:19:38,840 --> 00:19:43,700 +simulated هذه، هذه simulated، بس مش لأسبابها due to + +252 +00:19:43,700 --> 00:19:45,480 +high + +253 +00:19:46,970 --> 00:19:51,430 +tenacious proximal convergence. إذا ما بحطش true + +254 +00:19:51,430 --> 00:19:54,930 +divergence excess أو true distance exotropy إلا بس + +255 +00:19:54,930 --> 00:19:58,670 +أستثني العاملين هدول، أتأكد في الأول أنه ما عندهوش + +256 +00:19:58,670 --> 00:20:03,650 +high AC/A ratio، أجي الـ near angle، وأتأكد أن + +257 +00:20:03,650 --> 00:20:08,290 +الـ tenacious proximal convergence مش هو اللي قاوم + +258 +00:20:08,290 --> 00:20:12,190 +الـ exotropia عن near ومنعها من أنها تظهر، تمام. الفرق + +259 +00:20:12,190 --> 00:20:14,890 +not significant + +260 +00:20:15,660 --> 00:20:18,740 +احنا لو بدنا كل فرق بسيط، كام prism، نسميه كان + +261 +00:20:18,740 --> 00:20:22,520 +...كان ما عمرنا حطينا تشخيص non specific، تمام؟ + +262 +00:20:22,520 --> 00:20:25,480 +يعني لو ده الخمسة اللي عنده عشرة، ماشي، ما فيش مشكلة + +263 +00:20:25,480 --> 00:20:28,920 +ثمانية prism، بس لما يكون عندي large difference + +264 +00:20:28,920 --> 00:20:34,220 +ساعتها أنا بيكون عندي في distance exotropia، إيش + +265 +00:20:34,220 --> 00:20:38,100 +علاج الـ distance exotropia؟ هيجي في وقته للعلاج + +266 +00:20:38,100 --> 00:20:42,480 +إذا الـ distance exotropia، أطول شيء عشان أحط تشخيصه + +267 +00:20:42,480 --> 00:20:47,800 +ولاَزم أشتغل عليه صح. قضية أن أشخص إنسان عنده true + +268 +00:20:47,800 --> 00:20:50,600 +distance exotropia، يعني لما بدك تحطي تشخيص true + +269 +00:20:50,600 --> 00:20:54,640 +distance exotropia، بدك تكوني في الأول تأكدتي أنها + +270 +00:20:54,640 --> 00:20:57,880 +distance. كيف تأكدنا أنها distance؟ بالـ prism + +271 +00:20:57,880 --> 00:21:01,220 +covered على الـ distance أكتر من الـ near + +272 +00:21:01,220 --> 00:21:05,280 +significant amount. إذا هذا distance، طيب بعدين كيف + +273 +00:21:05,280 --> 00:21:09,180 +اتأكدنا إنها true؟ في الأول أستثني السببين، يعني الـ + +274 +00:21:09,180 --> 00:21:14,300 +simulated distance exotropia، أنه ما فيش AC/A ratio + +275 +00:21:14,300 --> 00:21:18,660 +وكيف بأستثنيه؟ بواسطة +3 +3 عشان ألغي الـ + +276 +00:21:18,660 --> 00:21:21,520 +accommodation، وبالتالي ما أخليش الـ accommodative + +277 +00:21:21,520 --> 00:21:25,700 +convergence يلعب دور في تقليل الـ exotropia. استثنينا + +278 +00:21:26,580 --> 00:21:29,580 +بنستثني أيضاً الـ tenacious proximal convergence + +279 +00:21:29,580 --> 00:21:33,560 +بنعمل occlusion لـ one eye لمدة ساعة، على أساس + +280 +00:21:33,560 --> 00:21:37,340 +أنه أشوف هل الـ near angle بعد التغطية هي هترجع + +281 +00:21:37,340 --> 00:21:41,480 +تصير بالظبط، تتغير وتقترب في الكم من الـ distance + +282 +00:21:41,480 --> 00:21:45,520 +angle. إذا اقتربت في الكم، معناته هذه كانت أقل بسبب + +283 +00:21:45,520 --> 00:21:48,700 +الـ tenacious proximal convergence. إذا ظلت الـ + +284 +00:21:48,700 --> 00:21:53,460 +angle دائماً أكثر من الـ two majors هدول، معناته أنا + +285 +00:21:53,460 --> 00:21:56,840 +عندي true distance exotropia. حقيقة الـ distance + +286 +00:21:56,840 --> 00:22:00,300 +angle أكتر من الـ near angle، وبيصفي المريض + +287 +00:22:00,300 --> 00:22:05,700 +بالـتشخيص هذا. ما بحطوش مجرد تلقائي، نيجي لأن الـ non + +288 +00:22:05,700 --> 00:22:09,260 +specific هي intermittent exotropia، الـ distance و + +289 +00:22:09,260 --> 00:22:16,300 +الـ near angle تقريباً بيساووا بعضهم البعض. الـ near + +290 +00:22:16,300 --> 00:22:17,160 +exotropia + +291 +00:22:21,310 --> 00:22:27,670 +بتكون الـ near angle أكتر بكثير من الـ distance + +292 +00:22:27,670 --> 00:22:32,830 +angle، وممكن تكون هذه لها علاقة بالـ acquired myopia + +293 +00:22:32,830 --> 00:22:36,030 +ليش؟ + +294 +00:22:36,030 --> 00:22:39,290 +لأن الـ myopic patient على الـ near ما بيعملش + +295 +00:22:39,290 --> 00:22:45,050 +accommodation، تمام؟ ما بيعملش accommodation. إذا هذا + +296 +00:22:45,050 --> 00:22:48,170 +الكلام هي التقسيم بتاعة إيش؟ + +297 +00:22:51,850 --> 00:22:54,410 +الـ intermittent exotropia، زي ما حكينا، الـ near + +298 +00:22:54,410 --> 00:22:58,410 +exotropia ممكن تكون associated with acquired + +299 +00:22:58,410 --> 00:23:05,530 +myopia أو presbyopia. يعني أحياناً إيش العلاج بتاعة + +300 +00:23:05,530 --> 00:23:09,070 +الـ intermittent exotropia؟ إيش العلاج بتاع الـ + +301 +00:23:09,070 --> 00:23:11,110 +intermittent exotropia؟ + +302 +00:23:19,040 --> 00:23:23,200 +الـ intermittent exotropia في وسائل علاج كثيرة من + +303 +00:23:23,200 --> 00:23:26,560 +ضمنها الـ spectacle correction. في بعض الحالات الـ + +304 +00:23:26,560 --> 00:23:29,780 +myopic patient may in some cases control the + +305 +00:23:29,780 --> 00:23:33,200 +deviation by stimulating accommodation and with it + +306 +00:23:33,200 --> 00:23:38,320 +convergence. وفي أحيان معينة بنعمل over minus + +307 +00:23:38,320 --> 00:23:43,680 +prescription لبعض الناس، ممكن يكون useful. يعني احنا + +308 +00:23:43,680 --> 00:23:47,780 +بنيجي بنقول الـ refractive error لا يعني... لا يعدوا + +309 +00:23:47,780 --> 00:23:54,100 +يكونوا إما myopia أو hypermetropia. طبعاً مع + +310 +00:23:54,100 --> 00:23:57,120 +استجماتيزم، ممكن كله يكون مع استجماتيزم أو يكون + +311 +00:23:57,120 --> 00:24:02,140 +عنده anisometropia. طبعاً الـ myopia الـ full + +312 +00:24:02,140 --> 00:24:07,580 +correction بتاعها ممكن يعدل زاوية الحول. ليش؟ + +313 +00:24:07,580 --> 00:24:10,360 +لأنه هيعمل stimulation للـ accommodation ومع الـ + +314 +00:24:10,360 --> 00:24:14,200 +accommodation الـ convergence. فبالتالي هتيجي كمية + +315 +00:24:14,200 --> 00:24:19,040 +الـ exotropia. بالنسبة للـ hypermetropia، partial + +316 +00:24:19,040 --> 00:24:21,520 +correction، partial correction، إذا كانت + +317 +00:24:21,520 --> 00:24:26,100 +significant. بعض الأوقات بيكون عنده large amount of + +318 +00:24:26,100 --> 00:24:29,480 +hypermetropia، وبالتالي الإنسان بيقول أنا ما بديش + +319 +00:24:29,480 --> 00:24:34,540 +أصلحها، أنا ما بديش أصلحها، على أساس أنه أخليه يعمل + +320 +00:24:34,540 --> 00:24:40,160 +accommodation وبالتالي يخف هذا. بس الدراسات أثبتت + +321 +00:24:40,160 --> 00:24:42,980 +أنه إذا كان في عنده large amount of hypermetropia + +322 +00:24:45,080 --> 00:24:47,740 +hypermetropic refractive error، قد إنه مع الـ + +323 +00:24:47,740 --> 00:24:50,880 +accommodation اللي إنعمل، أنه ما فيش clear retinal + +324 +00:24:50,880 --> 00:24:54,960 +image، تمام. ساعتها الـ fusion هيكون صعب، لأن الـ + +325 +00:24:54,960 --> 00:24:59,140 +vision عندي مش مش سليم، أو الـ retinal image مش + +326 +00:24:59,140 --> 00:25:02,580 +clear. فبالتالي، لما أعمل appropriate correction لها + +327 +00:25:02,580 --> 00:25:06,060 +high refractive error، ممكن هذا يحسن الـ retinal + +328 +00:25:06,060 --> 00:25:09,280 +image وبالتالي يحسن موضوع الـ fusion، يحسن الـ + +329 +00:25:09,280 --> 00:25:13,540 +control، يحسن الـ control. يعني كثير من الحالات اللي + +330 +00:25:13,540 --> 00:25:17,700 +بيكون عندها يعني refractive error hypermetropic + +331 +00:25:17,700 --> 00:25:20,920 +refractive error عالي، لما بنعملها appropriate + +332 +00:25:20,920 --> 00:25:24,140 +correction، ومتخليله small amount of hypermetropia + +333 +00:25:24,140 --> 00:25:29,980 +ممكن تعمل good يعني fusion وبالتالي تسيطر على جزء + +334 +00:25:29,980 --> 00:25:33,740 +كبير أو على كل اللي هو الـ exotropia. الآن الـ + +335 +00:25:33,740 --> 00:25:37,300 +anisotropia أيضاً، لما بيكون عندي significant + +336 +00:25:37,300 --> 00:25:41,680 +anisotropia، تمام، ساعتها أيضاً تصحيحها ممكن يحسن الـ + +337 +00:25:41,680 --> 00:25:46,480 +fusion وبالتالي يحسن اللي هي موضوع الـ control بتاع + +338 +00:25:46,480 --> 00:25:51,060 +الـ exotropia. الآن قضية الـ over minus، بعض المدارس + +339 +00:25:51,060 --> 00:25:55,720 +الطبية اللي ممكن أنا أعمل من -2 لـ -4، من + +340 +00:25:55,720 --> 00:26:00,600 +-2 لـ -4، over minus، للمرضى اللي عندهم + +341 +00:26:00,600 --> 00:26:04,200 +intermittent exotropia، عشان تخليه يتطرّ يعمل + +342 +00:26:04,200 --> 00:26:08,000 +accommodation، وبالتالي، طبعاً أنا بدي أكون حريص جداً + +343 +00:26:08,000 --> 00:26:13,720 +في الموضوع هذا، أنه إيش، أنه ما يعملش أستغميا عند + +344 +00:26:13,720 --> 00:26:16,660 +الطفل، وما يكونش الـ accommodation اللي بيبذله أكتر + +345 +00:26:16,660 --> 00:26:22,000 +من طاقته، أكتر من اللازم. فبالتالي، يعني بناخد بالنا + +346 +00:26:22,000 --> 00:26:25,600 +من القضية هذه. طبعاً، part-time occlusion of the + +347 +00:26:25,600 --> 00:26:30,620 +deviating eye، من أربع لست ساعات يومياً، وفي مدارس + +348 +00:26:30,620 --> 00:26:35,400 +طبية ثانية بتقول أنه alternate daily occlusion، + +349 +00:26:35,400 --> 00:26:38,500 +يعني يوم بغطي العين اليمين ويوم بغطي العين الشمال + +350 +00:26:38,500 --> 00:26:44,160 +ممكن هذا يشكل anti-suppression therapy. معروف أن + +351 +00:26:44,160 --> 00:26:46,660 +العين الـ squinting غالباً بيكون فيها suppression + +352 +00:26:46,660 --> 00:26:49,520 +في الـ intermittent exotropia، هذا بيشكل anti- + +353 +00:26:49,520 --> 00:26:53,200 +suppression therapy، وممكن ينجح مع بعض حالات الـ + +354 +00:26:53,200 --> 00:26:56,920 +intermittent exotropia، وخاصة الـ mild cases، في أنه + +355 +00:26:56,920 --> 00:27:01,680 +إيش يعني يصلح اللي هو الـ exotropia. طبعاً ننتبه، غير + +356 +00:27:01,680 --> 00:27:04,860 +قضية الـ part-time occlusion، الـ orthoptic exercises + +357 +00:27:04,860 --> 00:27:11,450 +may be helpful for near exotropia. يعني مش لكل حالات + +358 +00:27:11,450 --> 00:27:14,270 +اللي...اللي هو... لأ، زي بالضبط موضوع الـ + +359 +00:27:14,270 --> 00:27:17,250 +convergence insufficiency كمان. فبالتالي أنا ما + +360 +00:27:17,250 --> 00:27:20,650 +بوصف الـ orthoptic exercises هيك، يعني بطريقة + +361 +00:27:20,650 --> 00:27:24,170 +عشوائية، لأ، لابد أن أكون عارف ليش أنا بوصفها، عشان + +362 +00:27:24,170 --> 00:27:28,170 +أحسن الـ convergence بالذات في الـ near exotropia + +363 +00:27:28,170 --> 00:27:30,450 +إذا عندنا spectacle correction appropriate، + +364 +00:27:30,450 --> 00:27:34,170 +spectacle correction، part-time occlusion، over + +365 +00:27:34,170 --> 00:27:37,670 +minusing. طبعاً ما ننساش في بعض الحالات وعندي + +366 +00:27:37,670 --> 00:27:41,690 +orthoptic exercises for يعني near exotropia، الآن + +367 +00:27:41,690 --> 00:27:47,470 +الـ surgery...الـ surgery فيه صحيح يعني نقاش وجدال + +368 +00:27:47,470 --> 00:27:53,250 +حول موضوع الـ surgery، يعني كثير يعني مدارس يعني + +369 +00:27:53,250 --> 00:27:54,450 +اختلفت في الموضوع + +370 +00:27:57,000 --> 00:28:00,360 +أمتى أعمل جراحة؟ أو هل أعمل جراحة ولا ما أعملش + +371 +00:28:00,360 --> 00:28:04,980 +جراحة؟ فبعض المدارس الطبية بتقول ما تعملش جراحة + +372 +00:28:04,980 --> 00:28:09,000 +طالما good control. ليش؟ لأنه إيش يعني good + +373 +00:28:09,000 --> 00:28:14,260 +control؟ يعني قليل جداً من الوقت، ثواني في النهار أو + +374 +00:28:14,260 --> 00:28:16,820 +في اليوم أو في اليومين، لما بيلاحظوا الأهل الـ + +375 +00:28:16,820 --> 00:28:21,680 +exotropia. طيب، معناته بقية الوقت العينين إيش مالهم؟ + +376 +00:28:21,680 --> 00:28:27,970 +ortho، أيوة، هذا بيساوي إيش؟ binocular single vision + +377 +00:28:27,970 --> 00:28:31,290 +ففي مدرسة طبية بيقول لك، يعني ليش أنا أبدل الـ + +378 +00:28:31,290 --> 00:28:34,250 +binocular single vision بـ microtropia، إيش يعني + +379 +00:28:34,250 --> 00:28:38,830 +microtropia؟ احنا اتفاجأنا إنه أي جراحة تحاول تنتهي + +380 +00:28:38,830 --> 00:28:43,450 +بـ microtropia هي satisfactory result. يعني يعني + +381 +00:28:43,450 --> 00:28:47,410 +الإنسان اللي مدقن جداً لجراحة الحول وللقياس + +382 +00:28:47,410 --> 00:28:51,430 +بيقدرش يتحكم في أن القياس يصير صفر. طالما ما بيقدرش + +383 +00:28:51,430 --> 00:28:54,670 +أتحكم في أن القياس يصير صفر، معناته ممكن القياس + +384 +00:28:54,670 --> 00:28:58,150 +يعطيني microtropia. في غالب الأحيان الـ microtropia + +385 +00:28:58,150 --> 00:29:03,230 +هتأديلي لإيش؟ central subretinal catoma، abnormal + +386 +00:29:03,230 --> 00:29:07,780 +retinal correspondence، peripheral، ممكن تؤدي إلى + +387 +00:29:07,780 --> 00:29:13,260 +أمبيوبيا، لأنه حيصير المريض يفضل الـ fixation بإيش؟ + +388 +00:29:13,260 --> 00:29:17,400 +بعين بوسط الفوفيا، بعين، والثانية هتكون microtropic + +389 +00:29:17,400 --> 00:29:20,540 +وهذا كان زمان اسمه إيش؟ الـ microtropic syndrome + +390 +00:29:20,540 --> 00:29:25,510 +الآن المدرسة الطبية بتقول لك، يعني wait. طبعاً يعني + +391 +00:29:25,510 --> 00:29:29,570 +بيقولوا ليش احنا نبدل هذا الوضع اللي فيه العينين + +392 +00:29:29,570 --> 00:29:34,730 +غالبية العظمى جداً من الوقت ممتع بالـ binocular + +393 +00:29:34,730 --> 00:29:38,810 +single vision، ونبدله بإيش؟ بـ microtropia. يعني أنا + +394 +00:29:38,810 --> 00:29:43,010 +قاعد ببدل مقابل إيش؟ عشان اللحظات هذه اللي بتظهر + +395 +00:29:43,010 --> 00:29:45,330 +اللي هي مش significant. فبيقولوا إذا في good + +396 +00:29:45,330 --> 00:29:47,890 +control، يعني just observation + +397 +00:29:50,400 --> 00:29:54,180 +مدارس طبية ثانية بتقول لك أنه بالنهاية، وإن كان + +398 +00:29:54,180 --> 00:29:58,100 +الكلام هذا صحيح، بالنهاية أي intermittent exotropia + +399 +00:29:58,100 + +445 +00:33:30,250 --> 00:33:33,570 +كان الـ control poor أو إذا كان الوضع progressively + +446 +00:33:33,570 --> 00:33:38,310 +deteriorating، قاعد بسوق يعني بسرعة، تمام؟ أما بعمل + +447 +00:33:38,310 --> 00:33:41,450 +Unilateral Lateral Rectus Resection، برخي الـ + +448 +00:33:41,450 --> 00:33:45,100 +Lateral Rectus، و بشد الـ Medial Rectus Resection ما + +449 +00:33:45,100 --> 00:33:50,800 +عدا في حالة الـ True Distance Exotropia، الـ True + +450 +00:33:50,800 --> 00:33:55,720 +Distance Exotropia لأنه على الـ distance أكثر من + +451 +00:33:55,720 --> 00:33:59,440 +النظر، والـ distance مسؤول عنها عضلات الـ + +452 +00:33:59,440 --> 00:34:02,240 +divergence، اللاترال ريكتس ساعتها بيكون الـ + +453 +00:34:02,240 --> 00:34:06,380 +bilateral lateral rectus recession هي الـ procedure + +454 +00:34:06,380 --> 00:34:07,680 +المفضلة + +455 +00:34:10,060 --> 00:34:15,060 +طيب، قداش احنا مطلوب مننا أنه نعدل الحول، نرجع لـ + +456 +00:34:15,060 --> 00:34:19,560 +Ortho؟ لأ، هو المفروض احنا نرجع لـ ISO لأنه هدول + +457 +00:34:19,560 --> 00:34:23,780 +الناس عندهم الـ divergence amplitudes عالية كتير + +458 +00:34:23,780 --> 00:34:27,760 +فبالتالي لو احنا اشتغلنا على زاوية الحول بالضبط، + +459 +00:34:27,760 --> 00:34:32,280 +هيرجع يعمل divergence وهترجع بتصير ساعتها under + +460 +00:34:32,280 --> 00:34:37,280 +corrected، وكمية محترمة. بعض الكتب بتكتب أنه من عشرة + +461 +00:34:37,280 --> 00:34:43,000 +لخمسة عشر بريزم لازم يصير over correction، يعني إذا + +462 +00:34:43,000 --> 00:34:48,120 +أنا عندي مثلاً ثلاثين بريزم لازم اشتغل وكأني بشتغل + +463 +00:34:48,120 --> 00:34:52,380 +على أربعين بريزم ديوبتر إكزوتروبي، يعني بدي أرخي الـ + +464 +00:34:52,380 --> 00:34:57,200 +lateral rectus بقدر أكبر مما يجب حتى يصفي عندي + +465 +00:34:57,200 --> 00:35:01,500 +post operative إيزوتروبيا من عشرة لخمسة عشر بريزم + +466 +00:35:01,500 --> 00:35:04,900 +وهذا الـ divergence amplitudes، الـ fusional + +467 +00:35:04,900 --> 00:35:09,100 +divergence هيعاود يجيب العينين لإبصار لمرحلة الإبصار + +468 +00:35:09,100 --> 00:35:14,040 +اللي هو الـ ortho، لمرحلة الـ ortho أو الـ nearly + +469 +00:35:14,040 --> 00:35:18,660 +ortho لو أنا اشتغلت على الزاوية اللي أنا قستها + +470 +00:35:19,410 --> 00:35:22,650 +ساعتها أنا ممكن يصير عندي under correction، لأنه الـ + +471 +00:35:22,650 --> 00:35:25,710 +fusional divergence هيرجعها من الـ ortho للـ exo + +472 +00:35:25,710 --> 00:35:29,990 +بدنا ننتبه لقضية غاية في الأهمية يا جماعة، كل أنواع + +473 +00:35:29,990 --> 00:35:33,430 +الحول اللي أنا بقييسها على ستة متر وثلاثة متر، الـ + +474 +00:35:33,430 --> 00:35:37,450 +intermittent exotropia، بدك تشوفي الفضاء الخارجي و + +475 +00:35:37,450 --> 00:35:42,290 +تعمليها على مئة أو مئتين فيت، يعني مثلاً تحطي target + +476 +00:35:42,290 --> 00:35:45,690 +في نهاية الكوريدور أو تطلعي شيء من الشباك بعيد كتير + +477 +00:35:45,690 --> 00:35:49,930 +لأن هذا ممكن يعطيكي زيادة محترمة في الـ angle عن 6 + +478 +00:35:49,930 --> 00:35:53,570 +متر، يعني ممكن نقول مثلاً لو كنا عندنا intermittent + +479 +00:35:53,570 --> 00:35:58,890 +exotropia true divergence excess على 3 متر مثلاً + +480 +00:35:59,490 --> 00:36:03,810 +عشرين بريزم، على ستة متر خمسة وثلاثين بريزم، ممكن + +481 +00:36:03,810 --> 00:36:08,170 +توصلي على أبعد من ستة متر بمسافة كثيرة، ممكن توصلي + +482 +00:36:08,170 --> 00:36:11,170 +خمسة وأربعين بريزم، وهنا في فرق بين خمسة وثلاثين + +483 +00:36:11,170 --> 00:36:14,390 +وخمسة وأربعين، فبالتالي عشان أشوف الـ full angle + +484 +00:36:14,390 --> 00:36:18,230 +عشان أشوف الـ full angle لازم أخلي المريض يتطلع على + +485 +00:36:18,230 --> 00:36:21,950 +مسافة بعيدة قدر الإمكان، بحيث أنه أشوف الـ + +486 +00:36:21,950 --> 00:36:28,410 +divergence كله اللي صار عند هذا المريض. طيب، في عندي + +487 +00:36:28,410 --> 00:36:34,370 +احتمال من احتمالين أن + +488 +00:36:34,370 --> 00:36:39,850 +يصير عندي under correction أو + +489 +00:36:39,850 --> 00:36:47,230 +over correction. under + +490 +00:36:47,230 --> 00:36:51,730 +correction يعني ضيق الـ ex، عندي ضيق الـ ex، عندي الـ + +491 +00:36:51,730 --> 00:36:56,670 +under correction، ممكن نعملها عملية ثانية تماماً في + +492 +00:36:56,670 --> 00:37:00,670 +وقت لاحق، تمام؟ وينشغل على العضلات اللي ما انشغلتش + +493 +00:37:00,670 --> 00:37:04,070 +وينشغل على العضلات اللي ما انشغلتش، الـ over + +494 +00:37:04,070 --> 00:37:10,090 +correction اللي بنسميها إيش؟ consecutive esotropia + +495 +00:37:10,090 --> 00:37:16,470 +ممكن ينشأ dyplopia عنها، تمام؟ هذه الـ consecutive + +496 +00:37:16,470 --> 00:37:22,370 +esotropia ممكن تتحسن بالتدريج، بعطيها فرصة ستة أسابيع + +497 +00:37:22,370 --> 00:37:26,290 +تمام، حتى تتحسن تماماً، وممكن أعمل alternate + +498 +00:37:26,290 --> 00:37:31,130 +occlusion، تمام؟ إذا ما اتحسنتش بعد ستة أسابيع، لازم + +499 +00:37:31,130 --> 00:37:34,850 +أنا إيش؟ هعملها surgery. بعض المدارس الطبية بتقول + +500 +00:37:34,850 --> 00:37:38,430 +احنا ممكن نعملها based in ... based out prison ... + +501 +00:37:38,430 --> 00:37:40,030 +based out prison، تمام؟ + +502 +00:37:46,020 --> 00:37:51,240 +حد يسأل سؤال في الـ intermittent exotropia؟ طيب، الـ + +503 +00:37:51,240 --> 00:37:58,220 +sensory exotropia ... الـ sensory exotropia ممكن + +504 +00:38:00,710 --> 00:38:04,870 +من اسمها السنسورية، due to decreased vision في one + +505 +00:38:04,870 --> 00:38:10,210 +eye، تمام؟ نتيجة opacity منعت من تكون clear retinal + +506 +00:38:10,210 --> 00:38:15,290 +image، زي ومنعت الـ binocular visual، يعني عفواً + +507 +00:38:15,290 --> 00:38:19,010 +monocular or binocular visual impairment، تمام؟ منعت + +508 +00:38:19,010 --> 00:38:22,330 +طبعاً موضوع الـ fusion، طبعاً زي إيش اللي بيأثر على الـ + +509 +00:38:22,330 --> 00:38:27,670 +vision، كثرة other media opacities، يعني زي vitreous + +510 +00:38:27,670 --> 00:38:31,290 +opacity, corneal opacity، تمام؟ ممكن يكون عندي + +511 +00:38:31,290 --> 00:38:34,390 +macular scarring, optic nerve hypoplasia إلى آخره + +512 +00:38:34,390 --> 00:38:40,270 +كل هذه تؤدي إلى secondary أو sensory exotropia. إيش + +513 +00:38:40,270 --> 00:38:47,790 +رأيكم؟ cataract. هذه طفلة عمرها سنة، جابها أبوها كنت + +514 +00:38:47,790 --> 00:38:53,330 +أشتغل في عيادة في رفح، جابها عشان exotropia، طبعاً + +515 +00:38:53,330 --> 00:38:56,510 +هذه + +516 +00:38:56,510 --> 00:39:02,000 +retinoblastoma، هذا سرطان في الشباكية، طبعاً الحل + +517 +00:39:02,000 --> 00:39:06,360 +الوحيد طبعاً يكتشفه لنصف الفتريس، تمام؟ بالضبط نصف + +518 +00:39:06,360 --> 00:39:11,860 +السائل الزجاجي، تمام؟ الحل الوحيد كان إزالة العين و + +519 +00:39:11,860 --> 00:39:16,440 +تتعرض لـ يعني اللي هو العلاج اللي هو بعد ذلك إشعاع + +520 +00:39:16,440 --> 00:39:20,340 +أو علاج كيميائي إلى آخره، فبالتالي فبالتالي هذه الـ + +521 +00:39:20,340 --> 00:39:26,670 +Exotropia، تمام؟ كانت الأعراض واضحة جداً، أنا أول ما شفت + +522 +00:39:26,670 --> 00:39:31,230 +الطفل لاحظت leukocoria، غالباً الواحد بيتوقع cataract + +523 +00:39:31,230 --> 00:39:34,350 +تمام، بيكتيره vitreous opacity، بس عشان هذه ... هذه + +524 +00:39:34,350 --> 00:39:38,310 +رسالة قالت لنا أنه لابد من فحص قاع العين قولاً واحداً + +525 +00:39:38,310 --> 00:39:42,810 +المريض اللي بيخضع لكل فحوصات الحول بلا استثناء، و + +526 +00:39:42,810 --> 00:39:47,010 +بنفحصش قاع العين، لابد من توسيعه، إعادة فحص قاع + +527 +00:39:47,010 --> 00:39:52,730 +العين، تمام؟ بعض الأوقات لما بنعالج amblyopia، تمام؟ + +528 +00:39:52,870 --> 00:39:56,410 +وبنعالجها بكثافة، ونلاحظ أن العلاج مش مستجيب رغم + +529 +00:39:56,410 --> 00:39:59,610 +تعاون الأهل، لا مانع من أن نعيد فحص قاع العين، لأنه + +530 +00:39:59,610 --> 00:40:03,890 +ممكن يكون واحد في الفحص الأول ما يعني استطاعش أنه + +531 +00:40:03,890 --> 00:40:09,030 +يعني يحيط بكل يعني ما موجود في شبكية العين أو في + +532 +00:40:09,030 --> 00:40:11,630 +العصب البصري. هذه written of last summer، طبعاً + +533 +00:40:11,630 --> 00:40:15,750 +الطفلة اللي أتاها تقريباً عمرها خمس سنوات، يعني زارتني + +534 +00:40:15,750 --> 00:40:19,600 +من شهر تقريباً. طبعاً بـ artificial eye، طبعاً كانت الـ + +535 +00:40:19,600 --> 00:40:23,000 +artificial eye عندها صغيرة على عينها شوية، لأنه بدأت + +536 +00:40:23,000 --> 00:40:28,760 +تكبر، تمام؟ فكانت أضيق منها، تمام؟ أما هذه الطفلة عندها + +537 +00:40:28,760 --> 00:40:34,840 +large أو huge tumor cancer، طبعاً، فبالتالي أزيلت + +538 +00:40:34,840 --> 00:40:41,140 +العين، وطبعاً تم التأكد من العصب البصري لما تم قطعه + +539 +00:40:41,140 --> 00:40:44,940 +وإزالة العين بالكامل أنه سليم، ما فيه يعني ... يعني + +540 +00:40:44,940 --> 00:40:49,280 +الورم مش ممتد عبر العصب البصري، ندبة قضية جداً طبعاً + +541 +00:40:49,280 --> 00:40:53,300 +لهذه القضية، هنا إحنا ما نتكلمش عن حاجات، هنا + +542 +00:40:53,300 --> 00:40:57,660 +ما نتكلمش عن life saving procedure، يعني لأن + +543 +00:40:57,660 --> 00:41:00,320 +هذا الـ ... الـ ... الورم إذا انتشر خلاص، وإذا انتشر + +544 +00:41:00,320 --> 00:41:04,100 +باتجاه الدماغ معناته الطفل ممكن يفقد حياته، طبعاً + +545 +00:41:04,100 --> 00:41:08,020 +الأعمار بيد الله، بس يعني إحنا بنبذل جهدنا أن نحافظ + +546 +00:41:08,020 --> 00:41:14,100 +على جودة الحياة طالما الإنسان عايش. طبعاً بالنسبة للـ + +547 +00:41:14,100 --> 00:41:18,060 +sensory exotropia، أي إنسان بيصير عنده sensory + +548 +00:41:18,060 --> 00:41:22,740 +defect، أي إنسان بيصير عنده sensory defect في الـ + +549 +00:41:22,740 --> 00:41:27,100 +vision، طبعاً ممكن يصير معه إما exodeviation أو + +550 +00:41:27,100 --> 00:41:29,740 +esodeviation، إذا صار معه exodeviation بيسميها + +551 +00:41:29,740 --> 00:41:34,400 +sensory exotropia، إذا كان صار معه esodeviation + +552 +00:41:34,400 --> 00:41:38,600 +بيسميها sensory esotropia. طبعاً وجدوا بالملاحظة أن + +553 +00:41:38,600 --> 00:41:41,480 +الـ exodeviation بتصير عند الـ older children والـ + +554 +00:41:41,480 --> 00:41:45,920 +adults، والـ esodeviation بتصير في الـ infants بس + +555 +00:41:45,920 --> 00:41:50,800 +هذه مش قاعدة بدون ... يعني كل قاعدة لها استثناء، بس + +556 +00:41:50,800 --> 00:41:53,720 +ما يعرفوش لحد الآن إيش معنى ... يعني بعض الناس اللي صار + +557 +00:41:53,720 --> 00:41:56,820 +عندهم visual deficit صار عندهم EXO، والناس الثانية + +558 +00:41:56,820 --> 00:41:59,900 +صار عندهم ISO، لحد الآن مش معروف إيش التفسير، ليش + +559 +00:41:59,900 --> 00:42:03,600 +هذا صار معه EXO، بينما حالة مش مشابهة صار معها EXO + +560 +00:42:03,600 --> 00:42:07,740 +فبالتالي بغض النظر، السبب مش معروف، إلا أن العلاج + +561 +00:42:07,740 --> 00:42:13,940 +بيكمن فيه، يعني معالجة correction of visual deficit + +562 +00:42:13,940 --> 00:42:16,780 +if possible، إيش يعني if possible؟ يعني كتاركت + +563 +00:42:16,780 --> 00:42:20,640 +ممكن تتعالج، تنشال وتنزرع عدسة، أو ينعمل مثلاً + +564 +00:42:20,640 --> 00:42:24,340 +affected correction، تمام؟ لغاية ما ينزرع عدسة، طبعاً + +565 +00:42:24,340 --> 00:42:27,940 +إذا retinoblastoma ومتأخرة تماماً، هذه بدها ... ما فيش + +566 +00:42:27,940 --> 00:42:32,400 +إمكانية لعلاج العين، فبالتالي يعني إذا كان في + +567 +00:42:32,400 --> 00:42:36,000 +possibility، بقى أعالج الـ visual defect، تمام؟ وإيه + +568 +00:42:36,000 --> 00:42:40,920 +بعد هيك بقى، بقى أعالج أو بقى أعمل surgery إذا كان + +569 +00:42:40,920 --> 00:42:44,460 +مناسب أن أعمل surgery. بعض الناس لما تعالج الـ + +570 +00:42:44,460 --> 00:42:48,880 +visual defect ممكن ما يحتاجش لعلاج جراحي، ويمكن أنا + +571 +00:42:48,880 --> 00:42:55,980 +ذكرت لكم مثل، بقى أكرره، أنه ... يعني صبية عمرها واحد و + +572 +00:42:55,980 --> 00:43:00,180 +عشرين سنة، أجت nearly mature cataract traumatic + +573 +00:43:00,180 --> 00:43:04,180 +cataract، تمام؟ وفي عندها exotropia تقريباً ... + +574 +00:43:04,180 --> 00:43:07,300 +تقريباً خمسة وثلاثين لأربعين بريزم، الـ vision + +575 +00:43:07,300 --> 00:43:10,260 +عندها كان متر ونصف ... متر ونصف، counting + +576 +00:43:10,260 --> 00:43:16,130 +fingers، تمام؟ في retinal scar عندها نتيجة الضربة طبعاً + +577 +00:43:16,130 --> 00:43:19,550 +من الـ history عرفت أنها الضربة وهي في أولى ثانوي + +578 +00:43:19,550 --> 00:43:22,490 +يعني كانت معدية مرحلة الـ critical period بتاعة + +579 +00:43:22,490 --> 00:43:26,210 +البصر، بمجرد ما عملنا توصية للـ pupil، تمام؟ الـ + +580 +00:43:26,210 --> 00:43:30,570 +cataract مش mature، ما هي mature، لسه في مناطق صافية من + +581 +00:43:30,570 --> 00:43:36,130 +الـ lens، قعدنا نفحص الـ vision، تمام؟ لقينا فحص ستة على + +582 +00:43:36,130 --> 00:43:39,180 +ستين، من متر ونصف لستة على ستين، يعني في + +583 +00:43:39,180 --> 00:43:43,040 +improvement. طبعاً احنا قلنا هنقدر نعدل بإذن الله + +584 +00:43:43,040 --> 00:43:47,140 +تعالى، أنه إذا بتنشل الكاتاراكت وبنزرع عدسة، تمام؟ + +585 +00:43:47,140 --> 00:43:52,590 +معناته إيش؟ 6/6 هي أكثر حاجة ممكن توصليها، أكثر ما + +586 +00:43:52,590 --> 00:43:55,930 +بنعرفش، رغم أن الـ retinal scar عندها يعني جنب + +587 +00:43:55,930 --> 00:43:59,970 +الفوفيا بالضبط، تمام؟ عملت العملية، طبعاً طبعاً قلنا + +588 +00:43:59,970 --> 00:44:02,790 +لها يعني الترتيب، بتتم عملية الـ cataract، بعدين إذا + +589 +00:44:02,790 --> 00:44:06,950 +ضل يعني حول، ممكن تنقص كميته، ممكن يظل زي ما هو + +590 +00:44:06,950 --> 00:44:10,970 +بنعمل العملية الآن، لما عملنا العملية، الـ best + +591 +00:44:10,970 --> 00:44:14,710 +corrected visual acuity 6/12، ما رجعتش لعملية + +592 +00:44:14,710 --> 00:44:17,290 +الحول، أنا صارت straight، لأنها صارت straight + +593 +00:44:17,290 --> 00:44:20,670 +فبالتالي الواحد بده يعني correction of visual + +594 +00:44:20,670 --> 00:44:23,970 +deficit if possible، يعني احنا لابد أنه نعرف + +595 +00:44:23,970 --> 00:44:27,930 +الترتيب بتاع هذا، دائماً الـ visual بتحقق ... بنحرص + +596 +00:44:27,930 --> 00:44:31,270 +على علاجه في الأول، عشان يتمكن الإنسان من عمل نوع + +597 +00:44:31,270 --> 00:44:34,430 +من الـ fusion، وبالتالي يكون فيه إمكانية لاستعادة الـ + +598 +00:44:34,430 --> 00:44:37,310 +binocular single vision، وعشان هيك في كثير من أنواع + +599 +00:44:37,310 --> 00:44:39,130 +الحالات اللي بنلزمها الـ surgery، بيقولوا لك treat + +600 +00:44:39,130 --> 00:44:42,190 +amblyopia first and then، يعني go to surgery + +601 +00:44:42,190 --> 00:44:44,950 +ما نجي للـ surgery وبعدين نعالج الـ amblyopia + +602 +00:44:44,950 --> 00:44:49,270 +بنعمل maximum amblyopia therapy لغاية اللي هو الـ + +603 +00:44:49,270 --> 00:44:52,210 +maximum اللي وصلناه، وبعدين بنروح للـ surgery إذا + +604 +00:44:52,210 --> 00:44:56,920 +كان إحنا يعني بدنا نكمل في الـ surgery، تمام؟ بعض + +605 +00:44:56,920 --> 00:45:00,740 +الناس لما يتحسن عنده الـ visual، يدخل في حالة ... يعني + +606 +00:45:00,740 --> 00:45:07,040 +intractable diplopia، تمام؟ لأنه بيكون فقد الـ fusion + +607 +00:45:07,040 --> 00:45:11,700 +تمام؟ وبالتالي حتى لو عملنا له realignment للعين + +608 +00:45:11,700 --> 00:45:15,120 +بيظل يعني داخل فيه intractable diplopia. حقيقة أنا + +609 +00:45:15,120 --> 00:45:19,880 +هذه الناس ندرة ندرة، أنا ما قابلتش أي حد صار معه + +610 +00:45:19,880 --> 00:45:22,840 +مشكلة هاي، وعادة الـ ... الـ ... الـ diplopia اللي بتصير + +611 +00:45:22,840 --> 00:45:26,580 +post operative بتكون عادة يعني short lived، يعني + +612 +00:45:26,580 --> 00:45:31,280 +short lived. الـ consecutive exotropia، إيش المقصود + +613 +00:45:31,280 --> 00:45:36,080 +فيها يا بنات؟ كانت بالغالِب exotropia، وصار over + +614 +00:45:36,080 --> 00:45:41,220 +correction لها، أو ممكن تكون spontaneously صارت في + +615 +00:45:41,220 --> 00:45:45,530 +amblyopic eye، I amply objects، ما بتعملش fixation + +616 +00:45:45,530 --> 00:45:50,910 +ما بتعملش، ما بت \ No newline at end of file diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dzOz6fInXBo_raw.json b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dzOz6fInXBo_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..357c6ec42610fde72f92f8f0a1c5c91173f7e890 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/dzOz6fInXBo_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4767, "start": 21.43, "end": 47.67, "text": "بسم الله الرحمن الرحيم اليوم حضرتنا ان شاء الله تعالى عن ال exotropias بأنواعها ال exotropia اللي هي outward deviation of the eyes فى عندنا منها أنواع اللى هى ال constant او ال early onset او ال congenital exotropia وهدى هنقارنها ان شاء الله تعالى مع ال early onset esotropia فى علامات مشتركة طبعا", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 45595, 20498, 11331, 11242, 43500, 8315, 16472, 13412, 16606, 21984, 37279, 6027, 7578, 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"word": " بيقاوم", "probability": 0.96640625}, {"start": 1024.47, "end": 1025.53, "word": " ال", "probability": 0.9248046875}, {"start": 1025.53, "end": 1025.91, "word": " exo", "probability": 0.53338623046875}, {"start": 1025.91, "end": 1026.01, "word": " اللي", "probability": 0.864990234375}, {"start": 1026.01, "end": 1026.21, "word": " بدها", "probability": 0.898681640625}, {"start": 1026.21, "end": 1026.57, "word": " تصير", "probability": 0.9708658854166666}], "temperature": 1.0}, {"id": 39, "seek": 105101, "start": 1027.33, "end": 1051.01, "text": "بيقاومها على الـ near معروف طالما convergence يعني انت بدى تسير على near object تمام فبالتالي لما أجي أجيس لطفل على near object تمام في بعض الأطفال أو بعض المرضى عندهم high tenacious proximal convergence يعني مقاومته لحدوث ال exotropia عنده قوية جدا فبالتالي", "tokens": [3555, 1829, 4587, 995, 20498, 11296, 15844, 2423, 39184, 2651, 20449, 32887, 5172, 23032, 6027, 15042, 32181, 37495, 22653, 16472, 2655, 47525, 7578, 6055, 3794, 13546, 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correction appropriate spectacle correction part-time occlusion over minusing طبعا ماننساش في بعض الحالات", "tokens": [716, 289, 454, 310, 1513, 654, 37495, 22653, 37893, 5296, 28820, 11331, 6027, 9307, 13672, 1829, 4386, 13672, 1829, 31439, 4386, 5296, 10721, 30767, 1829, 20666, 19913, 3555, 9566, 3714, 2407, 11242, 45367, 2423, 32181, 1028, 1245, 42081, 9122, 2304, 7649, 6156, 3555, 6027, 2655, 6027, 1829, 1975, 8315, 19446, 4724, 2407, 9381, 5172, 2423, 19052, 5747, 299, 11900, 39896, 4117, 37495, 22653, 4724, 9566, 16572, 28671, 6225, 8592, 2407, 16373, 10632, 5296, 10721, 5296, 16758, 3215, 16472, 1975, 30544, 6225, 9640, 5172, 32239, 8592, 1975, 8315, 4724, 2407, 9381, 5172, 11296, 6225, 8592, 7649, 1975, 5016, 3794, 1863, 2423, 32181, 20666, 8848, 9307, 8978, 2423, 2651, 454, 310, 1513, 654, 1975, 15730, 43242, 8315, 37303, 19984, 6854, 37303, 19984, 644, 12, 3766, 2678, 6485, 670, 3175, 278, 23032, 3555, 3615, 995, 19446, 1863, 1863, 3794, 33599, 8978, 45030, 11242, 21542, 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بيقدرش أتحكم في أن القياس يصير صفر معناته ممكن القياس يعطيني microtropia في غالب الأحيان ال microtropia هتأديلي لإيش؟ Central subretinous catoma abnormal retinal correspondence", "tokens": [40228, 22653, 33688, 1863, 3794, 7649, 13672, 1829, 3714, 3215, 4587, 1863, 10874, 28259, 5296, 7435, 23557, 5016, 3660, 21542, 2407, 6027, 4032, 24976, 4587, 25528, 3794, 4724, 1829, 28543, 2288, 8592, 7251, 2655, 5016, 24793, 8978, 14739, 25062, 25528, 3794, 7251, 9381, 13546, 20328, 5172, 2288, 23032, 6027, 15042, 19446, 4724, 1829, 28543, 2288, 8592, 5551, 2655, 5016, 24793, 8978, 14739, 25062, 25528, 3794, 7251, 9381, 13546, 20328, 5172, 2288, 20449, 8315, 47395, 3714, 43020, 25062, 25528, 3794, 37495, 9566, 1829, 22653, 3123, 10536, 1513, 654, 8978, 32771, 6027, 3555, 16247, 5016, 1829, 7649, 2423, 3123, 10536, 1513, 654, 8032, 2655, 10721, 16254, 20292, 5296, 28814, 1829, 8592, 22807, 9701, 1422, 1505, 259, 563, 3857, 6440, 32847, 1533, 2071, 38135], "avg_logprob": -0.1981301207522877, 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"probability": 0.9747721354166666}, {"start": 1732.53, "end": 1732.83, "word": " يصير", "probability": 0.9915364583333334}, {"start": 1732.83, "end": 1733.25, "word": " صفر", "probability": 0.9912109375}, {"start": 1733.25, "end": 1733.85, "word": " معناته", "probability": 0.89306640625}, {"start": 1733.85, "end": 1734.13, "word": " ممكن", "probability": 0.959716796875}, {"start": 1734.13, "end": 1734.67, "word": " القياس", "probability": 0.97802734375}, {"start": 1734.67, "end": 1735.13, "word": " يعطيني", "probability": 0.8555908203125}, {"start": 1735.13, "end": 1735.87, "word": " microtropia", "probability": 0.7913818359375}, {"start": 1735.87, "end": 1736.03, "word": " في", "probability": 0.91796875}, {"start": 1736.03, "end": 1736.33, "word": " غالب", "probability": 0.97802734375}, {"start": 1736.33, "end": 1736.89, "word": " الأحيان", "probability": 0.993408203125}, {"start": 1736.89, "end": 1737.29, "word": " ال", "probability": 0.53173828125}, {"start": 1737.29, "end": 1738.15, "word": " microtropia", "probability": 0.7938232421875}, {"start": 1738.15, "end": 1738.97, "word": " هتأديلي", "probability": 0.759765625}, {"start": 1738.97, "end": 1739.87, "word": " لإيش؟", "probability": 0.80859375}, {"start": 1739.87, "end": 1740.31, "word": " Central", "probability": 0.5126953125}, {"start": 1740.31, "end": 1741.85, "word": " subretinous", "probability": 0.450225830078125}, {"start": 1741.85, "end": 1742.39, "word": " catoma", "probability": 0.504150390625}, {"start": 1742.39, "end": 1743.23, "word": " abnormal", "probability": 0.5322265625}, {"start": 1743.23, "end": 1743.75, "word": " retinal", "probability": 0.936279296875}, {"start": 1743.75, "end": 1744.45, "word": " correspondence", "probability": 0.72216796875}], "temperature": 1.0}, {"id": 67, "seek": 176378, "start": 1746.02, "end": 1763.78, "text": "بريفيرال ممكن تقديل إلى أمبيوبيا لأنه حيصير المريض يفضل ال fixation بإيش؟ بعين بوسط الفوفيا بعين والتانية هتكون microtropic وهذا كان زمان اسمه إيش ال microtropic syndrome الآن المدرسة الطبية بتقولك يعني wait", "tokens": [26890, 33911, 13546, 6027, 3714, 43020, 6055, 4587, 16254, 1211, 30731, 5551, 2304, 21292, 37746, 25528, 5296, 33456, 3224, 11331, 1829, 9381, 13546, 9673, 16572, 11242, 7251, 5172, 11242, 1211, 2423, 3191, 399, 4724, 28814, 1829, 8592, 22807, 4724, 3615, 9957, 4724, 41779, 9566, 27188, 38688, 25528, 4724, 3615, 9957, 16070, 2655, 7649, 10632, 8032, 2655, 30544, 3123, 10536, 39173, 37037, 15730, 25961, 30767, 2304, 7649, 24525, 2304, 3224, 11933, 1829, 8592, 2423, 4532, 83, 39173, 19371, 6024, 48506, 9673, 3215, 2288, 3794, 3660, 41950, 3555, 10632, 39894, 39648, 4117, 37495, 22653, 1699], "avg_logprob": -0.26013963019594233, "compression_ratio": 1.5384615384615385, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1746.02, "end": 1746.6, "word": "بريفيرال", "probability": 0.65960693359375}, {"start": 1746.6, "end": 1747.0, "word": " ممكن", "probability": 0.76806640625}, {"start": 1747.0, "end": 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"probability": 0.5185953776041666}, {"start": 1759.96, "end": 1760.54, "word": " syndrome", "probability": 0.90869140625}, {"start": 1760.54, "end": 1761.28, "word": " الآن", "probability": 0.6356201171875}, {"start": 1761.28, "end": 1762.52, "word": " المدرسة", "probability": 0.9787109375}, {"start": 1762.52, "end": 1762.8, "word": " الطبية", "probability": 0.8330078125}, {"start": 1762.8, "end": 1763.18, "word": " بتقولك", "probability": 0.8972981770833334}, {"start": 1763.18, "end": 1763.38, "word": " يعني", "probability": 0.873291015625}, {"start": 1763.38, "end": 1763.78, "word": " wait", "probability": 0.529296875}], "temperature": 1.0}, {"id": 68, "seek": 178789, "start": 1764.23, "end": 1787.89, "text": "طبعا يعني بقولوا ليش احنا نبدل هذا الوضع اللي فيه العينتين غالبية العظمى جدا من الوقت متمتع بال binocular single vision ونبدله بإيش ب microtopia يعني أنا قاعد ببدل مقابل إيش عشان اللحظات هذه اللي بتظهر اللي هي مش significant فبيقولوا إذا في good control يعني just observation", 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"text": "مدارس طبية تانية بتقولك انه بالنهاية وان كان الكلام هذا صحيح بالنهاية اي intermittent exotropia هتكمل السلسلة و هتحول في يوم من الأيام ل constant exotropia", "tokens": [2304, 3215, 9640, 3794, 23032, 3555, 10632, 6055, 7649, 10632, 39894, 39648, 4117, 16472, 3224, 20666, 1863, 11296, 10632, 4032, 7649, 25961, 2423, 28820, 10943, 23758, 20328, 5016, 1829, 5016, 20666, 1863, 11296, 10632, 1975, 1829, 44084, 454, 310, 1513, 654, 8032, 2655, 24793, 1211, 21136, 1211, 3794, 37977, 4032, 8032, 2655, 5016, 12610, 8978, 7251, 20498, 9154, 16247, 1829, 10943, 5296, 5754, 454, 310, 1513, 654], "avg_logprob": -0.19944853182224667, "compression_ratio": 1.5732484076433122, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1790.4, "end": 1790.98, "word": "مدارس", "probability": 0.94921875}, {"start": 1790.98, "end": 1791.4, "word": " طبية", "probability": 0.9044596354166666}, {"start": 1791.4, "end": 1791.7, "word": " تانية", "probability": 0.708984375}, {"start": 1791.7, "end": 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الساقل الزجاجي تمام؟ الحل الوحيد كان إزالة العين و تتعرض ليعني اللي هو العلاج اللي هو بعد ذلك إشعاع أو علاج جيميائي إلى آخره فبالتالي فبالتالي هذه ال Exotropia تمام؟", "tokens": [3224, 15730, 8608, 2288, 9566, 7649, 8978, 25124, 3555, 995, 4117, 10632, 23032, 3555, 3615, 995, 21542, 1211, 2423, 2407, 5016, 25708, 23032, 3555, 3615, 995, 7251, 4117, 2655, 8592, 5172, 3224, 5296, 1863, 9381, 27188, 2655, 16572, 3794, 46811, 10943, 22807, 20666, 11242, 3555, 9566, 8717, 9381, 5172, 21136, 995, 4587, 1211, 6024, 110, 7435, 26108, 1829, 46811, 10943, 22807, 21542, 1211, 2423, 2407, 5016, 25708, 25961, 11933, 11622, 6027, 3660, 18863, 9957, 4032, 6055, 2655, 3615, 43042, 5296, 40228, 22653, 13672, 1829, 31439, 18863, 1211, 26108, 13672, 1829, 31439, 39182, 29910, 23275, 11933, 8592, 3615, 45761, 34051, 11203, 26108, 10874, 32640, 1829, 16373, 1829, 30731, 19753, 34740, 3224, 6156, 3555, 6027, 2655, 6027, 1829, 6156, 3555, 6027, 2655, 6027, 1829, 29538, 2423, 2111, 310, 1513, 654, 46811, 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بال fovea of the squinting eye بيصير فيه عندى central suppression scotoma central suppression scotoma وهذا الوضع بما انه ثابت وبسيط بما انه ثابت وبسيط بالظبط بيصير عندى أنا abnormal retinal correspondence هذه أحسن حالة يصير فيها عندها", "tokens": [45367, 9957, 8032, 2655, 31747, 11622, 4724, 2857, 726, 303, 304, 1859, 6156, 3555, 2655, 9381, 13546, 43242, 7578, 20666, 726, 303, 64, 295, 264, 2339, 686, 278, 3313, 4724, 1829, 9381, 13546, 8978, 3224, 43242, 7578, 5777, 36807, 795, 310, 6440, 5777, 36807, 795, 310, 6440, 37037, 15730, 2423, 2407, 11242, 3615, 4724, 15042, 16472, 3224, 38637, 16758, 2655, 46599, 3794, 1829, 9566, 4724, 15042, 16472, 3224, 38637, 16758, 2655, 46599, 3794, 1829, 9566, 20666, 19913, 3555, 9566, 4724, 1829, 9381, 13546, 43242, 7578, 41850, 32847, 1533, 2071, 38135, 29538, 5551, 5016, 3794, 1863, 11331, 6027, 3660, 7251, 9381, 13546, 8978, 11296, 43242, 11296], "avg_logprob": -0.16229362701469996, "compression_ratio": 1.7702702702702702, "no_speech_prob": 0.0, 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أنا هذا عامل accommodation على النير لو حد بعمل accommodation على النير، تمام؟ طب هذا مش .. مافيش refractive error الموضوع مش refractive إيزو تروبيا", "tokens": [1863, 13546, 11933, 1829, 11622, 2407, 6055, 32887, 21292, 995, 7251, 5172, 16095, 9154, 11296, 36145, 11296, 11933, 1829, 11622, 2407, 6055, 32887, 21292, 995, 18871, 8717, 13546, 47525, 11536, 36632, 45353, 488, 6713, 47525, 11536, 36632, 1090, 8157, 15844, 316, 8509, 45164, 8978, 45353, 488, 6713, 39896, 26890, 2304, 1829, 6055, 32887, 21292, 995, 25961, 12399, 12174, 1211, 2655, 41850, 23758, 6225, 10943, 1211, 27363, 15844, 2423, 22653, 2288, 45164, 11331, 3215, 4724, 25957, 1211, 27363, 15844, 2423, 22653, 2288, 12399, 46811, 10943, 22807, 23032, 3555, 23758, 37893, 4386, 19446, 41185, 8592, 45353, 488, 6713, 2423, 2304, 2407, 11242, 45367, 37893, 45353, 488, 11933, 1829, 11622, 2407, 6055, 32887, 21292, 995], "avg_logprob": -0.2617533059246772, "compression_ratio": 1.9647577092511013, "no_speech_prob": 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insufficiency absence of neurological disease هناك قلنا ممكن يكون neurological disease ممكن يكون عندى cva ممكن يكون عندى head trauma تمام هنا", "tokens": [2407, 3714, 43020, 1975, 8592, 4117, 8978, 1975, 1829, 8592, 23032, 3555, 1975, 1829, 8592, 13672, 1829, 47525, 3224, 7251, 5172, 47341, 20292, 49374, 2423, 47387, 1028, 1245, 42081, 16712, 8592, 9778, 1829, 9381, 13672, 1829, 11331, 4117, 1829, 8315, 3224, 18871, 2423, 47387, 47104, 16110, 46811, 10943, 1975, 1829, 8592, 13672, 1829, 47525, 3224, 7251, 5172, 47341, 20292, 49374, 2423, 4560, 785, 310, 1513, 654, 4032, 49374, 2423, 47387, 1028, 1245, 42081, 17145, 295, 48185, 4752, 34105, 4117, 12174, 1211, 8315, 3714, 43020, 7251, 30544, 48185, 4752, 3714, 43020, 7251, 30544, 43242, 7578, 269, 2757, 3714, 43020, 7251, 30544, 43242, 7578, 1378, 11407, 46811, 10943, 34105], "avg_logprob": -0.15104166915019354, "compression_ratio": 2.1312217194570136, "no_speech_prob": 0.0, "words": [{"start": 689.05, "end": 689.23, "word": "و", 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00:00:25,650 +بسم الله الرحمن الرحيم المرة اللي فاتت طبعا شرحنا + +2 +00:00:25,650 --> 00:00:27,550 +اللي هو ال accommodative esotropia بأنواعها + +3 +00:00:27,550 --> 00:00:32,970 +المختلفة قلنا في منها refractive و non refractive + +4 +00:00:32,970 --> 00:00:36,390 +و mixed و ال refractive قلنا فيه fully + +5 +00:00:36,390 --> 00:00:39,350 +accommodative و partially accommodative حسب + +6 +00:00:39,350 --> 00:00:42,910 +الاستجابة للعلاج اللي هو بالنضارة ال non + +7 +00:00:42,910 --> 00:00:46,510 +refractive قلنا بيكون عندنا high A C على A ratio و + +8 +00:00:46,510 --> 00:00:52,050 +بالتالي بيقسم لنوعين high A C على A ratiodue to + +9 +00:00:52,050 --> 00:00:57,790 +increased او excessive convergence نعم و النوع + +10 +00:00:57,790 --> 00:01:00,970 +التاني hypo accommodative convergence excess + +11 +00:01:00,970 --> 00:01:04,550 +الفارق بينهم فقط في ال near point of accommodation + +12 +00:01:04,550 --> 00:01:08,390 +طبعا العلاج الأمثل لل non refractive هو ال bifocal + +13 +00:01:08,390 --> 00:01:13,080 +glassesبس لما يكون عندى ال AC على ايه ratio عالى + +14 +00:01:13,080 --> 00:01:18,100 +كتير ال surgery ممكن تحل المشكلة و تخلي يعني يرجع + +15 +00:01:18,100 --> 00:01:21,620 +او يصير normalization لل AC على ايه ratio ال mix + +16 +00:01:21,620 --> 00:01:25,200 +طبعا بدوه علاج mix طبعا عبارة عن علاج refractive و + +17 +00:01:25,200 --> 00:01:29,260 +non refractive تمام فبالتالي هذا القضية يعني + +18 +00:01:29,260 --> 00:01:33,940 +شرحناها اليوم بنكمل بجيه انواع اللي هو ال .. ال + +19 +00:01:33,940 --> 00:01:38,170 +esotropiaويعني هناخد في البداية اللي هو ال + +20 +00:01:38,170 --> 00:01:41,250 +microtropia اللي مرت علينا في عدة مناسبات في حوال + +21 +00:01:41,250 --> 00:01:44,410 +واحد ال microtropia اللي كان اسمها زمان mono + +22 +00:01:44,410 --> 00:01:49,030 +fixation syndrome هي يعني أحد يعني أنواع ال + +23 +00:01:49,030 --> 00:01:52,890 +isotropia بس ممكن تكون يعني تتاب على أنواع تانية + +24 +00:01:52,890 --> 00:01:58,990 +بمعنى ال microtropia مابنحطش كتشخيص هو عبارة عن + +25 +00:01:58,990 --> 00:02:04,090 +توصيف لوضع معين وصل إليه المريض بمعنىالإنسان كان + +26 +00:02:04,090 --> 00:02:09,590 +عنده مثلا early onset esotropia early onset + +27 +00:02:09,590 --> 00:02:15,390 +esotropia يعني هذا تشخيصه الأساسي و سوى جراحة و + +28 +00:02:15,390 --> 00:02:20,130 +بعد الجراحة عدلت العين مثلا من أربعين prism صارت + +29 +00:02:20,130 --> 00:02:23,830 +مثلا سبعة أو ستة prism هو مارجع لل biphovial + +30 +00:02:23,830 --> 00:02:28,950 +fixation تماما مارجعش لوضع الصفر بس هو اتحول من + +31 +00:02:29,340 --> 00:02:33,940 +يعني إيزو تروبيا كبيرة لمايكرو تروبيا لسندروم + +32 +00:02:33,940 --> 00:02:38,160 +بنسمي اللي هو ال microtropia syndrome فبالتالي وصف + +33 +00:02:38,160 --> 00:02:41,000 +حالته أنه دخل في ال microtropia بس تشخيصه الرئيس + +34 +00:02:41,000 --> 00:02:45,320 +هو بالأساس early onset إيزو تروبياأيضا ليش بنقول + +35 +00:02:45,320 --> 00:02:49,780 +عن ال microtopia عبارة عن توصيف و ليست تشخيص الناس + +36 +00:02:49,780 --> 00:02:52,460 +اللي عندها accommodative esotropia ال fully + +37 +00:02:52,460 --> 00:02:55,220 +accommodative esotropia مش بالضروري ال fully + +38 +00:02:55,220 --> 00:02:58,840 +accommodative esotropia لما يلبس النضارة يصير صفر + +39 +00:02:58,840 --> 00:03:02,930 +القياس عندهمممكن يتحول القياس من مثلا تلاتين بريزم + +40 +00:03:02,930 --> 00:03:06,810 +أو خمسة و تلاتين بريزم مثلا ينزل لتمانية او ستة او + +41 +00:03:06,810 --> 00:03:09,850 +اربعة هو مارج على الصفر اذا هو اتحول من + +42 +00:03:09,850 --> 00:03:12,890 +accommodative esotropia صفة في وضع اسمه + +43 +00:03:12,890 --> 00:03:16,670 +microtropia ليس تشخيصه انما التوصيف للحالة اللى + +44 +00:03:16,670 --> 00:03:22,350 +وصل اليها المريض فبالتالي ايش الصفات اللى بتصير او + +45 +00:03:22,350 --> 00:03:24,690 +العلامات اللى بقدر اعرف ان المريض هذا عنده + +46 +00:03:24,690 --> 00:03:29,670 +microtropiavery small angle strabismus أقل عادة من + +47 +00:03:29,670 --> 00:03:34,730 +تمانية بريزم ديوبتر ممكن تكون ملاحظة أو مش ملاحظة + +48 +00:03:34,730 --> 00:03:36,830 +على ال cover testing هاي أول علامة يعني لما + +49 +00:03:36,830 --> 00:03:40,210 +ماعملوا cover test ممكن مايلاحظش هذه الاتروبيا + +50 +00:03:40,210 --> 00:03:43,770 +تمام تاني حاجة طالما في عندي small angle squint + +51 +00:03:43,770 --> 00:03:48,310 +معناته مافيش bifovial fixation طب إيش فيه أنه بدل + +52 +00:03:48,310 --> 00:03:52,360 +ال bifovial fixation العين بتركز بالفوفياوعين + +53 +00:03:52,360 --> 00:03:57,920 +هتركز ب extra foveal area فبتصير عندى بال fovea of + +54 +00:03:57,920 --> 00:04:00,360 +the squinting eye بيصير فيه عندى central + +55 +00:04:00,360 --> 00:04:04,020 +suppression scotoma central suppression scotoma + +56 +00:04:04,020 --> 00:04:09,960 +وهذا الوضع بما انه ثابت وبسيط بما انه ثابت وبسيط + +57 +00:04:09,960 --> 00:04:12,500 +بالظبط بيصير عندى أنا abnormal retinal + +58 +00:04:12,500 --> 00:04:15,970 +correspondence هذه أحسن حالة يصير فيها عندهاأو + +59 +00:04:15,970 --> 00:04:18,510 +يتطور عندها اللي هو ال abnormal retinal + +60 +00:04:18,510 --> 00:04:21,030 +correspondence و اللي حكينا عنه أنه positive + +61 +00:04:21,030 --> 00:04:24,170 +adaptation to strabismus positive adaptation to + +62 +00:04:24,170 --> 00:04:28,770 +strabismus بعض المرضى أو كتير من المرضى بيكون + +63 +00:04:28,770 --> 00:04:32,450 +عندهم associations يعني حاجات مرافقة لقضية ال + +64 +00:04:32,450 --> 00:04:35,070 +microtropia اللي هي ال anisometropia و ال + +65 +00:04:35,070 --> 00:04:38,870 +anisometropic ampliopia يعني ممكن تكون ال + +66 +00:04:38,870 --> 00:04:42,850 +anisometropia بشكل hypermetropic anisometropiaأو + +67 +00:04:42,850 --> 00:04:45,570 +hypermetropic astigmatism ممكن تكون مصاحبة ب + +68 +00:04:45,570 --> 00:04:49,530 +amblyopia طبعا هل بيشكي من أعراض؟ لأ مابيشكيش من + +69 +00:04:49,530 --> 00:04:53,550 +أعراض لا cosmetically ولا أعراض بتخص الدبلوبيا أو + +70 +00:04:53,550 --> 00:04:56,510 +blurring of vision أو أستنوبيا أو ما شابه إذا + +71 +00:04:56,510 --> 00:05:00,270 +المريض وضعه stable بضل احنا إيش التدخل اللي ممكن + +72 +00:05:00,270 --> 00:05:04,450 +نعمله إياه؟ إنه نعالج ال anisometropia ونعالج ال + +73 +00:05:04,450 --> 00:05:07,710 +amblyopia إذا وجدت بواسطة اللي هو ال batching يعني + +74 +00:05:07,710 --> 00:05:12,450 +حسب ما هو يعني مناسب لوضع هذاالمرضى، اذا ال + +75 +00:05:12,450 --> 00:05:16,250 +treatment involves correction of refractive errors + +76 +00:05:16,250 --> 00:05:20,410 +and occlusion for amblyopia as indicated طبعا + +77 +00:05:20,410 --> 00:05:23,550 +غالبية الناس اللي عندها ال microotropia بيبقى + +78 +00:05:23,550 --> 00:05:26,710 +symptom free يعني مابيعانيش من أي أعراض و + +79 +00:05:26,710 --> 00:05:29,890 +cosmetically well و acceptable لأن ال microotropia + +80 +00:05:29,890 --> 00:05:34,710 +عبارة عن يعني very small angle مش ملاحظة يعني عند + +81 +00:05:34,710 --> 00:05:39,920 +الكثيرين مش ملاحظة عند الكثيرين طيبجراحة بيلزموه؟ + +82 +00:05:39,920 --> 00:05:43,140 +طبعا مابيلزموش جراحة، مابيلزموش جراحة احنا اذا + +83 +00:05:43,140 --> 00:05:46,860 +بتذكروا انه حكينا في ال early onset esotropia ايش + +84 +00:05:46,860 --> 00:05:49,820 +ال satisfactory result للجراحة بتاعة ال early + +85 +00:05:49,820 --> 00:05:52,260 +onset؟ انه يصل لـmicrotropia، اذا وصل + +86 +00:05:52,260 --> 00:05:57,410 +لـmicrotropia تعتبر العملية ايش؟ ناجحة جدانيجي + +87 +00:05:57,410 --> 00:06:01,690 +الآن لبعض الأنواع بتاعة ال esotropia عشان نكمل + +88 +00:06:01,690 --> 00:06:05,390 +موضوع ال esotropia و اللي بدها بس ملاحظات بسيطة + +89 +00:06:05,390 --> 00:06:09,410 +جدا نه نيجي حاجة بيسموها near esotropia إيش بنفهم + +90 +00:06:09,410 --> 00:06:13,150 +ال near esotropia يعني esotropia على ال near + +91 +00:06:13,150 --> 00:06:17,610 +معناته ال distance ممكن يكون mild eso أو يكون + +92 +00:06:17,610 --> 00:06:20,970 +ortho تمام؟ طب إحنا قلنا إذا في فرق بين ال + +93 +00:06:20,970 --> 00:06:25,550 +distance و ال nearبيكون عندى high AC على A ratio + +94 +00:06:25,550 --> 00:06:29,450 +طب هدول ليش انا فصلتهم في تشريح سلحان ماقولتش هدول + +95 +00:06:29,450 --> 00:06:33,160 +من ضمن ال non refractive accommodative esotropiaفي + +96 +00:06:33,160 --> 00:06:36,680 +علامات .. في علامات خلتني أفصلهم يا ترى إيش هذه + +97 +00:06:36,680 --> 00:06:40,120 +العلامات إحنا قولنا أي إنسان .. أي إنسان عنده + +98 +00:06:40,120 --> 00:06:44,220 +إيزوتروبيا و ال .. و الإيزو على .. على النير أكتر + +99 +00:06:44,220 --> 00:06:47,400 +بكتير من ال distance معناته لازم أشك إنه عنده AC + +100 +00:06:47,400 --> 00:06:50,940 +على A ريشيو عالي و طالما AC على A ريشيو عالي + +101 +00:06:50,940 --> 00:06:54,060 +معناته في عنده accommodative إيزوتروبيا non + +102 +00:06:54,060 --> 00:06:56,880 +refractive إذا نضافلها لـhypermetropia معناته + +103 +00:06:56,880 --> 00:07:01,980 +بتصير mixed refractive مع high AC على A ريشيو إحنا + +104 +00:07:01,980 --> 00:07:10,050 +هنا إنسانإيجي علنا بالوضع التالي نفرض سين إنسان + +105 +00:07:10,050 --> 00:07:17,170 +سين عمره مثلا خمس سنوات إيجي بإيزوتروبيا نفرض على + +106 +00:07:17,170 --> 00:07:20,590 +ال distance اتنين prism يعني not significant يعني + +107 +00:07:20,590 --> 00:07:24,690 +وعلى ال near مثلا عشرين prism أول حاجة بشك فيها + +108 +00:07:24,690 --> 00:07:29,770 +أنه عندي high EC على A ratioقلنا بدنا نجيس ال ac + +109 +00:07:29,770 --> 00:07:32,490 +على a ratio زي ما درسنا في العملية بوسيلة من + +110 +00:07:32,490 --> 00:07:36,470 +الوسائل بال gradient method او اللي هو ال graphic + +111 +00:07:36,470 --> 00:07:40,450 +method طلع ال ac على a ratio عنده اتنين و نص لواحد + +112 +00:07:40,450 --> 00:07:44,150 +هل هذا high ac على a ratio بالعكس هذا له يعتبر + +113 +00:07:44,150 --> 00:07:49,310 +تمام واحد تاني جثناه طلع تلاتة لواحد normal ac على + +114 +00:07:49,310 --> 00:07:55,650 +a ratio تمام اذا هذا مش قضية انه high ac على a + +115 +00:07:55,650 --> 00:07:59,850 +ratioطيب قلت يمكن hypo-accomodative يمكن ال + +116 +00:07:59,850 --> 00:08:02,610 +convergence عنده normal بس hypo-accomodative ال + +117 +00:08:02,610 --> 00:08:05,970 +near point of accommodation جستله إياها لجتها + +118 +00:08:05,970 --> 00:08:11,030 +normal، لذا هذا المريض مانفعش أحطه تحت + +119 +00:08:11,030 --> 00:08:15,910 +accommodative esotropia تحت band non refractive، + +120 +00:08:15,910 --> 00:08:18,890 +يعني تحت ال high AC على A ratio، ليش مانفعش أحطه؟ + +121 +00:08:19,700 --> 00:08:22,800 +لأنه لا في عنده high AC على A ريشيو ولا عنده high + +122 +00:08:22,800 --> 00:08:28,540 +بو اكموداتيف convergence excess تمام؟ اذا normal + +123 +00:08:28,540 --> 00:08:32,660 +near point of accommodation مع ال isotropia على ال + +124 +00:08:32,660 --> 00:08:37,900 +near بس normal على ال .. او low AC على A ريشيو و + +125 +00:08:37,900 --> 00:08:40,600 +orthophoria او small isophoria على ال distance + +126 +00:08:40,600 --> 00:08:44,260 +تمام؟ مع binocular single vision اذا هذا بيظل + +127 +00:08:44,260 --> 00:08:49,670 +تشخيصه فقط near isotropiaنير إيزو تروبيا يفهم منها + +128 +00:08:49,670 --> 00:08:53,730 +إنها إيزو تروبيا عن نير بدون أي refractive error + +129 +00:08:53,730 --> 00:08:57,830 +بدون أي high AC على A ratio لو في refractive error + +130 +00:08:57,830 --> 00:09:00,170 +هيبرمي تروبيا كان، قلت أنا هذا عامل accommodation + +131 +00:09:00,170 --> 00:09:02,310 +على النير لو حد بعمل accommodation على النير، + +132 +00:09:02,310 --> 00:09:05,790 +تمام؟ طب هذا مش .. مافيش refractive error الموضوع + +133 +00:09:05,790 --> 00:09:10,310 +مش refractive إيزو تروبياطيب يمكن high ac على a + +134 +00:09:10,310 --> 00:09:13,070 +ratio احنا اتعلمنا ان اذا كان فيه فرق بين ال near + +135 +00:09:13,070 --> 00:09:16,210 +وال distance و ال near اكتر في ال a زي معناته high + +136 +00:09:16,210 --> 00:09:19,630 +ac على a ratio قررت اقيص له ال ac على a ratio + +137 +00:09:19,630 --> 00:09:23,010 +لجهته normal و بعض الأحيان ممكن تلاقيه low اذا مش + +138 +00:09:23,010 --> 00:09:25,690 +high ac على a ratio طيب يمكن زيادة في ال + +139 +00:09:25,690 --> 00:09:31,690 +convergence نتيجة انهnear point of accommodation + +140 +00:09:31,690 --> 00:09:35,210 +ضعيفة لقيتها normal near point of accommodation + +141 +00:09:35,210 --> 00:09:39,730 +إذا هذا تشخيص لحاله اسمه near-isotropy حاله جراحي + +142 +00:09:39,730 --> 00:09:43,250 +حاله جراحي مين اللي بيشتغل مين العضلات اللي بتشتغل + +143 +00:09:43,250 --> 00:09:45,550 +على ال near ال media recti هي اللي بتعمل + +144 +00:09:45,550 --> 00:09:49,150 +convergence فبالتالي بقى رخي ال media recti يعني + +145 +00:09:49,150 --> 00:09:52,390 +bilateral media rectus recessions ارخاء بالتالي + +146 +00:09:52,390 --> 00:09:58,420 +بتحلل ليه المشكلة إذا هذه ال near-isotropyنيجي شخص + +147 +00:09:58,420 --> 00:10:06,240 +آخر عنده الموضوع عكس اسمه distance إيش إيزوتروبيا + +148 +00:10:06,240 --> 00:10:11,540 +طبعا ال distance إيزوتروبيا بتصيب ال healthy young + +149 +00:10:11,540 --> 00:10:15,260 +adultsواللي غالبا بيكونوا myopic اللي غالبا + +150 +00:10:15,260 --> 00:10:19,000 +بيكونوا myopic ايش العلامات بتاعتها اول علامة + +151 +00:10:19,000 --> 00:10:22,760 +intermittent or constant esotropia for distance + +152 +00:10:22,760 --> 00:10:25,240 +يعني امرار على ال distance لما يتطلع على target + +153 +00:10:25,240 --> 00:10:31,940 +بعيد امرار بيكون عنده intermittent or + +154 +00:10:31,940 --> 00:10:38,880 +constant esotropia يعني هو بتطلع على distant + +155 +00:10:38,880 --> 00:10:45,690 +target مثلاإيزو تروبيا على النهار اورثو او مالد + +156 +00:10:45,690 --> 00:10:49,610 +ايزو يعني + +157 +00:10:49,610 --> 00:10:57,070 +ممكن يكون اورثو او مالد ايزو طبعا طالما في ايزو + +158 +00:10:57,070 --> 00:10:59,130 +على ال distance ال distance لازم يشتغل ال + +159 +00:10:59,130 --> 00:11:03,130 +divergence ده اتأكد هل هذا عنده divergence + +160 +00:11:03,130 --> 00:11:08,390 +insufficient و لا لأطبعا اجيت انا فحست ال fusion + +161 +00:11:08,390 --> 00:11:11,590 +ال divergence amplitude لجيتها في بعض الأحيان + +162 +00:11:11,590 --> 00:11:14,670 +reduced طب ما ال divergence insufficient يكون عنده + +163 +00:11:14,670 --> 00:11:18,130 +فى مشكلة فى ال divergence amplitude ممكن تكون + +164 +00:11:18,130 --> 00:11:22,170 +ضعيفة وممكن تكون معدومة absent تمام هنا ممكن تكون + +165 +00:11:22,170 --> 00:11:25,870 +reduced اذا الموضوع مختلط ال answer عندى ممكن هذا + +166 +00:11:25,870 --> 00:11:30,010 +اشك فيه انه divergence insufficientو ممكن اشك في + +167 +00:11:30,010 --> 00:11:32,710 +ايش طب ايش اللي بده يفرجلي بين ال divergence + +168 +00:11:32,710 --> 00:11:36,170 +insufficiency التشخيص اللي حكيناه عن ال divergence + +169 +00:11:36,170 --> 00:11:40,310 +abnormalities تمام ايش اللي بده يفرجلي بين ال + +170 +00:11:40,310 --> 00:11:43,490 +distance esotropia و بين ال divergence + +171 +00:11:43,490 --> 00:11:48,550 +insufficiency absence of neurological disease هناك + +172 +00:11:48,550 --> 00:11:52,450 +قلنا ممكن يكون neurological disease ممكن يكون عندى + +173 +00:11:52,450 --> 00:11:57,990 +cva ممكن يكون عندى head trauma تمام هنامن ناحية + +174 +00:11:57,990 --> 00:12:01,250 +أمراض عصبية أو شغلة متعلقة بال central nervous + +175 +00:12:01,250 --> 00:12:05,770 +system سليم 100% تمام فبالتالي هذا عندي بيصف ايش + +176 +00:12:05,770 --> 00:12:10,690 +distance esotropia distance esotropia تمام طيب + +177 +00:12:10,690 --> 00:12:18,370 +distance esotropia الحل برزمات based out برزم تمام + +178 +00:12:18,370 --> 00:12:23,770 +لغاية ما يشفى لحاله او اذا ماشفيش لحاله تمام ممكن + +179 +00:12:23,770 --> 00:12:29,180 +surgery ممكن surgeryإيش ال surgery الأفضل إله في + +180 +00:12:29,180 --> 00:12:37,400 +هذه الناحية؟ خلّينا نفكر مع بعض لأ مافيش حاجة بنشد + +181 +00:12:37,400 --> 00:12:40,900 +أو بنرسم، ما الأفضل؟ احنا المشكلة عندنا على ال + +182 +00:12:40,900 --> 00:12:45,420 +بعيد و لا على الجريد distance easo يعني في ال easo + +183 +00:12:45,420 --> 00:12:48,380 +اللي المفروض يكون في ortho و يصير divergence لوضع + +184 +00:12:48,380 --> 00:12:52,320 +ال ortho تمام؟ هو مش قادر يعمل دايبه، بدي أشد ال + +185 +00:12:52,320 --> 00:12:55,980 +lateral recti الأفضل أشد ال lateral recti واضح؟ + +186 +00:13:01,900 --> 00:13:04,540 +طبعا لما يكون عندى distance إيزو تروبيا لازم + +187 +00:13:04,540 --> 00:13:08,480 +أميزها مع عن ال six nerve palsy لأنه ممكن على ال + +188 +00:13:08,480 --> 00:13:12,640 +distance يعمللي إيزو تروبيا طبعا في فحوصات كتيرة + +189 +00:13:12,640 --> 00:13:17,680 +بتشمل هذه القضية عساس أنه أميز ال six nerve palsy + +190 +00:13:17,680 --> 00:13:21,180 +من ال distance إيزو تروبيا ال distance إيزو تروبيا + +191 +00:13:21,180 --> 00:13:25,600 +تمام ال virgin عنده طبيعيمافيش مشكلة في ال virgins + +192 +00:13:25,600 --> 00:13:30,360 +طبعا ال divergence amplitude صحيح ممكن تكون يعني + +193 +00:13:30,360 --> 00:13:34,540 +قليلة بس ال virgins و الدكشن عنده طبيعية مافيش أي + +194 +00:13:34,540 --> 00:13:37,620 +خلل فيها و احنا أخدنا في العمل انه لابد من اختبار + +195 +00:13:37,620 --> 00:13:41,420 +التلت أنواع من الحركات حتى أتأكد في ال six nerve + +196 +00:13:41,420 --> 00:13:44,780 +pulse مافيش induction مافيش abduction طبعا بدرجات + +197 +00:13:44,780 --> 00:13:48,140 +متفاوتة حسب قد شدة ال pulse هل هي paresis ولا + +198 +00:13:48,140 --> 00:13:54,280 +pulseطبعا طيب إذا هذا النوع التاني النوع التالت من + +199 +00:13:54,280 --> 00:13:57,640 +ال esotropias اللي هي ال acute أو ال late onset + +200 +00:13:57,640 --> 00:14:02,020 +esotropia إيش بنفهم من كلمة acute إنها sudden + +201 +00:14:02,020 --> 00:14:10,780 +onset حادة طبعا بتيجي في عمر خمسة لست سنوات ملاش + +202 +00:14:10,780 --> 00:14:16,980 +سبب واضح بيصير عند الطفل sudden onset of diplopia + +203 +00:14:16,980 --> 00:14:22,240 +and esotropiaفي عنده normal ocular motility وفيش + +204 +00:14:22,240 --> 00:14:25,580 +significant refractive error طيب فيش significant + +205 +00:14:25,580 --> 00:14:28,260 +refractive error معناته السبب مش accommodation + +206 +00:14:28,260 --> 00:14:32,160 +طبعا normal ocular motility معناته فيش عندى sex + +207 +00:14:32,160 --> 00:14:37,420 +nerve palsy او ما شبه طبعا ومع ذلك لازم استفني + +208 +00:14:37,420 --> 00:14:40,520 +موضوع ال sex nerve palsy باختبارات معينة اللي + +209 +00:14:40,520 --> 00:14:43,340 +اتأكد ان ال sex nerve او ال lateral rectus شغالة + +210 +00:14:43,340 --> 00:14:48,560 +بشكل يعني سليم ايش علاج هذه ال late او ال acute + +211 +00:14:48,560 --> 00:14:48,920 +onset + +212 +00:14:51,790 --> 00:14:55,630 +لازم استرجع ال binocular single vision هي طالما + +213 +00:14:55,630 --> 00:15:00,010 +صارت acute يعني قبل هيك كان الطفل بيستمتع بال + +214 +00:15:00,010 --> 00:15:02,510 +binocular single vision لانه كان عينيه اورثو + +215 +00:15:04,990 --> 00:15:09,650 +والدليل على أنه يعني ارثو بمجرد ما صار معاه sudden + +216 +00:15:09,650 --> 00:15:13,810 +onset of esotropia السريع بدأ يشكي من إيش diplopia + +217 +00:15:13,810 --> 00:15:18,550 +أنا مابديش انا أخليه يعمل suppression بدأ أسترجعله + +218 +00:15:18,550 --> 00:15:21,550 +ال binocular single vision as soon as possible + +219 +00:15:21,550 --> 00:15:24,910 +تمام عشان أمنع ال suppression كيف أسترجع ال + +220 +00:15:24,910 --> 00:15:28,250 +binocular single vision إما بال prisms أو ال + +221 +00:15:28,250 --> 00:15:32,360 +botulinum toxinبأحقنه في ال media rectus أو بال + +222 +00:15:32,360 --> 00:15:39,620 +surgery عساس أحل المشكلة جذريا مرت علينا الاسم + +223 +00:15:39,620 --> 00:15:42,640 +التالي اللي هو secondary او sensory-isotropy + +224 +00:15:42,640 --> 00:15:47,560 +secondary او sensory-isotropy و لما بنقول sensory + +225 +00:15:47,560 --> 00:15:50,800 +لما بنقول sensory معناته في شئ له علاقة في ال + +226 +00:15:50,800 --> 00:15:54,440 +visionيعني معناته ال retinal image في العين اللي + +227 +00:15:54,440 --> 00:15:58,800 +فيها مشكلة بتكون blurred retinal image لسبب أو + +228 +00:15:58,800 --> 00:16:02,640 +لآخر زي cataract, corneal obesity, optic atrophy, + +229 +00:16:02,820 --> 00:16:07,500 +optic hypoblesiamacular scarring او ما شابه تمام و + +230 +00:16:07,500 --> 00:16:11,400 +ممكن يكون عنده retinoplastoma و بالتالي ضروري جدا + +231 +00:16:11,400 --> 00:16:15,520 +و حكينا احنا في حوال واحد و هنضل نحكي و نعيد ان ال + +232 +00:16:15,520 --> 00:16:18,760 +fundus examination is mandatory in all strabism + +233 +00:16:18,760 --> 00:16:24,740 +cases مافيش strabismus patient يعني بيفوت و بينفحص + +234 +00:16:24,740 --> 00:16:27,300 +و مابنفحصلوش ال fundus examination مافحصلاش ال + +235 +00:16:27,300 --> 00:16:31,030 +fundus examinationمعناته إيش؟ ماعملناش ولا حاجة و + +236 +00:16:31,030 --> 00:16:35,370 +ربما يكون المشكلة يعني أكبر من موضوع اللي حول + +237 +00:16:35,370 --> 00:16:40,110 +فبالتالي بي .. ينفحص كاملا، ينفحص ال fandust و + +238 +00:16:40,110 --> 00:16:44,500 +بنشوف السبب هل ممكن إزالته؟زي مثلا ال cataract أو + +239 +00:16:44,500 --> 00:16:48,280 +ال corneal obesity إذا مثلا بيتم يعني زراعة قرانية + +240 +00:16:48,280 --> 00:16:52,720 +أو ما شابه وبالتالي بنشوف بعد هيك ال amblyopia كيف + +241 +00:16:52,720 --> 00:16:57,020 +وضعها تمام بنعالجها بالقدر الممكن وممكن لو دال + +242 +00:16:57,020 --> 00:17:01,520 +residual squint يعني أنه .. يعني تم جراحة لهذا ال + +243 +00:17:01,520 --> 00:17:05,460 +squint في حالات كتير اتحسنت بمجرد ما اتحسن ال + +244 +00:17:05,460 --> 00:17:09,200 +vision أو زاوية الحوال خفت بشكل ملحوظ جدا + +245 +00:17:09,200 --> 00:17:14,090 +وماضطرناش نجري إلها يعني جراحةالموضوع التالي اللي + +246 +00:17:14,090 --> 00:17:17,890 +هو ال consecutive esotropia كلمة consecutive يعني + +247 +00:17:17,890 --> 00:17:21,250 +كان عنده حاجة مضادة للحاجة اللي موجودة يعني + +248 +00:17:21,250 --> 00:17:26,130 +consecutive eso معناته هذا كان exotropia تم إجراء + +249 +00:17:26,130 --> 00:17:29,930 +جراحه وصار over correction وبالتالي دخل في موضوع + +250 +00:17:29,930 --> 00:17:34,270 +ال consecutive esotropia طبعا غالبا بتحدث + +251 +00:17:34,270 --> 00:17:40,330 +following surgery for intermittent exotropia طبعا + +252 +00:17:40,330 --> 00:17:46,060 +إذا حصلت عند طفلبنتابعها .. بنتابعها لمدة 6 أسابيع + +253 +00:17:46,060 --> 00:17:51,700 +إذا ضالت بعد ال 6 أسابيع طبعا لابد من أنه إيش تجري + +254 +00:17:51,700 --> 00:17:55,540 +جراحها لتعديلها عساس أنه ترجع لوضع ال ortho بقدر + +255 +00:17:55,540 --> 00:18:02,040 +الإمكان طبعا مش مسموح أنها تستمر أكتر من 6 أسابيع + +256 +00:18:02,040 --> 00:18:05,120 +يعني حتى يعني نستعيد اللي هو ال binocular single + +257 +00:18:05,120 --> 00:18:08,700 +vision حتى نستعيد ال binocular single vision بعض + +258 +00:18:08,700 --> 00:18:14,830 +الأطباء بنصحهمبتغطية alternate occlusion يعني of + +259 +00:18:14,830 --> 00:18:19,230 +each eye separately عساس انه يعني ممكن يتخفف من ال + +260 +00:18:19,230 --> 00:18:25,670 +consecutive esotropia هذا نوع نادر النوع التالي + +261 +00:18:25,670 --> 00:18:31,350 +نادر جدا تمامبسموه Cyclic Cyclic Esotropia يعني + +262 +00:18:31,350 --> 00:18:34,870 +بيمر اللحظات او بيمر يعني هي ال .. ال .. ال .. ال + +263 +00:18:34,870 --> 00:18:38,650 +cycle عبارة عن يومين تمانية و أربعين ساعات يوم + +264 +00:18:38,650 --> 00:18:43,550 +بيكون فيه Esotropia و اليوم التاني بيكون فيه Ortho + +265 +00:18:43,550 --> 00:18:47,450 +تمام اليوم التالت Eso اليوم الرابع Ortho و هكذا + +266 +00:18:47,450 --> 00:18:51,290 +تمام طبعا بيكون عنده يعني very rare condition + +267 +00:18:51,290 --> 00:18:54,510 +alternating manifest Esotropia with suppression + +268 +00:18:55,580 --> 00:18:59,380 +يعني لما يكون ISO بتكون العين ال ISO sub rest تمام + +269 +00:18:59,380 --> 00:19:02,620 +وعين fixated تمام اليوم التاني التنتين بيكونوا + +270 +00:19:02,620 --> 00:19:06,560 +straight التنتين بيكونوا straight وبالتالي بيكون + +271 +00:19:06,560 --> 00:19:09,800 +عندى binocular single vision اليوم التالت بنرجع + +272 +00:19:09,800 --> 00:19:14,830 +لنفس قضية اليوم الأول بالظبط بالتبادلفي هذه اللي + +273 +00:19:14,830 --> 00:19:19,870 +بيسموها ال cycle طبعا هذا الوضع ممكن يستمر لأشهر و + +274 +00:19:19,870 --> 00:19:25,310 +لسنوات و ممكن بعد هيك يتحول ل constant esotropia + +275 +00:19:25,310 --> 00:19:28,930 +يعني خلاص يصير على طول مافيش يعني تبادل Ortho مع + +276 +00:19:28,930 --> 00:19:32,690 +Eso Ortho مع Eso تمام؟ بتتحول ل constant esotropia + +277 +00:19:32,690 --> 00:19:38,270 +و بتتطلب surgeryيعني كتير من الدراسات بتقول انه لو + +278 +00:19:38,270 --> 00:19:42,110 +انا أجريت جراحة في ال intermittent phase التبادل + +279 +00:19:42,110 --> 00:19:44,970 +.. يعني في المرحلة التبادلية عادي جدا و بتكون + +280 +00:19:44,970 --> 00:19:48,310 +curative عادة، curative يعني بتنهي المشكلة يعني + +281 +00:19:48,310 --> 00:19:52,630 +مابستناش انا لما تصير .. تثبت على constant easily + +282 +00:19:52,630 --> 00:19:56,330 +انا ممكن تاخد سنوات يعني من عمر الطفل و هو يوم في + +283 +00:19:56,330 --> 00:19:58,970 +مشكلة و اليوم التاني طبيعي و اليوم التالد في مشكلة + +284 +00:20:00,350 --> 00:20:03,990 +مش معروفة السبب، مش معروفة السبب تمام، في كتير من + +285 +00:20:03,990 --> 00:20:08,370 +الحاجات يعني مش معروفة السبب تمام بس العلاج معروف + +286 +00:20:08,370 --> 00:20:12,730 +ويعني متفق عليه، العلاج معروف و evidence based + +287 +00:20:12,730 --> 00:20:18,630 +يعني طيب في حاجة بيسموها basic esotropia basic + +288 +00:20:18,630 --> 00:20:24,350 +esotropia basic + +289 +00:20:24,350 --> 00:20:26,210 +esotropia + +290 +00:20:29,950 --> 00:20:34,550 +ال basic esotropia بتبدأ بعد 6 شهور من العمر + +291 +00:20:34,550 --> 00:20:39,310 +ماقدرش + +292 +00:20:39,310 --> 00:20:43,950 +أسميها early onset esotropia تمام؟ no refractive + +293 +00:20:43,950 --> 00:20:47,410 +error لو + +294 +00:20:47,410 --> 00:20:49,850 +في refractive error ممكن أسميها accommodative + +295 +00:20:49,850 --> 00:20:53,750 +تمام؟ + +296 +00:20:53,750 --> 00:20:58,060 +ال near تساوي ال distanceبقدرش أسميها لا نيار إيزو + +297 +00:20:58,060 --> 00:21:01,960 +تروبيا ولا distance إيزو تروبيا ال ocular motility + +298 +00:21:01,960 --> 00:21:08,180 +مافيش فيها مشكلة و ال AC على A ratio طبيعي + +299 +00:21:08,180 --> 00:21:12,920 +الآن + +300 +00:21:12,920 --> 00:21:18,900 +الحل بتاعها جراحي الحل بتاعها جراحي بس في نقطة ما + +301 +00:21:18,900 --> 00:21:24,970 +نذكرها يعني بعض الأطباءبالنسبة لهذا النوع من الـ + +302 +00:21:24,970 --> 00:21:31,550 +Esotropia بيجروا حاجة بيسموها Prism Adaptation + +303 +00:21:31,550 --> 00:21:36,150 +Test بمعنى لو في refractive error معين بده تصليح + +304 +00:21:36,150 --> 00:21:45,610 +بيصلحوه و بيجيسوا زاوية الحوال اللي ضلت تمام و + +305 +00:21:45,610 --> 00:21:49,530 +هو لابس النضارة نفرض لابس نضارة مثلا 2.5 2.5 مش + +306 +00:21:49,530 --> 00:21:53,620 +significant refractive error تماميعني صلحتلها شوية + +307 +00:21:53,620 --> 00:21:58,560 +صغيرة جدا تمام و إجت الباقي بيحطوا Fresnel ل Prism + +308 +00:21:58,560 --> 00:22:05,440 +.. Fresnel عفوا نيكا لازم يكون تمام بيحطوا Fresnel + +309 +00:22:05,440 --> 00:22:11,060 +ل Prism طبعا ال Apex باتجاه إيش؟ بتجاه زاوية + +310 +00:22:11,060 --> 00:22:13,800 +الحوال تمام بيحطوا Fresnel ل Prism + +311 +00:22:17,260 --> 00:22:21,200 +عشان يصلحوا ما تبقى من حوالي تمام؟ يعني نفرض + +312 +00:22:21,200 --> 00:22:26,860 +النضارة صلحت 20% من من ال 30 بريزم ديوبتر وال 80% + +313 +00:22:26,860 --> 00:22:31,380 +بحط ال frame ال بريزم اللي تصلح ليها برجع المريض + +314 +00:22:31,380 --> 00:22:37,290 +بعد أسبوعين مثلا بلاحظ أن زاوية الحوالو هو لابس + +315 +00:22:37,290 --> 00:22:40,410 +النضارة و معها ال stick on او ال phrenal prism + +316 +00:22:40,410 --> 00:22:43,790 +تمام ال stick on ال prism بلاحظ لسه فيه زوج يتحول + +317 +00:22:43,790 --> 00:22:49,710 +اكتر و هو لابس تمام بقى جوه ال prism كمان فبتسمى + +318 +00:22:49,710 --> 00:22:53,910 +المريض eats up prisms تمام كأنه عينه بتاكل ال + +319 +00:22:53,910 --> 00:22:57,550 +prismات تمام يعني بتاخد تستوعب ال prismات تمام + +320 +00:22:57,550 --> 00:23:01,250 +لغاية ما نصل ل .. ل maximum ال prism اللي بعديه في + +321 +00:23:01,250 --> 00:23:06,870 +الزيارة التالية تماممافيش زيادة ليش بيعملوها بعض + +322 +00:23:06,870 --> 00:23:10,010 +الـ ophthalmologists عشان مايصيرش under correction + +323 +00:23:10,010 --> 00:23:14,110 +انت تتفاجأ انه عملتيله جراحة تمام و ممكن انت تعملي + +324 +00:23:14,110 --> 00:23:16,330 +على القياسي الأول اللي هو التلاتين تتفاجأ انه + +325 +00:23:16,330 --> 00:23:20,330 +حقيقة مش تلاتين اكتر يعني ممكن تضطري تعملي على + +326 +00:23:20,330 --> 00:23:25,450 +خمسين بدل ما نضطر يعمل جراحتين تمام بنخليه ياخد + +327 +00:23:25,450 --> 00:23:29,070 +برزمات جدر ما يستطيع high ل plus اتنين و نص على + +328 +00:23:29,070 --> 00:23:33,780 +سبيل المثالأمام كل عين الزاوية نزلت من تلاتين + +329 +00:23:33,780 --> 00:23:37,220 +لخمسة وعشرين أو لعشرين تمام؟ العشرين الباقين حطتله + +330 +00:23:37,220 --> 00:23:41,120 +Fresnel بريزم رجعته بعد أسبوعين أجيزله بالنضارة مع + +331 +00:23:41,120 --> 00:23:44,460 +لي بريزمات لجيت لسه فيه ضايل عشرة فوق اللي هو + +332 +00:23:44,460 --> 00:23:48,240 +لابسه بقى .. بقى أشيل العشرين بريزم فرنل و بدأ أحط + +333 +00:23:48,240 --> 00:23:51,620 +أنا التلاتين كمثال تمام؟لغاية ما ياخد ال maximum + +334 +00:23:51,620 --> 00:23:55,360 +يتشبع بال لبريزمات و بعدين مايصيرش أي movement في + +335 +00:23:55,360 --> 00:24:00,120 +الحركة بيصير قوة لبريزم تمام مع النضارة جديش مسلحة + +336 +00:24:00,120 --> 00:24:03,180 +حوالي هذا total قياس الحوالي اللي لازم يشغل عليه + +337 +00:24:03,180 --> 00:24:07,120 +عشان مايصيرش ايش under correction اضطر لإجراء + +338 +00:24:07,120 --> 00:24:11,020 +عملية تانية اذا ملاحظين ال basic isotropy نفس ال + +339 +00:24:11,020 --> 00:24:16,170 +early onset اللهم الفرج الوحيدبعد ست شهور من العمر + +340 +00:24:16,170 --> 00:24:19,990 +هذيك within the first six months of life هيك احنا + +341 +00:24:19,990 --> 00:24:23,210 +بن .. تقريبا بصدر نحكي عن حاجة واحدة very + +342 +00:24:23,210 --> 00:24:27,510 +interesting very interesting حاجة بيسموها heavy + +343 +00:24:27,510 --> 00:24:33,510 +eye syndrome أو إلها اسم تاني اسمها heavy eye + +344 +00:24:33,510 --> 00:24:38,110 +syndrome إلها + +345 +00:24:38,110 --> 00:24:40,870 +اسم تاني high myopia esotropia syndrome + +346 +00:24:46,300 --> 00:24:50,520 +حتى علاجها very interesting تمام ال .. ال myopic + +347 +00:24:50,520 --> 00:24:56,220 +eye بتكون long ولا short؟ long طيب ال elongation + +348 +00:24:56,220 --> 00:24:58,820 +يعني في حد يسميها progressive myopia ال elongation + +349 +00:24:58,820 --> 00:25:02,560 +.. ال elongation بتام لبرا ولا في ال orbit ولا هي + +350 +00:25:02,560 --> 00:25:03,940 +بتتضخم لجوة؟ + +351 +00:25:06,870 --> 00:25:11,150 +هو بالغالب بيتم لجوه بالغالب بيتم لجوه تمام او + +352 +00:25:11,150 --> 00:25:14,750 +بيتم بجميع الاتجاه بضمنها الاتجاه اللي هو للداخل + +353 +00:25:14,750 --> 00:25:18,870 +بتاع ال orbit معروف ان العضلات تحيط اللي هو بالذات + +354 +00:25:18,870 --> 00:25:24,970 +ال rectus muscles تحيط في العين من اربع جهات تمام + +355 +00:25:24,970 --> 00:25:30,510 +الان لما يصير عند انا elongation للجلوب تمام و + +356 +00:25:30,510 --> 00:25:34,110 +cupor للجلوب بيصير + +357 +00:25:35,510 --> 00:25:39,050 +بيصير موضع ال muscle pulley بتاع ال superior + +358 +00:25:39,050 --> 00:25:42,130 +rectus و ال lateral rectus مش في موقعه الصحيح + +359 +00:25:42,130 --> 00:25:49,790 +نتيجة انه ال globe حجمها بيكبر تمام فبيصير انحراف + +360 +00:25:49,790 --> 00:25:53,470 +لل superior rectus لجسم ال superior rectus هي + +361 +00:25:53,470 --> 00:25:57,290 +القرانية المفروض ال superior rectus تيجي هنا و ال + +362 +00:25:57,290 --> 00:26:00,090 +medial rectus هنا هي الانف و ال inferior rectus + +363 +00:26:00,090 --> 00:26:05,840 +هنا و ال lateral rectus هنا تمامال globe بتكبر من + +364 +00:26:05,840 --> 00:26:12,560 +ورا جاعدة ف ال annulus of zen من ورا .. ال annulus + +365 +00:26:12,560 --> 00:26:15,880 +of zen مش سامح لها تكبر باتجاهه فهي لازم يصير لها + +366 +00:26:15,880 --> 00:26:22,360 +ميلان أو إزاحة فهي بتحرف ال superior rectus لجوه + +367 +00:26:22,360 --> 00:26:25,500 +نازلي و ال lateral rectus + +368 +00:26:27,950 --> 00:26:31,670 +inferiorly تمام ناحية اللي هادا و بيصير عندها واسع + +369 +00:26:31,670 --> 00:26:35,830 +هنا فبصير bulging من الخلف طالما ال back of the + +370 +00:26:35,830 --> 00:26:41,890 +eye راح laterallyو لفوق laterally و لفوق فهتكون هي + +371 +00:26:41,890 --> 00:26:46,830 +نيزلي و شوية hypo تمام السبب في ذلك mechanical + +372 +00:26:46,830 --> 00:26:50,570 +السبب في ذلك mechanical ال globe مش لاجيه واسع في + +373 +00:26:50,570 --> 00:26:55,730 +ال orbit فلو هتزوج direct لورا مش قادر هتزوج ليش + +374 +00:26:55,730 --> 00:26:59,470 +لأنه فيه انه ايش ال annulus of zen و فيه الكون ال + +375 +00:26:59,470 --> 00:27:03,680 +muscle كون كل ما له ورا بيديجمزجوت؟ لأن ال annulus + +376 +00:27:03,680 --> 00:27:07,080 +of zin تتفرع منه ال muscles و بتبعد عن بعضها عشان + +377 +00:27:07,080 --> 00:27:11,380 +تحيط بال globe تمام؟ الآن لورا ضيق فهي بدها يصير + +378 +00:27:11,380 --> 00:27:15,820 +لها herniation او افتاج لناحية معينة فبتطلع ال + +379 +00:27:15,820 --> 00:27:20,540 +back of the eye بيطلع و بيبرز من ورا بين ال + +380 +00:27:20,540 --> 00:27:23,980 +superior rectus و ال lateral rectus طالما ال back + +381 +00:27:23,980 --> 00:27:27,420 +of the eye راح laterally and superiorly تمام؟ + +382 +00:27:27,420 --> 00:27:31,440 +معناته ال anterior هيروح media لي iso and شوية .. + +383 +00:27:31,920 --> 00:27:35,720 +هيبو هيبو تروبيا لما بلاقي high myopia عنده ايزو + +384 +00:27:35,720 --> 00:27:41,160 +تروبيا وهيبو تروبيا بشك انا في موضوع ال ايش ال + +385 +00:27:41,160 --> 00:27:44,460 +heavy eye syndrome او ال high myopia ايزو تروبيا + +386 +00:27:44,460 --> 00:27:49,620 +syndrome في فحص ضروري جدا اساسي بدون ان بقدرش احط + +387 +00:27:49,620 --> 00:27:53,540 +التشخيص هذا الفحص اللي هو الرنين المغناطيسي ال MRI + +388 +00:27:53,540 --> 00:27:59,270 +scanningبياخد مقطع بيسموه coronal section coronal + +389 +00:27:59,270 --> 00:28:03,970 +section يعني مقطع بالشكل هيطمان تاجي مقطع تاجي + +390 +00:28:03,970 --> 00:28:09,970 +فبتبين ال orbit عندي زي هيك تمام و بيبين مقطع في + +391 +00:28:09,970 --> 00:28:13,550 +ال .. في ال glory و بتبين ال superior rectus مزاحة + +392 +00:28:13,550 --> 00:28:19,260 +زي هيك وهي ال media rectusال media rectus و ال + +393 +00:28:19,260 --> 00:28:23,180 +inferior rectus موضعهم سليم تمام ال lateral rectus + +394 +00:28:23,180 --> 00:28:26,880 +بتكون نازلة شوية لتحت كمقطع تمام و بيبين هنا + +395 +00:28:26,880 --> 00:28:31,900 +المسافة أكبر من هذه المسافة بكتير تمام فبتبين أن + +396 +00:28:31,900 --> 00:28:35,300 +هذه بتثبتلي في الوضع الطبيعي لازم الوضع يكون + +397 +00:28:35,300 --> 00:28:41,600 +الأربع rectus muscles المقطع بتاعهم يعني متساوي مش + +398 +00:28:41,600 --> 00:28:44,520 +متساوي البعد عن الlimbus بس هذا مقطع في الجلب نفسه + +399 +00:28:44,520 --> 00:28:49,210 +تماميعني متساوي بالشكل اللي انا هذا .. هذه بثبتلي + +400 +00:28:49,210 --> 00:28:53,090 +ال high myopia esotropia syndrome طريقة العلاج تاع + +401 +00:28:53,090 --> 00:28:56,830 +ال esotropia هنا مش بطريقة انه اروح فورا اعمل + +402 +00:28:56,830 --> 00:29:01,360 +media rectus recession لأال superior rectus مع ال + +403 +00:29:01,360 --> 00:29:05,020 +lateral rectus بقى خيطهم مع بعض ب non absorbable + +404 +00:29:05,020 --> 00:29:09,300 +suture بغرزة غير قابلة للذوبان تمام فبيسكروا + +405 +00:29:09,300 --> 00:29:13,140 +الفتحة اللي بينهم وبيديجوا فبتضطر العين من ورا + +406 +00:29:13,140 --> 00:29:18,340 +تعدل هيك تمام تعدل ترجع لمكانها الطبيعي فبعد ال + +407 +00:29:18,340 --> 00:29:21,120 +anterior part of the eye طبعا هذه العملية اللي + +408 +00:29:21,120 --> 00:29:24,020 +بنخيط فيها ال superior rectus مع ال lateral rectus + +409 +00:29:24,020 --> 00:29:28,160 +ب suture non absorbable بسموها Yokoyama procedure + +410 +00:29:29,830 --> 00:29:36,330 +Yokoyama procedure طبعا ياباني اللي فكر فيها تمام؟ + +411 +00:29:36,330 --> 00:29:41,430 +Yokoyama procedure تمام؟ يعني هذه ..يعني rare تمام + +412 +00:29:41,430 --> 00:29:44,950 +نتوقعها طبعا لازم يكون عندي axial myopia high + +413 +00:29:44,950 --> 00:29:48,810 +myopia تمام بابدأ أتوقع عندي high myopia عندي + +414 +00:29:48,810 --> 00:29:52,410 +esotropia مع شوية hypotropia تمام بابدأ أتوقع + +415 +00:29:52,410 --> 00:29:57,190 +ولابد من أن أطلب أنا MRI scanning وطريقة العلاج + +416 +00:29:57,190 --> 00:30:01,030 +معروفة يعني زي الطريقة اللي احنا بنحكي عنها اللي + +417 +00:30:01,030 --> 00:30:05,810 +هي Yokoyama procedure Yokoyama procedure يعطيكوا + +418 +00:30:05,810 --> 00:30:07,570 +ألف عافية إذا حد بدي يسأل سؤال + diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/xsNhq0zQGtk_raw.json b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/xsNhq0zQGtk_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..9ce7e539db0ae5e232398630d56a74e2cb6f6522 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/xsNhq0zQGtk_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4782, "start": 20.82, "end": 47.82, "text": "بسم الله الرحمن الرحيم اليوم هنحكي ان شاء الله عن ال paralytic 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في تجسيمة لل third nerve pulse مش مكتوبة في المال زماننا بس مهمة غاية في الأهمية في عندنا medical third nerve pulse و في عندنا surgical third nerve pulse", "tokens": [6027, 20292, 31439, 2423, 17709, 6055, 8592, 42213, 2423, 16355, 28242, 3224, 20666, 30241, 10943, 9307, 13672, 1829, 1975, 5016, 8315, 29910, 37983, 8315, 11296, 12174, 36150, 12174, 8592, 2407, 10632, 6024, 48506, 8978, 6055, 7435, 3794, 32640, 3660, 24976, 2636, 16355, 17709, 37893, 3714, 4117, 2655, 37746, 3660, 8978, 9673, 6027, 30767, 2304, 7649, 8315, 4724, 3794, 3714, 16095, 3660, 32771, 995, 10632, 8978, 16247, 16095, 10632, 8978, 43242, 8315, 4625, 2636, 16355, 17709, 4032, 8978, 43242, 8315, 26646, 2636, 16355, 17709], "avg_logprob": -0.14481027459814436, "compression_ratio": 1.8177083333333333, "no_speech_prob": 0.0, "words": [{"start": 467.23, "end": 467.57, "word": "اللي", "probability": 0.960693359375}, {"start": 467.57, "end": 467.81, "word": " هو", "probability": 0.94677734375}, {"start": 467.81, "end": 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{"start": 479.47, "end": 479.89, "word": " مهمة", "probability": 0.9788411458333334}, {"start": 479.89, "end": 480.21, "word": " غاية", "probability": 0.9606119791666666}, {"start": 480.21, "end": 480.37, "word": " في", "probability": 0.92041015625}, {"start": 480.37, "end": 480.81, "word": " الأهمية", "probability": 0.9469401041666666}, {"start": 480.81, "end": 480.97, "word": " في", "probability": 0.62841796875}, {"start": 480.97, "end": 481.25, "word": " عندنا", "probability": 0.83740234375}, {"start": 481.25, "end": 481.61, "word": " medical", "probability": 0.966796875}, {"start": 481.61, "end": 482.03, "word": " third", "probability": 0.9521484375}, {"start": 482.03, "end": 482.33, "word": " nerve", "probability": 0.904296875}, {"start": 482.33, "end": 482.73, "word": " pulse", "probability": 0.90380859375}, {"start": 482.73, "end": 487.93, "word": " و", "probability": 0.9345703125}, {"start": 487.93, "end": 488.05, "word": " في", "probability": 0.5341796875}, {"start": 488.05, "end": 488.31, "word": " عندنا", "probability": 0.946044921875}, {"start": 488.31, "end": 489.01, "word": " surgical", "probability": 0.91162109375}, {"start": 489.01, "end": 492.29, "word": " third", "probability": 0.9619140625}, {"start": 492.29, "end": 492.73, "word": " nerve", "probability": 0.92529296875}, {"start": 492.73, "end": 493.09, "word": " pulse", "probability": 0.85546875}], "temperature": 1.0}, {"id": 19, "seek": 51962, "start": 494.66, "end": 519.62, "text": "التقسيم هذه مهمة جدا من ناحية الإجراء حقيقة ال third nerve هو في طريقه باتجاه ال orbit هو داخل الدماغ لسه فيه داخل الجمجمة تمام بيمر بالقرب من أو أسفل اللي هو artery بيسموه posterior communicating artery", "tokens": [6027, 2655, 4587, 3794, 32640, 29538, 3714, 16095, 3660, 10874, 28259, 9154, 8717, 39319, 10632, 33688, 7435, 2288, 16606, 11331, 38436, 28671, 2423, 2636, 16355, 31439, 8978, 23032, 16572, 4587, 3224, 4724, 9307, 7435, 40294, 2423, 13991, 31439, 11778, 47283, 1211, 32748, 2304, 5718, 118, 5296, 3794, 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504.66, "word": " لسه", "probability": 0.8531901041666666}, {"start": 504.66, "end": 504.9, "word": " فيه", "probability": 0.7509765625}, {"start": 504.9, "end": 505.34, "word": " داخل", "probability": 0.9705403645833334}, {"start": 505.34, "end": 505.98, "word": " الجمجمة", "probability": 0.922119140625}, {"start": 505.98, "end": 506.5, "word": " تمام", "probability": 0.98095703125}, {"start": 506.5, "end": 507.82, "word": " بيمر", "probability": 0.8863932291666666}, {"start": 507.82, "end": 508.54, "word": " بالقرب", "probability": 0.96533203125}, {"start": 508.54, "end": 508.74, "word": " من", "probability": 0.9716796875}, {"start": 508.74, "end": 508.98, "word": " أو", "probability": 0.771484375}, {"start": 508.98, "end": 509.58, "word": " أسفل", "probability": 0.9691162109375}, {"start": 509.58, "end": 510.04, "word": " اللي", "probability": 0.9501953125}, {"start": 510.04, "end": 510.42, "word": " هو", "probability": 0.95751953125}, {"start": 510.42, "end": 511.74, "word": " artery", "probability": 0.59228515625}, {"start": 511.74, "end": 512.32, "word": " بيسموه", "probability": 0.86123046875}, {"start": 512.32, "end": 512.98, "word": " posterior", "probability": 0.390869140625}, {"start": 512.98, "end": 516.14, "word": " communicating", "probability": 0.86328125}, {"start": 516.14, "end": 519.62, "word": " artery", "probability": 0.97119140625}], "temperature": 1.0}, {"id": 20, "seek": 53434, "start": 524.22, "end": 534.34, "text": "هذا posterior communicating artery في بعض الأوقات يكون فيه توسع في جداره، a neurism عامل، تمام؟ فبتضغط على ال third nerve", "tokens": [3224, 15730, 33529, 17559, 38520, 8978, 45030, 11242, 16247, 30543, 9307, 7251, 30544, 8978, 3224, 33427, 3794, 3615, 8978, 10874, 3215, 9640, 3224, 12399, 257, 12087, 1434, 6225, 10943, 1211, 12399, 46811, 10943, 22807, 6156, 3555, 2655, 11242, 17082, 9566, 15844, 2423, 2636, 16355], "avg_logprob": -0.206770834657881, "compression_ratio": 1.1891891891891893, "no_speech_prob": 0.0, "words": 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"end": 529.72, "word": " a", "probability": 0.505859375}, {"start": 529.72, "end": 530.12, "word": " neurism", "probability": 0.6412353515625}, {"start": 530.12, "end": 531.5, "word": " عامل،", "probability": 0.8448486328125}, {"start": 531.5, "end": 532.66, "word": " تمام؟", "probability": 0.8312174479166666}, {"start": 532.66, "end": 533.34, "word": " فبتضغط", "probability": 0.9497884114583334}, {"start": 533.34, "end": 533.52, "word": " على", "probability": 0.93115234375}, {"start": 533.52, "end": 533.66, "word": " ال", "probability": 0.6796875}, {"start": 533.66, "end": 533.92, "word": " third", "probability": 0.796875}, {"start": 533.92, "end": 534.34, "word": " nerve", "probability": 0.951171875}], "temperature": 1.0}, {"id": 21, "seek": 56284, "start": 536.18, "end": 562.84, "text": "هذا ال aneurysm أو التوسع اللي زي حوايصلة عامل زي ال case كده طبعا ال artery الضغط في الدم في الشرايين عالي كتير مقارنة مع الأوردة وبالتالي هذا جدار ال aneurysm اللي هو الرقيق ممكن ينفجر في أي لحظة 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{"start": 2004.72, "end": 2018.5, "word": " يسأل", "probability": 0.77728271484375}, {"start": 2018.5, "end": 2018.74, "word": " سؤال", "probability": 0.9510091145833334}, {"start": 2018.74, "end": 2018.84, "word": " يا", "probability": 0.96484375}, {"start": 2018.84, "end": 2019.32, "word": " بنات", "probability": 0.8958333333333334}, {"start": 2019.32, "end": 2020.54, "word": " يعطيكوا", "probability": 0.8857421875}, {"start": 2020.54, "end": 2020.7, "word": " ألف", "probability": 0.846435546875}, {"start": 2020.7, "end": 2021.1, "word": " عافية", "probability": 0.9853515625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2021.3435, "duration_after_vad": 1835.5956249999965} \ No newline at end of file diff --git a/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/xsNhq0zQGtk_raw.srt b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/xsNhq0zQGtk_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..dd826dce2b59f089d4c6a383abfdf511764307b4 --- /dev/null +++ b/PL9fwy3NUQKwZfniGp3urYlTO3wGv9-Ea-/xsNhq0zQGtk_raw.srt @@ -0,0 +1,1792 @@ +1 +00:00:20,820 --> 00:00:24,160 +بسم الله الرحمن الرحيم اليوم هنحكي ان شاء الله عن + +2 +00:00:24,160 --> 00:00:28,200 +ال paralytic squint لما بن .. بنحكي paralytic + +3 +00:00:28,200 --> 00:00:33,300 +squint بنقصد فيه يعني شلل في أحد الأعصاب المغضية + +4 +00:00:33,300 --> 00:00:38,700 +لعضلات العين ال extraocular muscles أو يعني شلل في + +5 +00:00:38,700 --> 00:00:43,160 +أكتر من عصب معروف أنه ال motor function بتاعة + +6 +00:00:43,160 --> 00:00:46,740 +العين المسئول عنها three cranial nerves اللي هم ال + +7 +00:00:46,740 --> 00:00:52,210 +oculomotor nerveو ال abducent nerve و اللى هو ال + +8 +00:00:52,210 --> 00:00:55,450 +trochlear nerve ال fourth nerve طبعا ال trochlear + +9 +00:00:55,450 --> 00:00:59,570 +nerve بيغذى superior oblique muscle و ال abducent + +10 +00:00:59,570 --> 00:01:04,490 +nerve بيغذى ال sixth اللى هو sixth nerve nucleus + +11 +00:01:04,490 --> 00:01:08,030 +ال lateral rectus muscle تمام و بجيه العضلات + +12 +00:01:08,030 --> 00:01:11,530 +بيغذيهم اللى هو ال oculomotor او ال third cranial + +13 +00:01:11,530 --> 00:01:16,620 +nerve بالاضافة لتغذيته لالـ levator palpebral + +14 +00:01:16,620 --> 00:01:20,640 +superioris و أيضا الـ ciliary muscle و الـ + +15 +00:01:20,640 --> 00:01:24,580 +sphincter pupillary muscle بمعنى أخر لما بنحكي عن + +16 +00:01:24,580 --> 00:01:30,240 +بلسي بأحد هذه الأعصاب لازم نتذكر ال functions اللي + +17 +00:01:30,240 --> 00:01:35,520 +بيقوم فيها هذا العصب عبر العضلات اللي بيغربيها لما + +18 +00:01:35,520 --> 00:01:40,450 +بنقول third cranial nerveيعني بيغذي ال superior + +19 +00:01:40,450 --> 00:01:43,110 +rectus اللي لها علاقة في ال elevation بيغذي ال + +20 +00:01:43,110 --> 00:01:45,110 +inferior rectus اللي لها علاقة في ال depression + +21 +00:01:45,110 --> 00:01:47,710 +بيغذي ال medial rectus اللي لها علاقة في ال + +22 +00:01:47,710 --> 00:01:50,990 +adduction تمام و بيغذي ال inferior oblique اللي + +23 +00:01:50,990 --> 00:01:55,250 +لها ال functions المعروفة تمام بالإضافة أن هو + +24 +00:01:55,250 --> 00:01:58,190 +المسئول عن الموضوع الميزز عن ال accommodation لأنه + +25 +00:01:58,190 --> 00:02:01,230 +بيغذي ال ciliary muscle و ال sphincter pupillary + +26 +00:02:01,230 --> 00:02:05,610 +muscle أيضا هو المسئول عن فتح العينبسبب ان هو + +27 +00:02:05,610 --> 00:02:08,930 +بيغذي elevator palpebral superioris المسئول عن + +28 +00:02:08,930 --> 00:02:24,490 +رافع الجفن الأعلى طيب third + +29 +00:02:24,490 --> 00:02:28,950 +nerve pulse استمتاج اللي هو ال signs بتاعة ال + +30 +00:02:28,950 --> 00:02:33,510 +third nerve pulse مش صعب بالمرةلو قلنا إنسان عنده + +31 +00:02:33,510 --> 00:02:38,730 +right-fired nerve pulsate إيش بنتوقع؟ هي left eye + +32 +00:02:38,730 --> 00:02:46,810 +إيش بنتوقع مبدأيا أنه يكون عنده؟ توزيس بس أنا مش + +33 +00:02:46,810 --> 00:02:50,290 +هرسم توزيس عشان أرسم .. أن نشوف إيش العين بس هو + +34 +00:02:50,290 --> 00:02:55,790 +أول علامة بده تكون عنده توزيس تاني + +35 +00:02:55,790 --> 00:03:03,110 +علامة العين بده تكون إيه إيش؟out and down out ليش؟ + +36 +00:03:03,110 --> 00:03:08,270 +عشان ال lateral rectus has normal function تمام؟ و + +37 +00:03:08,270 --> 00:03:12,450 +slightly down عشان ال superior oblique اللي من ال + +38 +00:03:12,450 --> 00:03:15,650 +functions بتاعتها انها بتعملي depression من ضمن ال + +39 +00:03:15,650 --> 00:03:17,970 +secondary functions بتاعتها انها بتعملي depression + +40 +00:03:17,970 --> 00:03:21,630 +هذه المنظر اللي بيجيني عليه طبعا إذا عندي complete + +41 +00:03:21,630 --> 00:03:25,890 +causes مش هيكون عندي diplopia if complete + +42 +00:03:29,640 --> 00:03:32,820 +no diplopia ليش؟ لأنه هيكون كأني أنا عامل + +43 +00:03:32,820 --> 00:03:36,400 +occlusion ل one eye إذا كان partial third nerve + +44 +00:03:36,400 --> 00:03:41,640 +palsy ممكن المريض يشك من diplopia طيب نيجي احنا + +45 +00:03:41,640 --> 00:03:46,260 +هذه اللي هو العلمات اللي احنا بتاعة ال third nerve + +46 +00:03:46,260 --> 00:03:50,660 +palsy أثناء اختبار ال extraocular movements no + +47 +00:03:50,660 --> 00:03:56,440 +adduction أو restricted adduction ليش؟ال media + +48 +00:03:56,440 --> 00:03:59,180 +rectus يعني اللي بتتغذى من ال third cranial nerve + +49 +00:03:59,180 --> 00:04:04,220 +يعني ال function بتاعتها هتكون فيها مشكلة no + +50 +00:04:04,220 --> 00:04:09,520 +elevation واش + +51 +00:04:09,520 --> 00:04:13,020 +كمان restricted depression + +52 +00:04:18,050 --> 00:04:21,730 +لأن ال inferior rectus بالاضافة لل toses اللي + +53 +00:04:21,730 --> 00:04:26,510 +حكينا عنه بالاضافة لل toses اللي حكينا عنه طيب + +54 +00:04:26,510 --> 00:04:30,490 +نيجي نرسم هذه الأشياء يعني هذا المريض اللي عنده + +55 +00:04:30,490 --> 00:04:35,330 +third nerve pulse لما يتطلع على right third nerve + +56 +00:04:35,330 --> 00:04:38,210 +pulse يعني يتطلع على الشمال فيش adduction فيش + +57 +00:04:38,210 --> 00:04:40,830 +adduction لما بتطلع على فوق + +58 +00:04:43,900 --> 00:04:47,320 +مش elevation يعني بالعافية بيقدر يرفع عينه خاصة + +59 +00:04:47,320 --> 00:04:51,100 +إذا ال pulse شديدة تمام؟ أيضا في ال depression + +60 +00:04:51,100 --> 00:04:57,100 +يكون عندنا restricted depression restricted + +61 +00:04:57,100 --> 00:05:03,720 +depression يضاف إلى العلامات هذه العلامة التالية + +62 +00:05:03,720 --> 00:05:11,200 +ممكن يكون عنده mediasis undefective accommodation + +63 +00:05:13,180 --> 00:05:21,940 +ليش؟ هذه العلامات + +64 +00:05:23,710 --> 00:05:27,210 +إذا كانها عندي complete palsy في ال third cranial + +65 +00:05:27,210 --> 00:05:30,910 +nerve بتكون شديدة يعني complete ptosis مغطي العين + +66 +00:05:30,910 --> 00:05:34,530 +كلها تمام عشان هيك مابيصيرش فياني diplopia ال + +67 +00:05:34,530 --> 00:05:36,930 +restriction في ال adoption و في ال elevation و في + +68 +00:05:36,930 --> 00:05:40,730 +ال depression بيكون شديد و ايضا إذا كان ال pupil + +69 +00:05:40,730 --> 00:05:43,650 +involved بيكون عندي midriasis و defective + +70 +00:05:43,650 --> 00:05:46,890 +accommodation هذه بتكون ال full picture بتاع third + +71 +00:05:46,890 --> 00:05:51,790 +nerve palsy حقيقة الأمر في شيء معين أو مهم جدا + +72 +00:05:51,790 --> 00:05:55,680 +لازم نعرفه بالنسبة لتقسيمة اللي هو third nerve + +73 +00:05:55,680 --> 00:06:06,940 +pulsate يعني هذه العلمات هذه العلمات لأ + +74 +00:06:06,940 --> 00:06:10,360 +بقص من يعني هيطق فكرة انه ال third cranial nerve + +75 +00:06:10,360 --> 00:06:13,680 +بنشأ في ال brain .. في ال brain stem في ال mid + +76 +00:06:13,680 --> 00:06:18,160 +brain .. في ال mid brain ان هو بتاعة موجودة في ال + +77 +00:06:18,160 --> 00:06:19,100 +mid brain + +78 +00:06:21,910 --> 00:06:26,690 +وبتمشي بتدخل في ال cavernous sinus اللي هو قبل ال + +79 +00:06:26,690 --> 00:06:32,430 +orbit خلف ال orbit في + +80 +00:06:32,430 --> 00:06:35,970 +ال lateral wall بتاعة ال cavernous sinus و بعدين + +81 +00:06:35,970 --> 00:06:38,950 +عند ال orbit superior orbital fissure بيدخل منها + +82 +00:06:38,950 --> 00:06:44,510 +قبل ما يدخل منها بنجسم لجسمين third cranial nerve + +83 +00:06:44,510 --> 00:06:46,950 +قبل ما يدخل في superior orbital fissure بنجسم + +84 +00:06:46,950 --> 00:06:49,310 +لجسمين اللي هو superior division + +85 +00:06:54,250 --> 00:06:57,810 +القسم الأعلى و ال inferior division القسم الأسفل + +86 +00:06:57,810 --> 00:07:01,090 +ال superior division بيغذي عضلتين ال levator + +87 +00:07:01,090 --> 00:07:04,570 +palbibri superioris و ال superior rectus ال + +88 +00:07:04,570 --> 00:07:09,410 +inferior division بيغذي تلت عضلات media rectus و + +89 +00:07:09,410 --> 00:07:12,490 +ال inferior rectus و ال inferior oblique و أيضا + +90 +00:07:12,490 --> 00:07:16,110 +بيحمل innervation مع العصب اللي رايح لل inferior + +91 +00:07:16,110 --> 00:07:18,370 +oblique بيحمل innervation اللي هو ال + +92 +00:07:18,370 --> 00:07:22,340 +parasympathetic innervation اللي وين رايح يا بناتع + +93 +00:07:22,340 --> 00:07:27,800 +ال sphincter bubile muscle وع ال ciliary muscle + +94 +00:07:27,800 --> 00:07:32,580 +يعني بعض الحالات النادرة ممكن يكون ال superior + +95 +00:07:32,580 --> 00:07:35,440 +division هو اللي متأثر فبتلاقي عندنا toses و + +96 +00:07:35,440 --> 00:07:38,720 +superior rectus اللي هو pulsing تمام؟ و بعض + +97 +00:07:38,720 --> 00:07:41,340 +الحالات يكون ال inferior division هو اللي فيه + +98 +00:07:41,340 --> 00:07:45,840 +المشكلة تمام؟ بس كتير من الحالات بتكون عندى ash + +99 +00:07:47,230 --> 00:07:50,670 +اللي هو ال pulse تشمل ال nerve كله بالعلامات اللي + +100 +00:07:50,670 --> 00:07:55,470 +احنا ذكرناها قبل قشوية الآن في تجسيمة لل third + +101 +00:07:55,470 --> 00:08:00,210 +nerve pulse مش مكتوبة في المال زماننا بس مهمة غاية + +102 +00:08:00,210 --> 00:08:07,930 +في الأهمية في عندنا medical third nerve pulse و + +103 +00:08:07,930 --> 00:08:12,290 +في عندنا surgical third + +104 +00:08:12,290 --> 00:08:17,820 +nerve pulseالتقسيم هذه مهمة جدا من ناحية الإجراء + +105 +00:08:17,820 --> 00:08:22,320 +حقيقة ال third nerve هو في طريقه باتجاه ال orbit + +106 +00:08:22,320 --> 00:08:27,820 +هو داخل الدماغ لسه فيه داخل الجمجمة تمام بيمر + +107 +00:08:27,820 --> 00:08:32,980 +بالقرب من أو أسفل اللي هو artery بيسموه posterior + +108 +00:08:32,980 --> 00:08:36,140 +communicating + +109 +00:08:36,140 --> 00:08:39,620 +artery + +110 +00:08:44,220 --> 00:08:47,620 +هذا posterior communicating artery في بعض الأوقات + +111 +00:08:47,620 --> 00:08:52,660 +يكون فيه توسع في جداره، a neurism عامل، تمام؟ + +112 +00:08:52,660 --> 00:08:57,820 +فبتضغط على ال third nerveهذا ال aneurysm أو التوسع + +113 +00:08:57,820 --> 00:09:00,800 +اللي زي حوايصلة عامل زي ال case كده طبعا ال artery + +114 +00:09:00,800 --> 00:09:04,620 +الضغط في الدم في الشرايين عالي كتير مقارنة مع + +115 +00:09:04,620 --> 00:09:07,740 +الأوردة وبالتالي هذا جدار ال aneurysm اللي هو + +116 +00:09:07,740 --> 00:09:14,600 +الرقيق ممكن ينفجر في أي لحظة ويعمل ويعمل يعني نزيف + +117 +00:09:14,600 --> 00:09:18,000 +داخل الدماغ شديد ممكن يؤدي للوفاة بسرعة تمام + +118 +00:09:18,000 --> 00:09:21,500 +فبالتالي هو بيدغط على ال nerve بيعمل لي third + +119 +00:09:21,500 --> 00:09:26,170 +nerve pulsing طب اناكتخصص ممكن أقابل المريض اللي + +120 +00:09:26,170 --> 00:09:30,870 +عنده third nerve palsy أول شي هنكمل ليش احنا بنحكي + +121 +00:09:30,870 --> 00:09:36,330 +عن القضية هاي مهمة جدا؟البارا sympathetic fiber + +122 +00:09:36,330 --> 00:09:39,470 +بتمشي superficial في ال nerve يعني متجمعة في + +123 +00:09:39,470 --> 00:09:43,970 +مجموعة واحدة هذه ال fibers الألياء هي البارا + +124 +00:09:43,970 --> 00:09:46,970 +sympathetic fiber اللي طالعة من الادنار و اسفال + +125 +00:09:46,970 --> 00:09:51,090 +نوكلياس والباقي اللي هي ال motor fibers فهذه لانها + +126 +00:09:51,090 --> 00:09:54,990 +حزمة رقيقة أي ضغط من الخارج بيأثر عليها عشان هيك + +127 +00:09:54,990 --> 00:09:58,570 +لما بلاجي third nerve pulsing مع dilatation في ال + +128 +00:09:58,570 --> 00:10:03,630 +pupilهذا علامة خطيرة جدا لابد من تحويله لجراحة + +129 +00:10:03,630 --> 00:10:08,070 +الأعصاب لتقييم الوضع بواسطة تصوير الطبق أو ال + +130 +00:10:08,070 --> 00:10:10,910 +running المغناطيسي يعني أنا ما بشغل نفسي بموضوع ال + +131 +00:10:10,910 --> 00:10:16,590 +squint الناتج عن ال third nerve pulse الأمور تترتب + +132 +00:10:16,590 --> 00:10:19,490 +في الأهمية انه life saving و بعدين vision saving + +133 +00:10:19,490 --> 00:10:25,870 +تمام life saving و بعدين vision saving بمعنى لما + +134 +00:10:25,870 --> 00:10:31,480 +انابقى لاحظ انه في عندي علامات ثالث نيرف بالسي + +135 +00:10:31,480 --> 00:10:36,000 +اللي هي toses تمام؟ toses و عندي defective + +136 +00:10:36,000 --> 00:10:38,520 +elevation و عندي defective abduction و عندي + +137 +00:10:38,520 --> 00:10:42,880 +defective depression تمام؟ أه و العين جاية out and + +138 +00:10:42,880 --> 00:10:47,770 +downساعتها و ال pupil dilated معناته هذا surgical + +139 +00:10:47,770 --> 00:10:51,530 +fair nerve pulse ايش surgical يعني ممكن يحتاج + +140 +00:10:51,530 --> 00:10:54,970 +لتدخل جراحي من قبل جراحة الأعصاب يعني هذا مب .. + +141 +00:10:54,970 --> 00:11:00,030 +يعني طب emergency هذا .. و نقال عنه طب emergency + +142 +00:11:00,030 --> 00:11:07,280 +يعني بمعنى انه لا وقت ليعني الطرففي الفحص مع + +143 +00:11:07,280 --> 00:11:11,500 +المريض تمام فبالتالي هذا بتحول ضروري على جراحة + +144 +00:11:11,500 --> 00:11:17,020 +الأعصاب للتصوير الطبقى طيب السبب كيف عرفت أن هذا + +145 +00:11:17,020 --> 00:11:20,600 +air jump من ال pupil dilated طب و كيف صار dilated + +146 +00:11:20,600 --> 00:11:24,660 +ال pupil بنعيد لأنهالبرا sympathetic fiber اللي + +147 +00:11:24,660 --> 00:11:27,280 +طلعت من الادنروستفال نوكلياس اللي هي ال sub + +148 +00:11:27,280 --> 00:11:29,800 +nucleus البرا sympathetic sub nucleus بتاعة ال + +149 +00:11:29,800 --> 00:11:34,400 +third nerve بتمشي في مجموعة رفيعة تعتبر و مجموعة + +150 +00:11:34,400 --> 00:11:38,440 +يعني كميتها او او يعني حجمها صغير و بتمشي على سطح + +151 +00:11:38,440 --> 00:11:41,560 +ال nerve يعني يعني قريب من سطح ال nerve فهذه + +152 +00:11:41,560 --> 00:11:45,820 +كمجموعة صغيرةأول ما بتتعرض بتتعرض للضغط من هذه ال + +153 +00:11:45,820 --> 00:11:49,680 +aneurysm أو ممكن مش aneurysm يكون ورم أو شيء من من + +154 +00:11:49,680 --> 00:11:53,120 +هذا القبيل تمام فبالتالي لما بشوف ال pupil dilated + +155 +00:11:53,120 --> 00:11:57,140 +بدي أنا أخد يعني حذر الشديد جدا و بعد ما يطمنني + +156 +00:11:57,140 --> 00:12:01,540 +جراحة الأعصاب أن الأمورسليمة و مافيش اي مشكلة تمام + +157 +00:12:01,540 --> 00:12:04,740 +بأتعامل معاها ك third nerve palsy و بنشوف إيش اللي + +158 +00:12:04,740 --> 00:12:09,220 +بنتعامل معاه يعني في .. في نهاية الموضوع طيب ال + +159 +00:12:09,220 --> 00:12:11,820 +medical third nerve palsy بس قبل ما ندخل في ال + +160 +00:12:11,820 --> 00:12:14,700 +medical ده أقول ممكن العلامة الوحيدة اللي يجيني في + +161 +00:12:14,700 --> 00:12:17,300 +ال third nerve palsy انه sudden dilatation of the + +162 +00:12:17,300 --> 00:12:21,040 +pupil بدون أي سبب معروف لسه بجيت ال functions اللي + +163 +00:12:21,040 --> 00:12:23,850 +هو ال adoption و ال elevation و الناس لسهكلها + +164 +00:12:23,850 --> 00:12:27,170 +تقريبا normal او مش ملاحظ عليها انها مختلفة تمام + +165 +00:12:27,170 --> 00:12:31,010 +فممكن تجيلي العلامة الوحيدة انه ايش dilatation of + +166 +00:12:31,010 --> 00:12:33,910 +the pupil فاخد بالي ان dilatation of the pupil هي + +167 +00:12:33,910 --> 00:12:37,230 +العلامة الفارقة بين ال medical third nerve palsy + +168 +00:12:37,230 --> 00:12:42,150 +وال surgical third nerve palsy نيجي احنا بنقول ال + +169 +00:12:42,150 --> 00:12:45,530 +medical third nerve palsy اللي هو غالبا بيصير عند + +170 +00:12:45,530 --> 00:12:50,710 +مرضى اللي عندهم diabetesاو hypertension طبعا old + +171 +00:12:50,710 --> 00:12:56,030 +age بالغالب تمام نتيجة ان هذا عصب هذا عصب و مادة + +172 +00:12:56,030 --> 00:12:59,750 +العصب بدها تغذية بشعيرات دموية يعني العصب بالنهاية + +173 +00:12:59,750 --> 00:13:02,990 +هو نسيج هو بيعطي تغذية عصبية بس هو بده يتغذى + +174 +00:13:02,990 --> 00:13:05,910 +بالأكسجين و المواد الغذائية اللي بيحمله إياها + +175 +00:13:05,910 --> 00:13:09,150 +الشعيرات الدموية مرض السكري و ال hypertension + +176 +00:13:09,150 --> 00:13:12,590 +بيصير عندهم خراب في الشعيرات الدموية و بيصير جوع + +177 +00:13:12,590 --> 00:13:17,540 +أكسجيني في العصب ككل مين اللي بتأثر أكتر؟ال motor + +178 +00:13:17,540 --> 00:13:22,320 +area ليش؟ لأنها الأكتر كمًا أو الأكتر كعدد fibers + +179 +00:13:22,320 --> 00:13:26,520 +و اللي محتاجة تغذية .. كتغذية دموية Oxygen مواطن + +180 +00:13:26,520 --> 00:13:29,520 +غذائي أكتر من ال .. من ال .. الكمية القليلة بتاعة + +181 +00:13:29,520 --> 00:13:33,420 +البرا sympathetic fibers فبالتالي عندي هذا ال + +182 +00:13:33,420 --> 00:13:37,410 +medical third nerve pulse بيكون عنديdefective + +183 +00:13:37,410 --> 00:13:39,530 +adduction, defective elevation, defective + +184 +00:13:39,530 --> 00:13:43,010 +depression تمام وعندي ptosis بس عندى ال pupil + +185 +00:13:43,010 --> 00:13:47,170 +normal ليش لأن هذه الكمية القليلة من البرا + +186 +00:13:47,170 --> 00:13:49,730 +sympathetic fiber بتتحمل الجوع الاكسوجيني لأنه + +187 +00:13:49,730 --> 00:13:52,390 +عددها جانيل والطاقة اللى بتلزمها مش كتيرة الطاقة + +188 +00:13:52,390 --> 00:13:55,930 +اللى بتلزمها مش كتيرة فبالتالي هذا انا بعرف انه + +189 +00:13:55,930 --> 00:14:00,060 +عند كل ال full picture معادة ل pupil normalتمام + +190 +00:14:00,060 --> 00:14:03,640 +هذا بيسميه medical third nerve palsy وهذا مابحتاجش + +191 +00:14:03,640 --> 00:14:08,120 +يعني لا استعجال في الأمر لأن هذا بالغالب بيصيرله + +192 +00:14:08,120 --> 00:14:12,660 +recovery لحاله مابتأثرش يعني غالبا في تلت شهور او + +193 +00:14:12,660 --> 00:14:16,400 +ست شهور بيصيرله يعني شفاء يعني لحاله تم وبالتالي + +194 +00:14:16,400 --> 00:14:20,300 +انا بس بتابعه لغاية ما يتم الشفاء اذا كان هذا + +195 +00:14:20,300 --> 00:14:23,200 +المريض عنده partial involvement ومشكلة من دبلوبيا + +196 +00:14:23,200 --> 00:14:27,310 +ممكن انا اعمله eclosion ل one eyeأو أوصف لفرنالي + +197 +00:14:27,310 --> 00:14:32,970 +بريزم عساس أنه إيش يعني في انتظار شفاءه وتحسنه لو + +198 +00:14:32,970 --> 00:14:37,530 +طول عن ست شهور ممكن يتطلب ممكن يتطلب ال neuro + +199 +00:14:37,530 --> 00:14:40,670 +imaging عشان أعرف إيش السبب و ليش يعني طال الشفاء + +200 +00:14:40,670 --> 00:14:43,810 +بس بالغالب ال medical third nerve palsy ناتج عن + +201 +00:14:43,810 --> 00:14:48,450 +جوع أكسوجيني في مادة العصبوبالتالي ناتج .. بالغالب + +202 +00:14:48,450 --> 00:14:50,730 +هو بيصير عند المرضى كبير السن اللي بيعانوا من + +203 +00:14:50,730 --> 00:14:55,110 +hypertension أو diabetes وهذا بيشفى بالغالب لحاله، + +204 +00:14:55,110 --> 00:14:56,750 +بيشفى بالغالب لحاله + +205 +00:15:01,430 --> 00:15:05,610 +المنظر اللي أمامنا لفت ثيرد نيرف بلسي complete لما + +206 +00:15:05,610 --> 00:15:16,590 +رفعنا + +207 +00:15:16,590 --> 00:15:20,370 +الجفن في المنظر التاني العين جاية out مش كتير down + +208 +00:15:20,370 --> 00:15:24,390 +جاية ال abduction في العين الشمالي في المنظر + +209 +00:15:24,390 --> 00:15:29,380 +التالت طبيعي لأن ال abducent nerve طبيعي تمامال + +210 +00:15:29,380 --> 00:15:33,740 +adoption مافيش adoption عندى ال elevation ايضا + +211 +00:15:33,740 --> 00:15:37,500 +restricted elevation وال depression عندى ايضا + +212 +00:15:37,500 --> 00:15:41,700 +restricted depression طبعا اذا حاولنا ندقق في ال + +213 +00:15:41,700 --> 00:15:44,920 +pupil تقريبا نفس ال size بتاعة ال pupil تعالين + +214 +00:15:44,920 --> 00:15:48,520 +اللي normal فهذا بالغالب medical third nerve palsy + +215 +00:15:48,520 --> 00:15:51,520 +medical third nerve palsy ماننساش موضوع ال pupil + +216 +00:15:51,520 --> 00:15:55,160 +لانه مهم جدا وممكن انا افوت شغلة افحص مريض و بعد + +217 +00:15:55,160 --> 00:15:59,700 +ايام اكتشف انهيعني هذا المريض توفي بسبب نزيف داخل + +218 +00:15:59,700 --> 00:16:04,580 +الدماغ فما ننساش هذه القضية طبعا + +219 +00:16:05,700 --> 00:16:08,280 +أيش ال treatment بتاعة ال third nerve pulse و ايش + +220 +00:16:08,280 --> 00:16:11,120 +دوري انا فيها؟ اول حاجة ال non-surgical treatment + +221 +00:16:11,120 --> 00:16:15,100 +طبعا اما بستعمل frenal prisms اذا كانت تاعة ال + +222 +00:16:15,100 --> 00:16:18,000 +angle بتاعة ال deviation small غالبا ال frenal + +223 +00:16:18,000 --> 00:16:21,140 +prism استعمل لما يكون عندى mild angle of + +224 +00:16:21,140 --> 00:16:24,520 +strabismus او اذا مش قادر استعمل frenal prism + +225 +00:16:24,520 --> 00:16:31,230 +باستعمل ocular occlusion عشان اتفادى الدبلوبياطبعا + +226 +00:16:31,230 --> 00:16:33,810 +امتى بستعملش ال occlusion اذا كان ال toses + +227 +00:16:33,810 --> 00:16:38,490 +complete لانه هيغنيني عن موضوع ال occlusion طبعا + +228 +00:16:38,490 --> 00:16:42,630 +امرار اذا طول ال third nerve pulse بتصير ال + +229 +00:16:42,630 --> 00:16:45,990 +lateral rectus اللي هي تقريبا العضلة الوحيدة هي و + +230 +00:16:45,990 --> 00:16:50,270 +السوبرى و القبليكبتصير مش over acting بس، بتصير + +231 +00:16:50,270 --> 00:16:55,430 +contracted ومتقلصة بشدة، فممكن يعني اتصعب قضية ال + +232 +00:16:55,430 --> 00:16:59,250 +recovery فبالتالي ممكن ينحقن بوتولينيوم توكسين في + +233 +00:16:59,250 --> 00:17:02,710 +ال lateral rectus عشان يرخيها، فانتظار شفاء اللي + +234 +00:17:02,710 --> 00:17:06,050 +هو ال third nerve pulse تمام to prevent its + +235 +00:17:06,050 --> 00:17:09,530 +contracturebefore the deviation improves or + +236 +00:17:09,530 --> 00:17:13,470 +stabilizes هذه ال non-surgical treatment بنعيدها + +237 +00:17:13,470 --> 00:17:17,790 +على السريع فرنالي برزم أو أكلوجين عشان أتفادى + +238 +00:17:17,790 --> 00:17:20,510 +الدبلوبيا الفرنالي برزم لما يكون الزاوية الحوالي + +239 +00:17:20,510 --> 00:17:24,170 +الصغيرة عندى الأكلوجين إذا كان عندى partial بس + +240 +00:17:24,170 --> 00:17:27,510 +عندى angle significant angle و partial doses + +241 +00:17:27,510 --> 00:17:30,670 +فبالتالي هيشك من دبلوبيا و مش هينفع الفرنالي + +242 +00:17:30,670 --> 00:17:34,570 +فبالتالي بستخدم لهول هذا ممكن أستعمل أيضا كيعني + +243 +00:17:34,570 --> 00:17:38,100 +temporary major ان انا أحقنالـ lateral rectus الـ + +244 +00:17:38,100 --> 00:17:41,120 +Botox عشان أرخيها عشان مايصيرش فيها contracture + +245 +00:17:41,120 --> 00:17:45,020 +يعني .. يعني كإني أنا بعمل فيها artificial palsy + +246 +00:17:45,020 --> 00:17:48,860 +تمام؟ عساس تتوازن هي و ال media ال rectus طبعا ال + +247 +00:17:48,860 --> 00:17:51,620 +surgical treatment أمتى بنلجأ ل ال surgical + +248 +00:17:51,620 --> 00:17:56,300 +treatment؟لابد انها تكون after all spontaneous + +249 +00:17:56,300 --> 00:18:00,460 +improvement has ceased تمام غالبا هذا بيكون not + +250 +00:18:00,460 --> 00:18:04,000 +earlier than six months from the date of onset + +251 +00:18:04,000 --> 00:18:07,480 +يعني اليوم بدت ال third nerve palsy مع المريض تمام + +252 +00:18:07,480 --> 00:18:11,520 +مثلا medical third nerve palsy بانتظر انا مسافة ست + +253 +00:18:11,520 --> 00:18:15,280 +شهور ليش بانتظر مسافة ست شهور عشان اتأكد ان ال + +254 +00:18:15,280 --> 00:18:18,300 +spontaneous improvement اللي بده يحصل حصل اذا كان + +255 +00:18:18,300 --> 00:18:21,880 +بده يحصل تمام يعني بكون اعطيت الفرصة الكافية ل .. + +256 +00:18:21,900 --> 00:18:25,060 +المريد انه يتحسن لحاله و كتير من حالات ال third + +257 +00:18:25,060 --> 00:18:29,060 +nerve pulse بتتحسن لحاله تتحسن لحاله + +258 +00:18:33,630 --> 00:18:37,290 +لأن الجوع الأكسجيني .. الجوع الأكسجيني يعني ممكن + +259 +00:18:37,290 --> 00:18:42,010 +يتحسن التغذية الدموية طبعا في عوامل كتيرة يعني و + +260 +00:18:42,010 --> 00:18:46,670 +هذه .. هذه ربما تكون من جانب كويسة و من جانب آخر + +261 +00:18:46,670 --> 00:18:50,230 +سيئة طبعا العوامل الكتيرة زي ال vascular + +262 +00:18:50,230 --> 00:18:54,390 +endothelial growth factor تماماللي هو هذا ال .. ال + +263 +00:18:54,390 --> 00:18:55,830 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +264 +00:18:55,830 --> 00:18:55,970 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +265 +00:18:55,970 --> 00:18:56,150 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +266 +00:18:56,150 --> 00:18:56,450 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +267 +00:18:56,450 --> 00:18:57,330 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +268 +00:18:57,330 --> 00:18:58,010 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +269 +00:18:58,010 --> 00:18:58,250 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +270 +00:18:58,250 --> 00:19:00,770 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +271 +00:19:00,770 --> 00:19:00,770 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +272 +00:19:00,770 --> 00:19:06,450 +ال .. ال .. ال .. ال .. ال .. ال .. + +273 +00:19:06,450 --> 00:19:06,450 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +274 +00:19:06,450 --> 00:19:06,590 +.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. + +275 +00:19:06,590 --> 00:19:09,350 +ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال + +276 +00:19:09,350 --> 00:19:12,350 +.. + +277 +00:19:19,380 --> 00:19:22,440 +حاجة بنسميها advanced diabetic eye disease اللي + +278 +00:19:22,440 --> 00:19:27,040 +بتشمل اللي هي vitreous hemorrhage و بتشمل اللي هي + +279 +00:19:27,040 --> 00:19:30,780 +tractional retinal detachment يعني هي سلاح ذو حدين + +280 +00:19:30,780 --> 00:19:38,220 +سلاح ذو حدين طبعا احنا قبل ما يعني نبلش في العصب + +281 +00:19:38,220 --> 00:19:41,660 +اللي بعده انا خاطر بس اعرض فيديو من ال net تمام + +282 +00:19:41,660 --> 00:19:46,560 +بعد اذنك فتح + +283 +00:19:46,560 --> 00:19:46,820 +ال net + +284 +00:19:50,260 --> 00:19:53,440 +بدنا نعرض فيديو لسيدة عندها third nerve palsy طبعا + +285 +00:19:53,440 --> 00:19:58,220 +من الموقع المصري للحوار و نعرض نفس السيدة بعد ما + +286 +00:19:58,220 --> 00:20:04,580 +تم الشفاء و بدنا نركز على شغلات اللي هي قضية كيف + +287 +00:20:04,580 --> 00:20:08,740 +ال adduction اتحسن كيف ال elevation اتحسن و هذه + +288 +00:20:08,740 --> 00:20:15,060 +القضية ناخد بالنا منها ان شاء الله تعالى closes + +289 +00:21:05,930 --> 00:21:14,950 +فعن المصريين لابد من الـ A في + +290 +00:21:14,950 --> 00:21:21,890 +نفس الصورة بس بعد ال recovery دور عليها شوية + +291 +00:21:21,890 --> 00:21:27,270 +spontaneous + +292 +00:21:27,270 --> 00:21:28,090 +recovery + +293 +00:21:35,410 --> 00:21:35,710 +العربي + +294 +00:22:07,620 --> 00:22:10,740 +طبعا ال fourth nerve بارسية المرة ها مش هناخده + +295 +00:22:10,740 --> 00:22:14,440 +لإنه بده شت طويل من الشريف لإنه ناخد six nerve + +296 +00:22:14,440 --> 00:22:18,280 +بارسية المرة الجاية ان شاء الله تعالى عشان .. عشان + +297 +00:22:18,280 --> 00:22:19,020 +ناخد اللي هو + +298 +00:22:39,250 --> 00:22:42,850 +طيب، الآن بالنسبة لـ sex cranial nerve اللي هو الـ + +299 +00:22:42,850 --> 00:22:49,670 +abdocent nerve ينشأ من ال bones طبعا عشان احنا ما + +300 +00:22:49,670 --> 00:22:55,850 +.. مانقعدش ن .. يعني ن .. نعتمد قضية الحفظ او كده، + +301 +00:22:55,850 --> 00:23:01,970 +عندنا ال midbrain و ال bones و الميضالة أبلونجاتة + +302 +00:23:01,970 --> 00:23:03,510 +اللي هو النخاع المستطيعي المظبوط + +303 +00:23:06,940 --> 00:23:11,300 +هنا التالت والرابع، هنا خمس و سادس و سابع و تامن، + +304 +00:23:11,300 --> 00:23:16,840 +هنا تاسع و عشر و احداشر و اتناشر، والأول مين هو؟ + +305 +00:23:16,840 --> 00:23:23,740 +optic nerve رقم اتنير، عصب الشم، الolfactory nerve + +306 +00:23:23,740 --> 00:23:26,720 +الolfactory nerve، هدلك لحاله، الolfactory nerve + +307 +00:23:26,720 --> 00:23:32,400 +بيروح على يعني مباشرة على الدماغ، وال optic nerve + +308 +00:23:32,400 --> 00:23:36,280 +الباثويتاع، انتوا عارفينه من وين بينشق؟من وين + +309 +00:23:36,280 --> 00:23:42,300 +بينشغل optic nerve؟ من الانتان، من الانتان، يعني + +310 +00:23:42,300 --> 00:23:46,640 +هو رايح لجوا، اه رايح لجوا، تمامبينشق من الهنتين + +311 +00:23:46,640 --> 00:23:49,180 +وفيه ال optic nerve و ال chiasm و ال tract و ال + +312 +00:23:49,180 --> 00:23:51,520 +lateral geniculate body و ال radiation و إلى آخرى + +313 +00:23:51,520 --> 00:23:54,780 +تمام؟ عشان ما نخربش ال midbrain بنشق منه التالت و + +314 +00:23:54,780 --> 00:23:58,160 +الرابع الخامس و السادس و السابع و التمن بنشقوا من + +315 +00:23:58,160 --> 00:24:02,560 +ال bones تاسع و عشر و أحداشر و اتناشر من المضلق و + +316 +00:24:02,560 --> 00:24:05,240 +اللونجاتر تمام؟ طبعا احنا السادس اللي هو ال + +317 +00:24:05,240 --> 00:24:08,160 +abducent nerve بنشق من ال bones و بيروح بيغذي إيش + +318 +00:24:08,160 --> 00:24:12,040 +ال lateral rectus muscle تمام؟ اللي على نفس + +319 +00:24:12,040 --> 00:24:15,660 +الناحية بتاعه على نفس الناحية بتاعتهال lateral + +320 +00:24:15,660 --> 00:24:18,900 +rectus muscle مسئولة عن ال abduction ..مسئولة عن + +321 +00:24:18,900 --> 00:24:22,120 +ال abduction يا ترى لو قلنا احنا left sex nerve + +322 +00:24:22,120 --> 00:24:28,160 +palsy ايزو بالظبط حيجي عندي مثلا fixating بال + +323 +00:24:28,160 --> 00:24:31,700 +right eye وعندي ايزوتروبيا في ال primary position + +324 +00:24:31,700 --> 00:24:39,710 +بيشكوا من؟ هل هيشكوا من شاء بر ال ايزو؟Deplopia .. + +325 +00:24:39,710 --> 00:24:42,710 +Deplopia .. حيشكوا من Deplopia .. هد ال Deplopia ع + +326 +00:24:42,710 --> 00:24:45,610 +ال distance أكتر ولا ع ال near أكتر؟ ع ال distance + +327 +00:24:45,610 --> 00:24:49,030 +.. ممكن ع ال near مايكونش عنده Deplopia؟ أه ممكن ع + +328 +00:24:49,030 --> 00:24:52,630 +ال close near مايكونش لأنه في ال close near ال + +329 +00:24:52,630 --> 00:24:54,670 +convergence هو اللي بديه يشتغل و ال media + +330 +00:24:54,670 --> 00:24:59,270 +الrectile عن ناحيتين سليمات و عشان هيك الدرس اللي + +331 +00:24:59,270 --> 00:25:04,540 +فات في العمل عند مجموعة من المجموعاتحكوا انه ممكن + +332 +00:25:04,540 --> 00:25:08,000 +هذا البني ادن ال four dot ت stand و يكون خمسة على + +333 +00:25:08,000 --> 00:25:11,480 +ال distance و أربع على النيار لأنه على النيار في + +334 +00:25:11,480 --> 00:25:14,620 +fusion في fusion هندي في binocular single vision + +335 +00:25:14,620 --> 00:25:18,860 +هاد ال diplopia horizontal ولا vertical ولا + +336 +00:25:18,860 --> 00:25:22,460 +torsional؟ horizontal .. pure horizontal diplopia + +337 +00:25:22,460 --> 00:25:26,120 +تمام؟ طيب increasing on left gaze or on right + +338 +00:25:26,120 --> 00:25:26,900 +gaze؟ + +339 +00:25:29,450 --> 00:25:33,410 +على ال left gaze بتزيد على ال left gaze بتزيد ليش؟ + +340 +00:25:33,410 --> 00:25:36,210 +لأن العين اليمين هتروح على ال left كويس بينما + +341 +00:25:36,210 --> 00:25:38,590 +العين الشمالة لأنه في بلصي في ال lateral rectus مش + +342 +00:25:38,590 --> 00:25:43,510 +هتقدر فال deviation هيزيد في منطقة عمل العضلة + +343 +00:25:43,510 --> 00:25:46,930 +المصابة على ال right ممكن تروح ال diplopia تماما + +344 +00:25:46,930 --> 00:25:50,050 +لأن ال right ايش بالزمنه؟ right lateral rectus وهي + +345 +00:25:50,050 --> 00:25:53,230 +طبيعية و left medial rectus وهي أيضا طبيعية + +346 +00:25:53,230 --> 00:25:57,520 +فبالتالي هذه ال diplopia increasing onlift gaze + +347 +00:25:57,520 --> 00:26:01,080 +إذا عنده lift six nerves palsy و decreasing أو + +348 +00:26:01,080 --> 00:26:04,920 +يعني disappearing on right gaze هل هيكون عندي + +349 +00:26:04,920 --> 00:26:08,360 +abnormal head posture يعوض عن الدبلوبيا؟ face + +350 +00:26:08,360 --> 00:26:11,820 +turned to what side? to which side? to the left + +351 +00:26:11,820 --> 00:26:17,560 +يعني the head turns where the eye cannotال I مش + +352 +00:26:17,560 --> 00:26:20,620 +قادرة تروح على ال left فبالتالي ال head بيروح على + +353 +00:26:20,620 --> 00:26:24,900 +ال left عشان العينتين تلقائيا يروحوا على اليمين + +354 +00:26:24,900 --> 00:26:28,540 +فبالتالي بيروحوا على ال field اللي هم يعني بيقدروا + +355 +00:26:28,540 --> 00:26:31,420 +يروحوا عليه هذه القضية ال face turned to the left + +356 +00:26:31,420 --> 00:26:37,880 +مش بس بتتخلصلي من الدبلوبيا وأيضا بتنقلي ال field + +357 +00:26:37,880 --> 00:26:41,620 +of binocular single vision من the right sideto the + +358 +00:26:41,620 --> 00:26:45,000 +straight head position بيسموها Centralization of + +359 +00:26:45,000 --> 00:26:49,960 +the field of binocular single vision ال third + +360 +00:26:49,960 --> 00:26:55,720 +cranial nerve حقيقة + +361 +00:26:55,720 --> 00:27:01,400 +من الأشياء عفوا six cranial nerve في حاجة ممكن + +362 +00:27:01,400 --> 00:27:07,180 +نسمعها أو نراها في الملفات الطبية يعني بعض الأمراض + +363 +00:27:07,180 --> 00:27:11,700 +يكون فيها ال six cranial nerveبسموه false + +364 +00:27:11,700 --> 00:27:18,680 +localizing sign إيش + +365 +00:27:18,680 --> 00:27:23,180 +يعني false localizing sign؟ يعني لما إنسان + +366 +00:27:23,180 --> 00:27:26,720 +بتقوليله عنده six cranial nerve ممكن يتخيل إنه + +367 +00:27:26,720 --> 00:27:30,720 +المشكلة تكون في منشأ ال nerve تمام؟ في منشأ ال + +368 +00:27:30,720 --> 00:27:35,650 +nerveطبعا في حكي على منشأ ال nerve هنحكيه بعد شوية + +369 +00:27:35,650 --> 00:27:41,550 +بس في إمرار بيكون ال six cranial nerve يعني هو + +370 +00:27:41,550 --> 00:27:46,490 +مالوش في المشكلة بس صار involved كشيء ثانوي بالذات + +371 +00:27:46,490 --> 00:27:49,130 +الناس اللي عندهم ال third cranial .. ال six + +372 +00:27:49,130 --> 00:27:57,170 +cranial nerve بيمر من فوق الأذن الداخلية هذه الأذن + +373 +00:27:57,170 --> 00:28:01,820 +الداخليةأو ال internal acoustic meatus تمام موجودة + +374 +00:28:01,820 --> 00:28:05,240 +في عضمة بيسموها ال بتراسبون عضمة صلبة جدا تمام + +375 +00:28:05,240 --> 00:28:09,180 +بيمر في وجهها تماما في داخل الجمجمه و ممكن لما + +376 +00:28:09,180 --> 00:28:13,120 +يصير increased intracranial pressure زيادة ضغط + +377 +00:28:13,120 --> 00:28:17,100 +السائل الدماغي ينضغط هو على العضم يعني السائل شدت + +378 +00:28:17,100 --> 00:28:24,490 +ضغطه ينضغطالـ six cranial nerve ينضغط على عدمة + +379 +00:28:24,490 --> 00:28:28,970 +البترسبونه وبالتالي يؤدي ل six nerve palsy بس مش + +380 +00:28:28,970 --> 00:28:33,050 +هو يعني هذا false localizing sign يعني بقدرش من ال + +381 +00:28:33,050 --> 00:28:37,570 +six cranial nerve أعرف موقع المشكلة وين موقع + +382 +00:28:37,570 --> 00:28:42,150 +المشكلة مين وبالذات لما يكون عندي bilateral six + +383 +00:28:42,150 --> 00:28:46,120 +nerve palsyلأن لما يصير عندى زيادة في ضغط السائل + +384 +00:28:46,120 --> 00:28:50,240 +الدماغي هيضغط على العصابين يضغطهم على اللي بترسبون + +385 +00:28:50,240 --> 00:28:55,180 +عن ناحيتين وبالتالي بتسمى six cranial nerve ولابد + +386 +00:28:55,180 --> 00:29:00,720 +من أنه احنا نستشير الأعصاب في هذه القضية في قضية + +387 +00:29:00,720 --> 00:29:05,200 +أعرف ان في عندى six nerve pulses مصدرها ال bones + +388 +00:29:05,200 --> 00:29:10,280 +ولا مصدرها ال trunk بتاع ال nerve كيف؟لازم اعرف + +389 +00:29:10,280 --> 00:29:13,520 +Anatomy كويس حقيقة احنا قولنا اللي بنشأه من ال + +390 +00:29:13,520 --> 00:29:17,720 +bones اربع أعصاب هاي ال nucleus بتاعة ال sixth + +391 +00:29:17,720 --> 00:29:21,980 +cranial nerve وهي ال nucleus بتاعة ال seventh + +392 +00:29:21,980 --> 00:29:25,580 +cranial nerve اللي هو مين ال facial nerve ال + +393 +00:29:25,580 --> 00:29:29,000 +fibers اللي طالعة من ال facial nerve بتلف و بتعمل + +394 +00:29:29,000 --> 00:29:33,160 +لوب حوالين الاش حوالين ال sixth cranial nerve + +395 +00:29:33,160 --> 00:29:38,850 +فبالتالي اذا اذا تضررال six cranial nerve nucleus + +396 +00:29:38,850 --> 00:29:44,550 +فمن باب اولى انه يكون ال facial nerve انضرب معاه و + +397 +00:29:44,550 --> 00:29:48,110 +صار عندي facial palsy مايقدرش يسكر عينه تمام و + +398 +00:29:48,110 --> 00:29:53,810 +عشان هيك في مقولة علمية بتقول isolated + +399 +00:29:53,810 --> 00:30:01,690 +نكتبها بعد أذنكم isolated six + +400 +00:30:01,690 --> 00:30:11,290 +nerve palsy is nevernuclear in origin مين + +401 +00:30:11,290 --> 00:30:12,490 +يفسر ليها؟ + +402 +00:30:15,710 --> 00:30:19,270 +مش يعني isolated sex nerve palsy يعني sex nerve + +403 +00:30:19,270 --> 00:30:22,290 +palsy لحاله المريض مافيش عنده إلا sex nerve palsy + +404 +00:30:22,290 --> 00:30:25,530 +واحد إيجي ب sex nerve palsy وكل باجيت ال nerves + +405 +00:30:25,530 --> 00:30:30,170 +كويسة مستحيل أنه يكون nuclear in origin يعني مش + +406 +00:30:30,170 --> 00:30:34,190 +مستحيل يكون مصدره أنه خلل في نواة العصب السادس + +407 +00:30:34,190 --> 00:30:37,490 +لأنه لو في خلل يعني إيش يضغط عليها من ببقى ولا + +408 +00:30:37,490 --> 00:30:40,750 +يضغط عليها ويضغط على المجاور إليها زي ورم نظيف إلى + +409 +00:30:40,750 --> 00:30:45,020 +آخرى فبالتالي إذا لجيتي إنسان عنده isolatedsix + +410 +00:30:45,020 --> 00:30:47,940 +nerve palsy معناته المشكلة في ال trunk بتاع ال + +411 +00:30:47,940 --> 00:30:50,080 +nerve الألياف بتاع ال nerve اللي رايحة على ال + +412 +00:30:50,080 --> 00:30:53,680 +lateral rectus تمام فبالتالي هذه القضية ناخد بالنا + +413 +00:30:53,680 --> 00:30:58,920 +منها وهذه بيعطيني رسالة تانية لما أنا بلاجي إنسان + +414 +00:30:58,920 --> 00:31:02,580 +عنده six nerve palsy وعنده facial palsy مش قادر + +415 +00:31:02,580 --> 00:31:05,980 +يسكر يعني عنده lack of thalamus اتنين مضربين مع + +416 +00:31:05,980 --> 00:31:08,960 +بعض أنا المفروض أبدأ أفكر له ممكن المشكلة تكون + +417 +00:31:09,730 --> 00:31:13,430 +nuclear ممكن تكون nuclear طبعا مش شغلي احدد + +418 +00:31:13,430 --> 00:31:16,730 +nuclear ولا مش nuclear انا بتوقع وبالتالي بكتب في + +419 +00:31:16,730 --> 00:31:21,730 +طلب الاستشارة انه في عندي علامات ال .. ال abdocent + +420 +00:31:21,730 --> 00:31:24,970 +nerve palsy وعندي علامات ال facial palsy وبالتالي + +421 +00:31:24,970 --> 00:31:28,090 +انا بتوقع انه ممكن يكون في عندي nuclear sex nerve + +422 +00:31:28,090 --> 00:31:31,590 +palsy وبالتالي هذا بيساعد اذا كان الإنسان مش ماخد + +423 +00:31:31,590 --> 00:31:36,490 +باله في التصوير تمام انه بالظبط عاش يتم التركيز في + +424 +00:31:36,490 --> 00:31:44,260 +هذه القضيةإيش العلاج بتاع ال six nerve pulse خليني + +425 +00:31:44,260 --> 00:31:49,880 +أشوف الصورة هذه أول حاجة عندنا في عندي mild easo + +426 +00:31:49,880 --> 00:31:54,810 +left easo في ال primary positionفاش abduction في + +427 +00:31:54,810 --> 00:31:58,750 +ال left eye أثناء ال left gaze طبعا a normal + +428 +00:31:58,750 --> 00:32:01,850 +abduction يعني هنا هو بتطلع على اليمين فاش عنده + +429 +00:32:01,850 --> 00:32:05,290 +مشكلة الدبلوبيا بتروحي هذا ال field عنده اللي هو + +430 +00:32:05,290 --> 00:32:10,330 +ال field of binocular single vision طبعا علاجه + +431 +00:32:10,330 --> 00:32:15,150 +بالظبط زي third nerve بستنى ست شهور بستنى ست شهور + +432 +00:32:15,150 --> 00:32:18,730 +بستعمل lepranolabrasin وممكن استعمل botulinum + +433 +00:32:18,730 --> 00:32:22,140 +toxin في ال media rectus المرة هايعساس أمنع ال + +434 +00:32:22,140 --> 00:32:25,260 +contracture بتاعتها تمام عشان أمنع ال contracture + +435 +00:32:25,260 --> 00:32:28,660 +بتاعتها كتير من مرضى الديابيتس و ال hypertension + +436 +00:32:28,660 --> 00:32:33,220 +ال old age بيكونوا بيعانوا من ischemic changes + +437 +00:32:33,220 --> 00:32:36,660 +بتقدي ل six nerve pulsing بتقدي ل six nerve + +438 +00:32:36,660 --> 00:32:41,960 +pulsing حاول نشوف إذا كان في عندنا هنا في الموقع + +439 +00:32:41,960 --> 00:32:46,220 +المصري للحوال لاحظين + +440 +00:32:46,220 --> 00:32:50,260 +ال ISO خفيفةabduction طبيعي في ال left هنا مافيش + +441 +00:32:50,260 --> 00:32:55,040 +complete abduction هذا partial sex nervous ملاحظين + +442 +00:32:55,040 --> 00:32:58,760 +face turned slightly to the left كيف عرفناها + +443 +00:32:58,760 --> 00:33:03,620 +slightly to the left مرة تانية كيف عرفناها + +444 +00:33:03,620 --> 00:33:09,460 +slightly لحظة لما أذن المريض اليمنى تبين و أذن + +445 +00:33:09,460 --> 00:33:15,040 +الشمال ماتبينش في الصورة معناته فيه leftلما الأذن + +446 +00:33:15,040 --> 00:33:18,720 +تبين وهذه تختفي معناته الواحد ينمي الاسم باتجاه + +447 +00:33:18,720 --> 00:33:38,500 +الأذن المخفية واضح مرة مرة أخيرة لاحظين يسأل + +448 +00:33:38,500 --> 00:33:41,100 +سؤال يا بنات يعطيكوا ألف عافية +